491 Whiting Ln Dway, deck, pergola submittal Building Permit Application 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: Building-Dept@coab.us IS REQUIRED.
Job Address: 491 WHITING LANE,ATLANTIC BEACH,FL 32233 Permit Number:
Legal Description 31-16 17-2S-29E.17 R/P OF PT OF ROYAL PALMS UNIT 2 A LOT 15 BLK 11 RE# 171432-0000
Valuation of Work(Replacement Cost)$9,500 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ONew 1Addition ❑Alteration ❑Repair ❑Move LIDemo ❑Pool ❑Window C E IVE
• Use of existing/proposed structure(s): ❑Commercial ❑Residential MAY 18 2021
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Rea f Permit) ❑No
Describe in detail the type of work to be performed:
Concrete driveway will be expanded by 320 sgft.Wood deck and pergola will be added to the front of the house(not attached to current structure).See attached deaths
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Josue&Laura Cruz Address 491 Whiting Ln
City Atlantic Beach S' - �State FL Zip 32233 Phone (305)803-4722
E-Mail L g_0Z ,
31I � ( V 0-/--V'C&1 L
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Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Nu er
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt❑ Expiration Date
Application is hereby made to obtain a permit to do the wor and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all w6rk 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
RECORDING syR ,TJ.GE7OF COI MENCEMENT.
(Sign. . • • Owner or Agent) (Signature of Contractor)
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(�ed and sworn to(or a'irm-d)before -this of Signed and sworn to(or affirmed)bef e me this_day of
( V .CL-1 , 76)2i ,b 3 % • .la (` , by
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(Si: ature of Notary) , (Signature of Notary)
[ )Personally Known OR • ..
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Produced Identification-,,, ti YF e,, TONI GINDLESPERGE[ Pro.l
O ed Identification
Type of Identification: _I. ), (+ -`�' . ``''_ MY COMMISSION#GG N3of j.entification:
�l° EXPIRES:October 6,2023
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Owner Builder Affidavit **ALL INFORMATION
HIGHLIGHTED IN
_ City of Atlantic Beach Building Department GRAY IS REQUIRED.
I-
' 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
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: 491 Whiting Ln,Atlantic Beach,FL 32233
Owner Name:Josue A Cruz Phone Number: (305)803-4722
Mailing Address: 491 Whiting Ln city: Atlantic Beach State: FL Zip: 32233
Notarized Signature of Owner _
The cost oing ument was ack w -.ged before me this ': , I LI ' 20L in the State of Florida, County
of l_ ,
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Signature of Notary Pu. ' .. • '�._
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_[ ] Personally Known OR [ ] Produced Identification
Type of Identification: (L) .
—'��`_" Updated 10/24/18
��P.Y.e�a . TONI GINDLESPERGER
*` t ', MY COMMISSION#GG 353178
.+/�a.,ra, EXPIRES:October 6,2023
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RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION **ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOit NOl it TING all AND OBTAINING UTILITY LOLA]ES
Job Address 491 Whiting Ln,Atlantic Beach,FL 32233 Permit Number
Contractor Information
Company IL)St./e C ? Qualifying Agent
Address y 9 I V4 '
111 L Ni City /44-1‘,..4-4( ZeiLL State FL– Zip 3z-2 -
Phone 3 0 S — 90 3 ----'t 71---Z Email i (-10e-A'(U7- 51 9 e)pi'l<x,/ •C‘-'14"/State Certification/Registration# !J
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurers OR ExemptnExpiration Date
• Permittee declares that prior to filing this application they have ascertained the location of all existing utilities,both aerial
and underground and the accurate locations are shown on the sketches.
• Whenever necessary for the construction,repair, improvement, maintenance,safe and efficient operation,alteration or
relocation of all,or any portion of said street or easement as determined by the Public Works Director,any or all said poles,
wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said
street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the
Permittee unless reimbursement is authorized.
• All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the
supervision of 0hCe— (Project Superintendent)
with(Company Name) Phone
• All materials and equipment shall be subject to inspection by the Public Works Director.
• All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the
manner satisfactory to the City.
• A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit.
Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with
this application.
• The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60
days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no
changes have occurred in the area that would affect the permitted construction.
