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Permit 631 Sherry 2011 fence CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001615 Date 2/09/11 Property Address . . . . . . 631 SHERRY DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace 6ft and aft fencing ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RAMSAY OWNER ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/08/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check otal . 00 . 00 . 00 . 00 Other Fee T tal 4 . 00 4 . 00 . 00 . 00 Grand Total 39 . 00 39 . 00 . 00 . 00 PERMIT IS APPROVED ONLY D ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MAP SHOWING BOUNDARY SURVEY OF Lot 1, E cept the Easterly 50 feet and all of Lot 2, Bowery s Replat, according to plat thereof as recorded in Plat Book 20, Page 22 of the Current Public Records of Duval County, Florida. Certified To: Travis Gibbon Commonwealth Title Insurance Company Richard G. Hathaway, PA/Ponte Vedra Title, LLC Lot (See Detail of this area bottom right) wood Fd.A9,IP, Shed No id• Ref,Pt.„B. ^^ E BJ.� No td, 83"4 W B'Chain Link Fence 13.o Rat,Pt.'A' p,5(Fl) with wood panel. a.0' '1 o Aluminum (G,l` encs Lot 2 — r D o 0 E\ \ 6'Chain L}nk Far- -a. ano.m N 0 p 1'0 9 m x CD The Easterly N to z a�way o Se a N 50 of LotSoo 1 '.� W w Skb m y o 22 a 6,Wood Fan gl I.k O 1 p W to 24 9 �q, iT. . 2AI Ill, g 1 UVJ\ a^ (y ✓� W .Corr. p .:OiW 4� W N 3 s B3.47o0" w 50.00' (D) 1\2' S 8x°42 ooe w 0.78' (°) Detail Scale of Detail Sixth Stree ,35 (40' R\w) Unable fa at pro�er comer N woos car .hes Lot 3 shed w Closure line between an..Points N s,~j"42'� 0.2'(81) 0.75'(FM) E e= N 83'42'00" Reference Point'A"to R 6- a Point"B' Ca.A 4� �C) \ 50.00' (D) N 8473'00'E 8 4fi re— Fd.1\2 fP, z 13.74'(D)z�z 27' RefN Pt�"8" 7tte Easterly 0.8'(BI) 6A (BI) 50' of Loi Aluminum I Shad _,-5 0618'0(f E 115.00' C General Notes Abbreviations 1.This is a Map showing A/C-Denotes AN Conditioner 2.Barin ore based on the North. R W line of Sfxth Street,being the Assumed Bearing f S 83• (81)-Denotes Building LNa inalde of sub),.t property line 9s \ 9 9 o B.R.L-Denotes Building R.etrietim Line 42'00'W,as per Record Plot. (C)-Denote.Calculated par Plot 3.There may be Rsatrictans or Ed% arta that era not shown an this map that may be found In the Cb-Denotes Chord Bearing Public Record.of this County or eA ced by Tllle examination. Ch-Denotes Chord Distance 4.Thls survey was performed wlthou he baneflt of a Title Commitment. Conn,-Denotes Concrete 5.The Property shown hereon embro d by heavy lines is based on a Legal Description proNded by (D)-Denote.Deed Dimension recorded In Public Records Client. Fd,-Denote.Found 6.This Survey do..not reflect or d in.awner.hlp. (Fl)-Oenotea Fmca Lu.e inside of whjeel property Ilna 7.Thla Survey Shaws only the Ab— round Indicla,No Underground Utilities.Footers,Structure.,or fl) -Denotes Fence Lina outside of subject property line Improvement.or.eh—on this m - ) pail Y S.Unless otherwise noted,any ports of the parcel that may be deamed as Wetlands by Stale or (FOL)-Denotes Fence Line on subject property line Government Ag—res,has not been ternined and any nubility resulting therefrom is not the (FM)-Denote.M....red Dimension mod.In field responsibuity of the undersigned. or substantiated by Field Traverse calculations and measurement. (GW)-Denatae Guy Mr.Inside of subject property line Id-Denotes Identlfle.Uom Flood Certification IP-Denotes Irom Pipe By Graphic Plaid onl,the propert hewn hereon lies within rone: :e IR-Denat.:Iran Pin w Rebar 9 Y P Par J.E.A.E.-Denotes Jack.en Ile Electric Authority Eaaement oa shown en the Federal Emergency nogemant Agency(F.E.M,A.)National Flood Insurance Program, LB-Denotes Ucensed Business Flood Insure...Role Map(F.I.R.M.) unity Panel Number. 120075-0001 D, (M.B.)-Denotes Map Book Mop revised dote: AnrA 17.1989, NO-Dandle.Noll&Dlek DE-Denote.Overhead Electric Lina e e A Nail as noted ORv.-Denotes OfOc1.1 Record.volume 0 Fd.IP eine noted-No ID U.O.N. 0 Fd,Railroad Spike P8.-Dandle.Pplot Book lot abn shown on recorded Plot Fd IR IR size noted-No ID U.O.N., Denotes Line at to scale P.C.-Denote.Point of Curve Set 5/8"Raba,Carmody l8 k 7 -- Denotes B.1 L P a.-ODenotes P.O.. g Fd.CM size note-No ID U,O.N. —Dmotee E..—art Line p DenotesS&M Point Po Prlof°salonol Surveyor and Mapper Denote.Fence line t] Nail and Disk as noted Ref.-Denote.Reference es re.%-Cut 6-4°sed°d a° Dandies Concrete Are. (RM-Denotes Right of Way U.O.N.