470 GARDEN LN RESO22-0037 DECK AND FENCE Building Permit Application
Updated 10/9/18
(-- ,- City of Atlantic Beach Building Department **ALL INFORMATION
K.\...,;___-; 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 110 (...,42Grs- (n.�h- ts--n ;`ic_ I?OtC 14 Permit Number: R�SO 22 O CD3 7
Legal Description ;- 39 -U9 -2.5-2AL 2kSf ti \ 1A+ANk (tA -1--...0 Lir 10 RE# 17 20LU - 5 2 20
Valuation of Work(Replacement Cost)$ IS,CX)CHeated/Cooled SF Non-Heated/Cooled
• Class of Work: &New DAddition ❑Alteration DRepair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial1Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes l 'No
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed: 1 ,.c.),-.11"4....4. ci — 0 Y A (1ec
c� _ (.......J.0 -PEN,c,E
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Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name )/-t.(i(v-P\j ‘-- .AC,.)oESZ -4t .•itt`-+S Address 4.1c G-I-VO i - (,,..44..,c:.
City 411.4:N.--att.- ('aKb,trt State rt.- Zip 1 :Z _>3 Phone CoCCIi 14 1 i31, 9
E-Mail 1 JSv;r-'SEC rv- iL,c ,r-•
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information - N/A
Name of Company Qualifying Agent
Address City State \ Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail \
Architect Name&Phone#
Engineer's Name& Phone#
Workers Compensation Insurer _OR Exempt❑ Expiration Date N
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
RECORDING Y9UR NOTIC OF COMMENCEMENT.
t •
(Signature or Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this plot day of Signed and sworn to(or affirmed)before me this day of
V11 Ne , Jr. 2 b !`,,a i e • 11/(A by
( ;:*' TERRY HENOR�' v ' Al /
4 ; ��4, naturM otary)
•a.,••. votary Public-State of F'.oriCa(� = (Signature of Notary)
?�, ' commission 8 H i 8E5�
"`' M Comm.Expires Nov 30.202`5.
[ 1'Pe son 'll Know [ ]Personally Known OR
e enti ication Y n
U [ ]Produced Identification
Type of Identification: Type of Identification:
**ALL INFORMATION
Owner Builder Affidavit
HIGHLIGHTED IN
;' City of Atlantic Beach Building Department GRAY IS REQUIRED.
" f 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 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: 410 6&e..OFLAS pc-ct.. ic ,c (�&►cCK. . ZZ3-3
Owner Name: fi)dQr�n c) VI X15 -4- 2 TA) t...6 Phone Number: (0e1 c117 C,a,5'(
Mailing Address: 1-1L_4,E. City: paz,.,T tc_ &C;psCc( State: ft-- Zip: S fL
Notarized Signature of Owner
The fwegoing instrument was acknowledged before me this 22-day of , 2022, in the State of Florida, County
of Ulu at-
Signatureof Notary Public J
N- �s TERRY HENDRY — v
Notary Public State of Florida '' �
Commission r♦H 1885aa [ ) Personally Known OR [L}.' oduced dentification
My Comm.Expires Nov 30.2025
Type of Identification: 0 ittuets Li L
Updated 10/24/18
Q Fence Addendum
Updatedl/14/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
;trayPERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
¶70 bgnL i -ATL T\C, X6(11 (x,21/2ozL
Property Type: Lot Type/ Features:
A Residential ❑ One Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage(corner lot,through lot,
etc.)
0 Swimming Pool
Fence Material: Fence Height (select all that apply):
X Wood ❑ Four Foot(4ft)
❑ Chain Link Six Foot (6ft)
❑ Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
O Other
Fence Location:
Please submit an accurate and current boundary survey showing all existing improvements(including building footprint,
driveway,swimming pool,etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or
retaining walls and any portion or fencing above 6ft in height.
Will the fence be built in an easement?
❑ Yes (must submit separate Revocable Encroachment Agreement)
N(N o
Will tree(s) be removed in association with proposed project?
O Yes (must submit separate Tree Removal Permit)
)<No
Conditions of Approval:
• Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way.
• All old fencing and debris must be removed from job site by contractor or homeowner.
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 YOUR NOTICE OF COMMENCEMENT.
BOUNDARY SURVEY
r PLAT LIMITS
erf E- 1 S89°08'46"W
�' S89°08'46"W 56.19' 4. •
FT—
1s.00'
...........
J 50.0'
SET 112" FOUND 1/2"
IRON ROD o IRON PIPE � �
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J N ` 1 i I PAVER ansC"'
V,II i... T �' PATIO
10s'. 18.4' 1 I I o.a' c:4 QI
a . gar-- 0 13.0' CO
13.7' o o O I Q
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• BUILDING N m N
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,It 13.0' o
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FOUND 1/2"
IRON PIPE
FOUND 1/2"
S89°08'46"W �/ C-1 IRON PIPE
45.13' SET 1//2"`
G, IRON ROD
LB#7893- ° 4
_ _ _ _ _L_________
GARDEN LANE
60' R/W(IMPROVED)
I
SURVEY NOTES C-1 R=25.00'
ON SOUTHERLY/SIDE OF LOT.E CROSSING INTO RAN L=9.94'
THERE ARE FENCES NEAR THE BOUNDARY =22°46'49"
OF THE PROPERTY.
