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Permit Deck/Patio 330 10th St 2010 o. \ CITY OF ATLANTIC BEACH 1 - 4 � 'i j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 4+4 0311 . Application Number 10- 00001298 Date 11/12/10 Property Address 330 10TH ST Application type description DECK /PATIO Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc new patio wood Owner Contractor BURNETTE OWNER 330 10TH STREET ATLANTIC BEACH FL 32233 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . 27.50 Issue Date . . . Valuation . . . . 0 Expiration Date . 5/11/11 Special Notes and Comments Approved for wood deck only Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 55.00 55.00 .00 .00 Plan Check Total 27.50 27.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 86.50 86.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ' f S= •�`�r 6 4 - 'r '' CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 4-41 % Atlantic Beach, Florida 32233 -5445 904- 247 -5800 Fax 904- 247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date IO. 25. l a PERMIT # Job Address 330 10+1 S . ISSUED BY THE CITY Permitee: e ((, i3 UYv ell Telephone # 2 46 . 5 i'-. Permittee Address: SC,) 0--(1■) 5+ Requesting Permission to Construct: p i O �� X/ 2, 2 Location: (Reference to Cross - Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities /Municipalities: 1 t( CbrYi p I � b cj ('L,I II n3 S ( l Jacksonville Electric Authority Yes ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of • (Contractor's Project Superintendent) located at Telephone #: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty -four (24) hours prior to starting work and again immediately upon completion. OWNER t Signed: �� OP i' • Si ' 9 _A Date: 111 DEBORAH A. WHITE • ILE Before me this IMInk . day of . C. 20.9 • :fife ,; ,.yrItyM�N # DD 634126 COPY State Of Florida, as • - rso nall a eared = /3 Y PP .�;�• ay 21, 2011 Notary Public at Large, State of Florida, County of Du al. I °.�• "' = ru Notary Public underwnt My commission expires: i - / _ _ • - -- ��. �. b Produced Identification: (56 S a l 0 5 - d p - S3 CITY OF ATLANTIC BEACH ®WNER / 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. 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. 3 k 5 +, 9O4. 24(0. S i'( ADDRESS PHONE NUMBER KeUIY gwf-e e PRINT NAME SIGNA RE DATE Before me this '°°'++ day of J , 20 loin the county of Duval, State of Florida, has personally appeared herin by himself / herself and affirms that all statements and declarations are true d accurate. H A Notary Public at Large, State of County of El Personal) Known El Produced Identification - 6A-7/1: f / / t nr ,,,, " *: C Wy l z, I S N # D � D6 414' // E S ay c nder ' °¢ Bonded Thru Notary Pub c Undenvnters Wr Notary Signature: ' r l / 'gy p \ /J L F: BLDG /Owner- Builder Affadavit; REVISED: 4/16/2009 MAP SHOWING BOUN SURVEY OF THE EAST FORTY (40) FEET OF LOT FIFTEEN (15) AND THE WEST FIFTEEN (15) FEET OF LOT THIRTEEN (13), BLOCK TWELVE (12), SUBDIVISION A, ATLANTIC BEACH, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: GEORGE MICHAEL BURNETT, SR., KELLY G. BURNETT, STEWART TITLE GUARANTY COMPAN WATSON & OSBORNE TITLE SERVICES, INC. AND EQUITY MORTGAGE GROUP, INC. (POST-P) IO Tom, 6 / 10�� —r ` 7�Ad 7 i 5 -7 — ' 64o'¢ /w) , / F9. 1� r 7 5 ( 7 ) 5.. /o lM) 759. 98 6 ' . CoI • S /4. .e . 4 14 rl . • V Wc,OlJ a.4„,_ �> ro .. 4 //2 /**. '7(o > 0.3 v J . 2 o % i P } 3S «) • 0 Ate) C41 p) /2 • %: o .G'B a,c< vdu 11 . O c4P A ( CAI e) ... S o 1 Q r^ ` 92 • n "i ` o. % 0. L 3 0 VI " v. 11° 6.cc of (v��' l ' . '1), • ' 6 L..rb C ...- / v 4-7.0.4 yr , O . � P o. • • W y 11 .•. • /o (, o Q 3 N . , � ` f•1 `' 4 8. (t� j N ' t G.r• % 75' LI LI N kL ki) :� C 2 s7oe1 - Se /cac b 1' ? 111 .) • 0 . 4 , a� f2a�f DwFCt /u ti v i i o0 D k Q Q .., ,: ,� x ✓6s G� 0 O r a 4 v• :2 h�F o b R � • _: r,..• 4 • r1 o. ' - , /_ V 74 40.0' 76 V air 1 V'_ . , L -4o FEE 7 N W V N V1 x 'N Q � o � 0- m � � Q 0.2 ■ � � N o W‘11 ' �� � ���s a� � W 'Cu 0 2 e./ 1 . M W Wv N NF �� v 1•k o 4 Q' k Q cs t7% $off esx..s'ae.«t i:" � ` y�� v 4.4 v. -r.--/ 4 7x - .. 1 4 l SnI lC � ..- l7Y,crGd4� li V\ 9 O,$ I U - / J O. G W oD ,. J I 1 L.\A l'AJco C� e.3.G7 .II / '1 N 4_... L O G K- / e. NI E Y p J r R s 1. 