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1290 Hibiscus St RES21-0383 Siding I.J-11 'f%' RESIDENTIAL PERMIT PERMIT NUMBER sfaRES21-0383 CITY OF ATLANTIC BEACH ISSUED: 1/28/2022 800 SEMINOLE ROAD Dna,' EXPIRES: 7/27/2022 n`T ATLANTIC BEACH. FL 32233 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1290 HIBISCUS ST RESIDENTIAL SIDING HARDIE PLANK SIDING $4000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171057 0000 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: MILLNER BRIAN G 1290 HIBISCUS ST ATLANTIC BEACH FL 32233 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\ YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 BUILDING IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL Notes: IN-PROGRESS INSPECTIONS ARE REQUIRED FOR EXTERIOR SIDING,WINDOW,AND DOOR INSPECTIONS,AND SHOULD BE SCHEDULED FOR THE FIRST DAY OF WORK. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $75.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date:1/28/2022 1 of 2 „::,. .: ,,,,,_5!,„,,, _,,r) RESIDENTIAL PERMIT PERMIT NUMBER LCITY OF ATLANTIC BEACH RES21-0383 800 SEMINOLE ROAD ISSUED: 1/28/2022 rte'""r v ATLANTIC BEACH. FL 32233 EXPIRES: 7/27/2022 TOTAL:$116.50 Issued Date:1/28/2022 2 of 2 JOB COP\ REVIEWED RES21-0383 By Mike Jones at 11:57 am, Jan 24, 2022 1111111111trari, jot llk `�����+0 HardiePlank Lap Siding 1177 � EFFECTIVE SEPTEMBER 2019 IMPORTANT:FAILURE TO FOLLOW JAMES HARDIE WRITTEN INSTALLATION INSTRUCTIONS AND COMPLY WITH APPLICABLE BUILDING CODES MAY VIOLATE LOCAL LAWS,AFFECT BUILDING ENVELOPE PERFORMANCE AND MAY AFFECT WARRANTY COVERAGE.FAILURE TO COMPLY WITH ALL HEALTH AND SAFETY REGULATIONS WHEN CUTTING AND INSTALLING THIS PRODUCT MAY RESULT IN PERSONAL INJURY.BEFORE INSTALLATION,CONFIRM YOU ARE USING THE CORRECT HARDIEZONE®PRODUCT INSTRUCTIONS BY VISITING HARDIEZONE.COM OR CALL 1-866-942-7343(866 9-HARDIE) © CUTTING INSTRUCTIONS STORAGE& HANDLING: OUTDOORS INDOORS 1.Position cutting station so that airflow blows dust away from the DO NOT grind or cut with a power saw indoors.Cut using shears(manual,pneumatic or Store flat and keep dry and covered prior to user and others near the cutting area. electric)or the score and snap method,not recommended for products thicker than 7/16 in. installation.Installing siding wet or saturated may 2.Cut using one of the following methods: result in shrinkage at butt joints.Carry planks on a.Best: Circular saw equipped with a HardieBlade saw blade and attached vacuum dust collection system.Shears - DO NOT dry sweep dust;use wet dust suppression or vacuum to collect dust. edge. Protect edges and corners from breakage. (manual,pneumatic or electric)may also be used,not - For maximum dust reduction,James Hardie recommends using the Best"cutting James Hardie is not responsible for damage caused recommended for products thicker than 7/16 in. practices.Always follow the equipment manufacturer's instructions for proper operation. b.Better: Circular saw equipped with a dust collection feature For bestperformance when cuttingwith a circular saw,James Hardie recommends by improper storage and (e.g.Roane saw)and a HardieBlade saw blade. handling of the Good: Circular saw equipped with a HardieBlade saw blade. using HardieBlade®saw blades. product. _.1 - Go to jameshardiepros.com for additional cutting and dust control recommendations. gOr OW IMPORTANT:The Occupational Safety and Health Administration(OSHA)regulates workplace exposure to silica dust.For construction sites,OSHA has deemed that cutting fiber cement with a circular saw having a blade diameter less than 8 inches and connected to a commercially available dust collection system per manufacturer's instructions results in exposures