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1520 FRANCIS AVE RFNC22-0043 r '.' -'1'� Building Permit Application Updated 10/9/18 _i, City of Atlantic Beach Building Department **ALL INFORMATION km. r 800 •Seminole •Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY llt t IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us R [�1(� Job Address: 152-0c -NCS -NE Permit Number: E " ....2z 0 0 4 3 Legal Description I?OCA< S© 9(19 c c--i. c"-x\d c, -( A RE# i.7 a 0 c 1 -9 cos Valuation of Work(Replacement Cost)$ I j " Heated/Cooled SF Non-Heated/Cooled • Class of Work: ,1? ew ❑Addition DAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial 'residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes DICIo • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) Colo Describe in detail the type of work to be performed: gepAcot R--. U\c oc Lv1 f\sLko nyv2._ Florida Product Approval# for multiple products use product approval form Property Owner Information Name '-\ L-ebY1c ' a Address 1520 9 iC-1 s /6 City ( - State -(_ Zip .223 3 Phone 6(4 —C 3 S 57 1 39 E-Mail j'fVC . Ck t5eCi C`-" ct-}-4-. 11 CA— Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company 5r1-c Qualifying Agent Address City State Zip Office Phone Job Site Contact N er State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ 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 zoning. 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 RECO I G1YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contra or) SiAned a d sworn to(or affi . before m- this%5 day of Signed and sworn to(or affirmed) efore me this day of f% 20-7—by / e- 4 -orae` , ,by ���,++++1111 • re • 41,111111w (Signature of Notary) TPV1 TONI GINDLESPERGER , MY COMMISSION#GG 353178 rsonally Knoi&frs. ;� [ ]Personally Known OR EXPIRES:October 6,2023 [ ]Produced Ident fic, `o�F`o Bonded ThruNorary Public Underwriters [ ]Produced Identification Type of Identificat Type of Identification: Owner Builder Affidavit **ALL INFORMATION � :OE...: ' HIGHLIGHTED IN if- City of Atlantic Beach Building Department GRAY IS REQUIRED. J 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 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 LEASE 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: t620 c-1:VA.)CI� A-VC Owner Name: 0 G\1 (j Ck. L e_or.. tr4 Phone Number: 709 ( 3$ 'I 14)3c/ Mailing Address: 1 s'2) F-�. \+.)C_1 fl--4E7 City: it State: Zip: .� L z33 Notarized Signature of Owner v (" G- Th regoing in rument was acknowledged before me this <A6 day of . r► 1 , 20 2 L, in the State of Florida, County of \C C Signature of Notary Public <�� Y " ] Personally Known OR [ ] Produced Identification �-'; ?• •''• �;•, TONI GINDLESPERGEP, * EF, MY COMMISSION#GG 353178 �..p•a; EXPIRES:October 6,2023 Ype of Identification: f�O`"° Bonded Thru Notary Fub!ic Underwriters Updated 10/24/18 ---- Fence Addendum Updated 1/14/2021 J' J 'fir City of Atlantic Beach Building Department ,�, ! 