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1545 Francis Ave ACC19-0041 Shed J "jr)" ACCESSORY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ACC19-0041 800ROAD ISSUED: 5/24/2019 ATLANTICIC BEACH. FL 32233 EXPIRES: 11/20/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION. CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF 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: 1545 FRANCIS AVE ACCESSORY SINGLE OR TWO 8.5' x 10' SHED $3000.00 FAMILY ACCESSORY TYPE OF SUBDIVISION:BUILDING USE CONSTRUCTION: NUMBER: GROUP: 172284 0000 ED SMITH S/D COMPANY: ADDRESS: • ADDRESS: KEVIN HOGENCAMP 1545 FRANCIS AVE 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. 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL otes: of[ in n-site duringconstruction. 2 PUBLICWORKS ROLL OFF CONTAINER INFORMATIONAL all off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters, Illips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. Issued Date: 5/24/2019 1 of 2 "- ACCESSORY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ACC19-0041 n ISSUED: 5/24/2019 ATLANTIC BEACH. FL 32233 800 ROAD EXPIRES: 11/20/2019 D EA 3 PUBLICWORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,Including sod,is required 4 PUBLIC WORKS RUNOFF V INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking material must be removed from job site by Contractor. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000.322-1000 0 $70.00 BUILDING PLAN CHECK 455-0 322-1001 0 $35.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 4S5-0000-208AJ00 0 $2.00 STATEDCASURCHARGE 455UW0.208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000.3231003 0 $50.00 TOTAL:$184.00 Issued Date:5/24/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER '! Building Department (To be assigned by the Building Department.) Y � 800 Seminole Road Ir_\l _ Atlantic Beach, Florida 32233-5445 (� Phone(904)247-5826 Fax(904)247-5845 .o. u', E-mail: buildingdept@coab.us Date routed: City web-site: hftp://wvw.mab.us APPLICATION (R—EVIEW A(ND- TRACKING FORM Property Address: I S4 S r f-anO t S -Fhb. Department review required Yes lNo Applicant: Eyi" [4 (-�r FAOQa/}a10 lanning &Zom Tree mires re or Project: C� S K � f S �IE.� Public Utl I Public Sgfely— Fire Services "J$ Dept Signature` . Other Agency Review or Permit Required Review or Receipt Data of Permit Verified B Flonda Dept.of Environmental Protection Florida Dept.of Transportation St Johns River Water Management District Amy Carps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other APPLICATION STATUS Reviewing Department First Review: EP4provecl. ❑Denied. ❑Not applicable (Circle one.) Comments: /I ' D� eI v PLANNING&ZONING Reviewed bi iI / Date: V2 Z 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. ❑Nat applicable Comments: Reviewed by: Date: Revised 0511912019 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road f� „ I Atlantic Beach, Florida 32233-5445 n �" .�' —1 l 0 G� Phone(904)2475828 Fax(904)247-5845 ((�� E-mail: building-dept@coab.us Date muted: J City website: hltp:#m .coab.us APPLICATION REVIEW A(ND� TRACKING FORM Property Address: I S4 S' FI'cL,n t S Hy`L._ Department review required Yes No Applicant: I� EVIrV C-InCf=ApC)A )0 lannmg &Zom rr� r r TreeAdministrator Project: p � S x � U S bib Public W, Public a Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: /01 BUILDING PLANNING &ZONING y � . ��t_It Reviewed b : Date: 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 05119/2017 City of Atlantic Beach � APPLICATION NUMBER Building Department • (To be assigned by the Building Department.) 800 Seminole Road pprr,� Atlantic 3 /Bra Phoe( 4)247I5828Fax(904)24�S �1( E-mail: building-dept@mab.us Date routed: Citywab-site: ttipJAvl1 APPLICATION REVIEW A(ND� TRACKING FORM Property Address: 154 S Fff-t1 aO,ISfF, W-e_ De rtment review required Yes No Applicant: � EVIAJ E-4cSC,r__Avc "'P Tanning BZonl rr� r r Tree minis ra or Project: L� � S K ( C-) SblE=� Public UI Public Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Data of Permit Vedfied B Florida 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 Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: 5dA//pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed byJ Date: TREE ADMIN. Second Review: A roved as revised. ❑Not applicable. