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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 Si 5 U' JtAea-t Co-nuoce Poor le.p - v.D _ . ' 9 .', - . - - - . 0 ?e-r50 . . xaf t . D ( .` • - l f 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 1 _ .'"u,-V --"•, /7-j : j u.7o r a >j,v,a V Ja I 01,12737 SrZL—list (1,06) 95'ZZ£' V0180 ZT—3771'1 NOS)lO w. 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