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Permit Deck 126 Sylvan Dr 2012 c) Arie' r� CITY OF ATLANTIC BEACH '� � ) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 ,v, INSPECTION PHONE LINE 247 -5814 Application Number 11- 00003013 Date 1/06/12 Property Address 126 SYLVAN DR Application type description DECK /PATIO Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc extend and replace deck Owner Contractor RANDOLPH MELINDA ET AL OWNER 13894 HANOVER PARK CT JACKSONVILLE FL 32224 Permit ACCESSORY STRUCTURE NEW RES Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 7/04/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE Documentation of existing imperviouos surface coverage under permit application 11 -2972 still required. 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 .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 59.00 59.00 .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 !, l� Job Address: , .. l S >� l (\ b 1 V ` - Permit Number: /C' 30/7 Legal Description -' { (l 1 , U • t ( � .0 \,{ ` l i Parcel # oor ea of Sq.Ft. ,'l Sq. Valuation of Work $ /C(7() Proposed Work heateddd777cooled non-heated/cooled 1---' Class of Work (circle one): New ( ddition teration C.RmairD Move Demolition pool/spa window /door Use of existing/proposed strueture(s) (circle one): Commercial Ckesidenti If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use prod ap proval form Describe in detail the of work to be ` type performed: t� � C�, - c , 1 + Vl�W1G1 ' �V{' ,� ��; C Fr1 t. Prover Owwner Information: Name: i . 1 - A... ` Address: ": �J 4� 1 `f' C is ) V) City �� � .. ' tat Z 'b3 Phone Ci 0t 5'3u A i "), E -Mail or Fax # (a • tional) Contractor Information: Company Name: Qu: ' • ' , : Agent: Address: - ` Office Phone Job Site/ Conta• N t 1 • _ FA I r , i ; State Certification/Registration # h 1 CE Architect Name & Phone # .. 0, V44101, - « 7 M ►- 1 OF ATLANTIC : i` Engineer's Name &Phone Iiiiiiiiiii _ ii . . 1 l FOR ADDITIONAL Fee Simple Title Holder Name and Ad 1 '' • • ��� + n►'i���h AND CONDITIONS. Bonding Company Name and Address till 4111111 di X111 . : /7% l Mortgage Lender Name and Address s .. ! - i - - r :� Application is hereby made to obtain a permit to do t work an installations as in I cert 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 sus ended or abandoned far a eriod of six 16) months a any time after work is commenced. 1 understand that separate permits must be secured for Eledrical Plumbing, Signs, W ells, Pools, Furnaces, Bo Beams, Tanks and Air Comktioners, 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 e that 1 have read and examined this a� ppltcation and know the same to be true and correct. All provisions of laws and ordinances governing this type of work 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 provisions of any other federal, state, or al law regulating construction or the performance of construction. Signature of Owner / / a/ % Signature of Contractor Print Name /e/,,id<zQi 1 � - Print Name Swo t.. s • - r • . ri. = • bef.. - me Sworn to and subscribed before me this , : y of \ , P / 20 / / this Da • • . 20 : SHIR L GRAHAM Notary , ` 1 ,• MY ,` "C� '�, " ,�y :41,_„,'" . , r EXdI ru public u L l I h � , � Bonded Um Notary Revised 01.26.10 (.1 Y S rip j7 CITY OF ATLANTIC BEACH , WNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW DISCLOSURE STATEMENT FOR SECTION 489.I03(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 ,SI IPERVISE THE CONSTRUCTION YOURSEI T. 