316 6th St RESO18-0045CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DRIVEWAY - SINGLE OR TWO FAMILY DRIVEWAY
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO:
RES018-0045
Description:
Repair Concrete Parking Slab
Estimated Value:
750
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address:
316 6TH ST
RE Number:
169857 0000
PROPERTY OWNER:
Name:
BURKE SHAWN M ET AL
Address:
316 6TH ST
ATLANTIC BEACH, FL 32233-5348
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.
Permit Conditions
Enter Permit Number RES018-0045
of 1 vrr_ Find I Next
e"U'11tConditions
City of Atlantic Beach
Permit Number: RES018-0045
Applied: 7/16/2018
Issued:
Status: APPROVED
Parent Permit:
Parent Project:
Details:
Homeowner Builder
Description: Repair Concrete Parking Slab
Approved: Site Address: 316 6TH ST
Finaled: City, State Zip Code: Atlantic Beach, FI 32233
Applicant: <NONE>
Owner: BURKE SHAWN M ET AL
Contractor: <NONE>
Page 1 of 2
View Report
Printed: Tuesday, 17 July, 2018
TRAKiT
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LIST OF CONDITIONS
SEQ
NO
REQUIRED
ADDED DATE T DATE
SATISFY
DATE ` TYPE .
STATUS
DEPARTMENT : CONTACT'`; REMARKS
1 7/13/2018 ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
2
7/13/2018
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 1 7/13/2018
1
1 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS
Scott Williams
Notes:
Full right-of-way restoration, including sod, is required.
4
7/13/2018
ADDITIONAL COMMENTS PUBLIC WORKS
INFORMATIONAL
PUBLIC WORKS
Scott Williams
Notes:
This permit is approved to remove and replace existing parking pad ONLY. No impervious area can be added.
Printed: Tuesday, 17 July, 2018
TRAKiT
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City of Atlantic Beach
s`
.I Building Department
1 ` 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 - Fax (904) 247-5845
IJ,31'>' E-mail: building-dept@coab.us
City web -site: http://wvvw.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: J
Applicant: PZ&y_eq_ _bQ Y — N hkeOWIV
Project: ka C r -,Dri VevJ � I
Department review required Yes No
Buildin
tanning & Zonin
xe a or
Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof 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:
n 001 Ir` ATIrIKI CTATI IC
Reviewing Department
First Review:
Approved. []Denied. ❑Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by: Date -7—i-2_ ' � e
TREE ADMIN.
Second Review:
[–]Approved as revised. ❑Denied. []Not applicable
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by: Date:
Third Review:
❑Approved as revised. []Denied. []Not applicable
FIRE SERVICES
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach
IN Building Department
( 800 Seminole Road
Atlantic Beach, Florida 32233-5445
- Phone (904) 247-5826 • Fax (904) 247-5845
9. E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
Sol 3?
Date routed: -7 �Z
APPLICATION REVIEW AND TRACKING FORM
41
Property Address: 3 t (P j_�
p Y l_
Applicant: PM&Y-eeL -bU Ylte_ — (� l4y oyyy l
Project: CLA'r 7briueA.Af
Department review required Yes No
Buildin
tanning & Zonin
re a or
Public Works
Public 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
❑Denied.
Florida Dept. of Transportation
(Circle one.)
St. Johns River Water Management District
ArmyCorps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
PLANNING & ZONING
APPLICATION STATUS
Reviewing Department
First Review:
5dApproved.
❑Denied.
[]Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by,_�AWDate:
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
.tat' Building Permit Application Updated 5/5/17
City of Atlantic Beach
J V
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: i(J Permit Number:c-5o 6.01
(J
Legal Description RE#
Valuation of Work (Replacement Cost) $ Heated/Cooled SF Non- Heated/Cooled
• Class of Work (Circle one): New Addition Alteratio Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial I`Res dentiaF
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No �/A J
• 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:
V'C Li 0,-/
Florida Product Approval #
Propertv Owner Inform;
Name: I
City t
E -Mail _ -C\,1 .A0
Owner or Agent (If Agen I
Contractor Information
Name of Company:
Address
Office Phone
for multiple products use product approval form
Address: -3) (0 (0 JL
�f
State�Zip 3`�a�3 Phone 90-1 1119
V Iry A -1e oc-L. Ab nn e. c o rv,
r of Attorney or Agency
State Certification/Registration #
Architect Name & Phone #
Engineer's Name & Phone #
Workers Compensation
Required)
Qualifying Agent:
City
Job Site/Contact Number _
E -Mail
State Zip
Exempt/ Insurer / L e Employees / Expiration Date
Application is hereby made to obtain a permit to do the work a Installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all wor 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.
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
RECOR IN YOUR NOTICE OF COMMENCEMENT.
Signature of Owner or Agent) (Signature of Contractor)
(including nt actor)
igned pnd sworn to (or affir
by
TONIGINDLESPERGER
*- MY COMMISSION # FF 924951
EXPIRES: October 6, 2019
Bonded Thru Notary Public underwriters
f la"L r bna y Known OR
[ ] Produced Identification
Type of Identification:
re met ' t- day of Signed and sworn to (or affirmed) fore me this day of
L � , by
(Signature of
[ ] Personally Known OR
[ ] Produced Identification
Type of Identification:
(Signature of Notary)
s t
_._ CITY OF ATLANTIC BEACH
OWNER / 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.
