Permit 1086 Jasmine St fence 2011 (stop work) CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002250 Date 6/29/11
Property Address . . . . . . 1086 JASMINE ST
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
6FT FENCE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
OWNER
----------------------------------------------------------------------------
Permit . . . . . . W/W/O FENCE PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/26/11
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 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: 1,�Y41,'- 72nNWr S
K Permit Number:
Legal Description Parcel#
Floor Area of sq. t. Sq Et
Valuation of Work ?-CC 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 Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: &ntz �,5 0 h �Jz
f4e&A 6014,-�f
Provertv Owner Information:
Name: �J//& Address:
city Z4--)—z -dol SdteCffip 7-��Z:5-3;hone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Qua Xiing Agent:
Address: . I r i i Zip
C
Office Phone Job Site/Contact!u�er* ax
State Certification/Registration# r
Architect Name&Phone# .1-11,
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address IZ
Bonding Company Name and Address r r
Mortgage Lender Name and Address r 11 r bul- I
I V� — - - - -
4pplication i's hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior 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 abandonedfor a period of sixp�)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing, Mins, Wells, Pools, Urnaces, Boilers,Heaters,
Tanks andAir 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.
Ihereb certify that I have read and examined thisia lication and know the same to be true and correct. All provisions of laws and ordinqnces governing this
typ e o7work will be complied with whether ec e§herein or not. The granting of a permit does not presume to give authority to violate or cancel the
sr, (X1
provisions of any otherfederal,state, or local w re ulating construction or the performance of construction.
Signature of Owner Signature of Contractor
PrintNaine Print Name
'
Swori an ubsckiel before me Sworn to and subscribed fore me
this ay of -Frs"- 20 this _Day of 20
C
Notary Public
1;i February 14,2014 Notary Public!
nf lt�d rhru Notary Public Underwriters
Revised 01.26.10
CITY OF ATLANTIC BEACH
r
(OWNER/ BUILDER AFFIDAVIT
1. FLORIDA STATU TES; 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 WELL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE,W1-HCH IS IN VIOLATION OF TFUS 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.
11. 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(l). 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 REQUIREM E OF
IREM
OWNER-BUILDER PERMIT.
/0 3 7 Clef
I b ey" 6—7
ADDRESS 11-111E N1111IR
PRINT NAME
Lz z
SIGNAT
LIRE DATE
fo t is 2—
Before me this Z _do�f 2J in the county of
Duval,State of Florida,has personally appeared herin by himself herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of County of
F11 P ' nally Known
rod.ced Identificati
SHIRLEY L.GRAHAM
ION#DO 957760
Notary Signature: MY COMMISS
=q14,8
EXPIRES:February 14,2014
F/BIDG/Owner-Builder Affadavit;REVISED: 4/16/2009 A0 Bonded Thru Notary Public Underwriter
10 W i-y-,,P— 22-cJ, 14 J
CITY OF ATLANTIC BEACH
BUILDING AND, ZONING'DEPARTMENT
N0 ,1:".KCE1
�6s I been i ej: -n'do
t da
Psp
9 ,
a
Genera Construction Mech nical
U
El- Electrical
Con t
ohr
cre e,,Ap
M
y
Plumbing, �Fj Gas Piping
cc
OW' -' NY F
R WORK
URTHE
CORRECT ASI'NO f0fMA
A-
I
WQ p',-
'MOVE NO
TICE
g
Irr
I)ate*
2-
*ithin,10�4 MI restilt,ift thi vi ed
�4�jg,:��` 1 0 . I ion' i -forw
A 7
s olat be.lhe' �&d
ayg
" o. e,
th
CODEJE ORCEME �,,SOARD.�
T
_NFQ -P,
t6dents sbWl serv&a,s
The poqi!�g this lacard y I due notilce.