below the OSHA Permissible Exposure Limit(PEL)for respirable crystalline silica,without the need for additional respiratory protection. If you are unsure about how to comply with OSHA silica dust regulations,consult a qualified industrial hygienist or safety professional,or contact your James Hardie technical sales representative for assistance.James Hardie makes no representation or warranty that adopting a particular cutting practice will assure your compliance with OSHA rules or other applicable laws and safety requirements. IMPORTANT:To prevent damage to the drip edge,extra care should be taken when removing planks from the pallet,while handling,and when installing with a lap gauge.Please see additional handling requirements on page 4. GENERAL REQUIREMENTS: • HardiePlank®lap siding can be installed over braced wood or steel studs,20 gauge(33 mils)minimum to 16 gauge(54 mils)maximum,spaced a maximum of 24 in o.c.or directly to minimum 7/16 in thick OSB sheathing.See General Fastening Requirements.Irregularities in framing and sheathing can mirror through the finished application.Correct irregularities before installing siding. • Information on installing James Hardie products over non-nailable substrates(ex:gypsum,foam,etc.)can be located in JH Tech Bulletin 19 at www.jamehardie.com • A water-resistive barrier is required in accordance with local building code requirements.The water-resistive barrier must be appropriately installed with penetration and junction flashing in accordance with local building code requirements.James Hardie will assume no responsibility for water infiltration.James Hardie does manufacture HardieWrapvv Weather Barrier,a non-woven non-perforated housewrap'.which complies with building code requirements. • Adjacent finished grade must slope away from the building in accordance with local building codes-typically a minimum of 6 in.in the first 10 ft.. Double Wall Figure 1 Single Wall • Do not use HardiePlank lap siding in Fascia or Trim applications. Construction Construction • Do not install James Hardie products,such that theymay remain in contact with standingwater. wat barrier r uve lel-in bracing bie24 in,o.c.may. plywood or • HardiePlank lap siding may be installed on flat vertical wall applications only. • • For larger projects,including commercial and multi-family projects,where the span of the wall is S*14..„1,41.1740......S.41.13sihe_ath_in.:............iitrl � significant in length,the designer and/or architect should take into consideration the coefficient of thermal expansion andmoisture movement of the product in their design.These values can be found in the Technical Bulletin"Expansion Characteristics of James Hardie'Siding Products"at www.jameshardie.com. I' •James Hardie Building Products provides installation/wind load information for buildings with a maximum mean roof height of 85 • feet.For information on installations above 60 feet,please contact JH technical support. / �I INSTALLATION: JOINT TREATMENT Figure 2 stud Nail line(If nail line is / One or more of the following joint treatment options are present,place fastener required by code(as referenced 2009/RC R703.10.2) between 3/4 in.81 in. from top of plank) �I A.Joint Flashing(James Hardie recommended) water- 44water-resistive B.Caulking*(Caulking is not recommended resistive Nail 3/8 in.from •' barrier for ColorPlus for aesthetic reasons as the Joint . edge of plank rstener il Caulking and ColorPlus will weather differently. hashing Install planks in a.