Iil. 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. I�
V23 1
ADDRESS PHONE NUMBER
LOQ
761�
A
�
SIG TURE DATE
Before me this ' ( day o , 21 & the county of ,
Duval, State of Florida, has personally appeare herin by himself / herself and affirms that
all statements and declarations are true and acc rate.
Notary Public at Large, State of , County otl:�) l VCL
❑ Personally Knownmgt r: FYs��,; TONI GINEiLtjPER�'•:-.
❑Produced Identification - l�J t -- = ;+ MY COMMISSICN # FF , a1
EXPIRES: October G.> ;i9
Notary Signature
F:/BLDG/Owner-Builder Affada it; REVISED: 4/16/2009
a
25.0'
15,
NEW SHOWER Lo
LCD
VERIFY
(_0 TREE
LOCATION
00
i r1 LL_
0
2 5. O'y
NEW
PAVERS
POOL
EXISTING
WALL
EXISTING
PERGOLA
WALL
IMPERVIOUS LOT COVERAGE
IMPERVIOUS
EXISTING
1156
MAIN HOUS.:-_ FOOTPRINT
M OUSE
MAIN
78
SOUTH STORAGE —
249
1/2 FRONT PAVERS—
341
1/2 PERGOLA PAVER
153
US PERGOLA
:IMPERVIOUS
414
-CURVED CONC. DRIVE
115
CONC. PARKING SPOT
36
ENTRY STEPS
2542
,FRONT
TOTAL EXISTING
NEW
275
CABANA
—IMPERVIOUS PART OF PATIO
26
45
-1/2 IMPERVIOUS PATIO
19
CONC STOOP
21
OUTSIDE SHOWER-
1 11/2 :'AVERS AROUND POOL AND CABANA
—103
470
TOTAL NEW —
GRAND TOTAL IMPERVIOUS
—3012
62:X50
LOT
48.3%
PERCENT COVERED
lw
rim_
awl,
Aw
EXISTING
PERGOLA
SCANt4ED
[)ate-.
5.3 1
98' (W�ASUREDI)
7
I 17.7'
]Q,
A-1
INDEX, SITE PLAN, AND NOTES
9
NEW
PAVERS
FLOOR PLANS
DE
A-3
ELEVATIONS
9-3
A-4
FOUNDATION
0
A-5
FRAMING
�Q
A-6
FRAMING
>
�:Uo
C:
F—
0
r -Ti
> -1�
07\-
O
12.7'
00
EXISTING '
PAVERS
125,11�' (MEASUR
INDEX TO DRAWINGS
AR13kEr-,-TURAL
A-1
INDEX, SITE PLAN, AND NOTES
NEW
PAVERS
FLOOR PLANS
s -Z
A-3
ELEVATIONS
9-3
A-4
FOUNDATION
A-5
FRAMING
0
A-6
FRAMING
A-7
SECTION
A-8 i
ELECTRIC
t.
C�
22.69
E X;Si I N G
D E
EXISTING '
PAVERS
125,11�' (MEASUR
INDEX TO DRAWINGS
AR13kEr-,-TURAL
STRIIJI�TIIJIRAL
GN
A-1
INDEX, SITE PLAN, AND NOTES
A -Z
FLOOR PLANS
s -Z
A-3
ELEVATIONS
9-3
A-4
FOUNDATION
A-5
FRAMING
0
A-6
FRAMING
A-7
SECTION
A-8 i
ELECTRIC
STRIIJI�TIIJIRAL
GN
PER
ENGINEER
PER
ENGINEER
s -Z
PER
ENGINEER
9-3
PER
ENGINEER
ATTAt3 H M E NTS
ED)
ITEM I 1 PAGE 1 OF FORM 60OC-01
FLORIDA ENERGY EFFICIENCY CODE
IITEM�Z PAGE 2 OF FORM 60OC-01
FLORIDA ENERGY EFFICIENCY CODE
ITEM 13 SEALED SURVEY
jos,,1?�
C(1-py
x
d.*
k4y
1Q,
22,7
2 2
EXISTING
EXISTI NG
CONC. PARKING
D7
SPOT
POT
(_0
Q0
0
-:E
22.69
—Tj
C:
F7
F7
FtiI
Planand 1 g Z oning
"Ce VAth
I verifies compl, he 10applic.
"19 "!"'I'division and ot r ca and
zoning sub
development regu�jat= objut does not cOnsilitutO
approval for the ou permits, comp lance
with Florida Building Code and IRA Oftl� appiwaviv
i
land
u
n'e
W
te
le
local, State and Federal permitting requireffleAts
I .
must be verified b0ignature of th6 CRY of Atlantic
Beach BulldilTg 0 1 101 prior to the issuan@e of a
Building Permit.
r
Approved By' --pMen
ommullit Mifein -men
Devei. In FURe rt
IE I j..0 " _
1 Date:
8-1
NOV 3 210,04,
.... . .......
S ITE PLAN &c I N'D E X
-- DRAWN BY j I M G I L L I A7M REVISED:
R
C" 2 7�
2120 MAYPORT ROAD
REV150t
'6
DATE:' 06/2172004 ' ATLANTIC BEACH, FLORIDA
REVISED:
REVISED: 904 249 0072
NEW CABANA F13P. RESIDE ' N,CE AT
316 6th STREET, ATLANTIC BEACH, FLORIDA
DRAWING NUMBER
THE BURKE RESIDENCE
A-1
..................