The URL can be used to link to this page

596 N Nautical Blvd concrete pad permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER- SINGLE OR WO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NE)Cr DAY INSPEC77ON: 247-581.4 PERMIT INFORMATION: PERMIT NO: RES017-0025 Description: CONCRETE PAD Estimated Value: 0 Issue Date: 7/14/2017 Expiration Date: 1/10/2018 PROPERTY ADDRESS: Address: 596 N NAUTICAL BLVD RE Number: 1707030346 PROPERTYOWNER: Name: BLACKWELDER JOHN W Addruss: 596 NAUTICAL BLVD N ATLANTIC BEACH, FL 32233-4119 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. City of Atlantic Beach APPLICATION NUMBER Building Department Cro be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 �' Ef)(--X -7 - 00ZS Phone(904)247-5826 Fax(904)247-5845 —7 3 E-mail: building-dept@coab.us Date muted: City web-site: http:/Avwvv.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 'S`�Gp N3P'0-r ( De ent review required uileding �) � Yes No Applicant: 0('0 It-DE-R— ruing Zoni Tree minisbrator Project: 0-xD'pQ-PC-T-C= ublic Works Public b itles Public Safety Fire Services Review fee $ Dept Signature 21� 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 Restaumm�s-- Division of Alcoholic Beverages and Tobacco Other 'Idm Fire*SeN,.,s APPLICATION PTATUS Reviewing Department First Review: "Opproved. E]Denied. E]Not applicable (CircJe one.) Comments: BUILDING PLANNING &ZONING Reviewed by Date: TREEADMIN. Second Review: E]Approved as lised. E]Denled. E]Not applicable PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [-]Approved as revised. E]Denied. F]Not applicable Comments: Reviewed by: Date, Revised 06/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road R -7 Atlantic Beach,Florida 32233-W5 Phone(904)247-5826- Fax(904)247-5845 Date routed: -713 �1 Z E-mail: building-depvt@mab.us Ctyweb-site: http:/A�.coalb.us APPLICATION REVIEW AND TRACKING FORM IQ Property Address: 6`1(sv K) Aorr( L ID rtm treview required Yes No uuildin Applicant: 0L'0KDE4-2_ ann—ng &Zom� Tree Administrator Project: 0--<Dt'DcRr=T ublic Works Public,�Wollrtlllsl Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt -Florida Dept.of Environmental Protection of Permit Verified By Date Florida Dept.at Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: Approved. E]Denied. E]Not applicable (Circle one.) Comments: 91 BUILDING PLANNING&ZONING Reviewed by: Date,7//2—/i7 TREE ADMIN. Second Review: ElApproved as revised. E]Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES E'Deme' ONot applicable e 2 Date 7 Ea 't'Plotce 1, ID n ed EN b PUBLIC SAFETY Reviewed by: Date FIRE SERVICES Third Review: E]Approved as revised. [JDenied. E]Not applicable Comments: Reviewed by: Date: Revised 06/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 u 6 201? Resc�t-7 - c)c)z-s Phone(904)247-5826 Fax(904))247-5846 E-mail: buiId1ng-dept@coab.us Date routed: __�Z/3417 City web-site: htp:/Avww.00ab.us APPLICATION REVIEW ND TRACKING FORM N/ Property Address: �3807(0—AL ) De rtment review arequ_1r_ed_FYesT_N_o I Zo annIng T ee mn Public Safety 'r S uildin Applicant: 0CA3KD&a_ arming Zoni Tree ministrator Project: 0_(::)kpC14RC—Ja ublic Works Public ti tea Public Safety Fire Services JJJJL_,,J?&pt,$ign _Revlevv or_Rweipt Other Agency Review or permit Required of Permit Verified By Date Flodda Dept.of Environmental Protection Flonda Dept,of Transportation St.Johns River Water Management District Amy Corps al'Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: WApproved. E]Denled. ONotapplicable (Circle one.) Comments: il'te BUILDING PLANNING &ZONING Reviewed by DaW Z.