353 Buoy Ln RES19-0338 Siding RESIDENTIAL PERMIT PERMIT NUMBER
yr CITY OF ATLANTIC BEACH RES19-0338
\J ISSUED: 11/25/2019
,f 800 SEMINOLE ROAD EXPIRES: 5/23/2020
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:
353 BUOY LN RESIDENTIAL ALTERATION HARDIE LAP SIDING, SOFFIT $10000.00
RESIDENTIAL & FASCIA
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170703 0400 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
MCNALLY HARRY E JR 353 BUOY LN ATLANTIC BEACH FL 32233-4101
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $105.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.36
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $161.86
Issued Date: 11/25/2019 1 of 1
i,A,y f"./,, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
_" Atlantic Beach, Florida 32233-5445 - L-'
J Phone(904)247-5826 . Fax(904)247-5845
,_%9;119r E-mail: building-dept@coab.us Date routed: I ( e)
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '? 5 S 6 U 0 y (-- -% Department review required ' Yes No
uiI jn- , ✓
Applicant: (ILo (\.3 E i`— Planning &Zoning
Tree Administrator
Project: H AR,kCM
-- l.C LAP - t Dt u CI Public Works
r Public Utilities
aCIPP(2-- s P-A C L( 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: Q pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: //• 0 e/'<9
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
ri'"''"-/ Building Permit Application - COPYUpdated l0/9/18
O f}\
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
`o': 9•-• IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 353 t361)Y LAtVe. A.G. F. 322.33 Permit Number: (c !✓St 9 - O33 e
Legal Description 3S-b4 1-2 - 25 - 21 C SEASp'Gip'.y L.07 I, RE# 17o703-o4pp
Valuation of Work(Replacement Cost)$ lbr Ooo =� Heated/Cooled SF 4 Non-Heated/Cooled
• Class of Work: ❑New ❑Addition )Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes IkNo
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) frNo
Describe in detail the type of work to be performed: W
r &s't'ALL HARQtE. LaNp SICI t►y6/ SOGEt1 Alv0 VAScIA Z
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Florida Product Approval# / 3/ I v)-- for multiple products use product apprclWrrZ p
Property Owner Information n W 0 0 ti.i
Name !-IAQQy E . Mc Am-LN Address 353 alloy LAts P . FL 327,.S0 a 0 ~
City Al- .AtatL elE�ac.K State FL Zip L 2 2.33 Phone W — Q U
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E-Mail In Evv\ ISS-3 e- t4O1-I..AAL...Cow. ❑ z cc :z
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) V a
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Contractor Information I- cn I-
OC Q 1.- Z
Name of Company MILLElvlatur► cot.rr t Qe.v*.wPw.Sray Qualifying Agent W l t-`. P -sQN 0 EL. 5 W
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Address I31 PR nacAss 141-41.4../ 2
� 6Q. 32.2, 4- City 3'Arc State Ft_ 2
Zip 322A-O t j
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Office Phone Job Site Contact Number 904- 6.35- t14S IWii . a� ¢ al
State Certification/Registration# CBC 1131)112. E-Mail Al._SN W tt
O , 1 AN. e. co►mc as-r. htcz" 'S u1
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Architect Name&Phone# W U cr W
Engineer's Name&Phone# W >
Workers Compensation Insurer OR Exempt, Expiration Date CC w
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 regulating
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 a,+.yr; ' vtED
permit,there may be additional restrictions applicable to this property that may be found in the 'u'.° ..,dw. it an
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 ii(4nplia8ce20f8 all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMit tg NIMUeparMAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PR��{ tYA!rn�ITDFL
,
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
�(Si(Signature rorA Agent) (Signature of Contractor)
Signed and sworn to(o,affirmed)I�efore me thi day of Signed and sworn to(or affirmed)before me this day of twh-tr
.� . i►u ,, LORI , r
(:i6 • e •�►'' 'r// `: '• ;*= lEXPIRES:�vettlbEt t3, I��;na it e of Notary)
I
''"0..1 `FPS g TMuflobry P . .:�
[ ]Personally Known OR --r .n. y ''nown OR
Produced Identification .r .I3/0 if ]Pr uced Identification
Xjpe of Identification: 1 '� L . �" 9 yp�F Identification:
YYYCCC���111 �l,...63
Perms I -' 2tsIq - � 33� OFFICE COPY
NOTICE ,,r LOMMENCEMENT
State of F Loa 10A Tax Folio No. 134.93 1e) . 000
County of UV\fP�L,
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
3S"--6 4 l 7 — Z5' — z i E Se A S PP.A'/ L.OT I T
Address of property being improved: 353 eu 1-.Rive.. PtT1.A.b T'1,C. QcAGK 3 22.33
General description of improvements: IV E,W H AC1 01 E. LAP S 1 a \N C,, t'-c7ASc p
Owner: KARR-1 E., 1Yc NAl1� Address: 353 a L) A0 32.x'33
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: MI LA- 4 WV'A Co cv.TAP4S..'tAe•on Oe•-1 VV .aT
Address: I aS-Oct PO-II.4c.0•ss KE L.1,i UQ.. A;)c. 3 222 5'
Telephone No.: 404 —240-q 034 Fax No:
Surety(if any)
Address: Amount of Bond$ _
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified): ocets)
THIS SPACE FOR RECORDER'S USE ONLY OWNER /
(
: • :YLORIOUIZ Signed: !42 ✓e We/7y'
ly
:i. `' 4 MY COIAISSIONIGO276336 Before me this day of V • in the County of Duval,State
S:Noventer 13,2022 Of Florida,has personally appeared
" %•» • BoadedihNNderyPii ICLldel1idM1 Notary Public at Large,State of Florida,County of Duval.
