Permit 326 S Oceanwald Dr Fence 2011 � f" J�x
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
? =" ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001400 Date 1/04/11
Property Address . . . . . . 326 S OCEANWALK DR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
6ft fence
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Owner Contractor
------------------------ ------------------------
HICKEY, CAROLINE OWNER
326 OCEANWALK DRIVE S .
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 . . 7/03/11
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 39 . 00 39 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
)b Address: t Permit Number:
egal Description Parcel#
Valuation of Work$ A�9__
lass of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
se of existing/pro osed structure(s)(circle one):installed?
Residential
an existing structure,is a fire sprinkler system nstalled? (Circle one): Yes No N/A
lorida Product Approval#
or multiple products use product approval orm
� kescribe in detail the type of work to be performed:
roperroperty Owner Information:
ame: I.V / " !,' 4�4 Address: -dh
ity StateZZ Zip ,�z7J Phone S'o Yl O 1�2
-Mail or Fax#(Optional)
ontractor Informatifln:
ompany Name: i��2rzy�/ e'�z Qualifying Agent:
ddress: City State Zip
ffice Phone Job Site/Contact N m er Fax#
:ate Certification/Registration#
rchitect Name&Phone#
ngineer's Name&Phone#
-e Simple Title Holder N e and Address
onding Company Name and Address
lortgage Lender Name and Address
)plication is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
cuanee of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
rd void�f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after
qrk is commenced. I understand that separate permits must be secured for Electrical-Work, Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Heaters,
inks and Air Conditioners,etc.
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.
iereby certify that 1 have read and examined this qpplication and know the same to be true and correct. All provisions of laws and ordinances governing this
oe o work will be complied wit eci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
•ovisions of any other federal,,state, or local regulating construction or the performance of construction.
ignature of Own - n SignatFe fCEtrg"Y
(r
rint Name ............................�........C..t.�.. .1.... ........:.: ..... Print Name
wo and ibscribed be a me Sworn to and subscribed before me
its1 y of 20 this Day of . 20
otary7mli— 64LEY L,3RAHW Notary Public
' MY COMMISSION If DO 957760
*°
' EXPIRES:February 14,2014 Revised 01.26.10
l�f SwxM Thru Notary Public Unlerwriters
CITY OF ATLANTIC BEACH
OWNER / BUILDER AFFIDAVIT
ria
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. 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.
A55RESS) PHONE NUMBER
P NT NAME
SIGNATUME DATE
Before me this day of �� 20,L�l the county of
Duval,State of Florida,has personally appeared herin by hi nz if/herself and affirms that
all statements and declarations are trueand accurate. L
Notary Public at Large,State of ,County of Gz
f
1:1 _ �
Personally Known �2
i
♦ -Produc ent�c ion-
957
on-
r ` I SHIRL> #aP� 7760
MY COM t4 2014
• Notary Sign Not•Y
F:BLDG/Owner-Builder Af'fadavit;REVIS D: 4/16/2009
MAP SHOWING BOUNDARY SURVEY OF
LOT 7, ACCORDING TO THE IT
OF
OCEAN11egaA1LK UNI TWO
AS RECORDED IN PLAT BOOK 42, PAGE(S) 13, 13A, 138, 13C AND 13D OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
RONALD G. SMITH, ELLEN B. MARRIOTT,
FLAGSTAR BANK, F.S.B. ,
GIBRALTAR TITLE SERVICES,
AND FIRST AMERICAN TITLE INSURANCE COMPANY.
OCEA)MAL/K DR/VE SOL/rff
(50' Riw)
S 80'03'09" E 89.94' (M)
S 80'03'09" E 90.00' (R)
1/2' 1.5' CURB & GUTTER 1/2"
SSS 1/2- CLARY
L83624 i, �',e a PLS ASSOC
BEARING REFERENCE LINE 1674 P.C.
2.10'(R)
3 .. 2.07'(M)
~' > _
C4 p.00: W
d " I _ � LOT 7
OD
CV 13.3, °j COV'D
o 22.1' o CONC � O o
a CV 0.3 0.2' PORCH I z 04
M CONC o 35' B.R.L. a a
r w STOOP q N 12.5' 5.4' 7.8' o v
w of 19.6.
