2218 BAREFOOT TR 15-RAAR-656 Summer Kitchen Retaining Wall CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�7t 9z"
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-656
Job Type: RESIDENTIAL ALTERATION
Description: PRE FAB SUMMER KITCHEN RETAINING WALL
Estimated Value: $500-00
Issue Date: 3/26/2015
Expiration Date: 9/22/2015
PROPERTY ADDRESS:
Address: 2218 BAREFOOT TRAC
RE Number: 169463-0582
PROPERTY OWNER:
Name: ROHRBAUGH, MICHAEL & GINGER,
Address: 2218 BAREFOOT TRAC
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.
BUILDING PERMIT APPLICATION
W-p- CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY
Office (904)247-5826 Fax (904) 247-5845
Job Address: Z2zg / - Permit Number:
0- g-
Legal Description Floor Area of Sq.Ft. Parcel 9 Sq P't
Valuation of Work S Proposed Work heated/cooled no*n-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 Residenti
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes 9;L N/A
Florida Product Approval#
For multiple products use product approval f—orm
Describe in detail the type of work to be performed:_lk- &
V W,
Property Owner Information:
Name: *Address:—"-? r -Gr foEn- I
city A*A4rm:;. 9Cme-0(' St '7ip 3MI?,Phone �c
,�,eq�i 0,
do
E-Matif or Fax#(Optional) MIN-
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
4pplication 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 o,,Ca 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 i(construction or work is suspended or abandonedfor aWeriod ofsLx(6)months at any time after
work is commenced I understand that separate permits must be securedfor Electrical Work, Plumbing,Signs, �11s,P661s,Ftirnaces,Boileis,Heaters,
Tanks andAir 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 herelb 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
work will be complied with whether sfecifted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local aw regulating construction or the pe�formance ofconstruction.
Signature of Owner Signature of Contractor
PrintName ................... Print Name .........................................................................................................................................
Be or e --**,% Before me
this Day of OF I _11z z this Day of 20
Notary Public
JMFER WALKER
Revised 0 1.26.10
MY COMMISSION#FF 011480
EXPIRES:ApHI 24,2017
Bonded Thru Notary Public Underwriter$
CITY OF ATLANTIC BEACH
�T _ P1,
OW ER / BUYLBER-AFFIDAWT
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 f[AVE, APPLIED FOR A PERNHT UNDER AN EXEMPTION TOTHAT
LAW. TEE E)(ENEPTIONALLOWS YOU,AS TIIE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. �'QLI MUST
M-111ERVI.S.E' I'IIIj_0_)NSI_kUCrI0N YOURSELF. YOU MAY BUILD OR HVIPROVE A ONE—OR
I-WO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU IVIAY ALSO BUILD OR
INIPROVE A CONEVIERCIAL BUILDING AT A COST OF$25.000.00 OR LFSS. THE BUFLI)ING
1\/ITJST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE
IF YOU SELL OR LEASE A BUILDING YOU IIAVE BUILT YOURSELF WITIFIN ONE YEAR
AFTER TI-1E CONSTRUC'ITON IS CONIPLETE, TTIF LAW WILL PRESUME Tf`IAT YOU BUIT.T
IT FOR SALE ORLEAS!_-'_ MITHCH IS IN VIOLATION OF TMS E)CENIPTION. YOUNIA)' Nol
HIRE AN LINLICENSEI.-f'ERS(-)N AS YOUR. CONTRACTOR- YOUR CONSTRUCTION MUST
BE DONE ACCORDINO TO TBE BUELDING CODES AND ZONING REGULATIONS. I I IS
YOUR RESPONSIBIL[IN' 1-0 MAKE SURE THAT PEOPLE EMPIOYED BY '['OU HAVE
LICENSES RE()U1RED__!Y STATE LAW AND BY COUNTY OR MUNICIPAL LICE.NSING
ORDINANCES.
It. 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 VNITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD A LSO
OBSERVE IRS WITHHOLDING T AX 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 $5,000 PENAL TY UNDER FLORIDA STATUTE NO.
