Permit R/W 2233 Laughing Gull Cir 2011 ,, > f CITY OF ATLANTIC BEACH
r a 800 SEMINOLE ROAD
4 . ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002087 Date 7/08/11
Property Address 2233 LAUGHING GULL CIR
Application type description RIGHT -OF -WAY PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
PAVERS TO CONCRETE SLAB (PATIO) IN REAR
Owner Contractor
DARNELL DAVID AND BETSY OWNER
2233 LAUGHING GULL CIR
ATLANTIC BEACH FL 32233
Permit DRIVEWAY PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/04/12
Special Notes and Comments
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible.
A sewer cleanout must be installed at the property line.
Cleanout must be covered with an RT1 concrete box with
metal lid. Cleanout to be set to grade and visible.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Other Fees STATE DCA SURCHARGE 2.00
ENG REV BLDG MOD OR ROW 25.00
STATE DBPR SURCHARGE 2.00
UTIL REV MODIF OR ROW 25.00
Fee summary Charged Paid Credited Due
Permit Fee Total 70.00 70.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 54.00 54.00 .00 .00
Grand Total 124.00 124.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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A i-K e
CITY OF ATLANTIC BEACH
BUILDING AND ZONING DEPARTMENT
NOTICE
This building has been inspected and:
E General Construction E Mechanical
fl Concrete and Masonry E Electrical
— Plumbing T Gas Piping
IS NOT ACCEPTED
CORRECT AS NOTED BELOW, BEFORE ANY FURTHER WORK
P re 7 re / Sjo h c? 7 1,041712._ kee,t i run r „ PP kvi ;7 -Pc)y---
, i (-)t./ S' /, 1.-/ , 'chi )
DO NOT REMOVE THIS NOTICE
Inspector: /719- )-- Date: 5
Failure to respond to this Notice within 10 days will result in this violation being forwarded
to the
CODE ENFORCEMENT BOARD.
The posting of this Placard by its contents shall serve as due notice.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
' f /
ob Address: /
�` `� La ill o l7 U ( b e Permit Number:
,egal Description
Parcel #
Floor Area of Sq.Ft. S Ft
raluation of Work $ Proposed Work heated /cooled non - heated/cooled
'lass of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
se of existing /proposed structure(s) (circle one): Commercial siden •
' an existing structure, is a fire sprinkler system installed? (Circle one): es o N /A
lorida Product Approval #
or multiple products use product approva orm
escribe in detail the type of work to be performed: 2)/ ? 9 ti Crf i S/' ,g
K,ietzi y/), 1 p
roperty Owner Information: r nn �] �^
sme: �' S / Y k l / Address: o� o nn -3 L V /, 11/ O 11 ` Ilf� i t
ity A (4 • State 17 " Zip ? 2 Phone 'i () t -{
•Mail or Fax # (Optional) OLP - 3 `7 y 7 ,
3 C 0-C(D • �) [ mD /f cY1 tk S -
antractor Information: � , (1-)2. )
)mpany Name: � - - Qualifying Agent:
idress:. City State Zip
]ice Phone Job Site/ Contact Number Fax #
ate Certifcation/Registration #
•chitect Name & Phone #
igineer's Name & Phone #
e Simple Title Holder Name and Address
trading Company Name and Address
Drtgage Lender Name and Address
2lication 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
lance 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
l void f work is not commenced within six (6) months, or if construction or work is c nded or abandoned for a_ period of sbc j6) months at any time after
-k is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo He m s,
Mks 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
COIIEVIENCEMENT.
reby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
a of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
visions of any other federal, state, or local law regulating construction or the performance of construction.
nature of Owner Signature of Contractor
It Name g i Da-ine11 Print Name
orn -to and subsori ed before me
Day f -„ / Sworn to and subscribed before me
y o _- • ' this Day of , 20
,') � DEaQ H A, WHITE . .
t* ' "t C) I li�N !t DD 634125
Public xrIA a 0 .111
—., p Fh • Ei bri d ed Thru Notary public: Underwrttere Notary Public
• Revised 01.26.10
4
t
- CITY OF ATLANTIC BEACH
03 / 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.
a)-3 5 Lrtuc7 lnf, NO( CA r - ((' aCC�. _0v - �a
ADDRESS J 1 PHONE NUMBER
6e I sU ( Add(
PRINT NAME
- P ,--_,,,,, ../../
.,,
'SIGNATURE DATE
< +
Before me this ' day of - ` 20 ! r In the county of
Duval, State of Florida, has personally appared herin by himself / herself and affirms that
all statements and declarations are tree, and accurate. .
