83 Garden Ct Paver Submittal s%f3-4i''r�' Building Permit Application Updated 10/9/18
:Jd
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address:83 GARDEN COURT, ATLANTIC BEACH Permit Number:
Legal Description 9-2S-27E .179 N Atlantic Beach Unit No3 PT Lots 74A,75A,76A,77A Recd RE# GI 3-10 00. 0
Valuation of Work(Replacement Cost)$ 2-5; 0-- Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition 11Alteration ❑Repair ❑Move [Memo ❑Pool OWind Door
• Use of existing/proposed structure(s): ❑Commercial (]Residential AUG 2 5 2021
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No
BY:
• Will tree(s) be removed in association with proposed project? DYes(must submit separate Tree Removal Permit) IONo
Describe in detail the type of work to be performed:
Replace concrete driveway w/ pavers, recap existing pool decking w/ pavers. Identical footprints both.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Grant&Suzanne Krueger Address 83 Garden Court
Atlantic Beach FL
Phone 770.316.3951
City State Zip 32233
E-Mail rantkrueger@comcast.net
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name ofCo9issio 5699maux Bestrld�sGlrcte rlView Paversonh ,LLC Quajiityjwilagent
262
Address City State FL Zip32225
Office Phone 9042262221 Job Site Contact Number
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 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 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
RECORD YO NOTICE OF COMMENCEMENT.
4r ,Awf
(Sign. u - of 0 er or Agent) (Signature of Contractor)
ASigned anysworn to(or affirmed)before me this � day of Signed and sworn to(or affirmed) before me this day of
it 6 uS'l , � 2 I , byOlfroot �� t-.4
, by
J r U (Signature of Notary)
•dcP:"P`&e, Notary Public State of Florida 0
Jacqueline F Tacandong
' c My Commission GG 193555
[ ]Personally Known OR1/4
4 Expires 03/07/2022 [ ] Personally Known OR
oduced Identificatio4 °/y io' [ ]Produced Identification
Type of Identification: S Z Type of Identification:
Owner Builder Affidavit **ALL INFORMATION
rS'`L���r HIGHLIGHTED IN
'J -' City of Atlantic Beach Building Department GRAY IS REQUIRED.
i
C800 Seminole Rd, Atlantic Beach, FL 32233
""--,---1:);1 1.)%
v 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: 83 Garden Court, Atlantic Beach, FL 32233
Owner Name:Grant & Suzanne Krueger Phone Number: 770-316-3951
Mailing Address: 83 Garden Court city:Atlantic Beach State: FL zip: 32233
:�Notarized Signature of Owner fig?(
The foregoing instrument was acknowledged beforyfte this4 21,—day of iic , 20-1 ,, in the State of Florida, County
of "D>,k;A<\--
,
Signature of Notary Public1-.)0--c --%A-i-k-r- 4t.YOv!,. Z, Notary Punllc Stale of Honda
Jacqueline F Tacandong
[ ] Personally Known OR [A-Produced Identification Y My Commission GG 193555
J 4
031:4 Expires 03/07/2022
Type of Identification: -VI% -PR ii`Q 5 ` Jc
Updated 10/24/18
REVOCABLE ENCROACHMENT AGREEMENT
emoi,i,,' City of Atlantic Beach **ALL INFORMATION
; HIGHLIGHTED IN GRAY
800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED.
II
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing under the laws of the State of Florida, hereinafter referred to as"CITY" and
GRANT & SUZANNE KRUEGER of Atlantic Beach, Florida, hereinafter
referred to as "USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon
the property for the purpose as described in the City of Atlantic Beach.
This work is generally described as Replacement of concret driveway with pavers, recap existing pool deck.
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirty(30)days'notice by CITY to USER,said notice to USER shall be given by certified mail, return
receipt requested,to the following address 83 GARDEN COURT, ATLANTIC BEACH, FL 32233
• In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or
adding to of the utilities and facilities of the CITY or franchise utility provider.
• The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h)
which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks."
• The USER, prior to making any changes from the approved plans and/or method, must obtain written approval
from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of
completion.
• This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and
assigns.
• USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications, to include utilities locate requirements and use limitations/requirements of easements, public
right-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be
saved harmless by the USER from any of the work herein under the terms of this permit and that all of said
Iia•ilities are hereby assumed by the USER.
Pia / Ir Iii Date Z.S 2 2-1
Property Owner/• :e (si:ned in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this 2� day of -AN A4 , 20 2( ,
byrum V it ((ri ,who personally appeared before me and
`(printed name of Signer)
acknowledged that he/she signed the insttuataLliaklaravitaLtkeiguaLplose expressed in it.