-" TREE ADMIN. Second Review: EIAPProved as revised. DIDenied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date FIRE SERVICES Third Review: OAPProved as revised. ODenied. [:]Not applicable Comments: I Reviewed by: Date: Revised 06119/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 00Z-S Phone(904)247-5826- Fax(904)247-5845 D.e routed: -71,3417 E-mail: building-dept@mab.us City welb-site: hftp:11www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S9(� 1\,3iCkQ-T (CAL Do artment review required Yes No anning Zoni Applicant: CX"DKp&R_ (-Tree Administrator Project: 0__c"'pc�ReTC_ e-PublicWorks ( Public Safety Review feWj"" Fire Services Other Agency Review or Pennit Required Review of Pemit=PBY Date 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. APPLIgATION STATUS ElDenied. E]Not applicable Reviewing Department First Review: RrApproved. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: 54��4"_ Date: TREE ADMIN. Second Review: ElApproved as revised. [:]Denied. [—]Not applicable P W�O�RKS Comments: UC UTILITIES 9U fB _WU PU(L�C6SAF'E-7TY Reviewed by: Date:— FIRE SERVICES Third Review: [JApproved as revised. ODenied. [-]Not apphcable Comments: Reviewed by: Date:— Revised 0511912017 I Building Permft Application Updated 5/5/17 City of AtIamic Beach 800 Seminole Road,Atla itic Beach,FL 32233 Phone:(904)247-5826 1 ax:(904)247-5845 Job Address: #&J1P;LK. BIVA Al. —Permit Number: RESOO Legal Description —RE# Valuation of Work(Replacement Cost)$ 1p?Q�I.A2 Heated/Cooled SF Non-Heated/Cooled • Class of Work clrocleone)(��Additiian Alteration Repair Move Demo Pool Window/Door Res! ta • Use of existing/proposed structure(s)(Circle one): Commercial C� • [fan eotisting structure,is afire sprinkler system installed?(Circle one): Yes No<�S� • Submit a Tree Removal Permit Application if any trees are to be removed arAffidavit of No Tree Removal r�`�7 he type of work to be performed: 400,i� 09ftra)-* aw4VW & AID r— W*F-ftMW- Florida Product Approval# for multiple products use product approval form Property Owner Information Name: JPAIV 10- 110OWL&iI, Address: 596 A1tVrX4r#& SLYA N. City State hf� Zip 312�1653 Phone M-&A 7073 E-Mail Owner or Agent(if Agentrevver of Attorney or Agency Letter Required) Contractor Inform�`J;,,, Qual lyl ng Agentiz Name of Compa ny: Address y State—Zip Office Phone JubSfte/(�.I�tWdt N,�e, State Certification/Registration# E-Mail Architect Name&Phone# VVIF:741 Engineer's Name Sk Phone# Workers Compensation "'nop"Insur"'1.�&Erop1:es.1,Expnetknbate JUL Application is hereby made to obtain a permit to do the work and ..Tal. a rnficated.I certify that no IrMstallation has commenced prior to the issuance of a permit and thet al��workelVlllre pcfbo�rmecuto meet the standards of all the laws regulationg construction in this jurisdiction.I understand that a!ep. he m.'t so red for EL.EILq1bqkJMPl_U��JNG,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and R CONDITIONERS,etc. pa nt /I CRY Of AlUanft OWNER'S AFFIDAVIT:I certify that all the foregoing info ation is accurate and that 11 work will be done in copp#44111 0 applicable laws regulating construction and erring. WARNING TO OWNER:YOUR FAIL �E TO RECORD A NOTICE OF COMMENCEME MAY RESULT IN YO1 �F IMPROVEMENTS TO YOUR PROPERTY. IF Y U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEF E RECOR�DI�NR NOT!