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2032 DUNA VISTA CT - CONCRETE PAD CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 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: RESO18-0002 Description: CONCRETE PAD Estimated Value: 2400 Issue Date: 1/11/2018 Expiration Date: 7/10/2018 PROPERTY ADDRESS: Address: 2032 DUNA VISTA CT RE Number: 169506 1610 PROPERTY OWNER: Name: BOND CHARLES JR Address: 2032 DUNA VISTA CT ATLANTIC BEACH, FL 32233-4534 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. ''fi .y;yr, City of Atlantic Beach APPLICATION NUMBER ��sr , Building Department (To be assigned by the Building Department.) 800 Seminole Road R p 5h S v 000 7 u, -0 Atlantic Beach, Florida 32233-5445 Cr Phone(904)247-5826 • Fax(904)247-5845 I Q !, �; >'�' E-mail: building-dept@coab.us Date routed: Com`/` City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z032_ Lo ti� Vm ± De artment review required Yes/'No ldiApplicant: I ) f�e-�Z--- --l� &Zonin /� Tree Administrator Project: 0�CR_E'r C -j t , ,_LP66lic Work lic Utilities_j 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. nDenied. ❑Not applicable (Circle one.) Comments: ILDIN PLANNING &ZONING Reviewed by: 771) -- Date: ' 9"o20/8— 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. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 01.A :rrl City of Atlantic Beach APPLICATION NUMBER `31 P L, Building Department (To be assigned by the Building Department.) 800 Seminole Road r }�� Atlantic Beach, Florida 32233-5445 R f=,`�C 7 S 7000 Z Phone(904)247 5826 Fax(904)247 5845 ' QQ.3�o;3 9� E-mail: building-dept@coab.us Date routed: (5 V City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: _ OS 2.. L u KA VT C-7- De artment review required Yes No uildin) Applicant: (/L.7 N G-R---. 'n &Zonin Tree Administrator Project: 0, 0 f3aR.&7 C IPA> ' •lic Works '••lic Utilities 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 � I—I —ter PLANNING &ZONING Reviewed by:'"G— i�— Date: 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. nDenied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 �ILAN:0, City of Atlantic Beach APPLICATION NUMBER os i n� Building Department (To be assigned by the Building Department.) 800 Seminole Road tiv s) Atlantic Beach, Florida 32233-5445 JAN 0 8 201U f-5 C7 � � r Phone (904)247-5826 • Fax(904)247-5845 Q �J3�� E-mail: building-dept@coab.us Date routed: v 1 8 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z0-32- L U..� KA V i A C±1 De artment review required Yes No uildin _ Applicant: C Lk) ND CR--, - PI i &Zoning Tree Administrator Project: 0._. 0 toe_R_C:_'T C Pio` ) lic Works_ rlic Utilities 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: VfApproved. I (Denied. I Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: 7 fl, 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 �it PJ;je, City of Atlantic Beach APPLICATION NUMBER Js 1" tl Building Department (To be assigned by the Building Department.) 800 Seminole Road �.: �� Atlantic Beach, Florida 32233-5445 JAN p 8 2018 R F'.S[� s To ZPhone(904)247-5826 - Fax(904)247-5845 ' Q�o;t 04 Email: building dept@coab.us Date routed: v City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 203 Z- Du K.) VT& CDe artment review required Yes No uildin Applicant: C__ w NCR — n &Zonin Tree Administrator Project: CD K_DCR_t✓7 C cpP )<Pfblic Works 16_ lic Utilities j Public Safety Fire Services Review fee $ Dept Signature ,• , �w-, 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 * --(-4h^"' Date: l/� g Reviewed by: TREE ADMIN. Second Review: []Approved as revised. ['Denied. El Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. El Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 1-41').-.. OFFICE COilding Permit Application Updated 12/8/17 I : g City of Atlantic Beach V.s,0� 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: )...032._ )" JA V+SSA (w2 r Permit Number: 12`'S c9/a ^ oov•z Legal Description RE# Valuation of Work(Replacement Cost)$ 0"00 Heated/Cooled SF taip, Non-Heated/Cooled • Class of Work(Circle one): ew Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residentia • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No • 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: Vwd C,,Acre fe tinek NO 0. Florida Product Approval# for multiple products use product approval form Property Owner Information Name: (Afo.t..ES 'ZuND Address: to3-2- DuAJA visik ( J"-I City A-i LsN i,c. k.