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513 VIKING LN - PAVERS ' .�' '` A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 .t-401119. PHONE LINE 247-5814 ACCESSORY - SINGLE OR TWO FAMILY ACCESSORY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACC18-0024 Description: REMOVING AND ADDING PAVERS Estimated Value: 1000 Issue Date: 4/3/2018 Expiration Date: 9/30/2018 PROPERTY ADDRESS: Address: 513 VIKINGS LN RE Number: 170703 0256 PROPERTY OWNER: Name: RUMANCIK AMBER L Address: 513 VIKINGS LN ATLANTIC BEACH, FL 32233-4150 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: SUNSHINE COAST CONSTRUCTION Address: 513 VIKINGS LN QA JOSEPH MARTIN RUMANCIK ATLANTIC BEACH, FL 32233 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. 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. * 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. i.A,,J.,.., t *, ; Permit Conditions ii ... 0 City of Atlantic Beach r;3 T)' Permit Number:ACC18-0024 Description: REMOVING AND ADDING PAVERS Applied: 3/22/2018 Approved:3/26/2018 Site Address:513 VIKINGS LN Issued:4/3/2018 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233 Status: ISSUED Applicant: <NONE> Parent Permit: Owner: RUMANCIK AMBER L Parent Project: Contractor:<NONE> Details: OWNER BUILDER LIST OF CONDITIONS SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 3/22/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 2 3/22/2018 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell's,Inc.,Republic Services,Donovan Dumpsters). Container cannot be placed on City right-of-way. 3 3/22/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. Printed:Tuesday,03 April, 2018 1 of 1 • 1..ill..4, City of Atlantic Beach APPLICATION NUMBER JS� � Building Department (To be assigned by the Building Department.) r \--� 800 Seminole RoadQ ,jOZ el— 'sr Atlantic Beach, Florida 32233-5445 ���C.' V —lJ Phone(904)247-5826 • Fax(904)247-5845 /ViDate routed: (t. '_oit 9? E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t Z VI KI c. Li...) Department review required Yes No Building Applicant: C) L/0 ID P--R-___ lanning &Zonin 1� Tree Administrator Y Project: P-V 2S 1 ublic Works ` ti6Tc Utiliti- 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: giApproved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ,/.. --- / Date: C—I!' TREE ADMIN. Second Review: A roved as revised. Denied. ❑ pp ❑ ❑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 5�.:VI:jer City of Atlantic Beach APPLICATION NUMBER Js s� Building Department (To be assigned by the Building Department.) 800 Seminole Road r1 CCI ,oy — b�Z 4 Atlantic Beach, Florida 32233-5445 �`j Phone (904)247-5826 • Fax(904)247-5MAR 2 2 2018l 1,013 �� E-mail: building-dept@coab.us Date routed: 3/z fv E3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 51 3 Vi kkIVe,S Lk) Department review required Yes No �c l Building Applicant: v GO iV �2 Planning &Zoning Tree Administrator Project: =u• .c Works: ublic Uti i ie 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: i pproved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by. / TREE ADMIN. Second Review: ❑Approved as revised. [1]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 f i;r., City of Atlantic Beach APPLICATION NUMBER , 4 �, � Building Department (To be assigned by the Building Department.) 800 Seminole Road CC I @ r.. Atlantic Beach, Florida 32233-5445 ``} C7 — d` 4 r Phone(904)247-5826 • Fax(904)247 584` AR 2 2 2018 / �j >„ �? E-mail: building-dept@coab.us Date routed: 3 Z zel. O City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 51 V t 1-l!!3 5 Lk) Department review required Yes No Building Applicant: C)GO N.3 G-2— Planning &Zoning Tree Administrator Project: `�IPkVCI2--- `S u lic WorIS,S: Cublil��TcUtil t s� Public Safety Fire Services Review fee $ Dept Signature .cXev 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: nApproved. ❑Denied. FHCapplicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: )5 .--61. �i"-----J Date: 3 2,3 1$ TREE ADMIN. Second Review: I 'Approved as revised. I 'Denied. I 'Not applicable Rile" WORKS Comments: •UBLIC UTILITIES 331 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 /74,6 Building Permit Application Updated 12/8/17 City of Atlantic Beach l'-,; DP 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 I Job Address: /3 V 114), (,S LA^'If Permit Number: i- aes b` o z 4- Legal Description 35- b y q - 2.5 —2 I t 5tAsP' ' Lu' 21 ba ! RE# /1707 F 63 —a 2 r Valuation of Work(Replacement Cost)$$11/00" Heated/Cooled SF i-74 Non-Heated/Cooled hf/'1 • Class of Work(Circle one): New Addition Alteration Repa' Mov emo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial 'eside. • 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 beerformed: QEN�uVI / l� C2.0 Sy. 4r of fw✓erS A00 lAv t., 5'►0 9. ft. of Pci vPr5 Florida Product Approval# r'/A for multiple products use product approval form Property Owner Information 2 Name: J0!