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342 6th St shed 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001035 Date 7/09/14 Property Address . . . . . . 342 6TH ST Application type description SHED PERMIT Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 22000 ---------------------------------------------------------------------------- Application desc DEMO REBUILD SHED ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KIRK, ROBERT & CHRISTINE E OWNER 342 6TH STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit ACCESSORY STRUCTURE NEW RES Additional desc . - Permit Fee . . . . 160 . 00 Plan Check Fee 80 . 00 Issue Date . . . . Valuation . . . . 22000 Expiration Date . . 1/05/15 ---------------------------------------------------------------------------- Special Notes and Comments Parking on right-of-way only in front of project site . Full right-of-way restoration, including sod, is required. 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 .40 ENG REV BLDG MOD OR ROW 25 . 00 STATE DBPR SURCHARGE 2 .40 UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160 . 00 160 . 00 . 00 . 00 Plan Check Total 80 . 00 80 . 00 . 00 . 00 Other Fee Total 54 . 80 54 . 80 . 00 . 00 Grand Total 294 . 80 294 . 80 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 JUN 26 2�14 Office (904)247-5826 Fax (904) 247-5845 By :!t7!!!t - Job Address: Permit Numt er: /0-3 2— Legal Description Floor Area of SS q.F t. Parcel# Sq Ft Valuation of Work$ 000, Proposed Work heated/cooled 116LIS&r— 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�gsidenti�, s a If an existing structure,is a fire spriWer system installed? (Circle one)" s 2g> N/A Florida Product Approval# 549 021-4 hi.5 For multiple products use product dpproval form r r- Describe in detail the type of work to be performed: 0FA1Pt9F_14PL1X_ EY1377AIZ, Sl�fO , 1311IL-4 Property Owner Information: Name: 0 Rq- )ea4 Address: 2t�� K7t�41 -:0- -/7-1 C— /3 C-Af State 61 city 411-4, 23 3 Phone 90 E-Mail or Fax# (Optional)— ;el Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: Address: city State Zip Office Phone Job Site/Contact Number Fax State Certification/Registration# Archite6t Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4pplication is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior to the issuance qf a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void ff work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a Period ofsix months at any time after fo t r 9�� work is commenced I understand that separate permits must be secured r Elec rica Work, Plumbing,Signs, Wells,Pools,I urnaces,Boileis,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 FINANCING.) CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I herelb certify that I have read and examined thisfap f laws and ordinances governicneg this glication and know the same to be true and correct. All provisions o can I Work will be co�nplied with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or the provisi.ons of any otherfederal,state, or local law regulating construction or the pe�formance of construction. Signature of Owner Signature of Contractor PrintName Print Name ........................................................................................................................................ ......................................................................................................................................... Be Before me "bay of TUn .2019 i* s th s this —Day of 20 Nota ublic Notary Public JENNIFER WALKER Revised 01.26.10 My COMMISSION#FF 011460 1EXPIRES:Aphl 24,2017 ""0. nded Thru NOWY Publie underwrkers FILE COPY Ll 13 Alcr_- p r c eo L). Pt 0 N 7- 06y(-4 / o" 'FAiry )0�vf_oe_ js G. r3 5 t(o L..)f- ffC &d'OrS I-VE 00 3- 2-3 f- ?7 .0�z 0&/Vf- LV 7 .2, 2-3 MAP SHOWIN IS 6OUNMe7SURVEY OF LOT 19, BLOCK 7. SUE101VISION A. ATLANIIC BEACH. AS RECORDED IN PLAT BCOK 5. PAGE 69 or TI�E CURRCNT PUBLIC RECOROS OF DUVAL COUNTY. rLoRiVA. �77IEBYCKM- THATI GIS UEAR) JD .opy )FTHE M STREET C04" IUAL IN ENT. N go-co'Do' E60.00' (PLAT) rZo I N 39*44*49' E. 1plxwr�sol lQuw in,vm Pit 50.09* (MEASURED) clom CERnFIE0 TO; KIRK R013E:r?T C, KIRK AND CHRISTI.IdC C WORLD SAVINCS BANK, PS8 FOR7RESS TITLE. LC S4T:WARY TITLE GUARANTY COMPANY FILE COPY ED-Ifta pet i in if) IV40 STORY FRAUE P TED 342 CIS Lor 21 LOT 17 BLOCK 7 Af -;Lr BLOCW 7 C3 p�n a 00 P p 27 6' 0 00 covO,.x 0 V, LOT 19 BLOCK 7 L3' 50.1.3' (MEASURED T" s 89"48,14, w N 9 LECENOI S0,GO` (PLAT) - ADCUS —W— - LOT,20 L CON041:Te NLOCK 7 ��UOEO j),-. govaca-E ALMD T11C RE�ASIOWS I UrAiRpicS AKE aAS1D 91 n ILAST 8OUNDAM"U-t O� jpU.XC7T P.QCTL. DAlt GESCAPIlDN 2. by CQAr.-Ac PLOMpC Q-LY TIIE C�-nONED LANDS UE VAIIIA h000 ZCPK AS%M01%,Ct THE WA�OKA%.CLOOD 44SURAHM.10AP DATED 1A.WE Id, 1161. 