820 14th Street West RFNC22-0125 -= Building Permit Application Updated 10,9,18
f ly City of Atlantic Beach Building Department **ALL INFORMATION
E? Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
800 Seminole Road,
x.. u,� rstvy �,
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 152..0 u......) i 4 ` RI-- IN Permit Number: RO f2Z - b 1 25
Legal Description 1 - --,-51 3<6.-a 5 - 2f1 C 1 2--`6 ( 44-f..-.-4-+c. RE# 1 1041 ta/. v
Valuation of Work(Replacement Cost)$ I7 ` Heated/Cooled SF Non-Heated/Cooled
• Class of Work: &1Nw DAddition DAlteration ❑Repair ❑Move ❑Demo ❑Pool DWindow/Door
• Use of existing/proposed structure(s): ❑Commercial U•Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes B1Vo
• Will tree(s) be removed in association with proposed protect? DYes(must submit se arate Tree Removal Pr ermit) D N
Describe in detail the type of work to be performed: 1� T hs--
F�tepe •
t; Zai f �� � �r� � ,4P).x: % �'�1n c.:t -ti t
Florida Product Approval # for multiple products use product approval form
Property Owner Information
Name _4 , ,. )f yr%YY\z1‘ Address L J I' ' :
City A-- 4--1 k-C- t `� State RI- Zip 1_Z5'? Phone `m) b '.(.• _ .--/( /
E-Mail Atkitit.-5ifyline..4•'1 07la ` I CvVY
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Gt...---t--1--44.--
Contractor
Ut rContractor Information J,, l
Name of Company ` ``-(- C -1^%•-11•�R� Qualifying Agent /v�n
Address -2--`77`5' J- \ ) Cla!• C.. City �/1• .- State I•-C.. Zip 31_2,5 C..)
Office Phone j - 5 `f • -31:c1 Job Site Contact Number _
State Certification/Registration# E-Mail I t'V .47SL� ( 5?Q 51onc,.t'.` • c JvV )
Architect Name&Phone# A01t4
Engineer's Name&Phone# A.)I A
Workers Compensation Insurer OR Exempt Expiration Date 14 i /t (1 i
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
RECORDING YOUR NOTICE OF OMMENCEMENT. .
Lt t'� � �'I C rte =
- ,/-
n n i(Signe of Ow QF Agent) (Signat -of Contractor) Q`
Signed and sworn to(or a irme•)before met is c day of Signed and sworn to(or a 1 • before me thi )day of
2‘...•1.1_, • 0 Z O Z, i.r f Alkill ty iri
.r
14:i�C?ark•. TONIGINDLESPERG�=, c------, t�:•atur •
• ••s • MY COMMISSION#GG 353' 116 _
*,0 EXPIRES:October 6,2023is
,,?�;«? Bonded ThnJ Notary Public Underwrfters
"" _ [ I Personally Known OR
""
[ )Produced Identification \\ I I Produced Identification �.tyk;•., TONT GINDLESPERGE i
Type of Identification: k�_ ( Type of Identification: _ m. '• "i ntY-COMMISSION#GG 353178
•
',,41, •.,;'•: EXPIRES:October 6,2023
'FOF;«°•' Bonded Thru Notary Public Underwriters
'kft Fence Addendum Updated1/14/2011
,) 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:
w 1 ` I' ( 7JS
Property Type: Lot Type/ Features:
C esidential ❑ One Street frontage (interior lot)
❑ Commercial p-l41ore than one street frontage(corner lot,through lot,
etc.)
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
E 'Wood ❑ Four Foot(4ft)
❑ Chain Link C,l S1 Foot(6ft)
❑ Vinyl ❑ Other
O 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)
G7-f4"o
Will tree(s) be removed in association with proposed project?
❑ Yes(must submit separate Tree Removal Permit)
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.
Owner Builder Affidavit **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#:
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: Z a I •-{ 44-1 �-I- I 1a--���.¢ ` �r��� (='c— j 1.Z2>
Owner Name: A /n Phone Number: `� b
Mailing Address: 30.N-lAit City: State: Zip:
Notarized Signature of Owner 0
The foregoing instrument was acknowledged before me this 2--iday of () , 20 , in the State of Florida, County
of =�� c
Signature of Notary Public [�
[ ] Personally Known OR [ I Produced Identification
Type of Identification: ,
/0:*,,,
...�+5:,., TONI GINDLESPERGER Updated 10/24/18
. MY COMMISSION#GG 353178
✓�_ ;;,7 EXPIRES:October 6,2023
FOF „•
Bonded Thru Notary Public Underwriters
V `—1..- G
2
'Fplori.a
• PV
E 102.0e.x ��`me�,P
. � 1NL C�
1 ?...14' , VSs
gki
1� t0.8 i . -_ . I4. t t i C.. '')�... 9 8
2 ti
f
i ,.
Q t . 8
r tri-
o Nr N •
Ili
li J \ 4
• - x
M 1- 5roRy It
r, F�t+tAM� N Z
eomc
2t
o.6' 1 wAl 4 01
•
•
-sr3ge- w J:• $
N t • PDC.'.` n1 • B t
{) h l u i}s. dQQ:
4 -,a - ,.. rte. `1.tE;' ei. 9 V
° : --. - - ..
