1540 Main St Shed 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
lilt
Application Number . . . . . 14-00000256 Date 2/28/14
Property Address . . . . . . 1540 MAIN ST
Application type description SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 500 ---------------
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Application desc
12 x 12 shed
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Owner Contractor
------------------------
------------------------
BIDLACK ADAM M ET AL OWNER
BIDLACK, REBECCA & GORDON
1540 MAIN ST
ATLANTIC BEACH FL 32233
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Permit . . . . . . ACCESSORY STRUCTURE NEW RES
Additional desc . - 27 . 50
Permit Fee . . . . 55 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 500
Expiration Date . . 8/27/14 ---------------
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Special Notes and Comments
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
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (90 4) 247-5826 Fax (904) 247-5845
Job Address: /.Iqo tAk*,p- 5vr&-k- Permit Number: 141-
Legal Description Floor Area of Sq.Ft. Parcel Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial �e
If an existing structure,is a fire sprinkler system installed? (Circle.one): Yes No
Florida Product Approval #
For multiple products use�roduct approval form O�CA VP
Describe in detail the type of work to be performed: -�kJ- 12-X "L At 0
Property Owner Information:
Name: Address:
city State 8nZip 321-�1 Phone �j o Y
E-Mail or Fax (Optional) 0
t i LI t U9
Contractor Information:
Company Name: Qualifying Agent:
Address: Citv —State Zip
Office Phone Job Site/Co er
State Certification/Registration stow
Architect Name&Phone
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address_
Mortgage Lender Name and Address 3"V=W=W. p
Application is hereby made to obtain a permit to do the work and installations as indicated. I c rtify that no work or inst, q lon commencedprior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regul ing 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 suspen or abandonedfor a period ofsix(6)months at any time after
work is commenced I understand that separate permits must be securedfor Electrical-Wo Plumbing, Signs, Wells, Pools, F�rnaees,Boilers, Heaters,
Tanks andAir Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
'�D -niit does not presume to give authority to violate or cancel the
type q work will be complied with whether specified herein or not. The granting of a pei
provisions of any otherfederal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
PrintName Print Name ...................................................................................................................................
14 ^. . ........3(.......................................................................................
...... .....
'
Before in is lqp�WpjkL�Saj of F"a 20
this ay of 20
Shirley L Graham
My Commission FF 086990
OF
Notary Publi—c Revised 10.24.12
94 -111 - 6 .
LoWEV
L E "IM6VINro
LOWE'S HOME CENTERS, LLC
12945 ATLANTIC BLVD.
JACKSONVILLE, FL 32225 (904) 486-4701
10.00% OFF MILITARY- PERSONAL USE DISCOUNT SALE -
- S A L E -
SALES#: S1699ASI 663468 TRANS#: 11588091 02-16-14
0.45
5.97 DISCOUNT EACH -5.52
8.08
8.98 DISCOUNT EACH -0.90
800��� 26.07
28.97 DISCOUNT EACH -2.90
p - 4.29
4.77 DISCOUNT EACH -0.48
-r- 4.93
5.48 DISCOUNT EACH -0.55
oii -.-mlll��k 1.66
1.84 DISCO -0.18
92724 STORAGE BLDG ANCHOR KIT-- 2.47
24.97 DISCOUNT EACH -2 0
SUBTOTAL" 67.95
TAX: 4.76
INVOICE 11281 TOTAL: 72.71
MERCH/GIFT CARDS 4.03
MERCH/GIFT CARDS 50.00
NERCH/GIFT CARDS 18.68
TOTAL DISCOUNT: 13-03
SWIPED MERCH/GIFT CARD 6229 AUTHCODE 000000
BEGIN BAL TRANSACTION ART EVDING BAL
4.03 4.03 0.00
------------------------------------------------
SWIPED MERCH/GIFT CARD 3982 AUTHCODE 000000
BEGIN BAL TRANSACTION ANT ENDING BAL
50.00 50.00 0.00
------------------------------------------------
SWIPED MERCH/GIFT CARD 5500 AUTHCODE 008132
BEGIN BAL TRANSACTION ANT ENDING BAL
100.00 18.68 81.32
------------------------------------------------
STORE: 1699 TERMINAL: 11 02/16/14 17:02:37
# OF ITEMS PURCHASED: 7
EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS
THANK YOU FOR SHOPPING LOWE'S.
SEE REVERSE SIDE FOR RETURN POLICY.
STORE MANAGER: JAMES CANATA
WE HAVE THE LOWEST PRICES, GUARANTEED!
IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10%.