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: 1S2Nets AVE x ( 25/ 22 Property Type: Lot Type/ Features: 1,Residential 10-6ne Street frontage (interior lot) ❑ Commercial ❑ More than one street frontage (corner lot, through lot, etc.) ❑ Swimming Pool Fence Material: Fence Height (select all that apply): L'/ood ❑ Four Foot (4ft) ❑ Chain Link Ex Foot(6ft) ❑ Vinyl ❑ Other ❑ Block/Stone (Plan details required for footings and/or retaining walls) ❑ Other Fence Location: Please submit an accurate and current boundary survey showing all existing improvements (including building footprint, driveway, swimming pool, etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or retaining walls and any portion or fencing above 6ft in height. Will the fence be built in an easement? ❑ Yes (must submit separate Revocable Encroachment Agreement) E No Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal Permit) L'No Conditions of Approval: • Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way. • All old fencing and debris must be removed from job site by contractor or homeowner. 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 RECORDING YOUR NOTICE OF COMMENCEMENT. MAP SHOWING BOUNDARY SURVEY OF LOT 1 ACCORDINGDIG TO THE PLAT OF F ► i ANCES COVE AS RECORDED IN PLAT BOOK 50, PAGE(S) 67 AND 67A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CER'IlFIED TO: CHELSEA MOORE, FIRST AMERICAN TITLE INSURANCE COMPANY, GIBRALTAR TITLE SERVICES AND AMERICAN MORTGAGE EXPRESS CORPORATION. FRANC/5 AVENUE (55' RA/v) S 0015'00" E 52. 72' (R) S 00'15'00- E 52.72' (M) BEARING REFERENCE UNE 1/2" REBAR 1/2" 1/2" -X—x—X—x—X—X—X—x-, .x X ASSOC. SURV. 1/2" CAP LB. 3545 LB. 66451`1 a.Xia LB. 5488 UNREADABL tri110-- -1/ 5' EASEMENT FOR DRAINAGE, ° v 70.00'' (R) 1,2 UTILITIES & SEWERS "'""0.2' 62'72 (R) 69.99 (M) X I 71.74' (M) ,) m CONC. NORTH I n N ui DRIVE LOT 1 N ° X I 44 Q l r 20' B.R.L. I I ` 5.1'1 11.7' J 0.1'� • a 34.8' a....: . _Z �., 0.2' 4 ° J \\. -'\ O1 —0—CI I` ;,et I. _ 1-STORY FRAME " ''2- 4 RESIDENCE a 4 �m �S Q I� - ti � I NO. 1520 v Z (76� � I � ti n. ti15 N Z Z CV w I Ig I— I O W XD N ■ L- _ 0.3' O I -a 0w5.0' 34.8' 10.4 0.1' [N I CONC. I ;1".;..., � J�J ©� tea' A/C ■ I- I �� ) I PAD `r I O� 0. (n Ird 01 1n o • co lS I ' FBLOCK& ; ,, Mb4Qd ontn iCONC. SHED C._tAr ,C_ _� CI,L - ( L20' OC B.R.L. STOOP J ., f r gAl IA a 7.2' METAL 11.9' 12.0' 0 7.7' : SHED Ali Q' •! o 'r 31 I W/ WOOD I - . FLOOR 0.2' 19.7' 0.7' 0.4' 7--) 0.3' ■ 0.9' 0.4' =x . X x ..--2.CO -Ck=❑JC=ck'' 1/2" CAP CI \0.7' X UNREADABLE IV 01'38'42" E 0.4' i.•5' PART OF THE SOUTH iv 0,2°06'19" E 448.18' R I 1/2 OF TRACT G I 1/2" CAP ( ) I UNREADABLE PART OF THE NORTH 1/2 OF TRACT A I V E Y 0 R GENERAL OT BOOK s'50PAGE 67A \) ".� 2 BEARINGS UCTU ARE BASED ON � STRUCTURE NO 1520_ SHOWN HEREON LIES WITHIN FL000 ZONE x__ AS S 00'15'00" E 52.72" (M) BEARING REFERENCE UNE 1/2" REBAR /2" 1/2" X—X—X—X—X—X—X—X X—X ASSOC. SURV. 1/2" CAP LB. 3545 LB. 6645 C`! , - ^CD LB. 5488 UNREADABLE u' y ~- 70.00' (R) 1.2' 5' EASEMENT FOR DRAINAGE, 0 2' — UTIUTIES & SEWERS 62.72' (R) 69.99' (M) — I 71.74' (M) e ° 4 ao CONC. , NORTH I N N DRIVE LOT 1 Q I r 20' B.R.L. 1. a• ! ' ZQ 5.1'I J 11.7' 7 0.1' ..1 o ., 34 8' lz 1 Ct 0.2' a —0 ❑ Ia , h� a �'ti �__ 1-STORY FRAME J.. • Jo c(2 vsl I .