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370 6th St (vault) II CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD .J } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001837 Date 11/03/09 Property Address . . . . . . 370 6TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7000 ----------------------------------------------- Application desc reroof fl 183 ------------------------------------------------ Owner Contractor - ------------------------ ----------------------- KNIERIEMEN, DANIEL ROMANO ROOFING SERVICES 370 6TH STREET P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (9 04) 246-5649 ---------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . Permit Fee 85 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 7000 Expiration Date . . 5/02/10 ---------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 sy cf 09-- CITY 9-CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: 10fa? 'O o Job Address: 3 70 Owner of Property: Address: ( 'r# ��� A;!� .��Telephon Roof Contractor: �6thA A�r� h®� a6 nK- State License Number: Contractor's Address: Telephone(2b 1�1 wr , - JFax: Email: Scope of Work: - �� !^G-I"vltr% Roofing Material-,1`=3 ��ei FL Product Approval# �.� ,��� Valuation of Work: 44g Required Inspections: Sheathing/in Progress-Dry In /Final If re-roof: Assessed Value of Structure:_<$300,000/>$300,000;Roof-to-wall improvements required? (Applies to single family structures only) 'WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INS CTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY 8 E RECOR NG YOUR NOTICE OF COMMENCEMENT" K51s-170 Z41 Y" y SIGNATURE OF OWNER: Date: 7 AS TO OWNER: Sworn to and subscribed before me this day ofCSV �. /'� •20 0 . State of Fl4oida,Coun,tyofD�� L iota Signature: *O,$We sf[ ❑ Per nal nownro uce identification Type of identification produced SIGNATUDate: 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 Telephone: (904)247-5800•Fax:(904)247-5845 F:\roof permit applicaton.docx 7/28/09 !- l Ail- \ S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000710 Date 5/22/09 Property Address . . . . . . 370 6TH ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 15000 ------------------------ ------------------------- Application desc replacing and siding ---------------------- ------------------------------- Owner Contractor - ------------------------ ----------------------- KNIERIEMEN, DANIEL OWNER 370 6TH STREET ATLANTIC BEACH FL 32233 ----------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc - . Permit Fee . . . 105 . 00 Plan Check Fee 52 . 50 Issue Date . . . . Valuation . . . . 15000 Expiration Date . . 11/18/09 ------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS -------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total 52 . 50 52 . 50 . 00 . 00 Grand Total 157 . 50 157 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09, I I I /Wfi 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 a FAX NO.:(904)247-5845 \� BUILDING-DEPTQCOAB.US all Ij'}' _ BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS. Z.VALUATION OF WORK3.SQ:Fr.UNDER ROOF a 00 v 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 9,DESCRIPTION OF WORK: 1-3ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑WA V& ❑MOVE ❑OTHER 13 NO PROPERTY OWNER: CONTRAC OR: ARCHITECT I ENGINEER:'- 9.NAME: 15.COMPANY NAME: 23,COMPANY NAME: i 16.NAME: 24.LICENSEE NAME: �,�ry I�=L. KjU 1 C1R.l GYr)c 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 1-7c I�-�'� 'S' 26.ADDRESS: 18.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHON : 21.CELL PHONE: 29.CELL PHONE: O ��3 _7 14.EMAIL AD RESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLEHOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN,OMER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all worts will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR OTICE OB SITE FBEFORE THE COMMENCEMENT MUST BE RECORDED AND POSTED ON THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. , WNER'or AGENT CONTRACTOR �.. (If Agent r of Attorney or Agency Letter Required) (Qualifier Only) I Pow Signed Date: S C� Signed: Date: Before me this day of f 2009 in the county of Before me this day of 2009 in the county of has f Florida,Duval,State opersonally appeared Duval,State of ride,has personally app aced L herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are LAj true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large to of�_,Coun of� ..... Personally Kn ❑Personally Known LAW duced Idents ❑Produced Identification- Notary Sign L, H M Notary Signature: ..,k tau uuu " o Feb 14,2010 ,'-My Co fission Ex r p 518533 REVIEWED FOR CODE COMPLIANCE _•. a * : Co mission -- l Notary Assn CITY OF A 01 � Bonded By Nations ATLANTIC BEACH BLDG01 Per-mi ._ VIS D:12/1';f20u8 SFE PERMITS FOR ADDITIONAL.