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392 7TH ST 2015 DECK CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DECK-129 Job Type: DECK/PATIO Description: OUTDOOR DECK Estimated Value: $2,400.00 Issue Date: 2/3/2015 Expiration Date: 8/2/2015 PROPERTY ADDRESS: Address: 392 7TH ST RE Number: 169914-0000 PROPERTY OWNER: Name: HARVEY TRUST, SHORTELL Address: 392 7TH ST PERMIT INFORMATION: PLANNING AND ZONING: The deck can be located no closer than 5 feet from side and rear property lines. FEES: PLAN CHECK FEES $31.00 BUILDING PERMIT FEE $62.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $97.00 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 FILE COPY ' 800 Seminole Road, Atlantic Beach, FL 32233 A Office (904) 247-5826 Fax (904) 247-5845 Job Address: j;.2 Permit Numbe Legal Description oor,Area ot- Sq..Ft. Parcel Valuation of Work Proposed Work heated/cooled non-heated/cooled �2_f�5- Class of Work(circle one): New QziD Alteration Repair Move Demolition Pool/spa window/door Use of�Xi�ting/proposed structure(s) (circle one): Commercial Residentia on 0 If an existing structure,is a fire sprinkler system installed? (Circle e . 0 N/A Florida Product Approval# For multiple products use Fr_od_u_c_ta`pp__r�ov_aFT5—rm Describe in detail the type of work to be performed:_ j_;4 Name: 1��_V ddress: city A State iP_,5;�-YY Phone E-Mail or ax#(Optional)— _rk6 zi�K 641 q_r-2,z. Contractor Infor iation: —.CONTRACTORE AILADDR-F.P-Q- Company Name: Qualifying Agent: Address:– ----- city —State Zip Office Phone Job Site/Contact Number State Certification/Registration Fax Architect Name&Phone# Engineer's Name&Phone Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Ap lic ti n is her made I a'n a e m- to d the work and n8 a a n as �nd'o d e ha n ork installation has commencedprior to the or rt t f p 0 v _' - ' ix in i8t ' 'o 3�e lating n8 u nthisjurisdiction. Thispermit becomes null c co t' ct'o r it r 0 t s c �u d 0,abandone� 0,aWeriod of si,*xj,6)months at any time after f 0 er e' t 0 o't 'r p lepe 0 ed to the an� ds a a P an e a tyand ha k is f k e, c 0 0 r t 0 omm wt )m t s 0 ened hi (6 on h 'ont' ct'o'0,wo, "t" t t Prt,p rmismut s "r f 0, 1"tr W 0 Pli'm and'01'd i� ork not c de d a e e be e' 'ng S w c m ...d T, k is 0 i Z , ed E ca rk, ig's s , ,Con . 0 S,etc. Ilk a dA, ne b ells,Pools, urnaces,Boileis,Heaters, 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. 1here certify that I have read and examined this application and know the same to be true and correct. Allprovisions oflaws and ordinances governing this 1�work will be coTplied-with whether eciffed herein or not. The granting of a permit does not presume to give authority to violate or cancel the !)rovisions of any otherfederal,state, or local"f1w regulating construction or the performance oj construction. llo� 3ignature of Own4 Signature of Contractor Irint Name ..... ..................... ......................... Print Name 3efo ................ ... ................................................................. Before me his&Day of 20 /6' this Day of 20 Totary Public D -At MY COMM11 ION#EE 057349 ..6 EXPIRES:May 21,2 15 Bonded Thru Notary Pubiic u e ffters Revised 01.26.10 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Build,nj Department.) 1 15 800 Seminole Road 2-9 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Cityweb-sit& http-//\m\&,w.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '2- �S-�- Qgpartment review required Yes No eq G�� — phcr-) CAKV <-Mnning &Zoni'n- Applicant: J�� 'T"me ACIMMISTrator Project: ooy- Public Works Public Utilities Public Safety 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: [P�Pproved. E]Denied. (Circle one.) Comments: (2ED IN 7(� PLANNING &ZONING Reviewed by: Date: / TREE ADM IN. Second Review: ElApproved as revised. [—]De PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. DDenied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Buildin 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� ILP its Cityweb-sit& http�//\mwwcoab.us APPLICATION REVIEW AND TRACKING FORM --� 2gpartment review req:u:i:rce�dyes No Property Address: 3 q Buil�mLL2 - —I— Applicant: CA KV <�Mnning &Zonin�g� ...U-TkU IT IMMT—rar(5—r Project: Public Works Public Utilities Public Safety 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: [:]Approved. ;(Denied. (Circle one.) Comments: ell BUILDING PLANNING &ZONING Revievved by:A</ L---A--,,/Date: V;ZZ/ TREE ADM IN. Second Review: pproved as revised. DIDenied. PUBLIC WORKS ents: 9. 