• Install a 1 1/4 in.starter strip to For the same reason,do not caulk nail heads on moderate contact Leave appropriate gap between ensure a consistent plank angle ColorPlus products.) at butt joints planks and trim,then caulk.' C."H" jointer cover ® JamesHardie' Note:Field painting over caulking may produce a sheen difference when compared to the field painted PrimePlus.'Refer to Caulking section in these instructions. 'For additional information on HardieWrap®Weather Barrier,consult James Hardie at 1-866-4Hardie or www.hardiewrap.com SELECT CEDARMILL° I SMOOTH I BEADED CEDARMILL° I BEADED SMOOTH Visit jameshardiepros.com for the most recent version. HS11117 P1/4 09/19 �`: ;�= r' JOB COPY HardiePlank•Lap Siding NZ CLEARANCE AND FLASHING REQUIREMENTS Figure 3 Figure 4 Figure 5 Figure 6 Roof to Wall Horizontal Flashing Kickout Flashing • , Path, Steps to Siding / Z-Flashing I I' As required \ 0, - 10 Pr by IRC code min4in.x4in. Min.1/4 in. ,• Do not caulk, 1 ! / in.2 in. bibl:, --,__"%ii.T ' ti - m.._ 11 Figure 7 Figure 8 Figure 9 Figure 10 Figure 11 K to Wall ,,.ind to Siding Gutter to Siding Sheltered Areas Mortar/Masonry ..r-- / / , Y L Flashing .�� Z-Flashing Z Flayhin: I Z Fl.shing n/ —__ I r 2 / Min.'/a in. I: p.,...„,„, .11 L.00" f � _ 6 in. .' lin �' Min.'/ in. m./a in. Figure 12 Figure 13 Figure 14 Drip Edge Block Penetralio'i Valley/Shingle Extension Z r, . .4A �_ A i Min"'/a ai.t iiomDi caulk f when c.are 14)FASTENER REQUIREMENTS* I Refer to the applicable ESR report online to determine which fastener meets your wind load design criteria. Blind Nailing is the preferred method of installation for HardiePlank®lap siding products.Face nailing should only be used where required by code for high wind areas and must not be used in conjunction with Blind nailing(Please see JH Tech bulletin 17 for exemption when doing a repair). BLIND NAILING FACE NAILING Nails-Wood Framing Nails-Wood Framing •Siding nail(0.09 in.shank x 0.221 in.HD x 2 in.long) •6d(0.113 in.shank x 0.267 in.HD x 2 in.long) •11 ga.roofing nail(0.121 in.shank x 0.371 in.HD x 1.25 in.long) •Siding nail(0.09"shank x 0.221"HD x 2"long) Screws-Steel Framing Screws-Steel Framing •Ribbed Wafer-head or equivalent(No.8 x 1 1/4 in.long •Ribbed Bugle-head or equivalent(No.8-18 x 1-5/8 in.long x x 0.375 in.HD)Screws must penetrate 3 threads into metal framing. 0.323 in.HD)Screws must penetrate 3 threads into metal framing. Nails-Steel Framing Nails-Steel Framing •ET&F Panelfast®nails or equivalent(0.10 in.shank x 0.313 in.HD x 1-1/2 in.long) •ET&F pin or equivalent(0.10 in.shank x 0.25 in.HD x 1-1/2 in.long) Nails must penetrate minimum 1/4 in.into metal framing. Nails must penetrate minimum 1/4 in.into metal framing. OSB minimum 7/16 in. OSB minimum 7/16 in. •Siding nail(0.09 in.shank x 0.215 in.HD x 1-1/2 in.long •Siding nail(0.09 in.shank x 0.221 in.HD x 1-1/2 in.long) •Ribbed Wafer-head or equivalent(No.8 x 1 5/8 in.long x 0.375 in.HD). 'Also see General Fastening Requirements;and when considering alternative fastening options refer to James Hardie's Technical Bulletin USTB 5-Fastening Tits for HardiePlank Lap Siding. HS11117 P2/4 09/19 Av., �l' J 0 B C 0 PY •'��L��,. HardiePlank` Lap Siding NZ FASTENER REQUIREMENTS continued ---H24" Figure 14 Figure 15 St d — O.C.max Stud 24" _ IOW O.C.max NOW JointN, 1 1/4"min. Minimum overlap Flashing, u. y.-- Overlap .�+ -- for Both Face _.,._ �`°'--_--0-'''-- J' and Blind Nailing .u.