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Permit Acc Structure 1365 Seminole 2011 , . f „ i `s y CITY OF ATLANTIC BEACH ' s ) 800 SEMINOLE ROAD j :;' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 ,; 4 0.x31 > � ' Application Number 11- 00002466 Date 8/16/11 Property Address 1365 SEMINOLE RD Application type description SHED PERMIT Property Zoning TO BE UPDATED Application valuation . . . 1850 Application desc 8 x 12 shed Owner Contractor MARSH OWNER 1365 SEMINOLE ROAD ATLANTIC BEACH FL 32233 Permit ACCESSORY STRUCTURE NEW RES Additional desc . Permit Fee . . . 60.00 Plan Check Fee . . 30.00 Issue Date . . . Valuation . . . . 1850 Expiration Date . 2/12/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247 -5834. Remain clear of easement /sewer main along north property line. 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 60.00 60.00 .00 .00 Plan Check Total 30.00 30.00 .00 .00 Other Fee Total 54.00 54.00 .00 .00 Grand Total 144.00 144.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address:4 S lNOtE 4Z MIA N rte. 13 �+1CU 32 rmit Number: //- �6 G Me 60' o f. Lp{ '14 cyst S� t +4 2, c Legal Description $t r.r.iL 1 { S€ -L4 /A e.top4 Vt}1 n/0.1_ P arcel # Floor Area o P arcel t. Sq.F't Valuation of Work $ 4E5 o Proposed Work heated /cooled non heated /cooled gg Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door Use of existing /proposed structure(s) (circle one): Commercial esi installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): Y es No Florida Product Approval # For multiple products use product approval form A Describe in detail the type of work to be performed: 8 x. 11 1 VI ( Property Owner Information: Name: Jar ME S &. M.4125ki Address: 456 S Se M I Nc4..LE ex) City NTLA N'TI G '5AC44 State Zip 322 'hone 2 20S 24 2 4 E -Mail or Fax # (Optional) W/W' '3 8 01 e h o4e4. 72.1 L . cou.A.. 31R M 3801.- Contractor Information: tt ( tt-1 11 1 1-.). + tC ,i 7. ' 'I / 7 �,' ,5 Company Name: Qualifying Agent: Address: ,._ State Zip Office Phone Job Site/ ; , , . , ; j - , , _ State Certification/Registration # ( l I : ► =.e -,, ,,, , Architect Name & Phone # 1 ' 1 AT : ■ :. . Engineer's Name & Phone # S PERMITS FOR ADDITIONAL 8 le Fee Simple Title Holder Name and Address ' • 1 ' MENTS AND COND r • . , , 1 ' r Bonding Company Name and Address I ... _ , Ali '1 R Mortgage Lender Name and Address (� _ i DATE /W I ; ' ; Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 aperiod of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, 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 1 have read and examined this and know the same to be true and correct. All provisions of laws and ordinances governing this type of .application work will be complied with whether herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regal , ting construction or the performance of construction. Signature of Owner Signature of Contractor _-/ Print Name JAMBS R.Q1 1.74./41) M FM .S_'1 Print Name Sworn and subscri ' -d Before_ , u e 20 �� Sworn to and subscribed before me this Day of � d t A . this Day of , 20 Notary ' I: 't - ' v xs MY COMMISSIO N+ to Public EXPIRES: February 14, 2014 ' ? ; .-R ' Bonded That Notary Pub ll�u�e"0n�e� Revised 01.26.10 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 REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY UABIUTY; 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. P1. PENALTY; UNUCENSED CONTRACTORS CANNOT B 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 i {� OWNER- BUILDER PERMIT. 