Permit Fence 43 Stanley 2011 SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002514 Date 11/14/11
Property Address . . . . . . 43 STANLEY RD
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPLACE 6FT FENCE
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Owner Contractor
------------------------ ------------------------
SATANI YOUSEF 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 . - 5/12/12
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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 .
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
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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 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.
MAP SHOWING BOUNDARY SURVEY OF
LOTS 3 AND 4, BLOCK 19, AS SHOWN ON MAP OF
DONNER'S REPLAT
AS RECORDED IN PLAT BOOK 19, PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA.
CERTIFIED TO: YOUSUF SULTANI
SCALE: I"=30' DATE: 03-11-09
OFFICIAL RECORDS 13514, PAGE 957
LOT 6 lo�(P)
N89*49'02"E 99.97(ACT)
FND.3'Xr COQUINA
MON..NOT�LDE��
o 49.97'(ACT)
LS6076
50'(P)
61' AME
ED
62
0 Z 1.0 *
0 _x U)
0
cc) > LOT 31
C!
0 N)
C; C q
. :.., ...�k �t-0.2' 0
11.7'
0 LOT 4
-STORY
2.7-1
FRAME 0
#43
x q
ILI! z
OD
OVERED
0 2�c>) p'. ENTRY ci
'CONIC
WU
CONC.
DRIVE 4' CHAIN LINK FENCE ILI 1-0.8*
174.5'(P) -(pj Ol
-j7 50
W "0 OSET 1/2 T-P.
MON..NOT LABELED L56076
S90'00'00-w 99.97'(ACT)
(BEARING BASE) i Do'(P)
STANLEY ROAD
(FORMERLY STANDLEY ROAD, 30'. R/W)
THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN BEARINGS SHOWN HEREON ARE ASSUMED
ON THIS MAP THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. UNDERGROUND FOUNDATIONSARILITIES NOT LOCATED
THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE "X" AS SHOWN ON FLOOD INSURANCE RATE
MAP 1200750001D FOR THE CITY OF ATLANTIC BEACH, FLORIDA, DATED 4-17-89.
C & C LAND SURVEYORS INC.
774 NORTH STATE ROAD NO. 13, SUH 13C
JACKSONVILLE, FIORIDA 32259 - (904) 287-0407 - LICENSED BUSINESS NO. 7390
AARRFMATIONS USED IN THIS DRANNG ALL MAPPED FEATURES SHOWN HEREON WERE PERFORMED UNDER
A ARC LENGTH N.G.V.D. NATIONAL GEODETIC MY DIRECT SUPERMSION AND DIRECTION.C THIS MAP/SURVEY
(AC ACTUAL VERTICAL DATUM MEETS OR EXCEEDS THE MINIMUM TECHNI AL STANDARDS
O.R.L.-BUILDING MON. MONUMENT ESTABLISHED BY THE BOAqD OF PROFESSIONAL SURVEYORS AND
RESTMC71ON LINE(P) PLAT MAPPERS PURSUANT TO CHAPTER 472.027 FLORIDA STATUTES
CHORD DISTANCE P.C. POINT OF CURVATURE
CONQ-CONCRETE P�C.C. POINT OF COMPOUND AND CHAPTER 61G`17�6 FLORIDA ADMINISTRATIVE CODE.
It CENTER NE CURVATURE
A DELTA P.I. POINT OF INYMSEC11ON THIS MAP/SURVEY IS NOT VALID
CSWT EASEMENT P.R.C. POINT OF REVERSE WITHOUT SIGNATURE AND RAISED SEAL
F.F.E.-nNISH FLOOR CURVATURE
O-EVAll P.T. POINT OF TANGENCY SAMUEL C. COOLER
FOUND R/W RIGHT OF WAY
I.P. [RON PIPE R RADUIS
1.4. OD LIM (R) RADIAL
OHL I0F`VE4MREAD E(S)TAN TANGENT
(W) WTHESS PROK-WONO ZVEYOR & MAPPER NO. LS 6076
F.B. 32:26 DR. BY SCC DIR. D:/DWG 2009 Rj_' 09-80 ORDER NO. 09-80
I 1p City of Atlantic Beach
T A 0 APPLICATION NUMBER
(To be assigned by the Building Department.)
800 Seminole Road
?0
Building Department ?0
Atlantic Beach, Florida 32233_5445
Phone (904)247-5826 - Fax(904)247-584
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4 V A-Q/ Department review required Yes No
Buil!tIng-,
Applicant: A)-27 J- (,�-'Nlanning &Zonrnl)
r—ree Administrator
Project:
Public Safety
Fire Services
Review fee Dept,;Signa,ure
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. FlDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:. ;4A Date:
TREE ADMIN. ?4
Second Review: FlApproved as revised. F]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. FDenied.