�"F COMMENCEMENT. J 1r_A9L__ atur f Owner orAgent) (Signature of Con actor) lod n clor)) ojLnto�araffirme )b ore IN day f SI'med and sworn to(or affirmed) fore me this day of 2JO14 by by (Signature o Signature of Notary) TONIGINDUES ERGER oe VYC0NtylS62N#FF92495111l . 6 EXPIRES,October 6,2019 I Personally Known OR Prr,.rall,Kn..n ON Wrod.c.d Identification Produced denrefication Type of dentiflcation Type of Identification: CITY OF ATLANTIC BEACH OWNIER/ BUILDER-AJFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, JLORIDA STATUTES, PART I 'CONSTRUCTION CONTRACTING' REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW. DISCLOSURBSTATEMENT FOR SECTION 489.103(7).FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE 13Y 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 MUS MMEDWOONSTRUCTIONYOURSELF', YOUMAYBUILDORIMPROWAGNE—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 USR AND OCCUPANCY- IT MAY KOTBE BUILTFOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER TBE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WMCH IS IN VIOLATION OF TNR;EXEMPTION. XQMjj&YM ME AN UNLICENSED PERSON AS YOUR tONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THEBUILDING CODES AND ZONING REGULATIONS. IT IS YOU RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES RFQIJMM BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENS DEDDVA—NCES I. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKEFVS COMPENSATION INSURANCE BE PURCHASED. Ill. 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(l). 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. 1112-E IW.66 ME sl MTAV/7 =...th� - OTJ�fld..h.�p �2 N S�� ....yappea hwin Ostatemen�anddedamtl,n,� ".. d� t.. N.�,P.M.A WM,S �untyof 0 Pa�n-lly Knmn ------- 0 md—dldant�wn- MYCUIMSSIONOFFMM EXEHES �t�ro.Mlg du&V Y' 2917 ccvjc�kT6 CYN d 4T-MJv n& OEXO fiep#rf &PcT(,q--no AJOTEG ; AMV764L BLUDIT fil-107)�6 5e4(-41 1::t- _3:,'z33 ceiL, : M- OG- ?973 ROPACIOWNC-ft- Lvytt, 136 Co-/TMcT-&P- )q ST!4t- firivCC O)PA, 6(� USOD )qCao.S9 YW W�CtLC otw- 5T&,)Cr--v.w WTa pm-64F - se�; #5T,�"Hfo PAQAcq fvwc�� pl�ce awfl-c 'or mum 57*w"qaz-- ftW CON'fAU&MW y6tU bt5&La "y&- .6(F ROC9- UM, 3e: iPOeo afv(C Co&cltorle A�9 --J F:ul�-514P- /qm Afee vro C.4�IV- IV-Xf/) 4AY 61f1Fsrzhlvs -4- fil 7w In#TTCIL DESCRIPTION. MAP OF BOUNDARY SURVE ?073 LOT 1. BLOCK 3, OF "SEASPRAY' ACCORDING TO TwE PLAT OF AS RECORDED IN PLAT BOOK 35. PAGES 64. AND 64A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. 0 P;M .......... Mo. UR-,l W-E 0 S, Utl LOT 1111 Am mw "Lo-TV TIM TV A. ��I��11T 1. A.. TO .1 A.' A� M AAP PANM W. IM?ff W�l 0. EFFECTIA�Wi?&% k. TITtE W �11 T�1. LIE �.UIT TIRE I.. 14 I.Il UUUI.1I I'�'AAI.�l S.11 A. SL "RE. TITLE A.,.. IT,, ..TV FEE,��IIU.l.IWF� U7.L A��Al 1� ATLA�T.WICK nOUT. X A�L IA�UTS AIF PtU FlAr U.. 11 .1 IT A. 11.1.3"1111.1 1.1 APELI�XU ME.1 M .,IT06. I SCALE. 1- 30 09 ��U AWITU M��J� AZ LIMITtR . .I.L.' NU,.. E PA%... U RAN UT"' I .UTNI5 WIT QU IT9.-Ml U,..1 V. 1.1� I�.1.1 I.T. Ill Lt� Tl.—1.0�l Ct.T, R.Ar 20 SUIEET L�. Ll�1� .1.�IT011111, pll��l 1�.1111.IA RE FAM UA��, AHr O�� ff M W.00YTIM"N�19=111= Rl IALIU A L. IVA-IA.T IR�11T——1 —WATIM N.H-ff R= MY M.— L SURVEY CATE ICT IT. FIL LOT Pl�A FIRST COAST LAND J ORDER NO.' 17412 k I DRAWN OY. MCF BOUNDARY" 5-13-M SURVEYING, INC. 11 FORNSOARD ISO LANE AVE. S. SUITE 106, 1ACK1111ILL L FOUNDATION EUUNf UP04 7M-� FM 1.4 ',q�.7F \EINAL MflFrCATE W. IV4'Trz4l �6(A? A-7W'17' OeAa % )61 qq5f f5 80 it- Iq 1� qq sf 't 9F a0v Pool-