` AvAAA,coK Address: 5 /3 VIK,v&S LAA/e City Arc4NTic est AtN State FL. Zip 3213) Phone ycy ZGI —/o$ y E-Mail i ue Q 5 vnsti:4r C olorin(• Co '1 Owner or Xgent(If Agent, Power of Attorney or Agency Letter Required) /1/1 Contractor Information Name of Company: St"/t II►^'f (Air CukiV Av"ito/ ii`-'`.Qualifying Agent: —)of /,vfr''V'(lk Address 573 V I I<"('$ t 4.vE City 4 6 State FL Zip 32 2.3 .1 Office Phone `/oi. Z 61"l D by Job Site/Contact Number 901. Zu1_ /01 y State Certification/Registration# C Bc izf&31( E-Mail J ''= ( 5v451:ac Coc1 yin(•c.s Architect Name&Phone# NtA Engineer's Name&Phone# /'ith Workers Compensation CoAll,tAbbvi.f E,.iI-" YE' L`ASim 6, 1,t' . Exp. 9,3u//1 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 RECORDIN;4 er OTICE OF COMMENCEMENT. / ! Signature of Owner or Agent) (Signature of Contractor) (including contractor) /, ,/' w. n to(or affirmed before me this __. day of Signed and sworn to(or affirmed)before me this day of A_ _. , \ ZOfv, CASE? ;► CCAC,C K , , by ignature of Notary) (Signature of Notary) — r [ ]Personally Known OR di:-^ TONPOINDUE8Piiilanwn OI [ ]Produced Identification r =+: ' *2 My �fl9EIP lcat'.n Type of Identification: l/ �'' ` °•' E � �ip )tn' Ronde ru tary u enrm era J " CITY OF ATLANTIC BEACH sI '`` - 1J%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. 5" 6 V/kiiv&s i44,e y zuy. oIv ADDRESS PHONE NUMBER JJf v ' AA1 lK PRINT NAME 37303 SIGNATU ^ / / DATE Befor me this (lay of M ,�(�1Jn1 }}-0 /y/_\ C 2f -fn the county of Duval,State of Flo da,has personally appeared he by himself/herself and affirms that all statements and declarations aand accurate. / Notary Public at Large,State of , ( ,County of 0 VC o Personally Known j <-- z---t [_ /�) ❑Produced Identification _cation- ' S iC J 1 z L/ ��J - v Al Notary Signature: �_ Imp, ;;;s,.•v.,+ _ TONI GINDI.ESPERGER F./BLDG/Owner-Builder Affadavit;REVISED: 4/16/2009 , =*i , ►_ MY COMMISSION#FF 924951 .:; EXPIRES:October 6,2019 ;, ,,,, •• Notary Public Underwriters rk ria u�� iCtiv( fiel to' iat )( 71' i'fittr3,710) ‘10,(kte 3PPx a79 : iar b / x 'o. /øzji / 23f7 Cnf� yo ago, rx.c zr ) 6,/ a,. g x /d : fio Lf.'7K/( ; z yD � 62/z� 176, = iN 7a3 �16-41, 3K3 e �( I MAP SHOWING BOUNDARY SURVEY OF LOT 28, BLOCK 1, SEASPRAY AS RECORDED IN PLAT BOOK 35, PAGES 64 & 64A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: AMBER L. RUMANCIK Sc JOSEPH M. RUMANCIK COLDWELL BANKER MORTGAGE RICHARD T. MOREHEAD TITLE & ESCROW, INC. STEWART TITLE GUARANTY COMPANY PALM STREET S 67'24'27" E 74.68' (MEASURED) FOUND 1/2'IRON PIPE S 6728'00" E 75.00 (PLAT) FOUND 1/2"IRON PIPE NO IDENTIFICATIONNCO IDENTIFICATION -;.1 . x x \\z z z x x 0.3' r0.9'x 0.3 \ 10' DRAINAGE. UTIUTY x K AND SEWER EASEMENT LOT 27 \\— — o��a 8 — — — ^x LOT 29 BLOCK 1 BLD''' L BLOCK 1 20.2�� 66 ADDED A tRFm Q ,l.. W 3'Z u 59 f r .....".E. �' AlirU of PAuffzi �in o xo �r oo Oo 39• x 0o S N� PAvER 0.1 W W ONE STORY 3 3 MASONRY , O POSTED # 513 o Ln O IN N M N 'CMV (NI i NCV N ..Z 38.8' NN Z 7.5' W COVERED N ENTRY LI I 21.2' 7.5' 20'BUILDING RESTRICTION UNE .,;:.!. l ¢ S6718'00" E a -•�%%'•.�': 60.00' (PLAT) 0 • r.:.' ( OFOUND 1/2' IRON PIPE FOUND IRON PIPE N 67.28'00" W 75.00' PLAT) NO IDENTIFICATION NO IDENTIFICATION N 67'44'35" W 75.10' MEASURED) 1 VIKINGS LANE (60.0' RIGHT OF WAY) a REVISIONS ROTES: , ACCEPTED BY. DATE DESCRIPTION i rJOB # 08-0065 ] DATE OF FIELD SURVEY: 03-08-08 DATE OF ISSUE: 03-09-08 SCALE: 1" = 20' j NOTES: PLAT N 22'32'00" E ALONG SHE TtI�4 G� 1. BEARINGS ARE BASED ON THE BEARING OF NORTHWESTERLY BOUNDARY UNE OF SUBJECT PARCEL. X AS 2. BY GRAPHICIC PLOTTING ONLY, THE CAPTIONED LANDS UE WITHIN FLOOD ZONE SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL 0001.Q._. 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. 11'IF , ),.. 4. THIS SURVEY IS NOT VAUD WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE 744 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 s LENGTH AOMINISTRATIVE CODE;fURSUANT TO SECTION 472.072. FLORIDA STATUTES. ttiliySy1 Ctcr::2_._._.______ —x— = FENCE 1008 Ldring Avenue _ O .• CONCRETE Suite 29 'If Orange Pork, FL 32073 CHARLES K. MCINTOSH (Phone) 904-215-0900 (Fox) 904-215-0910 REGISTERED SURVEYOR AND MAPPER # 5502 STATE OF FLORIDA Licensed Business 9 7361