- REQUIREMENTS AND CONDITIONS. REVIEWED BY.- n1 CL, DATE: 512 D CITY OF ATLANTIC BEACH J` OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25.000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE.WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. 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 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. 7 0 6 nt 57 �-� g.7 ADDRESS PHONE NUMBER D/9 tr l X1'!1 ZPRINT N E L-L.41 SIG E DATE Before me this day of 20A in the county of Duval,State of Florida,has personal ared henn by himself/herself and affirms that all statements and declarations are tru�d accurate. C l Notary Public at Large,State of L ,County of ❑Pe Wally Known �L roduced(dentificatio SHIRLEY L. GRAHAM Notary Public-State of Florida _My Commission Expires Feb 14,2010 ommission#DD 518533 9 Bonded By National Notary Assn. r:(bs✓uG/(iwnier-nuiiri�r. r'�ao2vii;ii:viSi=i%: 4/ioi uu9 Cn P W N ~ to {y W N ~ CD .� ft fD ID Coa � oy �vCD z �. CD CD a o oa CD o rA rZ CD 0oas d �'; o+ cr ° o rn' oa o 0 o a .r o 0 o a a� cD m y c• C'o ° • o v, W � zt Ci CD . n O t1. a O— o � C � n a' CD ITJ ' o tz n `C3 0 o CL 0 CDyy �' 5' co- o in, � o o It rn o CD by CD a r CD �_ { CD cD 43 0 ro C C Q. n UW ICD, R� N ~ Z LZ N N CD `° p- Z ° CD 0 CD r � CD CD 0 �c n ,ti y ar CD CD CD M OD O CD = ° O o' CD C cr rin o lJ o p. ° CDo � CD UQ ° �1 CDS c CL CD oCD �� o rt C2 �s 0 D0. O CD � „5 ( CD 0 rr CD `w C tet O �. O ao43 e c ° cr C) o : o. CD P ° C d ZCD y �- O uq �, °- CDcam D � g C- CD CD � c ¢ b CD 45 F 3 CDC) rA $= � CCD o o CD CD CO CD Q. croCD c�. CD � W' CD R 0 O O K aro � CD ro o � � c CDCD n WCD CD Ln o 0- 0 Z cr c. ° z� la I lag mffl 11 r 47 3 r' �i f 'N�nnaa n J a I O W I I I I —cO v I L o0 0 (" ) O p r Q � y o/p Ma .� A m 1pQ� y x rn r r N v D N n rn o� him CISQ o a ; p� pot stg C 'I� �dw '••�4p�'y�, to �m v � � � °� w �Fi m n R w �.• 'NNI/N/NN � a Jig PI 5 ;E y n 0j, S { 40 O r Z p tz11...11 .41 'T N o :,:;:.�•.• .. �`Nrp� Co v i i �trj City of Atlantic Beach APPLICATION NUMBER lJs Building Department (To be assigned by the Building Department.) 800 Seminole Road n!D �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845, Will E-mail: building-dept@coab.us Date routed: Z 2 City web-site: http://viww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: SaarQ - opadMent review required Ye No "Building,) P Applicant: nning &Zoning Tree Administrator Project: //✓.?JQ W Public Works Public Utilities Public Safety Fire Services RWew fee $ Dept igria#ure Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: APPLI ION STATUS Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: B1,fILDING PLANNING &ZONING Reviewed by: Date: .S' TREE ADMIN. Second Review: QApproved as revised. ❑De ed. 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 r 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 . -,,;:... INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027219 Date 11/10/03 Property Address . . . . . . 370 6TH ST Tenant nbr, name . . . . . . REPL DECK Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300 Owner Contractor ------------------------ -- --- ------- ------------ KNIERIEMEN, DANIEL OWNER 370 6TH STREET ATLANTIC BEACH FL 32233 ------------------------------------------------ ----------- ------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . 53 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 300 ------------------------------------------------------------------------- Special Notes and Comments NOTE : SEC. 1015 . 3 OPENINGS IN GUARDRAILS . SEC. 1608 .2 . 2 . 1 . . .DESIGN FOR 200 LB LOAD. Fee summary Charged Paid Credited Due ------------ ----- ---------- ---------- --------- - ---------- Permit Fee Total 53 . 00 53 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 53 . 00 53 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH �s BUILDING /ZONING DEPARTMENT iggins 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 * (904)247-5800 19 (904)247-5845 Fax PLAN REVIEW COMMENTS D Permit Application # Q-E� - Z"7;-l 9 Property Address: 3"70 61-4 5`T• Applicant: `,(J [ EF, [E H E LL, DA&I I Project: —R-:F-9L 1�)IZcIL This permit application has been: Approved r7 Reviewed and the following items need attention: IJ D 51 c - OLf. 3 0 i s i w Al qljIM2cs SFEt 2.2• ♦ ♦ ♦ N isC 00 / Please re-submit your application Qwhen these items have been completed. Reviewed By:_LQ - - -•-./ — - Date: /' /�7 3 I �i!..'