Permit 1723 E Park Ter SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000339 Date 3/29/10
Property Address . . . . . . 1723 E PARK TER
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 800
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Application desc
REPLACE 6FT FENCE
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Owner Contractor
------------------------
------------------------
TADROS OWNER
1723 PARK TERRACE EAST
ATLANTIC BEACH FL 32233
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Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/25/10
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY
CONSTRUCTED.
*SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED.
PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL
INSPECTION.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MAP SHOWING BOUNDARY SURVEY OF
LOT 2, BLOCK 14, SELVA MARINA UNIT NO. 8 AS RECORDED IN PLAT BOOK 34, PAGE 85,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
ANTOWAN D. TADROS
PNC MORTGAGE CORPORATION LOT 21
STEWART TITLE GUARANTY COMPANY BLOCK 14
RICHARD T. MOREHEAD, P.A.
FOUND 1/2- [RON PIPE FOUND 1/2- IRON PIPE
No IDENTIFICATION S 041 8*03w E 92.95' NO IDENTIFICATION
0.2J A 0.2'
>
LOT 2
BLOCK 14
WOOD
>
x
20.1' 10.1' 14.1'
0.0:-" 14.8' F
x 12-0,
LOT 1
06 ONE STORY BLOCK 14
FRAME 'N SELVA MARINA
POSTED # 1723 UNIT NO. 6
18.4'
LOT 3 COVERED ENTRY
BLOCK 14
L
x
A .2'
WOOD
12.3'
6.7
4-
iN
16
x cq 4 :jO oil
ju W 01;A jl�mwwc
rlA PGAOJdcIv
poq�2 jit
w
C_.) -p 16 6utplIng
-1 Oj'-JOIjd 18101110 5 IrM9 40908
jo aouenssi a
22.2' einjeu6ts Aq pa.!!qAaq.lsnw
0 d'1jU IV 10 Aj!0 a 110"'
13.7' -A -. ;).L!nhaj 8UIjjW".1d-jPja gLels Je3ol
Bui I!n
Fq 30' BUILDING RESTRIC'nON LINE !t(qeq dde jawo lie pus aPo apPOIJ 411m
a 6bymll oo -sj!wj9d jo aou nssi a jqj JeAoidde
15 '1
L!e
'n I s
00 ainpil * jou seop Inq suo jeln6ai tWw dOI9A9P
z aviic Mo. jaqjO Pug UOISIAlpq s 'Buiuoz
aiclOpUdde.41! eoueildwoo SOBIJGA I Aoidde sl4j
zS
-Z PUS Oulu eld
jdawpeda- Suluo
-0 e Q 883 1 Ueliv jo 40
75.W (CHORD)
-m.A !
FOUND 1/27 IRON PIPIf R-4744.6V L-99.4r FOUND 1/2-IRON PIPE
140 IDENTIFICATION 99.41' (CHORD) STAMPED "PLS 3295"
N 04*48'1 gm W FOUND 4x4 CONCRETE MONUMENT
NO MiNMCATION
PARK TERRACE EAST PERMANENT REFERENCE MONUMENT
(60.0- RIGHT OF WAY)
NOTES-. ACCEPTED BY.
LEGEND:
R = RADIUS X FENCE
L = LENGTH ED CONCRETE
T--- 7
'NUMBER
City of Atlantic Beach
APPLICATION
Building Department
ssigned by the Buff ding Department.)
be
800 Seminole Road
5 2
Atlantic Beach,Florida 32233-5A45
Phone(9G4)247-5826 - Fax(904)247-5s4
3 E-Maff: buiIding-d9ptQcoab,.us --Date rol Itefi. -
CRY web-site: http.11vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: PapaMnent review required Yes No
zme
Applicant: gKanninq
&Zoning.)
Tres Administator
Project: � ,u -�FU—bIi2=tkMg%
ILE <
32Lc Ufffiffiep;
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
Of Permit Veriffed By
Florida E�--Pt Of Ermironmental Protection
Florida Dept of Transportation
St Johns Piver Water Management District
Anny Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICAT[ON STATUS
Reviewing Department First Review-.� pproved. MDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: t�
TREE ADMIN. Second Review: DApproved as revised. F-IDeniec
PUBLIGWORKS Gornments.-
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. MDenied.
Comments:
Reviewed by: Date:
!avfsed 05fUIG9
City of Atlantic Beach
APPLICATION NUMBER
------ Building Department
(To be assigned by the Building e
800 Seminole Road D rtment)
'7
A'Elantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-�845
E-mail: building-deptgcoab.us
City web-site: httP-1/WWw.caab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ant review required Yes No
Applicant: anning&Zo
res Administrator
Project: ublic
Public Safety
Fire Services
J
P
gW re--0-rea--
Other Agency Review or Permit Required Review or Receipt Date
Ffori a Dept of Environmental Protection of Permit Verified By
Flori a Dept of Transportation
St Johns River Water Management District
Arrny Corps of I�n-gfneem
Division of Hatels and Restaurants
DMsion of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: kPproved. EjDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed b r:
TREE ADMIN. Second Review: Date:
DApproved as revised. ODenied-
PUBLI KS Comments:
UBLI LITIE
PUY��S F Reviewed by: DaLe:
FIREf SE�R;�IC/EeS ' Third Review: E]Approved as revised. FlDenied.
