1723 E PARK TER RESO22-0083 Building Permit Application Updated 10/9/18
'> City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
`r�sY
tIS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us j�
Job Address: 17 P� L-4_ Tter 4s(-) A- , cL 322,33 Permit Number: \t�SO Z Z--(508,-)
Legal Description Sc-1Jct AA okr,41a OA 1-- 9 I Log' 1 ALK I(-, REU 117\0A O —6 100
Valuation of Work(Replacement Cost)$ 10)(3 Q0 pd Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ®Alteration ❑Repair ElMove ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial fylResidential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No '7A
• Will treels) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) iJNo
Describe in detail the type of work to be performed:
le6-1-u11 i iir4- ( 41.4( riCt'`'‘,l
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name terek \0(4v. 6✓l Address /72,3 akAk iCtt cel
City j C-F 11 cQ WIC?.( O1 State (=L Zip 3 z233 Phone q0!/ - 7“ ^ UROQ
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
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
REC•. 'ING YOU`
` io 0 - OF COMMENCEMENT.
G`
gnature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirm •)bet. Z.-!--)a thisday of Signed and sworn to(or affirmed) before me this day of
-b'-C 1vG_.14.2(-)Z' , by 42-;r6---)0i4"-1-`•40-11 • , by
e of Notary) (Signature of Notary)
Notary Public State of Florida
Carol Streeter
Pt-Personally Known OR g• [ ] Personally Known OR
[ ]Produced Identification 14aM1di My Commnson GG 98t83t Produced Identification
e.p�re�os�tanoza [ 1
Type of Identification: - __ _ - - . . Type of Identification:
Owner Builder Affidavit **ALL INFORMATION
HIGHLIGHTED IN
7 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: 1'7 2,3 fa,gc Trer- easy-, j4-4 37_?33
Owner Name: pi ((_ Jo-'' Phone Number: q oit 713 Oq o'
Mailing Address: p0 : ;r' -City: A- State: ft Zip: 32g3
Notarized Signature of Owner
The foregoing instrkment was acknowledged be .fe me this Z - day of ,A_ -, ,201, in the State of Florida, County
of ', -k_. ;j'.`„ , .
C.
Signature of Notary Public —
[ ] Personally Known OR [ ] Produced Identification
Type of Identification: t� . C
Updated 10/24/18
";,,,' TONI GINDLESPERGER
k.. :,; MY COMMISSION#GG 353178
mu: .
;, �`�P EXPIRES:October 8,2023
F°F,F`;0, Bonded Thru Notary Public Underwriters
GLOBAL SYN-TURF .
GREENING PLANET EARTH 41,
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---.-------- ' ' Product Specification Sheet ,''
S Blade-SO .root, ,...,
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DDoo USES S-SHAPE BLADE
I. Landscape 2' SPECIFICATIONS
I. Lawns
Pile Height: 1-5/8"
► Playgrounds Turf Gauge: 3/8"
► Traffic Medians Face Weight: 50 oz./yd2
0.- Pet Areas Backing Weight: 27 oz./yd2
Total Weight: 77 oz./yd2
► Commercial or Residential Stitch Rate: 12/10cm
► Light-Heavy Traffic Stitches/M=: 12600
Material/Dtex: PE10000 + PP4500
15 Year Manufacturer's Warranty0
Color: Emerald Green and Olive Green with
8 Year Manufacturer's High Traffic Warranty Brown and Green Thatching
Type Of Fiber: PE Monofilament and PP Curled
rel Flo-Rite Drainage Technology As Thatch
Infill Amount: 1.0 lb./psf.
Primary Backing: Premium GST Backing
GST Grass Tuft Bind: 13+ lb/force (ASTM D1335)
Blade Type: S-Shape Blade
Infill ---" ; ,,V, ; Permeability: 47.2 inches/hr. (ASTM F1551)
Weed Ramer• __ - Melting Point: 150 aC (ASTM D2859)
•
-,R o.Go+�Do..da.od. alittrGrab Tear MD: >200 lb./force (ASTM D5034)
aClass IlRoad Bn• x•`,�. D. Grab Tear CMD: >200 lb./force (ASTM D5034)
2-2',Base Rock m __.—_---_---
Roll Width. 15 ft
Wiry Weak•_ _...____. i .t E Roll Length: 100 ft
Sod(ground) Sq. Ft. Per Roll: 1500
Total Roll Weight: 822 lbs
dirt
5960 Inglewood Drive, Ste.150. Pleasanton, 94588, USA
Telephone 510-732-2300 rax 510-732-6188 I Toll Free 877-SYN-TURF(796-8873)
ww. globalsynturf.com I Email: info@globalsynturf.corr
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I GREENING PLANET EARTH f t �• r
qt. ,. tt .