455-228(l). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALL'(
SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS
CERTIFIChI TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
Af rDVkE!=S r PHONE NUIVIbtR
PRINT NAVE
'1�ez zvfn
X(I f. - -
DA E
Before me this fea��r 2 L-5in the county of
Duval,State of Florida,has personally i-zppe�.i ed herin by hirnself/herself and affirms that
all statements and declarations are true an,��,ccura'a.
Notary Public at Large,State of County ofipavau(
6��L1 P Ify Known
r.d..ed dentilication- V JENNIFER WAMR
My COMMISSION#FF 011480
-Z.' EXPIRES:Apal 24,2017
WKIWI TIVu WM Pubk UndeA�rs
Notary Signa"Cu
WA�
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,Fl, 32233 FILE COPY
Ph (904) 247-5826 Fax (904) 247-5845
r--e—
JOB ADDRESS: 7-- PERMIT#/5-2g
65-c
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$Z4-0
t %0_1
NEW SERVICE El Overhead S�Lunderground Underground up Pole
[1 Residential(Main) Service
0 0-100 amps 0 10 1-15 Oamps 0 151-200amps Ll_amps #of Meters
UCommercial(Main) Service
0 0-100 amps F1 10 1-I 50amps 0 151-200amps O—amps 0 CT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps F-1101-150amps F,151-200amps Ll amps #of Unit Meters
[]Temporary Pole 0 amps
SERVICE UPGRADE 11 amps 11 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
rjl00amps 11150amps D200amps D amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 10 1-200amps
Appliances: 0-30amps 31-100amps 10 1-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
DSwimmingPool DSign L1 Smoke Detectors_Qty [-]Transfon-ners KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/ d Meter Can D Safety Inspection Panel Change 70H to UG
ther:
0910 XF e�Ao;
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company Office Phone Fax
Co.Address: city State_Zip
License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder
Before me this ay of 0 Ls
JENNIFERWMM
My COMMISSION#FF 01 14W
Ar\t' h
EXPIRES:AP6124,2017 Signature of Notary Public
Bonded Thru Notaty Public underwriters
6i
Tj
2187 S Third St
JacksonvilLe Bch, FL 32250
904-372-9351
bbeach@rod-law-com
SURVEY NUMBER: FL1501.1572
PROP�ERTYADDRIESS: 2218 BAREFOOT TRACE ATLANTIC BEACH,FLORIDA 32233
FIELDWORK DATE: 1/20/2015 REVISION DATE(S):(REVA 1/21/2015)
FL1501.1572 NOTf:
BOUNDARY SURVEY 1--NCff OWNE;�51"!?NOT DFT'�RPIIINED
DUVA,L COUNTY LOT.41 FILE COPY
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I I hereby cert' ou y of the hereon
y
d cft d r a has ma U my direction,
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and to th b st o e e and Ii f,it is a true
and accu at f a s �t t meets the 0Cff:ANWALK DP\IVE 5OUTh
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s tan d a r,�d he F1 a Board of (5 0' f�lw)
Profession u r1v �Fr opers in pter 5J-1 7 of
the Florida istrathi9fte. 3a 20' 0 15, 3(Y
"L SURV- 0 N
Wesley B.Haas GRAPHIC 5CALE
State of Flodda Professional Surveyor and Mapper I inch = 30 feet
License No.3708
Use of This Survey for Purposes other than Intended,Without Written Verification,will be at the User's Sole Risk and Without Liability to the Surveyor.
Noth 4.her=shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
POINTS OF INTEREST
FLOOD INFORMATION: I -DRAINAGE&UTILRY EASEMENT,(2)4'WOOD FENCE
,11)CONCRETE DRIVEWAY OVER 10
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING OVER 10'DRAINAGE&UTILITY EASEMENT.(3)4�WOOD FENCE OVER 2T DRAJNAGE&
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE UTILITY EASEMENT. --
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03/13 1 A W of 111ri ftel,
AOL
3 : 00
2�-
P%--ITY OF ATLANTIC BEACH
BUILD',, 4G AND ZONING DEPARTMENT
NOTICE
his building has been inspected and:
General Construction Mechanical
Concrete and Masonry Electrical
Plumbing Gas Piping
IS NOT ACCEPTED
CORRECTAS NOTED BELOW, BEFORE ANY FURTHER WORK
DO NOT REMOVE THIS NOTICE
uilding Official: Date:
spond i—, !�'As Notice within 10 days will result in this violation being
forwarded to the
CODE ENFORCEMENT BOARD.
