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'") r.1 J <s1 0 . F CITY OF ATLANTIC BEACH b 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 f '.� 0;119'' PHONE (904) 247 -5800 June 8, 2011 s 1 , y CERTIFIED MAIL RETURN RECEIPT REOUESTED Ossi Klotz, LLC , I Post Office Box 330833 q �` Atlantic Beach, Florida 32233 - a s RE: Notice of Violation — Carport, No Permit, Front Set back , ; " 1 Code of Ordinances Section 24 -112 CG Commercial Gene � f (f) Minimum Yards (1) Front Yards i 1 1830 Mayport Road, Lot Pt Govt 3, Being Parcel 4 �; ' , RE #172075 -0200 , 4 Dear Mr. Ossi and/or Mr. Klotz: The permit application submitted for the metal carport structure installed at 1830 Mayport Road, that was installed prior to the issuance of the required building permit and has been found to be in violation of the City of Atlantic Beach Code of Ordinances, Section 24 -11 (1) CG zoning district, required front yard to wit: Section 24 -112. Commercial General Districts. (f) Minimum Yards. The minimum yard requirements within the Commercial General Zoning District shall be as follows; (1) Front Yards. Front yard: Twenty (20 feet, except that the Front Yard may be reduced to ten (10) feet where required Off - Street Parking in located at the rear or side of the Building site, and the primary business entrance is designed to face the street. This letter requests that the noted violation be corrected by removal of the unpermitted metal carport within ten (10) days of the receipt of this notice. A re- inspection will be done on or after June 20, 2011. To avoid having this case be referred to the Code Enforcement Board, all listed violation(s) on this notice must be in compliance on or before the date established by Atlantic Beach Code Enforcement. The Board may impose fines up to two hundred fifty ($250.00) per day for continuing violations. Upon completing the corrective action(s) required, it is your responsibility to contact Atlantic Beach Code Enforcement and arrange for an inspection to verify compliance at (904) 247 - 5826. (0)4?-4 tA ■. Page 2 Ossi Klotz 1830 Mayport Road June 8, 2011 Please contact me at 904 247 -5826 if you have any questions or need additional information. Sincerely, ot- Sonya B. oerr, AICP COMMUNITY DEVELOPMENT DIRECTOR SBD /dw cc: Sta -Rite, Inc. 100 N Dixie Avenue Fruitland Park, Florida 34731 :041.04.: ♦ pNth 4 hfte S� T6' /S S s° nt Yo4 R r ' FIC /p • Att hat w n9 �' liv d 3. A /s N or ch thi "Qn retort? Q , �t 6M _ y ° n the . c ard a urn the n% ° sl , pl et� c - 44°401e. Anode address to Spa peloe ��erS , .ign ryes S�c te, me p n' o, :�� • FRY (_52/7)1Z. ' lei,:. � • b b _ 4., !s e/ C" -) � e (rYFSi apd � �'� + a ` o C . O gd d �t ter (1°1 Ph a �'srl t X0 0 Dres ttent r - del mow, a • =s 2. O No (7._ s� imber 3 s PSF b ry jsa b IYPe fop 38 r y F ebr4 /a , O p (i Fie.4i era a Ur !j ry 2p � 4 �0 4, Restri e0' Ma i/ getUMei/ po 0 00 a ` , � e� yT � c 4 .p q �a s i pt m estio getUrn o C ti , � `�' � �' � ° eJ Me �h anar _ i i U.S to ' I . q 14A.0 CE ` , RE EIPT � f � � �� • I l fi ance overage Provided) JY` 'SA F or (D d ,E CCM Z �� at www.usps comp rr- 3 . c — _.... ru f e )f 0 __.- _ ` ' ' _ ft i SIP N Far _ _..._ Postmark 0 Retu F ei I Here p (Endorser in d — _ 0 RestRestrict( F ec June 8, 2011 O (Endorsee or id _.._ — __ ._ N . _ _ ra Total Pr, ,+ ::E e a CERTIFIED MAIL RETURN RECEIPT REOUESTI r-1 O ent o _ .... 4 ,�.:. O Street, d; orPOBi City, Sta u ■ `%� I' -III Ossi Klotz, LLC s m l� a 1 1 ! EM See Rever r, se for Instr uctioc Post Office Box 330833 Hi �q i Atlantic Beach, Florida 32233 - RE: Notice of Violation — Carport, No Permit, Front Set back Violation Code of Ordinances Section 24 -112 CG Commercial General District (f) Minimum Yards (1) Front Yards 1830 Mayport Road, Lot Pt Govt 3, Being Parcel 4 RE #172075 -0200 Dear Mr. Ossi and/or Mr. Klotz: The permit application submitted for the metal carport structure installed at 1830 Mayport Road, that was installed prior to the issuance of the required building permit and has been found to be in violation of the City of Atlantic Beach Code of Ordinances, Section 24 -11 (1) CG zoning district, required front yard to wit: Section 24 -112. Commercial General Districts. (f) Minimum Yards. The minimum yard requirements within the Commercial General Zoning District shall be as follows; (1) Front Yards. Front yard: Twenty (20 feet, except that the Front Yard may be reduced to ten (10) feet where required Off - Street Parking in located at the rear or side of the Building site, and the primary business entrance is designed to face the street. This letter requests that the noted violation be corrected by removal of the unpermitted metal carport within ten (10) days of the receipt of this notice. A re- inspection will be done on or after June 20, 2011. To avoid having this case be referred to the Code Enforcement Board, all listed violation(s) on this notice must be in compliance on or before the date established by Atlantic Beach Code Enforcement. The Board may impose fines up to two hundred fifty ($250.00) per day for continuing violations. Upon completing the corrective action(s) required, it is your responsibility to contact Atlantic Beach Code Enforcement and arrange for an inspection to verify compliance at (904) 247 -5826. Page 2 Ossi Klotz 1830 Mayport Road June 8, 2011 Please contact me at 904 247 -5826 if you have any questions or need additional information. Sincerely, Sonya B. oerr, AICP COMMUNITY DEVELOPMENT DIRECTOR SBD /dw cc: Sta -Rite, Inc. 100 N Dixie Avenue Fruitland Park, Florida 34731 Property Appraiser - Property Details , Page 1 of 2 OSSI KLOTZ LLC Primary Site Address Official Record Book /Pale ; t.) .