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314 Plaza RES20-0011
RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES20-0011 800 SEMINOLE ROAD ISSUED: 1/14/2020 ATLANTIC BEACH. FL 32233 EXPIRES: 7/12/2020 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: RESIDENTIAL ALTERATION REPLACE DECK AND RAILING $5000.00 14 PLAZA RESIDENTIAL FROM CARPORT ROOF TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169956 0000 ATLANTIC BEACH COMPAN = . ADDRESS: CITY: STATE: ZIP: OWN ER•` ADDRESS: " CITY: STATE: ZIP: LAMBERTJOSEPH JR 314 PLAZA ATLANTIC BEACH FL 32233-5442 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. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $80.00 BUILDING PLAN CHECK 455-0000-322 1001 0 $40.00 STATE-DBPR SURCHARGE 455-0000-208 0700 0 $2.00 STATE DCA SURCHARGE 455 0000-208-0600 0 $2.00 TOTAL: $124.00 Issued Date: 1/14/2020 1 of 1 ( 'J City of Atlantic Beach APPLICATION NUMBER 800 BuildingSeminole DepartmentRoad (To be assigned by the Building Department.) Atlantic Beach, Florida 32233 5445 -Phone(904)247-5826 - Fax(904)247-58451Uy ,� ' E-mail: building-dept@coab.us Date routed: I 14 / 2 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: J i PLA f-I De artment review required Yes o 1/4,uildina2) Applicant: k lanrting &Zoning Tree.Administrator • Project: bEC.K RA t fl,.!/l7C'"'1 Public Works Roo Public Utilities ONC / � PO2( c 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: L�Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: RC. UILDI PLANNING &ZONING Reviewed by: Y Date: /— /4/-d0 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 ':' 1'1''x"N 1Building Permit Application OFFICE COPY Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION 1 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY �o;:i��A9 IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us i Job Address: 3t14-- P t a aPermit Number: R 3zf` -Oo 1 l Legal Description Ai-140.41'c l-ea al Lot 7 011,..., i 0 RE# 1699 S6 -0000 Valuation of Work(Replacement Cost)$ S"0 00, 0 0 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ('Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial 'gResidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No /VA • Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) IYNo Describe in detail the type of work to be performed: Ref let e. tae`k auc4 r a i l I It V-e wccc vel C" L....11 - �vr Ltk2. /N-)0C ' rePalr te�kt'r ca�P�Jrt Vc�o{' 0 I ? z X Florida Product Approval# for multiple products use product appr ai z ( Property Owner Information C. , Z t Name SCtvie i- I~a wt b-ev'' I- Address 31'1' 17147-c.` O m - Z W City tlukfic i ('4C[,, State FL- Zip 322 Phone c/Oz-Y 2-4-1 -g'6 3 � 0 V 0 U FO- E-Mail f(L Ici vu be✓ 7 0 COW1C +, :ie (- Owner or/tent(If Agent, Power of Attorney or Agency Letter Required) O Z O 4 Contractor Information 0 J �- N Name of Company 0 W vie✓- Qualifying Agent O c- 1- t Z Address City State Zip LL ill Office Phone Job Site Contact Number C 0 W la $: in State Certification/Registration# E-Mail W o Architect Name&Phone# — w 0 W Engineer's Name&Phone# U w lc w Workers Compensation Insurer OR Exempt o Expiration Date W W Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal 1dion has OC commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT/WITH YOUR LENDER OR AN ATTORNEY BEFORE RECeRu (/" UR NOTICE O iVIMENCEMENT. . d (Signature of Owner or Agent) (Signature of Contractor) gned and sworn to(or a fir ed)b- this / day of Signed and sworn to(or affirmed)before me this day of n Zo Z O, ,,1 Q iIn • L -0 KT ,by ; . ..... "•"lt., TONIGINDLE islir .f to ary) (Signature of Notary) SPERGER ,*�' ik o� MYCOOMMISSION$GG 353178 AO ;,,P,! • ;,�,2623 [ ]Personally Known OR lt7 -4z_s_s0:755_a ]Produced Identification Type of Identification: Type of Identification: OFFICE COD ** ON s'-- �r Owner Builder Affidavit ALL ALL INFORMATION HIGHLIGHTED IFORMATI J "' City of Atlantic Beach Building Department GRAY IS REQUIRED. i '� 800 Seminole Rd, Atlantic Beach, FL 32233 2 `..).,4 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: &Sa0 --00/j 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: 3 1 LI- 7 /et 7- Owner Name: .e14—/-i7- ‘ric it.e f- - L. Phone Number: ?d'f ?-f( —1-6 96 Mailing Address: 31't Pla?0.-, City: f1-13 State: t L Zip: 3 2_2_13 c---0.-----,________---NZ Notarized Signature of Owner The f oing ifrent was ackno I ged before me this/1/4-( day • Q ,20�0n the State of Florida, County of ov 411 Signature of Notary Publ. [ ] Personally Known OR [ ] Produced Identification AO Type of Identification: 1" , - pdated 10/24/18 g4''":':k;.; TONI GINDLESPERGER ;tf,.. ;. MY COMMISSION I>e G 353178 :qM 1:I Po`B ceded ThrIR.ES:October 6,2023y I'•vO-%M1 O•• Bonded ' �! AIAl71s NOTICE OF COMMENCEMENT State of L t 0 V d Tax Folio No. County of Du Va 1 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 informatiorjis stated in this NOTIC�OF COMMENCEMENT. Legal Description of property being improved: (R J 14- p 14 a A-tla14..-1-Ic R'ti Lor7 RI 1.4_ ii© PEt- Ib `t' ?i C6 -cid 6 Address of property being improved: .?i`i- PI itz.,'L. -i,?'-1-aJ- 'l�+• (-- ,3cc.. 4L., 3))3 2' � General description of improvements: 1Teplu _ cec, 0.1A( Ira 1 / j n.-) velm-0'led -I ' pa 1 V 1ectL,'r cctvPavt roaf41c — 3i q' -P/4 L. AT u--k.c_e. c a, ,PO z2 Owner: ��11-Q.f (,.-Cl wt h-E� ✓� Address: , yOwner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: D IA)✓fe v — Address: Telephone No.: 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 ai{L i�fl�ordir�N c" , , .3rni:—.1 is specified): I ,.' ,•,^''t;+` MY ,t.„„.. •.. : : # y ^�41. EXPIRES:October 6, ' —_ '4'or,fgtP? •:,TM'Natty Pio J THIS SPACE FOR RECORDER'S USE ONLY OW � """' �' '- Doc#2020010712,OR BK 19069 Page 2431, Signed:• t ` Date: f I Z CD Number Pages: 1 Before is 1'( d o`54,r\_ Zo 7,0 'n the Coun y of Duval, tate Recorded 01/14/2020 02:23 PM, Of Flori ,has personally ap•-•--d ._. _ • Nn- t'e---✓ RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,Stat- : Florida, I 5 V Du COUNTY My commission expir- . —, RECORDING $10.00 Personally Known: — ' or Produced Identification: LS 1 (p - 4 ZS-So- S S - U