• It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,
title and interest in the land to be entered upon and used by the holder,and the holder will,at all times,assume all risk of
and indemnify,defend and save harmless the City of Atlantic Beach from and against any and all loss, damage and cost of
expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
• The Public Ws Dor shall be notified 24 hours prior to starting work and again immediately upon completion.
t,,,,yrect
Date 51/1/zL _I
•• ttt�• signer . - - ceof Notary Publi
ST• E OF FLORIDA,COUNTY OF DUVAL '
The foregoing instrument was ackn _ledged this �_ day oV \I `c,L- ,20 ,
by --SOSU e_ t--- , ) r v ,who personally appeared before me and
(printed name of Permittee) "="'•"�"
o� ,Y.,: c; TONI GINDLESPERGER
acknst.
dged t ie/ signed the instrument voluntarily for the purpose expressed in i _ter MY COMMISSION#GG 353178
.�� EXPIRES:October 6,2023
1 'f of f.... Bonded Thru Notary Public Underwriters
- i [ ]Personally Known
Signature of Notary Public,State of FloridaL [ ] Produced Identification(Type) b
H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
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Josue & Laura Cruz
491 Whiting Ln
Atlantic Beach, FL 32233
Work description detail:
1) DECK: Build 8'x24' deck that leads from the front door to the front south corner of the garage.
Construct framing using 4x4 PT posts and 2x6 PT lumber. Framing will be fastened together using 1/2
inch galvanized bolts with galvanized washers and nuts. All screws will be stainless steel including screws
used to fasten the deck boards to frame of deck. In order to support the deck boards over the concrete
sidewalk, PT 2x4 lumber will be ripped down to the appropriate size and anchored into the concrete
sidewalk thus completing joists every 16 inches on center, running parallel to 2x6 joists on either side of
walkway. All joists will be taped with Deck Wise tape to prolong life of framing. In order to get the deck
to the proper height, soil where framing lies must be excavated and then filled with gravel to control
moisture and soil contact to framing of deck. Once framing has been installed deck boards will be put in
place.
2) PERGOLA: Build Pergola approximately 8'x24' following footprint of deck. Pergola will be built using
four 4x4 PT posts on either side of deck spaced 8' apart and place 1.5' in the ground. The posts will then
be wrapped with 2x6 PT lumber completing the frame of pergola. All pergola framing will be fastened
with two 3/8 in. galv. bolts at each post with washers and nuts.
The rafters (2x6)will be placed on top of framing spaced 16 in. apart with Purlins (2x2s) running
perpendicular on top, with the same spacing. All screws will be stainless steel.
3) DRIVEWAY: 10' x 32' additional concrete driveway to the north of the existing driveway.
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SA6AQUTIY(irif MAP OF BOUNDARY SURVEY
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I I ----- DESCRIPTION:
I 1 LOT 15. BLOCK 11. REPLAT OF PART OF ROYAL PALMS
I I UNIT TWO A, ACCORDING TO THE PLAT THEREOF AS
I I RECORDED IN PLAT BOOK 31. PAGES 16 AND 16A
I I THROUGH 16D. OF THE CURRENT PUBLIC RECORDS
I OF DUVAL COUNTY. FLORIDA.
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ARNP•NOTES 1
/1 BEARINGS ARE BASED ON PLAT PITH TIE BEST LINE OF LOT IS
BLOCK IL BEING N0716'02'P.
02(MERSA:VFW UTILITIES FDUNOATIONS OR 0TIER
PIRR7VEMENTS ERE NOT LOCATED BY THIS SURVEY.
/3 ACCORDING TO TRE FEDERAL ERERGENCY NANAGERENT AGENCY
FIRRI RAP PANEL NO 12031C 0008 Pt EFFECTIVE 06/03/2013
TIE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE 'A'. CERTIFIED TO AND FOR THE
EACLUSIvE BENEFIT OF.
/4 TNIS ARVEY PERFORMED NI TNWT BENEFIT OF AN ABSTRACT, ,pS,IE A. CRUZ AND CRURA R. CRUZ
TITLE BEARD( TITLE OPINION OR TITLE INAAANICE. SOUTH FLORIDA EDUCATIONAL FEDERAL CREDIT UNION
/3 DIRENSIONS ARE 9(1101 IN FEET AND LECIRALS THEREOF KRAUSE AND BAA TER
AND ARE PLAT AND REASUREO UNLESS SNORT*OTIER'NISE DLO REPUBLIC NATIONAL TITLE INSURANCE COMPANY
C IS ALL EAg7ENTS ARE PER FLAT UNLESS SHWA OTHERRRISE.
STREET ADDRESS
�a 07 T)EiE RAY BE ADDITIONAL RESTRICTIONS TWT APPLY PNICN ARE NOT SHOWN
, ON THIS SURVEY 1NICTI CAN BE FOS/C IN PUBLIC RECODS OF SAID COUNTY. 491 NHILING LANE
,g ALANTIC BEACH. FL 32233
N M THIS StAYEY DOES NOT GUARANTEE OMERSNIP.
o Ay TENFOgARY. NQN-PEf7AUENT INPROVEAENTS AND/OR RAN-MADE ITEMS
O 9.01 Al BUT NOT LIMITED TO THE FCLLONING BUILODK MATERIAL.
C STORAGE PODS PAYER'BLOCKS R198ERMAIO W PLASTIC UTILITY
BUILDINGS NOT OM FOUNDATIONS VEHICLES ON BLOOM MAY BE ON
O THIS PROPERTY BUT NOT LOCATED OR 90111.