-�
Ut -.� • I •
'sty ®f tt3stttc,i3 oh I
�! i"*- . ! • . -loaning and Zoning." :p*rtmas d
sarv�re ;1. '
owl,5. - Tiiis.epproyai.verifiee tonp9i- y.�a livable
• 4..w.„b S•orrser. • zoning,: Subt9iysrogry •;}'''1' • land
Fe"`-'...S______4, Q (r' cHwap,L/.MK FEML ' t '-`i - • - ,.• . . , a.in S nconstitute
1 --- ( ' k * X •-- . .- . - -;;•*-7 !.. its. Compliance
I en 1 • 1 with Florida Building Code and i ether 6ppli:auier
S� )oz: Jw 'State and Fe. cal perm ng requireme tE
4
fp ust be verified by 'nature of F. .ityofAtlantic
1i 1- i Beach Building C- al prior W issuance of a
R - Building Permit. ,
o T 3 i
L Approved By: .. ...t.
.s 1 °4X5n ,t. Dev`ioptrrent DaROYOt''
Dots: U i -- -
, i* i
aims.s. -,r
E P R ' ' AND 11 A S'0t1TES; DITC. x
771'0 stmloo VOD Lim sum 240. .tACKSO 4l%LF PURIM .32207 PRONE: (904) 393-1777 TA* OW) 346-3851 1
t GWI •_•�e��P.C. PONT OF GIRIMIUPt �-�'�+iE' R PAms
�1P.R.0 FONT mem Y=tic - A A J-_(Q11EFilC?t 1�1G1£} ••••••-• ,',.7t,
�)oE,�ss SHOWN HEREON ARE BASED ON I ts#alri
+ 5-90'a0`p0-E. 14q rN$ TotrrH AAA, P.O.C. Kea Or COWOUND COME
PONE ON A CB MOWN 'r
L. .t/£ e t r y'-M 'S,- 'r'wwST a R L OUJ!!iE M !YR COMMONERGomm
jr t
1C2)T1415 PROPERTY 144$ HOT BEEN ABSTRACTED t€p. flON PSE := YJ1Y I
FCR EA tIT3. COVENANTS, REST/OCT/OM 1 Fn► mute _ _- o k ErERarLL t miube
L3)1010EROROOKO ENCROACHMENTS MO VIM=i -- - F{
1 SUMO a PROPERTY RAVE NOT BEEN - - ... 4
I LOCATED OR SHOWN •
(4)T t PROPERTY APPEARS TO LIEWHIM > - - .e
OO ZONE -X - AS SCALED FROJA i Y-/7- Zcot .` 4- f! f
F.E.U.4. FLOOD s�KS:FRAN=E RATE MAP. PANELli64Tl�lIN J`.. PF__ f ,A. CERT. NO. 5732 ! 1
• I'�-tS-0-or, = DATE) Y-/7--89 ; Dor or f1i1ZD MlinitY CARL 5 COURS FLA: CERT. NO. 3129 i La ei 6715
-_. . a..�.�.. .�.. -.. . - -
D . Guidelines: Fences and Walls
Objective: Avoid the appearance of lots that have become "walled compounds." Regulation: Fences and
Traditionally, most lots had lawns that were open to the street visually. In some cases, walls are limited to four
fences were installed, but these were typically low in scale and relatively transparent. feet in height within the
This helped maintain a visual connection to the street. required 20-foot front
yard of a lot and within
Guideline D.1. Where fences are desired for security or privacy, open fences are 10-feet of any other
preferred within front yards and along street sides. treet side property line.
Within rear and side
1,; ':v•-, 1 tw ,... yards, fences are limited
' - ...;,.„ ...:10, , i . .. .
j .;
, ,r . to 6-feet in height. ',
,,, , . .
, - I,.., . In no case, can any fence
iii, / k.ohtyA
be located such that it
would interfere with or
1` ,gam - , ` ; obstruct clear sight
, , i.;: � ;�� �_; T ' 11! ` Ifr, fi distance for vehicles.
1. iiiiiiitiakit„
Wit �' 1111 t tE?; .- �. ) i tlill 1{ (Section 24-157.)
These fence designs convey a sense of openness while also defining the public and private areas of the properties.
Guideline D.2. Avoid solid brick or masonry walls that prohibit breezes, cast shade on lawns and give residential lots the
feeling of being an unwelcoming fortress.
.. „5fr, �'
._
{ i
,J
Although this fence is
l g
Example of an buffered by a layer of
�'� w inappropriate f i . „�, -..t~ i vegetation, it still creates
�' -- "' solid brick wall. ., a "walled compound"
� ^ 4. ! and should be avoided.
�- i's.,..
City of Atlantic Beach • 800 Seminole Road • Atlantic Beach, Florida 32233 • Phone: (904) 247-5800 • FAX (904)247-5805 • http://www.coab.us 10