(* State IL Zip 1222 73 Phone 7-3-z. J 2/ –`/7-/Z E-Mail 1%oN0.c Mg(CS a()Aoki L. to An Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) d tNr'Gi( Contractor Information Name of Company:AIL coNsiit.r.TrorJ U� Titu:.icn/✓ILAE I ualifying Agent: Address 3134 w i fm S+ City ". tciaANi L.c.i State PI Zip 7225 V Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation 6,,E,' if i 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 DI RECORN. YOUR NOTICE OF COMMENCEMENT. -` 5 -1-34_ / (Signature (Owner or Agent) (Signatu of Contractor) (includ\ng co tractor) Signed and sworn to(or affir ed befo • thi. da .f Signed and sworn to(o affirmed)before me this day of r\ , ZDI8by A*. r- _€r- _€ .A •• 4 , ,by WA= ' ' ignature. otary) (Signature of mir ;.�;y::y.,, TONT GINpt,ESPERGER ( g Notary) * ',;� __ MY COMMISSION ii FF 924951 [ ]Personally Known OR W,.;_.•persEXPIf 6oi9b®I�,2019 [ ]Produced Identification (— -14: 'Pr8@Il4t$$ •: . Underwriters Type of Identification: 'fes ,,,,,'' 'r.- oTldenlifiication: (1-1.Aii:,- 10 CITY OF ATLANTIC BEACH zr Ir%WNER / BUILDER AFFIDAVIT 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 2c3 _ i\ utvA VSSTA Ce-i .r 4' -2_ 321 `/I-II ADDRESS PHONE NUMBER PRI NAM SIGN• .- rI� DATE Before me this day of�JO,f...\ 201$the county of Duval,State of Florida,has personally appeared herin by himssee f I herself and ffirms that all statements and declarations are true and accurate. (((%���\ Notary Public at Large,State of r ( ,County of L J l)'Jo- ❑Personally Known F0 i -37 3 `( D 7 ❑Produced Identificat I `J Or ' •� :aq`�r"� TONI GFoLESPERGER Notary Signature: { :.__ MY COMMON#FF 924951 �`-+���a EXPIRESctober 6,2019 F:BLDG/Owner-Builder Affadavit;REVISED: 4/16/2009 f i 60ndad ThN IJotary PUbFC UndOnvri+'• — %aUVLRIVMtIV I LU I I. J 0%,'(l,Dl s SECTION 9, TOWNSHIP 2 SOUTH �i' q \Y 'c' ��s RANGE 29 EAST Nza MEP oFc , s � l as d o O' SECTION 9,GOVERNMENT LOT TOWNSHIP 21 SOUTH 2 A6 AZO VO) tr�cr��• �'o� y 0.05\ �'' RANGE 29 EAST N N0`; 9 C c ' \ F 25 ikcA �p 5�����eE tot �►y ' '93 t3 N �R�a N ����� 4A Ti`s PtP� J/ 9A •9 FINK/' GE.V„l104 •/`/��A \A ���y ' • �t. _toc OF Rpa►' s5f/ fr r' \ \ ,p�� r-• v: „..,o 0,„s i 0 .-- ...- ) , \ . s-3_ 6-v, / ! � ISxfix i \ .;,. ,,fr, ', \ \ o LOT 60rfr► N ma p \ n \ s �wi , O et 1 .,. Ck EN 1-0 i%" 21.7' rr: •: Q 18.3' :' 4 1 i; .'•:• - ' N I 14.1• 5• 4.9's .'1'.1 4� _x_x_X , .2' 7.7' •: •;'.': ,.,� TWO 'n .t.•,_ .,• 4, 3 3 STORY ':.• ..s..:•:.•�• d 1•: FRAME „ 1S Ir'.,...• : nry� 0 o h POSTED # 20321 1. .' : �`� ^•ti LOT 59 0 �, ...?•e. .,hp ryry N LOT 61 Tun co• M1 .:.,:•rya , I t to 9.8' •� f l—tx 1 Li '1 2 1 Z Z b,MU. 1.� ,�.,k. 4 Iv 1r 11.5' 19.3• ai n •'•...,7., 03• `06.9' •c..h N� .�.f " r Oh . • 1 K U FOUND 1/2'IRON PIPE ...I':":::...7.. •• STAMPED 'DURDEN 1048 :; : ^OMMUNITY DEVELOPMENT R• •/Jo APPROVED 5 .7„-26'36"fie/9�. N W ?� ifC MEASURE "a'O S'4.4:e›bgP S 4g,HORD) D) .o%?, '1's•s'b� _3 5j67' /,' W a'>,<>4,- 4sh F DUNA VISTA COURT 4. (C"(3RD)AT) �� '� sqj POINT OF L FOUND%2T IRPIPE (VARIABLE WIDTH RIGHT OF WAY) CAP DESTROYED NOTES: ACCEPTED BY: JOB # 04-397 DATE OF FIELD SURVEY: 10-14-04 DATE OF ISSUE: 10-20-04 I SCALE: 1" = 20' A. NOTES: 1. BEARINGS ARE BASED ON THE PLAT BEARING OF N 56'00'04" W ALONG THE Glj'!'1Ypll 2. CEL. BY GRAPHIC RAPH CRLY PLOTTINGDARY ON YUTHENE OF SUBJECT CAPTIO ED ANDS UE WITHIN FLOOD ZONE X AS ' SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER '. 120075, PANEL 0001 D 5. 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. fill ` 4. THIS SURVEY IS NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. / CERTIFICATE LEGEND: I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE R = RADIUS AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61017-6,FLORIDA l = LENGTH �t ADMINISTRATIVE COO RSUANT TO SECTION 472.072. FLORIDA STATUTES.