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1515 Richardson Ln (vault) PERMIT WORKSHEET Certificate of (Ali Job Address: 155 t� �� Type Work: ����� Property-Owner: Phone # Zq L ZZZ. Contractor: Phone # Permit#: © 2�8(O-7 Date Issued: Tree Permit# Foundation Permit# /� // Q Demolition Permit# BUILDING ELECTRIC MECHANICAL PLUMBING Tem .Power# Footing JEA Release G� Date Temp. Power Slab Letter Rec'd. Underslab Tie Beam Temp Pole# Lintel JEA Release Gas Piping Date Nailing/ Water/ Sheathing Sewer Rough/ ll Framing Rough Rough Top-out Insulation ZS-c� JEA Release Date Building Electric Mechanical Plumbing Final Final Final... Final' JEA Release Date r Drainage Inspection: Pool Permit# Inspections: Steel Final Elec./GrQunding, Final Roofing Permit# Inspect: Nailing/Sheathing Final --� Fire Inspection: Failed'Ins'06ctions: - spy. a J- Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 / INSPECTION PHONE LINE 247-5826 Application Number 05-00030929 Date 8/17/05 Property Address 1515 RICHARDSON LN Tenant nbr, name . . . . . . INSTALL 6 ' WOOD FENCE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ COULSON, MORAGN JOLYNN OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --------------------- ------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. C. 0 BUIL �FFIAL CITY OF ATLANTIC BEACH r 5; PUBLIC WORKS DEPARTMENT P 1200 Sandpiper Lane "a ,jura: v~ Atlantic Beach,Florida 32233 r (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # n J . '; Property Address: 1 5 ` t iz—1 c ko'I d---�- Applicant: JmQVtVL Project: � --V1�&. � 1 (I ' f— Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904)247-5834. Review d ck Carper, P.E., Public Works Director Date Signature Contractor Notified Date Jam' ' CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Job Address: CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNERIBUILDER 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER 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. 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. 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. PROP TY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OFA/� 20 0"? 1-2 AISHA JONES NOTARY PUBLIC ��:►�"' p .Stats of Plorlda MY COMMISSION EXPIRES: �'•_� �. . Carxr�SionE4*aApr20.200e NOTE: PHRASES UNDERLINED ABOVE. Commission#CC 311496 ' "tow w Bonded By National Notary Ass, Y. . 4. CI $CIL NG N ZJ"G AUG C19 I CITY OF ATLANTIC BEACH LBYFENCE PERMIT APPLICATION ��- Date: August 09 2005 Job Address:_1515 Richardson Lane Atlantic Beach,Florida Owner's Name: Morgan Jolynn Coulson Address: 1515 Richardson Lane Atlantic Beach,Florida Phone: 904-252-9576 Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: Address: Phone: City: State: Zip: Fax: Type of fence and materials to be used: 6 foot high wood Valuation Of Fence: qOn, OD (Interior L Comer Lot Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required?_No If yes,please submit with this application. Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of,permit. 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: Morgan Jolynn Coulson Mailing Address: 1515 Richardson Lane Atlantic Beach,Florida Phone: 904-252-9576 Fax: E-Mail: I hereby certify that allinfo ation provided with t�plication is correct. Signature of Owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type 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 provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: AS TO OWNER: NkOv-G-NQ - CvuL.S0 Sworn to and subscribed before me this 6 day of20 _. State of Florida,County of Duval r Notary's Signature: - �'tTa JEAN IEM,SHAW .a MY COMMISSION Y DO 435986 ❑ Personally own EXPIRES:May 31BMdW 2008 T'"'N0a'>PUuouna rN Produced Identification Type of Identification Produced 51;0• $O --f`i CD C) AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced Identification Type of Identification Produced 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.n.us Page 2 Revised 3/04/04 ,i:�r�fr�r�_,��� CITY OF ATLANTIC BEACH PUBLIC UTILITIES DEPARTMENT 1200 Sandpiper Lane Atlantic Beach,Florida 32233 C (904)247-5834 �JFi1} (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # h'5- 'nD q Property Address: J ' 1 5 io-L Q r JLayk Applicant: f A Q L l Project: VL`7S�+til V1 1 r Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: 65'S — W f>iViV Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247-5834. Review by onn al blic Utilities Director Date � /� Signature Contractor Notified Date 4�M Y2, ,S ' � a Rt ;AUG U 9 CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION Date: August 09 2005 Job Address: 1515 Richardson Lane Atlantic Beach,Florida Owner's Name; Morgan Jolynn Coulson Address: 1515 Richardson Lane Atlantic Beach,Florida Phone: _904-252-9576 Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: Uj 1& Address: Phone: City: State: Zip: Fax: Type of fence and materials to be used: 6 foot high wood Valuation Of Fence: Ot , OD Interior L Comer Lot Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? No If yes,please submit with this application. Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: Morgan Jolynn Coulson Mailing Address: 1515 Richardson Lane Atlantic Beach, Florida Phone: 904-252-9576 Fax: E-Mail: J r CITY OF ATLANTIC BEACH u , �w OWNER/BUILDER AFFIDAVIT Date: C'�, Job 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. 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. 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. 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. cl LPROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS / DAY OF ALniC� 20_Oi' - C 1 U� asNn JONES NOTARY PUBLIC PubNc-Slate of Fb►Ida MY COMMISSION EXPIRES: CgYyY n80NApr20.2W8 NOTE: PHRASES UNDERLINED ABOVE. 3Comminion*DD 311496 ' °i^� BofKled By NO110n01 NotgN A�Ssr I hereby certify that all info ation provided with a plication is correct. e 9,— i nature of Owner: Date: Signature G I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type 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 provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: AS TO OWNER: tt.OQGt-N J � . CM.A-L-S00 Sworn to and subscribed before me this day of_ N, AC L��-– 20 O'— State of Florida,County of Duval ---- Notary's Signature: `•'"`�� z dEANNE M.SHAW * MY COMMISSION#DD 435986 ❑ Personally own rhr EXPIRES;May 2008 NcGlryPuyMaNm Produced Identification Type of Identification Produced tin go- AS TO CONTRACTOR: Sworn to and subscribed before me this day of .20 State of Florida,County of Duval Notary's Signature: Personally known ❑ Produced Identification Type of Identification Produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page 2 Revised 3/04/04 --�.gn 1. r�`/"?P� ..�,�, �,✓ _l (� ,gyp ''��� y m 4 x � f f f S.r�rlr"41 CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT D. Ford ns 800 Seminole Road v Atlantic Beach,Florida 32233 oe d7l (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS (� Permit Application # 0�J — ��dq d�"I Property Address: S � - l�kark5Q Applicant: l� Project: �(� `T �it t 4- 1, This permit application has been: Ld Approved Reviewed and the following items need attention: Please re-submit your andlication when these items have been completed. Reviewed By: GLU4/�-� Date: C)k /e7 d S Date Contractor Notified: MAP SHOWING SURVEY OF -L.or 614 4me rNe or 5'EGT/oN A1.0-1 ,y AS RECORDED IN PLAT BOOK /0 ,PAGE 6 OF fhE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA r i OBJ VZO .4 VeXIZ/E Fo�??NE,4Ly AWN, Avdff 199 2 R L OT (0 /3 0s /00.00 Y h P ..ccWC ! fyClle Z AtAXW� 'S� O /G.oI b.fZ2.o' {� 1• A7lIEN�O� O L'+OQR3FT �CGi'r/ 7. 0 /.SrOR✓ c� v VZ.� n o 0 N M45L7t✓�2 s Lor 6!4 �q o to 0� 90• W N o•z � fE� � L N��i�.fcEy� .r (n ►� 0.2' /G��V' of V Rc- 1j� j�'�E Sot/Ta✓ /a CPO* 401-9015 IN NGS /NCL 110G'O Jr-/�wxs 5l/RV�Y I 1. This is a boundary survey. 2. Flood zone X-as best asoertained from Flood Insurance L EGE,'W� I HERESY CERTIFY THAT THE ABOVE LAAVS rEAE fW V*D RESPONSIFLE SURERWTSIQN AND DIRECTION. THAI THERE ARE NO „"^-^r- s}►j '�yj ENCROAG'HwArrS EXCEF+T AS SHOW AND THAT THE SURWEY SHORN CONC. MON- ,.HER641W MEETS THE MINIMUM' T CHNICAL 57A4VA)XvI'SET,�ZIRTH or THE FLORIO,e BOARD`ar LAIC 3UXP `YG9S PLSRSUANt'TO SEC`'j�472 Q?i, / �. IRON COR. �IL FLORIDA, STATUTES - ' SSE r WITH GAP -' AAi .SCAN JAMES II, HARRI:IroN. P:".L--S. nao. 26e7 „ W W FENCE TM +ii►iAsrfr wv COR. 30 ' CUT fXtTE J f wt q MO1 A 7L'� C) 12 Q124ct-Ar � 0 , .,fit/ Z'1/- 0 AAP cx LS �- Cid c=c=�9 �� �' c� �d o I�` l V2 pto A5. CEPTS Q .y�b•O � t.