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.
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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
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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.