9.7' r�
C14 OD
W w I 2.1'
w l 4 8 A/C LOT 6
UJ ` 1 STORY FRAME PAD o
LOT 8 � I RESIDENCE 1-: cti 3
NO.326 N
f
z I 15.1' 32.6' 9.9' o
n I cn
Z no o SCREENED IN N
8.8' 13.3" 4l,o PATIO m
1/2" SCREENED CONC 30 ry9
SSS PATIO
LB3624 STOOP N 78'39'40' �r
CLOSURE LINE ON� 1/2"
20' 8IR LR APPROX TOP OF BANK --
25 EASEMENT FOSEMIEfts APPROX CEN IERUNE
OF OPEN DITCH
pGE, UTIU'n & BOUNDARY
UNE ( `
DRAIN SUBDIVISION BO g0�8�]' \R
N
87;L57'53".NORTEu,41- 49 ONE 49 25, DRAINAGE EASEMENT
9 pGS g4 94A & 948 LOT /
s
s
i
�r
i
- AREAS OF 0.2Z ANNUAL CHANCE FLOOD.
S OF
CFLOOD HANCEZNATH AVERAGEEAS DEEPTTHS OF LESS MNED THAN I FOOT OR WITH DRAINAGE AREAS LESS THATHE 0.2X ANNUAL CHANCE FLOOD PLAIN SQUARE MILE; AND `AREAS�PROTECTED By LEVEES FROM %ANNUAL.CHANCEMFLOOD- 1x ANNUAL
GEPIERAPL P�0 ES.
E Y R s, 1. BEARINGS ARE BASED ON PLAT o0K 42, PAGE 13C
X
P�i �ASSOCIATED
2.STRUCTURE N0. 326 SHOWN HEREON LIES WITHIN FLOOD ZONE AS
BEST DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO 1 DATED 04/17/1969 SURVEYORS INC. 3.THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND DFOOTINGS,
City of Atlantic Beach , APPLICATION NUMBER
Building Department �,��, (To be assigned by the Building Department.)
800 Seminole Road Q j
Atlantic Beach, Florida 32233-54d10 /0 / �O
Phone(904)247-5826 " Fax(9 45
r�oj; jr E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
f
Department review required Yes No
Property Address: 2(n C/�YLCo�9/,(! ,
Applicant: f Planning &Zonirig_,
ree minis ra or
Project: �? G pPublic
icVv
Utilities
ic afety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
AP
PLICATION STATUS
Reviewing Department First Review: []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:�Z/ �! IU
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. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach ��� el�c- 1 _p APPLICATION NUMBER
Building Department 0 (To be assigned y the Building Department.
800 Seminole Road ��'
Atlantic Beach, Florida 32233-5445 `10/ +`�-� v ` D
Phone(904)247-5826 • Fax(904)247-5
COM E-mail: building-dept@coab.us Date routed:
City web-site: http://Yi".coab.us S11
APPLICATION REVIEW AND TRACKING FORM
Property Address: _ , -6 �G'ff�/,�;r�/,(� � Department review required Yes No
Applicant: r7 Planning &Zoning ,
r e e A d minis ra or
Project: 2 u
Public Utilities
Public afety
Fire Services
Review fee $L-711 Dept Signatur
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. [—]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING / 2'3 l 0
Reviewed by: Date:
TREE ADMIN. Second Review: []Approved as revised. []Denied.
P S Comments:
UBLIC IES
Z /U
PUBLI S FETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department
g
(To be assigned by the Building Department.)
800 Seminole Road Ix
s} Atlantic Beach, Florida 32233-5445 v
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: - f
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: J2(6 (/���j/,(�j9�,E! S Department review required Yes No
�� � B
Applicant: QPlanning &Zoning
ree mirns ra or
Project:
Public Utilities
Public afety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: XApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
ANNING &ZONING t /;,p/0
Reviewed by: Date:
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09