395 6TH ST - FENCE, DECK. PERGOLA ,, ?ir�`Jr,V�s
o CITY OF ATLANTIC BEACH
`_ s) 800 SEMINOLE ROAD
\\,,, .._ ATLANTIC BEACH, FL 32233
—0;3 r-) 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: RESO17-0051
Description: replace 6 ft. fence, construct deck & rails, & pergola
Estimated Value: 2700
Issue Date: 12/29/2017
Expiration Date: 6/27/2018
PROPERTY ADDRESS:
Address: 395 6TH ST
RE Number: 169912 0000
PROPERTY OWNER:
Name: PEEK CATHERINE CONWAY PARKER
Address: 395 6TH ST
ATLANTIC BEACH, FL 32233-5347
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.
r5!-411;.�� City of Atlantic Beach APPLICATION NUMBER
r•r '- , Building Department (To be assigned by the Building Department.)
tla Seminole Road L /_C o 11- _no`7-
��''' ` sJ Atlantic Beach, Florida 32233-5445 GJ
,� - Phone(904)24,7-5826 • Fax(904)247-5845 \\
J;379r E-mail: building-dept@coab.us Date routed: l ' 11. l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: .
9 S �� �t . De artment review required Yes/No
Buildin (/
Applicant: 0,-.4,(2-( Planning &Zoning)
Tree Administrator
Project: 0-ci itL-k- �Q -rl(S._ � �+1S cL CPu•licrks
CP-ublic Utilities
tet-- wi V\un&la-k.S e-Q-rekci WQf Public Safety
Jai_ 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 &ZONING Reviewed by: "71),--- Date:/?73'/7
TREE ADMIN. Second Review: E Approved as revised. ❑Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: /y',$'/7
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
,.r-1'' �r,
rCITY OF ATLANTIC BEACH
J � 800 Seminole Road
Atlantic Beach,Florida 32233
\i ;;, OFFICE COPY
REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS
Date ) q 13 j i' Revision to Issued Permit Corrections to Comments Permit 4.--S 0 I 1 l U L 6 I
Project Address 31 `J (i ' ire.e:E
Contractor/Contact Name eiOn (J ?a_-4'4 ,l.,"
Phone t-4(4Cj' 5-S CO ( Email Ccyl Wel y ? 09. C
` � ..C6'v
Description of Proposed Revision/Corrections: Permit Fee Due $ —C2 —
'e�bi �` �%is � gu kii / y r rrf ja i)�)
9-fv-Dr)s c ra_e 5,i ec ` I- cli,v/ 44,11
S ry- 4 r ,c) frYr v -ao CLOS
Additional Increase in Building Value $ c6 Additional S.F. 0.
By signing below,I 1CY117 affirm the Revision is inclusive of the proposed changes.
�rinted name)
rz — / '—/'9-
Signature
—/3Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved 7\/..-- Denied Not Applicable to Department
Revision/Plan Review Comments
artment Review Required:
Building ril
IannR18 Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities /Zr I g' /'s
Public Safety Date
Fire Services
vrrRVt Vvr T
/art�..1�`Jr�
CITY OF ATLANTIC BEACH
�' . ��%WNER / BUILDER AFFIDAVIT
:J;t }''
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. � /
.1 1�6 5 -r f /FL 3 Z L J 3 PHONENUMBER
�u B2 `g�j J 5-S�L 1
A
C- ' 0-Gym eti ?Cur V--e-,V
PRINT NAME
�X c 12-12-) 1
SIGNATURE Oat
DATE
Before me this 14-- day of Ot( rn bQ-( ,20Sa 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 FL-• ,County of 4,Glv I�,
Yeti JENNIFER JOHNSTON
0 Personally Known 6 1 :�` 'fc MY COMMISSION#GG 042984
Weroduced Identification- L �r IOJ r1l`S `t LQ 1t��-- = ��,= EXPIRES:October 27,2020
n `.e„ df�oQ Bonded Thru Notary Public Underwriters
Notary Signature: �/
F:BLDG/Owner-Builder Affadavit; VISED: 4/16/2009
JA r ` r , sA'� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
7-4
OFFICE COPY ATLANTIC BEACH, FL 24 32233
2233
BUILDING DEPARTMENT REVIEW COMMENTS
Date: 12.13.2017
Permit#: RESO17-0051 Applicant: C Conway Parker
Site Address: 395 6th St. Site Address: Same
Review: 1 Phone: 246-5561
RE#: Email: Conwayp09Agmail.com
Homeowner:
CORRECTION COMMENTS: These are review comments from 1 of impartments reviewing
this permit application.