4(r,N 6S C_r Arlt, Comments: 4C ^,* d PUBLIC UTILITIES r,r MP of� 1;,cj- PUBLIC SAFETY Reviewed by:4� Date: FIRE SERVICES Third Review: PApproved as revised. ODenied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC 113EACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: Permit Numb er Legal Description Parcel Floor Area of Sq.Ft. Valuation of Work S �2 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New (:Z� Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residentia If an existing structure,is a fire sprinkler system installed? (Circle one . .0 N/A Florida Product Approval# For multiple products use product ap 7arro-rm Describe in detail the type of work to be perfon-ned:_ Property Owner Information: N _�Affln a�1 � ame: r-Ky Address: city State Phone ?T_ E-Mail or ax#(Optional) 6 /We <�p gnz,�K Contractor Information: CONTRACTOR EMAILL ADDRFSS: Company Name: 7:2 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 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 of a permit and that all work will be pe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod of six�6)months at any time after work is commenced. I understand that separate permits must be securedfor Electricar Work, Plumbing,Signs, ells,Pools, Purnaces, 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. I herelb certify that I have read and examined th'S application and know the same to be true and correct. All provisions of laws and ordinances governing this typeo work will be co�nplied with whether spellified herein or not. The granting of a permit does not presume to give authority to violate or cancel the 'I provisions of any otherfederal,state, or local aw regulating construction or the performance of construction. Signature of Own Signature of Contractor Iractor Print Name Print Name ........................... ..............��** * ......... ........ ............ ... ... .................................................................. Befo t t Before me his AP"D_ay of 20 this Day of 20 Notary Public COMMISSION#EE 057349 EXIFIRES:May 21,2015 80,"Th.Not"Nbk UWe.,#m Revised 01.26.10 CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "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 HAVEI-A LICENSE. YOU ?%4US ,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 14AVE 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. 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. J�;7 /I e -/ -f _V ADDRESS .. _15?/ —-?1,6' SS PHONE NUMBER PRINT NAME SIGNATURE Before me this day 0 DATE D u h 2V-S in the county of val,State of a onallyappeare herin by Umself/herself and affirms that all statements and declarati s are true and accurate Notary Public at Large,State of County of DEBOW AMPM WH my 05IJ les Z E)(PIRES:May 21 201 P Personally Known Bonded TWu Notory PuNic -1 Wroduced Identification Notary Signature* F:/BLDG/O —Builder Affadavit,REVISED. 4/16/200p,_, 5'-0' MAXIMUM 6PAGIN& Of GH. 2X6 OK 5/1 bOAKO KAI GAP ------ -7.zr- V--T 3-0 A 601,� NOf AMW KIM J016f A 66 0� i. 66A&� ff i' PIA. 6PHM IV WAGH PIGW6 fO fOP ANO WfOM WjfH J -#6 WOOQ 66M OK 2-60 6PIKAI, 6HAW NAI�6- TYPICAL GUARD DETAIL 6GG�: Nf5 PIX ISM QeA A co Li 2) r cn CD Ll). cr CD 0 0 co N3 CA) C* fb\ X4 QC-K to —11 11 F -7-'� f 4 Ll (JR a Ar z1a cn M 00 CL 1cp Ir 00 71 co W co T 4N iol M,V- Al'�j maN ei� �ie p zg� --Whip- S i No, . ........... City of Atlantic Beach Building and Zoning r 800 Seminole Road ;t Atlantic Beach, Florida 32233 Telephone(904)247-5826 Fax(904)247-5845 http://www.coab.us January 22, 2015 39271hStreet Zoning Review Comments ��Ite Plan: Please provide a site plan showing the location of the proposed deck and the distances from property lines and any portion of the deck that exceeds 30 inches in height. U,_�ee Removal: Please submit a Tree Removal Permit Application if any trees are to removed. if no trees are to be removed, please fill out an Affidavit of No Tree Removal. Both forms are available on the city website under"Planning and Zoning" and at City Hall. Derek W. Reeves Zoning Technician TREE & VEGETATION AFFIDAVIT City of Atlantic Beach Department of Community Development Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 CQJ it 19 (P)904 247-5800 (F)904 247-5845 PERMIT# 16 SECTION I-APPLICANT INFORMATION F- Owner(s) Legal Authorized Agent* NAME OF APPLICANT /-/ei S4 NAME OF COMPANY ADDRESS OF COMPANY PHONE CELL EMAIL CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION 11-SITE INFORMATION -�7 STREET ADDRESS OF PROPERTY 2�12- I/1E If an address has not been assigned to this property,contact the AB Bui.e,- Departmentat(904)247-5826 to request an address. LEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and No .,,e Vegetation" of the Municipal Code of Ordinances for the City of Atlantic Beach, FL andlor/have participated in a pre-applicati.-i-meeting with the Administrator of those regulations. Subsequently,/affirm that no regulated trees and no regulated vegetation wJi be damaged,destroyed andlor removed from the obov - Wbed-or)adjac pro erties in conjunction with this project. SIGNATURE OF OWN1ER SIGNATURE OF OWNER Signed and sworn before me on t day of Pt/)2- 2o(�&b, State of R.11 County of Puv& Identification verified: Oath sworn: [— Yes F- No AA/iA A JENNFER W0,01.�P N1 AW I W my COMMISSION 1C.) NoVy lg�ature 14 EXPIRES:APOI '0"Thru Notalry pubfic L .RFV-TVA-v My Commission expires: ZJ-1