1911 SEA OATS DR RESA22-0011 revision 6-22-22 rlLAiik Revision Request/Correction to Comments **ALL INFORMATION
Is 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#:RESAZZ—UO(
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: /ZZ z Z
Project Address: / //1
Contractor/Contact Name: C/ILL .U'/ �IDEL�—
Contact Phone: 7H-7e2 —3.rt ce;) Email: /NFO p CALL'1-74E�'Z€ccC-e(i75, cc fes
Description of Proposed Revision/Corrections:
/fi c ' 1-r
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
❑No ❑ Yes (additional s.f.to be added:
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No ❑*yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT
The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your
residence. The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various
sunroom category requirements. There may be restrictions on the use of your present home depending on the category
of sunroom you are installing. .
The property owner is hereby notified that should any form of temperature control system be added to a Category I, II, or
III Sunroom or the removal of the doors separating any Category I thru IV Sunroom from the host structure occur,the
room shall become non-compliant and must comply fully with all of the requirements for habitable/conditioned spaces as
mandated by the Florida Building Code,The Florida Model Energy Code and State Statutes.
OWNER
I have read this complete form and understand I am receiving a Category ' Sunroom.(I-V)
Printed Name+6u�ndy � I k Address 1911 cl e4 t2 dr /10.24.i. L lei,
Signed: J,J� �JJ y�� �f Date: / bit / Q
m3.3 1-
e this 21 day of J U/rE 2022 in the County of Duval,State of Florida,has personally appeared
�ldherein by himself/herself and affirms all
tSfa en'/and declarat' ns herein are true and accurate,
Notary Public at ge,State of FL ,County of 1:::01A/A1.— ' . "r Michaeal D`ebt
Personally Knorr or Produced Identification 0 _` ,a, r *GG33E238
ID Type =.c , a►! i s:Iia 23,2023
'y%;, •`= Bonded Thru aron otary
Sunroom and Screen Enclosure Requirements
Category I II III IV V
Habitable No No Yes Yes
Space
Foundation Walls<200plf can Walls<200plf can Walls<200plf can Walls<200plf can Walls<200plf can
have 8"Wx12"D have 8"Wx12"D have 8"Wx12"D have 8"Wx12"D have 8"Wx12"D
ftg or 3-1/2"slab ftg or 3-1/2"slab ftg or 3-1/2"slab ftg ftg
if no concentrated if no concentrated if no concentrated
load>7501b load>750lb load>750lb
Exit Lighting Not Required Required Required Required Required
Interior Electric Not Required Not Required Not Required Required Required
Outlets
Emergency Egress from exist. Egress and Exit Egress and Exit Egress and Exit Egress and Exit
Escape structure allowed must meet code must meet code. . must meet code. must meet code.
Openings if open to Other resistance Other resistance Other resistance
atmosphere or requirements for requirements for requirements for
considered forced entry, air forced entry, air forced entry, air
screen enclosure leakage and leakage and leakage and
and has screen water penetration water penetration water penetration
door leading also apply. also apply. also apply.
away from
residence.
Misc.Window Host structure Removable Removable Host structure Host structure
and Door windows/doors windows allowed windows allowed windows&doors windows&doors
Requirements shall not be in sunroom. Host in sunroom. Host shall not be may be removed.
removed. structure structure removed.
windows/doors windows/doors
shall not be • shall not be
removed. removed.
Wind Borne
Debris Opening Not Required Not Required Not Required Required Required
Protection
Energy Sheets Not Required Not Required Not Required Required Required
•
'1
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AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
TO: Building Inspection Department,City of Atlantic Beach, 800 Seminole Road
Home Owner: W ft'dit � 1 k
Name
1a1I .Jct Oa 1,‘ it
Street Address
IaKh c &c4t FL 3: 3
ity. State and Zip Code
Contractor: Call %ie ,f ref H 4 1 .i
Permit Number RE-'i4 as–00/ I U
As the Contractor for the proposed new structure located at the above address,I have personally viewed
with the above named home owner those portions of the existing structure on which portions of the
proposed new structure are to be attached for structural support.I am confident that the drawings and
details included with this permit application depict the existing conditions of the host structure,and the
members of the existing structure upon which the new structure are to be attached are sound with no rot
or deterioration. The home owner has been advised by me that, in my best judgment based on experience
and knowledge of structural adequacy,the members of the existing structure upon which the new
structure are to be attached are sound with no rot or deterioration and will support all structural loads and
forces imposed on them.By signing below,I hereby declare that I will hold the City of Atlantic Beach
harmless and release it from any responsibility and liability for any adverse consequences or failures
resulting from this work,and further that I will not initiate,execute or enjoin any legal action against the
City of Atlantic Beach for such consequences or failures.
A copy of this document will be recorded as an official record with the Building Inspection
Department permit history so that any and all future buyers/owners of this property may be made
aware of the status of work performed on this structure.
Signed (,jZhil / Date !p / .21/ zoo
Before me this 2 day of JIJiJ6 .2022
In the County of Duval, State of Florida,has personally appeared
"was
VE/41t. gra K herein by himself/herself and 17, 4r4
Affirms all statements and declarations herein are true and accurate.
3 'ftstioV
Ae;4:04a,o04a7 amo
-vog
Notary Public at Lar_g9, State of FL ,County of )l)V[L a•
Ns m
Personally Known or Produced Identification —4 t1
ID Type IC
sv' Q
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