1. Resubmit construction details of the guardrail at deck and the constructio
'of the pergola. Presently they were written on the back of the permit
application document. I need information to make a copy for the office as
well as the job site for future inspections. Please give dimensional sizes for
the bolts that will be used to secure the 2x8 beams to the 6x6 posts. Please
include the use of the Simpson Hurricane clips to attach the 2x8s joists.
2. R312.1 Guards.
Guards shall be provided in accordance with Sections R312.1.1 through R312.1.4.
K,
R312.1.1 Where required.
Guards shall be located along open-sided walking surfaces, including stairs, ramps and landings,
that are located more than 30 inches (762 mm) measured vertically to the floor or grade below at
any point within 36 inches (914 mm) horizontally to the edge of the open side. Insect screening shall
not be considered as a guard.
R312.1.2 Height.
Required guards at open-sided walking surfaces, including stairs, porches, balconies or landings,
shall be not less than 36 inches (914 mm) high measured vertically above the adjacent walking
surface, adjacent fixed seating or the line connecting the leading edges of the treads.
"Exceptions:
1. Guards on the open sides of stairs shall have a height not less than 34 inches (864 mm)
measured vertically from a line connecting the leading edges of the treads.
02eC— R--/3- t7 1
rn�
}
2. Where the top of the guard also serves as a handrail on the open sides of stairs, the top of the
guard shall not be less than 34 inches (864 mm) and not more than 38 inches (965 mm)
measured vertically from a line connecting the leading edges of the treads.
R312.1.3 Opening limitations.
Required guards shall not have openings from the walking surface to the required guard height which
allow passage of a sphere 4 inches (102 mm) in diameter.
Point #2 above is some code information pertaining to guards.
Mike Jones
Building Inspector/Plan Reviewer
City Of Atlantic Beach OFFICE COPY
800 Seminole Road
Atlantic Beach, FL 32233-5445
Ofc (904) 247-5844
Fax (904) 247-5845
& ma- led ?fan ✓,AI4-f r2 - 3-r-? rw/
2
_OFFICE COPY Building Permit Application Updated 12/8/17
City of Atlantic Beach D E C 1 2 2017
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
(� /S f .c3 12 3 3 (Z.E3 O 1 l - )Q5 (
Job Address: �� I � l 9 � QLTh�L� �.3 Pt Permit Number:
Legal Description _RE#
Valuation of Work(Replacement Cost)$ d ate() r --
Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one):(Addition Alteration a air: Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercials'iden
• If an existing structure,is a fire sprinkler system installed?(Circle one): ta.. No N/A
• 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 work to be performed: F.+ 'v,g ,)c,1° t. --P,Ic v� CQ 19' `{- `t'''"` c `-11nb+ w S
aestYb e.1 '0,V �V✓rIce., . Adca `J o- ✓V-c 100' cE"•FP+..c-1 ✓of V• 1oac_k ,/CLYA A'1Ov.c, 1,JCS'terNl,
pro(k" L`m c . (o'-hc.A1 -Fev�c,o- . AA_dt pc.f),,,,,K. , )O' X 1't'Ac-lc-c=l -'+vi •fir of fro u .1:No,L
Rin ,cL'c /CS ryvn./Y--erl L,.,tl,l spiv, Is tess -H-+c,_i.. Li " c po,,.-.-t . Pn,,r5n1o. avr v r ck op yr
Florida Product Approval# for multiple products use product approval form
Property Owner Information _ �Ul.til py
s.