-r T— • Nail Line ___- / I 3/4"-1" • Blind Nail Y min.1 1/4 in. i overlap tr,7, I— Face Nail 1 <Res,stive Water Resistive Barrier 1 1/4"min. �" Barrier .,._. Overlap Laminate sheet to be removed immediately after installation of each course for ColorPlus®products. IPin-backed corners may be done for aesthetic purposes only.Finish nails are recommended for pin-backs.Headed siding nails are allowed.Place pin-backs no closer than 1 in.from plank ends and 3/4 in.from plank edge into min.3/8 in.wood structural panel.Pin-backs are not a substitute for blind or face nailing. GENERAL FASTENING REQUIREMENTS PNEUMATIC FASTENING Fasteners must be corrosion resistant,galvanized,or stainless steel.Electro-galvanized James Hardie products can be hand nailed or fastened with a pneumatic tool. are acceptable but may exhibit premature corrosion. James Hardie recommends the Pneumatic fastening is highly recommended. Set air pressure so that the use of quality,hot-dipped galvanized nails.James Hardie is not responsible for the fastener is driven snug with the surface of the siding.A flush mount corrosion resistance of fasteners.Stainless steel fasteners are recommended when attachment on the pneumatic tool is recommended. This will help control the installing James Hardie®products near the ocean,large bodies of water,or in very depth the nail is driven.If setting the nail depth humid climates. proves difficult,choose a setting that under drives the nail. (Drive under driven nails snug with a Manufacturers of ACQ and CA preservative-treated wood recommend spacer materials `pp 03 smooth faced hammer-Does not apply for or other physical barriers to prevent direct contact of ACQ or CA preservative-treated SNUG FLUSH installation to steel framing). wood and aluminum products.Fasteners used to attach HardieTrim Tabs to preserva- tive-treated wood shall be of hot dipped zinc-coated galvanized steel or stainless steel and in accordance to 2009 IRC R317.3 or 2009 IBC 2304.9.5 DO NOT DO NOT DO NOT USE • Consult applicable product evaluation or listing for correct fasteners type and gl 44qt. `�% placement to achieve specified design wind loads. �' % • NOTE:Published wind loads may not be applicable to all areas where Local Building UNDER OVER SLANT ALUMINUM Codes have specific jurisdiction.Consult James Hardie Technical Services if you are DRIVE DRIVE FASTENERS unsure of applicable compliance documentation. • Drive fasteners perpendicular to siding and framing. • Fastener heads should fit snug against siding(no air space). IF,THEN IF,THEN ADDITIONAL NAIL •NOTE:Whenever a structural member is present,HardiePlank should be fastened with even spacing to the structural member.The tables allowing direct to OSB or plywood WOOD STEEL FACE CLIPPED should only be used when traditional framing is not available, FRAME FRAME NAIL HEAD NAILS ...,„ CUT EDGE TREATMENT !� Caulk,paint or prime all field cut edges.James Hardie touch-up kits are required to 4 v` touch-up ColorPlus products. COUNTERSINK HAMMER &FILL STAPLES CAULKING FLUSH �, For best results use an Elastomeric Joint Sealant complying with ASTM C920 Grade NS, REMOVE& Class 25 or higher or a Latex Joint Sealant complying with ASTM C834.Caulking/Sealant REPLACE must be applied in accordance with the caulking/sealant manufacturer's written instructions. Note:some caulking manufacturers do not allow"tooling". PAINTING DO NOT use stain,oil/alkyd base paint,or powder coating on James Hardie®products.Factory-primed James Hardie products must be painted within 180 days of installation. 100%acrylic topcoats are recommended.Do not paint when wet.For application rates refer to paint manufacturers specifications.Back-rolling is recommended if the siding is sprayed. HS11117 P3/4 09/19 4 Oji.A's. COPY HardiePlank®Lap Siding /47..1..5. COLORPLUS®TECHNOLOGY CAULKING,TOUCH-UP&LAMINATE •Care should be taken when handling and cutting James Hardie ColorPlus®products.During installation use a wet soft cloth or soft brush to gently wipe off any residue or construction dust left on the product,then rinse with a garden hose. •Touch up nicks,scrapes and nail heads using the ColorPlus®Technology touch-up