1832 HICKORY LN FRONT PORCH ADD 2017 1 J.LJr� I
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
PERMIT INFORMATION:
PERMIT NO: 17-RADD-3540-01
Description: FRONT PORCH ADDITION
Estimated Value: 8000
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1832 HICKORY LN
RE Number: 172020 1450
PROPERTY OWNER:
Name: ANTHONY L ARNAO
Address:
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.
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.
Any plan change must be submitted as a Revision to the Building Department.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
v 800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
U E-mail: building-dept@coab.us Date routed: Dila I I I
Cityweb-site: hdp:Aw .coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 103c�. (� L-(�, FU
nt review re uired Yes No
Applicant: C)1.)n Zonin
1 1 istrator
Project: �D(,� p iO) Gl./JL�_ I. lit n eys
Review fee $ Dept Signature` -
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dep"AranUortation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
FBUILDING
artment :Fimtview: ❑Approved. Denied.
e.) nts: f<
ONING
Reviewed by:� //'7�� Date:
IN. 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 05114/09
ZONING REVIEW COMMENTS
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach,Florida 32233-5445
Phone: (904)247-5826 Fax: (904)247-5845 Email: dreeves@coab.us
Date: 03/26/17
Permit: 17-RADD-3540 Applicant: Anthony and Stacey Amao, owners
Review: 1s` Address: 1832 Hickory Lane,Atlantic Beach, FL 32233
Site Address: 1832 Hickory Lane Phone: (904) 923-4091
RE#: 172020-1450 Email: Staybay3@att.net
Correction Comments
1. Survey: Section 24-67(c)requires a certified survey. Please provide a certified survey.
2. Setbacks: Section 24-67(c) requires a site plan showing setbacks. The measurements on the site plan
provided do not match the plans. Please provide a site plan showing setbacks from all new elements
to property lines.
3. 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
u
�, AXA
City of Atlantic Beach APPLICATION NUMBER
os 4 Building Department (To be assigned by the Building Department.)
800 Seminole Road nEcmvE
+� Atlantic Beach, Florida 32233-544Phone 5 '}lit
F-�Jfl)g?
E-mail:(hu ld ng�dp t@wab us904)247 5 MAR 24 2017 Date muted: 03(d l I
City web-site: http://www.coab.us
BY:---- –
APPLICpATION REVIEW AND TRACKING FORM
Property Address: IB3�. � (4Ln. Department review reuired Yes No
w '
Applicant: cla 1)1 / Planning &Zonin
1 1 Tr dministrator
Project: V(D(,� poi( ) Ct A .C_k1C7(� P Ic
u lic Utilitie
Public Safety
Fire Services
Review fee $.-.. ; Dept Signature._,,t,,:,,iii
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept.of Environmental Protection of Permit Verified B
Florida Dept.of Transportation
St.Johns River Water Management Dishict
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 2Approved. ❑Denied.
(Circle one.) Comments: "/
BUILDING 10hr
PLANNING &ZONING
Reviewed by: � "��— Dale: 3 29 1 Z
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
P CWORKS) Comments:
UBLIC UTILITIES
f
3-27-f�
PUBLIC SAFE Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
-ssAr City of Atlantic Beach `, APPLICATION NUMBER
Building Department ECEIVE (To be assigned by the Building Department.)
-r 800 Seminole Road
Atlantic Beach,Florida 32233-5445 MAR 2 h 2011
Phone(904)247-5826 Fax(904) 5
-:irf pP E-mail: building-dept@wab.us Data routed: oa�alll�
City web-site: http:/Avww.coab.us BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: I<6 C)LOf y �,�. Deartment review required Yes No
� / ul '
Applicant: CAZ 1)t4 Planning &Zonin
(�
Tre dministrator
Project: V!D(1� p)f(,h GUT 11l1 7(' P Ic
u lic Utiliti
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
Other:
APPLICATION STATUS (� o
Reviewing Department First Review: }Approved. []Denied. I§IJW-1�
(Circle one.) Comments: Ja
BUILDING
PLANNING &ZONING Reviewed by: Date:3 c.3
TREE ADMIN. Second ReviewIV JV:
❑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 05/14/09
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FLOOD INFORi
: POINTS OF INTEREST
BY PERFORMINRCH WITH THE LOCAL GOVERNING NONE VISIBLE
MUNICIPALITYW.FEMA.GOV,THE PROPERTY APPEARS TO BE
ATLANTIC BEAMUNLOCATED IN ZONE X.THIS �PNUM ER 120]5,DATEDERTY WAS FOUND IN E0CITY
03/OF
U
aret Sherrill K.
