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150 12th Street INTERIOR WALL 44 i* CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0201 Description: construct non-load bearing interior dividing wall Estimated Value: 500 Issue Date: 10/17/2017 Expiration Date: 4/15/2018 PROPERTY ADDRESS: Address: 150 12TH ST RE Number: 170277 0000 PROPERTY OWNER: Name: ADKISSON KENDALL B Address: 150 12TH ST ATLANTIC BEACH, FL 32233 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. o,:.�,�p;,,, City of Atlantic Beach APPLICATION NUMBER ys 3� Building Department (To be assigned by the Building Department.) - - - 800 Seminole Road fLst -57 -,. Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 —on 9'' E-mail: building-dept@coab.us Date routed: O I it ''} City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 SO 1 a- -- s-\-- • Department review required Yes/No Buil ding ) ►/ Applicant: OW ( 12/( Planning &Zoning Tree Administrator Project: Lo c\S"VulL-k- \O r1—,Oce d b PJA-rill(' Public Works Public Utilities 1 .\-Li of dori dt RI) Wal II 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: FKoproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING /� Reviewed by: Date:/079—i 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 OFFICE COPY ih ECklIVE -----\\ ,,,, r� Building Permit Application!! I. Ari City of Atlantic Beach I OCT 1 1 2017 -41.7 J 800 Seminole Road,Atlantic Beach, FL 32233 1 -ort 9r Phone: (904)247-5826 Fax: (904)247-5845 1 s Job Address: 16o 1)--)1N TI�1Permit Number: j 2E ( 7 -6).)O Legal Description W 1/2 1c43 5 4 4 ''Ac -k- 43 RE# Valuation of Work(Replacement Cost)$6D'D' Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New AdditionAI eration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes NoN/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal /1/41/4- Describe in detail the type of work to be performed: 60)1.51 -1,1 WI ac non- Ic 1 it r� , inferi'o,� d,�,d ,riq (A)A_. Florida Product Approval# for multiple products use product approval form PropertOwner Information Name:. ham l✓15 , 'KPiv�da-- (- AA 45515" Address: 150 1, -44.` s4ii'ee* City �-( 1 c- 1- State moi-- Zip 22.33 Phone (qv4-) (p55 - 525t)E- Mailt:t0,41. S 111 le @ 01 Sn• Lv»1 Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) cWnev Contractor Information /n-- Name of Com an vt'n Oa'r y �-''�S � Qualifying Agent: Address 9L SC a)\tI g• -IAA& City i'(,6S WZ I k State .FL Zip 32233 Office Phone 004) 1 DL-' 78£ . Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation L U rile* n 0 -0,,,f,(0.,.c'c3 / �. T-,�, .e..).4„.,1,24,0„, , , 1 Exempt/Insur /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 R7StINIG YOUR TICE OF COMMENCEMENT. dI4nI?LfJziiii (Signature of 0 or Agent including Contractor) (Signature of Contractor) Signed and sworn to(or affirmed)before me this I D day of Signed and sworn to(or affirmed)before me this day of ot'ACkli-( , _I_ by JO(At\ Sk SO!) ,by ignature f Not (Signature of Notary) =o A:'•': JENNIFER JOHNSTON I •}Personally Known 0' _,,. % ,; MY COMMISSION#GG 042984 [ ]Personally Known OR -�. EXPIRES:October 27,2020 [ ]Produced Identificat tr;;;w o;° Produced Identification •'<f... Bonded Thru Notary Public Underwriters [ ] Type of Identification: Type of Identification: ,iZt.. yr. � �`' CITY OF ATLANTIC BEACH OFFICE COPY t), 0WNER / BUILDER AFFIDAVIT 0:111%' 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 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. (,,u (X41" S44xt.T4 (a t ,v -rc B.c.c.tt 4== - g04- 4,55 5 2s-6 ADDRESS PHONE NUMBER J0.1+ I'A /ZSZ,, PRINT rEl.-141S1•11 11 DIA (1 SIGNATURE DATE Before me this I day of 0 Lk0 ,200-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. 0i I Notary Public at Large,State of 1 ,County of \kVc .Personally Known :,'r v ,; JENNIFER JOHNSTON 0 Produced Identification- ' c=' �� •• - MY COMMISSION#GG 042984 1* '^^l' ' EXPIRES:October 27,2020 e\�\, - :,;eoF�,oPP Bonded Thru Notary Public Underwriters Notary Signature: �,.y�,�A N F./BLDG/Owner-Builder Affadavil;REVISED. 