0 /
/SC,EGAL DESCRIPTION PRDYIOEO BY CLIENT.
i ,' i ....
v' 111 23BUILDING SETBA.•71 FROM A/W LINE PER RAT. /�
q9
NOTICE O'LIABILITY. THIS SURVEY IS CERTIFIED TO THOSE IIDIVIOUALS SHOWN ON _ �
TRE FACE THEWOF. ANY OTHER USE. BENEFIT OR RELIANCE BY ANY OTHER PARTY IS /��"/�
O STRICRV PRONIOITED ANO RESTRICTED. SiRVEYO+IS RESPONSIBLE ONLY TO THOSE ammo. YAM I EE=
CERTIFIED AND HEREBY OIS(LAPE ANY OREN LIABILITY ANG HEREBY RESTRICTS THE FLORIDA ' .(STEREO SURVEYOR AND NAPPER NO. 2046
R16ITS OF ANY CrIER •NDIFIDUAL OR FIRM TO LSE THIS 51.07ET. KITIOJT EAPRESS NOT vAL/D PITNpIT THE SIGNATIiE& THE ORIGINAL RAISED
` WRITTEN CONSENT OF THE StRVETOA SEAL OF A FLORIDA 111516E0 SURVEYOR APD NAPPER
LF c -Fp/p COtt71ETE'CROER, C N -CONCRETE TORMENT SEC -SECTION FA' -"RE"CA"' .F.-pat NI AON ELECTTRIC
F.1 R.0 -FOLIC IRON ROD ANE CAP P T -POINT OF TANGENCY TVP- IP C -CURVE N F -ID00 FENCE
F I.R. -MVO IRON RAA P.C. -POINT OF CWYATORE RTE - FIC -FOUND C 8. -OIORO BEARING
P.I P. -FOUND IRON PIPE U.E. -UTITLITY EASEMENT P 1.- CF INTERSFCrION MP) -PLAT ,M, _WTER IE MER
L S.1 R.0 -SET IRON NIRA AND CAP O.E. -ORAIMAGE EASEFENT A/C -A VI 1U/'1tIIf EB -ELECTRIC Box r -PAGE P0.f
F.moo -PAP',IWIL AMO DISK C C 6 -RM 6 PJTTER NTS - T D COC -CONCRETE LP {IQtT POLE
OM -FIELD IEAStPE1B2I Rim -RIGHT OT PAY 4 CLF CB -CABLE BOF
i RC1 -CALCULATE',REAEUNOTEVT C/L -CENTEALPE 6 P.F. —.' ' . q -p iE 8EA INN -MAWWLE
IF FIELD SURVEY DATE
I8CR?(1ARV
FIRST COAST LAND PROJECT INFORMATION
LOT PLAN ORDER NO: 24562
02/18/14 SURVEYING, INC. DRAWN BY: VAN KLEECK
oret�DARO340-222 EOI.NEM000 AVE SOUTH, JACKSONVILLE. FL.32205 REVIEWED BY: TNP
0 f)4TION PHONE (904) 779-2062 FAX (904) 779-7784 CHECKED BY: VAN
CERTIFICATE NO. LB 7251INK OA0SURVEYOR AOL.COM
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. 171432-0000
County of Duval
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: 31-16 17-2S-29E .17 R/P OF PT OF ROYAL PALMS
UNIT 2 A LOT 15 BLK 11
Address of property being improved: 491 Whiting Ln,Atlantic Beach,FL 32233
General description of improvements: Additon of 320 sf of concrete driveway. Front wood deck and pergola. (not attahced
to exisiting structure).
Owner: Josue&Laura Cruz Address: 491 Whiting Ln,Atlantic Beach,FL 32233
Owner's interest in site of the improvement: Primary Residence
Fee Simple Titleholder(if other than owner): Josue&Laura Cruz
Name:
Contractor: A-1,14 c D l.'l;N L _
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 fromt9lr'I4r :L=.- •:_.:.:.__,.:_•te is
0s�:R•••.�;; TONI GINDLESPERGER
specified): MYCOMMISSION#GO 353178
_ 3
• EXPIRES:October 6,2023
THIS SPACE FOR RECORDER'S USE ONLY OWNER °c Bonded Thru Notary Public Underwriters
Si: .• Date: �"f Y f
Doc#2021126267,OR BK 19728 Page 316, Before m- is _'"� say of its. .0- in the County of Duval,State
Number Pages: 1 Of Flo da,has persona ly a.'pe.red c»�_ ) l ,
Recorded 05/18/2021 12:12 PM, Notary Public at Large,Sta - of Florida,�ot f Duval.
n
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL My commission expires: Cf\ � �-� \I
COUNTY Personally Known: or
RECORDING $10.00 Produced Identification: 1,L