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I - -- ,_:��_*'-11�_'r,_�"j�__._,�''.. .. - I.:�.�_�.,:. r, - � _ I , - , - ,I�l ,, _ � __ - � -A �-, � .. . ': . z q_ I � - . - _ ,.'s,�"'.I�` . - ,- ..., � .. -I. '�.,Z;:I _ �� . - __ "m4ANIL� --- I .. . , . . . �. . I . I . . I . 4,v � . . a r L, L Q . . . I . . . L . .1 I . L . � . r . . . -�1. L r . / '7 36 del ua. /N/)a-U'L'A� Qr.. I A REROOFING OF THE RODRIQUEZ RESIDENCE FOR f: JA N R D - R 1785 SELVA MARINA DRIVE ATLANTIC BEACH , FLORIDA Tk_ SYMBOL LEGEND BUILDING DATA INDEX OF DRAWINGS d. OWNE JASON RODRIQUEZ ARCHITECT: THIS DOCURjOVISAN INSTRUMEWq_ REVISION CLOUD PERMITTING AGENCY: CITY OF ATLANTIC BEACH, FLORIDA JAMES R. McCUE FL AR 11214 - SERVICE.k !$iS TNE 'ROPERTY OF INDICATES REVISED AREA JAMES R. MCCUE&ASSOCIATES.ANY ZONING: RESIDENTIAL JAMES R. McCUE & ASSOCIATES INC. ARCHITECTS U OR REPRODUCTIONS WITHOUT THE E RESS WRITTEN PERMISSION OF THE BUILDING TYPE- VI UNPROTECTED, UNSPRINKLERED TITLE BUILDING DATA SYMBOL LEGEND INDEX OF DRAWINGS KEY NOTE TAG A VE MENTIONED PARTIES IS INDICATES NOTE REFERENCED IN PLAN OCCUPANCY CLASSIFICATION- RESIDENCE SITE LOCATION, SKETCH OF SURVEY, GENERAL NOtS STRICTLY PROHIBITED. A1 .0 DEMOLITION PLANS & REPAIR PLANS, SECOND FLOOR PLAN (DCOPYRIGHT 2002 1 REVISION REFERENCE THRESHOLD- Y/N: N A1 .1 NEW ROOF PLAN & DETAILS INDICATES REVISION NUMBER A1 .2 BUILDING SECTIONS, SECTIONS & DETAILS APPLICABLE CODES A2.0 ELEVATIONS CLIENT' SECTION REFERENCE 1 . FLORIDA BUILDING CODE 2001 JASON RODRIQLWZ 1 SECTION DESIGNATION N.F.P.A. 101 LIFE SAFETY CODE 2000 STRUCTURAL 81.1 SHEET # ON WHICH IS DRAWN FLORIDA ACCESSIBILITY CODE FOR BUILDING CONSTRUCTION (CHAPTER 11 FLORIDA ' FARIS DAOUD P.E. -`- DIRECTION OF SIGHT �� ,, , ,�.' i ,j} -� k rt BUILDING CODE 2001 ) `• � � `�' STAR STRUCTURE INC. NATIONAL FIRE ALARM CODE N.E.P.A. 72-94 9116 CYPRESS GREEN DRIVE SUITE 201 ' �. .+*" . DETAIL MARK - '� ' ` MACKSONVILLE; FLORIDA 32256 INSTALLATION OF SPRINKLER SYSTEMS N.E.P.A. 13-94 � `� "'� ` ' ` . CONSULTANTS: SECTION DESIGNATION _ � ". t � .3 k S a'9 PAGE DETAIL APPEARS `' (('' " 4 ' S-1 ROOF FRAMING PLAN _ it BUILDING AREAS ; ` S-2 SECTIONS, DETAILS & DESIGN NOTES ROOF -2,972 S.F. , 1 DOOR TAG (SEE SCHEDULE) ' st 4 ,A INDICATES DOOR TYPE h a � TOTAL -2,972 S.F. WINDOW TAG (SEE SCHEDULEI 1 WINDOW TYPE 3 INTERIOR ELEVATION TAG - i _ s , � i ,�, 1 : DRAWING SET REVISIONS DETAIL # f � i y 2 A1.2 SHEET# ON WHICH IS DRAWN 4 ' �-"DIRECTION OF SIGHT REV# DATE SHEETS EFFECTED DESCRIPTION n-� A3 Il1� I 1'• Y �- . _t'.. James R. McCue 100 ROOM OR SPACE DESIGNATION rte'DLD1 Y�h.ol Ue it n - 4 o�oei riwlt>nlo�,TtChroNres TF:C,A & ASSOCIATES ARCHITECI:S Architect AR 1121.3 / 5'_O" ` HANDICAPPED 5, TURN-AROUND 420 S. 3 RD. STREET SITE LOCATION PLAN JACKSONVILLE BEACH, ' FLORIDA : 2250 11. L r.. a TEL. (904)241-8800 INDICATES NOT FREQUENTLY USED NTS mccarch@bellsou[h.net SHEET CONTENT: ,cap" BUILDING DATA, AUG 5 L�05 SYMBOL LEQEND , INDEX OI .DRAWINGS, SITE LOCATION FLAN. BY: w-- SKETCH OF SURVEY & CL z NOTES F� A'' !' �4 pQF A�tAA�iT�'�lNO �A�H eopyPROJECT: GENERAL NOTES : 11A11 �� 2003 REROOFING OF 1. THE CONSTRUCTION WORK SHALL COMPLY WITH ALL FEDERAL. STATE AND LOCAL REGULATIONS 13. PROVIDE 1/4' ASPHALT IMPREGNATED EXPANSION JOINT WHEREVER CONCRETE SLAB BUTTS ANY RODRIQUEZ RESIDENCE AS THEY APPLY TO THIS PROJECT ALONG WITH ALL THE REQUIREMENTS OF THE STANDARD BUILDING VERTICAL STRUCTURE. 