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95 Robert St 2013 SHED CITY OF ATLANTIC BEAQO -. 1 s) 800 SEMINOLERb. J ATLANTIC BEACH, FL 32 3 INSPECTION PHONE LINE 247-5 14 Application Number . . . . . 13-00003347 Date 10/01/13 Property Address . . . . . . 95 ROBERT ST Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 900 ---------------------------------------------------------------------------- Application desc 10 ' X 14 ' SHED ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REYNOLDS, JEREMY A & ANGELA OWNER 95 ROBERT ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ACCESSORY STRUCTURE NEW RES Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 900 Expiration Date . . 3/30/14 ---------------------------------------------------------------------------- Special Notes and Comments Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management . ) 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 86 . 50 86 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION D [ Q f CITY OF ATLANTIC BEACH SET 0 3 21 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: &r Permit Number: 3 3� Legal Description Parcel # 00 oor Area o q.Ft. q. t Valuation of Work$ �l�• Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): Ne Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial es nnti If an existing strucure,is a fire sprinkler system installed? (Circle one): Yes No /A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: A /01x / I 454exl wt� Weoc( Property Owner Inf rmation Name: eXZT, ,•, /��o_a)�%� Address: City_ ^ getiel, State j�_Zip 3?Z33 Phone 9dy-•Z3T-7F7s E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: Address: City State Zip Office Phone Fax# State Certification/Registration# RMEWED FOR CODE COM Architect Name&Phone# A-4 PLMU w4AkW05 Engineer's Name&Phone# CITY OF ATIANTICIMA—CI-1SEE PERml 11 Fee Simple Title Holder Name and dress DITIONAL Bonding Company Name and Addre ONS. Mortgage Lender Name and Addres REVIEWS — - ..-- Application is hereby made to obtain a permit to do the work and installations ds or installation has commenced p;tTla` '•the issuance of a permit and that all work 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 eriod 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 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here b 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 oVwork 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 other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name . ,�� Print Name BefyrWj� Before me this—1'Day of 20 this Day of .20 dAry\"_ tX L'ZI �� N&Public Notary Public „ ay•., =A2 KER Revised 01.26.10 FF 011480 r'oKv- 4,2017 p6 Fy4rc Und..rilen - CITY OF ATLANTIC BEACH FILE COPY (OWNERBUILDER 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. 11. INJURY LIABILITY; SINCE OWNERS MAY 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. 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. ADDRESS PHONE NUMBER vve) R59-3 42A R PRINT NAME q DATE in the county of Before me this —1 dayof__ 1 - � Duval,State of Florida,has personally affeared herin by himself herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of County of 11 Personally Known JENNIFER WALKER MY COMMISSION 0 FF 011480 Notary SignatuQ ..z EXPIRES:April 24,2017 Bonded Thru Notary Public Underwriters F:/BLDG/Oµm�-Builde,Affad.vitREVISED: 4/16/2009 MAP SHOWING BOUNDARY SURVEY OF DESCRIPTION AS FURNISHED: FILE COPS' LOT 18 AND THE SOUTH Y2 OF LOT 16, BLOCK 3 OF DONNER S R ; ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 19, PAGE(S) 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, EER--fIFtED 'Ccs'• DUVvz-1j t'1zoGECCTlES l.._LC,) p5 oict3 5 Sl1EFKlt_t D -CIZL:. 5c_n_el1(_E5 y LLC. �1LZ5'dZIZLE ttSuReaF tC.� CoC-d{�Ati� FO•'lz••l.P. ... ... X4238 fio.�la••t.v. ° 4 4238 IL c0 0 �s 'n ® O Ki coo O � LO Ki0 Lo-r OC L. -[ llv N N90'00'00 'E" Fpµ« 120.00'Feuc� 3ET dlz-t PI.o 1-3 50.00° (M) F��'14Z3e u�Tds .