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2 ym to
LEVY ROAD opy
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CENTERUNE OF LEVY ROAD (66P RIGHT OF WAY) L t
S 2,12 (COUNTY ROAD N.222)
"F,.k
N 00'23'10" W
70.00' (DEED
POINT 0
NORTHEAST CORNER OF SECTON 1% POINT OF BEGINNING N 00*25*06" W
TOWNSHIP 2 SOUTH.RANGE 29 EAST 69.96- (MEASURED)
PI �_ 100.21�1(...)-
IMESTERLY RIGHT OF WAY LINE S DO'23*10'E 2W(DEED)
MO,
MAP SHOWING
BOUNDARY SURVEY OF COVERED
EN 14X
LEGAL DESCRIPTION PROVIDED BY CLIENT: --RMLC2�1-05
5 TORY�
PART OF GOVERNMENT LOT 1. SECTION 18, TOWNSHIP 2 SOUTH. -- oirif S
RANGE 29 EAST, MORE PARTICULARLY DESCRIBED AS: IX MASONRY
FOR A POINT OF REFERENCE. COMMENCE AT THE NORTHEAST CORNER POSTED #1540
OF SAD SECTION 18 AND RUN SOUTH 0 DEGREES 23 MINUTES 10 1101,4' a 48,.0'.', lie'
T ALONG THE EAST BOUNDARY LINE OF A/C I PATIO
SECONOS EAST 1012 FEE ", COVERED
SAID SECTION 18(BEING ALSO ALONG THE CENTER LINE OF LEVY PAD 15
ROAD, COUNTY ROAD NUMBER 222) TO A POINT, AND THENCE RUN
NORTH 89 DEGREES 49 MINUTES 10 SECONDS WEST. 33 FEET TO A
POINT IN THE WEST RIGHT OF WAY LINE OF SAID LEVY ROAD, WHICH
77
POINT IS SOUTH 0 DEGREES 23 MINUTES 10 SECONDS EAST. W W
FEET FROM THE SOUTH LINE OF THE LANDS OF LOUIS SEIDL AS
DESCRIBED IN DEED RECORDED IN DEED BOOK 204, PAGE 506, OF
V)
THE CURRENT PUBLIC RECORDS DUVAL COUNTY, FLORIDA. TO A S A qwy V)
POINT, THENCE RUN SOUTH 0 DEGREES 23 MINUTES 10 SECONDS Ld< <
Ld W W
EAST. 230 FEET TO THE POINT OF BEGINNING; THENCE RUN NORTH W
89 DEGREES 49 MINUTES 10 SECONDS WEST, 440 FEET TO A
POINT, THENCE RUN SOUTH 0 DEGREES 23 MINUTES 10 SECONDS b
EAST. 70 FEET TO A POINT; THENCE RUN SOUTH 89 DEGREES 49 q 0) 0
MINUTES 10 SECONDS EAST, 440 FEET TO A POINT IN THE WEST 0 . q
V-0)
�t re) IL 0
RIGHT OF WAY UNE OF SAID LEVY ROAD; THENCE RUN NORTH 0 0-
DEGREES 23 MINUTES 10 SECONDS WESL 70 FEET ALONG THE 't
WEST RIGHT OF WAY LINE OF SAID LEVY ROAD TO THE POINT OR J)J
PLACE OF BEGINNING. AND BEING A PART OF THE SAME LANDS
DESCRIBED IN DEED RECORDED IN DEED BOOK 1072, PAGE 144, AND
IN AGREEMENT FOR DEED RECORDED IN DEED BOOK 1651. PAGE 231,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA.
4
0
CERTIFIED TO: E
ADAM M. BIDLACK,, 3. W Uj
REBECCA A. BIDLACK & GORDON W. BIDLACK
COMMUNITY FIRST CREDIT UNION 1020
KEITH WATSON TITLE SERMCES, INC Z-C14 Z—.r-
0)�O 0)C)
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY '�R-
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Co 01
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0 -SET 11 Ir REBAR LEGEND:
STAMPED PSM#6146 PC - POINT OF CURVATURE L,—4
0-FOUN 1/27 PT POINT OF TANGENCY
NO I"R S 071—r20- E
CA%� PRC - POINT OF REVER
(UNLESS 01HMWISE NORED) CURVATURE
0-4.4"CONCRETE MONUMENT PCC - PONT OF COMPOUND 70.05' (MEASURED)
A/C - AIR CONDIMONER CURVATURE S 00'23'10" E
—X— - FENCE CONCRETE 70.00' (DEED)
NOTES: RE\ASIONS
1.BEARINGS ARE BASED ON THE DEED BEARING OF S 89*49'10"E ALONG THE
SOUTHERLY BOUNDARY LINE OF SUBJECT PARCEL DATE DESCRIPTION
2. BY GRAPHIC PLOTT94G ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE x. AS SHOWN ON THE i2-27�20ia UPDATE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989,COMMUNITY NUMBER 120075,PANEL 0001 Q
3. THIS SURVEY REFLECTS ALL EASEMENTS&RICHTS OF WAY AS PER RECORDED PLAT&/OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED.NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4- THIS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENnCATED ELECTRONIC SEAL
JOB #14333—A DATE OF FIELD_SURVEY: 12-18-2007 1 SCALE: 1" = 50'