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Product Specification Sheet " I` t ;�
Pro Putt-44 • A P _'
88 USES $ SPECIFICATIONS
• Putting Green Pile Height: 1/2"
• Driving Ranges Turf Gauge: 3/16
Face Weight: 44 oz./yd2
O Bocce Ball Backing Weight: 13 oz./yd2
► Tennis Court Total Weight: 57 oz./yd?
Stitch Rate: 34/10cm
1.- Landscape
Stitches/M2: 21420
• Medium-Heavy Traffic Material/Dtex: PP6000
Color: Medium Bi-Color Green
Type Of Fiber: Polypropylene Monofilament
IV15 Year Manufacturer's Warranty Infill Amount: 1.0 lb./psf.
8 Year Manufacturer's High Traffic Warranty Primary Backing: Premium GST Backing
ry Flo-Rite Drainage Technology Tuft Bind: 8+ lb/force (ASTM D1335)
Permeability: 71.0 inches/hr. (ASTM F1551)
Melting Point: 150 °C (ASTM D2859)
Grab Tear MD: >300 lb./force (ASTM D5034)
GST Grass Grab Tear CMD: >200 lb./force (ASTM D5034)
r
'. Roll Width: 15 ft
4 r.Ass s =r `sn.t Roll Length: 100 ft
0,-rJ harrier' kV ., ` y_."I r. _-- --
At
4 i Sq. Ft. Per Roll: 1500
i aGranite
Cllassss II `- '• ,� ': ' ., Total Roll Weight: 686 lbs
U Road
Bas.
2-2%Base Rock '1,11#1.,a, - -ip 'It:t',,,°x
Sod(ground) .:
ALL AMERICAN SURVEYORS OF FLORIDA, INC. MAP SHOWING BOUNDARY& TOPOGRAPHIC SURVEY OF
L......,.s-.7751 SW JOSE RAL{sun is-+.2KSONALc FLOWN WASP-ROA/PW-DOW-CDWARm.NO RDWAWW NP5557 LOT 2 BLOCK 14 AS SHOWN ON YAP OF SELVA MARINA OMT No. 8
t !L'S
aim A 140 M3TX 8 al 5v yR,
30 MOW MOM MAMA w IML Min MA
MOM A AOMA90 Am,.*w Ye tj 61
CURVE DATA Cl flOMI Pit 'AVER SHOWER ID '�11 , AORA..MA ISR.,.a.WI.RLIM R.L it o Y
N04'48'19'W u3857 N OSP z V /N7 LOT 2,BLOM to RAN w"N
CH = 99.41' I 280'0 S.OF TIE RERR5 ON PARK e 51
L LOT OWE 10,2904 50.Fr. C
R = 4744.65' TERRACE EAST k T17TH 5f-WEST UTTER ; >
HOuST AND PORCH 4,ws2 50.R. m
A = 99.41' I EDGE OFEIEVAPOR(7.88) �,I 4 v 0 AY TO RAV 1,3870 SO.FT. o O IL
A= 1'12'02' L 4 T 3 EIVChATOR PAD 2 ° WA.ANO PAW 115-1 w.FT. o x z
ELEVATIONS SHOWN HEREON REFER 8 oc 1 14 e•WOOD LEAN-OUT BLOCK 14 POOL(390/2 sr) 1952 50.FT. v=
TO NAw OF 1888 138.73' (A) TVP) m n o v PAVER PATIO 2752 SD.FT. o.
% I(BEARING BASE) 138.47' (P) O/L TOTAL Mwv WOOS AREA Seen e0.FT.+4.373 1
°� N86'28'07"E LF1� i TIIIA
CROWN (1 A.1S1 -1'4"■ _ 11 '4 •
• p-DENOTES FND 1/z'I.P.
OF 62 4) 17..P.To FENCE)I ,�T• 4:.. I __ 1.. NO I.D.
j+ 28'LO F" 220 UNLESS OTHERWISE NOTED
L.' m 2'X3''\ ---DENOTES STREET SIGN tr
i
STOOP .TGA) ■ R A.1 I N - NOTL�CONCRETE
m -.---7-----22::i_________----------
26.3'
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NOTA
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s 26.3' 37.5' I ,.�- ---- ?. �-DENOTES WOOD DECKING ` o
r I\
BEV-•OW WT C7 A-° p�l N II F W BOC-DENOTES BACK OF CURB
�� ill � U o EOP-DENOTES EDGE OF PAVEMENT ow,
. r (11 I DENOTES TOPOGRAPHIC SPOT ELEVATION(HARD SHOT) 0.
6.00 14.8• �11�, I m (00.00y0 Reynold
� 111,;(7.,
I 911 I Im f �p-DENOTES TOPOGRAPHIC SPOT ELEVATION (GROUND SHOT) 1�iu�
v l� D.
1 II eAO a o 14). I ,.,ems
1 `_6.3_ sw1„ �Q�$ o� IiY Peterson
P,. (ice J�II'�N -.1 ern 2A6 I•�a o I 'AVERS 2 1 '+r m r®I
1� CROWN �I ®. 'PE • fA J mmmg I�1 -, BLOCK 14 >_INIM9.
