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380 8th St deck permit 'ri 1�1iy TJ, ?\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL ADDITION MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 30BINFORMATION: lob ID: 17-DECK-3131 Job Type: DECK/PATIO Description: REPLACE WOODEN DECK Estimated Value: $4,200.00 Issue Date: 3/10/2017 Expiration Date: 9/6/2017 PROPERTY ADDRESS: Address: 380 8TH ST RE Number: 169942-0100 PROPERTY OWNER: Name: WEEKS, ROSS T & MARY, Address: 380 8TH ST PERMIT INFORMATION: PUBLIC WORKS: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(247-5814)to request an inspection from Public Works for Erosion and Sediment Control Inspection prior to start of construction. All runoff must remain on-site during construction. Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling, Shapell's Inc.). Container cannot be placed on City right-of-way. Full right-of-way restoration, including sod, is required. All old decking must be removed from job site by Contractor. FEES: PLAN CHECK FEES $35.50 BUILDING PERMIT FEE $71.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. AdML CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $110.50 PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ptsa City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ~ Atlantic Beach, Florida 32233-5445 n ' Phone(904)247-5826 Fax(904)247-5845 �9 3tus' E-mail: building-dept@wab.us Date routed: 6 3 0 1 Cilyweb-Site: htlp:1hm .coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 De ent review required Yes No Applicant: DLJN" Planning &Zonin Tree ministrator Project: WDt7AA4-\ dkLk Public Works C-Public Uti ie Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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 Omer: APPLICATION STATUS Reviewing Department First Review: [;rApproved. ❑D�e(nied. (Circle one.) Comments: BGG Iry7GGhfiG �r7NAJrfilf! BUILDING PLANNING &ZONING Reviewed by: Date:3 TREE ADMIN. Second Review: ❑Approved as revised. ❑D nied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14109 ?tatr„ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) `zr 800 Seminole Road s Atlantic Beach, Florida 322335445 1-7 ECK , 3 13I Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: I �� Cityweb-site: hhp:Aw .coab.us APPLII2C��ATTION REVIEW AND TRACKING FORM Property Address: �.JaJ 8 S-( Department review re wired Yes o Applicant: EgftM&Zonin 'l (� Tree Administrator Project: V J OO O �IL D 1� J FPx Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit,t=PB 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 0r Reviewing Department First Review: ]Approved. ❑Denied. (Circle one.) Comments: / I/1./��UILDIp /�]/'t/ PLANNING &ZONING Reviewed by: Date: /—f b/7/7 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. ❑Denied. Comments: Reviewed by: Date: Revised OU14109 �l�•Lv�, City of Atlantic Beach APPLICATION NUMBER Building Department (io be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 322335445 17-D ECI 3 13 Phone(904)247-5826 - Fax(904)247-5845 2 E-mail: building-dept@coab.us Date routed: I J� Cityweb-site: hhp://v .coab.us APPLII2C��ATTIOsN� REVIEW AND TRACKING FORM Property Address: �l✓ 8 �`r Department review re uired Yes No Applicant: ) U &D Ge— &tonin Tree Administrator Project: 00(J -4U Public Utilities Public Safety Fire Services ... _ . ._ . . . ... . ,Review fee_$ - _. Dept Signature i0thereMl gency Review or Permit Required Review or Receipt Date Of Permit Verified B epFotEnvironmental-Protection---- ------ept.of Transportations River Water Management Districtrps of Engineersof Hotels and Restaurantsof Alcoholic Beverages and Tobacco APPLICATION STATUS FPLANNING& rtment First Review: ❑Approved. i denied. u .) Comments: fe A44 / r �L <t�tN NINGReviewed by�r..