4.v GENERAL I ® � F � $ Fo e - F.. /s s0evoy: 5 2. STRUCTURE NO. 33o SHOWN HEREON LIES WITHIN FLOOD ZONE x AS BEST A SS�C�ATFn Sl1RV�vnRC IAI� DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL N0. / DATED oa•/7.8 LEO x 12_ ,2_ 2 -48o -n^^` g. R _ �u w "L ° n9 .. f °u �'� 4. ? _ ., R :off " L S.1 , sg �, r , rr a COpy.psxlCl'pY Cayd Jtlwnwl� ,. � " BAS F UA � FGR L___. , ,./ =l 330 10TH ST Atlantic Beach FL 32233 Building Type 0102 - SFR 2 STORY SOH Year Built 1980 Type Gross Area Heated Area 1732 Finished upper story 1 1732 Base Area 1498 1498 420 0 Finished Garage Unfin Open Porch 3 14 0 Total 3230 RE — AF --- iu - o>,,� City of Atlantic Beach �� 2 6 2010 APPLICATION NUMBER Building Department i (To be assigned by the Building Department.) I ►� 800 Seminole Road 1 /7?! „ .„ , « Atlantic Beach, Florida 32233 -5445 BY: Q Phone (904) 247 -5826 • Fax (904) 247 -5845 ' r yi v�' E -mail: building- dept @coab.us Date routed: d / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM � 22 Property Address: Jc /4 Sr Department review required Yes No Building Applicant: J 6 7) 6 Planning & Zoning inistrator Project: ?A 4 /4,..<-1 1 10 I /2, 2 Public Work`s` - ` Ub11t tltili i- • aety Fire Services Revved f $ � m III. Dept:$1664tur` � , E ��a, s Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: ❑Approved. 2Denied. (Circle one.) Comments: t ro7 ,1, _ e 11e 1 , S 2 (-i ' 1, -1-�) BUILDING ,c 4 ' - t+ ('- PLANNING & ZONING Reviewed by: / Date: TREE ADMIN. Secon • 5 � �) d as revised. ['Denied. PUBLIC WORKS Comm =Tr : "I .0 PUBLIC UTILITIES (/ ovN.' ' PUBLIC SAFETY Reviewed b . Date: ///,///5 FIRE SERVICES Third Review: Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 1 , : t-�4:- r City of Atlantic Beach APPLICATION NUMBER ,^ i,, Building Department (To be assigned by the Building Department.) 800 Seminole Road Q — 2-9 8 „•, , Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 ~` ejtt 9 E -mail: building- dept @coab.us Date routed: ///5 City web -site: http. / /www.coab.us APPLICATION REVIEW AND TRACKING FORM 'roperty ,Address: 33 6 � J D_..! ent review re • uired Yes No ►pplicant. G (,c.rh fly- - ��. Zon'ng / - - A• inistrator 'roject: 0 a 13 2 E C, i )( ✓ • Z t ublic Work N _� Public Safety Fire Services Review fee $ Dept Signature �! Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: Approved. ❑Denied. (Circle one.) Comments: F yi Ljoodevi deco. reotwed • 9rofbSe pwer BUILDING ` (N U J 010 L000d trVI, ,t-c l ou.s C S h og- I - LANNING & ZONING eviewed 6 X Plate. la /2.010 REE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 06/14/09 RECEIVED • LA,,, t , (1 City of Atlantic Beach OCT 2 6 20 10 APPLICATION NUMBER r' . -. ` rp Building Departme (To be assigned by the Building Department.) pr° _ i 800 Seminole Road • / Q — /Z ) �� v � -y Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 - -J7319 E -mail: building- dept @coab.us Date routed: d / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: � e �Q ' " Department review required Yes No Building Applicant: j `) 7) 6 Planning & Zoning rni nistrator Project: 7i- /lP y is Public Works 'ublic Utili ie - aety Fire Services Review fee $ 0 Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: Approved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date:/ /-7M) TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. p c A.. ..: omments: . 7 / PUBLI SAF TY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 1k City of Atlantic Beach APPLICATION NUMBER s, Building Department (To be assigned by the Building Department.) 4 AL :+ 800 Seminole Road /Q — ;j , • i Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 ",.r tt >)' E -mail: building- dept @coab.us Date routed: // /5 /!O City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6 /d D'ent review required CM o Applicant: L W77 ��- v - - As inistrator Project: d 'd 2 E C /-� 1 � X i2 • 2.- ' ublic Public Safety Fire Services 8:014* 4 ,, 7 a W 1,0 ,iNl4Dept H ='il Other Agency Review or Permit Required Revi of Pei Florida Dept. of Environmental Protection Florida Dept. of Transportation RICHMOND CAPITAL MANAGEMENT Experience, Knowledge, Service St. Johns River Water Management District // /p Army Corps of Engineers / . sho , /c/ 12G7_ A4t / e-- Division of Hotels and Restaurants l / ` { o Division of Alcoholic Beverages and Tobacco n U ` (J a r [ /� T Other: (kin per /in APPLICATION STA bo c lc yc rd pa I Reviewing Department First Review: [Approved. LorrC e©vi Ad (Circle one.) Comments: S "f y rt (4 ev, our [(� T han jy! /715- If- BUIL I PLANNING & ZONING Reviewed by: Date: /l P""f TREE ADMIN. Second Review: Approved as revised. Denied. 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