1 / SS SELVA MARINA DR. CODE, SOUTHERN BUILDING CODE CONGRESS INTERNATIONAL. LATEST EDITIONS. 14. ALL LUMBER IN CONTACT WITH MASONRY OF CONCRETE SHALL BE PRESSURE TREATED. 2 PROVIDE G.F.I. CIRCUITS AT ALL OUTSIDE AND BATHROOM RECEPTACLES. > ATLANTIC BEACH, 15. SUBCONTRACTORS SHALL BE RESPONSIBLE FOR PROTECTING ADJACENT STRUCTURES, EQUIPMENT, FLORIDA 3. DO NOT SCALE THE DRAWINGS. DIMENSIONS SHALL GOVERN IN ALL INSTANCES. REPORT ANY STREETS, SIDEWALKS. LANDSCAPING AND EXISTING CONSTRUCTION. RECEIVE D DISCREPANCIES TO THE ARCHITECT BEFORE PROCEEDING WITH THE WORK. - FOOT PRINT - OF THE BUILDING Y- 16. ALL SHELVING SHALL BE VENTILATED VINYL COATED STEEL ROD SUPPORTED AT 36" O.C. MAX. CITY OF ATLANTIC BEACH 4. PLANS ASSUME A SOIL BEARING CAPACITY OF 2.500 PSF. IF SITE CONDITIONS EXIST TO THE ALL CLOSETS TO RECEIVE ONE (1) SHELF. ALL LINEN, BROOM AND PANTRY CLOSETS TO RECEIVE BUILDING 8 ZONING IS UNCHANGED BY THESE PLANS3 I tl_ CONTRARY, NOTIFY ARCHITECT IN WRITING BEFORE PROCEEDING WITH THE WORK. FOUR (4) SHELVES. FEBFES 2 7 2 FOAL REVISION ~ 5. THE ENTIRE AREA UNDER AND WITHIN 5'-0' OUTSIDE OFTHEBUILDING, DRIVES AND WALKS SHALL 17. ALL WATER PIPING WITHIN RESIDENCE SHALL HAVE VACUUM BREAKERS. j ~ BE CLEARED OF ALL TOP SOIL, TREES, VEGETATION, ROOTS AND OTHER ORGANIC MATTER PRIOR 18. ALL TRUSSES SHALL BE 2'-0" CENTERS WITH TEMPORARY AND FINAL BRACING IN STRICT ' RELEASE DATE STARTING CONSTRUCTION. ACCORDANCE WITH THE MANUFACTURER'S SPECIFICATIONS. ROOF TRUSSES SHALL BE DESIGNED AND CERTIFIED BY A FLORIDA REGISTERED PROFESSIONAL ENGINEER. SUBMIT SHOP DRAWINGS FOR APPROVAL ` 6. FILL THE SITE AS REQUIRED WITH GOOD CLEAN GRANULAR SAND IN LOOSE LAYERS PRIOR TO FABRICATING TRUSSES. ALL BEARING WALLS SHALL BE 2X4 STUD FRAMING UNLESS NOTED BY: BETWEEN 12 AND 24 INCITES AND COMPACT BY VIBRATORY ROLLERS TO 95% OF MAXIMUM DRY OTHERWISE CORNERS AND BEARING POINTS SHALL BE FILLED SOLD WITH JACKS AND SPIKED. TOP DENSITY AS DETERMINED BY. A MODIFIED PROCTOR COMPACTION TEST (ASTM D-1557). VERIFY BEARING PLATE SHALL BE CONTINUOUS WITH LAPPED JOINTS AND CORNERS. PROVIDE OUTRIGGERS ON ALL COMPACTION RESULTS WITH;TESTS BY A FLORIDA REGISTERED TESTING LABORATORY. PROOF ROLL THE GABLE ENDS. STRAP EACH TRUSS AS CALLED FOR BY PLANS. AS NOTED t �\ AREA UNDER THE BUILDING PRIOR TO FILLING. SEE ROOF PLAN FOR NG. , i GENERAL LAYOUT AND PITCH. APPROVED SHOP DRAWINGS iSHALL SUPERSEDE THIS FRAMING PLAN. BBG 7. TREAT THE ENTIRE. AREA UNDER AND WITHIN 5%-0* OF THE BUILDING FOR SUBTERRANEAN f { TERMITES. PROVIDE RENEWABLE BOND AGAINST SUCH DAMAGE FOR A