--771T p�D ,( MI " ^�i fw� 3.6' 11.,a Legend :dL.3..5:.°
T /E2 4 1- '''111 • ,••.• • 7.6' .3=SQ, 1.1 1 (TYp TYPICAL �,�
Q O r • 'Y mo O om 1,1 FND..) Oat. P.R.M.-PERMANENT REFERENCE ri tur
:O fI ...I• •pgIVEVIAY••' $ JZ �. I. lO MONUMENT
CONC CONCRETE P.T. -PONT OF TANGENCY
S I ,T I•, • v ..i fNilg G.00 - r,10 I.P. IRONU PIPE PENT .R.C.-POINT OF CURVE
REVERSE CURP
-A ^ • : ', .• „ __ I.R. IRON ROD P.C.C.=POINT OF COMPOUND CURSE
I <,.�I �� CN CHORD B.R.L-BUILDING P00101000N UNE
Sii m it LD• I•, • 01 1A A RADIUA ARC S LENGTH F.P,kL-FLORIDA POWER k uGM En
• �_�K` (C) GLCUUTED NC -AIR CONDITIONER =
,y I I m�r' ••7 5.00 (09 DEED I.D. IDENnFIC/,TroN p
a m 18.19 I l
IT' SP( Our Now .NAnDNA cEDOEnc VERTICAL DATUM
..� .. •• •. •' I l9 CENTE NAVD -NOT T AMERICAN VER TICAL DATUM W
0 08 F CENTER LINE N.T.S.-POT TO SCALE § Z
(/A�, 13.63• • (71 R/W -RBNT-OF-WAY P.I. -PONT OF INTERSECTION m JQ
-" m ®, 16' 22.67' (11Ay W -FENCE TDB -TOP EOfFBANK ER W O a
-� `. f3 15'LO 1D •-----77,-,--,,-'L I ��{ • V10Op (W) -wfiN65 l8 -LICENSED BUSINESS L¢F.. W
a'. p ® Iva-,
ia LL•._� � ac k� �a YOB Q
f-:.r: - 1 .• ��.' z4'L +i.. 0. ��,.,, , s' .-y11. auseGE NOTE Q I`U Z
.-tor T� . ° 1, THE COVERED PORCH AND STOOP SHALL BE 6_ W
STA (TFL OHI" P' 8. SLOPED AT MIN. 1%AWAY FROM STRUCTURE AT THE W Y O
2 TO FENC ' "•23.2.".. 137.66' (C) O CONNECTION PONT OF THE PORCH AND STOOP,THE M
_ ��`„ - 137.77 (P) YARN'DRA TYPICAL ELEVATION DROP SHALL BE 4 INCHES, Let IIIN'
CROWN $ A _or 5 -- �" •N S83'45 16 `( TOP EL, 9.: Tn ro
j(ws/ za o I SB3'4516 ' (TW2 L 0 T 2 3 2. GROUND ELEV. AT FOUNDATION SHALL BE MIN. BIN =
( Yo\ DOWN SPOUT BLOCK 14 BELOW F.F. ELEV. V
7) I 3. CONTRACTOR SHALL BE REQUIRED TO BE WITHIN
,-,e 0 I (TYP, L 0 T 1 +/- 0.1 FT OF DESIGN ELEVATIONS
i o
BLOCK 14
DRANALL T E(OND
/224
G0 4 PROPOSED SPOT EL REVISIONS
> I SELVA MARINA UNI51N 51B o.
to- PRE-FLOW ARROW
f X TO BE REMOVED
- + 34.
P I BOOK PAGES
a 4'V POST-FLOW ARROW -- PROPOSED 6' PIPE
5' 6' 10' 6' 5' m L P� (00.0) EXIST. SPOT EL
0 YARD DRAIN
. GARAGE 6' 5' 12' 5' 5' 5' 4' 15' 4' 5' Q TREE PROTECTION
FFE = 11.36 ESTIMATED SEASONAL HIGH
m tn o 2 , •DRIVEWAY 'ESHGT GROUNDWATER TABLE ROT DATE
10.0 WM RP
801101 9.6 10.0 P.C.C. a c� DESIRED B`GHECIED RD RDP
CROSS SECTION A-A m . 100 BOTTOM 9.5 10.0 1I BOTTOM 9.s 10.0 0.0 GRAPHIC SCALE As tato
N.T.S. CROSS SECTION B-B CROSS SECTION C-C '° 03 w '0 soSKEET NO.
N.T.S. N.T.S.
*ESHGT = 6.0 *ESHGT = 6.0 *ESHGT = 6.0 (UN FUT) C-1
1 Inca- 80 R.
a92. 95' (P) 0.
• e / 0.6' .00'
SO4°1 4°� 8 0 3 E _ _ - _
03
E 9 .e4L'.••�►
7 in
4°18
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ONE STORY WOOD I
FRAME WOOD
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ADDRESS No.1723