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Permit Bldg deck addition 360 1st St 2010 t ~� `s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001260 Date 10/25/10 Property Address . . . . . . 360 1ST ST Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ------------------------------------------------------------------------ Application desc addition to deck ---------------------------------------------------------------------------- Owner Contractor OWNER --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 4/23/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 '�— Office (904) 247-5826 Fax(904)247-5845 rn)w OCT8 0 Job Address: 1c> '1--'n Permit Nun;UeU: IN/ Legal DescriptionA. INI-:2—V CT4S �'E l—Z I� CTj <Parcel# 1,loor Area of Sq.Ft. q• , Valuation of Work$-�- �p Proposed Work heated/cooled non-heated/cooled _ Class of Work(circle one): New Additi Alteration Repair Move Demolition pool/spa window/door Use of existing/proosed structure(s)(circle one):installed? If an existing structure,is a fire sprinkler system nstalled? (Circle one): es " No /A Florida Product Approval# For multiple products use pro uct approval form Describe in detail the type of work to be performed: `U X -1-e Property Owner Information: Name: I�-1-L-- Address: — Is 'E � t/k�"�h--`� N_ City Pti'rt-ice*' StateFL--Zipu33 Phone E-Mail or Fax#(Optional) ` -Xk PA--L-L-- C:5? <Ri= P``s Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and 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 Wells, 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, urnaces,Boilers,Heaters, Tanks and Air Conditioners,eta 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. I hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type oIlMrk 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 other federal,state, or local law regulating construction or the performance of construction. Signature of Own& Signature of Contractor �---' Print Name (. ............... ........... Print Name ..................... Sworn-to and subsc 'bed before me,''� 20 �� x i s !` o f DtCftf 2- �'"' CITY OF ATLANTIC ' LtSEEP o= PIRES: ebruary 14,2014 t��n "I)I'l TONAL 0 8nnd tory Public Underwriters REQUIREMENTS ANDCpN#I © Rei 0 REVIEWED BY: ,m.�.� ,.� r,. CITY OF ATLANTIC BEACH OWNER / 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. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. 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. E AOVE DISCLOSURE STATEMENT LAND ETHAT I(COMP Y WITH AHEREBY LL THE EREQUIREM NTS FOR THAT I HAVE READ HTHEB ISSUANCE OF AN OWNER-BUILDER PERMIT. ' PHONE NUMBER ADDRESS PRINT NAM01 SIGNATURE "--'- -- - .--.._......,_ DATE Before me this , day of 20 LU in 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. 'LTJ Notary Public at Large,State of L County of ❑Personally Kno ❑Proed Identifi Lo lV/ ° r acv;;JM 1SS!J #D 957160 4,2014 _____.. :Feb ary .✓ ota Public erwrlte Notary Signature:' F:BLDG/Owner-Builder Affadavit;REVISED: 4/16/ 09 18 4. Lu O N / C" - Lu .. I c C� � � 1 F J t -7 10 . .:. Obi J M I LL- ww O 1. W -LEGEND/ABBREVIATIONS- 0 z O FND FOUND I J C'4 p 1 LB LICENSE BUSINESS >\ M \ IP IRON PIPE w cy)�� t MORE OR LESS V) 0 N BRICK 3 w J 0~O . :LC {�v„ n} BRL BUILDING RESTRICTION LINE 1 n Q O " ., (P) PLAT LL ..=,.... W ,•'W n .�.P (M) MEASURED ON LINE s' t/INYL FENCE O Z P,ti "� .. — 6' KNYL FENCE I ;=f A seT /z'IRON PIPE PARCEL 2 a ; ' 0,7' ' ?' r 0 �! ;r 1 u STAMPED 2e sass" (CONTAINING 0.11 —X— FENCE ACRESf) 0 C() ` H i f POB POINT OF BEGINNING \`\ I POC POINT OF COMMENCEMENT FND 1/2" IP �;,ALL "NO ID" 0.2 0.6' (N) v E SOUTHWEST CORNER 0. L 1N L OF G i''17 � THE EAST 1/2 OF LOT 19 g' 25' (P) 0.5' _ -._._... -._�•. ...........