•L�Jr r� CITY OF ATLANTIC BEACH T f PERMIT CALCULATION SHEET } s� Date: I 1 • 7 . 0 3 Address 370 G �-� si - lee OZOkC FKaAJt Pe—cK Heated Square Footage @ $ per sq ft = $ Garage/ Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck y @ $ /0 per sq ft= $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ d Total Valuation 1St $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + %2 Filing Fee $ /P FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ _ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ f 3.4 0 1/13/03 �. CITY OF ATLANTIC BEACH r T BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Date: S 0 ,3 Job Address: Owner of Property: Address: 3 '70 fZ 71 Telephone: Legal Description: Block Number: Lot Number: 3 Zoning District: Contractor: 5 el__l State License Number: Contractor's Address: Telephone: n , Fax: Describe proposed use and work to be done: Present use of land or building(s): Valuation of proposed construction: What are the dimensions of the added space: feet x 16 feet Will the added area be heated and cooled? IVC.! New electrical or increase in service? Add plumbing fixtures? y Add fireplace? /UCS Add heating/air conditioning? A)d Is approval of Homeowner's Association or other private entity required? /( (o i 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? � O. Applicant certifies that no change in site grade or fill material will be used on this project. ] YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. CYNO. Applicant certifies that no trees will be removed for this project. ES. 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.atlantic-beach.fl.us Page 1 Revised 1/14/03 r �f CITY OF ATLANTIC BEACH 31,E OWNER./BUILDER AFFIDAVIT Date: 5- o<-- O Job Address: 3 ? �6 / /4 5r- 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-IJUILDER PERMIT. tip"f JENNIFER SCHW;;R MY COMMISSION#DD 121301 :a EXPIRES:May 27,2006 p ERTY UILDER dF °F' Battled firu Notary Public Underwriters SWORN TO AND SUBSCRIBED BEFORE ME THIS iDAY OF �r( 20' AAA N PUBLIC C MMISSION XPIRES: NOTE: PHRASES UNDERLINED ABOVE. 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. 1. 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 informa' rovided with t tion is courect. Signature of owner: Date: fie/ C1`5 I hereby certify that I have L/a_ndleex2E�mi/ne�dspplication and know thesame 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: 0 y-JY- V, Y7 Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this _f)�VN day of ( \J' ,200 State of Florida,County of Duval JENNIFER SCHLUETER Notary's Signature` ° MY COMMISSION#DD 121301 EXPIRES:May 27,2006 ❑ Personally known . .ff..`. Bonded Thru Notary Pudic Underwriters S�_Troduced identification Type of identification produced �+ ��/ 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 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 MAP SHOWING SURVEY OF THE WMT 4 FRET OF IAT 29, AND THE EAST 25 FEET OF LOT 31, BLOCK 7, PLAT NO. I SUBDIVISION "A" ATLANTIC BEACH, ASIECORDED IN PLAT BOOK 5, PAGE; 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA* 4y ,6 700 TU eASr COAST t J ' i ks B._7 r z i.-I acTea,vao o \ I N 1Z " Q a " o o f 5 To.e Y q � '� RE io E.vCE n o 370 0 DI J O 3V r �9M � �co,vc.cA•vol,,C, ..�� � i3x-- \ x i v i � ' y p . z LL W � IS x 2S � ^' z�' 4S .► _ f"rI1J. ;z i!i'o NJ .0 7l�C� 0.2' s-ND. /?I /RG.•! -- o • _r- 'nnfii J Z J,, i V7Y E P P� J w% _ 1 ?..d.. _._--. 1 ------------- t � �y f 7 y t f$R-3844 I ERAR'lYMENT .F BUILD l#0 CITY Qf ATLANTIC, t' FErm t ' tM1C ► � _ �. Address LCC7PI43 II + TI�tN �- Perm lumb r- 1, 306 ,Address. 370 SIXTH STREET PBmit Type SCRtEH ENCLOSURE A LANTIC BEACH, FLORMA 32233 1ssof Wark:ALTERTION:, �° ',LEOA.I� DESCRIPTION __,�.....��._�-_ con tr, Type:WObD E'Ri E BlockLot: Tip: � Pro ossd U$O* Section: 0 Subd.fl Rng. 0 tv pings: 1 Subdivisidn*ATLANTIC BEACH Est . ` Value: Q.Q�► , ; imp �ov-, Ct: ,,$80 .00 ca<s T�t-s l J�01 t .ASO Amun 'aw ate 7 R x"P I W£>rk QECIi , _ TIC+NPPLICATION FEES. _ . _., R _ T ' Addy RET FLORIDA I VI Ph rtaa^ j Addrj :Li EKE► i Y gi 1 H i NOTES: " I s t NOTICE'--ALL CONCRETE FORMS AND FOOTINGS MUST 819 INSOECTE©-BEFORE POURING w { PERMIT VOID SIX MOI"`1 SATE Q, �S i IE 7, BUIL D NG MATERIAL,RUBBISH ANp DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEAF ED UP AND HAULED AWAY SY EITHER CONTRACTOR OR OWNER LURE Tompl.