CLIENT NUMBHCI50022 DATE: 2/19/2015
2 4041
BUYER:ANTHD STACEY A ARNAO 7-0059
vingwithmargaret.com
SELLER:RONAIDSON
CERTIFIED TOUST AGENCY,LLC;OLD REPPUBLIC NATIONALEST S EI A C T A
SURANCE COMPANY;VYSTAR
City of Atlantic Beach APPLICATION NUMBER
3 Building Department (To be assigned by the Building Department.)
800 Seminole Road
g r' Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@mab.us Date routed: �3IaII I T
City web-site: hhp://w .mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I6` i-� c.>�-o(yt✓�. De artmentreviewrequired Yes No
w
Applicant: Ola Planning&Zonin4
,! 1 Tre dministrator
Project: �D(l� �fLVI a 11 3r, P to
u lic Utilnie
Public Safety
Fire Services
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
Other:
APPLICATIONID-PSTAT'US
Reviewing Department First Review: //ppved. ❑
De1nie/d.
(Circle Comments: SD rOV WCtl✓lD
f4rOf Se Poa�L
-ratt`
Uavrr} e'ettited la � - -41 e,..r
PLANNING &ZONING Reviewed by: /
—Date: 2/bY7
TREE ADMIN. Second Review:
❑Approved as revised. ODenieW
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised osrwroe
Building Permit Application FILE COPY
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
�'f Q j Phone:(/904)247-5826 Fax:(904)247-5845
Job Address: ZO J 2 C-lfCkor�y �g HG Permit Number:17'/�//pY
Legal Description RE# /7208 O—/t/SO
Valuation of Work(Replacement Cost),$ OOd Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one ew Addition Iteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial es enha
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes No<:]M�
• 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: F,- PO 1- b y , /Chn
a weO V C Se eftoH
YrAcre s/ob,
Florida Product Approval# for multiple products use product approval form
Property Owner Information
I.
Name: n w t twc Address: /9,302 /�y'G�OY 4....e
city r e e State�"(�Zip ;x233 Phone_ _l22
E-Mail �f 6#tV 3
Owner or Age. If Age ,Power of Attorney or Agency Letter Required) 6"Zmef
Contractor Information
Name of Company: qualifying Agent:
Ad res CityState Zip
Office Phone Job Site/Contact Number
State Certification/Registration#
Architect Name&Phone#
Engineers Name&Phone#
Workers Compensation
Exempt/Insurer/Lease Employees/E.p,.mn Date
Application 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 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
RECORDIN OTICE OF COMMENCEMENT.
(Signature of Owner or nt inrluding Contractor) (Signature of Contractor)
Signed and sworn to(or affix edf befor methis day of Signed and sworn to(or affirmed)before me this_day of
by by
L�p TONT UNDIESPE .rv) (Signature of Notary)
µa My C0WIS910N#FFWe51
T`>'�k E%PIPES:OONbera,2019
I "'3+Y5 BonhEThry Wlar VuWundi.00
I ]Pei [ I Personally Known OR
[ I Produced Identification �5 o-O I Z-73 -459 d�Produced Identification
Type of Identification 'r/pe of Identification:
S �ir!c CITY OF ATLANTIC BEACH
F ^�/
C�1 1
800SeminoleRoad
Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
�.r Jfils)
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: S 17 Received by: Resubmitted:
Permit Number: 17 - RApp- 3xS4 ^ 1
Original Plans Examiner: Project Name: Arna,p & k Y1djoi -1
Project Address: 2 HichDr aflao+ic R?a,41 Xl 3zz 3
Contractor: NIA Contact Name:
Contact Phone:_ 'I 23--LI-12t. C e-
Revision/Plan Check/Permit Fee(s)Due: $
Description of Proposed Revision to Existing Permit
4I C�P7h9
Ire 1P CA gv
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(ptintnsme)_ 5i"" Arm",, affirm that the above revision
is inclusive of the proposed change
Stgnature of ntractor/-Agent�eery�j`q�ngmsrst@nr � tatRoamazhrtr Date
jJ u7umes use unly
Daze: App.v & Rejected: Notified by:
Plan Review Comments:
D ent review required Yes No m+�
Build'
tanning&Zoning
denims ra or Plans Examiner
Public Works
Public Utilities 9 -1-7
Public Safety
Fire Services Date seam atans�..t
Aak CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
IV
F�" COPY ATLANTIC BEACH,
L 32233
BUILDING DEPARTMENT REVIEW COMMENTS
Date: 4.4.2017
Permit#: 17-RADD-3540 A Gcant: Anthony & Stacey Armin
Site Address: 1832 Hickory Lane,AB I Same
Review: 1 Phone: 904-923-4091
RE#: 172020-1450 Email: Sta ba 3 att.net
Homeowner: Same.
CORRECTION COMMENTS: These comments are from 1 of 4 departments that are
reviewing this application.