4/16/2009 OFFICE COPY Florida Cis A If S352-47? 61-262 0 JOHN MONROE Tier STINSON 150 12TH STREET ATLANTIC BEACH.FL 32233-6706 0043 07-22-1961 SEX-14 18-A5-2012 HG3 6.02 07-:220 A. tib' aoAN DOS 15 17 7eM s ,dici eaftwellurirrs nts.AV bar+Awat',d OFFICE COPY £ _ ( i,.i.,,, t \. 4 A f° /*§ � ! �Ir.:, f ��� ®� i:\\ ©j\ � ` 01 \ : $§ ,,.. ` . ! ..a.t f 4 »»« . . . 4 0. f1 ' ` 4 ! i . vii ! MAP SHOWING BOUNDARY SURVEY OF OFFICE COPY WEST HALF (1/2) OF LOTS 5 AND 6. BLOCK 43, ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 6, PAGE 1, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: JOHN M. STINSON & KENDALL BETH ADKISSON COMPASS BANK OSBORNE & SHEFFIELD TITLE SERVICES, LLC FIRST AMERICAN TITLE INSURANCE COMPANY • • �I 12th STREET - (40'RIGHT OF WAY)' - gl ol- ,,1'' EDGE OF ASPHALT PAVEMENT • 22" BENCH MARK 62.50' (DEED) I T .. • PALM NAIL IN 19•PALM N 83'57'54" E d a 6314NNGV01929) 62.64' (MEASURED) I ,I CD@ ERS `�.AS 19' 1 ' 62.50'V(DEED) . . +1.51 7261 PALM n 1■ '• I 22• 22•W . PALM ._ MAGNOLIA �{'�-,. LOT 6 • 1• 16.0' - 9.6'' BLOCK 43 WATER METER a -�r COVERED 0.0' L1.1 n r - ENTRY' \ WALL EC I Al' 7.• �; .r'!' r n - 22B' j (q • 2D N I ,,•a '`.'"0 7'U) LOT 12 0 Q LIVE ' . 12.4' 05-• Q O W w OAK ' BRICK l I W w BLOCK 43 `6'M '� • z ' o 121 1 • AS.' ' r3... ^ ' —u■ ■ c N W �I W, 1' ' THREE STORY s'Z' I p Co. 3 Iii o Obi ` : 'Th I I' '+ r 'I .h POSTEDFRAM(�150 ■�' C .. 0"'1 W I '1 II' FFE: 13.99 +A`•• 6I W '., ILI 'CT 's I I BUILDING HEIGHT:30.9' Nt_'�}�1j Q 6 m K" Eli ' ■ ! '+.' ( �_ t 2 ' ,y' ' I A '' ' 1A 4.4. 1 Z8 rj-�• II 1 f . 20 1' 1 . ■ wf16 3 1 ) ,c II••' ill . i L ' • ' 5" u 5 L i 122- e 10 • (_r f N M .1 `s I.1 " ''1 1/6.3'11, 15.1• 9.3'J M 1 IIS i&'11[l 11 I N �� cp G LOT 11 Z , •t WOOD STEPS +/ BLOCK 43 E.. I1 k LANDING (n 22' G LIVE OAK LID FOR yyEE _ PROPANE • AKI�Q '9'S LIVE OAK GROUND GROUND TANK +� fl' 0 4- + LOT 5 I •• • I• 1I � .6%•k'''. "(DOUBLE) OAK�}.0�(vvvq^�y�L�..���A BLOCK 43 " 21• EAKOAK /J ��(�"y� LIVE OAK ;(2) .6..11 I1^�„ UNE OAK`LM1+E +�' uVE OAK"-�'.? ® 1 (}moi V PDOLLES S 84'16'15" W 9' "00 • 62.55' (MEASURED) HENCE DISK • • 62.50' (DEED) `8 7261 LOT 4 LOT 10 BLOCK 43 BLOCK 43 LEGEND: O -SET 1/2'REBAR A/C . AIR CONDITIONER STAMPED P5490195 O " CONCRETE •.FOUND 1/2'IRON PIPE NO IDENTIFICATION 5 = Ex15DN0 (UNLESS OTHERWISE NOTED) + ELEVATIONS •.4.i CONCRETE MONUMENT �= TREE(SIZE @ —x— . FENCE 164.1 TYPE AS NOTED) NOTES: REVISIONS 1. BEARINGS ARE BASED ON THE _AS5gMED BEARING OF__5_O8224_E.___ALONG THE DATE DESCRIPTION EASTERLY BOUNDARY LINE OF SUBJECT PARCEL. 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE • X AS SHOWN ON THE • NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL _0007_0-- 3 THIS SURVEY REFLECTS ALL EASEMENTS&RIGHTS OF WAY AS PER RECORDED PLAT St/OR TITLE COMMITMENT IF SUPPUED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED 4: THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL. JOB H 20085 I DATE OF FIELD SURVEY: 11-9--2011 1 SCALE: 1" = 20' • I t Ray Thompson CERTIFICATE I ANDREBY CERTIFY THAT MEETS THE MINIMUMTHIS WA%•41-C,4,,,,AS SET UNDER AY RESPONSIBLE FOR BY THE FLOROG SURVEYING, Inc. BOARD OF PROFESS. `� 'S AN51 CHAPTER 61017-6,FL"OA 'Going the DISTANCE for Y AONINISTRATIVE C•= 'T,5T JJ VTION 4^ �LDRIOA STATUTES. 4613 Philips Highway,Suite 210 1 / tib__ Jacksonville,Florida 32207RAYMOND THOMPSI I (Phone)904-448-5125 REGISTERED SUR,OR A9QT►I6VPER .146 STATE OF FLORIDA (Fax) 904-448-5178 L\ SES BUSWEgS ' 7469 LAND SURVEYS 0 CONSTRUCTION SURVEYS s'- 01V..0- BDIVISIONS _ _ _ 0 FE n V.. -I e 4-- , &,. - . 1..-r- ril, r-1 I Li' ,21vi- Tt L:F_ • , _ i ex9)%- c-L:4 I , A1 ...- EX. r4-- - C_Lic-. •1?)P.,;-,) P1r 224,E; SEMIS :.*Fi-- 1 1 ,1-.1eTt,: FT(o i•i A-L. S t- rory1<ti•-,_ ‘,. . .,!:2- I.L•-,6"-t• 1 t i i L.. --r. i 4 ‘,. Tst z.E FAt-4 EJ-_ i 0 4.. ' le r--1 r______,-.• ' 1 ,. . TZ . 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