�r WITH THE MECHANICS' IEN .A` ► CA1 RESULT IN f TH 'PAbPER1r O �1t PAYING TWICEFOR BUILD.IN t�it4PROVEMENt'S." :iasuw ACCORDING TO APPROVED PIANS'WHICH ARE PART OF THIS PERMIT AND SUBJECT TO"REVQCATION F VIOLj. iON OF�AOPLiCA LE PROVI$lONS OF CAW. # T� Date: ATLANT G BEACH BUILDI Gr DEPARTMEN x 32 1888 rBy: 1 CITY OF ATLANTIC BEACH, FLORIDA APP►Ovid by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19,92 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK ATTACHED PLANS AND SPEC DESCRIBED IN THE F CATIONSE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: ASTER EL CTRICIAN SIGNATURE NAME,�,` T�/1�1 � �11''!L1`�ADDRESS:s �® RFD BOX : — r BLDG.SIZE BETWEEN: RES.( ) APT.( 1 COMM.( 1 PUBLIC ( 1 INDUS.( 1 NEW( ! OLD( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( ) SQ. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W 6 VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL J_ RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES FBELL TRANSF: AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS Z�Q l MISCELLANEOUS CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Heated Square Footage @ $ `) per sq ft = S Garage/Shed ° @ $ per sq ft = $ Carport/Porch @ S per sq It = $ � J Deck @ $ per sq ft = S Patio per sq ft = S TOTAL VALUATION : S Total Valuation 1st $ ,/00() /, ? ? 6 0 v � $ /v o " Remaining Value $S. per thousand or portion thereof TOTAL BUILDING FEE $ -5 + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $� WATER IMPACT FEE $_ SEWER IMPACT FEE S WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ( ) RADON (HRS) . 0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ S ' 5 ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owners) _ �� \Ti' /`C1l�JL'`�/(1 Address: S j1d '�! Phone: O `� Lot # Block/dor Unit # Subdivision: Contractor: 0 L State License # Address: Phone No: n Describe work to be done: C /Q ';lJZ/�f� /(,s' /C Present use of building: valuation of Proposed Construction: $ C) c� Proposed use: Is this an addition? \ If yes, what are the dimensions of the added c space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? �I New plumbing fixtures? KAE)New fireplace? New Heat/AC? k)o SUBMIT THREE (COANERCIAL) TWO (RESIDENTIAL) C0I4PLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMONCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF R S CONTRACTOR. Signature OWNER: ate: L//(?7 Signature CONTRACTOR: Date: License Supplied: OJc PGE PC oV, EIV ED Liability Insurance: I, ' Worker's Compensation Insurance: QIP FEB 4 1997 City of Atlantic Beach f Building and Zoning CITY OF 1*&at& Ted - 94vu& 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 Chapter 489, Florida Statutes,Part I 'CONSTRUCTION CONT ACT1NC>"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 the 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-family or two-faily residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building roust be for your own wm and occupance. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete,the law will presume that you built it for sale or lease,which is a violatioin of this exemption. You my not hire an Lmlicensed person as you contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people Moved byyou 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 SZOW)be under a building permit and pass all normal inspections. The ordinance states owners may physically do work themselves;or ma hire unlicensed workers provided such workers be under "direct n"rvision of the owner,who must be on the iob site at alt times while work is in progress by unlicensed trades people." This does not allow use ofunlicensed contractors. Since owners mm!be liable for i4=es to workers they hire,the Building Department suggests Worker's Compensation insurance be purchased unless the homeowners insurance policy clearly protects the Owner. Owners hiring workers become employers and should also observe MS withholding tax and/or Form 1099 requirements on the workers they employ on their improvement work Unlicensed contractors cannot be employed under amr c+rr=stgn_ces. Owners being subject to$5,000 penalty under Florida Statute No.455.228(1). An'OcmQational License'is not adeq&g. The owner should physically seethe 