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. 8 1I. 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 COMPETTENCY° 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. 1 u2 ".� ■ 0 - - - 0 1 G�i S3C.cI 31 `-' D ESS PH NUMBER 0 \ e , k\ f∎,6 (x_ CtC( 1 \ PRINT ME NA �1 /) Warazip„1-,__ /9/fr r /1 SIGNATURE DATE Before me thiI day of .A C� , 2Ci 1 in the county of Duval, State of Florida, has personally appeared herin by himself i ttersett and affirms that all statements and declarations are true and accurate. Notary Pubfic at Large, St* of f L , County of 1 ■ic- L" D PeraonaNy Known !"" ❑ Produced Identification - re � �'' N�, SHIRLEY L C, '' Y `" - MY COMMISSION k RAHAM 957760 DD Nota nature: a ! EXPIRES: February ?a, ?_014 ers i Wall/ - -- �' ' `ir ;,: �,y4� Bonded Thru Notary Public Uciderwnt i __._ RBLDG /Owner- Builder Affadevit REVISED: 16/2009 /4 % (CC ).;% /,/ „., , ' MAP SHOWING BOUNDARY SURVEY OF ,../ 7 ' ,,,- l r NORTH 1/2 OF LOT 704, SECTION NO. 3 SALTAIR, AS RECORDED IN PLAT BOOK 10, �� _� S / /I r J PAGE 16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. LJ CERTIFIED TO: JAMES P. BYRNES MORTGAGE SOURCE, INC. STEWART TILE GUARANTY COMPANY RICHARD T. MOREHEAD. P.A. 9011111 1/2 NOR1N 1/2 5OU111 1/2 LOT ail LOT 697 LOT 696 FOUND 1/2 IRON PIPE 25.00' fOUNO 00D NAIL eTAVm ma 1D - aA is 4e N 20'00'00” E R rfNcE POST • 25.0 A O ( O.1. 1 .0.0' o L N ° 1.07 704 o 14x =rat LOT < 500114 1/2 .o1 703 OUT 7a LT FRAME s1ED 9000 DEM An 4 7.1 X 0.7' ins' G.3' E 8 A S e til 8 is ;t a" tlCi r e 3 °' w 7.1' 6 '�' I0.2' 7.3' 8 r 53 ar ������� W . F 1s h Z 4 ` R Si ' City of Atlantic Bch lj simpaNem 3 AR Planning and Zoning D partment CC, nalEair .s9• 25.0' This anrroval verifies compllan with applicable N µ • zoninc subdivision and o her local land S 20'00'09" W dev«,1,' :mer11 regulations, but d , es not constitute 25.00 apprnva• fo' the issuance of pe its. Compliance with, =lorud.' Building Code and =II other applicable local. Siete and Federal permi ing requirements must be verified by signature of he City of Atlantic SYLVAN DRIVE Beach Building Official prior to he issuance Of it cur 16747 Of WAY) Building Permit. J' Q /7 . Approved By: r,• ommun y 9 v o , Date: ‘../ LEGEND: ' — x— = FENCE ED = CONCRETE A/C - Apt CONDITIONER NOTES: REVISIONS 1. 9EARINO3 ARE RASED 014 THE ASSUMED BEARING OF 5 25.55'5W W ALONG THE NORTHWESTERLY RIGHT OF WAY UNE OF SYLVAN DRIVE SWIM QN DATE DESCRIPTION 2. 191 ATIONAL FLOOD INSURANCE M AP CAPTIONED DATEO APRIL 175198 9. COMMUNITY ZONE UMBER 120075, PANEL 0001 V 1 MS SURVEY REFLECTS ALL EASEMENTS 31 RIGHTS OF WAY AS PER RECORDED PLAT t /OR TITLE COMMITMENT IF SUPPUED. UNLESS OTHERWISE STATED. NO OTHER TITLE VERIFICATION HAS BEEN PREFORMED BY THE UNDERSIGNED. 4. THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL UABIUTY INSURANCE. 5. 11415 SJRVEY NOT VALA SI1HOUT THE EMBOSSED SEAL OF 111E CERTIFYING SURVEYOR. JOB f 456 1 DATE OF FIELD SURVEY: 9 -25 -96 DISK # 144 1 SCALE: 1' 1v 20' CERTIFICATE 1 923 Peninsular Place, Suite 1 I HEREBY CE1Il9Y MAT 1149 S1 , 9 tVEY WAS A3( UNDER MY R(WCOSOLL C11AR0E � r Jacksonville. Florida 32204 MO 116111 111E imam lEOIICAL STAIaM4DS AS 1ST F011114 0Y s, nom% le,IA:! - i i x, (Photo) 904 -354 -1141 WARD Of A< 9URMOR5 PRO NAPTOK R CHAPTER 01017-6. FLORIDA TIRE ` r Vas) 904 - 354 - 1255 SUMO '9q' 2. RSKSV STATUTES J U Rv `l 11 n r I n 1 CHARLES K MdNTOSH -- UcENSED BUSINESS 1 6702 REGISTERED SURVEYOR AND MAPPER 1 5602 STATE OF FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS rs � _ _ _ City of Atlantic Beach APPLICATION NUMBER ��‘ Building Department (To be assigned by the Building Department.) 