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390 10th St slab for glass room 2014 CITY OF ATLANTIC BEACH sit J 800 SEMINOLE ROAD J r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000565 Date 4/29/14 Property Address . . . . . . 390 10TH ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 5000 ------------------------------------------- Application desc foundation for glassroom ------------------------------------------ Owner Contractor - ------------------------ ----------------------- PRIDEAUX, MARK E & CHERI L OWNER 390 10TH ST ATLANTIC BEACH FL 32233 ---------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . 37 . 50 Permit Fee . . . . 75 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 10/26/14 --------------------------------------- Special Notes and Comments If used, 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 . ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE DCA SURCHARGE 2 . 0 ENG REV PRE APP > 3 HRS 25 . 00 STATE DBPR SURCHARGE 2 . 00 Fee summary Charged Paid Credited Due ---------- --------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Other Fee Total 29 . 00 29 . 00 . 00 . 00 Grand Total 141 . 50 141 . 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 E L E COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 ` ° "" "� Job Address: Permit Number: /`y" C95'6 5� Legal Description /I/1 .� Floor reams Sq.Ft Parcel # �q Fit Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): Newdditio Alteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial Residenti If an existing structure,is a fire sprinkler system installed. (Circle one): es o N/A Q Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: S s . Property Owner Information: p Name: M D, -V, r\ p19.k,J 7` Address: City 'r\ .n F State Zip 3'�-Z-3� Phone 3\`�L 1 E-Mail or Fax#(Optional)----AAL,r1l l t_-7k 0kcM1j* (J ) w.o.; , CAW 00 1V Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: 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 work and installations as indicated. I certify that no work or installation has commenced prior to 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_period of six r6)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,eta 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 hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether specs ted 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 er Signature of Contractor Print Name Print Name Befor Before me this D of 20 this Day of ,20 Not 1c Shirley L Graham Notary Public My Commission FF 086990 a Expires 02/14/2018 Revised 01.26.10 NO'T`ICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: A Q,A&q General description of improvements: , Owner Address (,� �Z- Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) \' Name r r\ i '+( Address D —�j�1'Z r Contractor Q1n n i�} Address '),qr_ `5 Phone No. Fax No. Surety(if any) Address Amount of bond$ Phone 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 Phone No. Fax 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 Statutes.(Fill in at Owner's option). Name Address Phone 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): THIS SPACE FOR RECORDER'S USE ONLY �pWNER Signed: DATE 3 Before me his day of in the Coun of uva tate o lodga s e on II eared herein by x W z c ?O h nself/terself and affi s that to ements an declarations herein n=m Doc ff-20-,40875211,OR 6K!6756 rage 384, are rate ii o 3 I Number Pages:1 Recorded 04122(2014 at 11:24 AM, t2 3 r` Ronnie Fussell CLERK CIRCUIT COURT DUVAL A N'- Q r3� drn o =m ROCORDING$10.00 NotaryPuh arg state of o t1 ouUNTY r iD My commission expires: 1 co a Personally Known or 0 T Produced Identification _ ii m CITY OF ATLANTIC BEACH ` - OWNER d BUILDER AFFIDAVIT FILE C ` 1. 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 FAIMLY 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 ORDMANCES. [I. 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. Son W-11" t !`cc� Jpyj ADDRESS PHONE NUMBER M � d PRINT NAME 4 SIGNA'Mkr= DATE Before me this I-1 day of 2V qin the county of Duval,State of Florida,has pers na appeared herin by himself/herself and affirms that all statements and declarations are true n/accurate. l Notary Public at Large,State of v ,County of v 44/PersonallyKnown I F✓ LyProduced I C/� r Notary Public State of Florida Shirley L Graham Notary Signatu ion FF 086990 01, xplres 4/2018 F:BLDG/Owoer-Builder Affidavit 'VISED: 4116/ 09 M4 p SHOnVG BOUNDARY SURREY OF Lor /s' E. 3S BLOCK /Z AS SHOWN ON MAP OF or Qr A riC f3 ,4C!-/ AS RECORDED IN PLA T BOOK PAGES G4 or THE PUBL/C RECOROS OF DUVAL COUNTY :ER 77FIED FOR: /Yl e!L/L P ,pF FLORIDA /o STF-- f ILE COPY ; Coe . a/ N NJ Zl Z. Ig.g � N O Z,5-_7 9 M111Y R J - it c_ F►?c Q ! p V o�c ( J o t y r q0^1 U O f`, Noz 70. 0 , of Q� 4 d 4z rHE PROPERTY SHOwV HEREON APPEARS TD VE WTHIN FLOW HAZARD ZCNE�(_ t. SCALED FROM FLOOD NStJRANCE RATE MAP ao a/ Fr7 niE CITY or Q n J.)r/C � qR/Oq DATED Q 8 9 -- . AND T x O 8 v m O m r 6 a 0 h ro A � = ti FILE * g � o � N � COPY YpmD m � 2 " m z r m O ^ N v W x 0 y O p� f�eC y 'e D a m m APPROX")CATION OF PROPERTY IINE D p ._._-..__._..-. __.__.._.._.._.._.._.__.._.._.._.__.._.._.._.._.._..-..-.._..