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1667 Sea Oats Dr FNCE18-0024 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP: GODWIN JAMES T 1667 SEA OATS DR ATLANTIC BEACH FL 32233-5827 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172020 0150 SELVA MARINA UNIT 06 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1667 SEA OATS DR FENCE WALL OR BARRIER FENCE 6' FENCE - Renewed $900.00 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. 2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Shapell's, Inc., Republic Services, Donovan Dumpsters). 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. 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: 3/22/2018 PERMIT NUMBER FNCE18-0024 ISSUED: 3/22/2018 EXPIRES: 2/7/2024 FENCE WALL OR BARRIER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $35.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50 FENCE 455-0000-322-1000 0 $35.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL: $116.50 4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing must be removed from job site by Contractor. 2 of 2Issued Date: 3/22/2018 PERMIT NUMBER FNCE18-0024 ISSUED: 3/22/2018 EXPIRES: 2/7/2024 FENCE WALL OR BARRIER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 v\P j ifr: CITY OF ATLANTIC BEACH Ir; 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 jel 3i INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0024 Description: 6' FENCE Estimated Value: 900 Issue Date: 3/22/2018 Expiration Date: 9/18/2018 PROPERTY ADDRESS: Address: 1667 SEA OATS DR RE Number:172020 0150 PROPERTY OWNER: Name: GODWIN JAMES T Address: 1667 SEA OATS DR ATLANTIC BEACH, FL 32233-5827 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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. 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. A notice of Commencement is only required for work exceeding an estimated value of 2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. SyLPP;i 1 City of Atlantic Beach APPLICATION NUMBER rs'' Building Department To be assigned by the Building Department.) i 800 Seminole Road j` 0 z 4-Atlantic Beach, Florida 32233-5445 J Phone(904)247-5826 • Fax(904) 247-5845 9..011 0- E-mail: building-dept@coab.us Date routed: 3/1 z-s 7i -e--) City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I 6,(G 7 Q2,,- Cc)--t Dt---2____ DepAtiment review required Yes rgiiildi Applicant: CDC,D>uGR--__ Manning &Zoning Tree Administrator Project: YU C hubli-c wors) ublic Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [proved. Denied. Not applicable Circle one.) Comments: 40110 PLANNING & ZONING3)/00)Reviewed by: rn Date: TREE ADMIN. Second Review: I lApproved as revised. 0D d. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 1.-Lvr,, City of Atlantic Beach APPLICATION NUMBER jt n44) Building Department To be assigned by the Building Department.) 800 Seminole Road Com 7 /00Beach, Florida 32233-5445 z_ 4-AtlanticPhone(904)247-5826 • Fax(904) 247-5845 J;3 ? Email: building dept@coab.us Date routed: 3 I(((( 1 S I &- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 ( / Q - (J -----t.S DR__ Depar ent review required Yes No Idi Applicant: arming &Zoning Tree Administrator Project: K.)C_ ,_ 1 Wor ublic Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. Denied. Not applicable Circle one.) Comments: A fray 4")9BUILDING J PLANNING &ZONING Reviewed Reviewed by: 1 Date: TREE ADMIN. Second Review: Approved as revised. I 'Denied.Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 0!..A,y;. t, City of Atlantic Beach APPLICATION NUMBER mss sl Building Department To be assigned by the Building Department.) 800 Seminole Road 7 Atlantic Beach, Florida 32233-5445 A Dp Iv C ' (JCJ `` Phone(904)247-5826 Fax(904)241J5 5 2018 0;3 0- E-mail: building-dept@coab.us Date routed: 3 t 1-ft (e-, City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ) (AD(o7 SQ3,,_ CDR.