725 Redfin Dr 2013 shed C,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002207 Date 3/12/13
Property Address . . . . . . 725 REDFIN DR
Application type description SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
----------------------------------------------------------------------------
Application desc
10 x 12 shed
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
HEALEY, KRISTINA MARIE OWNER
725 REDFIN DRIVE
ATLANTIC BEACH FL 32233
-------------------------------------------- -------------------------------
Permit . . . . . . ACCESSORY STRUCTURE NEW RES
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 2000
Expiration Date . . 9/08/13
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Special Notes and Comments
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 at least 5 ft . from easement . There is a sewer main
in the easement near the north property line .
Shed cannot be placed in utility easement . Location shown
is satisfactory.
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
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 29 . 00 29 . 00 . 00 . 00
Grand Total 119 . 00 119 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV 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: Permit Number:
Legal Description Floor Area of SS q.F t. Parcel 9 Sq.1A
Valuation of Work$ I(Y)o-q_0 Proposed Work heated/cooled non-heated/cooled kc
ew
Class of Work(circle one): (9 Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (�ircle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle.one): Yes No N/A
Florida Product Approval 9
For multiple products use product approvarro—rm—
Describe in detail the type of work to be performed: IDT-�(��A N 1[�!,IN N r\ Ck A.�&A.\CX Shrm�.
JO X 7-
Property Owner Information:
Name: �\ecLke_v- —Address:
city AA. \Cn �2 -- iP2,aa� Phone
-%,-, StateVL.Z . -3 55 so- 9*ks,r, `N71 S
E-Mail or Fax#(Optionall__YNP��� _Ck t'e--N
Contractor Information:
CompanyName: Naffing Agent:
Address:qa3.in R'SencK Skk,�A _ci State I-L,
ax
Office Phone 9 yj- 3h kc Job Site/
State Certification/Registr ion PIE compt
Architect Name&PhonZi I CM OF ATLANTIC-BRACH
Engineer's Name&Phone# SgEipEIZ�E
s�ADDITIONAL i t ZONZ I
Fee Simple Title Holder Name and Address RE AND CONDMONS.
Bonding Company Name and Address -!.All A r2
.A- 9-.0
BY: DATE:ao'-
Mortgage Lender Name and Address REVIEWED
Application is hereby made to obtain a permit to do the work and installations as indicated [I certify that no work or installation has c6MWtM)Wto-r1to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of sixp�)months at any time after
work is commenced I understand that separate permits must be securedfor Electricai Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o7work will be coTplied with whether ecifLed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or localsf1w regulating construction or the peifi�rmance of construction.
Signature of Owner X NbA:�� Signature of Contractor
,ntraclor
........ .........;
Print Name Y ....................................... Print Name .................................... ...................................................................................................
Beforc�nAp Before me
this ;;� k47V of 20 /3 this Day of 20
Notary Public
Notary SHIRLU L GRAHAM
MY COMMISSION#DD 957760
EXF Revised 10.24.12
Xa 1IRES:February 14,2014
Wonded Thrt,Notary Public Udderwiters
CITY OF ATLANTIC BEACH
[F I
4 FILE COPY'
OWNER / BUILDER AFFIDAVI
Ilk
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 $25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
THIN
IF YOU SELL jR LEASE A BUILDING YOU HAVE BUILT YOURSELF WI 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.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED-
Ill. 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(l). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
ADDRESS PHONE NUMBER
��r�)C,A (A
PPINT NAME
DATE
S�111A�RE
Before me this 2- 1 day of L�,6 2a/,5in the county of
Duval,State of Florida,has personally appeared herin by himself herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of County of VA
0 Pej;sdnally Known
IVAdured Identificat
SHIRL L GRAH
Notary Signatu royCOMMIS OW09,57760
EXPIRES:Fe ruary14 2014
londed Thre Notary public ljn�
F/131.DG/OBuild�Affadavit�REVISED: 4/16/2009 ------ erwriters
ffAP SHOXINC BOUND,4RY SURVEY OF
LOT 4, BLOCK 8, ROYAL PALMS UNIT TWO AS RECORDED IN PLAT BOOK 30, PAGES 94 & 94A.
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
KRISTINA M. HEALEY
FIRST PLACE BANK
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
RICHARD T. MOREHEAD TITLE & ESCROW, INC.