� Tile # P 0 BOX 330833 1830 MAYPORT RD 12109 -01007 -, �� r A '? 9417 ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233 L " r 1830 MAYPORT RD LiD O Property Detail _..__ Value Summary . RE # .. _. 172075-0200 ___ 7,Q�eifi ' P Tax District I USD3 Value Method CAMA CAMA ' property Use ; 2792 SERVICE GARAGE/VEHICLE RP Total Building Value $36 471 00 $40 319.00 # of Buildings 2 Extra Feature Value $8,805.00 $9 523.00 Land Value (Market) $143,273.00 $143,273.00 r3 ' Legal Desc. ' 17- 2S -29E .25 __. . � .. PT GOVT LOT 3 RECD 0/R 12109 -1007 land Valpg,jAg ) $0.00 $0.00 S 00000 SECTION LAND Just (Market) Value $188 549.00 $193,115.00 The sale of this property may result in higher property taxes. For more information go Assessed Value $143 350.00 $159 814.00 to Save Our Homes and our Property Tax Estimator . Property values, exemptions and Cap Diff /Portability Amt $45 199.00 / $0.001 $33,301.00 / $0.00 other information listed as 'In Progress' are subject to change. These numbers are part of the 2011 working tax roll and will not be certified until October. Learn how the Exgm_ptigns $0.00 I See below Property Appraiser's Office values property. Taxable Value $143,350.00 I l See below Taxable Values and Exemptions — In Progress If there are no exemptions applicable to a taxing authority, the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD /FIND Taxable Value School Taxable Value No applicable exemptions No applicable exemptions No applicable exemptions Sales History Book /Page Sale Date + Sale Price peed Instrument Tyne Cod Oualifigd /Urlg lifi Vacant /Improved 12109-01007 10/5/2004 I $550,000.00 WD - Warranty Deed Unqualified Improved 11606-01927 1/26/2004 '$ WD - Warranty Deed l Unqualified Improved 09849-01630 11/29/2000 i $485,000.00 WD Warranty Deed Unqualified Improved 06980 -00157 i 9/28/1990 , $275,000.00 ( SW - Special Warranty Unqualified Vacant Extra Features LN Featpre C4 I Feature Description Bldg._ Length Width Total Units Value 1 PVCC1 P Paving Concrete 1 0 0 7,178 00 $7,099.00 2 FCBC1 Fence Chain Barbed 1 0 0 177.00 $632.00 3 { CPAC2 i Carport Aluminum 1 20 18 360.00 $1,792.00 Land & Legal Land _ Legal LN Code Use Description ; Front Depth Category Land Units {¢ Land Value LNI Legal Description 1 1000 ' COMMERCIAL ACG 0.00 0.00 Common 11,021.00 $143,273.00 1 1 17-2S-29E .25 I 2 I PT GOVT LOT 3 RECD O/R 12109- 1007 3 I BEING PARCEL 4 Buildings Building 1 Building 1 Site Address ( Element Code Detail 1830 MAYPORT RD Exterior Wall 15 j 15 Concrete Block / Atlantic Beach FL 32233 J Exterior Wall 6 , 6 Vert Sheet Suiing a - Building Type 2702 - SERV GAR / VEH RP Roofing Structure i 9 . 9 Rigid Fr/Barjoist Year Built 1977 Roofing Cover 4 4 Built Up or 3 & G BAs Interior Wall 1 1 1 Masonry / Minimum log Gross Area THeated Area I nt Flooring € 3 3 Concrete Finished Base Area 1688 s 1688 Heating Fuel 1 1 None Total ? 1688 1 16 88 Heating Type 1 i 1 None ,_ Air Conditioning l 1 I 1 None Comm Htg & AC 1 0 I 0 None s Comm Frame ( 3 ( 3 C- Masonry [Element I Code 1 Baths 1 0.000 1 Stories 11.000_ Rooms / Units € 5.000 �� http: / /apps.coj. net /pao_propertySearch /Basic /Detail.aspx ?RE = 1720750200 6/7/2011 Property Appraiser - Property Details Page 2 of 2 Avg Story Height _10.000_ Restrooms 0.000 Common Wall 15.000 1 2010 Notice of Proposed Prop rtv Taxes (Truth in Millaae Noti el Joxifo • istrid Assessed Value Exemptions Taxable Value Last Year ProJ osed ; Rolled -back Gen Govt Beaches $143,350.00 $0.00 $143,350.00 $/09.98 $978.88 $826.18 Public Schools: By State Law I $143,350.00 $0.00 $188,549.00 $986.90 $1,007.98 $1,037.13 I By Local Board , $143,350.00 $0.00 $188,549.00 $484.91 $471.00 $509.59 FL Inland Navigation Dist. 1 $143,350.0 $0.00 $143,350.00 $4.50 $4.95 $5.39 Atlantic Beach $143,350.00 $0.00 $143,350.00 $411.20 $471.59 $471.59 Water Mgmt Dist. SJRWMD $143,350.00 $0.00 $143,350.00 $54.19 $59.60 $67.37 School Board Voted I $143,350.00 1 $0.00 $188,549.00 $0.00 $0.00 { $0.00 Urban Service Dist3 $143,350.00 $0.00 $143,350.00 $0.00 $0.00 1 $0.00 General Gov Voted $143,350.00 $0.00 $143,350.00 $0.00 $0.00 I $0.00 Totals $2,651.68 $2,994.00 ' $2,917.25 ' Just Value I Assessed Value Exemptions Taxable Value Last Year i $194,119.00 $130,319.00 $0.00 $130,319.00 Current Year j $188,549.00 $143,350.00 , $0.00 $143,350.00 Property Record Card (PRC) The Property Appraiser's Office (PAO) provides historical property record cards (PRCs) online for 1995 -2005. The PAC) no longer maintains a certified PRC file due to changes in appraisal software; therefore, there are no PRCs available online from 2006 forward. You may print this page which provides the current property record. (Sections not needed can be minimized.) To print the past -year cards below, set your browser's Page Set Up for printing to Landscape. 