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761 Paradise Ln ACC19-0052 Wood Deck ACCESSORY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ACC19-0052 800 SEMINOLE ROAD ISSUED: 6/18/2019 ...... EXPIRES: 12/15/2019 ATLANTIC BEACH. FL 32233 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: 761 PARADISE LN ACCESSORY SINGLE OR TWO WOOD DECK $2300.00 FAMILY ACCESSORY TYPE OF REALIESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1723760185 PARADISE PRESERVE COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: TODISCO ANTONIO 761 PARADISE LN 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 AT-FORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells, Inc.,Republic Services,Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. Issued Date: 6/18/2019 1 of 2 ACCESSORY PERMIT PERMIT NUMBER ACC19-0052 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 6/18/2019 ATLANTIC BEACH. FIL 32233 EXPIRES: 12/15/2019 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 4 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking must be removed from job site by Contractor. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 4S5-0000-322-1000 0 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.SO PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00 TOTAL: $176.50 Issued Date:6/18/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be a ned by the Building Department.) 800 Seminole Road 9 U0 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site: hftp://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 76� P Depqdmjit review required Ye N Applicant: C CkD ND Tree A ministrator Project: C)(D c) e C� e15u-blic Worl� 'TURF—Ut-ilities 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: 2/Approved. [:]Denied. [:]Not applicable (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: 6 -1 TREE ADMIN. Second Review: FApproved as revised. OlDenied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. []Denied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach EGE VEOPLICATION NUMBER Building Department ("To be s igned by the Building Department.) 800 Seminole Road JUN 1 : 2019 (aC A QC) 5 Z tlantic Beach, Florida 32233-5445 11 _I Phone(904)247-5826 - Fax(904)247-5845 bi CL BY.-- Date routed- E-mail: building-dept@coab.us Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 0 Property Address: DepajbTwpt review required Yes No_ Applicant: ND ee-A— Tr dministrator Project: 0(D e,:K P�-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: [V(Approved. E]Denied. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:- TREE ADMIN. Second Review: [—]Approved as revised. ElDenied. DNot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ElDenied. ONot applicable Comments: Reviewed by: Date: Revised 05/1912017 'Vir-, City of Atlantic Beach APPLICATION NUMBER Building Department (To be agned by the Building Department.) 800 Seminole Road - I q — (A) Atlantic Beach, Florida 32233-5445 U, Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us L Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: P _Aoisc Lo Dep�jr =�nt review required Yes No Applicant: TreeAdministrator rrublic—Wor Project: oc c_'-CIK �V 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: oApproved. []Denied. E]Not appiicabie (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b Date.