µYY B
4 01l �e, Notary Public State of Florida
t • Jacqueline F Tacandong
555
�_ w My Commission GG 193555 Department Approval:
•
y ,, Expires 03/07/2022
Signa NotaryPclblic,State of Flori O,,,o3
g ,�..
[ ] Personally Known
tip Produced Identification (Type) Wit— T(Zv'V'S tt:z-e-A--ire Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
Prepared By ,
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LAND SURVEYORS
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PROPERTY ADDRESS: 83 Garden Court Atlantic Beach,Florida 32233 SURVEY NUMBER: 1206.0301
FIELD WORK DATE:Art++z 2 REVISION DATE(Sk,rr.4 oil 1.-20,7
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--nee No.
2021 NOTICE OF PROPOSED PROPERTY TAXES DO NOT. PAY
Duval County, Florida
THIS IS NOT A BILL
Legal Description:
III III II III 111..11 HIOII II9-2S-27E .179
180413 1 AV 0.398******AUTO**5-DIGIT 32224 5DGS 2 FT 451 N ATLANTIC BEACH UNIT NO 3
I1III'I11II'1II1I'll'1I1IIII1I"IlI'IV'I�II'lll��l'll'lll��lll PT LOTS 74A,75A,76A,77A RECD
O/R 19399-1780
KRUEGER GRANT
KRUEGER SUZANNE O
83 GARDEN CT
ATLANTIC BEACH, FL 32233
RE No: 1697160050R Use:0100 Dist: USD3 Prop.Address: 83 GARDEN CT
•
TAXING AUTHORITY TAX INFORMATION
TAXING AUTHORITY
Prior(2020) Your Final Tax Rate and Taxes Current(2021) Your Tax Rate and Taxes Your Tax Rate and Taxes-
Taxable Value* Last Year(2020) Taxable Value' This Year if NO Budget This Year if PROPOSED
Change is Made Budget Change is Made
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
RATE TAXES RATE TAXES RATE TAXES
County 692,187 8.1512 5,642.15 726,859 7.7765 5,652.42 8.1512 5,924.77
Public Schools:
By State Law 717,187 3.6570 2,622.75 726,859 3.4988 2,543.13 3.5600 2,587.62
By Local Board 717,187 2.2480 1,612.24 726,859 2.1508 1,563.33 2.2480 1,633.9E
FL Inland Navigation Dist. 692,187 0.0320 22.15 726,859 0.0306 22.24 0.0320 23.2E
Atlantic Beach 692,187 3.2285 2,234.73 726,859 3.0836 2,241.34 3.2285 2,346.6E
Water Mgmt Dist. SJRWMD 692,187 0.2287 158.30 726,859 0.2189 159.11 0.2287 166.2
TOTAL AD VALOREM PROPERTY TAXES 12,292.32 12,181.57 12,682.52
PROPERTY APPRAISER VALUE INFORMATION
MARKET(JUST)VALUE ASSESSED VALUE ASSESSED VALUE
(Before Exemptions) (Before Exemptions)
Applies to School Millage Applies to Non-School Millage
PRIOR YEAR(2020) 742,187 742,187 742,187
•
CURRENT YEAR(2021) 726,859 726,859 726,859
Applied Assessment Reduction Applies To Prior Value(2020) Current Value(2021) If you feel that the market value of th
Save Our Homes or Portability Benefit All Taxes 0 0 property is inaccurate or does no
reflect fair market value as of Januar
Agricultural Classification All Taxes 0 0 1, 2021, or if you are entitled to a
exemption or classification that is no
Non-Homestead 10%Cap Benefit Non-School Taxes 0 0 reflected, please visit the Duv<
Exemptions Applies To Prior Value(2020) Current Value(2021) County Property Appraiser's Office
231 E. Forsyth Street, Jacksonville
Charitable&Institutional All Taxes 0 0 Florida 32202, call (904) 255-5900 c
one of the numbers on the bac
First Homestead or TPP All Taxes 25,000 0 of this notice.
Additional Homestead Non-School Taxes 25,000 0 If the Property Appraiser's Office i
Disability All Taxes 0 0 unable to resolve the matter as to th'
market value, classification, c
Limited-Income Senior 1 County/Municipal Taxes 0 0 exemption, you may file a petition fc
an adjustment with the Duval Count
Limited-Income Senior 2(25 yrs) County/Municipal Taxes 0 0 Value Adjustment Board. Petitio
Widow/Widower All Taxes 0 0 forms are available online e
www.duvalpa.corn or at the addres
Historic Preservation County Operating Taxes 0 0 above.
Deployed Service Member Exemption All Taxes 0 0 Petitions must be filed on or before
qqyy�� September 7, 2021
Ip:#�s CFF PFVPP F SAIF FOR FYPI ANATIONS OF THF COI IJMNS AND SECTIONS ABOVE.