2005 1 2004 1 2003 1 2002 1 2001 1 2000 1 1999 1 19.93 1 1997 1 1990 More Information arcel Tax Record 1 GIS Mao 1 Mao this orooerty on Gooale Maos 1 City Fees Record http: / /apps.coj . net /pao_propertySearch/ Basic /Detail.aspx ?RE= 1720750200 6/7/2011 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH Q 7 800 Seminole Road, Atlantic Beach, FL 32233 ( � ; � � /I M Office (904) 247 -5826 Fax (904) 247 -5845 , U � II 1I0 _ X11 Y/ Job Address: { V 1 i KA Permit tli 11 ber: .," ,., Address: . Legal Description - TO O ty\ \‘ Parcel # • Valuation of Work $ q oor ea o q. t. ,�,� OO �L Proposed Work heated /cooled non- heated /cooled 75 `(Q L Class of Work (circle one): New Addition Alteration Repair Move Demol pool /spa window /door Use of existing/proposed structure(s) (circle one): Residential \..__, i If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No ( /A Florida Product Approval # For multiple products use product approval orm Tc Describe in detail the type of work to be performed: AC\C\ \ €-- - `a ` - 1 Property Owner Information: of ,t' k'L 7 C.. C..- e- /g 4M y, l/er '4 i Address: +• . 1 AA — .. 1 Name: k1� :inami a __ _ C =y A72J , ` d L . ( Zip Phone • wow - ; `' ..interim E -Mail or Fax # (Optional) 3R 3 0, 25 3V k s�Yx /3 free.. , ii- Contractor Information: C Company Name: ',,' - K, C' iL_ , / Qualifying '11- t: ,4- at Address: /00 4/ DJ/16 ,4 � # City � d A, F''`" - State - Zip 377 3/ Office Phone ,3 S_) - 68 - 0(0./7 Job Site/ Corr4�a�ct Numbe AM -X6d Fax # State Certification/Registration # e3G' 0 sh o fj'(� AMIAIMIIMIIL Architect Name & Phone # Engineer's Name & Phone # A W A ITAVII ' j °• i ` 1 Fee Supple Title Holder Name and Address _�� ,,`r�� Y Bonding Company Name and Address MIIIIIMINIMIKI Mortgage Lender Name and Address / Application is hereby made to obtain a permit to do the wo , and installations as indicate '. I ce ify 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 regulati g 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 Furnaces, understand that separate permits must be secured for Electrical ork Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters, Tanks 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. I hereby ertify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws an • • • • • cps governing this type of work will be complied with whether s eci ied herein or not. The granting of a permit does not presume to ,give au tty to iolate or cancel the provisions of any other federal, stat local reeti g o ion or the performance of construction. Signature of Owner s ___ '/ - - Signature of Contractor _ , ,7 Print Name /7 — Print Name , :4/.4 ,V ,, e d - , Sworn to and subscribed before me •rr to and subscribed befo,re me this i 6 Day of Cl.r' 20 I s ` `7 Day of _-,c X1 milk 7n�/ l - _ � „H11,t,1,N,, r gCINE DE SAN IS ' _ " / _ - _ ,�%,'" �, a• t- AI MY COMMISSION # DD 600450 Not. "'u:lic 0'4*, " l/ r ► 11 1 * 1 EXPIRES: June 24, 2012 . ' ° • f 1 ' Notar Public :,. Commission # EE 047497 A , Bonded Thru Notary Put* Underwriters nmi �� if.. Expires December 8, 2014 -4, Bonded Thu Troy Fain Insurance 800 386-7019 • • 1 ,. . l!li . • ■ _ - - � '-{' • ' ° -°1' DOOR �� ❑• O 4 U • nn . . 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U to • O � o S'Z x 9Z SL • tgfi / ggl . . LL o aS It .. • _ • .• • _ — — — _ — _ _ — _ _ --/ 283.35'(4) EDGE DF 283.41'(C) (ASPHALT FOUND I 0. • 1/2" I.P -�� _ 09.4#6696 � 9• z1r(RT� STOP" 1 ABBREV L 6' C.l. F 1.9' 0.2' E. BLDG. � C.B. 66 ' 3 65 , 40/011. C.D. ) C.L. / CONCRETE. v CPP `g ;� , C.D.-.137.11'(M) C.B.=N19'03'35 "E(M) DIA. (CA LATED CURVE DATA) DRAINA w C.B.= S19'04'50 "W I.P. Q.R.V 9849, PG. 1630 in�. C.O.= 137.13' 25.4 PARCEL II � �• RADIUS =2.814.789' O.R.V. INV. 1 p I DELTA 02'47'30" RCP \ 5 $ (Rqp / fi _ ARC LENGTH = 137.14' R/W A " N -0 '') i /ter S0. wm - 10) �.. / - - C L � y f 1 0 pi wPP ; z 2 r / W SP \� ° r WV A ',E;(40- N \ ` Rk 0 iQ (C) „ w / (M) lR) CATCH BASIN Z. (R) `• J ?p r STATION 63 +00 \ ,l N 7 0_ 2( 2 ) 7 0.0_, 2 t R) / EASEMENT R IN DEED BOOK 1015, T LOT 3, \ / w( R Art 264 (R/W MAPS SHOW A 30' R/W) "OWNSHIP r E 29 EAS ! ja WESTER Y le l r LINE ° ' SURVEYOR NOTES ■ 15' ; . t O. 7 . 1) NO T1TLE OPINION OR ABSTRACT BEN PRO DED F W F OUND r THE S PROPERTY HAVE 3s t 21 o46 LP. . OF RECORD, UNRECORDED DEEDS, EASEMENTS C I�y1 AFFECT THE. BOUNDARIES• jo E.):" ' ' 2) NOTICE OF UABIUTY: THIS SURVEY IS CERTIFIED ?p . O �o ^ THE FACE THEREOF. ANY OTHER USE, BENEFIT ' s c Q 4 `ti ^7 STRICTLY PROHIBITED AND RESTRICTED. SURVE' 1s.. °"-- .3 2 p / CERTIFIED AND HEREBY DISCLAIMS ANY OTHER I 163 a r � t N THE RIGHTS OF ANY OTHER INDIVIDUAL OR FIRM N WRITTEN CONSENT .OF SURVEYOR. 2 ~/ 3) THIS SURVEY MAP DOES NOT REFLECT OR DETEF co � 1 . Q 4) THE RELATIVE UNEAR DISTANCE ACCURACY FOR O J V 5) AU._ MEASUREMENTS ARE IN tJ:S STANDARD FEE A � ■ :: ) ELECTRONIC DISTANCE M EASURING DEVICE AND /I ,` p / � Q 6) ALL TIES ARE PERPENDICULAR TO THE PROPERT p yN ^ r � ` = o 7) THIS SURVEY IS NOT VAUD WITHOUT THE SIGNA / v FLORIDA UCENSED SURVEYOR AND MAPPER. 8) THE DIMENSIONS OF THE BUILDING SHOWN HERE r 9) UNDERGROUND PORTION OF FOUNDATI0N/FOOTEI 10) THE AREA SHOWN AS A DRAINAGE EASEMENT IF '' O. CF SAID PLAT ACCORDING TO SAME; DEED REFS , / in if / GIVES NO RECORDING INFORMATION: C.O.J. SIRE ,E I I 1 i / 1/2' I.P. CHARLES BASSETT & (No LD.) LAND SURVEYOR' ELOI 200 CENTURY 21 DR. - JACKSONVILLE I3O 1 HEREBY CERTIFY THAT nos TsceD , M I S D4 r• lasts THE i�> R ES'U w nom► RyED tlxosx � _ ._ _. .- - - -..