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606 DAVID INT ALT 2017 ?„ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL -ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0055 Description: convert upstairs bath/bedroom into 2 baths/bedrooms Estimated Value: 5000 Issue Date: 7/5/2017 Expiration Date: 1/1/2018 PROPERTY ADDRESS: Address: 606 DAVID ST RE Number: 170622 0100 PROPERTY OWNER: Name: CANTRELL MARK - Address: 606 DAVID ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: Phone: PERMIT INFORMATION: Please see attached conditions of approval WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500.For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. r'wj r, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r% 800 Seminole Road Atlantic Beach, Florida 322335445 Phone(904)247-5626 Faz(904)247-5845 E-mail: buildingdept@wab.us Date routed: City web-site: hdp:/Iwvnv.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Vl� DQJj Om2artment review require Yes No Building Applicant: Planning&Zoning �1�� - JJ ff L,�� Tree Administrator Project: 0_0i\,i L4p , fS D L UU'I l3_ Public Works Public Utilities tn'� a ufCtV1SItQ-P�(U171�"IS Public Safety Fire Services 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 Any Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: 1�JApproved. ❑Denied. . ❑Not applicable (Circle one.) Comments: BUILDI PLANNING &ZONING Reviewed by: m Date: G • 3.1 TREE ADMIN. Second Review: []Approved as revised. ❑Denied. . ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. . ❑Not applicable Comments: Reviewed by: Date: Revised 0511912019 �S' L�rir CITY OF ATLANTIC BEACH 800 Seminole Road 1 .J Atlantic Beach,Florida 32233 r> Telephone(904),7-5800 FAX(9N 247-5845 Ji119� REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: 7 Received by: Resubmitted: Permit Number. R@'S i 7 - O-PS3- Original Plans Examiner: Project Name: CAOTR64r— 7ryj JSb Project Address: 1POC7 1D4UtD SJ- Contractor: OWAJEQ - I'Kb+F-2 Contact Name: Contact Phone : 6N3'-/H28ontact e-mail: Tf eU-Gf Gnat 1C..0 y4UC Revision/Plan Check/Permit Fee(s)Due: $ Description of Proposed Revision to Existing Permit: UE -vMY F - --- 1 z I i- Additional Increase in Building Value: $ Additional-S.-Ii' - -- -- - - Site Plan Revised: Public W/U Approval: By signing below.I(pdntamne)_ kglC o ht-ripzea- affvm that the above revision is inclusive ofpropo d changes. /✓I - D rf'it/t;�RV[1-q Signature of Contractor/Agent(Conbsuor mwt sign ifin=we in valuation) Date office Use only Dale: Approved: Rejected: Notified by: Plan Review Comments: ent review required Yes No Buildin Planning &ZonFng- Tree Administrator Plans Examiner Public Works Public Utilities Public Safety Date a.,mauunc n...s Fire Services CITY OF ATLANTIC BEACH 'f 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 (904)247-5800 BUILDING DEPARTMENT REVIEW COMMENTS Date: 6.14.2017 Permit ff: RES17-0055 Applicant: Mark Cantrell Site Address: 1606 David St.,AB Site Address: Same Review• 1 Phone: 545.1428 RE#. ? Email: trelimckemail.cont Homeowner: same CORRECTION COMMENTS: 1. Submit cover page to contain: Cover page, Occupancy class, Applicable codes, index of all drawings & attachments and pages numbered, printed name, contact info, dat and signature of person responsible for the design or change. 2. Floor plan: size and arrangement of all rooms and intended use(lable) 3. Notice of Commencement Mike Jones Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, Fl, 32233-5445 Ofc (9041247-5844 Fax (904) 247-5845 Gmadeol keviely ComWN-0-4 fp 6•/y•! m� � 1 A Building Permit Application Updated 5/5/17 n City of Atlantic Beach OFFICE COPY 800 Seminole Road,Atlantic Beach, FL 32233 .uN Phone:(904)247-5826 Fax: (904)247-5845 !7 Job Address: �_D(p mho tZ :k rtd Permit Number: RE# Legal Description Valuation of work(Replacement Cost)$ If O'go Heated/Cooled SF 2375- Non-Heated/Coaled • Class of Work(Circle one): New Addition iEEIDRepair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial sidential • If an existing structure,is afire sprinkler system installed?