� y�� Date:. Second Review: Wpproved as revised. ❑Denied. KS Comments: - PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:�r �L� Date: A41/,J FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/74/99 City of Atlantic Beach APPLICATION NUMBER Building Department4 - I 800 Seminole Road 1 '�'•' -- (To be assigned by the Building Department.) Atlantic Beach,Florida 3223326145�,, pp � I�-D�C.K�3131 Phone(904)247-5826 Far.( O4)'14&W 20V E-mail: bull0ing-dept@coab. f J Date muted: 1 1 3 O I 1} Cilyweb-site: ht1p:1Aw .00aWa_ APPLICATION REVIEW AND TRACKING FORM 7T� t Property Address: 3�V S� D tment review ret uired Yea No Applicant: �Wn� tanning B Zonin t� Tree mmistrator Project: _ Wc(DJA4N u is h is Public Safety Fire Services Review fee $ Dept Signature -- Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environments!Protection Florida Dept.of Tranepodalim Sr.Jobm River Watef Management District Army Corps of Engineers Division of of and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. -^ (Circle one.) Comments: - r BUILDING . PLANNING 8 ZONING Reviewed by: �✓/' " T pater TREE ADMIN. Second Review: []Approved as revised. ❑D ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Rwisad 061f4Ne 4 Yf Llys/. CTPY OF ATLANTIC BEACH OFFICE COPY OWNER/ BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENTFOR 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 TIM ONSTRUCBM 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 MUSFBE FORYOURUSE 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 REOUBRED BY STATP LAW AND BY COUNTY OR MUNICIPAL LICENCING 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. 455228(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. ADDR59 ESS� g't�`'S�Xc�T ZlThu?,khQ (9DY) 9.y1-�zy� P NE UMO�� BER - CG PRINT Nasiff I Z7 SIG A URE ^J�7 C �j DATE Beforemelna L / tlay.f.JQ/� 20,Lf In to county of Duval,State of Ecrida,has personalty ap,v srea herin by hhoself/herself na afiims Nat all stateme and declarations arelh and a=ale, Notary Public at Lame,Stats of Countyof LJ UIQ ❑Pesonepy Wwxn QO p �J rma2.am.myiouo„- Ly — I [ TOMa:.'"., GINMESPMGMn- MYCOMMISGIONAFF924951 IXPIRE&Octobers,2019 Notary Sl9nature: /� \ ,q[�f„ enna_e rnn:Noah Pudicunm,wrmrs PJBIDfJgwr-BwlduNfidrNk AEV6En:N16]WA - yu� ZONING REVIEW COMMENTS JS s OFFICE COPY City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 'LJ,3 Vii? Phone: (904)247-5826 Fax: (904)247-5845 Email: dreeves@coab.us Date: 2/9/17 Permit: 16-DECK-3131 Applicant: Ross Weeks, Owner Review: 1A Address: 380 8'St,Atlantic Beach, FL 32233 Site Address: 380 8"St Phone: (904)241-3571 RE#: 169942-0100 Email: weeksbros@bellsouth.net Correction Comments 1. Survey: Section 24-67(c) requires a certified survey. Please provide a certified survey. The copy provided is not readable. 2. Tree Removal: Section 23-21 requires a Tree Removal Permit for any trees removed within 2 years of this project. Please submit a Tree Removal Permit Application if any trees are to be removed or were removed in the last 2 years. If no trees are to be removed or were removed, then 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 Planner dreeves@coab.us TREE & VEGETATION AFFIDAVIT 'v City of Atlantic Beach OFFICE COPY Department of Community Development Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 (P)904247-5800 (F)904247-5845 PERMIT# I�-�E(,k- 3�3I SECTION I-APPLICANT INFORMATION � vl"S) r Legal Authorized Agent^ NAME OF APPLICANT 4055 W l,p"f-(��(� NAME OF COMPANY x ADDRESS OF COMPANY PHONE CELL EMAIL CONTRACTOR CERTIFICATION NUMBER 1n) L.. ATLBCH BUSINESS TAX RECEIPT NUMBER 7017 SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY 39- 4 �� Iraneddre h9swtbmnmsgnMMthispmpeay,conraa ABBalldhy Depamnentor(909119]-5w6wrea sranaddress. LEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that 1 have reviewed the provisions of Chapter 13, "protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach,FL and/or 1 