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
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Application desc
replace 6ft and aft fencing
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Owner Contractor
------------------------ ------------------------
RAMSAY OWNER
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 . . 8/08/11
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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 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