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415 SEminole Rd 2013 enclose carport CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5814 yr lilt Application Number . . . . . 13-00002518 Date 5/14/13 Property Address . . . . . . 415 SEMINOLE RD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6800 --------------------------------------------------------- Application desc CLOSE IN GARAGE (NOT LIVING SPACE) NEW FRONT ENTRY --------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- EUGENE & LISA KEMP OWNER 415 SEMINOLE RD ATLANTIC BEACH FL 32233 --- Structure Information 000 000 CLOSE IN GARAGE Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . Permit Fee 85 . 00 Plan Check Fee 42 . 50 Issue Date . . . Valuation 6800 Expiration Date . . 11/10/13 ----------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 DEV REVIEW-SINGLE & 2-FAM 50 . 00 STATE DBPR SURCHARGE 2 . 00 ------------------------------------------------ Fee summary Charged Paid Credited ----Due--- ----- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Other Fee Total 54 . 00 54 . 00 . 00 . 00 Grand Total 181 . 50 181 . 50 . 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 PY Office (904) 247-5826 Fax (904)247-5845 JobAddress: L4t 5 `J£1'Yltiflol� M., AJlan-Vi d)each 'PL 3Z233Permit Number: l3-o2S1 Legal Description I-OT 151 .SALTA 1 SE•C--ri aN 2 Parcel# oorArea of Sq Ft. 'q. t Valuation of Work$ L0800.00 Proposed Work heated/cooled Z I0_ non-heated/cooled Class of Work(circle one): New Addition teratio epair Move Demolition pool/spa windo door , Use of existing/proposed structure(s)(circle one): Commercial esiden If an existing structure,is a fire sprinkler system installed?(Circle one): es No N/A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: ( Me- t N Carew 2 area Property Owner Information: Name: uso- K 0-my Address:Ll 1'b `5e-M I nOl E - City (- i 1(lLn+i Com--P edc h State C-'L Zip 3ZZ-13 Phone 994-444 -q-111- E-Mail or Fax#(Optional) LCP k 1-iP &(aMn LL- -C-0M Contractor Information: Company Name: Qualifying Age _ Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the rk and installations as indicated. 1 cert that no work or installation has commenced prior to the issuance of a permit and that all work will be pedbrme o meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void:f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a eriod of srx 6)months at any time after work is commenced I understand that separate permits must be secured for Electrical 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 FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BNCE�RNETCORDING YOUR NOTICE OF COMMS I hereby certify that 1 have read an examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this provisions of wilany other fed ral,Ovate,, orelocr law regulating construction owecified herein or not. The gthe pe orranting mance of constructiermit does not onresume to give authority to violate or cancel the Signature of Owner Signature of Contractor Print Name S 0. Print Name ................................ .................................._................................................................. 2 t ........................................................................ Befo Before me 20 20 this Day of AAY r rn. i N# 7760 ?tP r.S: ebru Not - Notary Pub Revised 10.24.12 1. FILE COPY CITY OF ATLAINTIC�$I+AC� r 1 OWNER /' BUILDER AFFIDAVIT 17 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, WIUCH 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 MA`,( BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. 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. 7 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. `A IC,� Sem I Ad IIt IfiC �e� q0y .t y V-9 L7 ADDRESS PHONE NUMBER LtSa- Kerte _ PRINT NAME SIGNATURE DATE 20i Sin the coup of Before me this ��day of � Duval,State of Florida,has personall ppeared herin by himself/herself and affirms that all statements and declarations are true and accurate. 9 @Notary Public at Large,State of County of y*�Personally Known iA ❑Produced Identification- SANDRA KAI'INGERSOLL i4Y COMMISMN a DD920346 Notary Signature: EXPIRF5.SVIcim er 19,7013 Iy' t.80Q 3, Y FL ivotsn'Disaouxt Astor.Co. 'I F:/B1.DG10—m Builder AAada it;REVISED: 4/16/2009 L –�^ Remodel: Phase 1 Notes Kemp Residence 415 Seminole Road Atlantic Beach, Florida 32233 1. Piot Plan: Remove 3 Palm trees. Widen Driveway 2. Garage Level: (1) New Walls, windows and doors as shown. ( elev�tio�, 4. Wall section with notes for garage framing 5. Enclose indention in front of hoose and finish with siding ' f ?,k / \\.