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416 Irex Rd driveway permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DRIVEWAY - SINGLE OR TWO FAMILY DRIVEWAY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DWAY1 7-0013 Description: permeable paver driveway & back patio Estimated Value: 2400 Issue Date: 9/29/2017 Expiration Date: 3/28/2018 PROPERTY ADDRESS: Address: 416 IREX RD RE Number: 1714200000 PROPERTY OWNER: Name: DANCEL FELIPE S Address: 416 IREX RD ATLANTIC BEACH, FL 32233-3904 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. Permit Conditions City of Atlantic Beach Permit Number: DWAY17-0013 Description: permeable paver driveway&back patio Applied:8/17/2017 Approved:8/24/2017 Site Address:416 IREX RD Issued: 9/29/2017 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233 Status: ISSUED Applicant: <NONE> Parent Permit: Owner: DANCEL FELIPE S Parent Project: Contractor: <NONE> Details: LIST OF CONDITIONS DATE SEQ NO� ADDED DATE REQUIRED DTTE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 1 8/22/2017 1 EROSION CONTROL INSTALLATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: 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 Erosion and Sediment Control Inspection prior to start of construction. 2 1 8/22/2017 1 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 3 8/22/2017 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell's,Inc.,Republic Services). Container cannot be placed on City right-of-way. 4 1 8/22/2017 R GHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 5 1 8/22/2017 1 RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site. Cannot raise lot elevation. Printed: Friday,29 September, 2017 1 of 2 01 Permit Conditions City of Atlantic Beach J 1 6 1 8/22/2017 ADDITIONAL COMMENTS INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Pervious pavers must be used to receive 50%credit. Printed: Friday, 29 September, 2017 2 of 2 00o 'VJ]r City of Atlantic Beach APPLICATION NUMBER V c J.,/,I Building Department (To be assigned by the Building Department.) 800 Seminole Road -A bw A�'i � - C)c)I Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 uted: ro),i E-mail: building-dept@coab.us L_2ate ro City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: L-A Department review required Yes No Buildino Applicant: D L_� CO-( Planning &Z-o-n-in-g-, lDj�E�ffis i7ra Project: < blic Worfs.-"-, Public Utilities b CL C CL,A� -0 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. ElDenied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed Date:f-2 q_1 TREE ADMIN. Second Review: E]Approved as revised. ODenied. ONot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: RApproved as revised. []Denied. [:]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application Updated 5/5/17 V City of Atlantic Beach 800 Seminole Road, Allantic Beach, FIL 32233 AUG 1 7 2017 Phone: (904) 247-582, Fax: (904) 247-5845 Job Address: ZZ&K X a, +4 14,Y4/*.�,L rmit Number: j)w A�A 11 —col Legal Description RE# Valuation of Work(Replacement Cost)$ 7-!Y a 0 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): Ne"<��Iteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): CommerciA Residentia • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes N o • 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 wor�to be performecl�,p 7L7(7, V 01.r_,k I'"'t ,�4 P�-lt A44 13 Ir 2 r 14 c 10 4- Florida Product Approval# for multiple products use product approval form PropertV Owner Information IN a m e: Address: Aayo� City 41- State 4 1 zip Z,3 Phone 04e- 2,iof- 7610 E-Mail VGA-e_WJ (iDL-G"Kao I C C"" Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Compa . i4��l Qualifying Agent: Address 2 V-^J city 7;Pf,1L --A/kt-5_ Office Phone - 2-3%,1 7S um er a State Certification/Registration# E-Mail J�= Itze Architect Name& Pho Engineer's Na P h o n�e#W Workers C pensation 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 Y OUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor (including contractor) Signed and sworn to(or affirmed)before me thiZ91—day of Signed and sworn to o m efore me this day of (Si,nature of C ntra c'or Signed and sworn to 0 m efore me th is day of by C-40�&_ Q)ckA,,_\ TIMOTHY KELLY I Commission#FF 925374 tu r of 0 ry) Expires February 7,2020 Signalure�of Notary) (Signature of Notary) 8.ded Th�Toy Fm k,,, 800,3,.70,9 Personally Known OR Personally Known OR Produced Identification Produced Identification L Typ e of Identification: Type of Identification: PROPOSED ROOM ADDITION & REMODELING FOR: PHIL & GRACE DANCEL LOT 4 416 Irex Rd. Atlantic Beach,� FL 32 33 S 8?'43'58'W 3 -FIE- 0? 