� r. .... . I s .: S.:p1;-, J City of Atlantic Beach APPLICATION NUMBER JS ' ` Building Department 0 � (To be assigned by the Building Department.) v 800 Seminole Road 449_0 t t Atlantic Beach, Florida 32233 -5.0 ir �� { Phone (904) 247 -5826 • Fax (9 ' • 7 -5845 J13 ,Y E -mail: building- dept @coab.us oft Date routed:.. City web -site: http: / /www.coab.us APPLICATION REVIEW A RACKING FORM Property Address: i f iSz F, '7� ,Depertm�nt review required Yes No / 1 _ g- Applicant: / a — 7�- 7I�'_ ' anning & Zani g /y n� 1 Tr- - • ninistrator Project: T 1 1)1) (rreDOe7- t Public Works) rblic Utilities u • is Safety ire Services Revlew fee $y` : i ..,< �.. �y . F . J ept S lgn atUre rir' :R .. _I 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 T Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING �',.�" Reviewed by: Date: � 7 3 TREE ADMIN. Second Review: approved as revised. ❑Denied. P • = WOSK Comments: GO Pi PUBLIC SAFE Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. DDenied. Comments: Reviewed by: _._ Date: Revised 05/14/09 „z5 -L`j.r City of Atlantic Beach APPLICATION NUMBER JF r.; � .� Y Building Department (To be assigned by the Budding Department.) , • } , �-; 800 Seminole Road V jJ ` Atlantic Beach, Florida 32233 -5445 � Phone (904) 247 -5826 • Fax (904) 247 -5845 r I ,f E -mail: building- dept @coab.us Date routed. City web -site: http: / /www.coab.us - - - - - -- FORM 6/f7/// exte 7 ,. s Property // flew required Yes No ea 2 - = ' Q/ 2._ ;k) Applicar g ?r /(-/ Project: a` - * ---- N - 67 ---- 1 izje,,,..„2 3 D‘"))),A r E ' 1 /Val 71' , v LA • -- Date Florida Dept. of j U nil- f _ T'�� Florida Dept. of /� 72k.- 1'131111 St. Johns River L Army Corps of Er �! �Y' h J I Division of Hotels 4 j i (/oCr Division of Alcohol / 'U l _ _ —,u i obacco / 7S O Other: Pro. APPLICATION STATUS , '%'.' %° i �.. 5eg I' Z° 4-i Reviewing Department First Review: QApproved. D enied. r (Circle one.) Comments: de r j BUILDING / �'"� � E..., Reviewed •y: N NING & ZONIN ..• - �- -- Date: 3 - 34 /f TREE ADMIN. Second Re V • ► . ! as re ised. @Denied. i m PUBLIC WORKS Comme pi - -- PUBLIC UTILITIES „� PUBLIC SAFETY Revie -d : Date:, FIRE SERVICES Third Revie / Appro -d as =vised. Q- ied. / ” f �' ^ 4 , 4 Commen s: %� � / .' 4 I' - , J ri _ &// viewed by: Da te:? 'I OP Revised 05114/09 i . 283.35'(`4) EDGE OF ASPHALT FOUND 283.41'( 1/2' I.P. 0. DS)ij6696 _ ABBRE� x� ��(�'STOP • 6' G.l FENCE 1.9' 0.2' E. j BLDG. C.B. 66.3( /� ! ,' C.D. C.L. CONCRETE F /l C.D. =137.11'(4) DIA. {/ C.B. =N19'03'35•E(M) DRAINA �� .. (CAS�GULATED CURVE DATA) INV. C.B.= S19''50�W 1 P • Q.R.V. 9 PG. 1 630 h �. C,D.= 137.1304' O.R.V. 25.4' . ; PARCEL II e', RADIUS = 2,814.789 RCP DELTA = 02'47'30 . 5� 5(Rg0 / ARC LENGTH = 137.14' R/W 4/.) / = S0. �r / WSP gseM f 3 6, R � O a ( W C V ) 2?) CATCH BASIN .. (R) STATION 63 +00 (M) -s- — � , N 0 () /, EASEMENTERECORDED WIDE OUTFALI_ DEED 0 DITCH 1015, • TLOT 3. 1 O 1 1' (R , PAGE 264 (R/5N MAPS SHOW A :50' R/W) OYMSHIP i 29 EAS •� WESTER Y • • ;fir - R EST LINE y . • 15. . .--- P �, SURVEYOR'S NOTES O 1 , N 1) NO TITLE OPtNION OR ABSTRACT OF MATTERS D f W FOUND Q r 4 THE SUBJECT PROPERTY HAVE BEEN 1 3 9.7 2' I.P. OF RECORD, UNRECORDED DEEDS, EASEMENTS C t oarj A r � • 0 0 AFFECT THE. BOUNDARIES. '� 2) NOTICE OF UABIUTY: THIS SURVEY IS CERTIFIED 20. o• . 1 c° 19.../' THE FACE THEREOF. ANY OTHER USE, BENEFIT Q O N ^ o � STRICTLY PROHIBITED AND RESTRICTED. SURVE' h . - 't ' O CERTIFIED AND HEREBY DISCLAIMS ANY OTHER 1 1630 o 0 / Q ( O� N, THE RIGHTS OF ANY OTHER INDIVIDUAL OR FIRM ' I cV WRI I i EN CONSENT .OF SURVEYOR. ki • 3) THIS SURVEY MAP DOES NOT REFLECT OR DETEF J J O � ,— O o f Q / O c� 4) THE RELATIVE UNEAR DISTANCE ACCURACY FOR } + R � � " 5) ALL MEASUREMENTS ARE IN U3 STANDARD FEE :- p / Q 4 � ELECTRONIC DISTANCE MEASURING DEVICE AND /I , ° � _' � �0 6) ALL TIES ARE PERPEN TO THE PROPERT 9 0 ti c i' 3 7) THIS SURVEY IS NOT VAUD WITHOUT THE SIGMA' , ... / FLORIDA LICENSED SURVEYOR AND MAPPER. • �' 8) THE DIMENSIONS OF THE BUILDING SHOWN HERE 9) UNDERGROUND PORTION OF FOUNDATION/F00TEI cj 10) THE AREA SHOWN AS A DRAINAGE EASEMENT It m '' / OF SAID PLAT ACCORDING TO SAME; DEED REFS E I / LIVES NO RECORDING INFORMATION; C.O.J. SIRE / FOUND (�o. I,D� CHARLES BASSETT & LAND SURVEYOR 200 CENTURY 21 DR. - JACKSONVILLE, FLO] I HEREBY CERTIFY Tao THIS SO • PERFORMED UNDER Y1` F.E PON3®L8 DIRECIToN. MEETS THE MINIMUM TECHMCA \ \ \ \ \ ' \ - - BLOCK 3 - - - - - _ _ _ _ _ ____\._ \ \ \ \ ROBERT STREET \ (30.0' RIGHT OF WAY) \ ( ' \ SOUTHERLY FOUND S88'4Til "W(M) ` w a; _ t/W UNE.--).. (No I�D) N88'46'02'E(C) \ - y -_- --- - -- tyv� - CONCRETE WM ---2 .1' - - - y 349 95'(M) TR8 ` "..5017A-"7172.04116-11117. • 6 L. r E C x t \ 96.0 \ a r, ONE STORY 2.0' J'; "' \ CAT ` \ 7 s \ MASONRY COMMERCIAL t N \ BASIN #1__ ;,�,MAYPORT & EAST LINE ti \�� Re\ �� ---�f \ 40.8' OF LOT 4 J . � \ N 0 \ ` , � J 8' XENCE \ o. o f n t x W v '� n COVEREE ONE STORY °- o _ \ `p , '� 29 LOT 5 MASONRY COMMERCIAL AREA is C X 1. 3 BLOCK 4 #20 ROBERT %-...,.. \ • � 4s. 4 �'' I ./. 1 ^ J , \ ) o i.. I c M W v C) C' \ '`� \CATCH BASIN -�` tD N O.'.. -- _ o r" $ r �' o ` (.3E-4- - r o o CONCRETE 40- _ NO% 3.8. ',--- • O. 9849, P G. 1630 / '� CR) S OT 0 NORTH 100' OF > �p PARCEL 1 2e.o I oi �n£ , R E -x -x -x LOT T 4' C.L. FENCE BLOCK 4 1 41 01 NOTE: a I \ '- \ /o z N' DEED CALLS FOR NORTH 1/2 • Z,r - ` N S88�46 THIS WAS N NOT INCLUDED q + CONCRETE 1.9' +21 IN RECORD PLAT AS NOTED ON 27' 50 . 