{` {0 � A u� ; - -10 UP Ir ClAt- ON c- r A y CEAfT� �RATE MSP` rEpE9 SNS` ��f J � T` nyi CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION — Date: August 09 2005 Job Address: 1515 Richardson Lane Atlantic Beach,Florida Owner's Name: Morgan Jolynn Coulson Address: 1515 Richardson Lane Atlantic Beach,Florida Phone: _904-252-9576 Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: Address: Phone: City: State: Zip: Fax: Type of fence and materials to be used: 6 foot high wood Valuation Of Fence: . b D (Interior L Comer Lot Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? No If yes,please submit with this application. Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: Morgan Jolynn Coulson Mailing Address: 1515 Richardson Lane Atlantic Beach,Florida Phone: 904-252-9576 Fax: E-Mail: Ms1 - ' CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Job Address: 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. 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. 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. 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. PROP TY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF A-Ln1/S 20 4"; �MSHA JONES NOTARY PUBLIC . '" fwlary puw-Skoe of Florida MY COMMISSION EXPIRES: NokwyCam* 20 2008 NOTE: PHRASES UNDERLINED ABOVE. s Commission#DD 311496 P,;,,.�' Bonded By Nofonal Notary Aw CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 6/17/05 Parcel Number . . . . . - - - Property Address . . . 1515 RICHARDSON LN ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . E Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BEACHES HABITAT Contractor . . . . . . BEACHES HABITAT 904 241-1222 Application number 04-00028607 000 000 Description of Work TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . �-.- Buil ng Official VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: Lie r Contractor Name: exQ cf--Y:s Permit#: OH Property Address: J 10 Legal Description; 1--0 T I 10/34e-T OF -FlQ..fe-1 nrS t�6 X31. - 151 �� ► s t-�T Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: ❑ Single-Family Residence ❑ Commercial (� Other: �y f� LJZA Lowest Floor Elevation: Required As Built LV The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works f 1 Public Utilities SIC_ Planning Dept. a 6n -/ -71 Building Dept. Final Survey with FFE ( Yes ❑ No All Re-Inspect Fees Paid LJ'*" Yes ❑ No 4 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028607 Date 8/24/04 Property Address . . . . . . 1515 RICHARDSON LN Tenant nbr, name . . . . . . NEW DUPLEX Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 60000 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 8/24/04 Valuation . . . . 60000 ------------- --------------------------------------------------------------- Other Fees . . . . . . WATER IMPACT FEE 60 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 95 . 00 95 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. OF CIAL � r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028607 Date 8/24/04 Property Address . . . . . . 1515 RICHARDSON LN Tenant nbr, name . . . . . . NEW DUPLEX Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 60000 Owner Contractor -------------------- ---- BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 -------------- -------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc NEW 150AMP, 1PH, 3W, 240V SERVICE Sub Contractor CMA ELECTRICAL CONTRACTORS Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. LD G OFFICIAL FROM., : GRANGER)( PHONE N0. : 9047640038 Jul. 24 2004 11:12AM P4 lJrllVZ?X14 19:44 3U4L411J-94 1jL•Ht1HL-J I1HULiHi ir9uL, uu CITY OF ATLAIN'TIC BEACH, FL+DF<OA, APPLIQ ION VOR XLECTRICU PEWIT ,} TO TM C14W SLS wCAL IN8111C7 R.' DATE: rM ATANT NCMC1; W V.-Y-,4 OF P731C.T GMIN 4-01 lZi:M''4Z W+.