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 and understand all the aboveon this of _, 1997 ess, uAdrng ept oyee OwA^er;7EiilcWr Address NOTE: Phrases underlined above are emphasized by the Building Phone Department MAP SHOWING SURVEY OF THE 'JEST 45 FLET OF IAT 29, AND THE EAST 25 FEET OF IAT 31, BLOCK 7, PLAT NO. 1 SUBDIVISION ["A" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. /V p"t)" I-DA NOEL J/X Tip-/ Cin -t) STiE:-EE T 700 7 �gs7_cOAST 1Ute. G1° foo lil of e.QicK srcvs-,. �i uP B.7 r - tj z scTGa ti/6a p Q 370 1 m 3.7 yA i Iy �, 0 j hih h N tT Five. Y7' Ro vJl.o' ^`7l'�('-) - - - 0.2 fNt�. y?' 1ATlo,. t 7765 DEPARTMENT©19 BUILDING ` CITY OF ATLANTIC BEACH- PERMIT INFO CATION - -------- LO A3"ION INFORMATION -- Permit Number: 7755 Address. 37 SIXTH STREET E Per dt Type: RE ROOF AT ANTIC BEACH , FLORIDA 32233 C.JaSs of Work: NEW LEGAL DESCRIPTION k ---------- on S4r . Type: WOOD, FRAME' Lot : Block : Section: Propose Use,•. SINGLE FAMILT T�►s��shi p k RIUC e C wel ln I Code-. 0 Subdivisi caw ATLANTIC BEACH Estimtted Values t l i� rov .. Cost : S H ? Total Fees ; 212 . 50 22 50 D t 14f . Y s W'o eSROOD WITB �I i B 1r w.�AAVUWI ATIOI .. .A PLICATION FEES - -_- l t tte' } C I EMC:N M ; ,3PEFM I $22 .50 o- A > EET WATER! IMPACT FEE $0 .00 CB FLORIDA. 21. SvIMPACT. FEE 0 $0 .00 Pio '"T AFA. $µ�' k & Ile?YtI dYJ ,`�{'# ' M 4fln' L ­'RA .. J 4 k MI• �1 q O FORMAT I ON - R.AiOI ON GINS ER CAP TA IMPROVE k $0 ,00 J41 .,.,. ., _. m RAL'1C SHARMtk TAP E ��. $D .O0 L r n�+ ;' Type: 1 CROSS CONNECTION SD .Ct#� t o SE(' H IMPACT FEE CON S --OTHER � SD 0 +axon ,ustFis.hian^ wwv.« nn. +a:w., ,�.»aap». ,aa 141 NOTES: NOTICE--ALL CONCRIET'E !?`ORM`S AND FOQTINt�iS MU�aT 8E 1tNISOECTED SEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE k� C BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST SE CLEA ED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "F. ' LURE TO COM LY WITH THE MECHANIC' LIEN LAW N RESULT IN ,IH PROPERTY OWNER PAYING;TW�CE FORBUILDING IMPROVEMENTS ISSUE ACCORDING TO APPROVED,PLANS WHICH ARE PART OF THIS PE MIT AND SUBJECT TO REVOCATION FOR I VIOLA ION OF APPLICA13L.E PROVISIONS OF LAW. ATLANTG BEACH BUILDING DEPARTMENT 00 ftmiptl I �. P,) tQfaw y ,I . I � Psr 2894,, 84 . DISPARTMENT OF BUILDING CITY QF ATLANTIC BEACH w. �#!MTT INFORMATION _ _j ------ LOCATION INFORMATION _ P r t Numb r : 13654 Addx•e �I 370 SIXTH STREET t Tape=lvLECTRICAL ATLANTIC BEACH . FLORIDA 32233 ClanWo k:ADDITI N ---------- ILEIGAL DESCRIPTION �jonltlr . T�r p0:WtOOD FRAME SI Yk: Lot : Twp : 0 Rraosd Lae: Section, O Subd: Rnc : O elliaos. 1 Subdiviti6n.ATLANTIC BEACH Ei . Value: 0 .0 Impiov. coat : T�tal Pell, 25 , 00 ? tie' ? „x Nark. I r TIdN ' 7,77 .._ APPLICATION FEES ZMEN PERMIT 25.00 Addr � BFLORIDA , d wr tt '" w`* �'�' ,r ? s�n;� t�.:� , 'ki ;"5;° ho A R ORMATI O ------ Name4 H "# R��nL �' ILC� SBS JACK$ N BEACH, FL.. 32250 Li 2RW4,;,5 � Exp: I ,gg ' d � �'r � •, rr.u, acs, ., w . v I JI NOTES: { rt k f NOTICE—ALL CoNCRE`tE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER,DATE OF ISSUE 40Oil BUILD G MATERIAL,RUBBISH AND DEBRIS FROMTHIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEAD UP AND HAULED AWAY BY EITHER CONTRACTOR Off. I "FA I LURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN . THE PROPERTY 0,WNE'R,PAYING TWICE FOR BUILDING IMPROVEMENTS." issue- ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOL QF APPLICABLE PROVISIONS OF'LAW. .'. OVA; II CASH ATLAN CHB ILDING DEPARTMENT $III 3 Zl$ 77- 77 `� �. ¢ r CITY OF , tl& - 1 Office of Building Official REQUEST FOR INSPECTION Date Permit No. -- -_--- — _ Time---/-T L�Li _ A.M. Received PM. 9 Job Address Locality Owner's Name .- C t�(��t �� _k_ � Contractor C BUILDING CONCRETE ( ELECTRICAL PLUMBING MECHANICAL Framing C Footing I Rough Wiring 1 i Rough Air Cond. & Re Roofing ❑ Slab 1'1 Temp Pole U Top Out ; Heating Insulation Cl Lintel 11 Final I Sewer I� Fire Place C Pre Fab READY FOR INSPECTION -, Mon. Tues. Wed. ? Thurs. Friday �A M, A.M. Inspection Made _ _ _- -_-___P.M. Inspector_-_ __ _ � Final lnspectiq Certificate of/Occupancy C �� C LL Z Z ( i Date — -- --- -- 11,,� ������� /CITY OF 4&4#1LLC /.5e404-vt Office of Building Off' fal REQUEST FOR IN CTION Date Permit No. Time / A.M. Received P.M. Job Address Locality Owner's // ) C Name C.