41 00 THIS SITE 20 Proposed LOT 24 Open Patio 101- 1 46. (y rj EXISTING BUILDING SINGLE STORY DWELLING �u .0 80'- of nbc Beach Mind Delpartmerill 110. Y11 Zon a division and other local land TIO' NEW OM ADJ�I N �opmimt reg bvt does not constitute (Approx. 55OSq. Ft.) 27- val Jor the Issu of permits. Compliance with lork' Bukld� and all other applicable k "Z tj >cal Sta nd de permitting requirements ra <�i nuat v by %igrn ture of the City of Atlantic 10' EASEMENT' Building Offtlel to the lasuancis,of a Permit. LOT 25 Coffunufft Develop I D"dat 10,771 -93— E 0 AT WIG BEAC" N e2*43'58UTy U I)ING OFFICF- 176.58' TO TRITON RD, MAR 3 a LOT 2 FIL COPY CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "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 MUS SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR INIPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMIVMRCIAL 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 TEUS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR: YOUR CONSTRUCTION MUST BE DONE ACCORDING TO TBE 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. 11. 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(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. Im &010 ATL.AWIC, 057PcA4, D0,4� DRESS r- (,-3 9-!�W PHONE NUMBER NAME WL — S11GNA4E in the county of DATE 13 fore me this 3__-day of 20L Duval,State of Florida,has .rsdnalty alloared h y himself herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,state of V_L_ ,County of 4EI Personally Known V-4—K)L__ ,, I",, 15roduced Identification- TIMOTHY KELLY Comagssion#FF 925374 W Expires February 7,2020 Notary Signature: ALu, BwWed Tft Troy Fan 1�aw*ODDM5.7019 FJBLDG/Owner-Buil�er Affada�il;REVISED:4/16/2009 1 -5-VP City of Atlantic Beach TFOEIVE , APPLICATION NUMBER Building Department AUG 18 2W (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445By. Phone(904)247-5826 - Fax(904)247-5845 Up A 9 E-mail: building-dept@coab.us uted: -site: http://www.coab.us ___�ale rou City web APPLICATION REVIEW AND TRACKING FORM e-�ired Yes No Property Address: LA (P '-�4 Department review mquired JBuildin- Applicant: L-3 V\9_1 Planning &Zonin T T s r rg re in is ra UF _ ft u lic Wor s Project,: Mk_c� wuw kX;b_J6\1 -P_u Mr S ublic k Public Utilities & pa,A� 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: [j%proved. [—]Denied. E:]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING TREE ADMIN. Reviewed..b Date: .2-/T Second Review: E]Approved as revised. OlDenied. ONot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. DDenied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 PUBLIC WORKS PROPOSED ROOM ADDITION & REMODELING FOR: )APPROVED PHIL & GRACE DANCEL DjENIED I �r- LOT 4 N T APPLICABLE TO DI\EPT 416 Irex Rd. Atlantic Beach, FL 32 33 S 8P--43'58'\4 9 TILE GL C f-C I, Opt THIS SITE T Proposed LOT 24 1017 Open Patlo La ExISTING BUILDING X M 80"-8. Uj SINGLE STORY DWELLING Cn 80'- Q Be& Pa.,, aof�Aantic Do ch 1 nd parbywd tr- wft applIcable awrivill vowmes fj zon ng, subdivision and f Oth*r local land Om ADPIf' d lopfnmt reg but does nool constitute v*for the Issua Of Pefmfts. Compliance (Ap 27� 550Sq. Ft.) o"r applicable N with iorkla 8thW1k)g C 10' EASEMENT-"-�' =1 Sta I* and 'ode permitting requirement3 vl-Z�byZaign ture of"City of Atlantic Well bo the Issuance of 5ulld erniiL LOT 25 /" 1) Mu" De'veloprrmpt 10,7,7- -4 —------�-931 jNppROVED t4 82..43,5e0TY OF ATLANTIC BEACH E3UILDING OFFICF- 176.58' TO TRITON RD. Q MAR 31- Copy LOT 2 FIL