applicator.Touch-up should be used sparingly. If large areas require touch-up,replace the damaged area with new HardiePlank®lap siding with ColorPlus®Technology. •Laminate sheet must be removed immediately after installation of each course. •Terminate non-factory cut edges into trim where possible,and caulk.Color matched caulks are available from your ColorPlus®product dealer. •Treat all other non-factory cut edges using the ColorPlus Technology edge coaters,available from your ColorPlus product dealer. Note:James Hardie does not warrant the usage of third party touch-up or paints used as touch-up on James Hardie ColorPlus products. Problems with appearance or performance arising from use of third party touch-up paints or paints used as touch-up that are not James Hardie touch-up will not be covered under the James Hardie ColorPlus Limited Finish Warranty. PAINTING JAMES HARDIE®SIDING COVERAGE CHART/ESTIMATING GUIDE AND TRIM PRODUCTS WITH Number of 12 ft.planks,does not include waste COLORPLUS®TECHNOLOGY COVERAGE AREA When repainting ColorPlus products,James LESS Hardie recommends the following regarding OPENINGS surface preparation and topcoat application: HARDIEPLANK®LAP SIDING WIDTH • Ensure the surface is clean,dry,and free of any SQ 51/4 6 1/4 71/4 71/2 8 81/4 91/4 91/2 12 dust,dirt,or mildew (1 So=100 sq.ft.) (exposure) 4 5 6 61/4 6 3/4 7 8 81/4 10 3/4 • Repriming is normally not necessary 1 25 20 17 16 15 14 13 13 9 •100%acrylic topcoats are recommended 2 50 40 33 32 30 29 25 25 19 • DO NOT use stain,oil/alkyd base paint,or 3 75 60 50 48 44 43 38 38 28 powder coating on James Hardie®Products. 4 100 80 67 64 59 57 50 50 37 • Apply finish coat in accordance with paint 5 125 100 83 80 74 71 63 63 47 manufacturers written instructions regarding 6 150 120 100 96 89 86 75 75 56 7 175 140 117 112 104 100 88 88 65 coverage,application methods,and application 8 200 160 133 128 119 114 100 100 74 temperature 9 225 180 150 144 133 129 113 113 84 • DO NOT caulk nail heads when using ColorPlus 10 250 200 167 160 148 143 125 125 93 11 275 220 183 176 163 157 138 138 102 products,refer to the ColorPlus touch-up 12 300 240 200 192 178 171 150 150 112 section 13 325 260 217 208 193 186 163 163 121 14 350 280 233 224 207 200 175 175 130 15 375 300 250 240 222 214 188 188 140 16 400 320 267 256 237 229 200 200 149 17 425 340 283 272 252 243 213 213 158 18 450 360 300 288 267 257 225 225 167 19 475 380 317 304 281 271 238 238 177 20 500 400 333 320 296 286 250 250 186 This coverage chart is meant as a guide.Actual usage is subject to variables such as building design. James Hardie does not assume responsibility for over or under ordering of product. ADDITIONAL HANDLING REQUIREMENTS Pull from across the stack Do not go down the stack IMPORTANT:To prevent damage to the drip edge,extra care should be -- ' NO . —-------‘taken when removing planks from the pallet,while handling,and 410014:41 '140 \ when installing with a lap gauge.Planks are interlocked together on �� ► the pallet,therefore they should be removed from the pallet ' '. ' t horizontally(side to side)to allow planks to unlock themselves from �;� WV AIM. one another. '=== _ H511117 P4/4 09/19 i DANGER:May cause cancer if dust from product Is Inhaled.Causes damage to lungs and respiratory system through prolonged or repeated Inhalation of dust from product.Refer to the current product Safety Data Sheet before use. Z The hazard associated with fiber cement arises from crystalline silica present in the dust generated by activities such as cutting,machining,drilling,routing,sawing,crushing,or otherwise abrading fiber cement,and when cleaning 3 up,disposing of or moving the dust.When doing any of these