-Denotes Unless Otharwiae Noted I hereby certify that this survey was do to the best of my 4221 B."aadows Road,Suite 6 knowledge and belief and meets the M mum Tachnical Stmd.rd.a. Field Data: 9-26-2005 Jackson ills,Florida 32217 ,at forth by the Florid.Board of Praf s anal Land Surveyors in N Phone: (904)737-8670 Chapter 61017-80(F.-1y Chapterhh-8.0).Florid. Job Number.0„5.-339 Fax: (904)737-8571 Adminlatra de,our....t to Sect, 472027,Fl�Ida Stotu tee. Ucenead 8uainesa Na.: 7080 Field Book: y}0 -I■� FMAAL jyw�cwrveyW Ilaouth.net Bp _ ® Page: 19 • V W Ca ■I ady J as W.Carmody,Professional rveyor& apper, Scale: 1"=30 rtificale Na.Sme,St. te of rids S V Fi V E Y L N G INC. Date SI ned: 9-30-2005 Unless It bear.the Signature and lh riginol Ral.ed seal of a florid.Ucsnaed Survey.,and Mapper,this Drawing,Sketch,Plot or Map le for infonn.ti...I purposes ly,and la Bpi valid. Page 1 of t File No. 6-941 CITY OF ATLANTIC BEACH WNER / BUILDER AFFIDAVIT I. FLORIDA STATUT S; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUI ES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE ST EMENT FOR SECTION 489.103(7).FLORIDA STATUTES: STATE W REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXE TION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY.TO ACT AS YOUR OWN CO CTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE ONSTRUCTION YOURSELF, YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY SIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A CO RCLAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR Y USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL 0 LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CO TRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE 0 LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION, YOU MAY NOT HIRE AN UNLIC NSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACC ING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPON BILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REO IRED 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 D ARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED, III. IRS WITHHOLDI OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITH OLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR I PROVEMENT TRADES. IV. PENALTY; U LICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. ERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OC PATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUN "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO CERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTM NT(247-5826)IF IN DOUBT. V.ACKNOWLEDGE ENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND AT 1 COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRESS �+ PHONE NUMBER i PRINT IE SIG TURE Before me this d of `✓ 20�� in the county of Duval,State of Florida,h personally appeared herrn by himself/herself and affirms that all statements and decla ions are true and accurate. Notary Public at Large,S to of ,County of Q P�po`nally Known ` F oduced Identification-. _;o, —L Notary Sign.l. .�, HAM r ��r11Sf;1CN 4 DD 957760 ., .= L 5 .0 raafy 14,2014 F:BLDCWOwner-Builder AHad 'it;Rh D: 116'2009 Bons; <�;Nr,taryPublic Underwriters BUILDING ]PERMIT APPLICATION CITY OF ATLANTIC ]REACH 800 Seminole Road, Atlantic Beach, FL 32233Q Office (904)247-5826 Fax (904) 247-5845 Iyu 20 lob Address: ¢1!r Permit umb N ;3Z Y Legal Description Parcel# Floor Area of Sq.Ft. q. t Valuation of Work S Proposed Work heated/cooled non-hea 641 lass of Work(circle one): New Addition AlterationRe a' Move emolition pool/spa window/door Jse of existing/proposed structures)(circle one): Commercial I ci Pn ' f an existing structure,is a fire spri der system installed? (Circle one): o,' „ /A Florida Product Approval# or multiple products use product approval form describe in detail the type of work tc be performed: T i r �wae4zi J fffidw ,- P-ole, tVo %C_ }II l 1 3P t ae . 'roAerty Owner Information: se._' vv'v i'5 b, k li* ,3 Same: Sa.tri -v-' Address: c 3 L 5vx�yy'�'j r ;ity StateC2_Zip --2 2 3 S Phone rim! e S 310!5 3-Mail or Fax#(Optional) rotA.J n r I n t^ct„r, :ontractor Information: .ompany Name: Qualifying Agent: address: City State Zip )ffice Phone Job Site/Contact Number Fax# 'tate Certification/Registration# architect Name&Phone# .ngineer's Name&Phone 4 'ee Simple Title Holder Name and Ad ess londing Company Name and Address fortgage Lender Name and Address i pplication 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 suance of a permit and that all work will beper lormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null 7d void if work is not commenced within six(6onths, or if