1 ' SAID PI AT n PART OF GOV FOUND 1 r` \� j • 1(4 .1•11575 /-►\ � ± �1 SECTION 17, 1 O N 50.00 f FIN 1 .8 ' o �' 2 0 SOUTH, RANG �■ UNABLE TO IN 22.4' 0 OR SET CORNER m J `/ DUE TO TRASH PILE S 30.0' 100'(8) Q 15,I, 'lib' L FOUN L 5 0 0. WEST .28. 1 i N-- 1 2' LP. z W Lg F1048 / CO I 0% p m N O.R.V. 7852, PG, 196 • ---'. u v,�a LOT 4, EXCEPT 4 m N ( SEE. FILE # S- 6217 -A) zz z . - WEST LINE THE NORTH 100' 3 m .4- a) a ° OF LOT 4 BLOCK 4 • J ER'S REPLAY ; 0 ) . O.R.V. 9849, PG. 1630 O.R.V. 9849, Pc :- N PARCEL III 26.0' PARCEL 1 ' BOOK 19, PG. 18 -.2 10' o r .. r- � '1• co z z - 22 v 6 8 . 8 . `/ .ark �� Q 4 , F LOT", 5 .. l 2.2` 9.i' 22.0' N qq1, a ++ BLOCK 4 to g ^ 1 STORY ElO \ b ;� coNCRErE Ni FRAME RESIDENTIAL r . � to v , Y o .. N #27 :^1 p r Q CONCRETE @' 30.7 1'- +.I 9.7' 30:2' 10'• CO CC V C ^ 4s ? Y n. L 6' ' 7;6` n o w ON E STORY 5 ' • CC (f) 6 m E . MASONRY COMMERCIAL m • 1.7 v F O ' v 0 m #1800 M AYPORT N rn I m ai .' D s • 35.3' ON -Lips N a co FOUND 53.3' (DIRECT) x 42.9' 0.1' E. 1/2' I.P. 49.69'((4) _ 3..' 0.8 ' ., _ � -max (NO O.) N 88'513'07" E(M) ;a - ' 99''S _ _ 9.6' CONCRETE S88'44'2rW(M) 10 DIA. WPP f • 50.00 R � _ F N -LINE ,88.46' "w(C) 145.64'cM) NORTHERLY a EE 192104 R/W UNE S88'46' 36 "W C IX ° i EDGE OF✓ ASPHALT 1 EDGAR ST- EE T (50.0' RIGHT OF WAY) Page 1 of 1 ,,, ,,,.,,4 ,, , ,,t,, 4 , 44 _ t. , t . 4 , . ,.. ... _............„..................... ,, : ,,,,,, li fii: I .., 1 , 1 s y a l fa M Ak z �„ f 1 ..- . ,h,..,... r , „.;;rior.„,..; , „.1:4,,,,,,,t ,44, i-it ,44,4, +, a �r era, ,,a d r � N p i a 1< + „ , a " .i . . $ f rE '= Y ;.. 0.w y�i 1 14 , 4 ' i ;+;;AA 4 : 1 ;;;...;1. 4 ;i9;;;,": ; 4 *4- ' 41.4:414 , AA,,,t las , W. ,.. ' , +.: ,,": - oi , 1 4 , , + ,A, Af„,,,-; , ' '''''''''t A 4, t- A � ,# � (,' � 1,� .� ,1w! _ as s * t *411, " " � r - i3 .„., ` s s" : R � $ $ } F'' 44 41 * '. . Mt " ,¢1 - i J : ° _ f , ' h �., ff. .I + a ` 't ' " " -- b { ' aorrtIC ? Cilpof http: / /maps.coj. net / output/ DuvalMaps _itdgism6408435081528.png 5/31/2011 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH G � f 800 Seminole Road, Atlantic Beach, FL 32233 - J ( Office (904) 247 -5826 Fax (904) 247 - 5845 i U U L Job Address: g-{ V Permit ber: � � � Legal Description t ( �y�t�% Parcel # ---,I Ar-....-Air oor A ea o q. t. q. t Valuation of Work $ 900.00 Proposed Work heated /cooled non- heated /cooled • S 'k a L Class of Work (circle one): New Addn Alteration - Repair Move Demolition pool/spa window /door Use of existing /proposed structures) ) (circle one): CC ornTnercial) Residential , - - If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No ■ /A Florida Product Approval # For multiple products use product approval orm Describe in detail the type of work to be performed: \ r 1 ., Property Owner Information: OS ('Lt' 7z L /(3e /ipt y/4 37 4 - • Name: i i. � Address: �`b�� --- ;-- ) ' —... City 'rL /Y776 ti - ' '.,.?! ( Zip �2.1 Phone • w` u1•ii als 1 E -Mail or Fax # (Optional) - a3.3 0 y - , if 7 4' R S Jt /3Ct ye-ALA . ( /11 Contractor Information: nn A Company Name: - /� - - K, � Qualifying A rent: ,4 G Address: /00 /1/, c//el , City / ' k, PA , C- Zip 3/71/ Office Phone ,3 S) — Sep — Off /7 Job Site/ Contact Number - -er-4 2 Fax # State Certification/Registration # Ode O TS OX e Architect Name & Phone # \ Y Engineer's Name & Phone # _ _ :\ t _ 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 tf work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plum ng, S a fools, Furnaces, Bo Heaters, Tanks 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. 1 hereby certify that I have read and examined this plication and know the same to be true and correct. 411 provisions of laws an n es governing this type of work will be complied with whether s ect ted herein or not. The granting of a permit does not presume to give au tty t iolate or cancel the provisions of any other federal, stat local reu tt g o .The or the performance of construction. Signature of Owner ,',ws�s.�+.rsr. ti,r - - — Signature of Contractor _ Print Name it ` � Print Name r� 4'' -' /` ,'', , Sworn to and subscribed before me .r to and subscribed before me this 1(, Day of CSI( 20 I th s `Y Day of _ 7, '' - t ! '1O / / f 1� ) - - T „ " " ",• F RANCINE DE SAN113 • MY COMMISSION # DD 800450 Not u he ONO, 41 Y . 7 ° • 1r II Notary Public -; EXPIRES: June 24, 2012 *: � �. Comm # EE 047497 ' A R ,:t` Bonded Thru Nary Public Undenwitere V unit ,�� -,��_ Expires December 8, 2014 . . AsAb9V Bonded Tiru Troy Fein Insurance 60037019 rt t ir1 �, t , <� 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 TITAT 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. /ZOO /K 0,11 / -- - a r./ i - ,5,3;3 [/ ADDRESS PHONE NUMBER `FT IlLd 7 PRINT N • ME / I J r 3,/x.2, q/ i SIG aii ��(( / DATE Before methisj(�/(�(iayof IL, i_ _. 20// in the county of Duval, State of Florida, has personally appeared herin by himself / herself and affirms that at statements and declarations are true and accurate. v Notary Public at Large, State of , L. , County of , <� , _ ,,,, r ;. , „ Public State of Florida a " Gail Testa )Personally Known iV, ‘, My Commission DD999051 ❑ Produced Identification - xpires 06/07/2014 Notary Signature: 2i(Itc2L,,_' ' ' ' '-. 