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441 AQUATIC DR FENCE CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 FENCE PERMIT MUST CALL BY 413M FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-FNCE-117 Job Type: FENCE PERMIT Description: 6FT FENCE Estimated Value: Issue Date: 10/9/2014 Expiration Date: 12/5/2015 PROPERTY ADDRESS: Address: 441 AQUATIC DR RE Number: 171818-5292 PROPERTY OWNER: Name: POPE, JAMES R Address: 441 AQUATIC DR PERMIT INFORMATION: UTILITY DEPT.: Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid Cleanout to be set to grade and visible. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach F APPLICATION NUMBER Building Department !To bas gn d by the Building Department.) 600 Seminole Road Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 Cityweb-site: I-ttio1l w .coab.us _\ / Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address- 7 A/ (' De artment review required Yes No Buildi Applicant: Tree Administrator Project: C t o Uti I lic uIc afety Fire Services Review fee $ - Dept Signature CONTRACTOR EMAIL A tDRESS CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Review: Approved. ❑Deni (Circle one.) Comments: BUILDING n/4 L2w � PLANNING &ZONING Reviewed by: Jn L_ Date: TREE ADMIN. Second Review: ❑Approved as revised. Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denies. Comments: Reviewed by: Date: REVISED 09252014 CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 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 BUIL I' 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 HAVF. 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. TELEPHONE THE BUILDING DEPARTMENT(247-5826)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. (I AOORESS PNONE NUMBER 4 PRINTME /o isl SIGNAT 1 f /1 /�7 I DATE Echajabus / IN, aCT ,2d4i mecaenNd Duval Stated Flwiea,has pxaowpeppevea neon nlmaelllnereanana aflim5Rm austatementsaneaadaremec are w'e a,m a.rate `♦/�� NWary Public N Larya,Basted/frit— ty a Vill CI PgKyf llY MnnT A5 t.... L- y„�Itivngtrslim- // �— fJ ,En yyyyyy,,, N vPublkStaled FlotMa m Gilaham O FF 0e6990 EsiassOW1aI20la Notary Signatu F.HLOfuLxrn.auilM Afetivn,,REV EO: 1.1 -72 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEAC'l 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 Job Address: 12 1.utf t C, �/ v .2 Permit Number: Legal Description — Parcel# or on o q. t. t Valuation of Work S-210 �� • 0 roposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Me Delmolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No tN W Florida ProductA proval# For multiple products use product approva arm (' Describe in detail the type of work to be performed: 1 Pat " T b art.] Property Owner Informatii�on: n I �� ,( Name: dm e� V ) I/y/.SU Address: 'T Cita' State IZip 3aa��Phone E-Mail or Fax#(Optional) t K` Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying_ ent:_ Address: City _ State Office Phone Job Site/Con umber Fax# State Certification/Registra 'on# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name an dd Bonding Company Name and Addre Mortgage Lender Name and Addres Application is hereby made to obtain a mit to do the work and installations as indicated I certify that no work or installation has commenced prior to the issuance ofa permit and that all work will be performed to meet the standards ofall laws regulah'ng construction in thisjurisdiction This permet becomes null and void fwork is not commenced within six(6)months, or fconsauction or work is suspended or abandoned for a period ofsir/6f months at any,time aper work is commenced. I understand that separate permits mull be secured for Blectrica Work,Plumbing,SYgtcs, W¢(/s,Pools,FLrnaces,Boilers,Healers, TnNrs rtndAir Conditioners,efe. G TO OWNER: UR AE OPTOFA NOTICE OF COMMENCMT MAY RESULT YOUR FAILURE TO TWICE OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOeUR NOTICE OF COMMENCEMENT. I hereby cert that 1 have read and examined this a plication and know the same to be true and correct All provisions oflaws and ordinances governing this type o)work will be complied with whether s ecifsped herein or not. The granting of a permit does not presume to give autheray to violate or cance!the Provisions ofany other federal,state, or local au,re ladng construction or the performance ofcomtz.aon. Lq Signature of Owner � 1 Signature of Contractor Print Name ..... (S ... ........ �/_ . -� ........... . Print Name 20 Before a r Before me this —Day of 20 Notary n tic L Graham ShWu dFb1MNol Public Mky NX/ My Cinnmwbn FF team, «w^s' e.v�m•ovs<ame Revised 01.26.10 MAP SHOWING BOUNDARY SUMVEY OF LOT 23-D ACCORDING WOUA U EC GARDENS OF AS RECORDED IPUBLAC BOOK O 380F PDUVAL) CO71 NDL71 DA. OF THE CURRENT CERTIFIED TO: JAMES POPE, CHICAGN-TTITLEE INSUR NCE.CE COMPAN P. A. WELLS FARGO BANK, ' „LOT 28-C I LOT 28-D 5 07-J6102" E 45.00' (R) S 070941" E 145.02' (M) 25 BE M 1/2 1/2PHONE a CORP 10 TO I . CORP 1]04 1004 —RISER oS.Y 1704 F O]' � nLOT 23-D 3:2' Qa C, 'a 0.3� 0.4' lil 0.7 AA/C /T� A/C 14.9' PAD u PAT O E F � 13.1' � QO I FENCE uw qQU Q ~O 1 k 2 STORY C0 q1 1 a & FflAME RESIDENIDEM CE NO 441 aht F b p K !V Ohh 4I� by b �n 3.8':n ro� 0.5'X 1.0' `COVD STUCCO CONC. OWMN G (TW.) n G CoHC <_ d 350.00' �_. 1/2• 34-G.15'12 1/2. CORP PL. CORP 1704 1]04 BEARING REFERENCE LINE N 0716'02" W 45.00' (M) N 07" 02" N, 45.00' 16 (R) yy / AQUATIC DR/VE (50' R/W) RCW 3CNE "%' " MELS CETENNINEO l0 BE ..... . U.I4 µHUK CX NCE FLWD F1MN /ROW . "%(SHPUED)"L NLEPS C,O S AN.UNEW 1 CANNUAL HANCE FLOOD: AREAS . 1%ANHU4L gµCE N1M RVERRGE OEPTIS CF 1f55 lHµ 1 OOT Cfl MlN OHNMPGE ME/.5 IE55 Mµ I SpIPNE MYf: µ0 4AE15 P0.01EC1E0 BY�EE�S��W�1 PoOYESµANCE FLOCO. �P N PACE nn 1. BEARINGS ARE BASE. ON PLAT BDON FLOOD ZONE K R S 2.STRUCTURE NO 441 OMN HEREON LIES %i 11 RW ___ - SHnnnn unoc Oe.,T NO 1 pATE004-O-1969