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230 PINE ST - PAVER PATIO 45 'iii '° '';, CITY OF ATLANTIC BEACH "i' ''> 800 SEMINOLE ROAD 15 vo, ATLANTIC BEACH, FL 32233 '! ;3 va INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RESO17-0033 Description: back yard paver patio Estimated Value: 4300 Issue Date: 9/29/2017 Expiration Date: 3/28/2018 PROPERTY ADDRESS: Address: 230 PINE ST RE Number: 170555 0000 PROPERTY OWNER: Name: ROLAND WILLIAM B M Address: 230 PINE ST ATLANTIC BEACH, FL 32233-4014 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 1J COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB 0 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 0 $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. 0 0 0 ri�\,y City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 2 800 Seminole Road r Atlantic Beach, Florida 32233-5445 -e.--Seri- D� -. ~vr Phone(904) 247-5826 • Fax(904)247-5845 G 1� ( f ' " Date routed: 0 Q 'V`� l 1 i CJs g' E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 0 P i (\-Q.-SA . Department review required Yes No Building Applicant: ' We Qlanning & onm Tree Administrator Project: t 4151 0 .p Q,U, GLS ,A tG(,� 4 G,(G, ublic wore • <rilblic-girl-e Public Safety Fire Services Review fee $ Dept Signature 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 Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department I First Review: Approved. ['Denied. nNot applicable (Circle one.) Comments: BUILDING G PLANNING &ZONING Reviewed by:€ DateY Zd f 7 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 05/19/2017 --'�JJ r City of Atlantic Beach " , >° APPLICATION NUMBER Yom' '.• �'�� Building Department '` L. (To be assigned by the Building Department.) 800 Seminole RoadAUG1 c'� '�' Atlantic Beach, Florida 32233-5445; AU8 � I _ ��3 \ , Phone(904)247-5826 • Fax(904)X47-5845 '` , „<4,3„1331; E-mail: building-dept@coab.us -- 6routed: QL� �� City web-site: http://www.coab.us - APPLICATION REVIEW AND TRACKING FORM Property Address: C Pi (`.QSA . Department review required Yes No Buildin Applicant: r) i,J( “ Planning & oning _, i I Tree Administrator Project: i ilSkit.�i $ G,U;L,,,( v a- - ' c bta. [(uclublic Wor ublic Utili ie Public Safety Fire Services Review fee $ Dept Signature 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 Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. I Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING / '67q Reviewed by:_J Date: G r TREE ADMIN. Second Review: ' 'Approved as revised. ['Denied. Not applicable 9 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 05/19/2017 4 • r� l'•� Comp. By: SRW Date: 8/29/2017 ' ' yr -!,":?2:6.1119'r- Public :y Jifl9'r" Public Works Department City of Atlantic Beach Permit No: RES017-0033 Address: 230 Pine Street Required Storage Volume Criteria: I Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations requires that the difference between the pre-and postdevelopment volume of stormwawter runoff be stored on site. Volume of Runoff is defined as follows: V= CAR/12 Where: V=Volume of Runoff C= Coefficient of Runoff A=Area of lot in square feet R=25 yr/24-hr rainfall depth(9.3-inches for Atlantic Beach) Predevelopment Runoff Volume: Lot Area (A) = 5,000 ft2 Runoff Coefficient 4 Area Lot Area Description (ft2) (ft) "C" Wtd "C" Impervious 1,653 5,000 1.00 0.33 4 Pervious 3,347 5,000 0.20 0.13 Runoff Coefficient(C)= 0.46 Runoff Volume V= 0.46 x 5,000 x 9.3 / 12 V= 1,800 ft3 Postdevelopment Runoff Volume: Lot Area(A) = 5,000 ft2 0 Runoff Coefficient Area Lot Area Description (ft) (ft) "C" Wtd "C" Impervious 2,135 5,000 1.00 0.43 %ISA = 42.7% Pervious 2,865 5,000 0.20 0.11 Runoff Coefficient(C)= 0.54 I Runoff