activities in a manner that generates dust you must(1)comply with the OSHA standard for silica dust and/or other applicable law,(2)follow James Hardie cutting a instructions to reduce or limit the release of dust;(3)warn others in the area to avoid breathing the dust;(4)when using mechanical saw or high speed cutting tools,work outdoors and use dust collection equipment;and(5)ifno cs other dust controls are available,wear a dust mask or respirator that meets NIOSH requirements(e.g.N-95 dust mask).During clean-up,use a wet maintained vacuum and fifer appropriate for capturing fine(respirable)dust or use d wet clean-up methods-never dry sweep. N a WARNING:This product can expose you to chemicals Including respirable crystalline silica,which is known to the State of California to cause cancer.For more information go to P65Warninos.caaov. RECOGNiON:In accordance with ICC-ES Evaluation Report ESR-2290,HardiePlank®lap siding is recognized as a suitable alternate to that specified in the 2006,2009,2012&2015 International Residential Code for One and Two-Family Dwellings,and the 2006,2009,2012&2015 International Building Code.HardiePlank lap siding is also recognized for application in the following:City of Los Angeles Research Report No.24862,State of Florida Product Approval FL#13192, Miami-Dade County Florida NOA No.17-0406.06,U.S.Dept.of HUD Materials Release 1263f,Texas Department of Insurance Product Evaluation EC-23,City of New York MEA 223-93-M,and California DSA PA-019.These documents should also be consulted for additional information concerning the suitability of this product for specific applications. ©2019 James Hardie Building Products,Inc.All rights reserved TM,SM and® Product warranties,safety information and additional installation a JamesHaf Yie- denote trademarks or registered trademarks of James Hardie Technology Limited. Information are available at Jameshardiepros.com 12/28/21,10:44 AM 20211228_100143.jpg n P f'nl pV REVIEWED FOR CODE COMPLIANCE. f Building Permit Application REVIEWED 'Ara' City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 3223kBy Mike Jones at 11:54 am, Jan 24, 2022 Phone: (904) 247-5826 Email: Building-Dept@coab.us RES21-0383 Job Address: /2 e76 Permit Number: Legal Description /,.-4,7f/ //,LS. '9E •/1-3 .0st.- fir /3,4423[ Valuation of Work(Replacement Cost)$ ! Heated/Cooled SF Non Heated/Cooled • Class of Work: ❑New DAddition t 'Alteration URepair (Wove UDemo UPool LJWndow,Do0• • Use of existing/proposed structure(s): L[Commercial residential • If an existing structure,is a fire sprinkler system installed?: liYes NINo • Will tree be r•moved in .5 • 'non wi h .r••is . sr.ect?CY rn I submi •••r • Tre Removal P rmil ANo Describe in detail the type of work to be performed. 6 r•-- Florida `Florida Product Approval# fI /315 f for multiple products use product approval form Property Owner Information Name .�jf IGs,� /L I j r (Z, Address /Z91) /11,i))S!✓J 5 r- City G,r/,c b[4e,is_ State f=L Zip Phone 90�/ / ,Z � -- E-Mail i/ ' _ rr A I0, • , f - Owner or Agent(If Agent,Power of A •may or Agency Letter Required) Contractor Information Name of Company /.//rq-- Qualifying Agent --- Address City State Zip Office Phone Job Site Contact Number State Certification/Registration e E-Mail Architect Name&Phone# - Engineer's Name&Phone if Workers Compensation Insurer OR Exempt n Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated-I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and toning WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD)NG YOUR- E9F COMMENCEMENT. I)�f � (Signature of Owner or Agent) (Signature of Contractor) Sigyned and sworn to(or affir )before me this 24p day of Signed and sworn to for affirmed)before me this day of oec- ,2U2i .by ( t• Pt1 ,by- (Signature of Notary) (Signature of Notary) �;—� — _...._.... n OR ( I Personally Known OR ;y.