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Permit Fence 1604 Coquina Pl 2011 J�� f CITY OF ATLANTIC BEACH siN 800 SEMINOLE ROAD 'r ATLANTIC BEACH, FL 32233 "� "' ` INSPECTION PHONE LINE 247 -5814 - -.01i J . Application Number . . . . . 11- 00002580 Date 9/12/11 Property Address 1604 COQUINA PL Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 6ft and Oft fence Owner Contractor MEARS OWNER 1604 COQUINA PLACE ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/10/12 Special Notes and Comments Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247 -5834. Separate Right -of -Way Permit required for construction in Coquina Place 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. . t City of Atlantic Beach " ; -; ... ,. : APPLICATION NUMBER 4s r J ��" Building Department / "` - -f (To be assigned by the Building Department.) •. ;, - 800 Seminole Road �, , ri Atlantic Beach, Florida 32233 -54 5 SEP 0 7 2 011 / /'- CIO Phone (904) 247 -5826 • Fax (944,), /j ^ �• tt >%' E - mail: building- dept @coab.us' :'. _ Date routed: % 4 / City web -site: http: //www.coab.us _- =_ -_ - - „j APPLICATION REVIEW AND TRACKING FORM Property Address: %tp e 7 ,D (g g.f C1- A., Department review required Yes No B • .• • Applicant: 6 to Ng. "tannin. : • 61/ S-. z(--)768 (rublic Tree Administrator Project: J - /f r works blic Utilitie) Public Safety Fire Services 0 , , „ . C Review f T , ,U 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: pproved. ❑Denied. (Circle one.) Comments: BUILDING /C ) b PLANNING & ZONING Reviewed by: <..d/ Date: Rt8'i TREE ADMIN. Second Review: DApproved as revised. ❑Denied. r '' p of irA • - Comments: PUBLIC AFEfY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 ri yay? City of Atlantic Beach APPLICATION NUMBER s - .. Building Department (To be ass by t Bu Department.) r � � � 800 Seminole Road � ; .� Atlantic Beach, Florida 32233 -5445. 47 / Phone (904) 247 -5826 • • Fax (904) 247 -5845 <<.' ; v 1 1 \ ..„..", \,.._ , it = ,e E -mail: building- dept @coab.us zO� Date routed: 1 City web -site: http: / /www.coab.us APPLICATION REVIEW AND - KING FORM Property Address: /i D 7 Ofd fti/ - ha., ft. Department review required Yes No p �tY �' B 4 to NF . - lannin• & • •• • Applicant: Tree Administrator 6 r J 4 �77 G g r blic wo Project: 2ILQUtilititO Public Safety Fire Services ; : c 2... y - , ,I f i ', f kitlitgAtierlaila 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 Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: rglApproved. ❑Denied. ,, (� (Circle one.) Comments: 1 N yy , 1, V �,�„vA' 4-- ILDING e- 0.64. iri �� �> „i w BUILDING �(� PLANNING & ZONING Reviewed by: - Date: S /S /// TREE ADMIN. Second Review: Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127110 t i,;a, , p,. City of Atlantic Beach APPLICATION NUMBER s r a, � F s (To be assigned by the Building Department.) ifr t Building Department �t 800 Seminole Road /` - , ?5 p C� r Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 : 9 ��I! < 113 E -mail: building- dept @coab.us Date routed: < � - City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / a i .c) q i4l CU A. Department review required Yes No Applicant: d to /1-F /arming & Zq Tree Administrator Project: 61/ � J ,CJ 6 . 