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7 FORRESTAL CIR - INTERIOR RENO RESIDENTIAL PERMIT PERMIT NUMBER RES18-0336 _. CITY OF ATLANTIC BEACH 'J` r ISSUED: 10/19/2018 800 SEMINOLE ROAD /°`ii� ATLANTIC BEACH. FL 32233 EXPIRES: 4/17/2019 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. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 7 FORRESTAL CIR RESIDENTIAL ALTERATION ADD CLOSET & WALL $1500.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171749 0000 ATLANTIC BEACH VILLA # 01 COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: I STATE: ZIP: JOBE LAURA E 7 FORRESTAL CIR N ATLANTIC BEACH FL 32233 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. a., 1: :.::. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $60.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $94.00 Issued Date: 10/19/2018 1 of 2 1.A.0 .N,6 RESIDENTIAL PERMIT PERMIT NUMBER „pip.. RES18-0336 ., _ r' CITY OF ATLANTIC BEACH ISSUED: 10/19/2018 800 SEMINOLE ROAD `j; Wr ATLANTIC BEACH. FL 32233 EXPIRES: 4/17/2019 Issued Date: 10/19/2018 2 of 2 1..1T•p��� City of Atlantic Beach APPLICATION NUMBER ��r �� Building Department (To be assigned by the Building Department.) J-. , 800 Seminole Road `� Es( G _O 33 Atlantic Beach, Florida 32233-5445 1 C� }o Phone(904)247-5826 • Fax(904)247-5845 F E-mail: building-dept@coab.us Date routed: t [(. I e7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / F0 RQEf� ( - ( `z_ Department review required Yes No uildin Applicant: ° WND (--`Z Planning &Zoning . Tree Administrator Project: (- a l7 L L©S E? �- Y A 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 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: ['Approved. [ 16enied. ❑Not applicable (Circle one.) Comments: BUILDING �/�^ PLANNING & ZONING Reviewed by: / i �' 1� Date:/0 ' /� 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 Z OFFICE COPY ', �� CITY OF ATLANTIC BEACH 800 Seminole Road `� 4 d Atlantic Beach,Florida 32233 1 ~ ADI >r v REVISION REQUEST I CORRECTIONS TO PLAN REVIEW COMMENTS Date ib/D/J P) Revision to Issued Permit Corrections to Comments /Permit# X65/8-6,53/a Project Address 1 rDrresita C;fat '3 l.. 41 0.a;c, t'Q ' ' a 33 3 Contractor/Contact Name ka,utrot .10142.Q Phone 9b .4 . L933 D Email /GaLLIate Dk1Q..Frett ( -00W-1 Description of Proposed Revision/Corrections: Permit Fee Due$ —O-- AxICI W 0,4 ' LkVa,Calej 4 t004- pko..t,L. Additional Increase in Building Value$ t Additio l- F. -- ) By signing below,I ,S4 Il J O3- -- affirm the Revision is inclusive of the proposed changes. (printed name) ift)6.e., \D' b —lb Signa of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) -...;‹? Approved X.***-- Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: Buildingird-- Planning & Zoning Reviewed By Tree Administrator Public Works Public Utilities /0' 7/ _/- Public Safety Date Fire Services lc) @ , CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J 5\s,. . ATLANTIC BEACH, FL 32233 (904) 247-5800 BUILDING REVIEW COMMENTS Date: 10/8/2018 Permit#: RES18-0336 Site Address: 7 FORRESTAL CIR Review Status: denied RE#: 171749 0000 Applicant: Property Owner: JOBE LAURA E Email: Email: LAURAEJOBE@GMAIL.COM Phone: Phone: 9047072878 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-Comments: - 1. (Permit application is missing the LEGAL DESCRIPTION and the RE#. Return to the Building 'Department to complete the form. 2. bmit 2 copies of the existing floor plan and the proposed change to the floor plan when close it adzes. 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: EJ7 '1 o/ 2PV� e``/ (-1)"‘`4-14) 1 !b - 8. -'°14 `"r All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way 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. For 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 left within the set of drawings. Complete new sets of drawings will not be accepted.ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. „ , Building Permit Application Updated 12/8/17 es:,` City of Atlantic Beach *MP 800 Seminole Road,Atlantic Beach,FL 32233 + C4 1�bat k) 247-58261 Fax:(904)0247-5845 3 33 i Job Address: '1 FO,rc 2(*o 1 J , M\Lt -ECIC'- fr Permit Number: r�`- E S1—03.-3 Legal Description:,li)--�.3 y. GSC (4-Ic.,,.til',&,—vi l),HHa Cork/ /412/ / RE# ,iii-1 i I'I�000£i I S0 ---L1 Heated Cooled SF Non-Heated/Cooled Valuation of Work(Replacement Cost)$ / • Class of Work(Circle one): New Additi ( Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one : Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 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: 0.,t).C4L- 6104*=,CA-"Jrcx”; 0 PiLJ'jL"` 19. Ctlt-U- et"(-- i\Q-19-i'P-Q- Florida Product Approval# for multiple products use product approval form Property Owner Information Name: LO.AI.crQ - SI...si,11/4.Q L J Address: 1 r 09.. CA fe Afe - Ai. 11-4-6_,J-k,6 eL J City - \ J-i Q Q P ..t . State Vt... Zip �`?j ?,-� Phone ?64. 169- `x'18 E-Mail \C� c& ra.94\Q-12.0 j . A-)I\ ,aOY Owner or Agent(If Agent, Power ottorney 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/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 RECORDING YOUR NOTICE OF COMMENCEMENT. ifede-e--- i, (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this t day of Signed and sworn to(or affirmed)before me this day of 0C..,10e,81-lav ,byk` , , by 55,14,v_ lig (Signa e r /otary (Signature of Notary) �i .,°`9� ,nally nown OR [ ]Personally Known OR ;�i(: ; JAA+1fED.SG11dt�rso Neroduced Identification :*; ' :*i MYcoAAMIS8ioN�t60r gg.�d entification Type of Identification: 1---1.- t L_. ,7k-pi Septen 5,41)tent 'cation: flru Notary Public Undonalters trt,,.:�,yr,,, OFFICE L `Y _ CITY OF ATLANTIC BEACH OWNER/ BUILDER AFFIDAVIT LCraf )t. 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 REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING 014DINANCES. 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. JV. 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. ADDRESS PHONE PHONE NUMBER k PRINT NA Q) ' Ara-e-- . ‘')) 1 SIGNATURE DATE Before me this en day of OC�5X1I24.- ,20 )gin the county of . Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of cland',County off V``il-k ❑Pe onall Known � yP, `•`•`?;: JAMIE D.SMITH B" y i � , :*`:_ MY COMMISSION#GG 255331 CfProducedldentfication• '*' gr t:: _ .: . 8i EXPIRES:September 5,,2022 eie� ''^`ON? Bonded Thru Notary Put*Undet rita rs Notary SignatJ4 t �. 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The heating loads for this floor plan and heating i . . • system ore calculated for the design having the largest • • . • . window and door aaaaa and with a minimum typo of wall .1 coverage material . I . . . • i . . . . . . • 1 t • , - • • . e . • i . . • :I . . • . -. - • ., • WALL FURNACE HEATING PLAN i , • , , . . . . • . . 60 — PINE CREST — R H. 1 - • -. • • . 1 0.,,,,... L(.63 : . . • ' . ' CHECKED ' ' . .*EV. NO :•------- . . 1EE.LIZ4:21±0" MEL IC . . • ' n , • .-••••• . . ..... . ACV. onAi• 1 '7 Ft7k,e L---s-rilt-- . . ' . . . . ' . . • . . ' • .. . . .. - . it Ac. 10 poa› k‘ • I-- r_E, _ • III, FI Rte..... n...,..,,.....R...•..e.. • .L 3s gi l ■ 6, ..i.41 1 1 . PIA �7 � Fwrr.,C—' — 1,.... w... n,,. c•,.I L ri I g'... ' • • • ♦ - ED -- .D40CMe2 IS ¢D- ILJ,wt.1so4.a. II.4.4 l,t.e 5 I_ • 1:1.,I0 ALUM 17100II.G • .. F lH6 el\.J All . .1/ oaten • — -_ I,A I I I I 0 • relo;n an s�• <� hulr..,i‘ _ • L.n.n gyps...:n v,.. .. . 1>]w\eorL.o.,L zt_ '.- ___...... .,..... ,. 71 .. . 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T • DESIGN 601.6600 ' 11 V Tn..m / ANO%CORPOMT�6N —_——J 111 • .THOA4EON�LEDNL qm F•OUNO>Tit'ON �UMp\v0 PION' b•211•L-9G=4e1 (•I.117. man Mal OMR I FpFRa51- CrrEc�t; N. 7/APPROVED.... lm a... v,..,Y.Y.<.. GOY 01 ATLANTIC SUCH . . • BOILOINCOEEICE ' .