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551 DAVID ST RFNC23-0118 r<,N>>,'1; fBUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY , ':',, City of Atlantic Beach Building Department Ca " ' PERMIT# RF"IvGz3- 0I (8 :1 sy 800 Seminole Road, Atlantic Beach, FL 32233 information required to process -'-;3''' Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address 551 David Street Atlantic Beach, FL 32233 RE# 170575-0010 Legal Description 10-16 16-2S-29E, 057 SAT.TAIR SEC 3 SE 50.2011' LOT 549 K Valuation of Work(Replacement Cost) VP',71,, Heated/Cooled SF Non-Heated/Cooled SF •Class of Work: ❑ New El Addition ❑Alteration ®Repair El Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): E Commercial ❑Residential • If 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) x❑ No Describe in detail the type of work to be performed: Replace existing privacy fence. Florida Product Approval# (For multiple products use Product Approval Information Sheet) Property Owner Information Name Cripe Trust, Tracy S & Theresa A Cripe ,ttees Phone 904-613-1723 Address 1953 Sandhill Crane Drive City Jacksonville State FL Zip 32224 Email tracy.cripeggntail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Phone Address City State Zip Qualifying Agent State Certification/R- . ion# Email Job Si - intact Number Worker's Compensation Insurer OR Exempt ❑ Expiration Date Architect's Name Email Phone Engineer's Name / Email Phone 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 city/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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Cy (Signattle of Owner or Agent) (Signature of Cofitractor) Signed and sworn to(or affi d) before me this , day of Signed and sworn to(or affirmed) before me this day of C_-)Y7 ,�C'Z by y 7-L p , / by Signature of Notary --.....\_____ _____—_:e Signature of Notary i [ ] Personally Known OR [ ] Produced Identifi ation [ ] Personally own OR [ ] Produced Identification Type of Identification: . L_ Type of Identific8tion: (.7.4:.'''';'--, TONI GINDLESPERGER MY COMMISSION#HH 407122 R ;v_ ,,,F,p,. EXP IRES:October 6,2027 Owner Builder Affidavit **ALL INFORMATION '`° HIGHLIGHTED IN 1',I 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 ISA 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: 551 David Street Atlantic Beach,FL 32233 Owner Name: Gripe Trust - Tracy S. &Theresa A. Gripe, trustees Phone Number: 904-613-1723 Mailing Address: 1953 Sandhill Crane Drive City: Jacksonville State: FL Zip: 32224 \'Notarized Signature of Owner _ The for going,instr ment was acknowledge fore me this 2( ,day of G V , 20 _.‘„,3n the State of Florida, County of t_ JiiVc1� ...., O,— —, Signature of Notary Public [ ] Personally Known OR [ ] Produced Identification \. Type of Identification: I '' . L Updated 10/24/18 ::.•' ` ., TONI GINDLESPERGER ',,,: MY COMMISSION#HH 407122 1..--;;i7.! i:- EXPIRES'October 6,2027 1,0---'-,,,, , Fence Addendum Updated 1/14/2021 1i City of Atlantic Beach Building Department \\ 8 �:! 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# Jr-r,,%,r.. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: i C / ? 0 / --/j3 551 David Street Atlantic Beach,FL 32233 Property Type: Lot Type/ Features: © Residential ❑ One Street frontage (interior lot) ❑ Commercial ® More than one street frontage (corner lot,through lot, etc.) ❑ Swimming Pool Fence Material: Fence Height (select all that apply): ® Wood ❑ Four Foot (4ft) ❑ Chain Link ® Six Foot (6ft) ❑ Vinyl ❑ Other ❑ Block/Stone (Plan details required for footings and/or retaining walls) El Other Fence Location: Please submit an accurate and current boundary survey showing all existing improvements (including building footprint, driveway, swimming pool, etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or retaining walls and any portion or fencing above 6ft in height. Will the fence be built in an easement? ❑ Yes (must submit separate Revocable Encroachment Agreement) ® No Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal Permit) ® No Conditions of Approval: • Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way. • All old fencing and debris must be removed from job site by contractor or homeowner. 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. LEGAL DESCRIPTION THE SOUTHEASTERLY 50.20 FEET OF LOT 549,OF"SECTION NO.3 SALTAIR" ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10,PAGE 16,OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. / FLOOD ZONE:X • m COMMUNITY NUMBER:120075 PANEL:12031C0409 cri L07'S36 SUFFIX:J W ..J Z BASE FLOOD ELEVATION:N/A `' • o W u' ±- FIRM DATE:11/02/2018 VICINITY MAP F.4oa NOT TO SCALE cff(nUoQ r�W a..1 / 84-1-li,, H ,;' /.r•(� 02N 90.0060. o 4 % LEGEND Ln Q 7 / NC AIR CONDITIONER H J 'NS F.P. gA KFLEp7W PRESENTER E~ / (No T- ••k0"9Of • o o �� 3��04 5p?0 0S EBSL. EOEVATION BLOCK STRUCTURE @el r�CLUb �.- PlS' • 90°00,H /Rp0Np l/?.4. LD. IDENTIFICATION R CpR°pIc �l ¢� Op/O X20' 0. Pip , L LENGTH NER - �� (,NCtUOF49 201 750, L.B. LICENSED CAS REBUSINESS o' / O) a N.A.V.D.NORTH AMERICAN VERTICAL DATUM h R4'SIDFN R I %/ /, N.G.V.D.NATIONAL BOOK DATUM JA.- 1 4, (4g a 3Q1 CF ssl %' % / PSM PROFESSIONAL SURVEYOR AND MAPPER C609358 9g0"(0) -w) �I ' 1114 / 4/ P.R.M. PERMANENT REFERENCE MONUMENT W PG. PAGE 10-21-2019 14, 1 90 °°00* �%Co, 1 0 / +Fti4 p Au PK PARKEROKYLON NAIL 1".201 % R RADIUS FOUND l •�RNE° // Q Ck CENTERLINE ','l--o AND C R RONP(PF / 5020' 9p. / �� D DELTA OR CENTRAL ANGLE 0 -1'a. OOoo W�4w.,,,_.,-.I CONCRETE >-5L-u 2 Co, o CHAIN LINK FENCE Q�- 6( 50 Z - -WOOD FENCE F .R'n o s'�KCpRN a0 ----MISCELLANEOUS FENCE ., m E i 0q\ %Rp4'Pjp(c" FR z o PA�,UlDS- s :'.• So kq TRS •N. f Z _, °Fol (PJ o w • // \ , SURVEYORS CERTIFICATE: �fsl I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY ISA a / TRUE AND CORRECT REPRESENTATION OFA SURVEY 0 PREPARED UNDER MY DIRECTION.NOT VALID ,"`' a NOTES: WITHOUT A RAISED EMBOSSED SEAL AND SIGNATURE. . 1.LEGAL DESCRIPTION PROVIDE BY CLIENT � 2.NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE % g 3.NO SUBSURFACE IMPROVEMENTS WERE LOCATED AS PART OF THIS SURVEY 4.ALL ANGLES OR BEARINGS AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED n 5.SOME FEATURES MAY NOT BE AT SCALE IN ORDER TO SHOW DETAIL. DATE OF FIELD WORK:10/24/2023 (SIGNED) DATE OF MAP:10/25/2023 KENNETH J.OSBORNE PROFESSIONAL SURVEYOR AND MAPPER#6415