PERIOD OF ONE (1) YEAR FOLLOWING 19. CERAMIC TILE: INTERIOR. COEFFICIENT OF FRICTION MINIMUM (MIN). .6 ;EXTERIOR USES DATE OF FINAL COMPLETION. AND INTERIOR -- WET. COEFFICIENT OF FRICTION MIN. .8 UNGLAZED. ✓�:,���: JRMc 8. PROVIDE (4) CONCRETE CYLINDER TESTS FOR EACH 50 CUBIC YARDS OF FRACTION THEREOF 20. THIS A 'BUILDER'S SET" OF CONSTRUCTION DRAWINGS. IT IS NOT THE INTENT OF THESE DRAWINGS TO SHOW /+ OF CONCRETE PLACED IN FOUNDATION, COLUMNS. BEAMS AND SUPPORTED SLABS. DRAWINGS TO SHOW EVERY DETAIL OF CONSTRUCTION. THE BUILDER SHALL BE RESPONSIBLE FOR Cs/ , SUPPLYING ADDITIONAL AND/OR SUPPLEMENTAL INFORMATION REQUIRED FOR THIS PROJECT. IT SHALL BE ! `` r 11/11/02 9. ALL CONCRETE SHALL ACHIEVE 2.500 P.S.I. BEARING CAPACITY IN 28 DAYS. ALL CONCRETE IT SHALL-BE THE BUILDER'S RESPONS 81UTY TO CHECK, VERIFY AND COORDINATE DIMENSIONS, BEARING POINTS AND LAST �` SHALL BE READY-MIXED IN ACCORDANCE WITH A.S.T.M. SPECIFICATIONS. IT CONSTRUCTION DETAILS, NOTES AND ALL PHASES OF CONSTRUCTION REQUIRED TO COMPLETE THIS •' �:••• . 1 A ,• ., 011-02 I PROJECT. ALL FINISH AND EQUIPMENT SELECTIONS SHALL BE VERIFIED WITH THE OWNER/ BUILDER >I 10. ALL REINFORCING STEEL SHALL BE NEW BILLET, DEFORMED STEEL A.S.T.M. A-615 GRADE 60. = �/, �'7,�• .� , _ 11. SLOPE ALL SIDE WALKS AWAY FROM BUILDINGS AT 1/4' PER 1'-0". LIGHT BROOM FINISH 21. PRIOR TO COMMENCEMENT OF SITE WORK. THE CONTRACTOR SHALL BE RESPONSIBLE TO LOCATE {; �/ tt �!`• r, ��; I;,L. Q 1O_O''j_AO.O ALL SIDEWALKS.. STAIRS AND RAMPS. SCORE CONCRETE IN PATTERN INDICATED. BULLNOSE ALL EXPOSED ALL UTILITIES AND IRRIGATION LINES AND REPORT ANY CONFUCT WITH THIS SET OF PLANS IN WRITING {. ,., : . CONCRETE EDGES. SEE ARCHITECTURAL FLOOR PLAN FOR PATTERNS. AND CONSTRUCTION JOINTS.. TO THE ARCHITECT. A 1214 -.' 22 FINAL SLAB ELEVATION SHALL BE SET BY THE CONTRACTOR, W/ ATTENTION TO FLOOD ZONE 12. ALL CONCRETE FLOORS SHALL RECEIVE A SMOOTH TROWEL FINISH EXCEPT AS NOTED. AND LOCAL ORDINANCES. SKETCH OF SURVEY _ 23. HANDLES, FASTENERS, ETC. SHALL BE STAINLESS STEEL OR A METAL AS CHOSEN BY THEE CCONTRACTOR�TO WITHSTAND THE HIGH SALT ENVIRONMENT OF COASTAL CONSTRUCTION. SCALE: � I"4O.D1 '"' �����R",�•�' 21. SPECIAL ROORS AND WANSCOT: TUILISHOA wAsTR LOCATION MATsw,Cotoa,lloaosa,Stun,GAos,Etc MAtraurMATuL MATEuuL Kitchen Armstrong Vinyl 16" Sheet Goods Alm, Wood Connrate Bath s Ceramic Tile � Car eting MarbleTile - Concrete Fo- er Great Rm.`' Par ue t f loorin Alum. Wood Concrete All 0t er Carpet $ 10.00 per yd. Installed Wood Concrete HswMr Hsatrr tN LAXATIONSHowMATurAr,GAuoa.1loaouasa'I .Co.Sam GAoz,ETc. Hrr ) s Ovnes (Faoar FLOOR) Baths Ceramic Tile Pull 3, Drop Ceiling t 710,rover Tub 8c 'Shower and In a Ti Bathroom accessories: ❑ Recessed; material ; number Attached; material China . ; number Additional information: One Set per Bathroom 22. PWMB NG- FnxTusa Ntnosa LocAT M MAaa Mgt's Ftxtuas ImmirwATwN No. Sas Catua Sink 1 Kitchen Elkay Dayton 23322-LL 33Y-22 S.S. Lavatory - Lavatory Baths – " Water closet q Baths Am Bathtub 1 Bah n'7 Shower over tubes 2 Ba the Stall showery I 71 ,q `' Laundry trays 1 Utility t,❑ Curtain rod In Door ❑ Shower pan: material Tub F'n l o n a rP a Ter S h n,t n r Dn n r+ Water supply: ® public; ❑ community system; ❑ individual (private) system.