800 SEMINOLE RD COMM18-0038Ratliff, Bob
From: Ratliff, Bob
Sent: Thursday, December 11, 2014 3:58 PM
To: 'Graham, Shirley'
Cc: Hubsch, Jeremy; Walker, Jennifer; Arlington, Daniel; Jones, Mike
Subject: RE: 1175 Atlantic Blvd Urban Farms Greenhouse
Shirley,
The plans for this project have been reviewed with the following comments:
1. ' ♦ t of o - point of • a
2. Minimum required fire flow of 1500 gpm @ 20 psi required
I hope to have the plans returned before you close this afternoon
Thanks,
'
Jacksonville Fire & Rescue Department
Fire Prevention Division
Office of Plan Review
214 N. Hogan Street
Room 281
Jacksonville, FL 32202
(904) 255-8320 Office
(904) 255-8559 Fax
CONFIDENTIALITY NOTICE:
Please note that under Florida's very broad public records law, e-mail communications to and from city officials are subject to public disclosure.
From: Graham, Shirley [mailto:sgraham@coab.us]
Sent: Friday, December 05, 2014 11:37 AM
To: Escanio, Rey; Ratliff, Bob
Cc: Groff, James; Hubsch, Jeremy; Walker, Jennifer; Arlington, Daniel; Jones, Mike
Subject: 1175 Atlantic Blvd Urban Farms Greenhouse
Rey, We have a set of plans for the Urban farms greenhouse for you to review.
'SKKLeu (�;rakawt,
cLt� of AtLuivwtic -F awok
Building Permits Technician
Atlantic Beach, Fl 32233
904 247 5800
sgraham@coab.us
1
City of At1lanfic Beach
APPLICATION NUMBER
BuHding Departmet-ii-ii 76 be assigned by the Building Department.)
800 Seminole Road
"NED hl�_J J'd
Atlantic Beach, Florida 322:33-5445 SCAN
Phone (904) 247-5826 - Fax (904) 247-5845 81
City web -site: http://wvirvv.c,:)ab.us Date routed:
Date: _ -
APPUCATIOEVWW AN DO TRACKNG FORM
Proper -Ty Address: A -1z L1 /yd
Appficant: C
Project:
710 -
Review fee $
1�`ONIRACTOFR': 0ONTAC-14-
Reviewing Department
(Circle one-'
BUILDING
PLANNING & ZONING
TREE ADMIN
PUBLIC WORKS
PUBLIC UTILITIES
�SAF ET -
FIRE SERVICES
VISED 09252014)
1_29PAU —o-ireact re v 5 em required I ides I N_o
Public Lffir
Public; S.alfe-h/
Fire Servicas-�>
Dept Signature
APPMATMN STATUS
First Review: []Approved. e
Comments: 01
Reviewed by:_ -2:1/1-
Second Review: []Approved as revised. DDenied.
Comments:
Reviewed by:
Third Review. []Approved as revised. IlDenied.
Comments:
Reviewed by:
Date:
Date:
Date:
P'tJILDING PERMIT APPLICATT''N
SCAB , CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 DEC 0 4 014
Date: Office (904) 247-5826 Fax (904) 247-5845
Job Address: //-767 /3 -11cj w4-ic, 31va . Permit Numb
Legal Description ,�� °u� �/, rz• �o /3 sit �o� 'y " pa ig p� 3 Y Pparcel # ej-c
Ft
Valuation of Work $ 2 so, 0 0 0 prop ed Work he ted/cooled /v�� non-heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one):mmerc' Residentia
If an existing structure, is a fire sprinkler system instal'a ircle one): Yes No N /A
Florida Product Approval #
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed: Go �/sT/�c7��� o� �3/� .S .1�• ��>�
f � e�„�E �� S7•i�e�.>✓t�. Co �%!C/�✓�- /S'/ �- SF Lf ASL . 6f� o� S� 6�,�,./1�oy.i.�
Property Owner Information:
Name: LG C Address: /S60 S64 tV.4 1 -7A -2.,N,4 P121 III/
City / ..rfyG �le, Uv Stated Zip 3LZ33 Phone 70 j1 - Kyg _ ?•g'7
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: 0 e5—o Qualifying Agent:__ 7 4e -j CISs-e-1
Address: ZSS 4 T6//o
City State LL- Zip 3'j'"7
Office Phone ?V- 7.5'f- fK3i 2 Job Site/ Contact Number %b5/ . 7J Fax # 17o c/- 3 3f- g1 r 5/
State Certification/Registration # C- 6- C o! of 73
Architect Name & Phone # .S4 -07T 9 9044- 571- Z3 73 L-16.0 */e. 0013079
Engineer's Name & Phone # ✓ ,- LES ,Dti
Fee Simple Title Holder Name and Address R.O. /,Js Ne -f -I ocgyy LGG, 1,5'60 SEu/d "4121-4 D,2., AI -L ,
Bonding Company Name and Address 4./• s�
Mortgage Lender Name and Address
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 wall "P
e performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperaod of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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.
I hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether sppeced herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local lai aAregulating construction or the performance of construction. t_%
Signature of Owner
Print Name 5 , R• CCI SSts-•
....._....................................................................................
Sworn to and subscr ed before e
this ���Day of B�,� 20 /
NO ry PUb11C io 11 Notary Public State of Florida
Alek A Albach
' �P` My Commission EE 877614
r•an Expires 02/24/2017
Signature of
Print Name t S. 1X. %4t SSf.L
Sworn to and subscribed before me
this &JODay of 20 /y
Ota Public
Notary Public Alek A Albach
My Commission EE 877614
(1T6? l 0
jf CITY OF ATLANTIC BEACH ANNE D
#' OWNER / BUILDER AFFIDAVIT
mate:
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.
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.
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.
//7-5' A 9c. *, j Ti c 3 c., v D
ADDRESS
eie-w-
7 y- 3i z
o
PHONE NUMBER
(2/3
DATE
Beforekme this day of � eZWKSOM , 20 )y in the county of
Duval, lorida, has personally appeared herin by himself / herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large, State of F�" County of 'h%A-V^L-
NO Personally Known
❑ Produced Identification - �#WPONotary Public State of Florida
Alek A Nbach
My Commission EE 877614
Notary Signature: / ��/+>F �Expires 02@4/2017
F:/BLDG/Owner-Builder Af£adavit REVISED: 4/16/2009
ti -�iANNED
s ..
Date:
OWNER'S AUTHORIZATION FOR AGENT
S-fe f3ka'1 2. eISS-el is hereby authorized to act on behalf of
/ l,Ev.<,/ye f ekch UtioAJ -+-tl', L -Le— ,f 4'.ds he owner(s) of those lands described
within the attached application t as described in the attached deed or other such proof of ownership as may
be required, in applying to the ity of Atlantic Beach, Florida, for an application related to a Development
Permit or other action pursuan',
I:
Zoning Vi, knee
Use -by -E; option
Building!" . mit
Sign Perm
Other__
❑
Comprehensive Plan Amendment
❑
Zoning Map Amendment
❑
Plat, Keplat or Lot Division
❑
Tree Permit
Print Name
Signature of Owner
Print Name
Telephone Num'
State of —r—Tf (i 40
County of A
Signed and sworn before ir, n this % day of, 201`-.
-� , Notary Public State Florida
By :Y1��(l ._ ____ ;4 Kimberly A Billingsleyl
c
< My Commission EE 194120
OF Fro Expires 04/30/2016
Identification verified:___ -
Oath sworn: __ _-yes X No
Notary Signature
ImiyCotnmissionexpires: (.> LA 3_.7p�(,�
U
PERMIT NUMBER: I
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this Notice of Commencement.
ION OF PROPERTY (Legal description of the property & street address, if available) TAX FOLIO NO.: 170709-0000
; Atlantic Beach BLOCK 11,12,13 TRACT Section "H: LOT BLDG UNIT
to the Plat thereof, as recorded in Plat Book 18, Page 34 of the current public records of Duval Countv
2. GiENERAL DESCRIPTION OF IMPROVEMENT:
3. PWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
#ame am address: Robins Nest Farm LLC 1560 Selva Marina Drive, Atlantic Beach, Florida 32233
0. Interest in property: fee simple
c. Name and address of fee simple titleholder (if different from Owner listed above): Tracey Westbrook, 1560 Selva Marina Dr., Atlantic Beach, FL 32233
4. a. CONTRACTOR'S NAME: Atlantic Beach Urban Farm LLC
Contractor's address: 850 6th Ave. South, Jacksonville Beach, FL 32250 b. Phone mnnben 904-868-6957
5. SURETY (ifapplicable, a copy ofthe payment bond is attached):
a. Name and address: N/A
b. Phone number:
6. a. LENDER'S NAME: N/A
Lender's address:
c. Amount ofbond:
Phone number._
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
a. Name and address: SR Cissel, POB 1875, PVB.,FL 32004
b. Phone numbers of designated persons: 904-759-4312
8. a. In addition to himself or herself, Owner designates Susan King of Atlantic Beach Urban Farms LLC
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
b. Phone number of person or entity designated by Owner: 904-868-6957
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording unless a different date is
specified): June 1 , 2015
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARF rVlUCn1FDRPT rnIDDADCD 0A WXA— .---- —...—......, _. -- _ _ __ _ _ _
f
Ci
(Signa a of Owner or ssee, or Owner's or Lessee's
Aut rized Officert irector/Partner/Manager)
State of Florida
County of Duval
a
Tracey Westbrook/%�•��,u;ila� omh'r-
(Print Name and Provide Signato s e/Office)
The foregoing instrument was acknowledged before me this S+-_1 _ day of , 20 I `-►
by 'r"e.jr i �► ! S i 344 o (L, as _ M A..+ A f ti r it *'t l,a,r.
