Permit 370 Garden Lane JS J`' ✓, r
-=, r � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'° J �� INSPECTION PHONE LINE 247 -5826
Application Number
Property Address 10- 00001211 Date 10/26/10
Application type description 370 GARDEN LN
Property Zoning p SWIMMING POOL /SPA
Application valuation TO BE UPDATED
' 46000
Application desc
new pool
Owner
Contractor
GRANDY, FRANCES
370 GARDEN LANE CLIFT & CO POOLS & SPAS
ATLANTIC BEACH 7000 ATLANTIC BOULEVARD
FL 32233 JACKSONVILLE
(904) 855 -0019 FL 32211
Permit ELECTRICAL PERMIT
Additional desc .
Sub Contractor . . SIKES ELECTRICAL CONTRACTOR
Permit Fee 95.00
Issue Date Plan Check Fee .00
Expiration Date • 4/24/11 Valuation 0
4/11 '
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
REQUIRED INSPECTIONS:
*POOL STEEL
*ELECTRICAL GROUNDING AND BONDING
*FINAL (PUMPS MUST BE RUNNING FOR FINAL)
Wellpoint (if used) must discharge into vegetated area 10'
minimum from street or drainage feature (swale, structure
or lagoon) .
Other Fees STATE ELEC DCA SURCHARGE
STATE ELEC DBPR SURCHARGE 2.00
2.00
Fee summary Charged Paid
Credited Due
Permit Fee Total 95.00
Plan Check Total 95.00 .00 .00
Other Fee Total 00 .00 .00
4.00 4.00 .00
Grand Total 99.00 .00 .00
99.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph j 247 -5826 Fax (904) 247 -5845 - -
JOB ADDRESS: 3 / o 6 i 1MV 0
0 PERMIT # IO' `X /
NEW SERVICE ❑Overhead ❑ Underground E Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ 'amps OCT Service
amps
Conductor Type Size
❑Multi - Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑ Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service amp
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
- Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/M1SCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
❑ Other: t / 12-e SGV / m ` i I ,te r , ' ,o 4—
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name G" iliGti . Phone Number 11 7 - 7 9 8
EIectrical Company Si K �i e G -tit,- < -0 Office Phone Fax
Co. Address: 9
10 4 LI y ,OA_) /t () e City s ff- (C; Stat/ Zip 3 )
License Holder (Print): , ''- - • '_ • _ i 1 -- 9istration #
Notarized Signature of License Holder y �[I _ ;; M SHIRLEY a . - —, alari
,/,.../
Sworn'and subscribed . f 0,,.,,,,.-4 ,...-
*
�� S February � � bNSf„d 2014 I
X
' ' Signature of Notary Public
) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001275 Date 10/26/10
Property Address 726 AQUATIC DR
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 1700
Application desc
sunroom /siding
Owner Contractor
OCCUPANT OWNER
726 AQUATIC DRIVE
ATLANTIC BEACH FL 32233
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 . . . . 1700
Expiration Date . 4/24/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
* 1) A drain system is required around the eastern
perimeter, or 2) Slope the adjacent grade around the
eastern perimeter to fall away from the building, this
request is made due to the fact that a 6inch termite
inspection area was not provided for when the infill
framing and sidding was installed, the building code
requires that a 6inch space be provided below the edge of
the siding to the adjacent grade. *
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC - REACH DRmNANCES AND THE FLORIDA -
BUILDING CODES.
2. ; CITY OF ATLANTIC BEACH
'` 80 800 SEMINOLE ROAD
+, .;, ATLANTIC BEACH, FL 32233
° INSPECTION PHONE LINE 247 -5826
a:. j 1 31=x''
Page 2
Application Number 10- 00001275 Date 10/26/10
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.
AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
TO: Building Inspection Department, City of Atlantic Beach, 800 Seminole Road
Home Owner: ,/ h I4 /d/
Name 347d/.2-
�/
7 . i 41 4 / 9 i C, -
Street Address
4 . - B c# - /- 3 2.233
City. State and Zip Code
Contractor: _ (A)A/ /
Permit Number A - /Z 75
As the Contractor for the proposed new structure located at the above address, I. have personally viewed
with the above named home owner those portions of the existing structure on which portions of the
proposed new structure are to be attached for structural support. I am confident that the drawings and
details included with this permit application depict the existing conditions of the host structure, and the
members of the existing structure upon which the new structure are to be attached are sound with no rot
or deterioration. The home owner has been advised by me that, in my best judgment based on experience
and knowledge of structural adequacy, the members of the existing structure upon which the new
structure are to be attached are sound with no rot or deterioration and will support all structural loads and
forces imposed on them. By signing below, I hereby declare that I will hold the City of Atlantic Beach
harmless and release it from any responsibility and liability for any adverse consequences or failures
resulting from this work, and further that I will not initiate, execute or enjoin any Iegal action against the
City of Atlantic Beach for such consequences or failures.