* Sewage disposal: In public; ❑ community system; ❑ individual (private) system.* *Sheer and describe individual ryskrm in complete detail in srpanste&wvjrrs and spwifrustions acro►dint 10 requirm enty- House drain (inside): ❑ cast iron; ❑ tile; E]other PVC House sewer (outside): ❑ cast iron; ❑ tile; ®other PVC Water piping: ® galvanized steel; ❑ copper tubing; ❑ other Sill cocks, number Domestic water heater type A u t o–E l e c t r i e i t y, make am model 2 Rhe e m or E a. ; heating capacity H i Re c . gph. 100• rise. Storage tank: material ;capacity—52--gallons. Gas service: ❑ utility company; ❑ liq• pea gas; ❑other Gas piping: ❑ cooking; ❑•house heating. Footing drains connected to: ❑ storm sewer; ❑ sanitary sewer; ❑dry well. Sump pump; make and model ; capacity ; discharges into 23. HEAnMX;; See Heating and Air Conditioning Plans for Layout & Specifications ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: material ❑ Circulator. ❑Return pump. Make and mode : capacity gpm• Boiler: make and model Output Btuh.; net rating Btuh. Additional information: Warm air: ❑ Gravity. ® Forted. Type of system General Flee tri(' Wen th- prtrnn Unn t 1ttmkn Duct material: supply G•I• ; return G•I. Insulation n l a fir, , thickness tt ❑ Outside air intake. Furnace: make and model G e n c ra l r l o e t r i c Input Btuh.; output Btuh. Additional information: As per En;ineerinc-, Layout ❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.;output Btuh.; number units Make, model Additional information: Controls: make and types Auto 71 e e t r i c The rm o.s t a t Additional information: Fuel: ❑Coal; ❑ oil; ❑ gas; ❑ 6q. pet. gas; ❑ electric;❑other : storage capacity Additional information: Firing equipment fumished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑;bin feed ❑ Oil burner: ❑ pressure atomizing; ❑ vaporizing Make and model Control Additional information: Electric heating system: type Air to AirInput watts; @ volts; output Btuh. Additional information: Ventilating equipment: attic fan, make and model ; capacity �• kitchen exhaust fin, make and mold r� ' Other heating, ventilating. or cooling equipment PTUT:)i TF 8,9 31 In Hall Bath O r Eqt]a 1 24. ELECTRIC WIRING: Per Service: ❑ overhead; ® underground. Panel: ❑ fuse box; ® circuit-breaker; make AMP's No.circuits C ode Wiring: ❑ conduit: ❑armored cable; 0 nonmetallic cable; 0 knob and tube; ❑ other Special outlets: ® range; 13 water heater; © other T)r;LEr Aa . ❑ Doorbell. E) Chimes. Push-button locations Front Door Additional information: 25. LIGHTING FIXTURES: Total number of fixtures Total allowance for fixtures, typical installation, f 9OO•OO Retail Nontypical installation Additional information: 3 DESCRIPTION OF