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1931 Beach Ave Deck/Patio 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 oil Application Number . . . . . 13-00003594 Date 11/18/13 Property Address . . . . . . 1931 BEACH AVE Application type description DECK/PATIO Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc replace deck add pergola ------ ---------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEE STEVEN Y OWNER 1931 BEACH AVENUE ATLANTIC BEACH FL 322335936 ---------------------------------------------------------------------------- Permit . . . . . . ACCESSORY STRUCTURE NEW RES Additional desc . - 50 . 00 Permit Fee . . . . 100 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 5/17/14 --------------- ------------------------------------------------------------- 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 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. La BuILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OCT 29 2 13 !....,,.FILE COPY 800 Seminole Road,Atlantic Beach,FL 32233 ww&w- -.1 Office (904)247-5826 Fax (904)247-5845 IRV Job Address: 1931 BEACH AVENUE ATLANTIC BEACH, FL 32233 Permit Number: 5-9y Legal Description 15-57 9-2S-29E .22 N ATALNTIC BEACH UNIT NO 2 LOT 23 Parcel#169692-0000 FloorAreaot SqFt. ---S'q.Ft Valuation of Work$ Proposed Work heated/cooled 0 non-heated/cooled 0 Class of Work(circle one): New Addition Alteration Rgpair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one):___7_es___7No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: REPLACE DECK ATTACHED TO GARAGE, BUILD NEW DECK WITH PERGOUA AT FRONT OF HOUSE Property Owner Information: Name: STEVEN Y. LEE Address: .1931 BEACH AVENUE City ATLANTIC BEACH State FL -Zip 32233 —Phone 904-994-2638 E-Mail or Fax#(Optional) Contractor Information: Company Name: OWNER/BUILDER Address: city State Zip Office Phone Job Site/Contact Number Fax 9 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 a e e ade obana e he work and instt� n ndc or installation has commencedprior to the m to t'o s s' rd a' this jurisdiction. Ais permit becomes null n or 0jork s Venod ofsixp)months at any time after to mZtt t � suan t to ' t 'r P"b med he P"c 0 s r by md 71 a' w k i e e rr f hs, or, c ns t' t I ce 0 apermt an 0 w p 6 s d d ork not c enced hn si n c f 0 lect,7c s, uj -s,Heaiers, rst w t x 0 Obe ured r E e PoWs, urnaces,Boilei 0 mm d that separatempermits m, vo f d nde an Tork is co mence a jr Co s, C Tanks ndA n,�hft ner et_ 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 cerj�&that I have read and examined th' application and know the same to be true and correct. All provisions oflaws and ordinances governing this 1�work will be coTplied with whether 'e'cifled herein or not. Ae granting of a permit does not presume to give authority to violate or cancel the provisions ofany otherfederal,state,or localsp,w regulating construction or the peYformance ofconstruction. Signature of Owner "O_F � Signature of Contractor PrintName Print Name ..................................................................................................................... .. ..........P.......................................... .................... ol,subscribe ore me Sworn to and subscribed before me st 20 this Day of 20 a ay of A A 0 NcV Public - --- JEMIFER WAUO- Notary Public MY COMMISSION#FF 011480 Revised 0 1.26.10 EXPIRES:Apdl 24,2017 Bond ed Thru Notary Public Underwilers N 1 0. A. 1p 11 �1,7141c�2—ND"6S10FLY/ WOOD DE'O< QV om� 00 LL loo <uj 3- w 0 clq LL- C ; CM A..,(A 6 z z CP P, r*j 6 cy In r- Lo C4 ti co N 0- LAJ Y-OOD 0CQ( - CONCRE cn 2 y c No.\ NCE E 19 a U3 50. Z 22. 15 1EASTERLY OF WAY L 49 Id CP t6 d Lfi co rn w- Ln < AVENUE B E A C., 11 (FORMERLY GARAGE AF>PROACH ROADWAY) (25' RIGHT CF WAY) CITY OF ATLANTIC BEACH FILE COPY OWNER BUILDER AFFIDAVIV 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 499.103(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. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 3 e- rz ADDR�SS PHbNE NUMBER Ste L) te:�) q VL-� PRINT NAME /* SIG"<ATjRt DATE Before me th day o 2A 3 in the county of Duval,State of Florida,has personally appeared herin by himself i herself and affirms that all statements and declarations are true and accurate. TWV'k� Notary Public at Large,State of County of C]Personally Known I&I-Vr.d.r.cl Identification A/ JENNIFER WALKER My COMMISSION#FF 011480 EXPIRES:April 24,2017 Bonded Thru Notary Publi,underwriters Notary Signature FIBLDG/Own"-Build"Affadavit;REVISED:4/16t2009 FILE COPY ., Steven Y. Lee 10/16/2013 1931 Beach Ave Atlantic Beach, FL 32233 Deck at garage—S-1, S-2 LEE J ENGINEERING INC. JAE Y. LEE P.E. (31276) 10381 CYPRESS LAKES DRIVE JACKSONVILLE, FL 32256 PHONE 904-519-1934 CELL 904-234-3518 Site plan Deck and pergola at house- D-1, D-2 Pendleton Construction LLC Stephen Pendleton 2205 Kenneth Street Jacksonville, FL 32207 Cell 904-626-1159 --T Ira �-�Zzr ::�j x -172 IV\ -44 -44 NOTICE OF COMMENCEMENT 4rM7 7' State of FLORIDA .-1.WWtk-T- Folio No. 169692-0000 County of-- DUVAL It _E To Whom It May Concern: la , 1" f, The undersigned hereby informs you that impr" IAN'!6'��ctjffrraifi-jv .641 property, and in accordance with Section 713 of the Florida Statutes,the following information is -'ated in this NOTICE OF CO��NCEMENT. Legal Description of property being improved:— 15-57 9-2S-29E .22 N ATLAN_HC BEACH UNIT NO 2 LOT 53 Address of property being improved:_1931 BEACH AVENUE ALTANTIC BEACH,FL 32233 General description of improvements:—REPLACE DECK ATTACHED TO GARAGE,BUILD NEW DECK WITH PERGOLA AT FRONT OF HOUSE Owner: STEVEN Y.LEE Address: 1931 BEACH AVENUE ALTANTIC BEACIL IFL 32233 Owner's interest in site of t/e i�mnprove�ment: 11�0�01/. Fee Simple Titleholder(if other than owner): Name: Contractor- _ONWER/BUILDER S6lV"6' O-C Address: Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Fax No: Telephone No: in addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): TMS SPACE FOR RECORDEW S USE ONLY OWNER /,00, e f 'te�_�__ty"of Du�41,6&2 3igned Date�: Da- At oze)13 S5 day of the 6unty of DuVal,State Before me this In Of Florida,has personalnly appeared leloc h 10 Notary Public at".Large,State of F rida, o f uvall. my commission expires: r or personally Known: Produced Identific JENNIFER WALKER M OMMISSION#FF 011480 Y 017 EXPIRES:April , Bonded Thru NotarY Pubiic Underw6ters Doc#2013280596,OR BK I rz,582 Page 1619, Number Pages:1 Recorded 1,110112013 at 12:57'PM Ronnie Fussell CLERK CIRCUIT�OURT DUVAL COUNTY RECORDING$10.00 APPUGA I IUN NUMbt:H Building Departrnent Cro be assigrod by the fkalft Depxtrwl) 8W Sefflinole Road Aflantic Beach,Florida phone M4)247 WW Fax M4)247-5M No muw: 98M r Eqnalt bu11d1nq4epQcoab.us Cfty web-s": ":1Nw.coab.U9 APPLICATION REVIEW AND TRACVJNG FORM 193 / A j'a e Property Address: )q poparMWnt review required Yesi'No Pbnning&Zoning Applicant li)Al f- Je-- Project: Pubkwoft Pubfic Utilifies Pubic Sa" Fire Services .Review fee$ Dept Signaturie Review or Receipt Other Agency Review or Permit Required of Permit VerMed By Date Florida Dept of Environmental PrOtectibn Florida Dept of TMMVMWM St.Johns Rhw Water Management District Army Corps of Engineem DMsion of Hotels and Restauraft DhAslon of Alcoholic Beverages and Tobacco Other APPLICATION STATUS Revievning Department First Review: 13�proved. ElDenled. (Circlee opp.)_ Comments: BUILDING PLANNING&ZONING RevW*-ed Date: TREE ADMIN. Second Review: OApproved as revised. [:]Den1Le`d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed Date: FIRE SERVICES Third Review: []Approved as revised. r'lDenied. Comments: Reviewed b Date: Revised 06MM9 F.'ay OY J%Wd11UG Ept=161S Af-PUGA I 1UN NUMBER Building Departrnent (ro be assigned by the Builcliriq Dqm*= ..... :4 -9 8W Seminole ftad Atbnft Beach,Florida W&16W Mme")247 MW - Fax WQ 247,8446 P�ft muted. E-rnalt b"rV4ept@ooab.us City vieb-sfte: NIp:/ANWW.coab.Us APPLICATION REVIEW AND TRACKING FORM Property Address: xy,�- rownt review required Yes No Applicant: It)AIE f,- ming &Zonja-d nn nt, in & Project Public Woft Public Utifi fles; P W Safia _ubbc Sakty Fire Services 'Review fed Mpt SQ' n.-6rie Review or Receipt Oth"Agency Review or Permft Required of Permft Verified Date kFlorida Dept of EnvirmwwW Pmtection Florida Dept of TrawWfafion Ro Ron d ca 'a St.Johns River Water Management Disbrict r ArTmny Corps of Eqgrineers Division of H and Restaurants Division of Alcoholic Beverages and Tobacco Other APPLICATION STATUS Reviewing Department First Review: 99��proved. nDenled. (Circle one.) Comments: BUILDING I PLANNING&ZONING Revlawed byZ� 4�A4Z Date: TREE ADMIN. Second Review: ElApproved as revised. [-]Denfed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by. Date: FIRE SERVICES Third Review. []4proved as revised nDenied. comments: ReVlwied by. Date: Ased M4W