STOP WORK
MAP SHOWING BOUNDARY SURVEY OF
LOTZ BLOCK 179 AND LOT 2, BLOCK 180, SECTION H, ATLANTIC BEACH, ACCORDING TO THE
PLAT THEREOF AS RECORDED IN PLAT BOOK 18, PAGE 34, OF THE CURRENT PUBLIC RECORDS
OF DUVAL COUNTY, FLORIDA.
0' 15' 30, 60'
GRAPHIC SCALE
SCALE 1"=30'
NOTES;
1. BEARINGS SHOWN HEREON ARE ASSUMED.
2. BEARING OF S 00 09'00"E OF JASMINE STREET HELD FIXED.
3. nRLD WORK 09-22-10
L 0 C K 179
;u
B L 0 C K 180
Z_
Q:
Z I LOT I U)
z I LOT 1
0 Q: 0
q .9 0
0
0
rli
0 204.00'PLAT
DUE EAST SETi. 204.00'COMPUTED SET.
102.00' 4)
6!
cn T 69.50' -26.57o
0
cn t! 1 STORY WOOD HOUSE �4 CONCRETE. jD(op.
q o LOT 2 iA NO.1086 FLOOR 8.00
25.00' ct 22.00'
_v 10.00' LOT 2 r
C 0>
>
i -, z: b
rri --A
0 m
37.50' 0
0
102.GO' 102.00'
T." z
DUE WEST SE 204.00'COMPUTED SET.
Q) 204.00'PLAT
65
LOT 3
Q) C? L
in IT�QoTdLAMIC BENCH
(z) cv C BUILDING OFFICE
M-f
'sh'lze JUN 2
N JL44��
NORTHERLY R/W LINE
9TH (50'RIW) STREET WEST
5545 SHANNION AVENUE SYMBOLS;
—x—CHAIN LINK
ROONEY & SONS JACKSONVILLE, FLORIDA 32254 FENCE
PHONE (904)-379-2574 FAX. (904)-379-2578 —&—WOOD FEN C
—w—WIRE FENCE
I HEREBY CERTIFY TO : WILLIAM BRANTLEY HARVEY, IV USAA FEDERAL SAVINGS BANK —E—ELECTRIC LINE
FIRST AMERICAN TITLE INSURANCE COMPANY BEACHES TITLE SERVICES, LLC rC13 UTILITY P;LE
74S SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH By THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN WELL
CHAPTER 5J-17.050-17.052 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027 FLORIDA STATUTES. ASPHALT
FEMA FLOOD INSURANCE RATE INFORMATION PERTAINING TO LANDS SHOWN HEREON; OVERHEAD
ZONE_�116 PANEL- 120075 0001D - DATE --�±-_'7-89 / DUVAL ___ -COUNTY, FLORIDA.
P.0 C.-POINT OF COMMENCEMENT R.L.S.-REGISTERED LAND SURVEYOR N-NORTH S-SOUTH E-EAST W-WEST CONCRETE
P.0 B.-POINT OF BEGINNING PROP.-PROPOSED CA-CENTER LINE EX.-EXCEPTION TYP.-TYPICAL
P.c-POINT OF CURVATURE LB.-UCENSE BUSINESS F.F.-FINISH FLOOR EL.-ELEVATION P.S.M.-PROFESS-iONAL SURVEYOR/MAPPER
P�TPOINT OF TANGENT O.R.V.-OFFICIAL RECORDS VOLUME BLK.-BLOCK FND.-FOUND J.E.AJACKSONWL�F. ELECTRIC AUTHORITY
P.R*C.-POINT OF REVERSE CURVATURE O.R.B.-OFFICIAL RECORDS BOOK I.P.-IRON PIPE RB.-REBAR P.R.M.-PERMANE-MT REFERENCE MONUMENT
P,C,C.-POINT OF COMPOUND CURVATURE D.B.-DEED BOOK PG.-PAGE CONC.-CONCRETE A/C-AIR CONDITIONER rlLV-n.-BouLF_vAxr) LA.-LANE
P'l.-POINT IF INTERSECTION P.B.-PLAT BOOK M.B.-MAP BOOK ESMT.-EASEMENT ELEC.-ELECTRIC RD-ROA.0 No.-NUMBFR SEC.-SECTION
P.C.P.-PERMANENT CONTROL POINT CO.-COUNTY FL.-FLORIDA B.R.L.-BUILDING RESTRICTION LINE TWP.-TOWNSHIP RNG-RANGE
P.R.P.-PERMANENT REFERENCE POINT AVE.-AVENUE ST.-STREET F.Z.B.L.-FLOOD ZONE BOUNDARY LINE P.L__3._PROFES5t0NAL LANC '_URVEYOR
R/W-RIGHT-OF-WAY CT.-COURT C.B.D.-CHORD BEARING AND DISTANCE APPROX.- APPROXIMATE EXIST.-EXISTING NO UNDERGROUNC LOCA71ONS