MATERIALS DESCRIPTION OF MATERIALS 26. INSULATION: L.00.ATSON TNICICNsas MATxjuAi,Trn, AND A1[n1uD or INSTALLATION VAPOR BARRIER Roof Ceiling Batts Overblow Wall -Fiberglass Batts Frame Wall Onl, Floor HARDWARE:(make, material, and finish.) Weiser or Equal $200.00 Allowance Dishwasher - General Electric SD 462 . Garbarr,e Disposal Unit - General Electric GFC 310 SPECIAL MUI/MEM: ($(oft material or make, model and quantity. Include only equipment and appliances which are accept- able by local law, custom and applicable FHA standards. Do not include items which, by established custom, ore supplied by occupant and removed when he vacates premises or chattles prohibited by law from becoming realty.) Double Oven JkC 26 General. Electric Cook Top General Electric JP 651 24 MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide additional information where the space provid*d was inadequate. Always reference by item number to correspond to numbering used on tris form-) l r •• gtuu , . 1.4indow Sills to be i•larble Panelin- Allowance 17.50 I) .r ^h .c . Gara,e to be sheetrocked and trimmed with T.!ol d nrr Sidewalk from Front Door to Dri vewav in front of home POR As per plans and Addendums TERRACES: GARAGES: 4" Concrete Floor with 16 , x 71 'good Crawford Door or r i a1 . Sara;@ to be prewired for future �ara?e door opener. WALKS AND DRIVEWAYS: An p e r plot plan Driveway: width ; base material ; thickness "; surfacing material ; thickness Front walk: width ; material thickness Service walk: width ; material thickness Steps: material treads risers-". Cheek walls OTHER ONSITE IMPROVEMENTS: (Sptrilj alt exterior onsite improvements not durribed thru,here, Including items such as unusual grading, drainage structures, retaining umlls,fence, railings, and acntsOy structures.) LANDSCAPING,'PLANTING, AND FINISH GRADING: As per Addendum Topsoil " thick: ❑ front yard; ❑ side yards; ❑ rear yard to feet behind main building. Lawns (seeded,sodded,or sprigged): ❑ front yard ; ❑ side yards ❑ rearY and Planting: ❑ as specified and shown on drawings; ❑ as follows: Shade trees, deciduous, " caliper. Evergreen trees. ' to B & B. Low flowering trees, deciduous, to Evergreen shrubs, to ', B & B. high-growing shrubs, deciduous, to _Vines, 2-year Medium-growing shrubs, deciduous, to Low-growing shrubs,deciduous, to ID&IMrIGTiON.—'Ibis exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter is known at the time of application. Date Signature Signature FHA Foran 2005 VA Foran 26-1852 4 U.S. GPO: 1974 544 478/1341 7-1 7.5 ' 0 ,. II /7 =0 " 8 l 2 14 4 2-2 i o i - i UN f-- --- �- -- -- 4} = I Tf-/l GK EN -9/-ALB Cm FAZ2EALACE d /</TCH N A/VGE E 0VE/V I E R I I I i I � cr. 4 �� UMI C, SL D . f L X 4, '10 I V I V. --fF-s 0/V L N3 I APPI.ZOVE4 VAP0/2 A,��IE.Q d GRANULAR F/LL I I I y I• I I I � I � II i o ED BY S,DEC ISO N A D If TE: - POUMP & -f10ti PL & R Y4ii� (f.ad t ALMAND CONST 0 fN. MONTGI11�yEAY�� 'HOMO: 2105 PARK -AVE .'. ORANGE PARK , FLA. . 