T e posting of this Placard by its contents shall serve as due notice.
2187 S Third St 4-
Jacksortville Bch, FL 32250
904-372-9351
beach@rod-law-com W!
PROPERTY ADDRESS: 2218 BAREFOOT TRACE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER:FL1501.1572
FIELD WORK DATE:1/20/2015 REVISION DATE(S):(REVA 11n211=01
FL1501.1572 NOTF: copy
BOUNDARY SURVEY FENCE OW- F15HATOR0 D.
DUVAL COUNTY THIS pLAN MUST BE
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L-I N 4'45'3 1"E 75.00'(P)
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I hermeby cert' Bou y of the hereon
'desc�flnbod r e has 9 rI my direction,
asc -
asc P
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0
nd to the b st o e a and I!f,it is a true
and accu t r f a s t t meets the OCEANVIVALK DRIVE SOUTH
standard he F a Board of (5 0' R/W)
Professio ury rAr appers;in pter 5J-17 of
the Florida istra! e. 1 15, 317
14, 3Cr 20 la 0
SURV N
Wesley B.Haas GRAPHIC 5CALE
State of Florida Professional surveyor and Mapper I inch = 30 feet
Ucense No.3708
Use of This Survey for Purposes other than intended,Wlthout Written Verification,will be at the User's Sole Risk and Without Uability to the Surveyor.
Nothing hereon shall be construed to Give ANY Rights or Benefits to Anyone other an those Certified.
POINTS OF INTEREST
FLOOD INFORMATION: IT.(2)4'WOOD FENCE
BY PERFORMING A SEARCH WITH THE LOCALGOVERNING (1)CONCRETE DRrVEWAY OVER 10'DRAINAGE&UTIUTY EASEMEN
OvER 10,DRAINAGE&UTILITY EASEMENT.(3)4�WOOD FENCE OVER 25!DRAINAGE&
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE UTILITY EASEMENT.
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
A- A K 1-11r�Q r-A(�W rnmm I IN ITY NUMBFIR 1?W75 nATFn OA/n-';/1'1
TAA1
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assi ned by the uilding Department-)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-6826 - Pax(904)247-584,9
E-mail: building-dept@coab.us Date route6
Cityweb-site: http'//www.coab.us
APPLICATION REVIEW AND TRACKING FORM
,Ze
C
ro ted
Property Address: Z D ent review required Yes No
ilding
Applicant: 0 tv lanning &Zoni!�p
ml st I
ree ini trator
Project: a Public Works
Public Utilities
Publi-_—Safety
Wr kLUire Services
L
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. FjDenied.
(Circle one.)
Comments: Oeu-e P0 do'Jue-
PLANNING &ZONING Reviewed by-.— —i—Date:3
TREE ADMIN. Second Review: []Approved as revised. DDpnie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: DApproved as revised. nDenied.
Comments:
Reviewed by: Date:
qvised 07/27/10
PAN
City of Atlantic Seach
APPLICATION NUMBER
Building Department (To be ass�iqned by the Uilding Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 AS
Phone(904)247-5826 - Fax(904)247-1;84.F)
E-mail: building-dept@coab.us Date routed:
City web-site littp://www.coab.us
APPUCAT�ON REVIEW AND TRACKING FORM
. 2 !Property Address. Pgpz!rftq—ent review required Yes No
&uilding
Applicant: 0 it) lanning &Z
lannng &Zon
r
ree ministrator
ee m'"'st
Project: Public Works
c utilities
ty
Safe-,
c
-Avt
Public Utilities
Public Safety_
j
ire Services
kL
Review fee $ Dept Sicinature
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
First Review: gApproved. FIDenied.
Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date-
TREE ADMIN. SecondReview: DApproved as revised. DDenied-- --- -------
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ElDenied.
Comments:
Reviewed by: Date:
vised 07/27/10