--c 5 D12._ Depar ent review required Yes No uildi Applicant: C(.c.D _DC- fanning &Zoning Tree Administrator Project: I— C ublic Words ublic Utilities Public Safety Fire Services Review fee`": v,- e" .it W Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers . Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. I 'Denied. I Not applicable Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b : /i ill Date: 3-47p TREE ADMIN. Second Review: Approved as revised. I 'Denied. I 'Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. Denied. I 'Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 OFFICE C01 Ilding Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 MAR 1 3 2018 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: /h. J fb' 7 4_ Q&h J I Permit Number: Legal DescriptionRE# Valuation of Work(Replacement Cost)$ "6©QVb0 Heated/Cooled SF Non-Heated/Cooled Class of Work(Circle one): New Addition Alteration Repair Move D-mo Pool Window/Door Use of existing/proposed structure(s)(Circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yesllt N/A Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: retce-epid CLAA. ` 1 L'VrCY-L Florida Product Approval# for multiple products use product approval form Property Owner Information Name: rig we r (,f 1 y Address: / to (c7 5'c City , 4-Ig'/ -t1 - !3t2ItGA State r--/ Zip .°3 Phone7 9 t — j aat!, E-Mail 3 —6)9-6)93-7g Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) tY-/'p c -D d L.1- /1 Contractor Information Name of Company: Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Nu er State Certification/Registration# E-Mail Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Exemp Insurer/Lease Employees/Expiration Date Application is hereby made to obtain a permit to dopee work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and/t iat all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction. I understand t at a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERTANKS,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 COMMENCEMENT. 77/ Signature of 0. ner or Agent) Signature of Contr tor) including contractor) Signed and sw4m tol fraffired)before m this (3 day of Signed and sworn to(or affi ed)before me this day of by r34-o\-/-S 110 el,W r1 by rfey ,•, •` MY COMMISSION#GG 042984 nni w EXPIRES:October 27,2020 c;=, Bonded live Notary Public Underwriters ( of Notary) Signature of Notary) Personally Known OR Personally Known OR KProduced Identification Produced Identification Type of Identification: S - tt(iJ514k s `l 1, Type of Identification: fit Lyre CITY OF ATLANTIC BEACH OFFICE C O PY JWNER / BUILDER AFFIDAVIT 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. TELEPHONE THE BUILDING DEPARTMENT(247-5826) 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. l0,6 7 $ t,4 o 3-t4 p2. V d MZ Via- ?© ADDRESS J ktym e.5., -7:-. -74)(://1..e),IJ V 5 / -40 4-7 PRINT NAME l 13 — W- SI .SURE d DATE Before me this 1'. day of Isiktf - 4\ ,20jin the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of { l_ ,County of altAirl 1 Personally Known 1 :Produced Identification- ' l-- t. S t.L Q J T Notary Signature: Ilk.taYret- q 'JENNIFER JOHNSTON MY COMMISSION#GG 042984 i EXPIRES:October 27,2020 F:BLDG/Owner-Builder Affadavit; - ISED: 4/16/2009 s;fot..0,4 Bonded Thru Notary Public Underwriters 1 a t i N I/i I PLOT PLAN 5 E. LVA MARJA LOT !- BLOCK 5 . , UNIT PLAT BOOK 34 , PAGE (S) 5JA CURRENT RECORDS , DUVAL COUNTY, FLORIDA SCALE: I = 20' 12. I ;.c 1q0 8 i1 m i SWAL E 1\ 4 P - 12.1 1 1 E - j. 1F I2• 1 1 ii I_ . E- i2. c -/.. nUnc.(-) co , . /2.,. sq. 1 o 15' I' p- 14ci 1 It FIN. FLoo2 ELE Ia. 1 r a'f'.444d- E- , 2.5 1 k \\. 1 E- 11.5. A 3o' B.2.L. CON C``' itALKy NOTE: VERIFY 6+ SANITARY SEWER w 11 CONC• 1 1 LOCATION AND VI DRIVE 1 EL EV . IN THE FIELT 1qo, II,( SANITARY SEWER 1f'4 INV. ELEV . 4.0 1 I ! i CURE( a ____,../ lGr=f SEA 0ATS DRIVE