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COME) VESZ TTOI SLyL 8EL (98£)'Hd 918S£ #611/ ,� LI EVZ VA 'vmva OZLZE gPuaT3 'REP , r� id a 'AMH dVD AONd3 86E9.1 any uisuoos�A1 'M EDT � /' Et - c° i a '0N1'SoNIct nnH 'IHais vsn 8uuaaai8ug uoaea1O 4' srnsQ a / «: ' a Q °D ''�� Q If • 0 N -x y C7 2 S 2 �p O Vi "S ho � y w �VBIO ®W - 1 - W Ca N XWW J ge, . X N \ 9,4. u� gg¢� N o �n \ \ \ iol-ZF r8 \ \ \ \ \ \\ \ \ \ \ \\ \ • .... ,.. g. .c 1 In a _ L 4 7 , kJ Z= Zp N ~ w m X �z n 0 0 ° a o � A 4. I! 3N2264m2, x u]W X�T W • ta. N� Qp m4 r < .o 112 10 x�` a Ili 0 4 , q ,, si - V U1 o = Z• ~ O P 4D W o N E6 at ..-I c Q s U M ra } a F— ¢ v m t 3_� gxd s's%sZ V E . / a � O y • • • f !Atj r r � „ 800 Seminole Road 674 r; .,) . Atlantic Beach, Florida 32233 - . �� . * Telephone (904) 247 -5800 � '') FAX (904) 247 -5845 gi �q 'r u�Ci "r 4a,q,F v Construction Site Management Plan Compliance A construction site management plan conforming to Atlantic Beach City Code Sec 6 -18 has been approved as a part of this building permit. The Construction site management plan was approved based upon the following information. 1. Parking plan - parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. Location of construction trailers, loading /unloading area and material storage area. 3. Location of chemical toilet area - chemical toilets must be kept out of City right -of -way and not further than 15 feet from structure under construction. 4. Location of dumpster - dumpster must be from approved waste company (in accordance with Chapter 16 City Code). As of 2009, approved dumpster companies for Atl. Beach are Advanced Disposal, Realco Recycling, and Shappells. Dumpsters are to have tarp covers or rigid covers on windy days. Dumpsters must be removed prior to issuance of Certificate of Occupancy or Completion. 5. Traffic control plan, showing access with dimensions, area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 6. Site cleanliness. Contractor must have the entire construction site cleaned by Friday of each week. This means removal of scrap lumber, concrete remnants and other such construction debris including cans, metal, plastic and paper. 7. Erosion and Sediment Control. Contractor must maintain all elements of the approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.) until sod or other stabilization has been placed and approved by Public Works. 8. Other activities, where special conditions are identified by the Building Official. Failure to comply with the Construction Site Management Ordinance may result in a Stop Work Order being issued in accordance with City Code Sec. 6 -17 (3) Revised 6/2009 P 11' se - ° lg _ 0 • �. dI. •-.0.1{ DOOR o Q Q -� - - . . i . • POOR SIZES AND LDLATIO _ NS PER O15TOMER REQUEST 0 C.J. ^ of ` • � � •r • •a *i G. > -4 2 S U 1V r O � T1 : c l t — n • 70 L' C�' n -S- on (..,.......,............". S,ii > p 1 > • o: O o rn ° r' 0 • ■: N X X p > x ti " l'qN \ to z \\ a, •,,. r 000 z b., CO o D s c� • rn W A r r { - - - - -� ■■ o, D O -1 2 rn 78nm r- rl m0 X rn gmZy"' y 0 7 :1 u , zi -V z an d < rn-IA D + a ` � � 0 • z oo M . .p aC 70 C�rnrn O • • � cd ° � "rs V CD 6 Q m ' -1 n rn • 71 z n 0 �J r� n r� • '❑ ^� 0 . L r N 0 40-0' ...... .. / - . 3 1•> F. v 2 V rn P O tis rn 0 ; �j � v S Z • .A �; YN - Zi p ? O r .t D X N - 5 f (l G" F 2 1 y . /' 3 3/4 �� 1 . . ac Al t r ' . D O r i 1 • f.. ° s.� (..n GN au • a y ' . 3 3/4 E_ \ r W i • rn y • N y Z � • � Z D 0 Z -- -1 .1: b 0 = ' 7 O 7n(1 r-rn0` . i Orn z z 73 �dn 73 yC\ O F " " 1 N a' 3 3/4.. 5LAl/ri City of Atlantic Beach / . /I'' � d 'v' APPLICATION NUMBER d" / ; t Building Department 4 4� � ) (To be assigned by the Building Department.) r � - t 800 Seminole Road , ® Atlantic Beach, Florida 32233 -5445 /1. 1 ` Phone (904) 247 -5826 • Fax (904) 247- - --art 9 E -mail: building- dept @coab.us Date routed: '. City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /s„......e 2,/, d ower / � '- = ,��ent review required Yes No _- 4B,„.' Applicant: / — i 4 - annin.: • .' • g /� �► r� r- - . • istrator _ - Project: rl ZJQ (_' �re D,e7 "mil 0-Public IIII 4 'u• i s Safety _- F diZECTE:tb — J.11111=111 ev lew fee $ £ '',11, ; ;, w , Dept gnatureF , . ` ` x .. R ,k Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Prose Florida Dept. of Transport^`' St. Johns River 1 ^' Army' 1 - i 'ATUS Reviewing Depa - . y ; A 1 [Denied. (Circle one) I � BUILDING PLANNING & ZONING Date: �'/ // � TREE ADMIN. �.oved as revised. ❑Denied. PUBLIC WORKS �l PUBLIC UTILITIES -'" � � tf PUBLIC SAFETY Reviewed by: Date: y!, loll/ FIRE SERVICES Third Review: ['Approved as revised. (Denied. Comments: Reviewed by: Date: Revised 05/14/09 21 .A� BAS 75 < i is r 110 1830 MAYPORT RD Atlantic Beach FL 32233 Building Type 2702 - SERV GAR / VEH RP Year Built 1977 Type Gross Area Heated Area Base Area 1688 1688 Total 1688 1688 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 /' Q N7 Office (904) 247 -5826 Fax (904) 247 -5845 / U Nh Job Address: M, �' 1 - c Permit 1! : II ben Legal Description ( - 5 , _ a\`‘ Parcel # �� oor • ea o q. t. q. t Valuation of Work $ 900 .00 Proposed Work heated /cooled non - heated /cooled 15 `C Q 1 Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door Use of existing /proposed structures) ) (circle one): n Residential If an existing structure, is a fire spri _Cur- - m ---- - nkler system installed? (Circle one): Yes No CN /A) Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: \b ACV\ `--- "" - = "-- ( ./?3( -- i Property Owner Information: ®S•S. / k../40 % L L /f.3t 4 y/ ,47 '4 Name: • ,>L��i _ Address :Th City .