Volume V = 0.54 x 5,000 x 9.3 / 12 V= 2,099 ft3 Required Storage Volume DV= Postdevelopment Runoff Volume- Predevelopment Runoff Volume DV= 2,099 - 1,800 DV= 299 ft3 Retention MASTER WATER RETENTION 8/29/2017 • , Comp. By: SRW Date: 8/29/2017 u Public Works Department City of Atlantic Beach Permit No: RES017-0033 Address: 230 Pine Street Provided Storage: Elevation Area Storage (ft) (ft) (ft) 8.0 81 0 BOTTOM 9 X 9 9.5 121 152 TOB 11 X 11 Elevation Area Storage (ft) (ft) (ft) 0 BOTTOM 0 TOB Elevation Area Storage (ft) (ft2) (ft) 0 BOTTOM 0 TOB Inground storage=A*d*pf A=Area= 121.0 d=depth to ESHWT= 5.0 pf= pore factor= 0.3 Inground Storage= 181.5 ft3 Required Treatment Volume= 299 ft3 Supplied Treatment Volume= 333 ft3 Retention MASTER WATER RETENTION 8/29/2017 01-m-,..4., City of Atlantic Beach APPLICATION NUMBER �1 Building Department „� il (To be assigned by the Building Department.) 800 Seminole RoadEt LL CC ,,�.� 1 ultimo/re Atlantic Beach, Florida 32233-5445 .3 LSC_�� I — 0033 Phone(904)247-5826 • Fax(904)247 �r `` JJil�r E-mail: building-dept@coab.us 2011 f Date routed: - I �� City web-site: http://www.coab.us_ APPLICATION REVIEW AND TRACKING FORM • Property Address: a3 0 i)-1 f\-Q_SA . Department review required Yes No Buildin Applicant: t (.)NLj Planning & onin i Tree Administrator Project: t(\Skil.i1 + G,U.L( ,Q(,(, b(,L,,V1 aid -ublic Wor ublic blue Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review Receipt Date of Permit or 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 Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:44-- Date: ?/(3/7 TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable PU:ie OR Comments: PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Applicat ; _ Q N -- q�e S/S/17 f City of Atlantic Beach r a 800 Seminole Road,Atlantic Beach, FL 32233 )i AUG 2 3 2017 `on yr Phone: (904) 247-5826 Fax: (904) 247-5845 .i _1 Job Address: 3 �� Ne _� . b41, 13dt , 1 � Permit Number: R-65601 ( Legal Description LW 51:7-9--,,,2_J PI4��f C7L,.OI^ hL, 3 ,5.140,1-- r B RE#Pg./ /70 j:_c OO a C. Valuation of Work(Replacement Cost)$ '7 rj 3©o Heated/Cooled SF Non-Heated/Cooled t • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Doo 'Fa Ve r 1 'ra') • Use of existing/proposed structure(s)(Circle one): Commercial Residentia; • If an existing structure, is a fire sprinkler system installed?(Circle one): es No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tr a Removal Describe in detail the type of work to be performed: rl- n 54_,,,r I -7Q Jco r {:, q0 t 11 bz k y4 r-ei. Florida Product Approval# for multiple products use product approval form Property Owner Information Name:Df tPt-i Sci 1(4 7-R612 IA4 Address: �-30 Rt‘e S � City 1ei1. state I--1. zip 3,,,,.--)-3_3 Phone 7o4 637 15024, E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/Expiration 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 RECORDING YOUR--:t__1.:),a NOTIC - OF COMMENCEMENT. z_z A....le (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me thisQ-3 day Qf Signed and sworn to(or affirmed) before me this day of ANA514.5A- , 2:1D1"t , by 10.titi4rn 6. A. (t-OUQ.rla - by 0 , JENNIFER JOHNSTON 4 Sig i:tur:!.f Noe ) (Signature of Notary) u: MY COMMISSION#GG 042:.4 a '"" ;94) EXPIRES:October 27.2020 ,.;',O r%z;;'' Bonded Thru Notary Public Underwriters T ' • : 'n•wn •' [ ] Personally Known OR [Produced Identification �.(� t f U%c i ., . [ ] Produced Identification Type of Identification: (j( . \ALC.nu. _ Type of Identification: -, .sir:; f' I \ CITY OF ATLANTIC BEACH \...- -. '�%WNER / BUILDER AFFIDAVIT • I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES 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 )-TIRE 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. .. 