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600 Aquatic Dr 2014 trellis pergola CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD j - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ACCESSORY STRUCTURE NEW RES JOB INFORMATION: Job ID: 14-ACST-286 Job Type: DETACHED ACCESSORY STRUCTURE NEW Description: pergola and trellis Estimated Value: $200.00 Issue Date: 11/4/2014 Expiration Date: 5/3/2015 PROPERTY ADDRESS: Address: 600 AQUATIC DR RE Number: 171818-5200 PROPERTY OWNER: Name: STEIMERT, MICHAEL Address: 600 AQUATIC DR PERMIT INFORMATION: FEES: PLAN CHECK FEES $27.50 BUILDING PERMIT FEE $55.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $86.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �y4t4�i'`q{ph'rxKiad^:.•viR�Jcryli.`9z. BUILDING PERMIT APPLICATION FI L COPY CITY OF ATLANTIC BEACH I I-1 r s T 800 Seminole Road, Atlantic Beach FL 32233 Office (904) 247-5826 Fax(904) 247-5845 Job Address: boo Aq Va-h`c- Dr . A i--(*K* C- 6e.ac11 Permit NumOCT ZI Legal Description Rj 3 K 3 8A PC,7T s a`Q` 1 0-,r6 SF Parcel# /7( -S o 0 Floor Area of Sa.Ft. Sq.1, Valuation of Work$ 10 O, O© Proposed Work heated/cooled non-heated/coo e Class of Work(circle one): Ne Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residenti If an existing structure,is a fire sprinkler system installed? (Circle on es No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed:_ r h 5-(a CCa-l-t of qct, v Cee-t'' +C'e-1 Ii5 Property Owner Information: Name: Mi c-exQA S'f--e�rte_1r* Address: C,'CrVV-- 0 f City /ltlaKk-� Se xc� State FLZip 3 2_Z3_3__Phone qo`t 3( 9—3S 7 G a q g-o 9.,;; E-Mail or Fax#(Optional) 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 wall be performed to meet the standards of all laws regz�lating 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(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, P I'mbing,Signs, Wells,Pools, urnaces,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 hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether speci led herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of arty other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name 0\1%C-In,a P_k .5+_'A KQ-4'fi Print Name ..................................................................................................................................... ........................................................................................................................................ f e r +' Before me t 7a f UG'f r3�� ,20 I 1 this Day of 20 G Public ;_�X` ; Notary Public-State of Florida Notary Public =40 My Comm.Expires May 26,2015o�; Commission#EE 91846 Revised 01.26.10 ��'!�,°;5 `` Rnndecl Thrrnioh National t:.",AsSn. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Fn� 0 ��flw f�n_ Job Address: (600 Acrvedic- Dc , A fi(gk* c- Bec«6N Permit Num OCT 21 Legal Description 3K 3�5 oeri Pt 1 S a`Q 1 os 6 SF Parcel# 171 -S a,o 0 oor Area o q. t. q. Valuation of Work$ 2L O 0, o© Proposed Work heated/cooled non-heated/coo e Class of Work(circle one): Ne Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/pro osed structure(s) (circle one): Commercial Residentia If an existing struc ure,is a fire sprinkler system installed? (Circle one es No N/A Florida Product Approval# For multiple products use product approval form n Describe in detail the type of work to be performed: t h S4a(kct+�yy, o f qa"Vr -C � O �F. O(ot/ Property Owner Information: Name: 1MICANCA QA 9 -ei rte-4--1' Address: (BD A V � f City AJA0t +4-- Se.ccc, State FLZip 322 Phone 4o`( 3( g-3 S 7 G 14 g-O q S3 E-Mail or Fax#(Optional) 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 6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, urnaces,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 hereby 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 o work 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 {h�C 0.e 5'�.t�2 �'� Print Name ........................................................................................................................................ ..................................................................................................................................... foixe r 1 l Before me t d f OG'f a 01 r�,< 20 / `I this Day of 20 c a Public ;=��+n Notary public-State of Florida Notary Public c ; c My Comm.Expires May 26,201 Revised 01.26.10 *o; Commission#EE 91846 °; ,gip,, Bonded Through National P:otary Assn. CITY OF ATLANTIC BEACH OWNER / BUILDER 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. II. 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. row c4 a( t �I'c ADDRESS I PHONE NUMBER PRINT NAME SIGNATURE \\ DATE / Before me this 7—Iday of 20L4n the county of Duval,State of Florida,has personally appear d herin by � Klf/ self and a firms that all statements and declarations are true d accurate. Notary Public at Large,State of ,County ofV ❑Perso ly Kgib �� P used IdeTTT P Notary Public State of Florida Notary Signat mmission FF 0889909WF:BLDG/Owner- s47rB110018 600 Aquatic Drive — Garden projects i t(4,t q e t'M �i �t �m 1 r 1 ft. Construction materials: wood, concrete, screws, paint. For each post, two bags of concrete cement have been used with about 3 feet depth as shown on pictures. Pergola and plant trellis have NO roof. Pergola and plant trellis are NOT attached to the house. AQUATIC 50-FOOT R I GOT A \' C" // r q x`# G� J J 100.00 R= 22e 57. 15 �, Pd 40.06 C 18e 44' 39. W CN- 39.80 P I ir 75.00' TO CUTtAss DRIvE I ti m b 03 ,r)6 a V ao� ,Q J s 77 70' — — pd KGE� 6 c,A, City of Atlantic Beach r APPLICATION NUMBER Building Departrnecs (To be assigned�]y��i Bu ng Dep rtrtgent.) 800 Seminole Road / ,t{ / f^' /, 1l/ Atlantic Beach, Florida 322:33-5445 Phone(904)247-5826 - Fax(904)247-5845 Q City web-site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRAUMING FOR Property Address: ,Deparpnt review required Ye No Buildin Applicant: /�� /�� lanninc ?. Zoning Tree A(. ustrator Project: Public V :cs Public L.-ti►ies Public Safety Fire Services Review fee $ Dept Signature CONTRACTOR EMAIL ADDRESS _ CONTRACTOR CONTACT # _ APPLICATION STATUS Reviewing Department First Review: Approved. ❑Deni, (Circle Comments: ' BUILDING y� PLANNING &ZONING Reviewed by: / / ` Date: TREE ADMIN. Second Review: [—]Approved as revised. ❑Denie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [—]Approved as revised. ❑Denie, Comments: Reviewed by: _ Date: REVISED 09252014 City of Atlantic Beach APPLICATION NUMBER Building Departmec� �To be assigned y die Bt�j�ing Departyr�,e t.) 800 Seminole Road / 20 � I"- Atlantic Beach, Florida 322:33-5445 / Phone(904)247-5826 • Fax(904)247-5845 a Z Date routed: City web-site: http://www.ct:)ab.us APPLICATION REVIEW AND TRACKING FORM Property Address: !� -3-nt review required Yes No Buildin, lannin ": Zoning Applicant: Tree Ac iistrator Project:Pro Public V :cs � Public t ,si+ies Public` ty Fire S< is Review fee $ Dept Signature _ CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # _ .. APPLICATION STATUS Reviewing Department First Review: ]Approved. ❑DeniF (Circle one.) Comments: BUILDING / �( PLANNING &ZONING Reviewed by� l �// Date: 3ull 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. ❑Denie, Comments: Reviewed by: _ Date: REVISED 09252014