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566 Cruiser RES18-0337 PERMIT NUMBER RESIDENTIAL PERMIT RES18-0337 CITY OF ATLANTIC BEACH 7 800 SEMINOLE ROAD ISSUED: 10/12/2018 ATLANTIC BEACH, FIL 32233 EXPIRES:4/10/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. rNOTICE:in addition to the requirements of this permit,there may be additional restrictions applicable to this propert t C nal permits required fro other tht It may be found in the public records of this county,and there may be additional permits required fro g g., overnmental entities such as water management districts,state agencies,or federal agencies. 11 1 0 , so , RESIDENTIAL ALTERATION INTERIOR REPAIR WORK $2200.00 566 CRUISER LN RESIDENTIAL TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1707030322 SEASPRAY COMPANY: ADDRESS: CITY: STATE: ZIP: ZIP: OWNER: ADDRESS: CITY: STATE FARWELLJOAN 190 VERACRUZ DR#138 POINTE VEDRA I'L 32082 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, ANOTICEOF 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. LISTOF CONDITIONS Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. FEES DESCRIPTI .'U'.N. QUAINT PAID AMOUNT =DE R ON "SUANT 322 0 BE T'U 0 65.00 B 1 455 A00 322-1000 UILDING PERMIT 0 BUILDING PUN CHECK 455�-322-1001 0 BUILDING PLAIN REVIEW RESUBM'MAL ESECOND 455 HOW 322-1006 0 $scW STATE DBPR SURCHARGE E455�-2080700 $221 .� BID STATE DCA SURCHARGE 411-0000 issued Date:10/12/2018 TOTAL:$IS1.72 APPL'CAT' N NUMBER be ssgned by th Buldmg Departrn7 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 1 7 C) Atlantic Beach,Florida 32233-5445 7 — Phone(904)247-5826 Fax(9G4)247-5845 E-mail: building-dept@mab.us Date muted: A r city web-site: ht1p:1Avww.coab.uS APPLICATION REVIEW AND TRACKING FORM P ro pe rty Ad d ress: _C� a I review re uIred Yes No Applicant: Planning &Zoning -�A' Tree Administrator Project: I ir\4ear 1 0- f— Public Works Public Utilities Public Safety Fire Services FT —Review or—Recelpt MOtherAgencyReview rPermItRequired o1PemnItVerilnec1B2 Florida Dept.of Envirorm or al Protl ant action rite Florida Dept.of Transportation , t ct St,Johns River Water Managernent District Amy Corps of Engineers D .0 ivision of Hotels and Restaurants a. Division of Alcoholic Beverages-4 T-� Other APPLICATION STATUS Reviewing Department First Review: WApproved. Pd5nied. [:]Not applicable (Circle one.) Comments: (2ii� PLANNING&ZONING Reviewed by:— TREEADMIN. Second Review: Approved as revised. ElDenied. E]Not applicable PUBUCWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:— Date:/0 FIRE SERVICES Third Review: ElApproved as revised. E]Denied. ONotapplicable Comments: Reviewed by: Date:_ Revised!05/1912017 OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Revision to Issued Permit— Corrections to Comments Penmit# Rt�FC6---033-/ ProjectAcklmss Contractor I Contact Pho Email Description of Proposed Revision Corrections: Permit Fee /I c:I Additional Increase in Building Value$ Additional S.F on the vismn's mcluswe of the pmposed.hang.� By signing below,I (primcd nume) afrion the Revision is inclusive of the proposed changes. Signature of Contractor/Agent(Contactor must sign if increase in valuation) Date (Office Use Only) Approved X� Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: z---90Tdln-(jj> �Janrfmg &Zoning Reviewed By Tree Administrator Public Works Public Utilities -go DOI Public Safety Date Fire Services CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD OFFICE COPY ATLANTIC BEACH,FL 32233 (904)247-5800 BUILDING REVIEW COMMENTS Date: 10/8/2018 Permit#: RES18-0337 Site Address:5-66 CRUISER UN Review Status:denied RE#: 170703 632-2 Applicant: Property Owner: FARWELL JOAN Email: Email:JOANCFARWELL@GMAIL.COM Phone: Phone:9044164343 THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction Co 'dered 1. Pe i application is nu sing the LEGAL DESCRIPTION and RE#.Application s;c e: i omplete. Return to the Building Department to complete this application. 2. 1 you me removing a closet where the A/C was,did the A/C get moved to a different lo on?lfso th qsubmit a floor plan that shows the A/C's previous location and where it is located w. 2 copies please. Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach,FL 32233 904.247.5844 Email:mjones@coab.us Resubmittal Notes: cmQ;/,n,/ eev;,et� L All revisions and changes shall clearly standout from the rest of the drawing on the sheet as a revision byway of completely encircling the change with"clouding".The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs, or projects still in the initial review stage and permit pending,all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked"VOID"but are to be le Building Permit ApplicationOFFICE WPYBw City of Atlantic Beach BOO Seminole Road,Atlantic Beach,FIL 32233 Phone:(904)247-5826 Fax:(90RI)247-5845 Job Address' Permit Number: 2� Legal D�scdption55--,/o�'—Iz—.��;4S :�;29 74 Valuation of Work(Replacement Cost) eated/Cooled SIP el Non-Heated/Cooled 6r5 • Class of Work(Circle one): New AdcIItT1oA2ltderab."n Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial (� , • Ifam existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Afficlavit of No Tree Remova I gcrila�ln�de�,[tZge pfwork tobe performed: U.)KaAv-0:. "ji, Florida Product Approval#_ —for multiple products use product approval form Property Owner Information Name:- Address: city State zi , Phone -a E-Mail ma=�M - Owner or Agent(if Agent,Power of Attcwne�-or Agency Letter Required) LU !:! - 0 M L 0 Contractor Information z Name of Company: Qualifying t:: a 0 Address City State_Zip M Office Phone Job Site/Co Number State Certiffication/Regismition# E-Mail Architect Name&Phone Fw Engineer's Name&Phone# LL Ir Workers Compensation Exxxopt/insurer/Lease Employees/Expiration canxi M X M Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or in I "D a commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws m&0362 construction in this jurisdiction.I understand that a separate permit Most be secured for ELECTRICAL WORK,PIL PIRINOCqUiN - WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requireQnts of this permit,there maybe additional restrictions applicable to this property that maybe found in the public records of this Atnty,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 mning. 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 T;4IFING YOUR NOT COMMENCEMENT. ISignature of Owner or Agent) (Signature of On dor) Including contractor) ad nd swor to m before methis3-day f Signed and sworn to(or affir )before me this day of _:(t.r f1l; B)beforeor)ethis_ gfe 3% MyG0MMjSSjDN#FF9N% liA EXPIRES: "ter"2019 (Shinature.414clany) x wa,�.w lku�� (Signature of Notary) I Personally Known OR Personally Known OR I Produced Identification Produced Identification Type of Identification: T7r,4 0-465 Type of Identificiiflon: CITY OF ATLANTIC BEACH OWNER/ BUILDER AFFIDAVIT V 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 13Y LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN E)MMPTIGN TO THAT LAW. THE EXEJIPTION ALLOWS YOU,AS TIM OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUS SI)pEgVISEUMggNSWICTIONyougSELF. YOUMAYBIALDORIMTROVEAONE—OR TWO FAMILY RESIDENCE OR A FARNI OUTBUILDING. YOU MAY ALSO BUILD OR DOPROVE A CONTMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUSTBE I yoUITUSE 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 CONIPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF TIES=MpTION. YOU MAY NOT ME AN LICENSED PERSON AS ypla CONTRACTO& YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONINU REGULATIONS. 17 IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED By YOU HAVE LICENSES ROUTRED BY STATE LAW AND By COUNTY a MUNICIPAL LICENSING ORDINANCES. I 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKEKS GOM!FtN�AHUN INSURANCE BE PURCHASED. Ul. 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 CONTE&CTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO$5,1JU.) FLNALTY UNDER FLORIDA STAI U I E NU. 455-2280). AN-OCCUPATIONAL UCENSE-IS NOT ADEQUATE. THE CANER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPEIENUY- UK 1HE 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. 1� l2�' �e — 6/ ADORES !INT G tibe xu� me ,iuscui 2Q nedl,5—=�� I Oud 0 l,StiWdFIonda.1h al,.". hou�6 alsWb,mMeanddcdam5cnsam�and8ccumb,, I beer,Public et Lame,Sbee Peucee,= Opieuueel `- MNI G111 ER - 2 -S- MIS, MY COAIZI=NOFFLI My Cop� 8 De RZ=EXPIRES ��.16,019 N.bu,Si...W.: �Mdn.bbb,',�, OFFICE COPY Vv r�p TR