•E.R i&D16=11M)i'K WE FiEmy Acag TO PLRFCRm sAiD wpoz TN kcco f}ma win TA ATTAow PloAm AND sps=ck710W2,WMCH An A PART DEEP, om t"l COim-->W�CE Wrt!S'?'M O-LI ILICAl 1ECiUL.�tr�?9,C0D*°RE}hIn I,17 y 0. A�.^ir*A�},�^}�t��S7�:*Z CF.*Jfi�A.�C65. E.4F+\rZR1w 'C4L�►/,1,110, ,'f,�0,1:1�///+S �r ASAJG/�ZLEC RIC++ti:�y IG A y] OTTWNERS:T;�YSA BJJJV�.1I17Y M• � � �f RES.( AFT,( ) CON*4( ) PUBLIC( ) M, VS.( j NEW( ) OLD( ) REW.( ) ADDITION( ) TRAI= ) TEN?,( ) SIUNS( ) 3I4.FI. SER'VIC'E; NEW INCREASE( REPXW (5695UCTOR SIZE AMPS: COPPM AL[j%, , FEES SWITCH OR EISAKER /J-Q AlaS PK 3W VOLT t E AY I EXIST,.sE v,SIZE AMPS PH wVOLT R M AY j FEEDERS NO, Sl= YC� sIZE ` NO, S L10KTIN O TS CONCEALED OPEN TOTAL � I CEPTACLES CONCEALED . OPEN TOTAL 03 s VA SWITCHES INC1yNDESC , FLOURCiSCENT&NIN. -F:;16- _ ._._...� oa iy OVER APInIA 1CF9 SEI.I.TRANSF. ATP c T�.F+. v ...._.�----�..........,�.,...,.•• .L.F,",��:".+�t;r '� t, � CIyIL. W-HEAT COtNI rMCNVO I cow.ma £srt �oni po"-Oims %mps "•F'EA'T' .. �_ i!-I OVER MOTORS H,P,. VOLTAGE PHS NO. I H.P. VOLTAC PHS 71'SC=Ii+..�hJ�ti�nL a ��UXD..,R SOOv. ..wwr OVER 600V r74 J; _vf,. *ior-02. SIZE s�viTC PY.ASt RS CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date: i Address /" �!' S c ty ak t"ZS o ,-) L t-,) F - 9�-1064e'f 0��P�� y Heated Square Footage 0 per sq ft = $ Garage Shed @ $ per sq ft= $ 3 Carport/�orch S2- @$ per sq ft = $ 300 Deck @ $ per sq ft= $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 6-5�1 Total Valuation 1St $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: /2 6- Z + 1/Z Filing Fee $ FLOOD ZONE: _ ( ) Fireplaces @ $35.00 $ Z;-- IMPERVIOUS SURFACE: VZ BUILDING PERMIT FEE $ A _ ?,c- m r___---r WATER IMPACT FEE $ �- �-SEWER IMPACT FEE $ p �J WATER METER/TAP $ CAPITAL IMPROVEMENT$ (� SEWER TAP $ C (1132-) RADON HRS .0050 $ SECTION H PAVING ( ) $ Q CROSS CONNECTION $ 3 ST(/t 32) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 WATER IMPACT FEE WORKSHEET ADDRESS: /p-s- �4 --- DRAINAGE TURES FIXTURE UNITFIXTURE TYPE VALUE AS LOAD FIU TS Automatic clothes washers,commercial 3 Automatic clothes washers,residential 2 Bathroom group consisting of water closet, lavatory, C� Bidet, and bathtub or shower 6 Bathtub(with or without overhead shower or whirlpool attachments) - 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 LIP 0/9 2— Drinking fountai mak �2 © 0 Floor drains 2 Hose bib 1 Z12— 2-1 G Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or / ( 2 /— ( , dishwasher 2 / Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment,domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink(circular or multiple)each set of faucets 2 Water closet,flushometer tank,public or private 4 Water closet,private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= MULTIPLIED X 20 TOTAL$ (P G CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT S. Doerr s s 1 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # O N _2 6-- LOC, d 1n . Property Address: Applicant: e�-ack--�t S +� Project: ��✓" �^�� - This pe it application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: slJ 1` ✓ -' " CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) Date: /r7)01� G Job Address: JC lit=u��t � i�rJE )� `%�c 13��c ,�y r`- Z233 Owner of Property: Address: /47( r,4 ac,r A✓E�r4 r� tics FL 322 33 Telephone: A Iq 4- vF Svc r- Legal Description: Block Number: I s' Lot Number: (j- Zoning District: 1a.� R t=/►�►r Contractor: th el- s I)e, State License Number: Contractor's Address: 14,71 1- ",-e I's Ad< Xca F(- �ZZ3 Telephone: gg?c,Z- 2_-y)- 12 Z z Fax: �PJ`V--2 j- -413 i=, Describe proposed use and work to be done: CS--p 1--, Present use of land orbuilding(s): Valuation of proposed construction: 0 Is approval of Homeowner's Association or other private entity required? Nu If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? VY O. Applicant certifies that no change in site grade or fill material will be used on this project. ES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ O. Applicant certifies that no trees will be removed for this project. [r YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.f.us Page 1 Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: // Date: I hereby certify that I have read and examined this application and know the same to,be true and correct. All provisions of the laws and ordinances governing this type 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 provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: ?c c,,. r ' Mailing Address: T !'c'`.n C;j J A^F �at. !