Permit 1768 Ocean Grove DriveCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000203 Date 6/15/10
Property Address 1768 OCEAN GROVE DR
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation 2390
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Application desc
FINISH DECK AND STAIRS FROM 07 518
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Owner Contractor
------------------------ ------------------------
DRYSDALE OWNER
ATLANTIC BEACH FL 32233
Structure Information 000 000
Construction Type TYPE 5-A
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
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Permit BUILDING PERMIT
Additional desc .
Permit Fee 65.00 Plan Check Fee 32.50
Issue Date Valuation 2390
Expiration Date 12/12/10
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS.
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total 32.50 32.50 .00 .00
Grand Total 97.50 97.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
• :S ~ ''.• CITY OF ATLANTIC BEACH
17 > -
~,.
,a 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
1.7 OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845
'~ ~" WJwV.COAB.US
''' 1 ~ BUILDING PERMIT APPLICATION
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LOT BLOCK :3~ _ ~d . _ ' I: ^ ADDITION ^ CONVERTING USE ^ COMMERCIAL
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r. PR PERTYOWNER: CONTRACTOR: ARGHITECT (ENGINEER;,.
9. NAME: ~M`~ • /
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. /~ 15. COMPA Y NAME: ,, 23. COMPANY N
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16. NAME: 24. LICENSE/E NAME: /)/J ' - t
10. ADDRESS:
~ 17. STATE OF FLORIDA LICENSE 25. TATE OF FLORIDAnLICENSE NO.:
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~ • ~. 18. ADDRESS: 26. AD
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11. OFFICE PHONE:
3s G $3 12. FAX NO.: 19. OFFI .FAX NO.: 27._OF~L',E PH
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13. CEL PHONE:
3 - 3i y 21. CELL PHON 29. CELL PHO
14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL AD S: O t 0
FEE SIMPLE TITLE HOLDER:
- ~ (Ir OTHER THAN OWNER).'= BONDING COMPANY: MORTGAGE LENDER:
31. NAME: 33. NAME: 35. NAME:
d
32. ADDRESS: ~ -` 34. ADDRESS: ~ r ~ 38. ADDRESS:
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 laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6} months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Alr Conditioners, etc.
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. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law.
~* 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.
WNER or AGENT CONTRACTOR
`itAgenl, P ttomey ~A LetterRequirad) (QualfierOnly)
Signed: Date: ~ ~Z tJ Signed: t. Date: _ _.
Before me this ~_ day of , 2010 in the county of Before met is day of , 2010 in the county of
Duval, to of Florida, has personally appeared Duval, State of Florida, has personally appeared
herin by h self /herself and affirm that all statements and declarations are herin by himself /herself and affirms that all statements and declarations are
true and accurate. true and accurate.
ry Public at Large, State of ~(J(ltGi'q ,County of DU ~~'
N
ota Notary Public at Large, State of ,County of
~~
,,~~
IgbPetsonally Known ^ Personally Known
^ Produced Identification - ^ Produced Identification -
Notary Signature:
.~.~~~„
~;: ~ r lv t r7U9 t3. ,10HNSON
=* •*'= Commission DD 651858
~,' P~` Expires March 1
'~~~'~;,~~:• 9agded~hruTreyFairi
Bldg Permit Application 2 . ~ -~ '"- --
FILE ~OPIf
icr.vl~;w~li r'UR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS.
REVIEWED BY:
DATE: -~ ~ ~
~~s ,r-S SsLrl' ~~
CITY OF ATLANTIC BEACH
r~
'~~`° ~ ~' ~" Q®WNER /BUILDER AFFIDAVIT
-Jiil~!'
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 REQUIltES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMTT 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 Il4IPROVE 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 BUII,T YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
TT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
H[RE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBII,TI•Y 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; (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.
ADDRES
~ti ~ a1 ~~1_ ~-/~ ~~ ~ 1
a;~
Before me this ~~ day of r~l`LLa 12 , 20 ~ ~ in the county of
Duval, State of Florida, has personally appeared erin by himself /herself and affirms that
all statements and declarations are true and accurate. j~
Notary Public at Large, State of o -~dci, County of i/ uVQ~
0ef Personally Known
~ Produced Identification -
~~ / PHONE NUMBER
'Z Z2 ( ~
DATE
~ ;~~~+~';; CYNTHIA B. JOHNSON
Notary Signature: ~~ ~"/! +~ ~;*= Commission DD 651858
~•., ~~= Expires March 18, 2011
~~R~ ~~••` Bonded Thru Troy Fsin l E00~3Bii~7818
F:BLDG/Owner-Builder Affadavit; REVISED: 4/16/2009
A~-~A,,1- +, City of Atlantic Beach
,~ = ~ Buitding Depar6nent
800 Seminole Road
~~ ""`"'° rx Atlantic Beach, Florida 32233-544.5
Phone (904) 247-5826 -Fax (904) 247-5845
'~-~'l,il~`' E-matt: Buitding-deptQcoab.us
Cify weB-site: ttttp://www.c~ab.us
APPLICATION NUMBER
(To be assigned by the [3uildng Department)
~- 20
Gate routed: Z
APPLtCATtaN REVIEW AND TRAGKIN~ t={}RM
Propelrty Address• /'G /~
APPllcant: G ^ `]
~ ~~ eS
Project: i ~1 f.~ ~ G ~/
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# revlt;Nnr aired Y No
Buitdin
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Pu61ic Safety
Fire Services
Review fed ~ :-1?ep~-Stgria~ure = _
t~her Agency Review or Permit Required Review or Receipt
of Permit Verfied Date
Florida Dept of Etnrironmental Protection
Florida Dept of Transportation
St Johns River Wafer Management Dtsittct
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Ak~hoiiic Beverages ark Tobacxo
Other.