(name of person) (type of authority,... e.g. officer, trustee, attorney in fact)
for '(Z46-44 44,&4- F -4,e" LLL
(name of party on behalf of whom instrument was executed)
Personally Known _&___ or Produced Identification Type of Identification Produced
:< Notary Public State of Florida
Kimberly A Billingsley
My Commission EE 194120
of po� Expires 04130/2016
S(Siof Notary lic
(Print, Type, or Stamp Commissioned Name of Notary Public)
3�,
PERMIT NUMBER;
COMMENCEMENT %,, NNE
The d li tmdersi ten,.,,
gt erdly gives notice that improvement will be made to certain real property, and in agar lal *plat z 13,
Florida Statutrs, the ibliowing information is provided in this Notice of Commencement.
1 DFSCtRtPTtOAE of AROPERRrY (tag it dtscriptiwt of,lhe �c stmt adtifiss, ifavailabic) TAX POt.tO t!O« 170709-0000
SiiButVISION Atlantic Beach �11,12,13TRAcTSectaH:LO
n"T 0
>
According to the Plat thereof, as recorded in Plat Book 18, Page 34 of the current pubsic records of Duval County
2. GENERAL DESCRIPTION OF IMPROVEMENT..
j'on42rLu±tian of ii(ZQ.�t�uare foot greenhousA an Genrje;� sunaort tacillt+r
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LUSSEE CONTRACTED FOR THE IMPROVEME.N-r-
a. Na aW ad*ss: Robins Nest Farm LLC 156(} Selva Marina Drive Atlantic Beach Florida 32233
txtawwinproperty; fee simple
r- Nwestidaddirmalffftsiantiletitleholder (irdiffemot firoin owimlisted abock -TrawYWdstbrooR,ISWSelya#sarinott1r.,AtlanticBeach,FL32233
4 a. cot+`nmcToRw NAME: Atlantic Beach Urbain Farm LLC
S. SURETY (bfappfi®b(e a copy ofthe Payment band is attacb*
o. Name and address - N/A
b. Phone number F Amount of bond: S-
6. IL
_6.IL LENDER'S NAME.N/A
t enda`sa s: b. Phare—bsr:, M_
7. Persons within die State ofFlorida designated by Owner upon whom notices or other documentstttay be served as provided by
Soction 7 t 3. l 3 (1) (a) 7., Florida Statuics:
L Name and addrew SR C.rissel, POB 1875, PVB.,FL 32004
b, Phone mtmtim *tdcsiVwtd Persons: 904-759-4312
8. a. In addition tolaimselforbemif, Owner designates Susan King of Atlantic Beach Urban Farms LLC'
to receive a copy orthe Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
b. Phone number ofpewn orentity designated by Owner904-868-6957
9. Expiration trate of notice ofcommencement (the expiration date will be i year from the date orrocordiaguale&s a different date is
specified] Jtme t , 20 15
I
(Sfgaa,OA of Owner or ee, or Owner's or Lt "W's
Autb6rked OfReer/Mrector/Partner/Manager)
State of Florida
County of DUVal
The foregoing instrument was acknowledged before me thisQ1 s+ � day of
by
for
(type
Tracey Westbrook /,�1�„e ji i y Jlkr-
(Print Name and Provide;Signat s Thiel Mee),
attorney in
(name of party on behalf of whom instrument was executed)
Personally Known or Produced Identification. ,�, Type ofIdentification Produced
Notary Pubic State of Florida
Kimberiy A Billingsley
C lay commission EE 194120 (Signature of Diary tic
o, ao� Expao6 o4raor2016 (Print, Type, or Stamp Commissioned Name of Notary Public)