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Permit Concrete Front Yard 91 Ardella 2011 ,� „, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD i 1 ' - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 4 0.111 1 - 4r' Application Number 11- 00002152 Date 6/13/11 Property Address 91 DONNER RD Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc CONCRETE FRONT YARD PATIO Owner Contractor AMARO OWNER 91 DONNER ROAD ATLANTIC BEACH FL 32233 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . 27.50 Issue Date . . . Valuation . . . . 0 Expiration Date . 12/10/11 Special Notes and Comments Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utiliites. Hand dig if necessary. If field coordination is needed, call 247 -5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visibile. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. Add cinder blocks and more yard drain per field discussion. Full right -of -way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Slab must drain to front of lot /right of way, not to adjacent lot. Other Fees STATE DCA SURCHARGE 2.00 ENG REV PRE APP > 3 HRS 25.00 STATE DBPR SURCHARGE 2.00 UTIL REV MODIF OR ROW 25.00 Fee summary Charged Paid Credited Due Permit Fee e Total 55.00 55.00 .00 .00 PERMIT IS :144 )'VErD N't;� Il`P QC"� iKDANCE WITI? aL• L OF ATLAf V 'KCSIikACH ORDINANCEQ AND THE FLORIDA° 0 BUILDING CODES. r i; rV i r✓r. t`� CITY OF ATLANTIC BEACH °� 800 SEMINOLE ROAD t) t " " " "' . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 11- 00002152 Date 6/13/11 Other Fee Total 54.00 54.00 .00 .00 Grand Total 136.50 136.50 .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 THE EASTERLY 50 FEET OF LOT 20, BLOCK 16 AS SHOWN ON, BUT NOT INCLUDED IN, DONNER'S REPLAT, AS RECORDED IN PLAT BOOK 19, PAGES 16 AND 16A OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. BEING THE SAME LANDS AS DESCRIBED IN EXHIBIT "A" OF BOOK 8841, PAGES 680 -682 OF SAID PUBLIC RECORDS. 1 1 I LOT /7 LOT /8 I I A LQT .. +� /.9.:. v1i I p Se/ Ye7ton RAe lso.eeO 1) (Le 6G4 5) 1 • 50 00(A/R) c' o ( / uj � 38.Oov O 9a °09'15" ° 035" ° Q u ` ' Avoci 6A1 TA) O v p e M t 3 195 ) 90 •(R) 90 °CR) — \ - O. JGflCs/ � I. /6' South \ O 4 1 1 0 a Ni ,f4,3 /PENCE No. 9/ � ,' v Q (42 "... C �" tr i rco�. we Pad h / 6 l � ro.► © 3/4' 8.5' h Q i i F.F. r'k..E✓. q O E , / 5.d Ili o �ot�� it ' 6d 24.4' 1 ?.3' CAbI �. Se/ y %ronP a t n c - V $ V k �� "//-� P, ,ce 4 ��. f l!8GG45) (LB6645 606.3/ • / au�' %r •� �"'�O .�� : 9 r . vc L'OMMEN NOTES: lNa /O) /SS�n p;oo J `. ' . �� f (i3YDec EME/4/l On R /W. Woo 5D i , : • ° . /0..04 ° J o ON At 50.° 2 (R) /No /o) /47W/05, o OnR /W NO BUILDING RESTRICTION LINE BY PLAT, BUT `C THERE MAY BE RESTRICTION LINES OR " ` OI`' n (/15. ZONING RECOR ED N PUBLI DS ( pON � E ?5 ' /3Y ,o / a �/� (J /1/6/C09 OF THIS COUNTY THAT ARE NOT SHOWN ON THIS 'P /Gyl D�` k/,4Y/ �� / E S SURVEY. THIS PROPERTY APPEARS TO LIE IN FLOOD ZONE "X" BY f -f. E<E ✓. .54./o •►Ov /.s .•3.*sevoNN,or/o,./,ez.. FLOOD MAPS REVISED 4/17/1989, COMMUNITY PANEL rsooB,7'ic ✓,4,Q,7yc O.e72-44•1 NO. 120075 0001 D. CERTIFIED TO : LEGEND (4) Denofes QC�Uo"�� HABITAT FOR HUMANITY OF THE JACKSONVILLE BEACHES, INC. d/b/a BEACHES HABITAT : (R) Deno/es /Pecord ANNA MARIA RODRIGUEZ : DONAHOO, BALL, McNEMANY 8 JOHNSON, P.A. /TDURDEINI LAND SURVEYORS INC. ' � � ./,. / 1, LB 6645 " SIGNAL LAND SURVEYOR N0.1674 FLORIDA H. BRUCE DURDEN, SR. 1103 SOUTH THIRD STREET DATE: JANUARY 15, 1999 JACKSONVILLE BEACH, FLORIDA 32250 I "_3 (904) 249 -7261 FAX (904) 241 -1252 SCALE: - _ THIS MAP OF SURVEY IS NOT VALID UNLESS IT IS SIGNED AND HAS THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR. City