4436 5 SeAMIN) t rZp Att.4 NYtC 12) AC41 . 3 223 .225 ZOS Z'J Z1 ADDRESS PHONE NUMBER r3ct s -2 5 ) 2cA Leto, - - IT NAME , C SIGNATU - DATE ,14 Before me this % day of// (2 4 1Y 201/ in the county of Duval, State of Florida, has pefsonaly stO.mred herin by hirnse#4 herself and affirms that all statements and declarations are true apo accurate. �{) l M Notary Public at Large, State of ,K , County of D P by Known r / r 1 1 M ' r ' i SHIRLEY L. GRAHAM COMf, ` D ¢ � � r EXPIRES: MY MISSIO February O 14, 2014 957760 Notary Signatu _ = .nded Thai Notary Public Underwriters F:BLDG/Owncr BUilde Affidavit; REVIS : 4/16/2009 t r �,r : STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS "Dedicated to making Florida a better place to call home" CHARLIE CRIST THOMAS G. PELHAM Governor Secretary September 14, 2010 Alex Martens Superior Sheds, Inc. 2323 S. Volusia Ave. Orange City, Fl 32763 RE: Manufacturer Certification, ID MFT -113; Expiration Date: November 9, 2013 Alex Martens, It is my pleasure to inform you that Superior Sheds, Inc, located at 2323 S. Volusia Ave., Orange City, Fl 32763, has been approved under the Manufactured Buildings Program, as provided for under Chapter 553, Partl, Florida Statutes, to manufacture Storage Sheds, Manufactured Buildings for installation in Florida. Construction or modification on a manufactured building cannot begin until the Third Party Agency has approved the plans in accordance with the current Florida Building Code. Your Third Party Agency is a contractor for the Department and has statutory authority and responsibilities that must be met to maintain approved status. You may expect and demand quality plans review and inspections. Each Code change will make your plans obsolete until they been reviewed, approved and indicated [on the cover sheet of the plans] for compliance with the code by your Third party Agency for plans review. Please ensure that your plans are in compliance and are properly posted on our website. All site - related installation issues are subject to the local authority having jurisdiction. The Department's contractor will make unannounced visits at least once a year. You must grant complete access to your manufacturing facility and records to maintain in compliance with the rules and regulations of this program. Your certification is approved for three years from this date. You will receive a renewal notice by Email generated by the BCIS (www.floridabuilding.org) for online renewal. If you have any questions you may contact me at 850 - 410 -1566 or our FAX at 850- 414 -8436. Please visit our website at www.floridabuilding.org to see valuable information on the Florida Manufactured Buildings Program. A copy of this letter must accompany applications for local building permits. Sincerely, (�VJ Robert Lorenzo Manufactured Building Program cc: National Design and Inspection, Inc. 2555 SHUMARD OAK BOULEVARD • TALLAHASSEE, FL 32399 -2100 850- 488 -8466 (p) • 850 - 921 -0781 (f) • Website: www.dca.state.fl . us • COMMUNITY PLANNING 850 -488 -2356 (p) 850- 488 -3309 (f) • FLORIDA COMMUNITIES TRUST 850 -922 -2207 (p) 850 -921 -1747 (f) • HOUSING AND COMMUNITY DEVELOPMENT 850. 488 -7956 (p) 850 - 922 -5623 (f) Ordered By: Country Club 3 ,r. , h 1 rik, t P 14th Si ,),..