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155 Pine St - Permit ACC18-0028 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ACCESSORY - SINGLE OR TWO FAMILY ACCESSORY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACC1 8-0028 Description: REMOVE AND REPLACE WOOD DECK Estimated Value: 5000 Issue Date: 5/11/2018 Expiration Date: 11/7/2018 PROPERTY ADDRESS: Address: 155 PINE ST RE Number: 1706350160 PROPERTY OWNER: Name: MCGUIRE VINCENT J Address: 155 PINE ST ATLANTIC BEACH, FL 32233-4011 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: Phone: PERMIT INFORMATION: Please see aftached 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. Permit Number:ACC18-0028 Description: REMOVE AND REPLACE WOOD DECK Applied:4/30/2018 Approved:5/7/2018 Site Address: 155 PINE ST Issued:5/11/2018 Finaled: City,State Zip Code:Atlantic Beach,A 32233 Status: ISSUED Applicant:<NONE> Parent Permit: Owner: MCGUIRE VINCENT J Parent Project: Contractor:<NONE> Details: OWNER BUILDER LIST OF CONDITIONS STATUS ISE _�N6,1 AD- DE'DDATE"' REQUIRED DATtI -SATISFY DATE,: TYPE CONTAC7- REMARKS 1 5/2/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes.'* during c6nstruc ion. Ali,r6no�f must�emai�,,'bn'-site 2 5/2/2018 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams S" iy- �saI,,Realco�� ling,Shapell's,'Inc. R6((6ffcontainer,',corn any must be on'Cii app��v�d list;(Ady'anc�e'd Republic"Sei4vices,Donovan,"",, puriip#6�s). Container�6innot be blac�d on,City irigh �7cf-#ay. 3 5/2/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams f -ation,inc u,ing Full: -h'-- -y ,t,qf vpy ir�stcir �sod;is.requireo.:�x 4 5/2/2018 DECKING REMOVED INFORMATIONAL PUBLIC WORKS Scott Williams C 6v ractor. �__dkinj-,,66st�b re ed fro,m 1ob sit-e.bv ont All 6 M POP Printed:Friday,11 May,2018 1 of 1 V City of Atlantic Beach APPLI I CATION NUMBE R Building Department (To-be-assigned by the Building Npia!rtment.) ir 800 Seminole Road _0 0 2� Atlantic Beach, Florida 32233-5445 -5826 - Fax(904)247-5845 Phone(904)247 E-mail: building-dept@coab.us Date'foyted: Cityweb-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING F ORM Property Address: S S kD T- Dqpar-tmqnt review required Yes No Applicant: UJ N--) �—��I—anning ��onin 17 T—re—eA-drntn1sTr—ator Project: -�U-I-c -1�-, - 7TOMES-a�ey Fire Services Ow e. Pe�pLt Sig�aturO Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Managemen t District Army Corps of Engi neers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: []Approved. E]Denied. []Not applicable (Circle one.) Comments: /V 0 PLANNING &ZONING Reviewed by: 11"n Date: ,T ' ?'001L 49 TREE ADMIN. Second Review: FlApproved as revised. E]Deniedv [:]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. E]Denied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department) 800 Seminole Road t lantic Beach, Florida 32233-5445 N_u 8 —o 0 Z- CO) R Phone(904)247-5826- Fax(904)247-5845 '30 'IMB9 E-mail: building-dept@coab.us Date routed: 4 / City web-site: hftp://vmw.coab.us 1�� I APPLICATION REVIEW AND TRACKING FORM Property Address: S S 11'3 e T- Department review required Yes - No Applicant: Pl� ra:— n i_n, Project: Tr-e6Admint9rr9tor _P=C I�, _7uTricTMTeTy__ Fire Services 7 _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 Diatnct Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ;21A"'pproved. [:]Denied. El Not applicable (Circle one.) Comments: BUILDING P,ANNING-&'20NING R.eviewed by-/ Date: TREE ADMIN. Second Review: DApproved as revised. E]Denied. [:]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. F]Denied. F]Not applicable Comments: Reviewed by: Date: Revised 05119/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 0 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: APR 3 0 2003 City web-site: hftp://www.coab.us APPLICATION REVILWAND-TFZACKING FORM '(S S I 1�0 C- S! 77 Department review required Yes No Property Address: IQ u i Lld i n g___) Applicant: W *T—ia n n i n g_&Zo n in g�> Project: C' mtrrsTritc,r U IcTrlll� 7FuT ricn_Wey Fire Services 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: [V(Ap.proved. [:]Denied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed bk: Zzeor,2� Date: TREE ADMIN. Second Review: [:]Approved as revised. []Denied. []Not applicable r-,Qy,R'LI.Q.1WA –QR3-K_1-S-,, Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. DDenied. []Not applicable Comments: Reviewed by: Date: Revised 0511912017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) -.p 800 Seminole Road Atlantic Beach, Florida 322213-5445 fA0 B -o 0 7- - Fax(904)247-5846 APR 3 0 20'1,3 Phone(904)247-5826 - 4 O/LS E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM r Property Address: (SS PPQES�' 7- Department review required Yes No 2Lu Lil d i n g----) Applicant: ill:�) P. P_ia rI n i n g &Zo n ffiffg> minrsTr—ator Project: -P-uI5Ti`cMr15 Jr-PP 107�' 11 70 Rc;3'%Te1y__ Fire Services _qn 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: [-]Ap.proved. [:]Denied. FfNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: gkX-:�: [/V�6"ate: TREE ADMIN. Second Review: ElApproved as revised. DDenied. []Not applicable PUBLIC WORKS Comments: E�_JBLI_'C-U-T�LIT-1 ES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. F]Denied. E]Not applicable Comments: Reviewed by: Date: Revised 05/1912017 Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: PIAP_ 5r, NA JA 2,,8 Permit Number: C)o 2- S Legal Description 1 00)nz,st A RE# Valuation of Work(Replacement Cost)$ 6. C>(V3�C6 Heated/Cooled SIF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of exist!ng/proposed structure(s)(Circle one): Commercial ��es;iden • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes LW 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: ZA"_—- P_ I P IL20- OVL fzad-tfe trrv, w rA W C,0)>-- t)a-1AC-3 '57>4:5'J'TT'%'W'V f" 4- Florida Product Approval# for multiple products use product approval form Propertv Owner Information Name: deut zj-'� ffi�_C,014,_c Address: i5Y_PP2&-$7-, city Afvenir�e- (3-cA,,-P State FLA Zip 32 2,7> Phone 9-7 E-M a i I V)fi A J�d C,:rn Pk2;r Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) Contractor 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 surer/Lease Employees/Expiration Date Application is hereby made to obtain a permit to do t 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 propertythat 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 ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF-COMMENCEMENT. (Signature ofowner or Agent) (Signature o. 'ontractor) (in —ntractor) 0 c'u n�cdl Uefc�re me this a of 1-1 Signed and sworn to(or af" med)before me this day of re Atned an sworn to(or aff�irm 2i sf da of' :)r 2aff"ZeodlCl rl-i. 7_6 byA/\. 'A 11 y TON[GIND118RERGM ��'Iare o Notary) —(Signature oUata MY COMMISSIONIbi EXPIRES:Oct Bnodad Thru Notary I Personally Known OR Perl Produced Identification Produced Identification Type of Identification: 0 1 Z, Type of Identification: CITY OF ATLANTIC BEACH F� OWNER BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "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 TEE 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 TEE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF TIES EXEMPTION.- YOU MAY NOT 17HRE 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. IL INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S. COMPENSATION INSURANCE BE PURCHASED. Ill. 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(l). 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. ADDRESS PHONE NUMBER VaEpil. -r. M. PRINT N)%ME SIG!'JAP11E 2-1 DATE Before me this—day of 20 Vf in the county of Duval,State of Florida,has personAlly appeared herin by himself/herself and irms that all statements and declarations are true and accurate. Notary Public at Large,State of Countyof El Personally Known 11 Produced Identification-nD4) A TONI I PE my co Notary Signature: FRFG92F4,9-51 A EXPIR S: 0t0ber6,2ojq R/13LDG/Owner-Builder AffadaAt;REVISED:4116/2009 Bonded% No TY Public Underwriters ,VAP SHOWING BOUNDARY SURVEY . OF LOT �O-7 4 - BLOCK AS SHOWN ON HAP OF .B PAGES OF THE PUBLIC RECORDS OF)::'UVAL-COUNTY, FLORIDA AS RECORDED IN PLAT OOK Id I ! CER TIFIED FOR: VI�ICC_— J. IVI) 5 V1 JA�C A/A I/Y c-9-4 L Cq'&j7)/7- UA/(VA-) A1_)e_=j0 POL17��r,/ .�K2'7-LC— �-=itl4le-' 4AIT-Y C o Z;e-ID /Z&/ot/ 8L/ c__ p/ & -7— Zoo' ro c-o ,,z- . COMMUNITY DEVELOPMENT APPROV"M .6-7 ryl 1AJ 7 THE PROPERTY SHOWN HEREON APPEARS TO LIE WTHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD S p 00 0 FOR THE cl Ty OF A7-1-. /5(�_/_/ FLORIDA, DATED 17-8q rINSURANCE RATE MA 7 AND IS SHOW AS A COUR7FSY ONLY AND DOES NOT CONS77TUTE A CERTIFCAT70N OF SAME. TRI-STATE LAND SURVEYORS. INC. . 8411 DAYMEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA J2256 (904) 7Jl-723,5