-_`C. SOUTHERLY \ o N 89"57'50" E 9 57'50" E �1�j Gly k ^: ? FND 1/2" IP i� ,I LINE OF LOT 19 "NO ID" o 37.60' I 357.60 OCK LOT 20 LOT 18 LOT 16 20 10 0 20 40 NOTES: FEET 1.) THIS IS A SURFACE SURVEY ONLY, UNDERGROUND IMPROVEMENTS, SUCH AS FOOTERS OR UTILITIES, IF ANY SCALE IN200' WERE NOT LOCATED. 2.) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A TITLE ABSTRACT. 3.) BEARING OF S90'00'00"W WAS ASSUMED ON THE SOUTH RIGHT OF WAY LINE OF 1ST STREET. 4.) THIS PROPERTY LIES IN FLOOD ZONE "X" AS SHOWN ON FEMA FLOOD INSURANCE RATE MAP PANNEL No. 120075-0001D, DATED: APRIL 17, 1989. 5.) X-REF: WO NO. 05-639 5773 NORMANDY BOULEVARD, HAULCY JACKSONVILLE, FLORIDA 32205 PHONE (904) 766-6400 FAX (904) 766-1479 S RVEYORS JOHN L. MARSH LICENSED BUSINESS No. 6888 FLORIDA PROFESSIONAL SURVEYOR AND MAPPER NO. 6542 NOT VALID WITHOUT THE SIGNATURE AND THE W.O. NO.: 08-288 SURVEY DATE: 09-04-2008 DRAFTED BY: G. FOUNTAIN ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR AND MAPPER CHECKED BY: JLM CAD FILE: 08\288.DWG FB 628 PG 46 MAP SHOWING BOUNDARY SURVEY OF A PART OF LOT 17 AND THE EAST 1/2 OF LOT 19 BLOCK 2, ACCORDING TO THE PLAT OF ATLANTIC BEACH, A SUBDIVISION,AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCE AT THE NORTHEAST CORNER OF SAID LOT 17 OF SAID ATLANTIC BEACH SUBDIVISION POINT ALSO LYING ON THE SOUTHERLY LINE OF 1ST STREET (A 40 FOOT RIGHT OF WAY AS NOW ESTABLISHED); THENCE SOUTH 90°00'00 WEST, ALONG SAID SOUTHERLY LINE, A DISTANCE OF 37.56 FEET TO THE POINT OF BEGINNING; THENCE CONTINUE SOUTH 90°00'00" WEST, ALONG SAID SOUTHERLY LINE, A DISTANCE OF 37.56 FEET TO THE NORTHWEST CORNER OF THE SAID EAST 1/2 OF LOT 19; THENCE SOUTH 00°03'12" WEST, ALONG THE WESTERLY LINE THEREOF, A DISTANCE OF 130.06 FEET TO THE SOUTHWEST CORNER THEREOF; THENCE SOUTH 89°57'50" EAST, ALONG THE SOUTHERLY LINE OF LOT 19 AND THE SOUTHERLY LINE OF LOT 17, A DISTANCE OF 37.60 FEET; THENCE NORTH 00°02'03" EAST, DEPARTING SAID SOUTHERLY LINE OF LOT 17, A DISTANCE OF 130.04 FEET TO THE POINT OF BEGINNING. CERTIFIED TO: CONTAINING 0.11 ACRES MORE OR LESS. TIMOTHY AND MELINDA NALL COMMUNITY FIRST CREDIT UNION OF FLORIDA OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY B2 GOOSE ATLANTIC, LLC BRANT, ABRAHAM, REITER, MCCORMICK & GREENE, P.A. F I R S T S T R E E T (40 FOOT RIGHT OF WAY) .. T4' CONCRETE SIDEWALK'` _ ..... : s W^ _ S .90000'-©o9, __W POC SOUTHERLY N , 321.35' (M) RIGHT OF WAY O f 37.56 — NORTHEAST CORNER OF LOT 17 — — — FND 1/2" IP � fCl, jFND 1/2" IP NO ID" o B� _ j` } "NO ID" � NORTHWEST CORNER OF� ' OT/," � 7 THE EAST 1/2 OF LOT 19 (I. DP,`l"E'v'"l`" 0.31 M I rn . 65 ._ 7.0' 20. `f Ln p _.J3 0.8 ,. l' I THREE STORY Q ` a ATTACHED F; ;A"H D, I MASONRY N MAS; NR' w 0 I RESIDENCE o "' #360 # ,W x a �; i I M o Zs i o` 8.1a.o LOT 15 C-,4 0") s!s City of Atlantic Beach E[D:aterouted: LICATION NUMBER r r Building Department ned by th Building Department.) 800 Seminole Road j Atlantic Beach, Florida 32233-5445 ' Phone(904)247-5826 • Fax(904)247-5845 --�� E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: A% J' e' fJFireServicesF7 ent review required Yes No Applicant: Zoning inistrator Project: / l � rks lities fety ices . ;kips ^t ✓ � t r r 6fir,.gee " ?i ',� ' h9 " r W }Rli�,�w� Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B 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: EjApproved. ❑Denied. (Circle one.) Comments: (BUILDIp -7 PLANNING &ZONING Reviewed by: Date:/d—r)p lC) TREE ADMIN. Second Review: ❑Approved as revised. ❑De ' d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09