Notary Public at Large, State of t -. r County of " � i i -k r ",: "..� DEBORAH A. WHITE
'V, :, MY COMMISSION # L�0 634126
❑ Personally Known // �� - ( / � t 7 / EXPIRES: May 21, 2011
gtyrsduced Identification - , "_ / -) L ` :- ) i" t s � O F f k r- 1 ii ' • d mrti Notary PUblic UMb 11 : r3
I_
l _.
4 .A . _ t.. L L,,L _ j _ .- ' _ lam, " ■,.�
Notary Signature:`
F./BLDG/Owner-Builder Affadavit; REVISED: 4/16/2009
� y .
5.- +1. City ATION NU
>> Building of Atlantic Department Beach APPLIC
(To be assigned by the Building BER
Department.)
f 800 Seminole Road
` - s Atlantic Beach, Florida 32233 -5445 1� v�
Phone (904) 247 -5826 • Fax (904) 247 -5845
, ',.20169 E -mail: building- dept @coab.us Date routed: 6'
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: L2 3-? /i1z n, u // AC De • artment review required Yes No
Applicant: Q /,0 77 f• ' lanning & Zoni •
Tree Administrator
Project: ktiu Afe, TA &4 '4'17,i� (fprn/'i % f Silliski....P wo hlir, Utilities
6 1413 Public Safety
Fire Services
Review fee $- fig;! Qept algl'atLire ' 2 . �.
f
Other Agency Review or Permit Required Review or Recei 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: ZiApproved. ❑Denied.
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: 18,14 --€---- -1 Date: 5 7( 7 t 1 1
TREE ADMIN. Second Review:
QApproved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
,- City of Atlantic Beach RECEIVED
APPLICATION NUMBER
.-} I.
- .i Department \n Building P (To be assigned by the Building Department.)
iA 800 Seminole Road MAY 1 7 2011 o �/
',.7 Atlantic Beach, Florida 32233 -5445 1/ _ o, D o /
Phone (904) 247 -5826 • Fax (904) =; :45
< < ,.:. ;i9 %' E -mail: building- dept @coab.us .y-- Date routed: -57/49///
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 22 3 ? L/TZfiJn 91,a/ (;. De • artment review re • uired Yes No
Applicant: oar 7) -e , ` - Tanning & Zoni
.►_r. ministrator
f ' Wor.
�
Project: tiv 4v�, 7 &4 <,4.�7D epw�tf I ' P �'
•
6 bri5 Public Safety
Fire Services _-
Review fee $ '' : ' Dept'' Signature + . : t • ,,
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: ,pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date: v -1/
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
�� � A �� Comments:
VI =LI IT E
PUBLIC SAFE Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
.>>T RECEIVED
, . ;. City of Atlantic Beach APPLICATION NUMBER
;; • .: , Building Department MAY 1 assigned b
2011 g by 9 De (To be assi the Building \ ,\ 800 Seminole Road p artment. )
r -,,, . , Atlantic Beach, Florida 32233 -544 . // c
' Phone (904) 247 -5826 • Fax (90 r . • = - —
'' ?J;,)) %• E -mail: building- dept @coab.us Date routed: (D
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2-2- inz,fiv 9 ; e__ Die artment review required Yes No
uil •
Applicant: 0 /4)'71 � g e tanning 8 Zon
i ree Administrator
Project: - 7tlt! or 7 WZ 4=777 t7. ep /nrg. Pu wor
Puhlin Utilities
6 brig Public Safety
Fire Services
Review fee $ A 177 wDepfiSignatur ,-
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: QApproved. 'Denied.
(Circle one.) Comments: ‘14")4
BUILDING
PLANNING & ZONING Reviewed by: Date: -( /� / J
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
p___ 4 / / "
PUBLIC SAFETY Reviewed by: Date: -1 10/0//
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
2233 Laughing Gull
Impervious Surface Calculation
DESCRIPTION SF
Existing:
Drive & Front Porches 1743
Residence 3482.47
NC Pads (two) 21
Retaining Wall 72
Brick Pavers 170
TOTAL EXISTING 5488.47
Change:
Delete Brick Pavers 17' X 10' -170
Add Concrete Slab 15' X 35' 525
REVISED TOTAL 5843.47
Lot Area (from top of arc) 13390.14
Percentage of lot coverage 43.64%