800 Seminole Road 1 2 / 3 ; r Atlantic Beach, Florida 32233 -5445 �2 J \ Phone (904) 247 -5826 • Fax (904) 247 -5845 !'Z'o;;i" / E -mail: building- dept @coab.us Date routed: � � 0/1 / City http://www.coab.us htt : / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: , � & S7 lVA 2)y.''. Department review required Ye No C ° g -e" -- - --. V Applicant: ©1,(77) f aPlanning & Zo ' Tree Administrator Project: [XThIV4 4 3g24/ VUbiIC U ill es a 20 l1 1 6 i —` ,L 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: E pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: n'fr Date:J2 I1"// 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 BP250U01 CITY OF ATLANTIC BEACH 12/22/11 Application Tracking Step Selection by Revision 11:40:07 Application number . . . : 11 00003013 Address : 126 SYLVAN DR RE number : 170647 -0000- - Application type : DECK /PATIO NCR OLD ACCOUNT NUMBERS . : AB11154 Tenant name, number . . . : Type options, press Enter. 2= Change 4= Delete 5 =View 6 =Fast log 8= Action log maintenance 9 =In /out maint Path - - -- Key Dates - -- - Action Summary - Opt Agency description Rev Step Req In Est Cmpl Last Type By BUILDING DEPT. A 01 Y 12/16/11 12/27/11 12/16/11 AP MJ PLANNING & ZONING A 01 Y 12/16/11 12/27/11 12/16/11 AP EH PUBLIC WORKS A 01 Y 12/22/11 12/27/11 12/22/11 AP LS Bottom F3 =Exit F5 =Land inquiry F6 =Add F7= Revisions F8 =Misc info inquiry F9= Corrections report FlO =View 3 F11 =Sort by agency F24 =More keys , City of Atlantic Beach APPLICATION NUMBER ,: \ Building Department (To be assigned by the Building Department.) ' 800 Seminole Road / •, i 7 °Vr. Atlantic Beach, Florida 32233 -5445 / Phone (904) 247 -5826 • Fax (904) 247 -5845 - 'r 0 E -mail: building- dept @coab.us Date routed: / 2 lV2 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM I Property Address: ; G o f }� /1j/4: D - .. - -nt review required Yes No Applicant: 610 £ Z Planning & Zoryiia? Project: ZXMA )4.--fiD Ap1966 ( Public Works • Public Utilities (20 0 71 Z1 it- Public Safety Fire Services fi Review fee $ Dept Signature Ot'' 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. I4Denied. : g i 1- ( Zq _ (Circle one.) Comments: l hk lcus CAS 1401 — ?mica BUILDING (ov er kt9( 1 V\ G 7o e 52 • 46%) PLANNING &ZONING Reviewed by: E Eh kL ate: 1 / ( 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: i Revised 05/14/09 „:s !..All f City of Atlantic Beach APPLICATION NUMBER } \ Building Departmen j (To be assigned by the Building Department.) \ v 800 Seminole Road ”" s ) Atlantic Beach, Florida 32233 -5445 // - /3 J Phone (904) 247 -5826 • Fax (904) 247 -5845 u;;i E -mail: building- dept @coab.us Date routed: / / 4/1/ City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / i S A-- D- • - • -nt review required Yes No Applicant: 6/ft f Z • Pi-nnin & Zoning' Tree Administrator Project: iXT/yfo6 ,4-74D Ai9Md . 4 Public Works Tfibli lac 1 / 2 t: d,j 7) L/C'ei Public Safety Fire Services Review fee $ 1 . > ,'! . 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: E Approved. ['Denied. (Circle one.) Comments: 7� �\ BUILDING f - 2)6 c\,y 7- U' - 1S' /�i C re rho 1/i 1-- .121- S. 4//;0,'`'i. i ,is . I 1 PLANNING & ZONING ' 1(c° viewed by: - Date: / � 2 / � / TREE ADMIN. Second Review: Approved 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 05/14109