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revlsed ON1912017 City of Atlantic Beach APPLICATION NUMBER i Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 4 l Phone(904)247-5826 Fax(904)247-5845 r� E-mail: building-dept@coab.us Date routed: City web-site: http:/Nwrw.coab.us APPLICATION (R—EVIEW AND TRACKING FORM Property Address: I S4 S Fr-anti i s AL?_VSewices view required Yes No Applicant: �' 6V(AJ � fS Cj �-P r or Project: S K c) , S6-(EQ Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receip[ Date of Permit Verified B 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: APPILPA601,11 STATUS Reviewing Department First Review: pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: �✓� Date: s/7�-f Fj 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 OSn81T01] Building Permit Application OFFICE COPY Updated 10/9/18 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Build ing-Deptnp coabms IS REQUIRED. Job Address: ' rf4 a(, S ✓G Permit Number: ' 1 �.�I,q — [p')l I Z} ' Legal DescriptionV/O/'/FQr.Lv e Valuation of Work(Replacement Cost)$ .GO(�_Heated/Cooled SF i✓H Non-Heated/Cooled � le G l • Class of Work: ❑New OAddition OAlteration©❑Roepair B�I<!tove ❑Demo OPool OWindow/Door L9S • Use of existing/proposed structure(s): OCommercial Kesidential • If an existing structure,is a fire sprinkler system installed?: Oyes PKO '- • Will trees be removed in association with proposed ro'ect?Oyes must submit separate Tree Removal Permit Ef 0 Describe in detail the type of work to be performed: / QQ lO, f✓Do of �i�,9✓, .,� /�j'?1 � .f1. W N Florida Product Approval# for multiple products use product apprpvjf.Pf,* N Property Owner Information a U ¢ Cl Name un, /laqB Address rte, City Stated ip 72413 Phone FW- E-Mail e✓t N Itu/hi..r_ .A /#_ 6-rhe Owner or Agent(If Agent,Power oftorney&rAgency tter Required)_ i— Contractor Information LO < 0 Name of Company Qualifying Agent U J u' W Address Ci -ry State Zip Q Office Phone Job Site Contact Number q, lL. ¢� State Certification/Registration# E-Mail tw W W Architect Name&Phone If m Engineers Name&Phone# — to Workers Compensation Insurer OR Exempt❑ Expiration DateC It 'w Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instWion has w commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating M 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 YOU�i�NOT,IC OFC MMENCEMENT. (Si nature of0 er gent) ` (5ignature of Contractor) 'Signed yand sworn to(or affirmed)before me this O day of Signed and sworn to(or affirmed)before me this day of Ay 3e/9 by 1 Lby (Signature of Notary) (Signature of Notary) Personal) Known OR p _ PHYWSHNADEAU [ y • MY COHNIgSION/AG 72705`1 rsonally Known OR [ I Produced Identification y .ye E*VM:JI m 11 2072 I I oduced Identification Type of Identification: :f' 0aamJ11n hNuxwwFki of Identification: OFFICE COPY Prepared By: Gibraltar Title Services, LLC 4190 Belfort Rd., Suite 475 Jacksonville, FL 32216 Return To: Gibraltar Title Services,LLC 4190 Belfort Rd.,Suite 475 Jacksonville,FL 32216 Order No.: GTS-1930344 Property Appraiser's Parcel I.D. (folio)Number: 172284-0000 WARRANTY DEED THIS WARRANTY DEED dated May 13, 2019, by Mary Jane Roys, a single woman, whose post office address is 1156 Catalina Rd E, Jacksonville, FI 32216, (the"Grantor"), to Kevin T Hogencamp, a single man,whose post office address is 1545 Francis Ave,Atlantic Beach, Florida, 32233 (the'Grantee"). (Wherever used herein the terns"Grantor'and "Grantee"include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) WITNESSETH: That the Grantor,for and in consideration of the sum of Ten And No/100 Dollars ($10.00) and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys,and confirms unto the Grantee, all that certain land situated in County of Duval, State of Florida,viz: The Northerly 55 feet of Lot 2, Block 1, Ed Smith Subdivision, a subdivision according to the plat thereof recorded at Plat Book 26, Page 50,in the Public Records of Duval County, Florida. Subject to easements, restrictions, reservations and limitations of record, if any. TOGETHER with all the tenements, hereditaments, and appurtenances thereto belonging or in anywise appertaining TO HAVE AND TO HOLD the same in Fee Simple forever. AND the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances,except taxes accruing subsequent to: 2018. Owner Builder Affidavit HIGHLIGHTED ON 1 r''1i•' �, HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, Fl. 