My commission expires:
Personally Known: or
Produced Identification: .. r .
Owner Builder Affidavit OFFICE COPY **ALL INFORMATION
HIGHLIGHTED IN
J •
'i City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 L
"'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RE.sib -0M
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$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON ISA LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: 5 3 -e-.),a0,} Lf.t..sE , �c �1 kc?jc-k�. k---k.... -D,- -)...-.3 -
Owner Name: ��R��t7i\�� &NYC--`,. C\\L SPALL Phone Number: Sa1/4-1'ak--kk'�k.40Ct L\
Mailing Address: ?j53 @j CL)t.-6.4-.e__ City: -lt.-.t��'(r L State: L Zip: - ,� a-)j
Notarized Signature of Owner / •-"-,-7 124 r•--1-1-3e
The_foregoing instrument was acknowledged before me this c� day of 1\ J)(141(20 Vi, in the State of Florida, County
of t`)0,164
Signature of Notary Publici M
L DIA [ ] Personally Known OR [ Produced Identificati
'•' my pNi0027633S /1
": Type of Identification: u _ A U
Updated 10/24/18
kmy ,\ v C'- U • U W L`
OFFICE COPY
Products Covered Frame Type Florida Approval Number
Hardt ePtank Lap Sidi . Cemplank Wood FL13192
Lap Sdirtg Metal FL13192
Concrete Masonry Unit FL13192
Ha>diePanel Siding. Cempanel Siding Wood FL13223
Metal FL13223
HardieStlingle Siding Wood FL13192
Metal FL13192
•
Concrete Masonry Unit FL13192
HardeSoffitt •
Wood FL 13285 •
Metal FL 13265
Amman Lap&V-Rustic Siding Wood FL10477
Artisan Sd+ng vim Lock Joint system Metal FL10477
Reveal Panel Wood F L 1 g9f31
Me..3L 19$D 1
ardiplank 5/16 6 25 No.11 ga. Through 2■4 r. 0-15 150 150 130 150 150 150 120
1-114'long top edge wood 20 150 140 120 150 150 140 120
galv.roofing of plank 40 150 130 120 150 150 130 110
nail 60 150 130 110 140 150 120 11
100 140 120 110 100 95
- 1 1
Hardiplank 5/16 7.50 No. 11 ga. Through 2■4 16 0-15 150 130 115 150 150 130 110
1-114'long top edge wood 20 150 130 110 140 150 130 110
galv.roofing of plank 40 150 120 110 135 150 120 100
nail 60 140 115 105 125 150 110 95
100 130 110 100 95 85 120 95 85
Hardiplank 5/16 8.00 No. 11 Ga. Through 2 it 4 16 0-15 150 130 110 150 150 130 105
1-1,4"long top edge wood 20 150 120 110 140 150 120 100
gals.roofing of plank 40 140 115 100 130 150 115 95
nail 60 130 110 100 120 140 110 95
100 120 110 95 90 80 115 90 80
Hardiplank 5/16 8.25 No. 11 ga. Through 2■4 16 0-15 150 120 110 140 150 130 105-
1-1/4"long top edge wood 20 150 120 105 140 150 120 105
galv.roofing of prank 40 140 110 100 125 150 110 95
nail 60 130 110 100 120 140 105 90
100 120 100 95 90 80 115 90 80
All the Best-Mike
Mike Pfaff
WV_ Faa PstL54