�* - Ark/a—/1( « . 46 . % ,.;., - y Zip Phone _ = E -Mail or Fax # (Optional) 3 .3 cl0 Y - Y 7 3 Y 8- 14- _ & - A /3d,# v _ , 044 Contractor Information: /� Company Name: ∎ f /�- - K, � Qualifying Agent: c2�i,/'`( a Address: /00 4/ D/// 6 ,. City i0) //1�k1/ Pk State , r-e- Zip 377 3/ Office Phone ,g S,/ - 3.-9 6, - 040/7 Job Site/ Contact Number 7 944/-cr-6a1 Fax # State Certification/Registration # ode cm O:(' Architect Name & Phone # t ( 1/ Engineer's Name & Phone # {� �t t Fee Supple 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 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, F urnaces, Bo Heaters, Tanks 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. 1 hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and in cps governing this type of work will be complied with whether s ect ted herein or not. The granting of a permit does not presume to give aut ity t iolate or cancel the provisions o f a n y other f e d e r a l , stag local re u tt g o ion or the perforinance of construction. Signature of Owner erisows. . ` - Signature of Contractor Print Name ; Print Name / /Z9// 4:::- Sworn to and subscribed before me . ern to and subscribed befo •e me this 1 (, Day of (V4C1f k , 20 l ( th•s 9 Day of 7X ?[1 / / , ' 7 2 � y . , 2 / w! ry FRANCINE DE SANTIS ! - '' " " ,,,...C h im ..,;. MY COMMISSION # DD 800450 Not.O'u lic ; tiptriit 1 n T . T 19 T " ' Notary Public :,,- -: g` EXPIRES: June 24, 2012 .4: Comm # EE 047497 iita Bonded Thor Notary Put* UnderW tern •<_ ExpiresDecember8 2014 ___ A � �y. Bonded Thu Troy FaN Insurance 800- 385-7919 (-- +^?, il\ p� - 4 a CITY OF ATLANTIC BEACH �; M (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. 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. f& t o I ' 44 - 90i- a q 7 -,� 3 v PHONE NUMBER 1EFi Kt PRINT N • ME / 4V � .... /,›29/ ii SIG ai r / DATE Before me thisj7Vittlay of AIL. _i_ _ ' 20,/L in the county of Duval, State of Florida, has personally appeared herin by himself 1 herself and affirms that at statements and declarations are true and accurate. �` Notary Public at Large, State of /r Z- , County of s:4 „_ ' -. . ,_, Public State of Florida ? Gail Testa Personally Known y cl < My Commission D0999051 ❑ Produced Identification xpires 06/07/2014 Notary Signature: .._Ail i F:/BLDG /Owner- Builder Affadavit; REVISED: 4/16/2009 01'1.1°7/%1 800 Seminole Road ..�5 "„ Atlantic Beach, Florida 32233 r , tx Telephone (904) 247 -5800 " y j FAX (904) 247 -5845 +, <'! h - �n ) T � Construction Site Management Plan Compliance A construction site management plan conforming to Atlantic Beach City Code Sec 6 -18 has been approved as a part of this building permit. The Construction site management plan was approved based upon the following information. 1. Parking plan - parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. Location of construction trailers, loading /unloading area and material storage area. 3. Location of chemical toilet area - chemical toilets must be kept out of City right -of -way and not further than 15 feet from structure under construction. 4. Location of dumpster - dumpster must be from approved waste company (in accordance with Chapter 16 City Code). As of 2009, approved dumpster companies for All. Beach are Advanced Disposal, Realco Recycling, and Dumpsters are to have tarp covers or rigid covers on windy days. Dumpsters must be removed prior to issuance of Certificate of Occupancy or Completion. 5. Traffic control plan, showing access with dimensions, area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 6. Site cleanliness. Contractor must have the entire construction site cleaned by Friday of each week. This means removal of scrap lumber, concrete remnants and other such construction debris including cans, metal, plastic and paper. 7. Erosion and Sediment Control. 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(/1-e 0e rit Review fe 1 . ... . 5 1 Other Agency Review or Permit Florida Dept. of Environmental Protect Florida Dept. of Transportation St. Johns River Water Management Di: 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.) , P, . m , . �- i_ to f a SS 1 j ' 4 C/ t o C C'1 +ret r I OR., BUILDIN PLANNING & ZONING Reviewed by: Date: 3/ 30/ / / 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 BUILDING PERMIT APPLICATION f CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 P N n u fl M Office (904) 247 -5826 Fax (904) 247 -5845 ,. _ Job Address: r6 i " 1 r Permit o!:, . ber: � f Legal Description ∎� II_ \ \� Parcel # � oor • rea o q. t. q. t Valuation of Work $ 900.00 Proposed Work heated /cooled non - heated /cooled I ` (. "Q t Class of Work (circle one): New Additiitio Alteration Repair Move Demolition pool/spa window /door Use of existing/proposed structure(s) (circle one): limmerc a Residential If an existing strucure, is a fire sprinkler system installed? (Circle one): Yes No (N /A) Florida Product Approval # For multiple products use product approval orm Describe in detail the type of work to be performed: \ C'\("\ `A _, (--\' Prope Owner Information: o j-S; 0..0 77 I_ L. /g- 4 4M y,4 7 4 Name: � tanr, : ►a` Address: _ City ....1- ATLJ/►` IC L ;,., y Zip , .. :-,)%ltirc, Phone sib Wai �r -� :r11■4fi.111 E - Mail or Fax # (Optional) 3R a33 1' Y - `/ 7 -- -5:3 - 3 (/ R 44-1c . tv 7 19 - A /36# L ygc-11.4010 . e t) /74 Contractor Information: nn Company Name: :. K 4 - -A Qualifying A rent: /2 ' �f a, Address: /00 /g D/ 6 ,4# City / i rP ' _ State , Zip 3 Office Phone ,3 S) - ?,,;? (e - D Jo i - • ' umber - -86a Fax # State Certification/Registration # C' •i , • - - _ Architect Name & Phone # 1 I FO ' 1 t . . , , . ., 9 �c'` Engineer's Name & Phone # C Y / n.. _ •_ J - •e. Fee Simple Title Holder Name and Addred SEE PE: 14 N a • . " � t_ a r _ 1 Bonding Company Name and Address 1 • QUIRE t,rr. - . -. 