7SI ORAIMN !sY D_AT _ ,. DES G N aim . 1' j>rL`1 f! C3"\ CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION I 5 (Alterations &Additions) 'R Date: Job Address: '1 3 5 CoU�3tN C t,b �-- n - [� i Owner of Property: D001\)F� e4e- W e_b t�"A'�E`t C�� �J R fC a t-It L l Address: 433s coy�_y ", Cl tLb Telephone: lay a4l Legal Description: Block Number: Lot Number: a` Zoning District: SelJ1A 0a- Contractor: ow State License Number: Contractor Address: Telephone: Fax: Describe proposed qsand work to be done: V j Q! -fa be_ bu*1 : ii Present use of land or building(s): S iy91 f, FTd^,k 1 V Valuation of proposed construction: What are the dimensions of the added space: (p feet x V feet Will the added area be heated and cooled? N G New electrical or increase in service? N 0 Add plumbing fixtures? /y 0 Add fireplace? N a Add heating/air conditioning? tJa Is approval of Homeowner's Association or other private entity required? 0 If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? (y NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as approuriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 8/04 0 • In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may he appropriate for individual applications. I hereby certify that all info ion provided with this application is correct. / Signature of owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of 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 federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Q© RUJ t— Ppl+r%�C�lkJ -, Mailing Address: ns S ci�)Uo ty d Q b tcc &MCY\ A. a�3 Telephone: r44( aV�3 Fax: 137Z 6 E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of lVeU ap"'t k_eQ ,206 State of Florida,County of Duval f H"RWilson Notary's Signature: (iV • • My Commission DD142431 VIV Expires August 16,2006 ❑ Personally known Produced identification Type of identification produced l 6,aa, Doycss 4C� AS TO CONTRACTOR: Sworn to and subscribed before me this day of 120 State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us Page 3 Revised 8/04 s r d4''� Jar J , pS J r' CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Dater t l 10q Job Address: Q u L-t\) PjJ )'C Q aa33 CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUI RES 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. 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. 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 ONTRACTORTELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. 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. &,- "a—a PR ERTY OWNERBUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF Al,V en� 20tic .ar�vu. Helen R Wilson My Commission DD142431 Expires August 15,2005 (� NOTARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. MAP SHOWING SURVEY OF LOT 2 BLOCK 5, SELVA MARINA UNIT NO. 2 AS RECORDED IN PLAT BOOK 27 PAGES 6 AND 6A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. a 335 coutiM C' "7 Ln FND. I/2 I.P a FND. 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