„ en , , s "' ■5tn S1 •..V I t sr. i< :qua Network R 1i • 1111151 0 9 .4 9 . . PROPERTY ADDRESS: 1365 SEMINOLE ROAD, ATLANTIC BEACH, Florida 32233 SURVEY NUMBER: 1012.1285 FIELD WORK DATE: 12/30/2010 REVISION DATE(S): (rev.2 1/2/2011) (rev NO ID 1 1 /201p�)l .5" FIP 10121285 /,'''' '; / l/ c BOUNDARY SURVEY f ✓ „ (' LOT s DUVAL COUNTY ) " ❑ e / //\ 0 / / \ cA1-v o , t "O ,h , \\ TEL -Y / / \ ❑ / I" FIP " < \\ ® , ,, ,, NO ID t2 B� >O \\ G, /0\ Yi , °� d el c` &6 O \ \ � Q Y i \ O A Q �, o T,./ / ' ° per / D 2 �- o c' \ 3 F r �` 0 � �� . � �� vv \0 . 2� O,, F \ O, C, i • \ F • '& '0, * 0. ,. \ O, 6� O // � o B 7 ° `' o S.W. 65' OF o / o\ / i S 6N/I'" FI. / �� �� � °o L BI K 1 \ \ may\{ v �Oo � _(1 NO ID I V C O� /tip \ c. „' FIP / i °� S el \ \N� d NO ID oc, ! F 0 i 3 \ N, , \ \\ ' \ 2 ° '6 e - '/ ,0 � v � / / LOT 30 C , BLK I \ \ O <O J , 0 N.E. 6O' Of \\ ° LOT l l „ FI 0 C I NOTES: \ 4/ BLK I NO 'D 94 R= I244.0l'(P4tC) SETBACK INFORMATION PROVIDED BY OTHERS NOT VERIFED 2 F 0 L= 7.797F) 7.89'C) LOT APPEARS TO BE SERVICED BY CITY WATER AN�9 \SEWER Fc 2 O N LI =0 °2 / '32 "(P) 0 °2 I '48 "(C) FENCE OWNERSHIP NOT DETERMINED \ L? /�,..$` S 47°15'24" W 7.79'(P) • �6 �`/ 3 42 °46'05" W, 7.89'(C) O��\ /S s0 TABLE: rJ \ \ �, F c , L I 5 47 °26' 1 0" W 1 77.20' (P) \\ GJ S 47 °26' I O" W 177 .1 4' (C) esvtY' B. a� \\ O. i, L2 S 47°26'1 0" W 65.00' (P) �OtiNS Nu" 'eF \ \ °4 ° ' 1 ' 5 47 °20' I 1 " W 05.09' (M) I hereby ce r , gat t 1 8Sketeh . Survey of the hereon \\ 0 2 0 / I " FIP L3 5 20 I " W 64.4 I ' (P) v described .r.pe, h,- b--n ma.e under my direction, \ \ o ti P% ,E NO ID 5 20 °06'55" W 04.5 I' (M) and to the b- • r , .wledf - - . belief, rt Is a true \ \ � • d and accord - r -. 4,17•- *! of a vey that meets the \\ • c� LOT 3 L. • 3' BLK E. minimum te. ;; cal . p �s set th by the Florida Board • d- :t= Of Professio- anc€ � BWyor described in Chapter \\ % •- U 5J- 1 of the ^ +'• •• Adm. ive Code. 40 J 0 20 40 L W esley B. Haas GRAPHIC SCALE (In Feet) • " ' ' "' T, State of Florida Professional Surveyor a nd Mapper Y ` uu , E License No. 3705 1 inch = 40 ' ft. c a ) Use of This Survey for Purposes other than Intended, Without Written Verification, will be at the User's Sole Risk and Without Liability to the Surveyor. a+ Nothin • hereon shall be Construed to Give ANY Ri • hts or Benefits to An one Other than those Certified. o POINTS OF INTEREST; None Visible H 3 0 . FLOOD INFORMATION: o BY PERFORMING A SEARCH AT WWW.FEMA.GOV, THE PROPERTY APPEARS TO BE LOCATED IN ZONE X. THIS PROPERTY WAS FOUND IN CITY OF m ATLANTIC BEACH, COMMUNITY NUMBER 120075, DATED 04 /17/89. E m CLIENT NUMBER: DATE: 12/30/2010 74' DEB SMITH BROKER ASSOCIATE , r BUYER: James R. Marsh ', WWW .FLORIDABEACHANDGOLFHOMES.COM rn ' ` DEBSMITHHOMES@AOL.COM C-PeR ential o SELLER: HACKNEY DAVID 904- 710 -0241 I�etasttttt u P CERTIFIED TO: JAMES R MARSH; OSBORNE &SHEFFIELD TITLE A C T A a) SERVICES, LLC ; FIRST AMERICAN TITLE INSURANCE — -' E COMPANY; NAVY FEDERAL CREDIT UNION L A N D SURVEYORS P: 239.597.0082 u Exacta Land Surveyors, Inc.: LB # 7337 F: 239.597.1029 12220 Towne Lake Drive, Suite 55 E, This is page 1 of 2 and is not valid without all pages. Fort M ers, FL 33913 www.exactaland.com 1- 1- ir ?�l \. City of Atlantic Beach APPLICATION NUMBER r 1 Building Department (To b e assigned by the Building Department) 1 < _ ' 800 Seminole Road / AU�i r /// v � tJ6r �* = - :5 Atlantic Beach, Florida 32233 -544& f (1 j 1:', Phone (904) 247 -5825 Fax ( 904) 2� J Date routed: S 'T % f •: X10 ;• E -mail: building - dept ©coab.us City web -site: http: //www.coab.us \`� APPLICATION REVIEW AND TRACKING FORM jo .,. Property Address: 7)6,6 -, />)i/)G / ltd D- ent review required Yes No Applicant: L / J C • Ptannin A g & Zoning-) c" t Project: ;' i /2- { Jib /Public W0r! . ,� ubCic Utilities `> Public Safety Fire Services I e t .