� @(x$00 t•Z4 3.3 i '� lc..o / v °�n�--`�'o.o Q4.U2-'L.P. (. WOoP S o.y"q' Feucg ', 15 8 y4Z38 x 0 S ® I 10 `n 15:1 0 0 a —" y0 Lu Lri I A 1 C -� 7 { 0 1J. 3o.q r 24�o �0 a--- o vi 1 y �.s.M o w SCJ I °7 Q u ,Ito 0 L,.o' 3, 43 ll •JLL � 7 ul 1• S (o2r S IZ.z LlJ S[ooP: b 95 S76PS LU O �p r 6+ ® m u QNo m ® ® 30.I tout ni j Q d WLPIi`� ® 30.q 1 rti.3� B.d ;.t.;W 0 „0 ® 41.Z y: 0 ' Coot N .o O. 0 1 ' In 0 0 0 0.5 U) SES tlz.. S•4 4 cwwdu So•oo P1 o.Z LdNK Fr,uCE A 54.54° M `'„5 N90'00'00 'W 120.00' FD•dI2 l �D IIi'd.V• d 4 23 B dL l°L°4 S V,4c>5Srz-T .5-T IZE E—T e 3,o CZ bw� pj 7RRZ 77 1 1 D ASSOC1,4TZS. lyV4l 0 5627 ATLAN77C BOULEVARD SUITE JACKSONVILLE FLORIDA 32207 904 805-0030 — FAX904 805-9888 GENERAL NOT LEGEND P.C. POINT OF CURVATURE (1) BEARINGS SHOWN HEREON ARE BASED ON P.T. POINT OF TANGENCY o- D DELTA RADIUS(CENTRAL ANGLE) THE EAST BOUNDARY LINE OF LOT 16 AS P.R.C. POINT OF REVERSE CURVE A or L ARC LENGTH S00'00 00"E, ASSUMED. P.C.C. POINT OF COMPOUND CURVE C or CH CHORD P.O.C. POINT ON CURVE CB CHORD BEARING (2) THIS PROPERTY HAS NOT BEEN ABSTRACTED P'C'P' PERMANENT CONTROL POINT (R) UNE RADIAL TO CURVE B.R.L BUILDING RESTRICTION UNE AO/NC AIR CONDITIONER FOR EASEMENTS, COVENANTS, RESTRICTIONS c/L CENTER LINE C C. CONCRETE R/W RICHT-OF-WAY ID. FOUND (3) UNDERGROUND UTILITIES SERVING THIS O.R.V. OFFICIAL RECORDS VOLUME I.P. IRON PIPE PROPERTY HAVE NOT BEEN LOCATED OR 0A ON UNE (M) MEASURED SHOWN �— BREAK LINE (D) DEED (4) IT IS THE LENDER'S RESPONSIBILITY TO SCALE 1 :=30' �T��) � DETERMINE FEMA F.I.R.MAP STATUS FOR THE LIFE OF THE LOAN ON THE PROPERTY SHOW 7-7-11 ABOVE. SURVEYOR HEREON WILL CONFIRM FOR ADDITIONAL FEE. DATE OF FIELD SURREY GLENN M. BROADSTREET, FLA. CERT NO. 5814 LB — 6715 F.B. . 34 PG. 1.2 NOT VALID W17HOUT THE SIGNAWE& ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR & MAPPERORDER N0. 2011-865 Xe Y� ".'I; City of Atlantic Beach % APPLICATION NUMBER Building Department a (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 J;lit E-mail: building-dept@coab.us \ Date routed: Cityweb-site: hftp://www.coab_us \� APPLICATION REVIEWAND TRACKING FORM Property Address: �- S� D rtment review required Yes No Buildin Applicant: �� S mg &Zonin Tree Administrator Project: 10 XZ s ublic Utilitie a ety 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 I Reviewing Department First Review: Rpproved. ❑Denied. (Circle one.) Comments: BUILDING I PLANNING &ZONING / - q Reviewed by: Date: TREE AD MIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 "s-=�`1r City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Buildieq Department.) 800 Seminole Road .. �� Atlantic Beach, Florida 32233-5445 I 33y7 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 Property Address: 4angnin ent review required Yes No Applicant: K�1 S dnin xsherd Tree Administrator trator Project: Q ublic rks ublic Uti u is afey 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: EjApproved. ❑Denied. (Circle one.) Comments: 5�2� BUILDING PLANNING &ZONING 01011 TREE Reviewed by: �t Date: TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 sy �1 ,J, City of Atlantic Beach s� Building Department APPLICATION NUMBER r 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach, Florida 32233-5445 3- 3 jU Phone(904)247-5826 Fax(904)247-5845 ^ l E-mail: building-dept@coab.us Date router,. "I _ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '") /�� cS�. ment review required Yes No Buildin Applicant: ���� S ning &Zornn Tree Admirns Project: �X �� tic or Public Public 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Deni d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05N4/09 City of Atlantic Beach Building De ; - APPLICATION NUMBER 9 artment p .� (To be assigned by the Building Department.) 800 Seminole Road "+ � ►4 ']� Atlantic Beach, Florida 32233-5445 2413 Phone(904)247-5826 Fax(904)247-5845 ��JiJ°fir E-mail: building-dept@coab.us '�,_ Date routed: Cityweb-site: http://www.coab.us '\ APPLICATION REVIEW AND TRACKING FORM Property Address: S S� ment review required Yes No Buil Applicant: ►��r� � 1d S Planning Tree Administrator Project: X S� ublic Wor 'c Utilities Public Safety Fire Services Review fee $ Dept Signature Q 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ( Date: TREF, MIN. Second Review: *PU13LCIC QApproved as revised. ❑Denied. KS omments:IES TY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09