of Atlantic Beach APPLICATION NUMBER "' Buiidmg Department (To be assigned by the Building Department.) r 800 Seminole Road �'�ty 1 / . Atlantic Beach, Florida 32233 -5445 I jf f / / - Phone (904) 247 -5826 Fax (904) 24 - r� E -mail: buildin -de t coab.us �_._ Date routed: )/ )/// City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4�/ 2A/4' Department review required Yes No Applicant: `' /L) /1 ( - Plannin & ZonincL) i ree Administrator Project: /L l - /`; i17" ) /ftrh I f�,� M1i�V ►� - ub is Utilities) Public Safety Fire Services Review fee $Y S n sLL Other Agency Review or Permit Required Review or Receipt Date of Permit Veed 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: QApproved. [Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: h' pproved as revised. QDerti . �,JL.� PUBLIC WORKS nme��s;, _ �' PUBLIC UTILITIES �✓ �1,� l PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 t:-- �Ir�J City of A tlantic B each APPLICATION NUMBER f "--. Buildin De art ment � � :► 9 p (To be assigned by the Building Department.) 800 Seminole Road I / . /� Atlantic Beach, Florida ''''' ze 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 '`.Q,01.i> E -mail: building - dept @coab.us Date routed: 6 /2//x/ City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4 7 Department review required Yes No Applicant: ) ,e i,e- Plannin 8 Zo in n i ree Administrator Project: 11Y2g/ /! S.-- Frevi r //9'r b PO .6.%)> / ,(Public Utilities) Public Safety Fire Services Review fee - 4. ,, 4 =- a° p., 8 ie SAVO Other Agency Review or Permit Required Review or Recei Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation 5010 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: QApproved. SIN. ['Denied. v t„,.... )• lei p-w.Q (Circle one.) Comments: v BUILDING rte � �'" P -41- PLANNING & ZONING Reviewed by: S "- Date: { °'' 4 n TREE ADMIN. Second Review: DApproved 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: Revised 07/27/10 :s.i5 r� , City of Atlantic Beach � APPLICATION NUMBER � � v � Building Department (To be assigned by the Buildin De artment. v 800 Seminole Road g p ) ` � j 191. � Atlantic Beach, Florida 32233- 4� ✓ �� a 1/ - /� ` Phone (904) 247 -5826 • Fax (• :' 247 -5845 I ,-Pn Lo;t• E -mail: building - dept ©coab.us ~ ~� Date routed: _ // City web -site: http: / /www.coab.us APPLICATION REVIEW A ► TRACKING FORM Property Address: g/ . bDif//il4 -61 Department review required Yes No Applicant: Q/,v7- i,e, ( .._ Planning & Zoninn� I ree Administrator Project: ,69/M, 4!- rieiir y at) . t wo s> ub is Uti itie Public Safety Fire Services Review fee V -,,o , tieP S f .r IgBature 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: 6! : ■ proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: / Date G> TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. p4 : �,I'f - Comments: /:LI UTILITIES AFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 rs X11 �. CITY OF ATLANTIC BEACH ®WNER / 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. IIT. `y e / ADDRESS PHONE NUMBER 'n �� PRINT A "'__ A A...17„.........„ yv� 5—/ / / / GN TURE DATE Before me this I day of I \/ , 2C1.1__ in the county of Duval, State of Florida, has personally app ared herin by himself / herself and affirms that all statements and declarations are true and accurate. (/ ' Notary Public at Large, State of 1 , County of DA U a "" ❑own �� roduced ally IdeKnntifcatio ..�— JJJ + , a , Y P SHIRLEY L GRAHAM /' L * . Notary Signature: �� G „ " ": 4,1 MY COMMISSION # DD 957760 .. EXPIRES: February 14 201 , �.� 4 - . Bonded Thru Notary Public Underwil.c. j F.BLDG /Owner - Builder Affadavit; REVISED. 4/16/2009