- 04" TREE ADMIN. Second Review: DApproved as revised. ElDenied. F]Not applicabie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. E]Denied. []Not applicabie Comments: Reviewed by: Date: Revised 0511912017 ,.t I ion OFFICE COPY Updated 1019118 Building Permit Applicat City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY fill Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. "�L 341�0-77 '7 Job Address: 71W :?Ko�.Alsc_ LK1 %611411c. Permit Number: R Q_0 Jq - 0 (DS(_ Legal Description VJt-­_D S_->f_c-)C, RE# 'k?(20.1)U Heated/CooledSF Non-Heated/Cooled Valuation of Work(Replacement Cost)$ �A,. • Class of Work: 74New ElAddition ElAlteration DRepair ElMove E]Demo OPool E]Window/Door • use of existing/proposed structure(s): ElCommercial 'AResidential • If an existing structure, is a fire sprinkler system installed?: Dyes 'ANo • Will tree(s)be removed in association with proposed proiect?E]Yes(must submit separate Tree Removal Permit) ANo cribe in detail the type of work to be performed: C 0-60V c)o cl 9 Florida Product Approval# for multiple products use product approval form PropertV Owner Information QP1 Name r,\. r,44bII,4 'P 776�OLO —Address -7Lri -PNizNA_5.- L,,1 City P�l%.,A 4 C_ -06, State zip —Phone it,y vll yo E-Mail —T-7.0-b".5-6 C-) k I U%-%DD . C b r-%. 6 5 1 -4d)UES Owner or Agent(If Agent, Powe'rof At?orney or Agency Letter Required) Z X: _J Z Contractor Information L) Cr 0 1 Z Name of Company Qualifying Agent 04 Lu 0 Address city State Zip d Z Office Phone Job Site Contact Number 0 State Certification/Registration# E-Mail Architect Name&Phone# Z Engineer's Name&Phone# Workers Compensation Insurer OR Exempt 0 Expiration Date 10 Z Application is hereby made to obtain a permit to d 0 the work a installations as indicated. I certify that no work or instal IaQ 111a E_ UJ t a,,w commenced prior to the issuance of a permit and tha will be performed to meet the standards of all the laws regu4ti M 19 0 UJ La construction in this jurisdiction. I understand that a separa�k ermit must be secured for ELECTRICAL WORK, PLUMBING,S11I S>. CL CC W Co I( WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR Co IONERS,etc. NOTICE: In addition to the requiremen otlhyjj C3 W permit,there may be additional restrictions applicable to this property that may be found in the public records of this coun!4�Q U) W _;;t there may be additional permits required from other governmental entities such as water management districts,state ager>es,or CC W LL1 5; federal agencies. W cc 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 OBY.,�IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC?��= OF CO MMENICEMENT. U, (Signature of Owner or Agent) (Signature of Contractor) SiAned and sworip to(Aa, irm:e )before m his day of Signed and sworn to(or affirmed)before me this day of 'Zoo, t%O— C5 by I So" (Virptur o ta TONI GINDLESPERGE9S reo ota ry) MY COMMISSION#FF 924951 EXPIRES:October 6,2019 iw Bond3d Thru,%m Public Undewters Personally Known OR 11 .11,W]LID Produced Identification J.1ProdtrcJd Identification Type of Identificat-c. Z0 too -73-4 Wpe—of WpaFtification: OFFICECOPY "ALL INFORMATION Owner Builder Affidavit HIGHLIGHTED IN City of Atlantic Beach Buildin Department GRAY IS REQUIRED. 9 800 Seminole Rd, Atlantic Beach, FL 32233 -0a Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: J�6� 3- 1. 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$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR.YOUR CONSTRUCTION MUST CORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. IL INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO$S,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 I COMPLY WITH ALLTHE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: (ji B�,RN&.