- / J L Contractor BUILDING CONCRE E ELECTRICAL MBING MECHANICAL Framing C Foot1"ng`�-t, Rough Wiring Rough G Air Cond. & Re Roofing C Slab C Temp Pole Top Out Heating Insulation ❑ Lintel ❑ Final Sewer Fire Place _ Pre Fab READY FOR INSPECTION A M. J Mon. Tues f Wed. Thurs. Friday f A.M. Inspection Made PM. Inspector Final Inspection C Certificate of Occupancy G CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION owner(s) : i4ytll 0 �/t✓/L1 1 Lf7�L�� Address:_ C� �� `�-} 51- Phone: `�l � 2 Lot , Block or Unit # Subdivision: Contractor: f) Address : City, State and Zip Phone State License # n � Describe work to be performed: z- Valuation of Proposed Construction: Materials to be used: /1I f3L`7� 6�--/51T j Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information R CITY OF ATLANTIC REACH CODE ENFORCEMENT REPORT Date:_'--` Address and/or Location of Violation: � �� � w/& Nature of Complaint: o _ , Owner and/or Tenant of Property: Signature of Complainant: Date: Print Name of Complainant: ,Z /- 7n y Address of Complainant: 3 72— Z& Phone: —C9a/0 ---------------------------------------------------------------------------------------- Date of Investigation: �� � A/26 .9 4/97/8R C.E.O. Conditions Found: As stated Action Taken: Informed_ resident that it was illegal to operate a r nai r business from a single family residential dwelling . Also , the city had- a noise ordinance which T informed them of and tha34_ garppd to adhere to Compliance: No further action required at this time . `�W � Foilowup Notes: � / 4 CITY OF A11M.FIC BEAM OODI; VIOLATION FUM Date y/a � Address and/or Location of Violation //O vs e ;4 or cm COMPLAINT: W a C�..�p /Grn �S �) D�C�la din; DyS/n�SS l.1 or Ifins p IYIT°�rfCleS Tr s / CG/ Id /loran Uniij Owner and/or Tenant of PropertyQ0 73 9 0 0 ! o SIGNATURE OF OOMPLAINANT 011Z Phone# gal 3 701 ADDRESS 3 7? 5/r TN s -------------------------------------------------------------------------------- Date of Investigation Investigator Conditions Found Action Taken Compliance NQJ ES: cCUY OF AILANUC B AU L :TOME, VIOLA'T'ION I ulul " Date ' Address � •~� I 1 ' and/or Location of Violation .7.6 A S T / _ ! OOr1i'LAINr j �( ©- 0C' Cr V 5 ^�� 1��+ TG►Pre lJ � ��T.� ren �'l0 /0/' r e 5 � c e Q r � �' . �i, /13��'8 Owner and/or Tenant or Property. SIC�MURE OF C014PLAINANr Plione�� o�y/ 370 J ' ADDRE,SS�_S 41, 7 3 00 1 ©-------------------------------- . ----------------------------------------- Date of Icives Ligation /- _ � Investigator • �J.}tl:.�.'ttiLi;s I''�i.,t1Ci • C Z2� 7sli. Ac -1cm Tal<en L-A_ en : 60 Canpliance DATE 01/06/89 INQUIRY C-} F f'ON D TIME 031:04 PM ATLANTIC BEACH SCR CR-IN1 Action Center DATE ACTION BY COMPLAINT 01 0000026 01/06/89 MADE ASSIGNMENT 01/06/89 RENE ANGERS RECORDED ACTION SENT LETTER/CHAPTER ll/TAKE IMMEDIATE CORRECTIVE ACTION OR GO TO CODE ENF BD Esc TO RETURN TO PREVIOUS CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE 1904►249-2395 January 6, 1389 Mr. Daniel Knieriemen 370 Sixth Street Atlantic Beach, Florida 32233 Dear Mr. Knieriemen, This office has received a complaint that you are working on motorcycles at your home generating excessive noise throughout the afternoon and in many cases until late at night. This is not the first complaint this office has received regarding excessive noise at your address and the police department reports that they have had several complaints. Chapter 11 of the Code of Ordinances of the City of Atlantic Beach prohibits the making of "any noise which either annoys, injures or endangers the comfort, repose, health or safety of others. . . ". Failure to comply with the provisions of Chapter 11 will result in prosecution before the Code Enforcement Board of the City of Atlantic Beach and may result in a fine of up to $250. 00 per day. In order to ensure that no further action is taken by the Code Enforcement Board we ask that you take immediate corrective actions to remedy the situation so that your neighbors may enjoy the peac nd quiet that is so characteristic of Atlantic Beach. Thank your cooperation. TY OF ATLAr BEACH ODE ENFOR ' OFFICER cc: Secre ary, Code Enforcement Board file, ,> I DEPARTMENT OF BUILDING [/�� n CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. � 1 Z5 TL PERMIT TO BUILD "5 F._01 i THIS PERMIT MUST BE POSTED ON JOB �� DatetAY?i,,---._-193_1__ Valuation$ 4 9 000SPi s Fee $ 31.UO This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisiow of law. i This is to certify that B E H CONSTRUCTION COb: 540 OWEN AVE, JACKSONVILLE, FLORIDA has permission to build a GARAGE AS PLANS SUBMIT7rw""T� Classification S/F WELLING ne gSIDENTIAL Owned by DAN KNIERIaIEN Lo t29 f> k41 Bloch House No – r �' o According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE ♦—� 11b. Z Building material, rubbish and debris 4 from this work must not be placed in Public space, and must be cleared up and hauled away by either contractor or owner. ACTING CITY Mk=GER, Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER _„ R "FAILURE TO COMPLY WITH THE MECHANIC'S FOR OFFICE USE ONLY LIEN LAW CAN RESULT IN THE PROPERTY Date... / 6.................19 .1-! OWNER PAYING TWICE FOR BUILDING Permit .Fee$...J/D.Q-... IMPROVEMENTS.'CITY OF ATLANTIC BEACH Valuation $....