55 8th St RESO21-0020 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
RODRIGUEZ BENTON 1224 FOREST OAKS DR NEPTUNE BEACH FL 32266-3195
COMPANY:ADDRESS:CITY:STATE:ZIP:
FLORIDA INTRACOASTAL
BUILDERS INC 1614 Cocoanut DR JACKSONVILLE FL 32224
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170764 0000 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
55 W 8TH ST
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
Commercial: PATIO COVER $2000.00
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 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: 8/3/2023
PERMIT NUMBER
RESO21-0020
ISSUED: 8/3/2023
EXPIRES: 1/30/2024
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 $65.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.21
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $151.71
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
4 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
5 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
6 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
This permit does not allow for any additional impervious area to be added,
2 of 2Issued Date: 8/3/2023
PERMIT NUMBER
RESO21-0020
ISSUED: 8/3/2023
EXPIRES: 1/30/2024
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
SrSy'''
1•4 Building Permit Application Updated 10/9/18J
31
City of Atlantic Beach Building Department ALL INFORMATION
J ,
ter
V
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
Job Address: S 5 W'S s+ce_ 1V(-) C JPermitNumber: L j '
Legal Description Ar\\c \ L \>kCAr\ SQ-C- N 1
L-p-k- L ,J W... Sg RE# 1 -10-1 (y 000C)
Valuation of Work (Replacement Cost)$ O' Heated/Cooled SF Non-Heated/Cooled ‘D.XB
Class of Work: New , Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): l (Commercial Residential
If an existing structure, is a fire sprinkler system installed?: Yes gNo
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) KNo
Describe in detail the type of work to be performed:
Florida Product Approval#Yor multiple products use product approval form
Property Owner Informations
Name C n CUC' 004-7— Address 1• •„: k-1 eceS+ 00.16-s D;,.
City (vt, nZ r,
J State Zip 3 (oPhone 91D:k --104-Oy S C)
E-Mail 11ecc-A- C Spc citS 'Ara*}._ 6>c Mi,A.,i cc
Owner or Agent(If Agent, Pow&of Attorney Agency Letter Required)
Contractor Information
1
Name of Company (-16f,Ct, ,,.f)- td 4l Qualifyinging Agent /V\ ; eke Dc'(' 'k`C
Address 3(a I Q C-flo'1w;C . Or. City c+ .v.,a C t7 State e..- Zip jci 1
Office Phone cipL{- G-11- (110(A Job Site Ciantact Number
State Certification/Registration# CiS; 1 -ea0V11 E-Mail -k":\0 c A',n11e (--oa54-0.`‘'. u,\do SP c;rvs r, i CZ,v )
Architect Name & Phone# 1,,;.y c-C7y+1C‘ C1O -\- 1 S3- 4051 J
Engineer's Name& Phone# 1cv\4 A Z) c, cj0L{ -) S ' a'-1
Workers Compensation Insurer (OR Exempt);31 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 FINANCIN ONSULT WITH YOUR LENDER OR AN A ORNE FOR
RECOj• N G,YOU O OF COMMENCEMENT. A1,
Ub
Si of Owner o nt) Signature of Contractor)
Sied a d sworn to(or affir •-d) be ore •- th's day of Si ned a d sw
rya
or affir ) before m thi d.y of
am en '/ i: .
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A°"<c'(Sigt[8lt;f'.mfidV 7t 8a'}:FI. ,da Notary
Dan elle Marie Capretti
y My Commission GG 153245 el"
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Notary Public State of Florida
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Expires 12/06/2021 Danielle Marie Capretti
P rsonally Known OR Personally Known OR o My Commission GG 153245
Vroduced Identificatio 6'Produced Identification or s`
Expires 12/06/2021
Type of Identification: l' / t VAS ` C IVB Type of Identification:
JARZYNA E ASOOCIATE3 ARCD ITECTS P A
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4 JUNIPER CT • AMELIA 15LAND. FL 32034
TEL: (904) 321-4242 • FAX: (904) 321-2029
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TEL: (904) 321-4242 • FAX: (904) 321-2029
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APPLICATION FOR FENCE PERMIT
Owners name `-.4PiC) _ E_Z phone.
22-3
Job address
Lot block and/or unit #
subdivision
Contractor if different from owner , LIK.'(:T6 Fe2-,C 67;--- CU
Valuation of fence $ JOZZ) c'. L!e'J'S Corner or interior lot__1ti 7-&'k
Type construction 6000 D 2I Vic/
Show location and height of fence as well as location of street(s) .
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MA[— SHOWING SURVE1r OF
L(7P 7 BLOCK 38, SECTION "t{" ATLAATPIC BEACH AS RECORDED IN PLAT BOOK .18 PAGE 34 OF THE CURRIN]
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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R.L.S. No. 3195 NO C A P
WEST 8th. S T REE T
50 R/W (PAVED)
NOTES:
I) BEARINGS AS PER PLAT.
