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345 10TH ST - DRIVEWAY • `J `s‘ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J 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: DWAY17-0021 Description: Enlarge width of existing concrete driveway with gravel Estimated Value: 0 Issue Date: 10/18/2017 Expiration Date: 4/16/2018 PROPERTY ADDRESS: Address: 345 10TH ST RE Number: 170079 0010 PROPERTY OWNER: Name: LAMAR DAVID CHARLES Address: 345 10TH ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Maureen Lamar- Owner-Builder 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. oi.A,vre, City of Atlantic Beach APPLICATION NUMBER rs Building Department (To be assigned by the Building Department.) A. )-;, 800 Seminole Road ` 3-„r Atlantic Beach, Florida 32233-5445 2017 ' `�— _ VO1 Phone(904)247-5826 - Fax(904)247-5845 <o; E-mail: building-dept@coab.us Date routed: Q g 04--2 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -3((5 / O� -i---. Department review required Yes No n Building Applicant: ( .Ui-v1 — (3L arming &Zoning a or Project: _Ati (cay -e,;Sti i C.c+rx;{,� k_Ss,N^e_.,�,� u lic Wor J Pu is i i les CO I k7'6iilf__t 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: proved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDING _ 7 PLANNING &ZONING Reviewed • : i ;<, _ J, , ,A,..Date: TREE I 11 Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable t- - wow omments: 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 �S�Lvr City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 \)\!JA\? \ I 7 -03a Phone(904)247-5826 • Fax(904) 247-5845 arti0- E-mail: building-dept@coab.us Date routed: I 0 (i G' / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -5'15 / oth Department review required Yes No n Building Applicant: �(A ) LJ4 &Ac` dam-(-' nning &Zoning Project: Ce.,0 (c y c9 i y �u _lic work �i �6tlJ`� _J ! PubitniTai ies 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. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONINGReviewed by. —`� Date./ ' 1 7 TREE ADMIN. Second Review: pproved as revised. nDenied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: �_ �/��Date: /0Y/1 FIRE SERVICES Third Review: (Approved as revised. nDenied. (Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 S .t{k '. Building Permit Application Updated 5/5/17 7.'.1 .‘7 City of Atlantic Beach `' 800 Seminole Road, Atlantic Beach, FL 32233 ``;I s v Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: ✓ I✓ /OD') /7 'f-ePermit Number: k-- Y ! l ''�'h` Legal Description 5441 le.2S-2 C « 2- •r< tCifr4 _E# /-70,07 ----O 0/0 Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition •Iteration Repair Move ••••• Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial °esidential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes 0 N/A • Submit a Tree Removal Permit Application if any trees are to eenA edgreffidavit of No Tree Renjov�,1 I Describe in detail the type of work to be performed: Oki t i ti ia2, CSG GA" r ) �I bfrit s o-f lot It r-ram i -nn-- Ari . Gk�-5fi?c , tee5t1-7 or-G - ro , �ou. 0 /S 3� 2't, J P Florida Product Approval for multiple products use product approval form Pro•er Owner Information m' CM ,F Q � L&GYY( Address: ���- 1007 /�� City 4 g / State Ft- Zip 3- L Phone (legi%" �_' r E-Mail ill?arm: .