�4Ub................................. 0 FLORIDA House # '37---�!..... ............... 0 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date............. ...........----..`>•-•'J- 1...---...., 19.-----1 Owner-- / `- 'v-! -d2/_s in/-------------Address..3.7r...0........� ..�+-------..Telephone No............................. Architect..................... ••----•-----------------------------------------------------........Address,..........................................................Telephone No............................. Contractor Builder-6..'//. A-.... .................AddressS�AP.Z9W.!�Z AO ..Telephone No..✓`3. _..3�.(�. 3 LotNo..--L'.- .. '.3r.................Block No.---.----< ........---..SubDivision.5�/4..' Y.-�TLI�n/r/G..- Zone.....-•---------- r ..........................Street....--- --Side Between.,- 1._ �Y... and.`d.•..�. ..... ----•--......Sts. ol Valuation $..-. what purpose will building be used.. ........Type of construction..Lo�'� e • �''�" f � e J ---------- ------------ Dimensions of Building.. ..x •y----------Dimensions of Lot---/2-.-�_.h...�.��.._..................Size of Footings.Sf=A ..�z'4s� Size of Piers.-------.,-------------------------Size of Sills----------_._..---------------Greatest Sill Span in ft........................... Roof---................................... How will Building be Heated?......��t(�.�'�'0............._-_..................Will Building be on Solid or Filled Ground?--- Size of Ceiling Joists.---_----------------------- --..-- Distance on Centers............................................. Greatest Span............................................ Size of Floor Joists—............................................ Distance on Centers........... ................................ Greatest Span............................................ s, Size of Rafters------------ ----------- ------------------- - Distance o , Greatest Span........................................... 01 CITY OF ATLANTIC BEACH This rectangle is to represent the lot. BUILDING OFFICE Locate the building or buildings in the right position. Give distance in feet from ;MAY u 'g � all lot-lines and existing buildings. M A• REAR LOT LINE Two copies of plans and specifications shall tr ' be submitted with application. BY, e&1AIA010Vplpe �s Inspections required. R 1. When steel is in place and ready to pour footing. , 2. When steel is in place and ready to pour columns and/or lintel. Z S &° 1 Z 3. When steel is in place and ready to pour beam. ' ►a 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. rrMll W 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 1 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after r corrections are made. FRONT OF LOT 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 building regulations of the City of Atlanti Beach. Signature of Builder. . .. ...�......t. . Address...-G' 1�:6 J -/I.( .-...... Signature of Owne�' `�.f 'e .' _ Address._33* .'......... .-� ...... - CITY OF. ATLANTIC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDUM TO BUILDING PLAN 1 . Building Location: ,2. The attached plan for the above building is approved subject to meeting the following applicable construction requirements: a. Footings shall be continuous monolithic concrete under exterior walls, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lower one-third of the footings, properly placed and fastened on metal cables with wire. Footings shall be si'x inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil . b. In hollow masonry unit construction, each unit cell shall be reinforced with at least 'on No. 4 bar at all conrners, poured and tamped with concrete; such rein- forcing shall be properly tied into the footing and spandral beam. C. All wood truss rafters (roof construction) , shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i .e. , roof, outer wall materials, window size and design, and other like characteristics) of structures. In accord with the foregoing, similar and shall be at least 500 feet apart if any one similar dwelling is visible from any other similar dwelling. e. The final connection between the house plumbing drain and tAd' E'eRiCYbsM Dice connection (at the property line) must be inspected by tQTDI ,Q T D%Qtjng covered. CE 6 1981 City Manager B The undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contrary details to the plans and specifications and agrees to comply with the intent of this addendum. A�11° .