733 Vecuna RES18-0219 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,Fl,32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL-ALTERATION RESIDENTIAL
MUST CALL 13Y 4PM FOR NE)Cr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES18-0219
Description: Intenor Renovation
Estimated Value: 90DO
Issue Date: 6/28/2018
Expiration Date: 12/25PO18
PROPERTY ADDRESS:
Address: 733 VECUNA RD
RE Number. 1713220000
PROPERTYOWNER:
Name: HUEBNERJEFFREYW
Address: 733 VECUNA RD
ATLANTIC BEACH, FL 32233-3929
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.
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$7,500.
City of Atlantic Beach —7]
APPLICATION NUMBER
Building Department (ro be assigned by the Building Department.)
7
800 Seminole Road — 02
Atlantic Beach,Florida 32233-5445
Frai(904)247-5845 it
Phone(904)247-5826 Date=routed:
E-mail: building-dept@Wab.us
City web-site: hiftp:/Avww.coalaus
APPLICATION REVIEW AND TRACKING FORM
Property Address: 133 VeCLLI16L De a ant review re uIred Yes No
ildin
IkA o)m e- o Planning &Zoning
Applicant: Tree Administrator
Public Works
Project: Public Utilities
Public Safety
rFireSeNices7T
Review fee Dept Signature
Other Agency Review 0 Permit Required Review or Receipt Da
of Permit Verified 0
Flonda Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverall..A TM.1�
MOther —M
APPLICATION STATUS
Reviewing Department First Review: N4proved. E]Denled. E]Not applicable
(Circle one.) Comments: '1,-c lk-1& sl P Iv— 6, ,13 P-e y i— i 4-o b-C lovii'v,
BUILDING wt-k
PLANNING&ZONING Reviewed by: Date: 6,6241*tf:
TREEADMIN. Second Review: E]Approved as revised. E]DeWd- []Not applicable
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: I
FIRE SERVICES Third Review: [3Approved as revised, []Denied. [:]Not applicable
Comments:
Reviewed by: Date:— I
ReviseJ0511912017
AguL OFFICECO'llBuilding Permit Application in 20 LJ p J ated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 4Z L_L) V"%, Et_,Al PermitNumber: 19 ()2-
Legal Description RE#
Valuation of Work(Replacement Cost)$ 91000 Heated/Cooled SF_Non-Heated/Cooled_
Iteratio Repair Move Demo Pool Window/Door
• Class of Work(Circle one): New Addition IEEii�
Residential
• Use of existing/proposed structure(s)(Circle one): Commercial CEES�' I
• If an existing structure,is a fire sprinkler system installed?(Circle one): Ye� �p 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 performe 'j el K'A,LIIAe^) ,AJ Ltv`�v,5 f'o,
Flo(ida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Address: .x.
city State _73� �ph�.ne go q "I I-( !j1j 50
�N Zip 32;�1 7
E-Mail r.cm— sil, v,ot
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Informatiorl
NameofCompany: KPLAM115W Qualifying Agent:
Address City_State Zip—
Office Phone Job Site/Contact Number
State Certificaflon/Registradon# E-Mai
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
E—Pt/Im.rer/luam,Employees/Ep1mil.in Du,
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 lam 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 YO NOTICE OF COMMENCEMENT.
(Signature of Contrzoor)
f(Signature of Owner or Agent)
(including contractor)
Sig d and sworn to(or affirmed)before me this 20!"d.y of Signed and sworn to(or affirmed)before me this day of
,g
by 5agferd64 Al2LI11" by
.......... DOMAL BARTLE
V.. LL
(Signature of Notary)
], [47M�Nt.,))
MYCOMMISSION*
-,X! EXPIRES klay"R#S
I Personally"own OR
[%�<roduce Identification ]Produced Identification
Type of Identification: Pi� Druw L(C�_nSe_ Type of Identification:
I+J"-43 q-77-0 6 aL-D
Crff OF AnANnC BEACH OFFICE COPY
OWNER / BU[LDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I 'CONSTRUCTION
CONTRACTING'REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATENIENT FOR SECTION 499.103(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 CDNSTRUCIION YOURSELF. YOUMAYBUILDORIMPROVEAONE—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
MUM2DLYQULULAND 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
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUUDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REGUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL UCENSINQ
Ij�ANC —i
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE
PURCHASED.
Ill. IRS WITHHOLDING; ONNEINI*WAW�WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS V41THHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
rV. PENALTY; UNLICENSED CONTRA CTRS 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.
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ADDRESS PHONE NUMEWER
PRWITIUME I I
DATE
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*` MY COMMISS16=2078627
0 EXPIRES May 14,2021
N�qSlgnalum:
ArM; 7L 4P- Pe eS /CP - 0 0 ) 'WFICE COPY
NOTICE OF COMMENCEMENT
Star.of Fite Tax Folio No. S
County of 1)y y1a
To Whom It May Consobra:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
7 3
Address of property being improved: ;ta 3
General description of improvements: r, L" ul j3
Owner:'),4r�4 JNOQ�n'kr Address:
Owner's interest in site of the improvement:
Dw#2018152467,OR SK 18437 Page 2328,
Fee Simple Titleholder(if other than ownssr): Number Pages:I
Reco,dW DIV2&2018 11:48 AM,
Name: RONNIE FUSSELL CLERK CIRCU IT COURT DUVAL
COUNTY
Connuctor: RECORDING $10.00
Address:
Telephone No.: Fax No:
Sorely(if MY)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of my person making a low far the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents my be
served: Name:
Address:
Telephone No: Fast No:
In addition to himselL owner designates the following person to receive a copy of the Lienor's Notice w provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is me(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
ad Date: (17-014
6651k dayof —JbiA'0 , "12' intheCowtyofDuva1,State
Of Florida,h.personally appeared-Z�. 144" H ye'L zz f'r
ONNA' 'ART" Notary Public at Large,State of Florida,Court,. vai�
69 YZ V
CIAMISSI OGG078627 Mycommissionexpires:_ M"
MYC MOV 14,2021 or
EXPIRES
Personally Known:
Pmdotd Identification: A;�L D�IyW
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- REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS
DATE:
REVIEWEDBY:
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