have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed fromtheabovexlesaibedora djacentpro eruesinconjuncdon with thisproject. � I . SIGNIIIOF OWNER SIGNATURE OF OWNER Signed and sworn before me on this I'O day of RJa u W 41 . -,J(-,by State of FL Countyof 0{uct Identification verified: -(oJ9-ItS �c LR-nL SL Oath sworn: r Yes ry.No JENNIFER JOHNSTON ,s —Y 'a+ �f4 MY COMMISSION OGG W2914 '1 ExvInES:Gdoea2t,2a20 Notary S'µUMs atum BaMetlTMi ii. PUNe LMe,,,Mrn My Commission expires: BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH -- ` — ——-. —-SOaSerntn`ole Koa&-A7antic Reach,FL 32233 Office(904) 247-5826 Fax(904)247-5845 7_ DECK _ 3 t3 Job Address: `38'0 b' 1N• ' Permit Number: Legal Description Parcel# Valuation of Work$ it . 0() °0r Propo ° e' t 4 t sed Work It ated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pooyspa window/door Use of existiug/proposed struMure(s�((circle one): Commercial Resideafi If an existing structure,is a fire spnnWer system installed?(Circle one): Yes N N/A irl— Florida Product Approval# For multiple products use product approve orm Describe in detail.the type of work to be performed:'A6 PWC /./ rxt�,jN F (oo�fr-A)Azg M GAVE 0% �r� - - - - Property Owner Information• !in Name: t11 Address:�lS V ff City State Zip?2•iT? _- EMai] r pax f(Optional) -�`T� — Contractor Information: CONTRACTOR EMAD,ADDRESS: Company Name: 64MA 6V1+� dj,Q gA en - ual' n g Address: City State Office Phone job Site/Contact Number Fax# Zrp State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone 47- Fee Simple Title Holder Name and Address C �- Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work a tallationr as indicated I certify that Pm work or installation has commencedprior to the issuance ofa permit and that all work will beperormed to eve standards of all laws regulating consbuction in thisjurisdtction This permit becomes wll and void fwork is not commenced within six(6f(months,or i omtmchlon or work is suspended or abandonedfor a period ajsix/6)morzlhs of any time alter work is commenced I understand that separate permits st be secured jar Electrical Work,Plumbing,Stgns, Wells,Pools,FLrnoces,Boflers,Healers, Tanks aMAir Conditioners,ete WARNING TO OWNE : YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE T 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. Xi hereby certify that I have read and examined this plication acrd bww the same to be true and correct A77provisions oJlaws arrd ardirtances governing this e o work will be complied with whether s ci ted herein or not The grantirzg of a permit does not presume to Sive authority to violate or cant¢/the xrovisions of otherfederraal�,s/-ate, or/I al tauw r/egu/a ' cansbvction or the performance ofconftraction signature of Owner /�D�. Signature of Contractor 'Tint Name I�OS.S...---_`�.-h. ......_-. __. ... Print Name 3efore Before me hisof 20 this Day of 20 !�t >'. TOMGINCII3PEPGEA i Iotary Pub is a_ OMbet a W9 Rt. BaNaliMUNNW P re,LMBrxrYi6 Reviarsl 01 96 In OFFICE COPY _ _ • : .� § z 3 ! e < S op - . $ { _ \= r \- \ ) tA3 \ : > , \ � � % ! � � � \ �� \ OFFICE COPY - 2 ", .c' Jf. ' e �0 .vayse M v ` N ry Z7, .ow" L r' 39 Caf 77 u i .._ .�,. !o�` 38 Lor 39, B�acK 9 PLAT FLAN NU�P 146 SURVEY OF � L C AS RECORDED IN PLAT BOOK s PAGE-s9 OF PUBLIC RECORDS OF DWAL CO.. FLA. �., FOR-SaMUEC OFFICE COPY r-�SO TO -L SO•, i e N 2 & .7 N A ] O mor ¢/ Lor 3? 34 �' 75 �".•/o FLoo2�� C^ 7 q. ISO' 9'1 7o s \ oc O wi2E ��-iiGE � ' Z- MEe✓Oc?pyp eCaUG ' Li.v6 F� FeCuy6 GvrvU OT �? i L O T 4�1 I HEREBY CERTIFY THATTHEAMOVE WAS SURVEYED BY LEGEND: M5 AND THAT MOMUww 0 LOCATED UPON SAME M SHOWN AND THAT THEME E��//p_ EMCHOACH MTS UP" x �Er cT SAID LOT � J,e.' ! 6"2 �Vi ❑ rEa ova, � 'seta.. �Y— b SAIBDEM ROAD 7 0_ z0 IWKSOVN LL ,ROMA 32210 O ""MNPE SCALE: REGISTERED SURVFYOR NOS IM i x97.: x CROSS CUT MBER TSPLS aNDnr M h3-� y