111 41411 A 11 I Mortgage Lender Name and Address f • Application is hereby made to obtain a permit to do e • "" —•°••••••••••.., :..:,:..: - • • • • A • • : • I tallation has commenced prior to ` ie issuance of a permit and that all work will be performed to meet the standar,s o a a „ • • - •••- •--- ••- ,.... -. • urisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandone• or a iod of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical 'Fork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks 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. 1 hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and • • • • ces governing this type of work will be complied with whether s eci zed herein or not. The granting of a permit does not presume to give au - ity to iolate or cancel the provisions of any other federal, stat local rekjotti g o ion or the performance of construction. ,....1. r �... Signature of Owner - e rffee._._ r e ` / _ Signature of Contractor 'T F/ 7 Print Name . Print Name i /24/r/ �-= Sworn to and subscribed befo e me . • s to and subscribed befgre me this i A Day of cV �„ �, 20 1 s ` Day of AX E' 21) / / r / � FRANC sANTIS - "# " MY COMMISSION INE � # DD 800450 Not.'�'ualic ; ti �+� . 1'�t of 1,1 Notary Public V...,,,; EXPIRES :June 24,2012 }; an : : : Commission # EE 0 4 7 4 9 7 R f „ Bonded Tnm Notary p c undo here . , ? . Expires December S, 2014 . 84,,. Bonded Thu Troy fain Insurance 800,1B67019 f f S: \. 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER- BUILDER PERMIT. /cad Ik pa- . / .. 901- i 7 -633 PHONE NUMBER `/_/= XLd T z. PRINT N•ME SIG ��,,[[ / DATE Before me this f (�N!day of 11. t . 20. j/ in the county of Duval, State of Florida, has personally appeared herin by himself / herself and affirms that all statements and declarations are true and accurate. tir Notary Public at Large, State of ,.L , County of . • Public State of Florida Gail Testa 'Personally Known ff My Commission DD999051 ❑ Produced Identification - 7 / 0 i ; 6 Expires Oe/07/2014 Notary Signature: v �+ F:BLDG /Owner - Builder Affadavir REVISED: 4/16/2009 .b/E 6 IV V Q tin (21 O = v n! fx Q Lu Q T zO �m�� o 0 L _ m \ • " ' • Q • N • Li") kD IKIM z If o \ i-1-1 O . e < ,4- 7_ N r L IL J : W J 7, 1. w g g X O N 0 *:-. a 111 < \ \ 1 — K to <.\\ rg %" I 1 O r- . o-o$. . 0 Q . s -3 O xvW .o-,L I 6 ° ' pq o ' L J ` Z °� O • . v • • . ? fY }} r _.c.-j_ .yi , O E X � Lu n 4 . 1:1:i ..-.- ry CO 0 Lu ill 0 fY O 0 r..i h ti In Q k 0 a d -•-A Q �' • • t i _�∎ d C..) -4 z j o y _ t _10 w 1- 2 w 9 • - r7 • z Q CLI 0 0 00 \r • e ' • Z. 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(386) 738 -7475 TOLL 1- 800 - 998 -2534 (BLDG.) t LOCAL 276 -755 -2010 FAX 276- 755 -2014 P , 800 Seminole Road S; Atlantic Beach, Florida 32233 Telephone (904) 247 -5800 s)' FAX (904) 247 -5845 t) Construction Site Management Plan Compliance A construction site management plan conforming to Atlantic Beach City Code Sec 6 -18 has been approved as a part of this building permit. The Construction site management plan was approved based upon the following information. 1. Parking plan - parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. Location of construction trailers, loading /unloading area and material storage area. 3. Location of chemical toilet area - chemical toilets must be kept out of City right -of -way and not further than 15 feet from structure under construction. 4. Location of dumpster - dumpster must be from approved waste company (in accordance with Chapter 16 City Code). As of 2009, approved dumpster companies for Atl. Beach are Advanced Disposal, Realco Recycling, and Shappells. Dumpsters are to have tarp covers or rigid covers on windy days. Dumpsters must be removed prior to issuance of Certificate of Occupancy or Completion. 5. Traffic control plan, showing access with dimensions, area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 6. Site cleanliness. Contractor must have the entire construction site cleaned by Friday of each week. This means removal of scrap lumber, concrete remnants and other such construction debris including cans, metal, plastic and paper. 7. Erosion and Sediment Control. Contractor must maintain all elements of the approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.) until sod or other stabilization has been placed and approved by Public Works. 8. Other activities, where special conditions are identified by the Building Official. Failure to comply with the Construction Site Management Ordinance may result in a Stop Work Order being issued in accordance with City Code Sec. 6 -17 (3) Revised 6/2009