�� � C -�2 23 7 Telephone: _ pV-3311-1--"9 Fax: 3-e'310 E-Mail: AS TO OWNER: Sworn to and subscribed before me this 1Q1 day of_ \Jl�` ,20GN . State of Florida,County of Duval .fi, , Notary's Signatur 1,s1,./ c JENNIFER SCHLUETE _VA R •' .: 4 L/ MY COMMISSION#DD 121301 EXPIRES;May 27,20N P-fersonally known BondsdThruNotary Public undmrher, ❑ Produced identification Type of identification produced AS TO CONTRACTOR: r Sworn to and subscribed before me this day of --' 20 ''� State of Florida,County of Duval JENNIFER 3CHlUETER Notary's Signature. MY COMMISSION#DD 1L�13f11 ' �= EXPIRES.May 27 k... PI Y 2U(16 [ersonally known PW*Und"rrters _-__ ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Revised 1/14/03 r-016 LVi - �310 DEPARTMENT OF PUBLIC WORKS • i rL`1lJ�l 1200 SANDPIPER LANE Jar ATLANTIC BEACH,FLORIDA 32233-4318 ISS. TELEPHONE: (904)247-5834 FAX: (904)247-5843 a. � SUNCOM: 852-5834 i http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application# OH --a cy-) Applicant: Address: l kA (J/-N0pct-SO-Y-) l�� Project: Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. o Your permit application has been reviewed by the Public Utilities Department and the following items need attention: / CST t �J�j_tYL ?'Ats i I i f-�i4cR=' L' toYl ee /ve- i,41(/l' D Sv O/ /i d iePj� t 6.r1 Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Revie by Donna=Kal ' lic Utilities Director i Signature _. Date Contractor Notified Date '7 l DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 _ TELEPHONE:(904)247-5834 FAX:(904)247-5843 �ti�2n SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application #0�j '--) 0 � Applicant: CJ Address: �� .sgn Lin ,� ( Project: I'dEuj �eL- Y— ❑ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904) 247-5834. Reviewed by Rick Carper, P.E., Public Works Director Date Signature Contractor Notified Date DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX:(904)247-5843 SUNCOM:852-5834 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application #_ D y - r)F6 b-7 Applicant: 490 Gots !1 Q b I -�CLt Address: G hal- 50 -1 �1 Project: dual" Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: Spot elevations on site plan do not show lot draining to street as required by 24-66 (a) -- show site regrading plan. Site delta storage / volume calculations required by 24-66 (b) . Ved 179010 Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247-5834. Review by Rick Carper, P.E., Public Works Director Date Sign Lure Contractor Notified Date K j4j Beaches Habitat Habitat for Humanity of the Jacksonville Beaches, Inc. June 22, 2004 Mr. Rick Carper Public Works Director City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 Dear Mr. Carper, Attached is a copy of the site plan for our lots on Richardson Lane. 1. I have identified in red where we will be placing silt fencing to control erosion and sediment. 2. Impervious calculations are as follows: a. Total square footage of lot= 7,532 b. Total impervious square footage= 3,033 i. Slab=2373 ii. Walks and drive= 660 c. Percent impervious=40.3% Please give me a call (904-241-1222) if you require any additional information. Sincerely, Paul Finley Construction Manager P.O. Box 50939 • Jacksonville Beach, Florida 32240 • (904) 241-1222 M A P A PART OF TRACTS A AND "G", BLOCK 15, DONNER S REPLAT, AS RECORDED IN PLAT BOOK 19, PAGES 16 AND 16A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF BEGINNING, COMMENCE AT THE SOUTHWEST CORNER OF LOT 1, FRANCIS COVE, AS RECORDED IN PLAT BOOK 50, PAGES 67 AND 67A OF SAID PUBLIC RECORDS; THENCE NORTH 02'06'19" EAST, ALONG THE WEST LINE OF SAID LOT 1, A DISTANCE OF48.18 FEET TO THE NORTHWEST CORNER THEREOF; THENCE NORTH 02'06'19" EAST, ALONG THE