-i �l' '(/joK4. Gb✓Y) 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 TOa TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RE r • • 'ING YOUR NN.TICE OF COMMENCEMENT. i14lI_:A/:AAi. (Signature of Owner or •gent) (Signature of Contractor) (including contractor) ,+ ..:n-d and sworn to affirmed)before me this c, day of Signed and sworn to(or affirmed)before me this day of ICl/ I., , Ai I ,by r • ti4A A tr201 +t:"- r , ,by AX""'•. GRACE MACKEY ,•. `: MY COMMISSION#GG 042989 ignature of N. y (Signature of Notary) .•-��ro EXPIRES:October 27,2020 . F!o" :go . Bonded Thru Notary Public underwriters • a [J Personally Known OR [ ]Personally Known OR [ ��'_oduced Identification ,� �C [ ]Produced Identification Type of Identification: f�4d( ) i (;t►� Type of Identification: ' Si.m- 4r CITY OF ATLANTIC BEACH _� OWNER / BUILDER AFFIDAVIT �\."'-:44,9;s19., I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER I 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 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 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. —BO ADDRESS PHONE NUMBER PRIN' ME / / ig4"7 10[10 i 1� SIG A ' ' DATE Bef.re me this (AN day of G('{zj - ,20,0 in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of eco('vW'- ,County of 70C-k0 cti ❑Personally Known ;opYrie•" GRACE MACKEY / f f' °r ,ra. : MY COMMISSION#GG 042989oduced Identification- �(G'1 eta. /ice l�C�j"��c— "..%`: - EXPIRES:October 27,2020 "''Eo�•i 0�•' Bonded Thru Notary Public Underw,iter5 • Notary Signature: ' F:BLDG/Owner-Builder Ar .avis;REVISED: 4/16/200' • ORDERED BY: — 7. The Law Offices of Rod Schloth ! F .y .. . ;.at ""�k`s 2187 S .._T...:. Third St M'a Jacksonville Bch, FL 32250 ; ' —_ 904-372-9351 f -- ` beach®rod-taw corn x • PROPERTY ADDRESS:34510TH STREET ATLANTIC BEACH,FLORIDA 32233 `1 t SURVEY NUMBER:F 130L1.330 • FIELD WORK DATE:7r16R0t3 REVISION DATE(S):REV 17(1611)13 FL 13071030 BOUNDARY SURVEY 0'1 � � DUVAL COUNTY :7.3 r,..!.. t1541337 o o1 tr2'NOID IMP R.OP �6y b 1ST L'S - a arc TABLE: a w.r(Teri L-15 85'02'07'W 338.10(M) �"3 �] L-2 5 85100.00P)ir ' , v ' , 1•3 5 85'0000'5 W 50.00 ) I I I W `°Pd 5 84°56'!4'W 50.12'(M) I L-4 5 85'00'00'W 50.00.(P) 5 s ! OCT -' 6 2017 z z 11 U U L-5 N 85'00'00"E 50.00(P)) t ( 1 1 s0 ,.:\>8.iU u 85°r 2'01'E 50.05'(M) L! J1\ —.-----...._j \NcLoT2 d,x �3 , s� �� 'a Nes 1'3.15 . Of V rt 0.5'r m 10.7' ON ✓. 26.Y n .. -5, 1r• O �,�. - 4.5' a SIR Sly ,� _ 1 ..a rs ` • a �� • � r me 1 uz fit'. ca,,., •°ort Noro ` ` e.c. I :72•he Fi 1:0,0 -I _ ir2•RP - L-3 L•2 \ • LN7 N0,0 ..�.�.^L 4{ otn� ro y—\ 101,-1 1 T a ` -A :; (� '. •-� — 3S 2e —131V \---- • 1 COMMUNITY EEUUI `Y ` " �7n6/ e/1�•, 1rs'T74L N(,, f \'G1C5: 5�t / �f / �( �A'� a/ :JT A°P^A°;i TO^.L S�Ft�i•''.:. r.1'1 f WA"'Q AN".••s`_tKR,,/I(J}e,(�W'l F- 1 t {� 0f 116 descr prope.ty tidal Fc:cr.ohT 5H'•1(^ ( ,CO. - m ;+. s 1 • /f{��5r d A 110 RledgebeAef,tidal nr•10T is SrPJ :'P,!+1!AfIlMf.:.51C a 7007^Ar10.1 'iV'+C}'UML •the minimum technical' Y!•1'.: J-5i5TF.+, :`401 04..71. .,�X'7 P.:.i!'.�7t_.:7tokT A G� '� Lang ors as s:.WZY E 7w[o .0 P1Ptl yE.T•T7^.:'.',hu0`CO.3?^t,r.S APP � � 1 {�•1• % Surveyors AU.,FL !QtMCtS_'P,Cv:-:'V-:Tr"tU•'.f'li?0,10^ -t^$1N PAPZIL described . .... Chapter: 7 d'srnre -"'•ve Code. ;'7C'?i.r.