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: L 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.HAVEAPPUED 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. If. 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(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. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US)IF IN DOUBT. V. ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: /S`/S Fri,',cI,'J 4m _ Owner Name: VJ or /im�..Nrd Phone Number. 90%y77—S7_6 Mailing Address: / City: i..>!,C State:it Zip: 3ZtS-o Notarized Signature of Owner The fpregoingjns[rument was acknowledged be ore a this �(Aday of M _,209 in the State of Florida, County of DONNALIIAR(�E Signator fNotaryPublic •y I078B27 ry pA,L En s. 2021 mxmn+ ersonally Known OR[ ]Produced Identification _. _.,z..-.. Type of Identification: "yr.'%kA DONNA L.BARTLE 2t' Updowd 10/24/18 MY COMMISSION#GG 078827 1C, o4 EXPIRES:May 14,2021 .. .,?,M�' aadetllMUNodn Rmuc unEMniL+s ORDERED BY: 1„. ._ NIS • 9 8 PROFERIYPDDFES5:1515 FR W AVE ATIANM BEPGH•FLC*UOAMA 5I.IRMNUMBEIb Rl50)39Z3 FIELD WORK DATE:I., FEVIAIXJ DATQR;IoI vD Vvm9 FLf3013913 0 ' Duro O YBURVEY WVAL COUNTY . LOT 3 IAf 12 .. O 8LK 1 EW 1 EL N 8436.00” E 100.08• (M)) C' N 8435.00" E MOT 4P) £ nl�ElmFii B.R. (PER PIAT) Ino"BY ¢. w c c3 F. N. 55' feet of Lot + 'MS 1M• e�'F °M --, 3; a '� M.5• - B "3 eLXBBuc'i liot1 ,fIFC 10.tl \ C04 n, _ s U � w H. T2• � N Lat 2 IOI MNEV6 Te E SFMIRT 9I Gf/NAG 119 Sd91 b b 'GCE mmGSMF xm IrtTwwm M lei Z e e.¢ l hereb cJse hereon JexRi ) fh' a swve or the pro � de under my dimction my Imgwledge ontl belie/ F m np¢senbfipn oro .p.Ye l s e s `tloroe r PmFMo. v sef I rth by paf door /Pro/eseianpl Flg,ido Administro . GRAPHIC SCALE (I¢ Feet) WILLPIA E. LUOAS . I Inch = 0O ft. Sb1e W NMo Prolualawl Srmyor aM Wppw Ikaua Ne.5]9R WrY1Mfu.glnNpmaq:rgnW M6YMnn N1MMIbM•MbvMUMe*PNvneMem WeCiryage5wrtryr wbJ4b FLOOD BiPOM1ATKK1: FVJINTS OF INIFRESTM . BYPERIOdAINGASFAM^IIlMT11THElOCAl00hR111NG NQYEMIBLE MUNYJPALIT'ORNVAV.FEM0.Gov,THEPROPFKIT•APPFARSTOBE LOCATED INZONE%THIS PRCPFNFY WAS FOUND INTHECILTOF ATLWFICBEA BCOMMUNITYNM.IBER1MEDATEODM 13. CDE - : , ' AFFILIATE NT NlIM9Ek LMf 15NA DATE:By'A15 1' BUYEk MPRY JPNEROK FLTA '- ------- - - MEMBERS SELLER:TOMMYLYIES PND WHI BY LYLEl f CEREIFIEDTO:MARYJ NE FDYS:WIP'MRKir)IF;OLDIFPI1gICN1Tg4Al T1.IN5IMNCE CIXAgNY:EVGBAN RS SlICa5 ANWOPPSSKrN5:.151NEr0.1NTGE5RMAY GP1F.lP Land Surveyors, Inc. m ThkN p901 e1)eMBmIveIM wNMu[ell Peggie. 185)11, N9ap1.gLMMn.PdNS�h � 1NetN3M) The Home Depot \ W� Store 116365 12721 Atlantic filvU Moresamne- JacksonNlle,FL 32225 ►�` Mare n9J. Pick up Confirmation (904)220-0622 Date'.04/30/2019 03:23 PM OrderNumber: WD65991895 Customer Name:Mary lane Rays-DIV Alt Pick up Person: Will-Call Number.W5001 Order Date:04/22/2019 Phone:(904)23)-0353 Address:150.5 R90els Ave Sales Receipt Store#:8119 Sales Receipt Cate:04/232019 ATLANTIC BEACH,FL 32233 Sales Receipt Trans#:87593 Sales Recei t R tater k:95 Ref# Item# Item Description Ouanti Sdtl PreAcusly Released Released On 04/33/201903:22 PM 523430501 I 1000-597-690in.Earth Anchors Set (4 1 0 1 Piet,/P0:65553308 Not Valid for Refund VIIIIIII (IIIIIIIII(IIIIIIIII III signature Not valid for merchandise pickup after 4:22 PM � Your order was released by: RJU073 Is your project complete? Ask an associate about recommended products to complete your project. My List Ll Ll Ll Pa9e:1 J •. UIN/Yf b1Np�•Jf ��Q�Y $ff1�':f✓ '- K<Q� NbD'IF al dal ...�M�+W 6�tIN^�4S r. r� Z6 01,