WEST LINE OF LOT 2, FRANCIS COVE REPLAT, AS RECORDED IN PLAT BOOK 52, PAGES 49 AND 49A OF SAID PUBLIC RECORDS, A DISTANCE OF 10.00 FEET; THENCE CONTINUE ALONG SAID WEST LINE OF LOT 2, NORTH 01'40'45" EAST, A DISTANCE OF 28.27 FEET TO THE POINT OF BEGINNING FOR THE LAND HEREIN DESCRIBED; THENCE NORTH 89'36'00" WEST, A DISTANCE OF 92.00 FEET TO THE EAST RIGHT OF WAY LINE OF RICHARDSON LANE (A 10 FOOT ALLEY PER PLAT, A 20 FOOT ROAD BY MONUMENT AND POSSESSION); THENCE NORTH 00'3845" WEST, ALONG SAID EAST RIGHT OF WAY LINE, A DISTANCE OF 81.74 FEET TO AN INTERSECTION WITH THE WESTERLY EXTENSION OF THE SOUTH LINE OF LOT 11 OF SAID FRANCIS COVE REPLAT; THENCE SOUTH 89'36'00" EAST, ALONG THE SOUTH LINE OF SAID LOT 11 AND WESTERLY EXTENSION THEREOF, A DISTANCE SCALE 1" = 20' OF 95.40 FEET TO THE NORTHWEST CORNER OF LOT 3 OF SAID FRANCIS COVE REPLAT; THENCE SOUTH 00'49'19" WEST, ALONG THE WEST LINE OF LOT 3 AND ALONG THE WEST LINE OF SAID LOT 2, FRANCIS COVE, REPLAT, A DISTANCE OF 55.06 FEET; THENCE CONTINUE ALONG THE WEST LINE OF SAID LOT 2, SOUTH 01'40'45" WEST, A DISTANCE OF 26.68 FEET TO THE POINT OF BEGINNING. CONTAINING 7532 SQUARE FEET OR 0.17 ACRES, MORE OR LESS. x 'r? 15' UTILITY EASEMENT a' 7.5' 7.5. p I I FRANCIS COVE REPLAT o I PLAT BOOK 50, PAGES 49 & 49A I , L CA T 11 I m — N 2 S89'36'00"E 9' 50' 10' JEA EASEMENT �38 � .� x 13 v 0 N z METER p I '77.5' BUILDING RESTRICTION LINE r•1 N � :U t J O _ � = 25.2' 47.2' '-Do ,. D z o PROPOSCA 6 I a O mC --4 > O Z PARKING PROPOSED 0 o I m ( FINISHED FLOOR co'� p o N = 13.8y Gj N m 4 000 -04 zoi o C NTAINING 7532 SQUARE FEEc o OF 0.17± ACRES U' o Z 12.1 z 'A T OF THE SOUTH 1/2 OF LO IG ° > '= I w rY zID 12.0 N> -1 . z ti x DJ >x.p 5 A PROPOSED - — — - DUPLEX z z D I io Z y -PROPOS D J O n rrlZ I PARKIN N _. O z p > 24.3' 47.2' j121.2' O) n D� 03 037.5' BUILDING RESTRICTION LINE t�n� o o _ — — -- �, r -)o O �D i n N89'36'00"W 92.00_,_,_ __ '' ■ ■ ■ ■ =jr CITY OF ATLANTIC BEACH BUILDING AND PLANNING t './ri;��f. • 800 SEMINOLE ROAD • ATLANTIC BEACH,FLORIDA 32233-5445 • Telephone: (904)247-5826 • Fax: (904)247-5845 • W W W.COAB.US FAX To: Gds S H 011e )+Xf Fax #: 2-q I -- 11.3 I 0 From: J-jn k1j I '{ ���C. 1 1 u�- Date: I Lp e� Pages: Re: �- �,t� eY'�'1►'7'�� �'> Urgent n—f01 r Review Please Reply Notes: Schlueter, Jennifer From: Kaluzniak, Donna Sent: Thursday, July 15, 2004 9:14 AM To: Schlueter, Jennifer Subject: Permit applications 04-28609, 28610, 28607, 28608 Jenny, Comments for each and all of these permit applications are the following: Approved as Noted: Sewer main will have to be extended by Beaches Habitat to provide sewer service for this duplex. Water taps will need to be paid for. Units will need to be individually metered. Individual sewer cleanouts must be provided at the property line. Reduced Pressure Zone backflow preventers must be provided if irrigation system or private well is installed or on property. Backflow preventers must be tested by a certified tester and a copy of the results sent to Public Utilities. Thanks, Donna Donna Kaluzniak Utility Director 1200 Sandpiper Lane Atlantic Beach, FL 32233 PH: 904-247-5834 FAX. 904-247-5843 dkaluzniak@coab.us i t Beaches Habitat Habitat for Humanity of the Jacksonville Beaches, Inc. June 30, 2004 Mr. Don Ford Building Official City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 Dear Don, The house we demolished at 1525 to make room for the two duplexes we will be building had the following: Hose bibs—2 " Kitchen sink— 1 - Dishwasher— 1 Bathroom sink—2 Toilets—2 Tub/shower— 1 Hot water heater— 1 Laundry sinks—2 Please call me at 904.334.2278 if you have any questions or need additional information. Sincerely, Paul Finley Construction Manager P.O. Box 50939 • Jacksonville Beach, Florida 32240 • (904) 241-1222 r;r�`jrl CITY OF ATLANTIC BEACH CD. F BUILDING / ZONING DEPARTMENT L. Hl ig ns r s 800 Seminole Road J -. z Atlantic Beach,Florida 32233 (904)247-5800 f p31 ;, (904)247-5845 Fax PLAN REVIEW COMMENTS w Permit Application # R(3 to Property Address: / S�.5� �� cc t>+/L �SorJ L.A-,u r_ Applicant: Project: This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: CITY OF ATLANTIC BEACH *� BUILDING AND PLANNING 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 +' FAX:(904)247-5845 http://ci.atlantic-beach.fl.us June 10, 2004 Paul Finley Construction Manager Habitat for Humanity of the Jacksonville Beaches, Inc. 1671 Francis Avenue Atlantic Beach, Florida 32233 Re: Division of property located on Richardson Lane Dear Paul: The division of the subject property into two lots, as depicted on the attached survey dated May 28, 2004, is hereby approved in accordance with the provisions of Section 24- 189 of the City's Land Development Regulations. As such, the two new parcels are recognized, as legal Lots of Record. The approved survey must be recorded as an addendum to any future deed transferring title of each parcel, and any future property owner(s) will be required to submit a copy of this approved survey along with any application for a Building Permit. Please feel free to call me at 247-5817 with any questions. Sincerely, 4.v�h.- t:tDdrerr, AICP Community Development Director Enclosures File Copy -Beaches Habitat Received r Issued S ! T E P L. A N A PART OF TRACTS "A' AND 'G', BLOCK 15, DONNER'S REPLAT AS RECORDED IN PLAT BOOK 19, PAGES 16 AND 16A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A PONT OF BELittINM. COMMENCE AT THE SOUTHWEST CORNER OF LOT 1, FRANCIS COVE AS RECORDED IN PLAT BOOK 50, PAGES 67 AND 67A OF SAID PUBLIC RECORDS; THENCE NORTH 87'19'15' WEST, ALONG A WESTERLY EXTENSION OF THE SOUTH LINE OF SAID LOT 1, A DISTANCE OF 88.19 FEET TO THE EAST RIGHT OF WAY LINE OF RICHARDSON LANE (A 10 FOOT ALLEY PER PLAT, A 20 FOOT ROAD BY MONUMENTATION AND POSSESSION); THENCE NORTH 00'38'45' WEST, ALONG THE EAST RIGHT OF WAY LINE OF RICHARDSON LANE, A DISTANCE OF 164.67 FEET TO AN INTERSECTION WITH THE WESTERLY EXTENSION OF THE SOUTH LINE OF LOT 11, FRANCIS COVE REPLAT AS RECORDED IN PLAT BOOK 52, PAGES 49 AND 49A OF SAID PUBLIC RECORDS; THENCE SOUTH 88'36'00' EAST, ALONG THE SOUTH LINE OF SAID LOT 11 AND WESTERLY EXTENSION THEREOF, A DISTANCE OF 94.50 FEET TO THE NORTHWEST CORNER OF LOT 3, OF SAID FRANCIS COVE REPLAT; THENCE SOUTHERLY, ALONG THE WEST UNE OF SAID LOT 3, AND LOT 2. FRANCIS COVE REPLAT AND SAID LOT 1 OF FRANCIS COVE, THE FOLLOWING THREE COURSES: No. 1— SOUTH 00'49'19' WEST, A DISTANCE OF 55.06 FEET; No. 2— SOUTH.01'40'45' WEST, A DISTANCE OF 54.95 FEET; No- 3— SOUTH 02'O6'19' WEST, A DISTANCE OF 56.16 FEET TO THE POINT OF ANG. EASEMENT TO THE CITY OF ATLANTIC BEACH FOR INGRESS, EGRESS AND UTILITIES I OFFICIAL RECORDS BOOK 9394, PAGE 1069 I 1 7.5' 7.5' L 0 T 11 15' UTILITY EASEMENT i ' l 10' JEA EASEMENT i L O T 4 Lr.._.—_ _.— ..__.r_...— ^_.__._..._.._.-_.._..__ --- i T 1 1 S 89'36tOO" E 94.50' j o 0 + � 0 SCALE 1 = 20' cn -P ta � LOT 3 1 CONTAINING 7532 SQUARE FEET co ' OR 0.17± ACRES -10• ell U) 5 MIN. RETURN Book 11874 Page 2441 ocD 20OV95589 O NI /�j1 aak: 118 4 �'s'iPage: 2441 Filed 8 Recorded 06/16/2004 02:33:38 PM JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $ 5.00 TRUST FUND $ 1.00 REC ADDITIONAL $ 4.00 NOTICE OF COy1NLENCEMENT State of LV 21 Dq Tax Folio No. County of Ai- To Whom It Nlay Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stat in this NOTICE OF ONLN NCENIENT. Legal Description of property being improved: c.r 6 �- �'r�;. �/L ° �{'T �l-`��K /'� Address of property being improved: Lv>� General description of improvements: 1�0,g 113 ' 1-5-5 4 Owner: e cr .Q!� & 4j4 Address: I I 1 i�rn,,i s �y t t 9 IeC 3 2 2 3 r� Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: C tractor: Address: far, �•`C �� �� 3z zF3 Telephone No.: lay.- /Z-2- 2 Fax No: Surety(if any) - -- - -- - - Address: Amount of Bond S Telephone No: Fax No: Name and address of.any person making a loan for the construction of the improvements Cb Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself designated by owner upon whom ne&-m or other documents may be served: Name: Address: Telephone.No: . Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: `J;r✓J», :Jy 1� CITY OF ATLANTIC BEACH ,a'' FLOOD PLAIN DEVELOPMENT INFORMATION DID Location: ( FAR-- a- yz 1.Dr Cs Type of Development: Rus S Flood Zone: Required Lowest Floor Elevation: 3, 9 If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: Date: —6A Ale- Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 Map Output JAXGIS Property Information a 140 1 174 § 194 110 e, 70 — 120 8 134 �. 7v ".5a i�lelA* 64 68 20*7 ff 52,5 �` 1635 1634 1It 121 151 1625 1020 91 I.�e ice-Cc _U.'! 35Zet 44 1615 1610 x GtA LA i sso $ � ISO —Rooms jW-00 I $ "� 7- 1540 S Axa 1520 /S Z i1O2a +yp EM® l i s 7 2 44 0 1� 1534 Isla 1 112.]9 65 -• its 15j7 1524 iA lag 165 1542 1 (4 57.2'5 24. 8-15 866 855 "5 835 825 al5 SOS 795 �.GS 9tt.#+"S. _ __8985 �.US 8d65 8tk.6Ci 8Rat5 sd.65 1�1iY:85 so.ft eOAS 8CAS WAS $9 rr5 a" 850 "0 834 a" 8100 Copyris 7I � ksonvilk–�l hi C 2l���Y of Jmc load andU$e oning NT at aP egai DescrlPtions one Total cres ook anal E# eme ddress Value .4 17-2S- of in 9E .437 lood 1525 56A1 ONNERS SO ARRISON RICHARDSON l 7254 .43000000715 T LOT 15 RECD OR 7532- one 172144 000 OHN 2233 27 EX PT 7/2/2004 ,_.._.,i., rw Oni_net/WEBSITE/DuvalMAps/toolbar.asp f t J CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 y r INSPECTION PHONE LINE 247-5826 'M JAir Application Number . . . . . 04-00028607 Date 3/08/05 Property Address . . . . . . 1515 RICHARDSON LN Tenant nbr, name . . . . . . NEW DUPLEX Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 60000 Owner Contractor -- - --------------------- ------------ ------ ------ BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc NEW HVAC Sub Contractor HUXHAM HEATING & AIR Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---- ------------- ---------- ---------- -------- -- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ;y BUILDING OFFICIAL } lit .A`1 f�fl CITY OF ATLANTIC BEACH r ....,. MECHANICAL PERMIT APPLICATION Date: Property Address: /s /5 AW Lr_W4�6nJ Owner: 1' fL<-_5 G 7�i� Telephone #: Contractor:- -`�� ,/Z C Telephone #: �Cp U17o21 Contractor Address: ZD 2g sjIL �cy ',- Fax #: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building Z-"Electric or site,fist the building permit nurnbc;r: ❑ Gas: LP Natural Central Utility ++�� El oil — — — ❑ Other–S ecif MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Qa" Heat —Space _Recessed i-Central Floor oor W' Residential BI Air Conditioning: _Room .111C-entral aa-' Duct System: Material ,fie Thickness ❑ Commercial Maximum capacity ��Q cfrn C1 Refrigeration Iii New Building ❑ Cooling Tower: Capacity gpin ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) Cl Tanks (Number) New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other–Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency cso w - BEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency '141-11"I eL- D TANKS Nominal Capacity Type Liquid Serial Approving I low Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road-Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- htti)://www.ei.atlantic-beacii.fl.us A CITY OF ATLANTIC BEACH J � 800 SEMINOLE ROAD ti ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029238 Date 11/03/04 Property Address . . . . . . 1515 RICHARDSON LN Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --------- --- ------------ ------------------------ BEACHES HABITAT ADVANTAGE PLUMBING GREG GAUSE INC ATLANTIC BEACH FL 32233 P.O. BOX 49225 JAX BEACH FL 32240 ------------- --------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 . 00 i } PERMrr IS APPROVED ONLY IN ACCORDANCE WITH ALL CTTY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0414. C e BUILDING OihCIAL Aif�l" CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: 11/ '7/s�i Property Address: Owner: 6 iT.y r Telephone#: Zy+l- /Zz Contractor: l/%✓V!�/�T1JC� N�li�i.Bl Telephone #: a411. <?e4lS Contractor Address: l�3� ,,, 1 Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which area part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, a New list the building permit number: ❑ Re-Pipe Number of Fixtures: _ Bath Tubs Showers _ Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 - �� Qd 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Revised 1/04