1. From the 2014 51h Edition of the FBC-Existing Building,Residential, choose a
construction method of compliance/alteration level. This information shall be place on the
coversheet of the design or structural plans, under General Design Criteria. 2 copies
needed.
u i lorida Product approval information for what appears to Fe the me a roo
covering the front porch addition. Manufacturer's installation instruction shall be on
t for the metal roof in progress and final root ins
rnp{a� i2oof w,, 11no4 6-e-
0- o{' 4h,a
� er rn;+
Affi1CofaxN,
Mike Jones
Building Inspector/Plan Reviewer
City Of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233-5445
Ofc (904( 247-5844
Fax (9041247-5845 r�
E/n0i�o� Rev%ew Cu.nvr« f"r y�y��7 mU
1
as TREE & VEGETATION AFFIDAVIT
City of Atlantic 84 FILE COPY
n Department of Community Development
- Planning&Zoning Division
,>L�ttlDy. 800 Seminole Road Atlantic Beach,FL 32233
(P)904247-5800 (F)904247-5845 PERMIT#
SECTION I-APPLICANT INFORMATION r Owner(s) 1 Legal Authorized Agent*
NAME OF APPLICANT ApT- *xkQ �i s•/t-•C P4 f'T✓-y[ RO
NAME OF COMPANY
ADDRESS OF COMPANY
PHONE CELL EMAIL
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER ,
SECTION 11-SITE INFORMATION
STREET ADDRESS OF PROPERTY / 3 Z / N 1 l�-P.cs c A
6anad1re has�n/otbeenaafgnedtothhpro, ntaathM8 Buflding Department at f90#)24]-5526ianquest.address.
LEGAL DESCRIPTION 74-9- 017- S'
LOT BLOCK - SUBDIVISION f�va #41q ttn4
REAL ESTATE NUMBER 172O2a _jySO LOTOR PARCEL SIZE:
_t{_SQ FT G1,57/D AC
RESIDENTIAL ✓ COMMERCIAL OTHER(SPECIFY)
I affirm that 1 have reviewed the provisions of Chapter 23, "Protection of Trees and Native I/egetation"of the Municipal Code of
Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those
regulations. Subsequently,)affirm that no regulated bees and no regulated vegetation will be damaged,destroyed and/or removed
from the e-detcribedorodjacentpropertles in conjunction with thisprr�o7jeclt.IA*j'. /W/t,'
SIGNATURE OF OWNER hIGNATUR�OF 6 NER n��_
Signed and sworn before me on this_dayof , ,by State of .' .ICi
Countyof p'(I-QA-
Identification verified:
Oath sworn: r yes qV No -• 0 /vr/ V
Notary5ignature q• ;
e +,
, .• ^,; DEaaRMH WHITE
MYoaMMWI0N#FF191513
REV-TVA-00.12 My Commission expires: ;; }moi;? EYTMIRES:Wy21,MI9
�1.
OFFICE COPY
CITY OF ATLANTIC BEACH
�I
IOWNER/ BUILDER AFFIDAVIT
I. FLORIDA STATUTES; CHAPTER 469, FLORIDA STATUTES, PART i 'CONSTRUCTION
CONTRACTING"REQUIRES OWNER)BUILDER TO ACKNOWLEDGE THE LAW:
i DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSEDAT
CONTRACTORS. YOU HAVE APPLIED FORA PERMIT UNDER R EXEMPTION TO THAT
1
LAW. TWN CONTRACTOR
It EN YOU,AS THE DO ER OF NOT HAVE PROPERTY.TO ACT AS
YOUR OWN CONTRACTOR IiVEN T'110UG111'OU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE 11113CONSTRUCT ION YOURSELF YOU MAY BUILD OR IMPROVE A ONE OR
TWO FAMILY RESIDENCE Olt A 1'ARM OUTBUILDING YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$23,000AD OR LESS, THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. 1T MAY NOT BE BUILT POR SALE OR LEASE.
IF YOU SELL OR LEASE.A BUILDING YOU HAVE BUILT YOURSELF WITIIIN ON . ),FAR
AFTER THE CONS'T'RUCTION IS COMPLETE,THE LAW WILL PRUSUME'1'I IAT YOU BUILT
IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF"IRIS ExE-MPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST'
RE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS, IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
12-"CI�NS.�jgq_WU.,p BY STATE TAW AND BY COUNTY Olt MUNICIPAL LI ' NSFNC
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 W9THHOLDING 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). A14-OCCUPATIONAL LICENSE IS NOT ADEQUATE THE OWNER SHOULD PHYSIQALLY
SEE THE COUNTY 'CERTIFICATE OF COMPETENCY' OR THE FLORIDA 'CONTRACTORS
CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
j BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
j STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT. 1
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PROPERTY ADDRESS: 1832 HICKORY LANE ATLANTIC BEACH,FLORIDA' 3 SURVEY NUMBER:FL1502.1 E66
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