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Permit 390 Mayport Roadf` f,. t~ ~;; j ~ - ~ r,~ °~ ~/1 1...f...~..r ~ j..s R,~1/ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address Tenant nbr, name Application description Property Zoning . Application valuation . . 06-00032155 Date 2/09/06 . 390 MAYPORT RD . REBUILD BAR . RESIDENTIAL ADD/RENOVATE/ALTER . TO BE UPDATED . 2000 Owner ASSOC., FLEET RESERVE 390 MAYPORT ROAD ATLANTIC BEACH FL 32233 Contractor OWNER ATLANTIC BEACH FL 32233 ----------------------- Permit -------------------------------- BUILDING PERMIT --------------------- Additional desc . Permit Fee 35.00 Plan Check Fee 17.50 Issue Date Valuation 0 Fee summary ----------------- Charged ------- -- - Paid Credited Due Permit Fee Total - - 35.00 -------- ------- 35.00 --- ---------- .00 .00 Plan Check Total 17.50 17.50 .00 .00 Grand Total 52.50 52.50 .00 .00 • r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL ,:;, _~~,~. :.~ "EACH c~: ~~' ~ EPARTMENT °• (~ ~ ~ . Hi ins 1 t ~, ~ . Jam' ~ ~ oerr `. s ~ !11? -.~ 3 ~ ~-- ~. c ~ < aa~ i N ~ ~ ~ j PLA = ~ '° ao °° ~ ~, ~ ~ ~ n Pear 3 ~`~ N n Props l D /` ~ ~~ , Project: T~h,.is p~er~mit application has been: ~ Approved ~ Reviewed and the following items need attention: VE - Olv~~ Please re-submit yo application when these items have been complerted. Reviewed By: ~ Date: `~l ~Cay . Date Contractor Notified: f- i,~ ' Ss1A r _ ~~ ~~ ,- ~ Job Address: ~ Owner of Property: Address: 3~ CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations & Additions) Date: i ~t ~1 ~~ ~ ~ ~~--~ d Legal Description: Block Number: Contractor: Contractor Address: Telephone: Describe proposed use and work to be done: Fax: l~ State License Number: Present use of land or building(s): Valuation of proposed construction: ~ t7 ~~ . D ~ What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? 1'~•~ New electrical or increase in service? Add plumbing fixtures? ~~ Add fireplace? ~f-U Add heating/air conditioning? it p Is approval of Homeowner's Association or other private entity required? ~© If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, o~° the ~tclditior~ of ~~r~ ~~k sxaot•e try the o~•iginaf impervious area or the removal of any trees? NO. Applicant certifies that n<•a c'~^rge in site grade, i~r~pe~•vie~t~s area or fill material will be used on this project. ^ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning llepartment at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if apre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must,be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247-5826 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 ~~ Telephone: ~D `l p'ZS~~ ~0 8s~~ /L ~•~ Lot Number: ~ Zoning District: ~'~ In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, apre-construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of ~-3v- ~'~ I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor:/ 1 Date: __ ! ~ ~ °'~~r Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: AS TO OWNER: Fax: E-Mail: Sworn to and subscribed before me this 3t~ ~ day of~~~~ U~'~,Y , 20_~. State of Florida, County of Duval N"'r n "• AMY E~ VENTERS ~+`"" ~ ~~, Notary puatK -State of Florida •=fa+ly Commission Expues May 5, 2009 ConK+MSaion tt DD 426003 NOr-dsd By National Notary Awn. AS TO CONTRACTOR: r Notary' Signature: ' Personally known ^ Produced identification Type of identification produced Sworn to and subscribed before me this ~ C7r~ day of ,,~~k1~ Ulk~.`lr , 20~. State of Florida, County of Duval ~.>:~.:~.~.r~ri AMY t" VEN ~ z=RS ,•,ip~"p~ r~Q<~ , Nu!arv r';,nt~c Swte of Florida • • , =h4j ";u+nr:.-sus is x;rreS May 5, 2009 ~,~~' Gou+'T+rsswn tt D[~ 426003 da' , Bonded By Natrona) Notary Asp-. Notary's Signature: ~ L~~ Personally known ^ Produced identification Type of identification produced 800 Seminoii Yl;oad • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.attantic-beach.fl.us Page 3 Revised 8/04 ~f ~ ~ gar ~~ rl ,~ ,, 111 J ~' CITY OF ATLANTIC BEACH J '~~~~.;t>%' OWNER/BUILDER AFFIDAVIT ©© Date: J - 3 D ~--~ ~ Job Address: ~~ /~~f- ~ .C.~ CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIIZES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIItES 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 BUII,D OR IMPROVE AONE - OR TWO FAMILY RESmENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IlvIPROVE 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_LICENSE_ S REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSINfi ORDIIVANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUII.,DING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HII2E UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIIvIES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS~WORKER'S COMPENSA I'In`-, =4SURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIItING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE tRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMI 0Y ON THEIR IMPROVEMENT TRADES. 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. 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. ~~. ERTY O E UILDER SWO ~~ S DAY O - U 20~j ~P~c-saea • tNy Cae~ion E,~ ~ 5, ~ ;r ~~~'~~ OT PUBLIC ~d~MNolerfAlM. MYC MISSION EXPIRES: NOTE: P S S FLEET RESERVE ASSOCIATIOI`I BRANCH #290 390 MAYPORT ROAD • ATLAI`ITIC BEACH, FLORIDA 32233 • 904-246-6855 P. O. BOX 331538 January 9, 2006 City Of Atlantic Beach Atlantic Beach, FL 32233 r~ ATTENTION: Mr. ,~Ifn Ford FRA Branch 290, located at 390 Mayport Road, Atlantic Beach, FL 32233, hereby authorizes Mr. Tom Bennett, Chairman, Board of Governors authority to make modifications as necessary to enhance the inside appearance of the FRA Branch Home. Sincerely, yours: in Loyalty, Protection, and Service ;~ohn .Sutton President Telephone No: 246-6855 FLEET RESERVE ASSOCIATIOI`I BRANCH #290 390 MAYPORT ROAD ATLANTIC BEACH, FLORIDA 32233 • 904-246-6855 P. O. BOX 331538 January 9, 2006 City Of Atlantic Beach Atlantic Beach, FL 32233 ATTENTION: Mr. John Ford FRA Branch 290, located at 390 Mayport Road, Atlantic Beach, FL 32233, hereby authorizes Mr. Tom Bennett, Chairman, Board of Governors authority to make modifications as necessary to enhance the inside appearance of the FRA Branch Home. Sincerely, yours: in Loyalty, Protection, and Service John .Sutton President Telephone No: 246-6$55 `' m ~', 1 y°~ ~~p 7~ ~~ ~o P' ,1~F ,~Q,~- ~/e~ ~"~" AppR~yfQ,EACN GI°f ~ ~ '~' ,.r~~ ~pFfiCE gyylt.QlN~+ FEg ~ 6 ~,pq6 F-LE COPY sr~ 51~~ v. t~ ~~ ~°°~ ~ 4r ~ tt ~ ~'' ~ a a ~~ ~1,~~ ,s ~ ~x ?,x~ ,~ ~, ~. G y ,, ~~ y ~ ` ~' °`~ .~~d~j~ ~; `~~ ~ ~ r~ ~r~ ~' ~ H l ' ~ ~ ,~ ~ ~~~ ~+ ~& r~