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541 Sherry Dr RESO23-0019 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: SHEKHTMAN ALBINA I 541 SHERRY DR ATLANTIC BEACH FL 32233-5353 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169880 0050 ATLANTIC BEACH JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 541 SHERRY DR RESIDENTIAL OTHER SINGLE OR TWO FAMILY RESIDENTIAL OTHER CONCRETE WALKWAY $1850.00 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 3Issued Date: 6/28/2023 PERMIT NUMBER RESO23-0019 ISSUED: 6/28/2023 EXPIRES: 12/25/2023 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00 BUILDING PERMIT 455-0000-322-1000 0 $60.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.10 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 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 DOCUMENT IMPERVIOUS AREA INFORMATIONAL Notes: Strongly suggest thorough documentation of impervious areas be recorded. 7 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 8 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 9 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Owner. 10 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Owner. 11 PUBLIC WORKS DECK BOARDS INFORMATIONAL Notes: Deck boards must have 1/8" gap or 3/16" gap between all boards to allow for proper drainage and to be considered impervious. This will be verified at inspection. 2 of 3Issued Date: 6/28/2023 PERMIT NUMBER RESO23-0019 ISSUED: 6/28/2023 EXPIRES: 12/25/2023 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 TOTAL: $344.10 3 of 3Issued Date: 6/28/2023 PERMIT NUMBER RESO23-0019 ISSUED: 6/28/2023 EXPIRES: 12/25/2023 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 CONCRETE WALKWAY 541 SHERRY DR N/A RESO23-0019 JS ii''' Building Permit Application Updated 10/9/18 iillCity of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY t) IS REQUIRED.Phone: (904) 247-5826 Email: Building-Dept@coab.us SL Vry Dvf 4--- . L¢.c 3225' ESoZ-vo Job Address: J_ ermit Numc: C7(Z 1g1-417 - ?3 Cj 'g j Legal Description QTGofs 4 Oft{2 E,l r t, Q Qy I L G L -0(201 TIRE# 16'1 l 20 O0co I Valuation of Work(Replacement Cost)$ I8 s---o / Heated/Cooled SF Non-Heated/Cooled Class of Work: New Addition Alteration Repair Move Demo Pool Window/Door Use of existing/proposed structure(s): Commercial jtesidential If an existing structure,is a fire sprinkler system installed?: Yes No Will tree(s)be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) ko Describe in detail th ty e of prk to be performed: 1 P p S c--0C-Lc .he SS 0 Ole-+'S w t 1Q.e. coucr 4e.Turd S C Florida Product Approval# for multiple products use product approval form Propert Owner Information Name 4 S r Address N 1 I . City j, . State FL Zip 3 2 Phone f ^ a E-Mail '' 9-5L_J2.-r ft.cpc,_t, . 4S Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Al W 6Lc,C-trP C Quali ing Agent ' g p Address 5 ?f I $ 5-f— cit yJazi.- l,c.Vr lxQtate L Zip 322 -f ( Office Phone 90 (4- S-(0--5-6 4 2 Job Site Contact N ber 1 _ t c.State Certification/Registration# E-Mail C.re--T'e_c.LC &L, q(. 3ite. c <DLk i" Architect Name&Phone# v Engineer's Name&Phone# Workers Compensation Insurer OR Exempt Expiration Date Application is hereby made to obtain a permit to dot "(work and installations as indicated.I certify that no work or installation has acommencedpriortotheissuanceofapermitand t 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 JNTEND TO OBTAI FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORRRPI YO R NOTICE OF MMENCEMENT. Signature of Owner or Agent) Signature o ontractor) i ned an sworn to(or affi - :d •efore . - this d.' of Signed and sworn to(or aff med)before me this day of G Zt b i r .%4 I e Y A a_ S'_y.ture .i; 111111L Signature of Notary) 4 Personally Known OR 0 ..„.... Produced Identification i' ; TONI GINDLESPE: C I ly Known ORI.j PFoduc.• Identification Type of Identification: A,'.,.1 MY COMMISSION#G Typg or la. tification: 3 EXPIRES.Outuber 6, d;°c' Bended Thru Notary Public Ur,: s, s 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER--BUILDER PERMIT. Job Address: r l S Dr• t'C Le.C*-iaL 622.33 Owner Name: A-g S Phone Number: 202 -9--(3 ^ Ss-12, Mailing Address: a.,, ague City:State: Zip: Notarized Signature of Owner 4 ' 1(<C2.... •••• ThOakegoing instrument was acknowledged before me thistlay of „. 0 the State of Florida, County of I ,\/'C, 1111 Signature of Notary PublicCl_ Personally Known OR [ ] Produced Identification Type of Identification: p-L— n' TlJNI GINDLESPERGEP, Up ted 10/24/18IPPVV•: a c*: MY COMMISSION#GG 353178 EXPIRES:October 6,2023 9FOF F"° ' Bondod Thru Notary Public UnderwritersrwUnderwritersrs vv•v.,.vvv VO JO PAA Ow, py us** KBAU NUS$ 0001100i Aug 010OS*5741 mc' OURVRYINO ' 30 50E-0170 p.1 th) (..,\,C14 V\SL,L45‘.. 4 fC MAP SHOWING BOUNDARY SURVEY.OF SACC ONE OF Two) SCC PAGE TWO of TWO FOR lfOAL OCSCRIPTON) / CIIRTol WILLIAM P. MOUCUL M LORRAINE S, SCNW VONT.YEDRA lA FU TTON. 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LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS Permit Number: RESO23-0019 Site Address: 541 SHERRY DR City, State Zip Code: Atlantic Beach, Fl 32233 Applied: 3/3/2023 Approved: Issued: Parent Permit: Parent Project: Applicant: <NONE> Owner: SHEKHTMAN ALBINA I Contractor: <NONE> Description: CONCRETE WALKWAY Finaled: Status: AWAITING CORRECTIONS Details: OWNER BUILDER LIST OF REVIEWS SENT DATE RETURNED DATE DUE DATE TYPE CONTACT STATUS REMARKS Review Group: AUTO 3/3/2023 SUBMITTAL COMPLETENESS Permit Tech Notes: 3/3/2023 3/13/2023 3/17/2023 ZONING Zoning DENIED Notes: See Public Works comment. 3/3/2023 3/13/2023 3/17/2023 BUILDING Building DENIED Notes: Denied by PW. 3/3/2023 3/10/2023 3/17/2023 PUBLIC WORKS Public Works DENIED See Attached Denied Documentation Notes: Documentation shows impervious areas are over the 45% allowed by City code. Work being proposed has never been approved or permitted properly and is over allowable percentage and already maxed out. Only pervious materials can be used. 3/3/2023 3/6/2023 3/17/2023 PUBLIC UTILITIES Public Utilities NOT APPLICABLE TO DEPARTMENT Notes: Printed: Tuesday, 14 March, 2023 1 of 1 Permit Reviews City of Atlantic Beach