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393 1st St RESO23-0050 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: SIRMANS CHARLYN L 129 W HILL ST DECATUR GA 30030 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169795 0000 FLOYD & CAMPS R/P JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 393 1ST ST RESIDENTIAL OTHER SINGLE OR TWO FAMILY RESIDENTIAL OTHER Replacing Deck $8500.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL Notes: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247- 5814) to request an Erosion and Sediment Control Inspection prior to start of construction. 2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 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. 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. 1 of 2Issued Date: 5/15/2023 PERMIT NUMBER RESO23-0050 ISSUED: 5/15/2023 EXPIRES: 11/11/2023 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $95.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $271.64 3 PUBLIC WORKS DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL Notes: Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code. 4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 5 PUBLIC WORKS CONSTRUCTION SITE MANAGEMENT INFORMATIONAL Notes: Provide construction site management plan, including location of silt fence, dumpster, portable toilet. Right-of-Way Permit is required if using right-of- way for construction parking. 6 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 7 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 8 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 9 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 10 PUBLIC WORKS DECK BOARDS INFORMATIONAL Notes: Deck boards must have 1/8" gap or 3/16" gap to be considered impervious and to allow for proper drainage. This will be verified at inspection. 2 of 2Issued Date: 5/15/2023 PERMIT NUMBER RESO23-0050 ISSUED: 5/15/2023 EXPIRES: 11/11/2023 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION Replacing Deck 393 1ST ST RESO23-0050 r'''''``i, Building Permit Application Updated l0/9/18JS G r s' City of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY J%i 9r IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us 9.3 M3 f5 — J-ITI 2 - Job Address: - 3f l..-+C Lir 'f Permit Number: I y //,A (Q Legal Description 1W-- 2 11 ff . t I / i fd f txa nfiR 1P PT ..2 RE# l 14t5--()k 17"[S -Dm t Valuation of Work(Replacement Cost)$ $1500 Heated/Cooled SF Non-Heated/Cooled Class of Work: New DAddition Alteration 'Repair Move Demo Pool Window/Door Use of existing/proposed structure(s): Commercial EAesidential If an existing structure, is a fire sprinkler system installed?: Yes IT/No Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) IIVo Describe in detail the type of work to be performed: lit p,`r I eye..e. re erl 4.et-IC, 'VW-F4'-r,,(,,ti ,k d' CrCm45-/)C e(K A3 it.4 r If Florida Product Approval# for multiple products use product approval form Property Owner Information Name 012116+:) 1.- 6irmctif Address j2q S. 140 -/- City 17e.L f-c...r State 6/4 Zip 0e)l):c' Phone "776 3511- 274,0 E-Mail <dr\c i,`ij,rehee 45'Q(' YChao , C OM 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 •er State Certification/Registration# E-Mail _ Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Expiration Date Application is hereby made to obtai . .ermit to do the work and installations as indicated. I ce ' hat no work or installation has commenced prior to the issua e 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 WNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMI . 7/h1-1--x--1 v v cc LD Signature of Owner or Agent) n 0 — Signature of Contractor) C m W w Cu CD Signed and sworn to(or affirme )before me this I a J off.igned and sworn to(or affirmed)before me this day of 0 3 by c ShQ pl Ltll KS o C i U by g7tO O Signature ofNotary) z _ cn Signature of Notary) Y E a> E 0 ersonally Known OR 0[ ]Personally Known OR Produced Identification Produced Identification Type of Identification: -O 405 Li U.AS a Type of Identification: RESO23-0050 Owner Builder Affidavit ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. P' 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. ITIS 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: 34/3 /35S i St- i t c:n-I-,t_ Lt<<<_h FL 3.2.1-33 Owner Name: ('kotr lyi"I t • 6w-irat 5 Phone Number: 717 35,-/"7iepD Mailing Address: ! L' (,\t. l'iil 1 City: 3De c..v-lur State: G%a Zip: 300,30 Notarized Signature of Owner (%g 7 f 7y(‘; '2 1,r elec'rc';6 The eeoi`g instrument was acknowled6d before me this I day of Moy 20;13, in the State of Florid', County t R V rJ Signature of Notary Publiof/ Keosha Banks NOTARY PUBLIC 1 Personally Known OR [Oroduced Identification DeKalb County, GEORGIA My Commission Expires 10/24/2026 Type of Identification: ide(S L, ut-IS_e Updated 10/24/18 RESO23-0050 M AP OF SURVEY LOT 29, FLOYD Ah CAuP'S RET'tAT, AS RI(',ONOE 'U T flU01t 22.PACE HO OF THE CURRENT PU811C RECORtis 01°07vAL, CC)VHITY, F' 12„. A.I t Ti scat ,• _ ,_ I I LOT 30 r 5 5 re-aw,o v ii' '\ i oar R.,.a 83 42 E _ Q y. , ' 1,1it 1,4 c x.t i A 1.-/---i'-'------. 1# al_ °-° N. 81: 3" vr. c0Nc , Tc,\I...\ 7- 9u.:. 01. u r Z z> n 70 0 2..1:11-N TAY+ ZO.B n"° rt v C? Ot4L S1t0Y TAA (34".1 r., 4 1. RECO€n D 59 i1 No:, 395 ts r i0 i 473 eP rim ito LUT 79 0 ti 4 73 i , ws.w6cr W 96.11ss3'42 0 1 r r_u> It. at lirrwc1" c_,p,]-41 oT w 95.98 FIRST STREET 40 RIQAT OF WAY ST 14nT1'S THIS ES A BOUNDARY 9UR4€Y, HEARINGS BASED ON THE NORTH UNE or 4OT 29 AS OF INC N9Y42•OO-E AS PER PLAT, THE PROPERTY SHOWN HEREON to BUitDINC RISTR:CTION UNCS AS PER PLAT, APPEARS TO LIE IN FLOOD ZONE X" (AREA OUTSIDE 500 YEAR 110 FL040 PLAIN) AS WELL AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE MAP' THIS SURVEY WAS MADE FOR THE BENLFIT COMMUNITY—PANEL NUMBER OF CHARLYN SIRMANS. 120075 0001 0 REVISE() APRIL 1/, 19$9 FOR THE CITY OF ATLANTIC BEACH, DUVAL COUNTY, FLORIDA. DiLi 1..—miniwp-7— BOATWRIGHT, P.S.M. NOT VALID 11‘1100 rsvr socivolret- A310 rtC FLA. LIC. SURVEYOR AND MAPPER No. LS 3295MONALRAMOSCAROrAi'LO."A LK!AAD 51.0VEYOR A.'c WAPPCIz' FLA LIC SURVEYING A I,aAPP,NG BUSINESS No- aM 36?2 CHECKED BY: _.-___ BOATWRIGHT LAND SURVEYORS, INC. DATE: _ APRIL 21. 2010 DRAWN BY: MCC 1500 ROBERTS DRIVE SHEET OF I FILE I 201Q-0224 JACKSONVILLE BEACH, FLORIDA 241-4550 Ami