2) NO B. R. L , AS PER PLAT.
3) TN/S /S A BOUNDARY SURVEY.
I 1tt:RE3Y k_.rk1'I F Y 't1iN'1' 'I11E PROPERTY SIICWN I{EREX)N LIES IN FLOOD ZONE "C" AS SIICWN ON TUE FLOOE
I{AZARD BOUNDARY MAP FOR ATLANTIC IiEAC iU, FLORIDA.
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Revision Request/Correction to Comments ALL INFORMATION
HIGHLIGHTED IN
1City of Atlantic Beach Building Department GRAY IS REQUIRED.
Oily' 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:k:. 02.1 -0026
Revision to Issued Permit OR Corrections to Comments Date:
Project Address: SS DJ- € S --i'
Contractor/Contact Name: Elor c> --3:14-c a C00%%.40,1 w,k dem
Contact Phone: goy-337- 0"1. W Email: a(-4-o*S1?.3-d'LS 0^ c'9e_ o5 Ana,:1 • covh
ECEIVE
Description of Proposed Revision/Corrections: 1cc-A-4 Q.00w\ c oiio.,i'
JUL 2 3 1011
BY:
1 el tt_ ';&j-)-- 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?
RINo *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 Updated10/17/18
ALL
Screened Enclosure & Sunroom Affidavit HIGHLIHIGHLIGHTED
ON
5-''ri; HIGHLIGHTED IN
JA •city of Atlantic Beach Building Department GRAY IS REQUIRED.
4,est:- ))
10 800 Seminole Rd, Atlantic Beach, FL 32233
r,DS1)`Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:R64a1—Ooa0
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, Screened Enclosure and Sunroom 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 Ill
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.
Screened Room,Sunroom and Screened Enclosure Requirements
Category I II III IV V
Habitable Space No No No Yes Yes
Foundation Walls<200pIf can Walls<200plf can Walls<200plf can Walls<200plf can have Walls<200pIf can have
have 8"Wx12"D ftg have 8"Wx12"D ftg or have 8"Wx12"D ftg or 3"Wx12"D ftg 8"Wx12"D ftg
or 3-1/2"slab if no 3-1/2"slab if no 3-1/2"slab if no
concentrated load concentrated load concentrated load
7501b 7501b 750Ib
Exit Lighting Not Required Required Required Required Required
Interior Electric
Not Required Not Required Not Required Required Required
Outlets
Emergency Escape Egress from exist. Egress and Exit must Egress and Exit must Egress and Exit must Egress and Exit must meet
Openings structure allowed if meet code meet code. Other meet code. Other code. Other resistance
open to atmosphere resistance esistance requirementsrequirements for forced
or considered screen requirements for ror forced entry, air entry,air leakage and water
enclosure and has forced entry, air eakage and water penetration also apply.
screen door leading leakage and water penetration also apply.
away from residence. penetration also
apply.
Misc.Window and Host structure Removable windows Removable windows Host structure windows Host structure windows&
Door Requirements windows/doors shall allowed in sunroom. allowed in sunroom. &doors shall not be doors may be removed.
not be removed. Host structure Host structure removed.
windows/doors shall windows/doors shall
not be removed. not be removed.
Wind Borne Debris
Not Required Not Required Not Required Not Required Not Required
Opening Protection
Energy Sheets Not Required Not Required — Not Required Required Required
Notarized Signature of Owner or Agent: M„!'_ :-
Nn 'rr
r
The foregoi }} r ntwas acknowledged before me thi day of V -
8
y , 2 in the State of Florida,
County of
Ca-Aiik,Signature of Notary Public: SUCt -
Personally Known OR [ Pr,•uc-d Identificatpii n•-
Type of Identifica ion. i J'C i)
JaY•i4 Notary Public State of Florida
aE'
4`* Danielle Marie Ctapretti
My Commission GG 153245
Updated 10/ 17/18
or ti
Expires 1210612021
I
AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
TO: Building Inspection Department,City of Atlantic Beach, 800 Seminole Road
Home Owner: L.V1'''0 n c 1IUC—Z
Name
SS U 1 S--)'(`44-1-
Street Address
f\4_ ,,,,,11.-,c,c, ,. "` FL, ?- 3 T
City. State and Zip Code
Contractor: lb17i& --5* J& tI 6tAii S
Permit Number -
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 4 n this structure.
Signed / Date 7 /ZZ/ ZI
Before me this day of c96?-'
In the County of Duval,State of Florida, h personally appeared
1)1 d-' I Y Ole herein by himself/herself and
Affirms all statements and declarations herein are true and accurate.
06,,,,,:alI i, s '
l
Notary Public at Larg State of Countyof I
Personally Known V or Produced Identification
ID Type
F:building/affidavit for attaching a new structure to an existing structure.docx >;, Notary Public State of Florida
7/21109
Danielle Marie Capretti
My Commission GG 153245
N neF Expires 12/06/2021