construction or work is suspended or abandoned for a__��pperiod of six(6)months at anytime after ork is commenced. I understand that sepa•at permits must be secured for Electrical Work,Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, auks and Air Conditioners,etc WARNING TO ON VNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EWROVEMENTS TO YOUR PROPERTY. IFYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. a �ereby certify that I have read and examined th plication and know the s to be true and correct. All provisions of laws and ordinances governing this pe o work will be complied with whether s i ed herein or not. anting of a permit does not presume to give authority to violate or cancel the -ovisions of any other federal,state, or local l regulating cor on or the performance of construction. ignature of Owne ) Signature of Contractor riot Name �`----- Print Name .................... ......................................................................................................_.. ........................................................................ ...................................... .................. worn to and sub cribed,before me y Swop to and subscribed before me isJ of 3 - !j 20`I this Day of 20 otary Public =?` e , nLE f L.GRAHAM No y Public *i *= MY COMMISSION#DD 957760 EXPIRES:February 14,2014 Revised O l.26.10 s oFl .` Bonded Thru Notary Public Underwriters ;,,,,� s!•=�`�r City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 1 �r Atlantic Beach, Florida 32233-5445 AN 8 l Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-de't@coab.us BY: Date routed: � � City web-site: http: www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Buildin Applicant: nning &Zoni Tree dministrator Project: d C ublic Wor <CVrublic Utilities Public a ety i Fire Services Ftev ev44 u feed${� f"`� , Dept,S�gnature R Review or Receipt Other Agency RevIiew or Permit Required Date of Permit Verified B Florida Dept. of Envir nmental Protection Florida Dept. of Tran portation St. Johns River Wate Management District Army Corps of Engin ers Division of Hotels and Restaurants Division of Alcoholic Oeverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:� Z TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comme ts: PUBLIC UTILITIES i PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 rty'VirCity of Atlantic Beach APPLICATION NUMBER S Building Department r S� 800 Seminole Road (To be assigned by the Building Department.) AtlanV) Phontic ti(9 ea 24715826 orida 32233-5445 Fax (04)2 5-14A j 2 #1 dt 9r E-mail: building-deptocoab.us ' Date routed: d �/ City web-site: http://vtww.coab.us s APPLICATION REVIEW AND TRACKING FORM f I Property Address: "fir Department review required Yes No Buildin Applicant: GIC / fining &Zoni Tree dministrator Project: ublic Wor i ublic Utilities I Public afety I I Fire Services Review fee $ De t Si Tnature . _...___ .�.,_._. p 9 ...� i Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environ ental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Enginee s Division of Hotels and estaurants Division of Alcoholic Bei erages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Denied. (Circle one.) Comment XApproved. BUILDING PLANNING &ZONING I �l I Reviewed by: TREE ADMIN. Second R view: A roved as revised. ❑ pp []Denied. *PUBLIC S Comments: ES Y Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comment: i Reviewed by: Date: F Revised 05/14/09 S t- Vr1�> City of Atlantic Beach APPLICATION NUMBER tiffs~ y Building Department (To be assigned by the Building Department.) Yy 800 Seminole Road Atlantic Beach, Florida 32233-5445 m Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept coab.us Date routed: City web-site: http://vww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: `�� Department review required Yes No p Y Buildin Applicant: /0 nning &Zoni Tree dministrator Project: GJ ublic Wor ublic Utilities Public Safety r Fire Services i Review fee_$ y Dept Signature �„... Other Agency Revie or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environ ental Protection Florida Dept. of Transp rtation St. Johns River Water IV anagement District Army Corps of Engineer Division of Hotels and R staurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Reviw: Approved. ❑Denied. (Circle one.) Comments: BUILDING 1! t G &ZO G Reviewed by: Z' l� Dater TREE ADMIN. Second R iew: QApproved as revised. ❑Denied. k PUBLIC WORKS Commentsj: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comrnents� Reviewed by: Date: Revised 05/14/09