^.:r✓.,LCrn t. 4. tRga1M t 4t7 30 20 t0 0 20 40 S7 40'5t:RVEY31.4 ami f 1 ( . 'V Wesley B.Ken SYNC 01 Florida Pto lmicvW 3n.)at n ttrxr tro Nc.P.p I inch=40 feet use 0 *Sit sytw PupOws other than/mended.Without t9;'rtenSufuuiar-....:E Ix at tMUser's Sale RhkaM Without 1.4,44y to the Surveyor. Nothing hereon shall bsCan uedtoGne ANY Right..Bereft to Myuet Olhnthanthm.CeftXRd. FLOOD INFORMATION: POINTS OF INTEREST BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING (1)GARAGE ENCROACHES OVER LOT LINE(2)CONCRETE PATIO MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE ENCROACHES OVER LOT LINE. LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03713. CLIENT NUMBER:BILL DATE:7/16/2013 a ". Florida Land AFFILIATE Title Association FLTA MEMBERS BUYER; •`-� "u"" SELLER:FREDERICK LOOMIS • CERTIFIED TO:. Lard Surveyors Inc. �r� I P166-735-1916•FR66744-3667 This is page 1 of 2 and is not valid without a8 pages. L6e 7337 Tn,10.41 s LAI,Nye,Sts%e 1.FLM3ers,FL 33913 A - - 147- i; LOZ 9 - I � VII' . 'V U4r S SI<AfradVA --4.4' *(; 9 g.‘11 ale.Q13( 4, 4 e) (L: o r b. isiz02 x ?c, ,E, l.{h ‘ ii-1-1-1 7,10 31 P>c \,Z ,qd 1 01114-'17\ ,i t,a) .,--e-t-P\-40 L1427 cyviitims,i,9 sv4y1),9,0ivA \ ri 11` . �' r " i,, CITY OF ATLANTIC BEACH 800 Seminole Road r • Atlantic Beach,Florida 32233 / r Jntl>' REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date in I fI i Revision to Issued Permit Corrections to Comments Permit# Project Address S' s i U 9yetA--- Contractor/Contact Name ,Vltav a&TV LfliZ'v' Phone 1/11U LC • •• 9-/-i 7 Email K f 1(917 to/at • am Description of Proposed Revision/Corrections: Permit Fee Due$ M o biRut TAIA,14— (G f, 4® ukL Streieu ffrti . P IetS_ `� \ • 6 ,1i ",. kip Foivre-- Additional Increase in Building Value $ Additional S.F. By sit,' g below,I V" AAA e I ( ,y 'y affirm the Revision is inclusive of the proposed changes. (printed name) jj7 Sign; r- o ontractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved X Denied Not Applicable to Department Revision/Plan Review Comments s9-,v&I.,-/4\i rzc c„ ;rGvl -,6 At,O rGt Jr/ 1J 1:s ibt) I Department Review Required: ___ .„0,./# [� Building Planning & Zoning Reviewed By Tree Administrator Public Works Public Utilities W17/12 Public Safety / Date Fire Services 345 10th St - Google Maps Page 1 of 1 Go gle Maps 345 10th St � � r_ 'til t• +r'� - ,4'..; lit 11 s . 1 # t, - ..,.., • ..k. ,-... -4$ . ., ik. i. . ' *1, " '►9/�f- _;.. -;A r' ; _ ..,:4 it - _ ‘k,,,-. a-� r " 4 • -: rC�-• `• _ / +.,1`I . tJ, jo v sr v t` ' ' ll rii.. ,,, e • �__ li7�"_, rt s. '.t il i 11 ' qty , • < i, a~ • ��P- , •4 N !' r F r...-.:.--• f� Google -� • ` ' - �_giry`j s• ,• //'' r •• , i • •\'‘: ".e. 4.•--14+j ~`kr cid,,«v. • COM � `�'� ,� fJ iii mage cap re: r ec 2014 ©2017 Google United States MUNITY DEVELOPMENT �• ..ti �` ,� Atlantic Beach,Florida AP PMENT �fPROGoogle,Inc. VE® fiV Street View-Dec 2014 ,, c,„ntr, `l [Art n @ n 111h 31 ( I hat. I5L / r / u • 11 h�l�I}' ' I U Atlant V Plaza I 1)r Ne/A7�; \\ 1.0 cif w� /5 &MAb 'NyiK i4C-10(610Nin -0\ikaVii ? i )/ PUBLIC WORKS - ity) M eik k- y ,�i { }APPROVED Yom! -10r /'' { }DENIED { }NOT APPLICABLE TO DEPT 5-166ro I' C 6ce\A A IA -143 0.e/ ri .1 v(/'AlA kio\oV) A 1 https://www.google.com/maps/place/339+10th+St,+Atlantic+Beach,+FL+ 233/(x),30.33... 10/12/2017