A copy of this document will be recorded as an official record with the Building Inspection
Department permit history so that any and all future buyers /owners of this property may be made
aware of the status of work performed on this structure.
Signed __ y Date 10 / Uj / 1 0
Before me this 22CUday of li CT _
Iii the County of Duval, State of Florida, has personally appeared
herein by himself/herself and
Affirms all s ents and declarations 1: rein are true and accurato.
7 ta407
�_.__: ---- frF 776o
--- _ r ded thm ". aryft: 7 1
Personally Known " Lt ' ro I uced identification /
ID Type 0 e r' L- , o
■
F: building/affidavit for attaching a new structure to an existing structure.docx 7/21/09
SUNROOM, SCREEN ENCLOSURE, AND /OR SCREEN ROOM AFFIDAVIT
CITY OF ATLANTIC BEACH
JOB ADDRESS: PERMIT #
INSPECTION REQUEST PHONE LINE (904)247 -5826
The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence.
The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various sunroom category
requirements. There may be restrictions on the use of your present home depending on the category of sunroom you are installing.
The property owner is hereby notified that should any form of temperature control system be added to a Category I, II, or III
Sunroom or the removal of the doors separating any Category I thru IV Sunroom from the host structure occur, the room shall
become non - compliant and must comply fully with all of the requirements for habitable /conditioned spaces as mandated by the
Florida Building Code, The Florida Model Energy Code and State Statutes.
Screen Room Sunroom and Screen Enclosure Re r uirements
Category I II III IV V
Habitable Space No No No Yes Yes
Foundation Walls <200plf can Walls <200plf can Walls <200pIf can Walls <200plf can have Walls <200plf can have
have 8 "Wx12 "D ftg have 8 "Wx12 "D ftg have 8 "Wx12 "D ftg 3 "Wx12 "D ftg 8 "Wx12 "D ftg
or 3 -1/2" slab if no or 3 -1/2" slab if no or 3 -1/2" slab if no
concentrated load concentrated load concentrated load
>7501b >7501b >7501b
Exit Lighting Not Required Required Required Required Required
Interior Electric Not Required Not Required Not Required Required Required
Outlets
Emergency EscapeEgress from exist. Egress and Exit must Egress and Exit must Egress and Exit must Egress and Exit must
Openings structure allowed if meet code meet code. Other meet code. Other meet code. Other
open to atmosphere or resistance - esistance requirements resistance requirements
considered screen requirements for for forced entry, air for forced entry, air
enclosure and has forced entry, air Leakage and water leakage and water
screen door leading leakage and water penetration also apply. penetration also apply.
away from residence. penetration also apply.
Misc. Window and Host structure Removable windows Removable windows Host structure windows Host structure windows
Door Requirements windows /doors shall allowed in sunroom. allowed in sunroom. & doors shall not be & doors may be
not be removed. Host structure Host structure - emoved. removed.
windows /doors shall windows /doors shall
not be removed. not be removed.
Wind Borne Debris Not Required Not Required Not Required Required Required
Opening Protection
Energy Sheets Not Required Not Required Not Required Required Required
I hereby acknowledge that I have read and understand all the above on this Day of
� h
T�/Z /N y/LZ\
Home Owner' "attire Print Name
STATE OF FLORIDA, COUNTY OF DUVAL:
The foregoing instrument was acknowledged before me this day of , 20 , by
herein by himself/herself and affirms all
statements and declarations herein are true and accurate.
NOTAR L T��' a - - �;��
Print N • : MY CO MMISSION It DD 95' ' 1
:,,�; Cxrlfl robruary 14,
"• p n� Bonded Thru N. Public Under
❑ Person... ?; • on: —
800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 PHONE (904) 247 -5826 FAx (904) 247 -5845 REVISED 1 -20 -10
y a 0 ' ° �'�t ri , City of Atlantic Beach APPLICATION NUMBER
J s r s� Building Department (To be assigned by the Building Depart ent.)
r 800 Seminole Road //) , / j. Atlantic Beach, Florida 32233 -5445 . d
w.. Phone (904) 247 -5826 • Fax (904) 247 -5845 /
t Ji3 E.>"' E-mail: building- dept @coab.us Date routed: / V/ 0//i,
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: , / o. (,e 1M/- 0,-- nt review required Yes No
J
Building
Applicant: Ot0A/14- - P dIlltiT& Zoning
Sat 7 Tree' Administrator
Project: /�- p OD /7 - SiA7) Public Works
Public Utilities
Public Safety
" - Fire Services
t
Review fee $ .Dept Signature-:
. Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
" Florida Dept. of Environmental,Protection L
Florida Dept. of Transportation N l/
St. Johns River Water Nlanagernent District .,/ it
�' Army Corps of E- ngineers ►�1
- Division of Hotels and 4 : .. x t
Division of Alcoholic Beverages and Tobacco ;
Other: -
APPLICATION STATUS
Reviewing Department First RevieW: F4proved. ' fDenied.