`y` `~ '�►'.- `�\ f. r'7 1. •V• �'� ? `i t � /, ;�, /U y• ; . �, ;-, y rhe ti r� t fr r City of Atlantic 7Department r Planning and Zoning ih applicable This,approvals — ig zoning, subdivision and other'Too' dev lopment regulations, but a mitsoes not constitute Compliancmpnte , fV�jr`� f, !�C �? 7 app�val for the issuance of p Ircable ,N;+p}Ftorida Building Croat and all other app y local, State and nature of the City of Atlantic must be verified by sig (7��Y 370N/PV3w3 Beach Buildingofficial prior to the issuanceofa Building Permit. & -) Approved By: Date: EFIL COPY I elv ..... City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road '/�y Atlantic Beach, Florida 32233-5445 f Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: l 3 { City web-site: http://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: `7I.5 ��rn�n 46 �d D ent review requires! Yes o Applicant: � Planning &Z ree ministrator Project: U45� In QI�C� (� f9��A _ Public Works T- (�.► Public Utilities y( Public Safety i,�+y Fire Services G� I Q� Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date \'1 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: APPLJCATION STATUS Reviewing Department First Review: Approved. ❑Denied. II (Circle one.) Comments: PC— I S' Q YAI BUILDING door-s npeI ��e) PLANNING &ZONING Reviewed by: _ Date: L,� TREE ADMIN. TT Second Review: [:]Approved as revised. ❑De led. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. i Comments: i I Reviewed by: _ __ Date: Revised 07/27/10 City of Atlantic Beach APPLICATION NUMBER,": ( o bssinBuildin Department edby,the Building Department) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-,9845 / Buildin de t E-mail: coab.us Date routed 7�� g- p @ City web-site: http://wvvw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: D ent review required Yes No Applicant: /Q/A)IVf 1:� Planning&Zwing' Np_�'e ,�Oree ministrator Project: In Qll�Cc fi l�GA " I`'Q/" Public Works Public Utilities /V f »r P.1t reb -fy Public Safety N l=ire Services Other Agency Review or Permit Required Review or Receipt Date J` ofi Permit Verified By t � Florida Dept. of Environmental Protection �--� 1V� 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: EApproved. DDenied. (Circle one.) Comments: , 1 �� `/I_I ; �OSI� 00 �y� BUILDING for 1��U NNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. � PUBLIC WORKS Comments: i PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [:]Approved as revised. ❑Denied. I Comments: Reviewed :b Date: y� � Revised 07127110 -10:92475845 P:1/1 MAY-16-2013 09:51 FROM:CLERK OF COURTS 904 270 1512 t NOTICE OF COMMENCEMENT f (PR&ARZ IN DUPLICATE) Permit No. `.3— DO 7,51f) _ 'Fax Fotlo No. 5tatp of County of _ To whom It navy cotacarn: The undarsigned hereby Inform you mat improvements wits be made to certain real property,and In aCcorda"ca with Section 143 aF the Florida 8Wwas,thu following lnfQrmo0on is ntatad In this NOTICE OF COMMF_NCMENT. Legal dessr#*orl of property ting linproved: Adgress of property being aT0rwreri: 1+" l T.i i r)UiG� G7eneraal description Df lmprov.:,r em, owner , �Ste. P_rri .___------. - - _— - - Andress x �'f f i��e, �Ryvij rmixn�ement.�2ttli�'y' � ars Im�st in sit®of file- SIMPle Titishotder of other than owner) -- — -- — erne - —-- Addren - Contractor Address ---- -- Phone No. Fax No. _ -- Surety(tf any) Addre83 --- -, —_Amount of band$ Phone No. -- -- -Fax No._ — Name mid address of arty person making a loan fat the corkouction of the improverrWI ta. Name -- -- Address — ----- Phone FW.—._,,. _ _ _ Fax No. — Name of person rNrlhin the Stale of Fwkla,other than himself,designated by MMef upon whom r05009 of other dottxttrnert_s array L 2er9et�; Now err o ---------- ---- -- Phone Na -- Fax 40— In 0 In swilion to himself,mynef pesigrnatm the foil wft Person to rOm 4 a copy Af t!-e Lienors NOVOR aS provided in Section 913.06(2)(b),Florid&Statutes,(Fail In at CmnWs 0000). Name -- Address Phone No. _- — Fax No. Fxpiratlon dale of Notice of commencement(the expiration date is one(1)yearftm the data of moordirgWiess s different date Is spertiled): --- - 11101SPACE FDR lMGatiAER'S USE OidLY .,/�� /3 signed: Dara / f gcrarom day of InYha f — — — —` — Cwoty cl Duval.Store al F( a,hoe patapnalbr eppQared hetet)by Doc#201,]123507,OR BK 16370 Page 1974. — — — P4;; !1 handd atRa and cone he nate � Number Pages-I are rn,e slut + tO P.Ccorded 06/16/2013 at 10:25 AIN. "+ RonnIp Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 wr �A '�`Rf '. 'F,�rJ'Oar�rrPuh�tcrlrar.wd�*6