�O n2• co RESIDENCE m e. I m �}; Q ti rn I I ,o NO. 1520 M' og I _ '%•1Q kcO N6 a I� cL I _) O w LI- w _ 0 5.0' 34.8' 0. J CW di i 0.1' N �: , 3t � \ I CONC. v, — F A/C -J t- � H PAD I �� O � m ❑m m m � cn C: in - 20 ■ FRAME & IDI BLOCK ■ ' CONC. SHED a 20' B.R.L. STOOP J • I. a 7.2' METAL b 11.9' 12.0' Md 7.7' SHED o64 a -' I °� w/ WOOD a'" 3 1 • FLOOR Aj 0.2' 19.7' 0.T Y 0.4' 0.3' a. \ ` 0.9' 0.4' — ——___X—____X \X •:1---._`° II. •—•._--2 •. l X- 1/2" CAP ❑ 0.7' • UNREADABLE N O1.38'42" E 47.89' (M) 0.4' i.5. PART OF THE SOUTH jar 02°06'19" E0)1'i 1/2" CAP 1/2 OF TRACT G 48.18 UNREADABLE PART OF THE NORTH 1/2 OF TRACT A I Sis Ft V E sr' O '9 S 1. BEARINGS ARE BASED ON GENERAL iMOOK 5 PLAT BOOK 50, PAGE 67A 2.STRUCTURE NO. 1520 SHOWN HEREON UES WITHIN FLOOD ZONE X AS BEST A SSOCIATED SURVEYORS INC. I DATED 04-17-1989 . 3.THIS RISI A URFFRFAACE SURVEY ONLY.APS THE ERTEN EL TOF UNDERGROUND FOOTINGS, A LAND & ENGINEERING SURVEYS 4.JURISDICTIONAL ANIPES AND D/ORIF A ENVIRONMENTANOT LLIYED. SENSITIVE AREAS IF ANY, NOT 3846 BLANDING BOULEVARD LOCATED BY THIS SURVEY. / JACKSONVILLE, FLORIDA 32210 5.THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBUC / 904-771-6468 RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, � � i TITLE, COVENANTS, RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC. �`S S V CERTIFICATE OF AUTHORIZATION NO. LB 0005488 THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL. 6.UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION. HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY LEGEND/A--REVIATIONS RECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL 0 SET IRON PIPE OR REBAR P.C. = POINT OF CURVE COV'D = COVERED IANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER ''ASSOC.SURVEY" OR L.8.5488 P.T. = POINT OF TANGENCY E.B.=ELECTRIC BOX TOT 7- RIDA ADMINISTRATION CODE, CI)APTER 472, F.S. • FOUND IRON PIN OR PIPE (IP) P.R.C. = POINT OF REVERSE CURVE ■ FOUND CONCRETE MONUMENT (C.M.) P.C.C. = POINT OF COMPOUND CURVE �� X = CROSS CUT OR DRILL HOLE (C) = COMPUTED DATA R/W= RIGHT OF WAY IY: �� i / l/�� (R) = RECORD (M) = MEASURED CONC. = CONCRETE B.T.= BUILDING TIE CHARLES B. HATCHER FLCRiDA 'RTIFICATE N•.771 R. =RADIUS L. = ARC LENGTH A\C =AR CONDITIONER (E.T.) = EWE TIE CHARLES L. STARLING FLORIDA ERTIFICATE NO. 4579 O.R.B.=OFFICIAL RECORD BOOK ® =WATER METER -A.= UTIUsY POLE RAYMOND J. SCHAEFER FI ORIDAoCERT!FICATE NO. 6132 O.R.V. =OFFICIAL RECORD VOLUME P.EQ. =POOL EQUIPMENT —1..= GUY ANCHOR P.R.M.=PERMANENT REFERENCE MONUMENT -O.U.- =OVER HEAD UTILITIES CH = CHORD JOB NO. 47776 b DATE 11-14-2005 B.R.L. =BUILDING RESTRICTION LINE X—X CHAIN LINK FENCE BTN. = BETWEEN E.T. =ELECTRIC TRANSFORMER & PAD W—W WIRE FENCE -0-0-WOOD FENCE ;CALE: 1" = 20' I DRAFTER 911,.g..Avwj da bol J.E.A. =JACKSONVILLE ELECTRIC AUTHORITY C & R = COVENANTS & RESTRICTIONS JOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER