Permit Fence 126 Sylvan 2011 e ` 3 t CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
yrN w. � ' � n Y a"
x ` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
11- 00002012 Date 5/06/11
Application Number
Property Address 126 SYLVAN DR
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . • 2000
Application desc
REPLACE 6' SHADOW BOX FENCE
Owner Contractor
RANDOLPH MELINDA ET AL OWNER
13894 HANOVER PARK CT
JACKSONVILLE FL 32224
Permit FENCE PERMIT
Additional desc . Plan Check Fee 00
Permit Fee . . . • 35.00 0
Issue Date . . . . Valuation . . . •
Expiration Date . . 11/02/11
Special Notes and Comments
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
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 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
Job Address: '.U--e Permit Number:
Legal Description
Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ a0dr) Proposed Work heated /cooled non - heated /cooled
•
Class of Work (circle one): New Addition Alteration Repair // Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): Commercial LResidenti�,,,,
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes , o N /A
Florida Product Approval #
For multiple products use product approval form
•
Describe in de ail the type of work to be . erformed: r # 1 i( 1 9 " "' " -- -`—
.� /_�� �.r-- ` ` - II , w - ` f a l z) ...
Property Owner Information: i I ,
Name: r ' 1 I LA' 40 (OD I k Ado r-ss: `�l� ()an -‘)1 (l Q
�.
City i i _ . Stat; Zip Phone _( 3/ 7
E -Mail or Fax # (Optional) (Y1 ra nd ii ( ph CC S urici h 4-h , G
Contractor Information:
Company Name: Qualifying Agent:
Address: City State Zip
Office Phone Jo. Site/ Contact Number Fax #
State Certification/Registration #
Architect Name & Phone # ....,,00!."'7�
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for et period of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Boilers, Heaters,
Tanks 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
YO ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
/ 1 Z COMMENCEMENT.
1 h•reb cert that 1 have read d examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or • cal law regulating construction or the performance of construction.
A
S of Owner I f f FILnEre
•
Print Name `e , ��: _ ._ _ w Print Name
�Q� C -
e p.„ ., DEBORAH . WHITE
Swr y and subscribed i '• � :- MY +4MMISSION # DD 6341,2k Sworn to and subscribed before me
this Day of 1 ,.
y XPIRES: May 2 49t,t' Day this Da of , 20
IV„Q� ' '
1' �' L_ /fir
r►
Notary Public Notary Public
(7S 7 33 6 /( d Revised 01.26.10
� / / : • 11
• MAP SHOWING BOUNDARY SURVEY OF / /� \ y f; � >;
NORTH 1/2 OF LOT 704, SECTION NO. 3 SALTAIR, AS RECORDED IN PLAT BOOK 10, ,
PAGE 16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
. CERTIFIED TO:
JAMES P. BYRNES
MORTGAGE SOURCE. INC.
STEWART TITLE GUARANTY COMPANY
RICHARD T. MOREHEAD, P.A.
SOUTH 1/2 NORTH 1/2 SOU,H 1/2
LOT 897 LOT 697 LOT 696
FOUND I/2' IRON PIPE 25.00' FOUND 800 NAIL '
SUMP" •WRDFN ID 1046 N 20'OO'OO" E IN FENCE POST
X - 25.0' ( 0 0.1' � �0.0'
0
SOUTH 1/2 a NORTH 1/2 SOUTH 1/2 •
LOT 704 LOT 704 LOT 703
FRAME
SHED
! WOOD DECK
Aige
.
0.3' 18.5'
I \ 7.1 X } O.r
0 0
o I
8 ll 1.1 FRZ s
3 I 0.3' lv
O � ul CD
0 1 b, "' 1 0.2' 7.3' 0
111 n • r
F a Z
S.
� ?s R s City of Atlantic B ; -ch
4. •
g FOUND 'RL5R41t4' i+t\4 Planning and Zoning D partment
et $
44.59' This aprroval verifies complian e with applicable
L' 25.0' o zoning subdivision and o her local land
N .
S 20'00'OQ" W deve+ ^r -rnent regulations, but d , es not constitute
, 25.00 appv va' for the issuance of pe its. Compliance
wits. i orldAF Building Code and .11 other applicable
local. State and Federal permi ing requirements
must be verified by signature of he City of Atlantic
SYLVAN DRIVE Beach Building Official prior to he issuance of e
(50' RIGHT OF WAY) Building Permit. .... .,0
Approved By: Community !gv o e
Date: Y ',/
LEGEND: "'
— = FENCE O = CONCRETE A/c = AIR CONDITIONER
NOTES: ASSUMED
1. BEARINGS ARE BASED ON THE BEARING OF ALONG THE
NORTHWESTERLY RIGHT OF WAY UNE OF SYLVAN DRIVE DALE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS UE WITHIN FLOOD ZONE X AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL 0001 D
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT & /OR TITLE COMMITMENT
IF SUPPUED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PREFORMED BY THE UNDERSIGNED.
4. THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL UABIUTY INSURANCE.
5. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB # 456 LDATE OF FIELD SURVEY: 9 -25 -96 DISK # 144 I SCALE: 1" = 20'
CERTIFICATE
J, 923 Peninsular Place, Suite 1 I HEREBY CERTIFY THAT THIS SURVEY WAS WADE TINDER MY RESPCI.'S9LA CHARGE
6 e - - : DV Fl orida 32 204 PROEFFSM9Ww TECHNICAL
JRVEYORS 6110 Di CHAPTER 61617 6, FLORIDA
61• / (Phone) (Phone) 904- 354 -1 ADMINISTRATIVE SUANT 110'1 7 Z, FLRTDI SIATU'ES.
�__> (Fax) 904 - 354 -12525 5
SLIHVEJIIIG Inc CHARLES K. Md8TOSH
ll REGISTERED SURVEYOR AND MAPPER p, 5502 3iATE OF FLORIDA
LICENSED BUSINESS / 6702
LAND SURVEYS 0 CONSTRUCTIO SURVEYS 0 SUBDIVISIONS
"ta``J r
CITY OF ATLANTIC BEACH
111 / OWNER / BUILDER AFFIDAVIT
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.
"4.
ADDRESS PHON NUMBER
\( \-Cki CI-\)
RI N E
� 4 � 0,0/
SIGNATURE / } DATE
>r 11
Before me this/ day of 20 in the county of
Duval, State of Florida, has persorr appeared herin by himself / herself and affirms that
all statements and declarations ar - rid accurate.
1 i '
Notary Public at Large, State
� '2i_,_.. of / / -� ,,County of
❑ Personally Known . 1 `-'" "" 7 3 7/c DE D 4126
roduced Identification biz '~ p1
s .� r4siy MY COMMIS 21 2Q11
1/
. d` h WV raw derwr�ers
Bonded
Notary Signa .
F: /BLDG/Owner- Builder Affadavit, REVISED 4/16/2009
P R 0 P 0 S A L
Silverman Fence Company
4698 Dusk Court
Jacksonville, Florida 32207
(904) 730 -0882
Fax : (904) 730 -5142
Please Contact: Lynda or Deana
Silvermanfence.com Date: - .._ -_ : ,
Home Phone: Work Phone:
('1,S tamers name
Address: City: State: Zip:
{ . � ",:• , , ` .. .tt. i I ll, j. i . i•` m L )
Installation Address: (If Different)
Or. Subdivision Name:
Fence Type Material list Fence Diagram Key: Fence line Existling fence Building or house Gate Openings
to be erected line I `)
o Board on Board f l ` f-
}�
o Shadow box , xx xxxxxxxxxx
Q' Stockade l_ v `; .
o Space Picket ,- Participate
o Chain Link 4 #1 Cypress
o PVC Vinyl i '� iV o P T Pine a -
o Aluminum :' + el i K <(i. `k
Wood board width T l� BBB
Style: j'- � h 't
` � ,� -, . C.. ,C J : � - -- __...�_�...__._ _ I Descript on 11 -. .. Total Linear Fence S sM •
Footage Height t
j"`) A Customer Assistance Propane of
( _ t o Concrete posts j the Better Business Bureau®
l' ; y( Haul Off existing
pyTake down existing l � ' /
\`
Gates This estimate
prpfessionaily provided by: - � /
Tyoe Quantity Width Height `!` h t ,1(T t y „ - D,x, " - -•- �, .: x
---;77-7-7-7;—: - A'`611,,5 C6 -C c\
14_2; Specifications .,{C. C. :�+.. ,--•<- - .) ! .��('� �� yy
--
O Follow slope or I 1
contour of ground
o Be level at top
Special work to be o Straight across top
o Permit Responsibility
p erformed by o HOA approval Thank You
customer: ;p Dogs
o copy of survey We hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of
o curvet' received $ with payment to be made upon completion. gash or check only as navment no credit cards accented:. All
o clear line work to be guaranteed for one (1) year, labor only. No warranty on Pressure treated Plne or Cypress lumber for warping and or
o- of personals twisting, splitting or any change of shape. Silverman Fence Is not responsible for under ground obstructions such as power
o bushes or vines
lines, irrigation or sprinkler lines of any kind, pipes for wells, etc... Nor Is Silverman Fence Co. responsible to repair any
Locate info: office use only such damaged lines. All material remains property of Silverman Fence Co. until paid In full. Any special order Items such
as PVC Vinyl or Aluminum will have a 25 % restocking charge If the order has been placed and the cancellation of the order is past a
24 hour time frame. Silverman fence is not responsible for shipment delays on any ordered Items. All properties are
located by Central Locate Service through the State of Florida. They locate underground utilities, electrical, phone, cable lines and
somcgas companies. please be aware your vard will be spray painted. Gate Scroll: Design 0 top of gate=
Acceptance of Proposal
The above prices, specifications and conditions are hereby accepted. Yo (Silverman Fence) ar f e uthorized to do the work as
specified above. Also payment will be made as outlined ab ve. f'
i iitt l ik ^
/ i �c ,�, /i • Accepted: Date: 1 i Signature: c
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5L.1-V1:1— City of Atlantic Beach t �.A 'LICPTION NU�VIBER _
s ?' . �� o be assigned'by,the Building Dep fitment)
�', � Building Department ,_ � E- ),-
Yu .. . : — 6 800 Seminole Road . Ix =f.�. F ' �. ,.�4 - r � 4
Atlantic Beach, Flori 32233 -5445 F
, r '{ Phone (904) 247 -5826 • Fax (904) 247 -5845 one a 4 t 1: - f f .` t .
r,, Dt
ae routed is a
`�;i ,Y Email: building- dept @coab.us . ,,. .. ,., , .t9 it e d ? - .,,. :
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / Lam. Department review required Yes No
Building
Applicant:) Planning & Zoning ✓
Project: _1.4-Lidl(a7C) Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
... S �,�... ...L �..�._ AF { ape S1 r
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants f!-
Division of Alcoholic Beverages and Tobacco /1--'--,----Zr: Other:
r
APPLICATION STATUS ✓ 1 L L J
Reviewing Department First Review: [Approved. @Denied.
(Circle one.) Comments:
BUILDING
PLANNING & Z°1\111\1 Reviewed 7j'2 9' Reviewed by: )4,01'"
TREE ADMIN. Second Review: Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 004(09
.5 VP, City of Atlantic Beach ry jA ' y LIGATION NUMBER
. Building Department 1(f be assigned 6y the Building Department)
i3y 800 Seminole Road ;F}a fit.
51 A tlantic Beach, Florida 32233 -5445
� ' c :1-" Phone (904) 247 -5826 • Fax (904) 247 -5845 j y7: � '� s : .-.
E - mail: building- dept @coab.us Date routed �F
City web -site: http: //www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Address: ✓ uired Yes No
- L p q
Building
Applicant: 6i1 Planning & Zoning ✓
Tree Administrator
Project: —� L --�- --
ree_ e - TAiL Public Works t/
Public Utilities
Public Safety
Fire Services
:. r ^Tl eux
Ask ^{., h- �,- s;.' w„
p_ ,i�.,e, - ,r, '`
eva : • ee r 1. ® '.l• .fir . : -
. .
.l #�s .i.. �}`f (`�... w vRxi x��:yl�}t .. . n.
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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 Reviewed by Date:
TREE ADMIN. Second Review: Approved as revised. ['Denied.
1:'1 e R Comments:
141: IC
PUB IC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
ievlsed 05/14/09
,s.L City of Atlantic Beach cf ' _ F'LITCPNTIONNUIVIBER --
# s1 Building Department 4p ,� V _ii (fo: be a gne the Building Depart
d % ment )
r - .-� � , v 800 Seminole Road , 9 Y F y =' F T `
0 Atlantic Beach, Florida 32233 -544 . t' • "� G �Jl 42 ('� " ---:=1::4:
u� •- } Phone (904) 247 -5826 • Fax (904) 2 5 ' . -� a' x: r :
�. f f Date routed `` y 4 � � #
-a,3 9r E -mail: building- dept @coab.us �.�,r T
City web -site: http: //www.coab.us �.,
APPLICATION REVIEW AND TRACKING FORM
Property Address: /Z- ` , r L .Y• Department review required Yes No
Building
Applicant: e 6 .4-J Planning & Zoning ✓
Tree Administrator
Project: j ,. -- z_
—_ ( ( ,--- x �!`t..0 Public Works ,f`
Public Utilities ✓
`, Public Safety
Fire Services
_ I� F ,
' 4 f y�.T ; as+ �1 a4 �Y.u:,�,�. 'h�S:dCi i�
Reuie Y4. $ .l F :aN k ' 74 ,.r �t� ° g Mfg D a i . Ig 1i1 r r 'Y ' ''" ' , 37
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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 4 0
Reviewing Department First Review: pproved. ['Denied.
(Circle one.) Comments:
BUILDING .P_. 4/108
PLANNING & ZONING / / /4"
Reviewed by: i Date:
TREE ADMIN. Second Review: Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. (Denied.
Comments:
Reviewed by: Date:
evised 05/14/09