7 6 8 ublic WoO s ublic Utilities_) Public Safety Fire Services ro xa x a a2a u r 3z 's`'' 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 Division of Alcoholic Beverages and Tobacco Other: APP CATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: ' PLANNING & ZONING `' �� / Date: q -1-1 l Reviewed by: 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: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 /,)/ Job Address: /' 6 0 9- 6 ©�u / na Plod. e Permit Nu 1 : i : Se p 0 � � Legal Description Parcel # S' Floor Area of Sq.Ft. S • .:; 6 '0 1/ Valuation of Work $ Proposed Work heated /cooled / OO non- d /cooled Class of Work (circle one): 40 Addition Alteration Repair Move Demolition pool/spa win • : • , oor Use of existing /proposed structure(s) (circle one): Commercial ' esidential installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): • e o N /A Florida Product Approval # For multiple products use product approval form // Describe in detail the type of work to be performed: ( // P /1 94-1 d 44 T k--ne,L Property Owner Information: Name: Pao. 1 P1,404,- Address: 1604 C n qt In q Oa G C City w• f, ` euck ` Sta t FL Zip 3223 3 Phone 104 t 6 S/- Z to 3 E -Mail or Fax # (Optional) ��-htv►a`e„^ yu40 Contractor Information: Company Name: ualifying Agent: Address: City State Zip Office Phone e/ Contact Number Fax # State Certification/Registration #_------ Architect Name & Phon Engineer's Nam one # Fee Sim i e Holder Name and Address Bon mg 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. 1 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 a_period of six f6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Plumbing, Signs, Wells, Pools, Furnaces, 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this a plication 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. Signature of Owner.; - Signature of Contractor Print Name [ ' Pak / Print Name Sworn to a L• : ubscri i ed before Sworn to and subscribed before me this ,. .ff of -7 20(6 this Day of , 20 "SI IV AIM Notary Public Notary Public Revised 01.26.10 CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT L FLORIDA STATUTES; CHAPTER BUILDER 9, TO ACKNOWLEDGE STATUTES, THE LAW: 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER / 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. BU INJURIES BUILDING PURCHASED. HI. 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. 1V. 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. STATEMENT ND ACKNOWLEDGMENT; I HEREBY I COMPLY WITH ALL THE E REQUIREMENTS FOR THE ISSUANCE DISCLOSURE ISSUANCE OFAN OWNER- BUILDER PERMIT. /C694. God u ,-►d Arc, t 96 — 5/ -2 /03 PHONE NUMBER ADDRESS Pau / w1 der PRINT NAM VT DA SIGNATURE / 1 Before me this 6t�i day of .5f 4-e— , 20 jL in the county of Duval, State of Florida, has personaffy appeared herin by himself / herself and affirms that all statements and declarations are true and accurate. Notary Public at Large, State of , County of Personally Known ❑ Produced Identifi - on - , Signature e — F: BLDG /Owner- Builder Affadavit; REVI -v: 4/16/201 u a ze 0000000 MAP SHOWING BOUNDARY SURVEY OF LOT 4, BLOCK 4, OCEAN GROVE UNIT NO. 1 AS RECORDED IN