,ircle one.) Comments:
pUILDIN
PLANNING & ZONING Reviewed by: - 1'n Date: /0
TREE ADMIN. Second Review: _ Approved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. (Denied. 1
Comments:
Reviewed by: Date: ,
Revised 05/14/09
BULLDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH p �b /
800 Seminole Road, Atlantic Beach, FL 32233 I �
24 -5826 Fax (904) 247 -5845 �p
Office (904) 7 ( ) 9'
Job Address: '2 e' /3WfIG l3'Y Permit Number: 10 '" / 1 75
Legal Description /
c,
7)91 Parcel #
Floor Area of Sq.Ft. Sq.r't
Valuation of Wor 140P Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /doo
g (,) (circle
system , ( ) : Residenti
Use of existing/proposed sfructure s circle one): Commercial a1�
If an existing structure, is a fire sprinkler installed? (Circle one): Yes - No (N
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: _ �.- ,(,/1/ (06 -/) c 3-; 015
Property Owner Information:
Name: Te i 11 "II Icl i Z Address: — 7 91 19 111 L Ely(
City T ifi4 alit- I ,t o Statei.Zip : 2. ' ° , Phone `'1 09 J 4 'Lo' <. (c 'I )
E -Mail or Fax # (Optional)
Contractor Information: Se I f bUif l E
Company Name: Qualifying Agent:
Address: City State Zip
Jffice Phone Job Site/ Contact Number Fax #
state Certification/Registration #
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
3onding Company Name and Address
Vlortgage 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
ssuance 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
znd void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a eriod of six (6) months at any time after
vork is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, ells, Pools, Furnaces, Bo Heaters,
ranks and Air Conditioners, etc
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.
hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions o laws and ordinances governing this
me of work will be complied with whether speci d herein or not. The granting of a permit does not presume to give authority to violate or cancel the
'rovisions of any other federal, state, or local law regulating construction or the performance of construction.
>ignature of Owner / ' + t^ Y 0 l Z. Signature of Contractor
'riot Name 17�.,,,,��z - "f' L GRAHAM - Print Name
I. SSft?TJ'# DD •9576(3
I
;wom to 'd.' sub cr . -C . ed ;; worn o an. sus s i ribed before me
his 1 p.' l ay of .:i ; Ii ':,A ODE COMM/OWE 20
, - i MIL CITY OF ATLANTIC :BEACH I ., ...,......�, :. ir,,,,„R, 4
Zotary ` b is � � E .i�:w blic a
REQUIREMENTS AND CO 1 Iii s. '
REVIEWED BY: DATE: a s w , f d G O P y
RE :� U
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uS - A CITY OF ATLANTIC BEACH
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x r ®WNER / BUILDER AFFIDAVIT
.,, h 9'
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 IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT (247 -5826) 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.
726 t1QUK (1C OrL, AVANT IC 90 1 1 -1--,2_0 3 2--
ADDRESS PHON NUMBER
r E g /,) y / tt ' 2 _
PRINT NAME
SIG z R l✓ DATE r
Before me this , day of � 20a the county of
Duval, State of Florida, has personally appeared herin by himself / herself and affirms that
all statements and declarations are trye and accurate.
c.0
Notary Public .at- rge, State oL 1 —'- , County of
\ ,
❑ Pers ally Known
❑ Produc I.- . P11 1
t _ .. t ..,,, + * , . , lab _ ..
IRES: Feb ary 14, 2014
�� EX Public Underrxiters I�
Notary Signab B
F: BLDG /Owner - Builder Affadavit; REVISED: 4/16/2009
MAP SHOWING BOUNDARY SURVEY OF
LOT 18 -A, ACCORDING TO THE PLAT OF
AQUATIC GA r ;DENS
AS RECORDED IN PLAT BOOK 38 , PAGE(S) 71 & 71A OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: TEKIN YILDIZ, OZMUR YILDIZ,
FIRST AMERICAN TITLE INSURANCE COMPANY,
BARNETT MORTGAGE COMPANY AND WATSON & OSBORNE, P.A.
REPLAT OF PART OF
ROYAL PALMS UNIT TWO A
PLAT BOOK 31, PAGES 16,16A -16D
54' RIGHT —OF —WAY FOR DRAINAGE & UTILITIES. p VI--
1 al 20.
S 0730'34" E 44.92' (M)
1/r S 0716'02" E 45 (R) 1/2"
CORP CORP
1704 2t , 2,9 1704
r
3.1' /- 2.1'
BOUNDARY LINE
•
5.4' L
N 2.7' 15' EASEMENT FOR ° 2.5' in
p DRAINAGE,UTILITIES & SEWERS. J —
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CORP CORP
1704 N 07 16'02" If 45.00' (R) 1704
44.94' (M)
A OUA T/C DRIVE
( 50' R /GHT -OF -WAY )
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R V �rhA a .n 1. BFI ARE BASED DN rti1i 36 PIKE 71A