345 1st St POOL23-0035 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
CONNER KEVIN RAY 345 1ST ST ATLANTIC BEACH FL 32233-5227
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169766 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
345 1ST ST SWIMMING POOL SWIMMING
POOL RESIDENTIAL
Installing 8ft x 8ft detached
hot tub- Includes safety
cover
$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 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 POOL WELLPOINT INFORMATIONAL
Notes:
Pool Wellpoint (if used) must discharge into vegetated area 10 foot minimum from street or drainage feature (swale, structure or lagoon).
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: 12/15/2023
PERMIT NUMBER
POOL23-0035
ISSUED: 12/15/2023
EXPIRES: 6/12/2024
SWIMMING POOL 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 $55.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
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: $286.50
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 Owner.
9 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Owner.
2 of 2Issued Date: 12/15/2023
PERMIT NUMBER
POOL23-0035
ISSUED: 12/15/2023
EXPIRES: 6/12/2024
SWIMMING POOL 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
Installing 8ft x 8ft detached hot tub-
Includes safety cover
345 1ST ST
N/A
POOL23-0035
0-4,%;-, BUILDING PERMIT APPLICATIONr FOR INTERNAL OFFICE USE ONLY
City of Atlantic Beach Building Department
PERMIT# X001.23' (,135
m Ah, 33
ALL information required to process
4Q!L P
800
PhoneSe: (
904)
inole
247-5826RoadEtlanticmail:BeacBuilding-Dept@coab.
usFL322
Q
Job Address 3 vs--- / S}' SF RE# 164 7(.0(0-tOOD
Legal Description 5--6 /6-12..C- i£
t
i 2frm :C teat)/, I,/ //c L /707 ' &' .2), f I4FLoy , UL1 3
Valuation of Work(Replacement Cost) $ 00. ? Heated/Cooled SF P-'/`6 Non-Heated/Cooled SF Nie,
Class of Work: El New Addition Alteration Repair [Wove Demo co Pool Window/Door
j •Use of existing/proposed structure(s): 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),No
Describe in detail the type of work to be performed:
I- I,t ,"9-411, AA) 4- )C r{.- x 34040 ,06:1-40-pler. h t' 4149. i+ ti c.Lt.c
A c u 5#or&--'i\-}ea S-Acover.
7 Florida Product Approval# For multiple products use Product Approval Information Sheet)
Property Owner Information Name ko,th",,1 CON r- Phone 9o'( -CII 3 T f(4
Address 395-- ( - S}- City ,44 64, State EL Zip 32233
Email kt2c Sae, P' a AL-1_ Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) til a
Contractor Info nation Name of Company ,47 0 Phone
Address i City State Zip
Qualifying Agent 1 fve-c)(J (h lr rt. L..,6mnr, State Certification/Registration#
Email Job Site Contact Number
Worker's Compensation Insurer OR Exempt El 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 BEFO• RECORDING YOUR NOTICE OF COMMENCEMENT.
ignature of Ow gent) Signature of Contractor)
Si ned and sworn to or affir. ed)before me this day of Signed and sworn to(or affirmed)before me this day of
0 1._ ,
0 • .10.y Fr by
Signature of Notary Ara , ature of Notary
v
Personally Known OR [ ) Pro.uce' Identificati.n Personally Known OR [ ] Produced Identification
Type of Identification: Type of Identification:
I. ••pi. N.,_ TONI GINDLESPERGER
Y, a MY COMMISSION#HH 407122
Eo*i,le'. EXPIRES:October 6,2027
Owner Builder Affidavit ALL INFORMATION
HIGHLIGHTED IN
Ili'"
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#: 12t01..1- CO3-5
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.1
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: 3`-t5 1 9- /441,14,E /,L-- YZZ?
