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760 Redfin Dr RES20-0039 Int Remodel RESIDENTIAL PERMIT PERMIT NUMBER , CITY OF ATLANTIC BEACH RES20-0039 Vr 800 SEMINOLE ROAD ISSUED: 3/2/2020 \ 401119'r ATLANTIC BEACH. FL 32233 EXPIRES: 8/29/2020 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: 760 REDFIN DR RESIDENTIAL ALTERATION INTERIOR REMODEL $2000.00 RESIDENTIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171310 0000 ROYAL PALMS UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: BOYD TRAYWICK AND ANNE MARIE DUFFIE 760 REDFIN DR ATLANTIC BEACH FL 32233-3902 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 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $101.50 Issued Date:3/2/2020 1 of 2 -1,-, , RESIDENTIAL PERMIT PERMIT NUMBER to j _ CITY OF ATLANTIC BEACH RES20 0039 800 SEMINOLE ROAD ISSUED: 3/2/2020 "' EXPIRES: 8/29/2020 ATLANTIC BEACH, FL 32233 I Issued Date: 3/2/2020 2 of 2 f ,• City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) i 800 Seminole Road �`-� ,' Atlantic Beach, Florida 32233-5445 K SjZO'`-'(� O3� Phone(904)247-5826 • Fax(904)247-5845 r_o;ilt}r E-mail: building-dept@coab.us Date routed: 2/14 /ZO City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 &() k IU FI c jI _ Department review required Yes No wilding _, V Applicant: Q±WA)±:z(Z Planni Zoning Tree Administrator Project: I (� Zi- COC- [ C-_-• 4-\00e l- Public Works Public 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: 1 Approved. I 'Denied. ['Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING 4 / /a sAa Reviewed by: Date:a TREE ADMIN. Second Review: ['Approved as revised. Denie ❑ pp ❑ I 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 ---'AI ,P.-1,'- Building Permit Application Updated ID//918 O ** FFICE COPS r .---- City of Atlantic Beach Building Departmen ALL INFORMATION 3, 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY !);1 ,; c vIS REQUIRED. Phone: 247-5826/Email: Building-Dept@coab.uspp Job Address: Too /�ta�iv, AV� Al/Ay�t 1✓ic Permit Number: '�CSZ C) —cX339 Legal Description 30-41i 11-25-Z'fe i€OGfa/ Pafn$ Ubn Z 1-d. /5 Elk ? RE# /7/3!0 - 0000 Valuation of Work(Replacement Cost)$ 2000 Heated/Cooled SF //00 Non-Heated/Cooled • Class of Work: ❑New ❑Addition VAIteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial Bfesidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes ttIJo • Will tree(s)be removed in association with proposed project? EIYes(must submit separate Tree Removal Permit) ['✓1 o Describe in detail the type of work to be performed: rek+OVe- ei // 4 6-wl.,a4j or non s-telfa4"-w/P<w1F%fi 14A/k 4, b4414,00,,,,r 1.41414067 ro014i G16.o1 ✓LpilRct `+I r/tt „tea 6 .1iNf ! s(4,./k,,i// /e'k101't -file f/DDb %kJ -thiv hyADm No clrtA cs l any Lrlyvictifr+af f+a.•riKfc .- r•vork /Aye.t.7t I Florida Product Approval# for multiple products use product apzoval form Property Owner Information p n J = Q r6 O Name &0yd T bt4 e Address 7160 /Q' i?(Gh ,Orifi O- z0 r City /I•/dtn#?C- it3e4 a State FL. Zip 32233 Phone 321•- 228- 3644z 0 m F= 0 ill E-Mail bdi-i>�ie1/4�n�ai/. eoei' � � o Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) w I Q O Contractor Information _ 0 Q O Q Name of Company Qualifying Ag" U FJ-• t» ti Q Address City State Zip CC F- Z Office Phone Job Site Con . Number C) U. g u) State Certification/Registration#__. E-Mai — [] 0Uiiii >° Architect Name& Phone# LA.t B. 5 m Engineer's Name&Phone# 5 - w p W g IJJti) NW W Workers Compensation Insurer OR Exempt 0 E�iriitio�h pat3'0 y Q LU L Application is hereby made to obtain a permit t- do the work and installations as indicated. I certify that no work or insta tion has OWC commenced prior to the issuance of a permit:nd that all work will be performed to met the standards of all the laws re ating construction in this jurisdiction. I understand that a separate permit must be secured fdr ELECTRICAL WORK,PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NQTICE: 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 REC o WI - ' o U ' NOTICE OF COMMENCEMENT. lI - - — _ ignature of Owner or Agent) (Signature of Con .ctor) r eci and sworn to(or affi ;•) be • e this i day of Signed and sworn to(or affirm:•)before me this day of by ,. .ful 0 ' , ,b moraras ign - = ot '� (Signature of Notary) S .Y,e `. T.riGlfd)LESPERGER a: L MY COMMISSION#GO 3'3178 . [ ]Personally Known OR , =;rte`•; EXPIRE.Sl &isO�I,�,�PQ y2Mnpwn I R [ I Produced Identification E)C '' ? Bonded Mk tlo 0 iedrAP, Xaflc ion Type of Identification: - _ ALL �uOwner Builder Affidavit r **HIGHLIHIGHLIGHTED INFORMATION ,� OFFICE COPY HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. ':17111111r 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: QtS c2O 7637 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. 