APPLICATION STATUS
Reviewing Department First Review: proved. ODenied.
(Ciro Comments:
BUILDING
PLANNING & Zt~NING Reviewed by: Date: 3 ~ Z ~ ~
TREE ADMIN. Second Review: [Approved as revised. []Denied.
PUBLIC WORKS Comments=
PUBLIC UTI!{TIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ^Denied.
Comments:
I
Reviewed by: Date:
Revised 05/14/09
BP500U04 CITY OF ATLANTIC BEACH
Request For Inspection - Inspection History
Application number
Application type
Tenant number, name
Permit type/seq/VRU
Property address
07 00000518 000 000
RESIDENTIAL ADDITION/ALTERATION
BLDG 00 000122044 BUILDING PERMIT
1768 OCEAN GROVE DR
Type options, press Enter.
2=Change 4=Delete 5-View
Status
Opt Date Inspection Description
1/07/10 WINDBORNE DEBRIS PROTECTI
`_ 1/07/10 BD CERTIFICATE OF COMPLET
_ 12/22/08 BD CERTIFICATE OF COMPLET
_ 12/22/08 BD FRAMING
_ 12/22/08 BD FILL CELL/TIE BEAM
_ 6/17/08 BD FILL CELL/TIE BEAM
1/09/08 BD INSULATION
F3=Exit F6=Add inspection
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Inspector
ID
MJ
MJ
MJ
MG
NS
NS
DH
Request
Date Time
2/23/09 17:00
2/23/09 17:00
7/15/08 17:00
1/08/08 17:00
8/16/07 17:00
8/22/07 17:00
1/09/08 17:00
3/24/10
12:19:07
1~ ~' 3
Results
Stat Date
CA 1/07/10
CA 1/07/10
DA 7/16/08
DP 1/09/08
DP 8/17/07
AE 8/23/07
AP 1/09/08
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F12=Cancel
F15=Override
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BP210U01 CITY OF ATLANTIC BEACA
Application Miscellaneous Information Maintenance
Application number 07 00000518
RE number 169619-0100- -
Address 1768 OCEAN GROVE
Type information, press Enter.
2=Change 4=Delete S=Display
Opt Code Date Print Miscellaneous Information
BPMS 9/10/09 Y expired permit letter sent 6/13 - code
BPMS 9/10/09 Y enforcement letter sent 7/10/09
BPMS 2/04/10 OWNER MS. DRYSDALE WAS IN CITY HALL TO
_
BPMS 2/04/10 ADVISE HER CONTRACTOR HAS ABANDONED HER
BPMS 2/04110 JOB. SHE WILL FINISH AND INSTALL CABLE
BPMS 2/04/10 GUARD RAILS AND CALL FOR A FINAL
BPMS 2/04/10 INSPECTION.THIS WILL BE WITHIN 2 TO 3
BPMS 2/04/10 WEEKS FROM TODAY 2-4-10
F3=Exit F6=Add F12=Cancel
3/26/10
8:21:40
Bottom
(0000
,,,., 11 — /j / (Is Walburn Studio, PA, Inc.
,., ,, 3947 Boulevard Center Drive
Suite 8
Jacksonville, Florida 32207
Date: May 18, 2011 Phone: 398 -0880
To: CITY OF ATLANTIC BEACH
BUILDING INSPECTION DIVISION
LETTER OF DESIGN COMPLANCE
Project Name: RICHARD HEISTER, ATLANTIC BEACH ROOFTOP DECK
Project Address: 1768 OCEAN GROVE
ATLANTIC BEACH, FLORIDA
Dear Sir,
This letter confirms the rooftop deck construction, located at 1768 Ocean Grove, Atlantic Beach has been
reviewed by my office along with construction documents provided by Richard Heister (owner). Walburn
Studio will inspect the final construction on site with home owner after construction is complete (44 "A.F.F.,
guard rails need to be installed at this time).
The rooftop deck and stair system upon completion will perform as required by Florida code requirements to
include up -lift, live load duty and life safety.
If you have any questions or require additional information, please contact this office.
Sincere ,
-in . , I
Michael Walburn, Architect
AR0014370
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