Owner Name: VW /42-L k! Q N fJ il-7 Phone Number: 96 61.3-34,14e)
5c
Mailing Address: -3/-4) 15.5:
City: Al State: f i- Zip: /22,j>
Notarized Signature of Owner .-<
The or prng in trum nt was acknowledged before me this Il day of /JQe , 202, the State of Florida, County
of I`J LJ VC:,
Signature of Notary Public
Personally Known ORduced Identification
Y..i, .-. TONI GINDLESPERGER Type of Identification: 1 , -%
MY COMMISSION#HH 407122
sttr,;1:?: EXPIRES:October 6,2027
Updated 10/24/18
Revision Request/Correction to Comments
ALL INFORMATION
l
g---*
y / HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
1-,i
800 Seminole Rd, Atlantic Beach, FL 32233
g,;' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: PpCL`D.,
3s
Cep i
f2 Z
la
Project Address:
Revision to Issued Permit OR Corrections to Comments Dater 'Z
14
Contractor/Contact
q0() '-(
Name:
ff__,
Contact Phone: 4_0k-3"-) 6 Email: kgC S e C c0 C-IvtL ` CO/J
Description of Proposed Revision/Corrections:
kei j C-141 sill) e As\- ? ^ i- .c'/.- L J --
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JA6-w41 k)\,0ceioc- vt 1,1: t) _bNk-k A/ -Q -Crotv 6c-
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bry No C4k eQp,i\k,,, bc3f4Df'\,. .,
amu` ..1 C; N _.`taffirm the revision/correction to comments is inclusive of the proposed changes.N
Printed name)
proposed revision/corrections add additional square footage to original submittal?
15 o Yes (additional s.f. to be added:
W.tproposed revision/corrections add additional increase in building value to original submittal?
p_
z )
Yes (additional increase in building value: $ Contractor must sign if increase in valuation(
i%
r
Signature of Contractor/Agent:
Office Use Only)
H Approved Li Denied H 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 Updated 10/17/18
MAPISHOWING BOUNDARY SURVEY OF
W. 4 LI FT OF LcJr I'1 E 3O.8.F`r OF LUT Ito $LOCK 3 AS SHOWN ON MAP OF
SL)}3D)v t s T o)•l ',A., ATLJNT C "OE AC N
AS RECORDED IN PLAT BOOK 5 PAGES 4,9 OF THE eureEuT Pei'C lzr= 0et6 of WVAL(1;FA
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FERRET AND ASSOCIATES, INC
1614 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FLORIDA, 32207 PHONE: (904) 805-0030 FAX: (904) 805-9888
GENERAL NOTES •
P.C. PONT OF CURVATURE LEGEND R RADIUS
P.1. PONT OF TANGENCY G DELTA(INTERIOR ANG.C)
I)BEARINGS SHOWN HEREON ARE BASED OH
P.R.C. PONT OF REVERSE CURSE A ARC LENGTH
P.C.C. PONT Om;cOMPDIHID CURSE C CHORD
4.1,99'4'1'37"W F-02 &JI/O.?l)1 P.O.C. PONT CURVE CO CNOR0 SEARING
KA4 (We OF FrQsr 57K T 8R.L RESTRICTION UNE AAc. AR+camITwlml
WIGS PROPERTY HAS NOT BEEN ABSTRACTED ,•P, 004 ppE RPM RIGHT-OF-WAY
FOR EASEMENTS, COVENANTS, RESTRICTIONS F0, FOUND O.R.V. oRICIAL RECDRDS vOLRAE
KS)UNDERGROUND ENCROACHMENTS AND UTILITIES
SERVINGPROPERTY HAVE NOT BEEN
LOCATEDOR SHOWN
SCALE /-'ZO•
A)THIS PROPERTY APPEARS TO LIE WITHIN
FLOOD ZONE ' X • AS SCALED FROM //-2Z-2 CZ
I.
Z OO
FLOOD INSURANCE
DATEDRAEN4, 7 89 OATr or nao r
NNATHAN
T AN. E.PERRJet41• 161FLA. CERT. NO. 31295732 LB 67151200T50001D
p. 310 PG. 5 NOT VASO NVNWF FAZE SKWA71At It TAO OAIGNAL RASED SEAL 0f A!AMU IICUSED SIMVCTtIR t WIPER ORDER NO. Z'T'Z-696'8