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRE S PHONE NUMBER ra k • a i )111" . PRIN A / �� / SIG AT-7"— DATE 22 Before me this Qk. day of ALA. .. 201_11n the county of Duval,State of Florida,has personally a eared herin by himself I herself and affirms that all statements and declarations are true and accurate. /� Notary Public at Large,State of FL— ,County of �t.1f ti I • t . ❑Personally Known ;p'vP JENNIFER JOHNSTON fy�Produced Identification- a f•,f i./t. 1,i Lei-a_ _ 1---. , MY COMMISSION#GG 042984 * "�' EXPIRES:October 27,2020 %Fof QP' Bonded Thnl Notary Public Underwriters Notary Signature: \ / \_ !,� .r F:BLDG/Owner-BuilderAffndavil;•• SED:4/16/2.09 4 NOTICE OF COMMENCEMENT State of r/cyr(A County of dJ t.tji4t Tax Folio No. 11 p,5"-SIC— 0eN56 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stateil in is NOTICE OF �, NCEME ? ✓Legal Description of property being improved: L _5"--;,2-,2) , h/` i i_ Spctio 1 J P.?105 14 Q Address of property being improved: 363 `?i h,e__, -L , 4-1-Ai. ILL.) R. 3 2,2) 33 General description of improvements: Ta V e-rS 1;in, kace yevrai -a r iQ 44-16 , ,tc‘eOwner: 1'�GY-�' ��'G r �! Cj c Address: E' s` }�t`C l, 1)G✓t 7 Vi• wner's interest in site of the improvement: U _ ' Fee Simple Titleholder(if other than owner): Name: Contractor: hl - / 1 Zo Address: Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making 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)(6),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: • Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER APAOI Signed: �_ �:- I Date: Before me his a 3 day of Au . 144S .1011-in the County of Duval,State Doc#2017198233,OR BK 18099 Page 883, Of Florida,has personally appeared b Y.1 M L— W t tl i a m e.M. Q0 ton l Number Pages:l Personally Known: or Recorded 0812312017 at 01:23 PM, Produced Identification: a ' ` i _'J Q... Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary Public: We COUNTY My commission expir#: V RECORDING$10.00 I,':,: 6C•., JENNIFER JOIASTON � ° �•`- MY COMMISSION#GG 042984 ;r.�^`;�; EXPIRES:October 2I,2020 'C' M°`:: Bonded Thru Notary Public Underwriters 1 %.OIF..,•, MAP SHOWING BOUNDARY SURVEY OF LOT 522, PLAT OF SECTION NO. 3, SALTAIR, AS RECORDED IN PLAT BOOK 10, PAGE 16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: DIANE PATTERSON, SOUTHEAST MORTGAGE CO. & ASSOCIATED LAND TITLE Z. 0 7- s ��y ��VE� MENio M�Np1 ' : : �: � CO 1 2"/Ar 0.3 SQ. o G 0.2 72--/,-! V ":x ,0‘0.5"-.Y0'- 90'0530' i d.9'.5"4'30,. . .5 eck f t i3k) � k) " sr.a K ` • % 7.4 % I O..2 ,� K si No..23o 0 N N % A 2 S TO h'Y 0 k f FT.1 M N hK Q h 0 o h° .1 1.s to a s- .r n 4 `1 ..f 3 O•T 73 11� 6oa6. •,, ; .i„�, ` I !. . 4‹ � 70' as ..moo, V ' v K -p, . , DO Tv so. 0 //c/. (so. 0D ,i7/11/_) 5 7".4:' T WAVERLY J. RAY ASSOC. INC. LEG �Nn ��•. PROFESSIONAL LAND SURVEYORS BEARINGS BASED ON ' !I/ o o 38 EAST 17th STREET PROPERTY SHOWN HEREON LIES WITHIN FLOOD ° �/ P. 0. B 0 X 3280 ZONE C, ,AS PER�FF.�.A.LS003RATE MAPS �� JACKSONVILLE , FLA. 32206 0 SET IRON PIN OR PIPE �'° ��� 904-353-6476 • FOUND IRON PIN OR PIPE ,4'� `""O 0 SET CONCRETE MONUMENT ■ FOUND CONCRETE MONUMENT I HEREBY CERTIFY THE INFORMATION DEPICTED HEREON TO BE p SET WOOD HUB & TACK IN COMPLIANCE' WITH FLORIDA STATUTES, CHAPTER 472, AND X CROSS-CUT OR DRILL HOLE IN CONCRETE TO MEET, OR EXCEED, THE MINIMUM TECHNICAL STANDARDS K X FENCE FOR LAND SURVEYING, FLORIDA STATUTES, CHAPTER 2IHH-6, JOB NO. /'37/9 - DATE /- 9-87 BY: .L.0 A _,s A. 0 dir. — // -517?)/ DRAFTSMAN ,8 4/'/ FLORIDA CERTIFICATE NO. 3771 SCALE / '== .20' NOT VALID UNI FSS SIIPVFVf1R'e APCIt III eeAl 10 GIL/001000f% urnrn..