=..3 7 v , .rm+ .w. t i. ...hj`•.n ,8 . Nay+- ���:'�f'tk,�' -s.�. Y: la s ] l� 0 � ^ , r oc � Other Agency Review or Permit Required of Pe Review rm it or Ve Receipt rified By Date 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: I& • pproved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: (1 74,2)1) Y �1) TREE ADMIN. Second Review: approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: EjApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27110 rS .:a,�T? » City of Atlantic Beach APPLICATION NUMBER J S Building Department � . (To be assigned by the Building Department) t 800 Seminole Road i QU �� - �/( (p -r Atlantic Beach, Florida 32233 - // Phone (904) 247 -5826 • Fax (e e ; 47 -5845 ck \ • E -mail: building -dept ( coab.us -�, Date routed: : r 9/ City web -site: http: / /www.coab.us � � APPLICATION REVIEW AN I RACKING FORM Property Address: /3 j / ))/,'7i/ c l D_ .... ent review re. uired Yes No �Iannin • & Zoni •�� Applicant: /,(7)1i - �strator Project: K )( /2 S'lI d I• ubiic A • tallena Public Safety �= Fire Services ..i:�a. ' ,;._ w. ..'F x,rs„ �"'nr"' -„ "« ' „Hw.• i I3svte fee' : f: . = � -: �.. i .., ,,Lr : �. . Review or Receipt Date Other Agency Review or Permit Required 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: p _ Date: // --// TREE ADMIN. Second Review: [Approved as revised. ['Denied. P iijIWORKS Comments: LI TILITIES • PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 -S LJ-1a1;y.,,. City of Atlantic Beach APPLICATION NUMBER r '' j .. uilding Department (To be assigned by the Building Department) 800 Seminole Road /2 �/(� r Atlantic Beach, Florida 32233 -5445 , Phone (904) 247 -5826 • Fax (904) 247 -5845 �; , f ' : E - mail: building - dept ©coab.us Date routed: / City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM 4 ,i»1, , D , • - •. ent review required Yes No Property Address: l{ / r ` � 1 G �C �� l:uili': Planning & Zon gi -- Applicant: �" T °,luistrator Project: )( /2 -VI CAS ublicWor --' ublic Utilities Public Safety Fire Services Other Agency Review or Permit Regained Review or Receipt Date of Pe Ve r i fied By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Amoy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: P • pproved. ['Denied. (Circle one.) Comments: BUILDING ct NNING & ZONING Reviewed by: %/`' 4, / .G1i Date: o f 0 /201-1 REE ADMIN. Second Review: DApproved 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 07/27/10 .i�,;aa1J C ity of Atlantic Beach APPLICATION NUMBER ms Budding Department (To be assigned by the Building Department) 800 Seminole Road // -- l � �i' 1 � . V� Atlantic Beach, Florida 32233 -5445 , Phone (904) 247 -5826 - Fax (904) 247 -5845 s ` o;t}s' E -mail: building - dept ©coab.us Date routed: Jar 1 / City web -site: http: / /www.coab.us , APPLICATION REVIEW AND TRACKING FORM ( review required Ye, No Property Address: , J /)J iiJ G � � � _ � V rt m ent 1 / '' Applicant: ( IC ) `C .- C Planning & Zones inistrator X l 2 'l Project: - ubi ic l�(Qr. -3- ubiic Utilities Public Safety Fire Services ReveeG ee' tiA_. I.: Fri fix_...: _ --..4 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: (BUILDIN PLANNING & ZONING Reviewed by: Date: O �� TREE ADMIN. Second Review: (]Approved as revised. ❑Deni PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127110