Name: e- • ' ,tt. -i7Address: ''3°)9 ( 0 � 3(41(�j,R 3213 3
City A C -sal State t't_ Zip 3 2Z 3 3 Phone `1,0 Li- 2y -5-5 Lo (
E-Mail Co 1/"\WC-•._\ mQ (a 3mc„1t + L13yy—
Owne r Agent(If Agent,Pa4ver of Attorney or Agency Letter Required)
ontractor 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.NOTICE:In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
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 NOTICE OF COMMENCEMENT.
r
�_ r: (Signal of Owner or Agent) (Signature of Contractor)
= (including contractor)
'Slgne4 and sworn to(or affirmed)before me this I a` day of Signed and sworn to(or affirmed)before me this day of
Pt LQ4v (, a0 1 ,by CA-MU;r e,04`044 Pot tj( ,by
m m
gm 2 z
F, in T ignature f N Ty) (Signature of Notary)
Ts0N9d
goy
8(reronally Known OR [ 1 Personally Known OR
c . oduced Identification ,(� [ ]Produced Identificationi, o BT1I•df Identification: F IOI'LQA (J1-6‘),,,\S `+CVAY- Type of Identification:
N. N
R
0 -
rrAlvf�, City of Atlantic Beach APPLICATION NUMBER
j` r ,- , Building Department (To be assigned by the Building Department.)
Jia �. ' 800 Seminole Road p /_C 0 1 1 _no.7 I
lid'' �� Atlantic Beach, Florida 32233-5445 L GJ\\
Phone(904)247-5826 • Fax(904) 247-5845 DEC j 2017 Date routed: d I �� I ��
�o,ti� E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: a 5 CO 1- S-( . De.artment review required Yes No
Buildin•
Applicant: Ovun Q_(/ Planning &Zonin•
_Tree Administrator
Project: c Lel.( .LI .0`A . (l(S._{ 0-6AS c P • • A irks
Public Utilities
6. t_0(.- w\ V104\61-(tCk.\S 4 '�-{(8OIGt 0J0-1 Public Safety
e 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. fNot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed byd.( „604,4 Date: // 4417
TREE ADMIN. Second Review: [Approved as revised. ['Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I (Approved as revised. I (Denied. FIINot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
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j1i;ir, City of Atlantic Beach APPLICATION NUMBER
j > a Building Department (To be assigned by the Building Department.)
r e ..--. s 800 Seminole Road
"''"" Atlantic Beach, Florida 32233 5445 f_ESC) I 1 — 0(17
Tip •
2r
Phone(904)247-5826 • Fax(904) 247-58 EC 13
�0figr E-mail: building-dept@coab.us
2017 Date routed: la 114 I Ii
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: a S (01- 5f , Department review required Yes No
Building
pp
A licant: Own i2-11/ Planning &Zonin
(`�, Tree Administrator
Project: C L ttL_ `Q-- 1 t . ko uL, vr e-MS\4kPGb ks
Public Utilities
. .L( `'`w\ GoAltAS V e-D-{ act OJO( Public Safety
aLL. Fire Services
Review fee $ f Dept Signature +^1
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 &ZONING
Reviewed by: 2 � 4''' Date: lZ/j r/7
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
- L4---
Comments:
PUBLIC UTIJTIES
/z—/ d/ / 7
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. (Denied. [Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
rj >>�pr City of Atlantic Beach APPLICATION NUMBER
/ • Building Department (To be assigned by the Building Department.)
800 Seminole Road p /, � __n�\� I
6� a .
� Atlantic Beach, Florida 32233-5445 L G
Phone (904)247-5826 • Fax(904) 247-5845 \\
-c-I!,01119 -• E-mail: building-dept@coab.us Date routed: d 14 I F3
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9 S Department review required Yes No
� / Building
Applicant: D•-)n Isianninn &Zoni
A Tree Administrator
Project: c LQ ALL lQ- �1 _ (1(k SVL Pu• A irks
p { Public Utilities
ta- L-k) Ifl ani l AS 96- 1)-( Public Safety
aut. 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. fNot applicable
(Circle one.) Comments:
BUILDING /f r
PLANNING &ZONING Reviewed by,"--- " �_ _ Date: 12 2 & 17
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
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