• '' ,.. OAS ) '� Nut1 e)d1�I�der I hcat,on (ype of id ed Idcatio cati ':. MY COMMISS rr�} g1'IpCrilrfic fin Type of identification: � L � ,„, FJ(pJR6S: Rf�13,2015 °•'.'�� BOr4e ThN Notary PUbIiC underwryM https://mail.google.com/mail/u/0/#inbox?projector=1 1/1 12/28/21, 10:45 AM 20211228_100222.jpg rtl, Owner Builder Affidavit J O B COPY te.fl� **ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd,Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT[[: RES21-0383_ I. FLORIDA STATUTES;CHAPTER 489,FLORIDA STATUTES,PART 1"CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR t EASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR.YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED.. III. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY;UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY'OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US)IF IN DOUBT. V. ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: /210 j1r6 i.c. 13,A- f - .3.2Z.3 3 Owner Name: r i� tiL l(✓lei_ Phone Number:Ploy) 6:13-43.s--4! , Mailing Address://�C3 /�i��,c c c .,St% City: ,447 74ic.�-L State: FL- Zip: $'2t,V Notarized Signature of Owner V e""�-- l� �.� The f�egQip,instrument was acknowledged before me this 28 day of EC.- ,202j in the State of Florida, County of UVH • Signature of Notary Public e& zfFZ"_-�!o� L — [ j Personally Known OR l(F:roduced Identification A ' CHRISTNN GLES MY COMMISSION/HH 117153 EXPIR69:A$Y13,2025 Type of Identification: FL . p . L - `?�!! Bonded Tho Noisy Rbk Undsmillurs Updated 10/24/IS https://mail.google.com/mail/u/0/#inbox/FMfcgzGmtFBVTDFcJBxSbgwdTrW DwWpq?projector=18messagePartld=0.4 1/1 12/28/21, 10:46 AM 20211228_100403.jpg RES21-0383 JOB COPY REVIEWED By Mike Jones at 11:55 am, Jan 24, 2022 N/C i 5� ; ti V ny I J%.(.;. AM1- Com` , �S � � . �t , - Re icvtz. t-1�,, LC4 / rs n t--"vA \ t len ". o'�- � x�� is ��.- peaty- di i a - 1) cLQ 111 22 to �-�n1►t-�- Z iU0n12-QC Gni` I(c''1 (ti.t.-lF"C tJ 14'. r"\Sil 14-cS h.•j I• , �- \lC•-Qh k 2. ' L',t 14 _ CL('t DcS Doc�'�) L"J . �c� �. � ( 1 C > c nexs (.�l Cr,1 >�. �� e: `')c�` hr . IL/ ji`71 fl,c �— ▪ -Tr) ;� �C�s h�"� n r.� ; �e' 3 4 - -Trs a(Of c,-10 c < ,- 5 https://mail.google.com/mail/u/0/#inbox/FMfcgzGmtFBVTDFcJBxSbgwdTrWDwWpq?projector=l&messagePartld=0.2 12/28/21, 10:46 AM 20211228_100304.jpg JOB COP . RES21-0383 / NOTICE OF COMMENCEMENT State of #70/7174_ Tax Folio No. /7/057 --p 0 C 0 County of ,()[SV To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: /A'. / /Z jc_�9£ /6 ,6d�fr - Address of property being improved: _ ` .b v A'22.3 5 General description of improvements: .L a A a Owner: f Yri t Address: /291, fir14.sr c'S__ -_ l•.. L Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: I✓//t—' �.t„.- /�j/f f foJ� Address: Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served:Name: Address. Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: _ Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER / Signed: Date: IZ 12S/2) Doc it 2021338920.OR BK 20072 Pape 1760. _ //. Number Pages:1 Before a this At day of Df c- 2021 in theunty of Duval,State Recorded 12!282021 09:38 AM. Of Florida,has personally appeared (N PF e jQ /FL- (7. L JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Notary Public at Large,Stat o Florida,Coun of Duval. COUNTY My commission expires: � ��'� � RECORDING $10.00 Personally .. or ssioN Produced I•r it '•. C STI%G GALES— 1 MY +r flH 11715) �'+ ... ice 3.2!125 1—-� ►ten https://mail.google.com/mail/u/0/#inbox/FMfcgzGmtFBVTDFcJBxSbgwdTrWDwWpq?projector=1&messagePartld=0.5 1/1