PLAT BOOK 15, PAGE 82, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: PAUL R. HINDER WELLS FARGO HOME MORTGAGE OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY RICHARD T. MOREHEAD TITLE & ESCROW, INC. COQUINA PLACE 11 "/''1 1,arotiM Z, ( (40.0' RIGHT OF WAY) / ,...1 i S 10'00'00" E IJ/ CATV 55.45' (MEASURED) FOUND 1/2' IRON PIPE DEv/EES RISER / S 10'00'00" E 55.60' (PLAT) NO IDENTIFICATION CUSP (50 •o' RI V V FOUND 1/2' IRON PIPEO9 WOOD , , " „ GMT Op W N ►V y� NO IDENTIFlCAl10N POLE ', (' cV ` " . J ,id/7 '—'''- x X ►N V N K 93 • ' • : I + 14 9' 10.2. �)/! �V /, / �'� Q I 16.7 �/ / K La I 7.5 le 2.1 TWO STORY p w x 1 . F RAME 2 . W Q%'" POSTED #� 1604 ti 1 j 0 r _ IS O 22. x O a 0 O i Irit .-• " WOOD ECK�� ' O U-1 W I - „��mm.∎ 9. 3.8 x EAC - o x / CITY OF ATLANO E In I- : -Z 2011 :_: • - • / � � SEP C Z / 00 op �Z x I\ z By: LOT 3 x LOT 4 I BLOCK 4 i / BLOCK 4 LOT 5 L I x BLOCK 4 , 0 . 6 :I ' \. 4\ FRAME/ y THE IMAGE SHOWN HEREON 15 SHOWN FOR SHE 11 ..T� / — — _ - \ (0.5' -- 8' IIT�ITIES EA. M x • UPON FOOR R IN FNT 7 0.5 UPONEF AND SHOULD NOT BE RELIED ED ASSOCIATED WITH CORNER / _ FOUND 1/2' IRON PIPE THIS SURVEY PROPERTY NER _ -. N 10'00 W — - NO IDENTIFICATION � UNDER FRAME SHED .t lV" r- ` °'' ''fi n t ' NO EVIDENCE FOUND x 3 5.00' (PLAT) e4 , . , � - y 1r ,L t ' , O R SET I N 10'22'29" W _'4 '' ,...r ` ` 4 k f t ' ‘s�'' h NA 35.00' (MEASURED) " ,r ► „4 r t s (j( { 1 4 J Y \ ' � tr y ! .� LOT 11 (� LOT 10 LOT 9 ,.: 1 . � IJtI '' , "';t t ,�; �.� . BLOCK 4 \ /� 1 BLOCK 4 BLOCK 4 .. r . ' I v 77777 NOTES: ACCEPTED BY � •+ hMF,, H JOB # 11 -080 I DATE OF FIELD SURVEY: 08 -20 -11 I DATE OF ISSUE: 08 -23 -11 I SCALE: 1" = 20' MAP REVISIONS MAP NOTES: DATE DESCRIPTION 1. BEARINGS ARE BASED ON THE , ASSUMED BEARING OF S 10 E ALONG THE EASTERLY BOUNDARY UNE OF SUBJECT PARCEL. 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 0 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. 4. THIS SURVEY IS NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. CHARLES K CERTIFICATE LEGEND: I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE • = PROPERTY CORNER MC I NT O S H AND MEETS THE MINIMUM TECHNIC STANDARDS AS ,cT FORTH BY 714E FLORIDA OBSTRUCTED NO EVIDENCE BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTEI4 5J-17, FLORIDA FOUND OR SET 1' ADMINIS1RA11VE CODE, PURSUANT TO : 110N 472.072, FLORIDA STATUTES. PROFESSIONAL SURVEYOR // a) = CONCRETE & MAPPER #5502 f (`" - X- = FENCE 1692 Covington Lane �� R = RADIUS Orange Park, FL 32003 CHARLES K. McINTOSH (Phone) 904 -524 -3411 REGISTERED SURVEYOR AND MAPPER # 5502 STATE OF FLORIDA L ° LENGTH Page 1 of 1 `t i , 1660 Agri i } ---- "ea.as._ - -- i� y 77 65 39 t 1660 ----424----'i".), �� ;13--7-1 1654 � { I1 t 4 � ' I ° 9TS5 __ _--- -- 16 S + I U A4 1660 96 4. i u T � 1650 c 1614 4441 Y9 - 2 -- SO ,_... . 1.615 i f $ 1 __ 1610 t, �{ v I1 1651' 11 1 !II -------14"------ 1604 ' r ` O a f I 169 561 DOOfl ,._‘ 1 \\ i 2651 t 4a ' r f 'tom 1632 t! / 16a 1 . fir, t ` I l , ' l6 / / r y; � "'111 ' j Y a { ' ef 1620 1643 I \ , t' 64) ?" �, 111E 'a 4 f , r x � r ' 'Y . f d' 0 _ . 6ft C 4C) C ddfdvee+ Fl I `wit /// , http: / /maps.coj, net / output/ DuvalMaps _itdgism654285440707.png 9/7/2011