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: 7/j I G( rH �v-(✓e A?'�GLti, c- 1?4CA Owner Name: Boyd Phone Number: 3z/ 22g. ?4(42— Mailing bizMailing Address: 760 City: Alk--A-;-- G4 State: Ft. Zip: 3 Z- 2 ?? Notarized Signature of Owner of eg inins i ument was acknowledged before me this 141day of e* 0 the State of Florida, County Signature of Notary Pub '. " ER [ ] Personally Known OR [ ] Produced Identification IP ��: CONI ISSION#GG 53 • '•' ':.; MY CC MISSION#GG 353176 • '1*RES:October6,2023 Type of Identification: �7 ~7 �.:3ry QuWic Underwriters t 0-1 0 ! r Updated 10/24/18 Electrical Permit Application OFFICE COPY **ALL INFORMATION HIGHLIGHTED IN rS''�''�r pM " ° City of Atlantic Beach Building Department GRAY IS REQUIRED. v 800 Seminole Rd, Atlantic Beach, FL 32233 C E - � 119), Phone:d (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: —71,0 gar i14 i PROJECT VALUE $ i9 g-11 JEA INFORMATION REQUIRED ON ALL PERMITS: 2-to AMPS 2 20 VOLTS 3 PHASE ri NEW SERVICE: ❑Overhead Underground OUnderground up Pole OResidential (Main)Service: O 0-100 amps 0101-150amps 0151-200amps 0 amps #of Meters OCommercial (Main)Service: 00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps Conductor Type Size OMulti-Family(Main)Service: O 0-100 amps 0101-150amps 0151-200amps El amps #of Unit Meters IT TEMPORARY POLE: amps SERVICE UPGRADE: ❑ amps ❑CT Service amps n NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps 0 amps D T Service amps ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: lb 0-30a mps 31-100amps 101-200amps Appliances: - 0-30amps / 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: ZO Ell OTHER ELECTRICAL PROJECTS: ❑Swimming Pool['Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ['Motors HP n FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps n REPAIRS/MISCELLANEOUS: ['Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG [Other: Updated 10/17/18 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 2 Z I _ p_� 7 Owner Name: 1(41 �><�� Phone Number: J O -3j Z- Electrical Company: e) -) n Qi-- Office Phone: Fax: Co.Address: City: State: Zip: License Holder: State Certification/Registration#: - r Notarized Signature of License Holder , ,,yri ,•.;,,,, •.• ; _.,-d before me this /' day of ,, . * $4 , n e State of Florida,County of ••';n�. TONI GIN4 DLES- - 47 tas.' t MY COMMISSION#GG 353178 lignature of Notary Public L/ ��.,e`A.1o; EXPIRES:October 6,2023 'lf OF F�?. Bonded Thru Notary Public Urdowdtets ] Personally Known OR [ ] Produced Identif'cation • Type of Identification: (.r s�� r Plumbin Permit Application **ALL INFORMATION g pp �FFICE COPY HIGHLIGHTED IN o� City of Atlantic Beach Building Departmen GRAY IS REQUIRED. ler 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 76.9 ge#IEi' �Y/�'`G A`ffM>,f�:- $�lc� PROJECT VALUE $ .2' 420 (JEW OR REPLACEMENT INSTALLATION and/or CRE-PIPE TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub I Septic Tank & Pit Clothes Washer 1 Shower I Dishwasher Shower Pan �— Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Z Hose Bibs Urinal Kitchen Sink � Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory 2 Water Heater Other Fixtures Water Treating System CJVIISCELLANEOUS XISewer Replacement ['Back Flow Preventer ❑Lawn Sprinkler System (number of sprinkler heads) Erease Interceptor (Trap) gallons (Requires 3 sets of plans) Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection. ** pother Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Owner Name: 80y4( Phone Number: 32,1- a-2-8..36V-2- Plumbing Company: C)C,.n e c' Office Phone: Fax Co. Address: City: State: Zip: License Holder: State Certification/Registration # Notarized Signature of License Holder W . 7C)17 The foregoi : instrument w acknowledged before me this /41 d . . , 2C0,01the State of Florida, County of Vlb • Y P" TONI GINDLESPERGER i: :, MY COMMISSION#GG ‘121;. ^ 2023 EXPIRES:October 6,2023 Signatureof NotaryPubli OP/ OF �rFF,OP. Bonded Tlw Notary Public Underwriters411/ [ ] Personally Known OR [ ] Produced Identifica Ion Type of Identification: ! ) ( Updated 10/17/18