�3t L t-J NA) mm A 32);)-33 Owner Name: q+bw Phone Number: qoy- 6SI., Y�5)IT MailingAddress: -SNP1%4_ A City: State: Zi P: Notarized Signature of Owner The r g .n nt was acknowIledged before me thisAday of,&, I)e 20Q, in the State of Florida, County of kn_-LO) Signature of Notary Public Personally Known OR Produced Identification 'T:57 6)-000-73 1,�F6 TONI GINDLESPERGER pe of Identification: issioN#FF 924951 Ty MY Gomm EXPIRES:oclober 6.2019 Bonded Thru Notary Pubric Underweters Updated 10124118 tot-AP OF. BOUNDARY SURVEY OFFICE COP�y ,, DESCRIPTION: LOT 28, PARAOISE LANE ACCOPOING TO TH—F PLAT THEREOF AS RECORGED IN PLAT BOW 57, PAGE f-3) 31, 31A. 31B AND 3441C, OF THE CURRENT PUBLIC PECORD3 OF DUVAL COUNTY, Fl-op-MA" Lag yv- gfL"TW MW 4PF Se�Zj� TW 2� p SCALE. 1" 30' �;o 7 47 <_ Py Ljyr if �17 1 .......... ........... .................... ...........I............... ...... ......................... .. ........ I... ..I��.................. ....... .... ....... "'* ................. ...........­_... ....... ... ........ ..I...... ................ . ....................... ............ ........... 01 SCARZAW ARE ay PLAT WITH TW WST LIW OF LOT a, SCA- LE: I C-7 sy T�us su�lm_y_ TO 7�4E FE9e'Rl� rM MAP PANEL NU. JMSC 0406 K &-FM7rW OV03jajq, HSEW APPEMS M UE 1,V Z&E -X-. 7,0 Am Fop Tw s6mzi 71 OF, OF An ABSTP.4CT, RUCKY DAVIS 6 lfojz0cc_. A 'F"W�W STREE7 Am"4ESS. AL-' ArtE R�R R-AT WCEW SlaW rjTh2ilW_r,,Z. 761 PAPADISE LAHE 17 7.-,St�E My A-7LANTrC BEACK FLORIDA ON 7WTS7St&_'*f M'5CW THAT A-0PLY WlIC4f AW hVT a-XM IN P,�BLM OF SAM comIlly, 'y WES NOT SWANTEE WPa6riP. k-6 rO(ZS 'iA'V3L 'Z� -Ir 4W-AEWAWhF P96-NBENTS ANDIOR gk*4140f XTEW WCH AS� bdf,40T LqJrrZV To 7,�e pMZDWDyS� &jZLtLrHG KArZ STMWE P= PAMR BLOCKI_� RUWSWro OR ON IC UTL %P]a� WAAr W OR 5��. OFFICE Copy MAP OF BOUNDARY SURVEY DESCRIPTION. '57. LOT 28 -0 r PAOE(S) j1,PARADISE LANE ACCO ING 7 PLAT THEREOF AS RECOME17 IN PLAT BOOK 31C�D HE 31A, 316 AND OF THE CORRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. rJ A 061A"M PART OF ZUTIOM 14 W, M ;,We 29C ail 4 FlAn -a. LOT en SCALE: V LOT e7 04. A SVRYEY NOTES! 01 BLEARTIMS ARE 6ASED ON.PLA r NzTK THE NEW LINE ar car ae. wime Q2-ij OR L1102P 10711. 'P EWA, W 21 Ta,,,3 m a,,,.- SCALE- I rs�' 119MAIM , g'.W. 1-1 A11110p%, F ,,,AN If %InN,'A O's"fam Avtw:hk�4 7b Lit IN zm;v,.K. TO AM P V��.Ei on THIS SURVEY 0 r TITLE ILE IevjAlx'F. BUCKY DAVIS OF AN ARS'PjCr 05 DrME1?SZW ARE SHOW TH FEE.I AM DEMALS wwap AND IRE PLA I AO W411JWF,2 griTAWISE, STREET ADDAES& 08 ALL EASEW949 ARE PER PLAT EMESS SWh7j OrwAltzge, 761 PARADZW LANE 07 THERE MAY BE ADDI L RES IC ATLANTIC WACK FLORIDA THIS SA ,TR_1a0.MV.1M.1A am VEV V ICH CA f1l,1'.M&&A61 a,SA f8 MIS SURYCY ODES NOT GUARANTEE ON)ERWip, 'E"PaWy' 1 191ROW"IS AAD N -WE fren RCM A% hir Wr Lion to to Ila 6 t;' pAyfft V.C&SL -.PC, 49 1 ,1,1yJF,&VV'A CA L ON at vroq 110 LEGAL mcprpTjry paopww Or CLmr. NOFICE OF UAWLIM HITS SUW,a FWWjj to I,"I WPACE YHEASoF Agr Ornsh bulyp"als sme,or ED AW IAMV Of 'I'J"y If PAQIK is 57'Riont r PAOH181 iW AhV A01RIF, on k CEPTIFI& 't '�TA ,ItW[S OF A "TR AR;7rCR C WaAlWA CL Y4 OgjW fD5,W Wy4n. WROtft EXPRESS FLOR10A ROISTERW MARVEM AM e5,(S ygm—""EK — NOr VALID mrTHOUr THE SYGNA .NAPPER tjD, 45 IW On z .45AL OF A FLORIDA Licemo swwo� kc.At. vm 'k Zm f,6.1 '04 js Rkp. rw Xf A;fA"7'cMF', 1w, FLA W. rimr,Aw Sir Eligu L-A 1j r, tfrr 0 grim xf, Es TA BOX A cw. kft 6 r pme FIELD SURVEY OAT E T ftAIC FIRST COAST LAND PROJECT I Trom RVIMARr 0,VZq/.-Oj 5-0-f/16"Rom SURVEYORS, INC. FOAAWARD 3161-4 Sr wotpiS ejuFF F?gqg S. jA0,rsWvILtf, pL.jW46 DRAIJN By. KMp FaRWATZ001 "45 1.90 779-"M FAX (904) 779-;17,94 FINAL MrIMATE40. LE&Vs CHECKED BY. VAN c EVIEWED 8 Y, w