(Circle one): Yes (V N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: . T,p,V ursfr 2u0 0 8' 5 /N?Ti 0- a . - ,2oo4iS Z• SQ�If eK 23 /� BED�wI Zv,0V M O 'all .a CCra56rY 16-Jr 44" Florida Product Approval# for multiple products use product approval form Property owner Information Name: m�'QIL e��L Address: (,06 DfFU4� city �(5c State f( Zip �2.Z3� Phone 90'/l E-Mad TR LJ l ,A f MA tL Co rk Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) .Contractor Information Name of Company: IA//uc uI .0 Walifying Agent:._�_�e. - Address City Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/insurer/Lease fmployees/Fxpiraf -Date Application is hereby made to obtain a permit to do the work and installations as indicaled_Icertify that reworkarinstatlzfion has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS, FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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. (Signature of Owner or Agent) (Signature of Contractor) (Including contractor) �It� Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before me this_day of �yn.t aOOV by by (Signaty of ry) (Signature of Notary) JENNIFERJONNaTON fv' Wcamuis510NNccous" �✓✓P�ersonal) Known OR }? „a'?% EXPIREs:0viooer2i.WA I I Personally Known OR rN' Y • BgiJ•tliNU NeYryFLk&UNerxbn I I Produced identification I J Produced Identifiratio Type of identification: 1ype of Identification: 00! CITY OF ATLANTIC BEACHOFFICE COFY ®WNER ER/ BUILDER AFFIDAVIT n:uP 1.. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING' REQUIRES OWNER 7 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 NOTRE BUILTFOR 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 BXEMPTION. 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 RE IMM 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'OOCUPATIONAL 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. 1po 6 aAvin sf qa �/-SSSS-/yZ8 ADDRESS PHONENUMBER yYIR2� ef}it9T.e:=� PRINT NA,M� —'( DATE6 -7 - Z 7 — Z re Datametbis V 4 dayof ULL1`\�— ]O��In Na county of Duval,Slate d Florida,has personally appeared barn by himself/hateaif and aKlms that all statements and dedandons am"a and accurate. Notary Publkatlerya,Stataof Fk C.unt,.f DELI "Apanm ally K'. ❑PMuwddentiffimtan- r��Mv^a"44 JENNIFEfl JpIN3TON y; MYCOMMISSIONfi GG OQBBa ' Nv 4V E%PIRES:Odpber21,2020 Notary Signature: ii:R°£a Bentley Bw Notary Pubk UntlennLrs P/HLOGPowmBwldfr 0 l:8BV13®:a/Id{W9 N � c `1 d n � 7 N w � Z �w O m R h X( W � n --c AdOD 301dd0 � � P / \ , - ® w �� \ 4&ƒ - � w�� ff _ � a\ \` $ � k � \ \ ) _ \ y a 7 � \ \ 't, � \ / \ ; oo §a�O % o - » R � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 (904)247-5800 BUILDING 7777 q Date: 6.14.2017 � S Permit#: RES17-0055 Applicant: Mark Cantrell , Stte Address: 606 David St. AB Site Address: Same Review: 1 Phone: 545.1428 RE#: ? Email: trell c ail.com Homeowner: same CORRECTION COMMENTS: . 1. Submit cover page to contain: Cover page, Occupancy class, Applicable codes, index of all drawings & attachments and pages numbered, printed name, contact info, dat and signature of person responsible for the design or change. 2. Floor plan: size and arrangement of all rooms and intended use(lable) _ 3. Notice of Commencement Mike Jones Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 Ofc (904) 247-5844 Fax(904) 247-5845 OO � . 1 i St. QtG�jJ�wc/ G �,A-55 - ,QEsi,�riA-L S�Fk 0fLiba9 f3vicD /nJG CpbC Z21q 1a �� 3e-G. , Fl 3Z-- Z3'2 AZ& cxs�� r ?Aa Z . ZED r� �,,,yN �Nt4/✓6E5 6 - s - 17 NOTICE OF COMMENCEMENT State of County of Tax Folio No. To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is st�(ed' this NQTIC OF CE Legal Description ofproperty being improved: �I/'(�O [9o`�ts' ` N v3 ,,,, �II144 663 Address of property being improved: to D(o 'D F}V lb s� Jt evy it z. OC-ki t"1 .3 L Z 3-�? General descriptionofimprovemems:yX'j,2N 0+TA x%j7o c�. B61T 6ZA C�s /✓�4.V L�( I $tDRLOIGC =r-4`0 2 &6D0ZE17A(,< Owner: ✓YlR-Rk— C14NTRELL Address: (aDto 'DA&IIN St. R411kl@ Be1,13zZ33 Owner's interest in site of the improvement: - 14(5 r4-o+1C6 Fee Simple Titleholder(if other than owner): Name: Contractor: D L. As CR )Su I P(, Address: Telephone No.: Fax No: Surety(ifany) `— Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person melting a loan for the construction of the improvements Name: -- Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of CoQmmencement(the expiration date is one(1)year from the date of recording unless a different date is specked): TIHS SPACE FOR RECORDER'S USE ONLY OWNER Sued: V l (--- Dete: yef, me this -5 day of dun ti Q01"} inthe CountyofDuval,State fF]orida,hes personally appeared Doc#2017134694,OR6K18011 P9981403, ersonally lCnovm: ✓ or Number Pages:1 aced Idwtification: Recorded OBMS 1017 at 12:59 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL or. Public: COUNTY ay commission ex RECORDING$10.00 "'m '^. JIMIFERJ0NN3rON ? ; MYtbMMI6SI0N tGG W29% A6f7ej EYJMREa:O*W27,= �. If�TI�(e,�i. 9 d.drbn NeWyVWACL'nMrm