47
Nk
,
No.sats SURVEYORS CERTIFICATE
HEREBY CERTIFY THAT THIS BOUNDARY SURVEY •-^^
"' IS A TRUE AND CORRECT REPRESENTATION OF A ,8 SURVEYING�
SURVEY PREPARED UNDER MY DIRECTION. ILC
_• NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC ,� ».
STATE OF SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL. . LB#7893
OR A RAISED EMBOSSED SEAL AND SIGNATURE. x
Dlgicanysigned by SERVING FLORIDA
•
Kenneth J•Kenneth J.Osborne 6250 N.MILITARY TRAIL,SUITE 102
Date'2020.05.13 WEST PALM BEACH,FL 33407
Osborne 19:43:47-04'00' PHONE (561)640-4800
(SIGNED) --- STATEWIDE PHONE (800)226-4807
KENNETH J OSBORNE PACE 2 OF 2 PACFS STATEWIDE FACSIMILE (800)741-0576
144.
PROFESSIONAL SURVEYOR AND MAPPER#6415 (NO OMPL I ITHTNJT IrAFJE 11 WEBSITE: http://targetsurveying.net
'a ams-:at4',Am0 ,,,,,,55t a‘,3#24801.VM.:.= ess-
470 Garden Lane—Deck Notes and Specs
I am submitting a permit for a 8.5 ft x 13.5 ft Deck that will be built to the North entrance to the house
(highlighted on attached survey). On the survey it will be positioned in place of the Patio (which was
demolished as part of DEMO Permit 022-0007). Below is summation of materials and process
Deck and Framing Materials
• Framing will consist of dimensional lumber Treated for Ground Contact
• Decking will consist of Trex Composite
Design
• Permeable landscape fabric and gravel will be placed underneath the surface area of the deck
to allow for proper drainage
• two support beams will be positioned 8 feet off the north wall of the house and run parallel to
the house and ledger board, spaced no more than 5 feet apart.
o The beam will consist of a double 2 x 8 which will sandwich a 4x4 beam
• The beams will be secured to the 4x4 by two %2 inch lag bolt
• The 4x4 will be cemented 2 feet into the ground
o Given that there is only a 10 inch gap between the ground and the door to the house a
trench will need to be dug to allow the 4x4 posts and bottom of the beam to sit
slightly below grade
• The trench will be 10 inches deep and 10 inches wide which will allow the
posts and the beam to sit in the trench without coming in contact with the
ground
• Landscape fabric and gravel will be placed in the bottom of the trench to
assist with drainage
o For the concrete piers, At the bottom of the trench post holes will be dug and
additional two(2)feet
• Each post holes will be filled with a 10" diameter form filled with concrete
• A 4x4 will sit 2 feet in the holes surrounded by concrete
• 2 x 6 joists will sit on top of the 2x8 beams attached with joist hangers and spaced every 12
inches on center
o For Permeability purposes please note-Joists will sit at least 4 inches above the soil
with the given specs of Trench, Beam, posts etc.
• Each joist will be attached to the beam with Hurricane Ties
• Trex Composite flooring will be secured to the frame—spaced at least 1/8 inches apart
• For Permeable purposes please note- this Deck will not contain a roof
470 Garden Lane—Fence Notes and Specs
I am submitting a permit for a 6 foot fence to be constructed at the North and East Boundary of my
property(highlighted on the attached survey)
Fence Materials
• 8 foot 4x4-dimensional lumber Treated for Ground Contact
• 12 foot 1 x 8 pressure treated boards
• 10 inch diameter concrete forms
• Concrete
Design and location
A 6 foot high fence will run the entire length of the North Boundary of the property, running East to
West"'56 feet and on the East Boundary of the property running North to South — 24 feet.
The 8 foot 4x4 fence posts will be spaced 4 feet apart.They will sit 2 feet in the ground surrounded by
concrete in a 10 inch diameter concrete four and 6 feet above ground.
Fence Boards will consist of 12 foot 1x8 boards that will lay horizontally.
A 4 foot wide gate will be built on the east boundary of the house—also 6 foot high.
NOTICE OF COMMENCEMENT
State of FLO DP Tax Folio No.
County of DUVI.
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: 3g - 3C1 " i)i — 75 - Z%t E s€(,;+s 1A-k (Z(tJ-h-
(7 7 (O —
Address of property being improved: 4/o Gam.()'( ��r�t f( AN-�t� �,rL�sC�� c-(, 7 e '
General description of improvements: Cor\,CTY—...CTtc-r-- rj!% O (L
Owner: J 6N 1fc2J�A SCJ itv 5 Address: 470 6 AGOfi.n., LANA_ -NV Atv11C_ CL>f 11%64 CL 3 z;
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: AL-Ali SZ.KA I VI 'NS rr ,^� 11
Address: [/(7Q GI MDCH N UV HATLAKMC .CP)C4-( Fr✓ 32233 -
Telephone No.: 4-7'7 - Fax 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 date of recording unless a different date is
specified):
Doc#2022164.944,OR BK 20331 Page 464, OWNER
Number Pages: 1 1
Recorded 06/22/2022 01:59 PM, ��n I n
Signed:
Date: e4 .G
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY Before me this off- day of A Ton in the County of Duval,State
RECORDING $10.00 Of Florida,has personally appeared 1_ a f ► I CC[�
Notary Public at Large,State of Florida, unty of .
My commission expires: • -2.- ;;ago: TERRY HENDRY,-
.da
Personally Known: l Notary .
Produced Identification: '' •
�� S 'F. ..' • Nov 30,2025