LOT 18 LOT 19 LOT 20
BLOCK 8 BLOCK 8 BLOCK 8
S W54110 E 80.18' (MEASURED)
WANHME AT
FOUND 1/2-REBA$ S 85*37'27' E 80.65' (PLAT) PROPERTY
NO IDENTIFICATION Q1' 0.2',, CORN
- ' - - - 9 x -- 9 x
114�
FOUND 1/2-IRON PIPE
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I WIVVepaftment 85*37'27" W 80.65' (PLAT) NO IDENTFICA-DON
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compliance with applic '06'50" W 80.89' (MEAS
-fies other local 18
,I ven . and not r
-This approjo d',\j-jsjon 'Onstitute
sub but does
Z.OnIng, nt regulations' Compljance
developme the 1�sua givION cable
apP10"al'or 'Iding r0j Irp"Irw Nglrlents
,,ith Florida"' IIAM ptlantic
loc l State and Feder i the C,Y THE IMAGE HEREON IS SHOWN FOR CONVENIENCE
a Signature 0 . uance Of a AND SHOULD NOT GE RELIED UPON FOR
rnus�be verified by iciat prior to the iss INFORMATION ASSOCIATED NTH THIS SURVEY
Beach off
Building pernlit.
,,,pproved T
Date, Vol
NOT-- I ACICEP.w
10/16/2006 03:43 9049643330 HANDI HOUSES PAGE 01/01
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LOAD Of 4723 1... W-V Iz-or r-r a 2 2 2 2
3. HE;UCAL ANCHORS FOR I 60�p�%VIND ZON15 MUST MEO'A MINIMUM V/QPTJNC,LOAD Of BA84 MCI` 1.4r r . 6 3 3 3 3
r.:,.AND AN ULT MATE LOAD OF 5200 lbo. &-r Wr rr a 3 3 3 3
I rt-
AWACIF-S MUST BE INSTALLED To MANUfACTURER5 RECOMMENDATIONS.ANY DINVINIS OR ilrr W-11 r�r 4 1 2 Q 2 2
DAMAGE CAUSED UPON IN5TALLAT ON WILL VOID ANCHOR AND MU5--T Of D155CARDEC). ir-Ir 174 'o, A I a 2
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CON04TION9.CONTRACTOR I-!IESFONSIM FOR MEETING 501L CLA55JFICATION FOR 517ING tw_w 161-W 71,01 a 3 3 a a
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7. ANY REGUIRIO IN TERMECRATF ANOICIR5 5MALL N�LACED COVAL UK!3TA%Cf!-S APART FROM EACH 1174, WQ1 -,-r 111 9 a a 6
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01PUDING CODE 2010 17-v "Cr. 6166 14 _t__L_1__L. (-)
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PIROJECT NUMBER; 4".M6-700 AW,1164-C14-1100
DAM Ma-mb 27nd.2012
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
A 1.5
Atlantic Beach, Florida 322V-5445 t#
-5949 3
Phone(904)247-5826 - Fog�074)247-5949 10413
Date routed: 212113
1 OR19 E-mail: building-dept@coab-u,9__.-,. 4
City web-site: http://www.coab.us
APPLICATION REVIEW A TRACKING FORM
Property Address: 2— CJ )-7._71 br Department review req' uired Yes No
uildin
Applicant: 1� /7 la n n i�ng &2
?��N —
'Fr—ee Adm—inistrator
-Z
Project: A0 x r'-'7 <E�bflc tili6els:>
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: Q�pproved. []Denied. I
(Circle one.) Comments, L
BUILDING gA � ev�r
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: [:]Approved as revised. F-]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F�Approved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
221013 1.5 - 42-6)
I Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-,5845
Date routed:
E-mail: building-dept@coab.us
City web-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
De
Property Address: _partment review required Yes No
uildin
Applicant: .,rfa-nning &Z�t5
Tr—ee Admin—istrator
I- _�>
',7 _k2Z#La_�&Qrk
Project: <f!Eblic i els
--Utilit7
Public Safety
Fire Services
Review fee $ Dept Signature
V L
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: �IApproved. DDenied.
(Circle one.) Comments:
BUILDING sc'-_
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: [-]Approved as revised. [-]Denied.
P Comments:
PUBLIC: UTILITIE
ft—13
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. DDenied.
Comments:
Reviewed by., Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 2,(j
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 2 L2VZ3
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -jr,CJ ;6. Department review required Y No
Z) uildin
Applicant: A)p te .4,�a—n�ing &Z–o–ninS
'rr—ee Admi—nistrator
Project: A 0 X r2— =or �>
4E!al�ictilities�
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
LDivision of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: HApproved. FIDenied.
(Circle one.) Comments:
=BUILDINO
PLANNING &ZONING Reviewed by: Date:-,2-22-13
TREE ADMIN. Second Review: F]Approved as revised. nDeniedC/
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
V 800 Seminole Road - 72
0
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
72 ftea m
D rt ent review required Yes No
Property Address uildin
ni
Applicant: 1) tz- anning &Zo
I I to
ree Administrator
Project: -��fljb X 1-,-7 !!�HCLBD_lik�
�bric tilitiesl,
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: OApproved. ElDenied.
(Circle one.) Comments:
BUILDING
Reviewed by: Date:
TREE ADMIN. Second Review: nApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by'. Date:
FIRE SERVICES Third Review: [–]Approved as revised. []Denied.
Comments:
Reviewed by., Date:—
Revised 07/27110