� Contractor/Owner Date -- i s s 1 CITY OF 4dam c Bec 4-&;&U4 Office of Building Official REQUEST FOR INSPECTION Date JUNE 10, 1981 Permit No. #4705 Time 9:00 AM A.M. III DUVAL Received P.M. District No. 370 — 6TH STREET. ATLANTIC BEACH Job Address Locality owner's DAN KINERIEMEN B & H CONSTRUCTION Name Contractor BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation ....❑ Wire ...........❑ Rough Wiring ..❑ Rough ........El Rough ........El Chimney ......❑ t�th ..........❑ Finish Wiring ..❑ Final .........ED Final .........❑ Framing .... Cl .......❑ Fixtures .......❑ Sewers ........C] Water Heater ..❑ Final .......... Brown ........❑ Motors ........❑ Gas ..........El Footing .......❑ Finish .........E] Temp-Pole .....❑ Cesspool ......❑ Slab ...... ...❑ Wallboard .....C] Final Inspection.❑ Top-out .......El Lintel Beam....❑ Water .........❑ FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Fri. P.M. Inspection MadeP.M. I - Inspector .fflv*� CITY OF 00f4fta kwk-Rai& Office of Building Official REQUEST FOR INSPECTION #4705 pie JUNE 1 1981 Permit No. Time A.M. III DUVAL Received 2:00 PM P.M. District No. 370 6TH STREET ATLANTIC BEACH FLA Job Address Locality Owner Names DAN KNIERIEMEN Contractor B & H CONSTRUCTION BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..❑ Final.................❑ Final...............❑ Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater..❑ Final................. ❑ Brown...............❑ Motors.............❑ Gas................... ❑ Finish................❑ Cesspool...........❑ LINEL—BEEM Wallboard ........❑ EADY FOR INSPECTION A.M. Mon. Tues. /] Wed. Thurs. Fri. P.M. Inspection Made, Inspector B•1.2 �' CITY OF *" Office of Building Official 5/26/81 REQUEST FOR INSPECTION Date Permit No. Received ecceived 10:00 AM P.M. District No.TTI D1d1TA1- 370 — 6TH STRRRT ATLANTIC BRACH Job Address Locality Owner's Name Contractor.B & H CONSTRi1CTTON BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation.......W--"Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..❑ Final................. ❑ Final...............❑ Framing............❑ Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater..❑ Final................. ❑ Brown...............❑ motors.............❑ Gas................... ❑ Finish................❑ Cesspool...........❑ FOOTING Wallboard ........❑ READY FOR INSPECTION Mon. Tues Wed. Thurs. Fri. c5•*40 Inspection Made Inspector B-1.2 _ A7 CITY OF ATLANTIC BEACH FLORIDA INSPECTIONS BUILDING PERMIT NO.# 4705 ELECTRICAL PERMIT NO.# PLUMBING PERMIT NO.# JOB ADDRESS 370-6TH STREET. ATLANTIC BEACH FLORIDA 32233 CONTRACTOR R S SUBMITTED) OWNER DAN KNIERIEMEN DATE REMARKS INSPECTOR FOUNDATION __V26181 _ _ G. A. EDWARDS FOOTING 5/26/81 G. A. EDWARDS SLAB PLUMBING (R) TOP-OUT _ SEWER TEMP-POLE ELECTRICAL (R) - ELECTRICAL (F) FRAMING PLUMBING (F) LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING OTHER _ FINAL INSPECTIONS �i, ��- IJ w N N ru IN) lo w a ' rl .� O O D i. D _ J 9 D A A 6 P !• A A O ...�L s� E yr j r xJ .1 r1 1 n J .•J r�1n. r _ _ _ _ _ _ _ r• 1 r r r l r r r 71Tr 7- 1 .1 -7 1 O + - � 11 ✓1 !n r _ 3 Z.I. u' J. J- o fn w ',2 N.-. ,n a .., .... � 4 n,'u v•v rl - I � � 5 � 'ir � • s w N.�.-o c (�u• .r �n (x<�ti o r r o o<x c•..�.,<J �«N(..- x.i 1 1 1 L _ I f j '- ,)2 �L,U l,l J CJ l 1[i <x ar)t l 1-• ; 1 In \ _ \ 1 1 T�l r - c tJ 1 \ I -. �� �.,a(., n., J r •.i I l._'._.-�� , ( � �hJ. a N L e A � .� / .S rn•r rn .. 1 a - :t� lJ u lLl ci �✓ :, }.I�- I � �..� 111(� �� �� f • J �i I J. . t i tS 4 t. rJ r .-r I ` •� - ! � .-� Y 7 Y 4 9I 1� (J Cx r f I B cL H CONSTRUCTION CO., INC. 4560 HIGHWAY AVENUE JACKSONVILLE, FLORIDA 32205 TELEPHONE (904) 3843483 BILL NAGLE - PRESIDENT 4 1 7 i i a i I APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE M 2 s 1981 MAY fl u t � i I i 1 ! r - -- _ - __.. ----- t