-.._. to IF L o a I I APPROX.35'70 PROPER01 TY LINE /4 r0 a 1 a z , i e a !R b S M I I 3Nll ff%7dOMd fO NOIltl707'%OUddtl 0 -1-m oz nmz oz O O x x p p z O O m O O >Ov,inpm�CC > n O O Dr.r-+ AmD z r r D 3 0 C)C m D n m r m m p bm0Np n7c�< O m D m �� k 0zpn m w13 O m A 11JJ N � ^NtNJ1N�0At�.1Nm a.caaaa�� ° T ? TT T-DT TT TT T UU _---- A New Residence Pool For The !' N fAM151LP Prideaux Family --ATLANTIC;1. I,FL-- BONDED POOLSy City of Atlantic Beach APPLICATION NUMBER �s~ Building Department (To be assigned by the Building Department.) 800 Seminole Road s� Atlantic Beach, Florida 32233-5445 v Phone(904)247-5826 - Fax(904) 247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 90 �U 771 d-V Department review required Yes No Buildi Applicant: Ian !I< oning:; Tree Administrator 1 Project: ublic Works ��G"Y! L���� � J /� u lic tilities �4 /a�s 'em�� Public Safety � Fire Services Review fee $ Dept Signature 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 1 V Division of Alcoholic Beverages and Tobacco Other: a\ APPLICATION STATUS Reviewing Department First Review: ❑Approved. Denied. J (Circle one.) Comments: 40 0 2� 1W-5 O'WM 6-e n � d.- BUILDING r 5 �/c ©� ""` h2 �S' 0ori d S'leQse tA,4fll idtA 4P 1 S A9R o nd 5 zwokr . PLANNING &ZONI Reviewed by: .cam Date: 0�3 TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: s; �Qrd Se4&ck vt I u "ort PUBLIC UTILITIES kf PUBLIC SAFETY Reviewed by: Date: y 1 Z01 FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie. Comments: Reviewed by: Date: Revised 05/14/09 r1 ,vf� City of Atlantic Beach ' CEIVED APPLICATION NUMBER Building Department :o be assigned by the Building Department.) 800 Seminole Road APR 15 2014 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) `45 E-mail: building-dept@coab.us --- Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: J?o �U 'W J Department review required Yes No /� Buildi Applicant: y W �/� tannin .2.Zoning (Sllr6 Tree Ads: ,nistrator Gia.�•r�Project: Q�G � J) ublic V`�irks Public Safety / Fire Servrces Review fee $ Dept Signature 4,1 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: APPLICATION STATUS Reviewing Department First Review: VApproved. ❑Denied (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date.- TREE ate:TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. P CPE�X Comments: LI PU IC Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Deniec, Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department RECEIVED o be assigned by the Building Department.) i - 800 Seminole Road /y -,! U Atlantic Beach, Florida 32233-5445 APR 15 2014 Phone(904)247-5826 - Fax(904)24 -5845 ''� �• E-mail: building-dept@coab.us BY: Date routed: _======_L1. City web-site: http://www.coab.us APPLICATION REVIEW AND TRAC, 'ING FORM 7;1 Property Address: % d -/ 4 d'"� Depa: _nt review required Yes No Buildi _ Zoning Applicant: Tree Administrator Project: / Uu-7'7 as-�.�� ublicWorks u lic tilities Public Safety Fire Sen es Review fee $ Dept Signature Review or Rece, Date Other Agency Review or Permit Required of Permit Verifiei -i 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. *��7 (Circle one.) Comments: n n BUILDING C PLANNING &ZONING Reviewed by: Date: y Ail TREE ADMIN. Second Review:4Approved as revised. ❑Denie PUBLIC WORKS Comments: PUBLIC UTILITIES ' Date: PUBLIC PUBLIC SAFETY Reviewed by: d FIRE SERVICES Third Review: ❑Approved as revised. []Denies. Comments: Reviewed by: Date: Revised 05/14109 rs� yrT City of Atlantic Beach APPLICATION NUMBER JS f� Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 77 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: 7Wd-V Department review required Ye No / pp Build Applicant: 10 p <77lannin &Zoning Tree Administrator Project: �GG"Y! dA—/7-,4'71 � ubIic Works rl �QQ�� u lic Utilities Public Safety Fire Services Review fee $ Dept Signature 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: APPLICATION STATUS Reviewing Department First Review: Approved. [-]Denied. (Circle one.) Comments: BUILDIN :) PLANNING &ZONING Reviewed by: Date: a 0/ TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 AG -C 18 2014 Alexander Grace Consulting, Inc. JULul January 6, 2014 Mark Prideaux 1 Vk Coldwell Banking \/ Re: Framing Modifications Prideuax Residence Job Number 14-10-0003 Dear Mark, The following are field changes made to the original permit engineering. 1. The original engineering specified fastening the 2x8 ledger to the CMU with (2) rows of '/2' bolts embedded 5" into stem wall at 12" on center, staggered. These were installed at 16" on center. This is acceptable. 2. The engineering also specified using deck boards for flooring. The actual floor decking used was W Plywood, fastened with 8d nails at 6" on center on edge, 12"on center in field. This is acceptable. 3. Lastly, the 2x8 ledger was specified being fastened to the existing wall band board with (2) rows of 1/4'W" wood screws at 12" on center, staggered. The fastening was actually done at 16" on center, and the screws themselves aren't staggered. This is acceptable. Please co 9� dtflhe�,a any additional questions. ��� Si ..E T F . Geoff re 44,% , FL 5932 2Z REVEEWMIFOR � 3 �F CITY OF A'11 .i��', C REACH C0PY SEE PERMITS FO E nDDMONAL FILE `1Yt-n"TnrF i8 R IW BY.- 3016 Y 3016 South 31 Street,Suite 201 • Jacksonville Beach FL 32250 904-241-8010