L-ARC LENGTH R-RADJUS COMP.-COMPUTED RAD.-RADIAL A.K.A.-ALSO KNOWN AS N/F-NOW OR FORMERLY LOCAIED THIS SURVEY
A-DELTA ANGLE T-TANGENT P-PLAT C-COMP. D-DEED N.G.V.D.-NATIONAL GEODETIC VERTICAL DATUM
JURISDICTIONAL WETLANDS WERE NOT LOCATED THIS SURVEY. El DENOTES CONCRETE MONUMENT 09-22-io
DATE SIGN 1). 0.
EASEMENTS OF RECORD WERE NOT PROVIDED FOR THIS SURVEY. 0 DENOTES IRON PIPE 9 -
THIS SURVEY DOES NOT DETERMINE OWNERSHIP. SET-DENOTES SET 5/8"x 18" K�_Ielle�vl ��-
THIS SURVEY NOT VALID WITHOUT EMBOSSED SEAL REBAR L.B.7626 mummommumani ANTHONY PAUL O'NEIL PSLM5�6J84
RECEIVED
City of Atlantic Beach APPLICATION NUMBER
Building Department JUN 2 3 2011 (To be assigned.by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-544 r-�
Phone(904)247-5826 - Fax(904
E-mail: building-dept@coab.us Date routed:
City web-site: hftp:/hvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: gA Department review required Yes Nol
Applicant: )-.-)7 cf-t' Planning&Zoning,;
1��dministrator
Project: /0 r!99"cWorkrz-,
>babk Utili!Es:)
-ARF"a e—ty
Fire Services
61,
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:
APP!JCATION STATUS
Reviewing Department First Review: /kApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ElApproved as revised. [-]Denied.
*P WORKRS Comments:
TILI
PUBLC SA ETY r/ Reviewed by: Date:
FIRE SERVICES Third Review: [:]Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07127110
City of Atlantic Beach RECEIVED APPLICATION NUMBER
Building Department JUN 2 3 2011 (To be assigned.by the Building Department.)
800 Seminole Road
//— ��'7��o
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)
ljjs>�' E-mail: building-dept@coab.us Date routed:
City web-site: hftp:/Avww.coab.us 1L_
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
_B
Applicant: e&P7 e It, Planning&Zoning�
ree-Xdministrator
Project: J r ic Work
a
Fire Services
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
Anny 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: E]Approved as revised. Fbenried.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. MDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned.by the Building Department.)
800 Seminole Road
//-
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
h
OjOSA, E-mail: building-dept@coab.us Date routed:
City web-site: hftp:/Mww.coab.us I / —
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZIA ja�� -;--)e Department review required Yes No
Applicant: Planning &Zoning�
-fffdiMdministrator
Project: i r o.11c - lic Works_.��
�P�Utilit�L)
Fire Services
R6'v:A�
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: EqApproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING -,7,7 -1 (
Date: 16
Reviewed by g2
TREE ADMIN. Second Review: DApproved as revised. FlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. RDenied.
Comments:
Reviewed by: Date:
Revised 07/27110