0"J" L - j, TMS Stjllyry cq[nACyS ALL EA5LkfN7s&"CRT'"r%WAY A'�fk WCOR PLAT%Dw'AMA co"I'MENT If UppLD, U.LL" 0111CI.MilE 61AFE0 NO 07KPI T�&/%tMfrATION hAS ETS F( "MCD mr'-4C UNMRSIMtO C 0 "T u.,YO -401 T�ojf TKX E-DOSSED SM rKE rywi.nWC RVLIOPL JO13 775 7-l-scALE- �05'ATE OF ?ILLU SW I CERTIFICATE SIJR Eyl �HR F Y I N'9--" I T-.Al 's�Av_. A%um RAY THOMPSON >UR ... . ...tz..At umwwm.42 CcvL %.%I.N".70 '2 jgk_,AU. FI-Ift 322077 0"Wom 4�"�ps (f..l so�­IQ6-3156 RMWtW SUm%CVOR^90 M14."I j 5%49 STATE Or rWWOA LAND SURVEYS C) CONSTRUCTTON SURVEYS 0 5LIElDiVISIONS LVIBLILEVOIB VE:171 '30OZ/ST/90 Eo/E0 31)Vd J. CITY OF ATLANTIC BEACH FILE COPY OWNER / BUILDER AFFIDAVIT i '! 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER I 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 YOUR-SELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUM[E 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 MAYE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANC S. 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 PENAL TY UNDER FLORIDA STAT LITE 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. 3Y,?_ 6fA S-)- 32-2-33 �0 v - 2F�l 16 /9 6- ADDRESS PHONE NUMBER PRINT NAME ,� e�7 ��A _11Ge Before me thi4 2114 in the county of T Duval,State of Florida,has personally appeared herin by himself/herself and affin"ns that all statements and declarations are true and accura'te. Notary Public at Large,State of County of LXAVA.A 0 Personally Known JQ,PK8uced Identffiration- zo--i U "— Li &j9wNjaPun3!1qndAj810N"14iPQPu Itz 1pdV:S LLOZ Itz 1pdV:S IdX3 oqt1l,0:H#N0ISS1I 0 AV4 Notary Signature: FJBLDG/Own�-'Buildff 4111i,�:R-E-\IrISED: 4t/16/200 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) I %_ 1-1 CEIVE'D 800 Seminole Road I-L-IL /z/ Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845J U N 2 7 2014 19 E-mail: building-dept@coab.us I L_Iate rOUtE d: City web-sit e: http://www.coab.us LF�-Y': APPLICATION REVIEW AND TRACKING FORM Property Address: .c;N2_ b" J7_ review required Yes No Applicant: aw/m Ctanning & Zoni Tree Administrator Project: d'��ublic Work �'N­bric tiiit7,e-s-:> Tr _P-uBTi-c-Sa_fety Fire Services Review fee $ C�' Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Prot-ection 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: KApproved. FIDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:_*P v TREE ADMIN. Second Review: []Approved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. F]Denied. Comments: Reviewed by: Date: Revised 05114/09 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 I E-mail: building-dept@coab.us L Date routed: 12 Cityweb-site: hftp://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: cN2_ J Jr J*"!"Rt review required Yes No C-155-nning &Zo�n�i ? Applicant: OW12t4 ft— — Tree Administrator Project: ublic Wor < '[5—ublic Utiliti—es-> 170-57ic-Tra-fety 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: NApproved. El I Denied. (Circle one.) Comments: /Aek �el�k4 ix 001e J4 BUILDING i5t sl Y� erqlf PLANNING &ZONING oe Reviewed b : 10eA,',_1_ - Date: y TREE ADMIN. Second Review: []Approved as revised. [-]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: RApproved as revised. F]Denied. Comments: Reviewed by: Date: Revised 05/14109 City of Atlantic Beach APPLICATION NUMBER � "CEIVEl ' Iding Department.) Building Department (To be assigned by the Bui 800 Seminole Road 141 - / Atlantic Beach, Florida 32233-5445 JUN 2 7 2014 Phone(904)247-5826 - Fax(904)24 5145 LDate routed: E-mail: building-dept@coab.us Cityweb-site: http://vmm.coab.u,, �B Y: APPLICATION REVIEW AND TRACKING FORM Property Address: t;N2- 'P""Rt review required Yes No Applicant: <-Vlanning & Tree Administrator Project: ublic Wor < b P u b Ric U t i I i t 7ie_s__-> .';i,f Tr P u b I i c_7—a re t—y 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: pproved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:-1- TREE ADMIN. Second Review: [—]Approved as revised. F]Denied. Lfc Comments: UBLIC UTIL Reviewed by: Date: 4*TY PUBLIC SAF FIRE SERVICES Third Review: FlApproved as revised. [:]Denied. Comments: Reviewed by: Date: Revised 05/14/09 6. City of Atlantic Beach APPLICATION NUMBER 1.st Building Department (To be assigned by the Building Department 800 Seminole Road -5445 Atlantic Beach, Florida 32233 Phone (904)247-5826 - Fax(904)247-5845 )2 ,o Z140 E-mail: building-dept@coab.us Date ro uted: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: C3�2_ le" J7- review required Yes No e'-�Iannin g &Zonii Applicant: 0A)l7t4 Tree Administrator Project: ublic Wor PulAcUtilities_,> < Notz-Sho )0 P u b I ic�55�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 Reviewing Department First Review: [YApproved. ODenied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: 4= TREE ADMIN. Second Review: [-]Approved as revised. [ ]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05114109 z + 0 > �:;- CD (D CD CD CD 3 Cl) Ln CD (D CD 0 .7j, CD r-t� CD mum 0 CD no CD CD CD CIO W cr -41 C) - CD r T P7- CD cr CD 0 2t P CD CD Vk)