1 Ll I I Ray Thompson CERTIFICATE J.
--IAW I I IAHEREBY CER71FY THAT THI 1 NDER MY RESPONSIBLE CHARGE
SURVEYING, Inc. OND MEETS THE MINIMUM STAND SET FORTH BY 714E FLORIDAIDA
Iffilw OARD Or PROFESSION VEY0115'6%M IN CHAPTER 6IG17-6
[Going the DISTANCE for You ADMINISTRATIVE ANT To IbnON 47 ORIDA STATUTE&
4613 Philips Highway,Suite 210 — z
Jacksonville,Florida 32207 XA-
,56 '%�--Pf
MA MP 9f.146
MAIPP
i� ,
(Phone)904-448-5125 REGISTERED SUR V.MAPP?E1 STATE OF FLORIDA
(Fax) 904-448-5178
LANC ;URVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS 771
CITY OF ATLANTIC REACH
(OWNER / BUMDER AFFH)AVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW-
DISCLOSURE STATENENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERNUT UNDER AN EXEWTION TO THAT
LAW. TEE EXENIPTION 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 BAPROVE A ONE—OR
TWO FANGLY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
Ev2ROVE A CONMERCIAL 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 CONTLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEN2TION, 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 EWLOYED 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(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.
^-yl) M .,/, loq-
ADDRESS PHONE NUMBER
P2�.L�
PRINT NAME
2— J
6fGNATURE DATE'
Before me this day of '20— in the county of
f he
Duval,State ofTiorida,has personally appeared herin by hiyl rself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of County of
.Iiy Kno -40 P&- NotaryPublic State of Fil ride
roduced Ident1licatio
?Iersonaliy Known ;fy'% Shirley L Grah.M
MY Commission FF 086990
Expires 02J 14/2018
e-
'L
Notary Sil_ e:
FVBLDGIO.�-B.ildu Affadavi REVISED: 4/16/200t
-51.,1011 City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: C::Q'
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: IS�1&4 4t1l'7) JD�epartrQent review required Y No
Applicant: ON __fr��Istrator
Project: 121 'SA Lublic_V�
Public Safety
Fire Services
'Re vie- w-f-e-e- ---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: 2A/pproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: n-7 Date: C�L
Or
TREE ADMIN. U
Second Review: FlApproved as revised. [-]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05114109
City of Atlantic,Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 C,
Phone(904)247-5826 - Fax(904)2 -5845
0, 1 E-mail: building-dept@coab.us Daterouted: C;2 C;21
Cityweb-site: http://Www.coab.us Fes
APPLICATION REVIE TR , CKING FORM
Property Address. a Jr— ent review required Yes No
Applicant: lanninn A 7r.)ninn
Project: 12- X 2- ubli c W . i trator
Ic ti I IIP-
Public Safety
Fire Services
,Review fee $ Dept Signat6re
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. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:A Date.
TREE ADMIN.
Second Review: DApproved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. nDenied.
Comments:
Reviewed by: Date:
fised 05/14/09
City of Atlantic.Beach . APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5 5
Phone(904)247-5826 - Fax( 4)24
E-mail: building-dept@coab.0
r uted:
Cityweb-site: http:/Iwww.coab.us
APPLICATION REVIEW AN RACKING FORM
Property Address: Sal-7) Isr ent review require
Applicant: le— lanninn A 7nninrt
Project: -,SA ubli-c W . istrator
_�ti i ie�s
Public Safety
Fire Services
,Review fee $ b ep' -t b i g-n a t u.r4��_
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified y
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. MDenied.
(Circle one.) Comments: YA
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: []Approved as revised. []Denied.
W9RK Comments:
0
C
U LIC UTILI
PUBLIC SA
FET Reviewed by: Date:
T1
FIRE SERVICES Third Review: []Approved as revised. FIDenied.
C C,
ornments:
Reviewed by: Date:
Ased 05114109
City of Atlantic Beach APPLICATION NUMBER
r Building Department (To be assigned by the Building Department.)
800 Seminole Road
t ntic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 C>9111A
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ent review required -Yes No
quired
Applicant: ilanpning &Zonin
7 istr ator
Project: 12- X 12- SA g 'd ublic W
Ic ti i ies
Publ!ic Saf7ety
I 7Fire Se7rvices
,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: E-A-pp'proved. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:
_y�. 4Date.-A�5L�
TREE ADMIN. Second Review: []Approved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
iised 05/14109