Permit Shed 831 Bonita Rd 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001394 Date 10/02/12
Property Address . . . . . . 831 BONITA RD
Application type description SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SHED 10 X 12
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Owner Contractor
------------------------ ------------------------
CUNNINGHAM, WINSTON OWNER
ATLANTIC BEACH FL 32233
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Permit . . . . . . ACCESSORY STRUCTURE NEW RES
Additional desc . . SHED
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/31/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
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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
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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 54 . 00 54 . 00 . 00 . 00
Grand Total 109 . 00 109 . 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
4 F1 A-) -13q
Job Address: -&t L-_U_-PI, (Z" - & t AQIaZL I vv?? Permit Number:
Legal Description 0o Floor Area of Sq.Ft. Parcel Sq.11t
Valuation of Work$ —Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (9;� Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: 5 L-5 %a� JS (61111_�
A Z_Awt-t Mog,_- + 5o 620 XA?-5, Id X
Property Owner Information:
Name: -01 N 5To ri C_LtVxV',,-C 1, 0, Lxv-,- Address: S-�3 t 6 0 7Q 1'_-1 4�k (2-Ock-6�
City Aitia.L-tt L-r- 9-e CICI Statef:LZip 77—S 5�
2 -Z Phone Q�Q se- S-_5 4 -
E-Mail or Fax#(Optional
Contractor Information: 2.
Company Name: Qualifying Agent:
Address: city -State Zip
Office Phone Jot Fax#
State Certification/Registration#_
Architect Name&Phone 4 FOR COD _1ANUE
Engineer's Name& Phone 4 eYff OF ATrAN 17U BEACH rn r finnu
Fee Simple Title Holder Narne and Address SEE PEM I I-S F0 DITIONAL I ILL UUr_ I
REOUfR MENR
Bonding Company Name and Address E -_ A, ft1NU UUNDMONS. 9,N 9 Q 1 15-1_�S,1
Mortgage Lender Name and Address REVIRWFir)riv- IP 1k DATE: 9---
417plication is hereby made to obtain a I rp wnrr n-nU=InSa 5 1 llation has commencedprior to the
issuance ofapermit and that all work will beperformed to meet the standards of all laws regulating const ctio urisdiction. This permit becomes mill
and void if work is not commenced within six(6)months, or if construction or work is suspended or aban nedfor a period ofsix(6)months at aity time qfter
work is commenced I understand that separate permits must be securedfor Electricar Work, Plumb- Sikns, Wells, Pools, Ftirnaces, Boilers,Heaters,
Tanks and Air ConMonery,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herelb certify that I have read and examined thisiap U dknow the same to be true and correct. All provisions of laws and ordinances governing this
cf
ication an
0 work will be complied with whether e herein or not. The granting of a permit does not presume to give authority to violate or canc�l the
provisions ofany otherfederal,state, or localsfalw regulating construction or the peFformance of construction.
Signature of Owner-11 I'A A 40 1A fl P~-�
4'" Signature of Contractor
A O-L I W_ _
PrintName Print Name
............................ ......
................................................. ........ ........ ..............5............................. .........................................................................................................................................
Sw scrib lore e Sworn to and subscribed before me
thiMs,f I Fl—_ 20 12, this Day of
Nota.771��c
SHIRLEY L.AQ11MY PU liC
MY COMM
ISSION 9 DO 9.57760
EXPIRES:February 14,2014 Revised 0 1.26.10
V. Bonded Thru Notary Public Underwriters
-7
CITY OF ATLANTIC BEACH
7 .17 FILE C 0 P Y
OWNER / BUILDER AFFIDAVI
1. 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 S25,000.00 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.
_j
11. 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(l). 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.
? Ilzip
)4 U13eC4�_32t3T
ADDR SS PHONE NUMBER
PRINT NAME
'4�)i4�- &4 tij�
SIGNATURE DATE
Before methil:�,_% d.yf �1-7
�7- 20-911,the cou of
Duval,State of Florida,kas personally 4peared herin by himself herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of County of
0 P ona I ly Known
roduced Identi, onj2
r't'
Notary Signature: SHIRIEY L.GRAHAM
P�y
F/BLDGO�er-BuilderAffadavit�REVISED: 4/1612009 COMMISSION#DD 9157760
........ EXPIRI-S'February 14,2014
. ..........
MAP SHOWING BOUNDARY SURVEY OF
IN T ONE, AS RECORDED IN PLAT BOOK 30, PAGES 60 AND 60A.
FtffaWRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
Planning and Zoninglibel3i
This approval verifies compliance with applicable CERTIFIED TO:
local land y
subdivision and other
zoning, -IARDY JOSEPH MCDANIEL
development regulations, but does not constitute 'k
approval for the issuance of permits. compiiC"NTRYWIDE HOME LOANS, INC. FILE CO
with Florida Building Code and all other appSTOW\RT TITLE GUARANTY COMPANY� 17 wwo
local State and Federal permitting requirementp CHARD T. MOREHEAD, P. A
must'be verified by signature of the City of Atlantic
Beach Building official prior to the issuance of a
Building Permit. Ac -�) LOT 3
Approved By: IL U11VWW1 BLOCK 3
LDate:
ao.65- (PLAT)
S 85'20'02" E
S 85'09'28" E 80.54! (MEASURED)
FOUND 1/2- IRON PIPE
0.2' NO IDENTIFICATION
FOUND 1/2' IRON PIPE X
NO IDENTIFICATION 0.0,
x
0 0.5' 10' DRAINAGE, UTILITY AND SEWER FkqPMF.NT
0.2'
24.7 LOT 13
7t BLOCK 3
LOT 11 LOT 12
BLOCK 3 BLOCK 3
0! 1"1
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co Z<
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Z 24.5'
—x
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25'OULDING RES TION LINE --I
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No
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ID T.FICAT'0
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a 0'
0.2-
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25'IULDING RE
FOUND 1/2" REBAR
0 2' off NO IDENTIFICATION
FOUND 1/2 REBAR < D D'
NO IDENTIFICATION j 20,7 ag-
J.
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20Zj6-all-AT)
N 85'111'370 W 80.75� (MEASURED) EA
N 85'20'02" W 80.65- (PLAT) CENTERLINE INTERSECTION
FOUND NAIL &DISC
NO IDENTIFICATION
BONITA ROAD
(60.0- RIGHT OF WAY)
NOTES; ACCEP D BY;
LEGEND:
R = RADIUS FENCE TED Sr.
L - LENGTH CONCRETE E9917
REVISIONS
NOTES: PLAT S 04*39'58" W
J. BEARINGS ARE BASED ON THE BEARING OF ALONG THE Esa
IPTION
E)ks-VERLy SOUNDARY LINE OF SUB.IECT PARCEL. &ATE _]fDESCRIPTION
mit V TWr 171APTIONED LANDS LIE MTHIN FLOOD ZONE ----x — AS SHOWN ON THE
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ILE
City of Atlantic Beach - APPLICATION NUMBER
Building Department kzW3 (To be assigned by the Building Department.)
800 Seminole Road Sep 2 12 -1-39Z
-5445
Atlantic Beach, Florida 32233
Phone(904) 247-5826 - Fax(904)W-5845
E-mail: building-dept(gcoab-us Date routed:
-site: http://vw,/W.coab.us
City web
APPLICATION REVIEW AND TRACKING FORM
(7 -� 'd , - I D tment review required Yes No
Property Address:
Applicant: lanning &Zonin
Aministrator
Project: goww___�)
ubLic Utilitiei
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Revile 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: 10�proved. DIDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 07127110
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road "2
Atlantic Beach, Florida 32233-5445--
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept(gcoab.us Dale routed:
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
(7 -) � / Department review required Yes No
Property Address:
Planning&ZoqLina_�
Applicant:
Tree Administrator
Project: P_U_�11 C_A-_0_r
._�PA-kiLic Utilitie;�5
Public Safety
Fire Services
Review fee Dept Signaturd�2�_
Other Agency Review or Permit Required Revie 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:
BUILDING
PLANNING &ZONING Reviewed by: Date.-
TREE ADMIN. Second Review: nApproved as revised. DDenied.
Comments:
rr
LIC I
Reviewed by: Date:
PUB I6SZA_?FETY1Z
FIRE SERVICES Third Review: nApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 07127110
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 )2 - 1--3911
Phone(904) 247-5826 - Fax(904)247-5845 routed:
E-mail: building-dept@?coab.us L_�ate
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
e-7
Depactment review required Yes No
Property Address:
Applicant: Planning&Zon
-!7r-e-e—Administrator
Project: 7P_UTI I C_
�P__ublic Utilities
l5_ubhc_Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Revie or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
-S. t.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other: I
APPLICATION STATUS
Reviewing Department First Review: E44pproved. ElDenied.
(Circle one.) Comments:
BUILDING
(1��LANNIN__
N�ING&ZONING Reviewed by. Date.-
TREE ADMIN. Second Review: DApproved as revised. F]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. [—]Denied.
Comments:
Reviewed by: Date:
Revised 07127110
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845 routed: 911'_�
E-mail: building-dept@?coab.us Date �!z lb-e
City web-site'. http-://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
(I � D w required Yes,, No
Property Address: 0J Z _Apadment revie
Applicant: Planning&Zon�i�
-T"r-e—eAdministrator
Project: 6-N i b /4
Tu_Uic Utilitie___
S -)
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: Eg/Approved. E]Denied.
(Circle one.) Comments: �-eV �0 ��� W
±�L�DW6
PLANNING&ZONING Reviewed by: J177 Date.- 9'-0)6 tZ__
V
41
TREE ADMIN. Second Review: FlApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 07127110