Comments:
Reviewed by: Date-
favised-
City of Atlantic Beach
APPLICATIOWNUMBER
Building Department
-b be assigned by the Building De artment.)
800 Seminole Road
Attlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
.QJ13 E-mail. buffding-deptQcoab.us Date routed:
City web-site. ftttP-11WWw'.c*ab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: LP222qn.ent review required Yes No
Applicard: __anninq &
Tres Administ-ator
Project: ubffc
C Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or i�w-eipf Date
e of Permit Verified By
Florida Dept.of Environmentaf Protection
'te
Florida Dept of Transportaffon
M Public S fe�t
ire Serl 3
F
i t t
St Johns River Water Managemenjt�Dfsftfct
Army Corps of Engfneers
of
D!vW'on Of Hotels and Restaurants
o
Division 7:0f Aftcoholic Bevemges and
Other
APPLICATION STATUS
Reviewing Department First Review' PKpproved. MDenied.
(Circle one.) Comments:
BUILDING
6� Reviewed by.--"Z/- Date. 10
TREE ADMIN. Second Review: ElApproved as revised. E]Denied-
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Datte:
FIRE SERVICES Third Review: DAPProved as revised. ElDenied.
Comments:
Reviewed by: Date-
�evfsed
BUILDING PERMIT ,AUPPLICATION
CITY OF ATLANTIC 13EACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904) 247-5845
Job Address: Ag�,oc &,al'
in -Permit Number:
Legal Description Parcel h!
Valuation of Work$_Foo
Dass of Work(circle one): New Addition Altera tion R air Move Demolition pool/spa window/door
Use of existing/pro sed structure(s) circle one): * Commereff Residential
If an existing struct7re,isd fire sprinMr system installed? (Circle one): Yes No N/A
'lorida Product Approval#
For multiple products use product approval form
)escribe in detail the type of work to be performed:
)roperty Owner Information:
�ame: &(-A TOT:> - Address: 1 '723 ' c,-zV
'ity State ft Zip a�?,
_�Phone '?,,z, 7 - -
-Mail or Fax (Optional
"ontractor Information;
,ompany Name: Qualffying Agent,
Lddress: city State
)ffice Phone Job Site/Contact Number Fax Zip
tate Certification/Registration
xchitect Name&Phone#
Agineer's Name&Phone#
ee Simple Title Holder Name and Address
onding Company Name and Address
fortgage Lender Name and Address
tify that no work or installation has commencedprior to the
construction in thisjurisdiction. Aispermit becomes null
r abandonedfor aWeriod of s�YJ61 months at any time after
ing,Sikns, d1s,Pools, Urnaces,Boilers,Heaters,
. U,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMTROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOiAi NOTICE OF
COMMENCEMENT.
wreby certr
.fy that I have read and examined thi plication and know the same to be true and correct. Allprovisions of laws and ordinances governing thi's
j work will be co�nplied with -whether speifiifed herein or not. The granting of a permit does not presume to give authoritY to violate or cancel the
ovisions ofany otherfederal,state, or local law regulating construction or the performarice ofconstruction.
gnature of Owner.. Signature of Contractor
int Name
................................................................................................ ........... Print Name
........................................................................... ............................................
Vo andsubscri dbe�lfofrEe Sworn to and subscribed before me
is of a 20 this —Day of
A
0W PRA SHIRLEY L G Revised 01�26.10
AAHAM
MY COMMISSIO
N#DD 957760
EXPIRES:February 14 2014
Bonded Thru Notary Public Un�amrjjji
CITY OF ATLANTIC BEACH
(OWNER / BUILDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMINT 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 EXEMPT10N 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 RVIPROVE 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 JSE 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 VIOLAT10N OF Tim 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.
If. 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(l). 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.
1727 3 k T > 67 TE
ADDRESS M
n- 6-rcxC)o il 'Ta -6-o -s PHONE NUMBER
PRINT NAME
_2J4-Z-0
SIGNATURE EATFE
Before me this 20 On the county of
—4 ' -L
Duval,State of saon�ily 6pe�by�Lmself/herself and affirms that
all statements and declarations are true an accurate.
Notary Public at Large,State of County.f
V0 P nally Known
rowduced Identficaflon-
Notary Signatur
A SHIRLEY I
MY COMMISSO
F1BLDG/0—e,B.fl&r Affad-it�REVISED: 4/ n-009 EXPIRES:Fet
Bonded Thru Notar�
C1tY of Atlantic Beach
Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the B lid D artment.)
ul in e
Atlantic Beach,Florida 32233-5A45
Phone(904)247-5826 - Fax(904)247-,5845
E-mail. building-dept9coab.us
City web-site: hftP--1Auww.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address:
ent review required No
Applicant: nnninn P-
Zo
Proiect.- ree Admi6is—ft-ator
Public-
Fire Services
'R
M-00 N
Mar Agency Review or Permit Required Pe- or elpt Date-
Florida Dept of Environmental Protection it e ' edB
Florida DepL of Transportaffon
St Johns River Water Managernent District
M
ArrnY Corps of Engineers
Division Of Hotels and Restaurants
DivE51011 Of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First ReviLaw- E��Approved. [:]Denied.
(Circle one.) Comments:
(��G
PLANNING&ZONING Reviewed by: I-In - 31dY110
— -- �L — Dte.
TREE ADMIN. V
Second Review: ElApproved as revised. FlDenied-
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
evised�5114139