Comments:
Reviewed by: Date:
Revised 07127/10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
41
Atlantic Beach, Florida 32233-5445 61,9
Phone(904)247-5826 - Fa 8*45
1?0//
fit E-mail: building-dept@coab.us Date routed:
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND ACKING FORM
Department review required Yes No
Property Address: '—�/—m) 4- V KJ
Buil4inA_
Applicant: /V-77 ,�-151anning &Zoni'n )
-T—ree Administrator
Project: ( PublicWor
�u c U t�i I fit�_ie&— .
Public Safety
Fire Services
Y
Review fee De t Si natu
P
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: YApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed b(��_ Date:
TREE ADMIN. Second Review: FlApproved as revised. [-]Denied.
4P W KS mments:
0
PUBLI T I
PUBL C SAOFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. FlDenied.
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
E-mail: building-dept@coab.us Date routed:
Cityweb-site: hftp://www.coab.us I ;;;a/'// -_ - I
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4 I<d Department review required Yes No
Buildi-M--.--'
Applicant: 14)727 1- 151anning &Zoni-nig-) _4Z
-rr-ee-Administrator
Project: e Q ublic Wor
�tirifie�
Public Safety
LFire 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
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: XApproved. E]Denied.
(Circle one.) Comments:
BUILDING
,�LANNING &Z G Reviewed by:_
TREE ADMIN. Second Review: E]Approved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. MDenied.
Comments:
Reviewed by: Date:
Revised 07/27110
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Y 93- �!�
(�,etcl 34AI?3, Permit Number:
Legal Description Parcel#
Valuation of Work S P'loor Area of -_ Sq.Ft.
-:;;i 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 structureQ) ircle one): Commercial Residential
If an existing structure,is a fire spriler system installed? (Circle one): Yes No N/A
Florida Product Approval 9
For multiple products use product approv—a-Fl7oirm
Describe in detail the type of work to be performed:
?9
00�,�_ r__
E
Property Owner Information:
Nanne: `�L4 I �hml Address: L On�
City A-El. StateC-LZi jkj,r.�- Phonei('4,
E-Mail or Fax# (Optional)—ya v Lq 461 —-,6 - ;X,
ffW14a,f
Contractor Information:
Company Name: Qualifying Agent:
Address: city State Zip
Office Phone Job Site/Contact Number Fax 4
State Certification/Registration
Architect Name&Phone#
Engineer's Name &Phone
Fee Simple Title Holder Name and—Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication 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 o
,fwaopermit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. Thi's permit becomes null
and void rk is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod qfsixji�)months at any time after
work is commenced I understand that separate permits must be securedfor Electricaf Work,P umbi tg,Si ns, , Is, Poo s, i rnaces, Boileis,He e
Tanks andAir Conditioners,etc. I I k d I U at rs,
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihereb certify that I have read and examined this a lication and know the same to be true and correct. All provisions of laws and ordinances governing this
f,pp
,1,,
typ e o7work will be complied with whether sr"eci ie herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local aw re ting construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name
............<1 ........................ Print Name
.............. ........... ..............................
SworlrSo an subscrftd before me Sworn to and subscribed before me
this JQ D of 2011 this Day of
Notary Pub
otary Public
Notary Public-State of Florida
MY Comm.Expires Mar 2.2014
PF. Revised 01.26.10
F" Commission#DD 956695
CITY OF ATLANTIC BEACH
OWNER / BMDER "FIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "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 CONT?,ACTOR 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 USEA OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WFUCH 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 MINICIPAL 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; UNUCENSED 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 REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
1-13 5+a_,t_tQ 06 6 09-d,7
ADDRESS�'L , '� PHONE NUMBER
PRINT NAME
QA A
SIGNATURE V DATE
Belbre me this IF 20]j— in the county of
Duval,State of AI- i,_tz11.11rsonalIy a herin by himself/herself and affirrns that
all statements and declaratioqs am true and accurate.
42�4__
sonal a ed
MORRIS
Notary Public at Large,Store r,.rr:yof_"")
fl�p A N.MORRIS
b S ate
Notary Public-state of Florida
r0r'sonL,,y,Known M, 0 id
r- Exp;r s or 2 2014
lion#Do 95
"Z My COmm.Expires Mar 2,2 1
u dentificabon- 4
Commission#DO 956695
FMIDGIO�e�-Builder Affk&vit;REVISED:4/1612009
MAP SHOWING BOUNDARY SURVEY OF
LOTS 3 AND 4, BLOCK 19, AS SHOWN ON MAP OF
DONNER'S REPLAT
AS RECORDED IN PLAT BOOK 19, PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA.
CERTIFIED TO: YOUSUF SULTANI
SCALE: 1"=30' ?
P1111111,11111111,NO ----1
ThIS SPPMVd V11111111ft
zoning, subdivis" fteall lanrl
development
approval for the ampliance"
with Florida alum"aw&WON 11cable
me,its
local, State W4
must be ved
Beach Buildi f a
Building P
OFFICIALI RECORDS 13514. PAGE 957 Approved
I
LOT 6 4�ite:
N89*49'02"E 99.97'(ACT)
FND�3'Xr COOUINA
MLA.NOT LABELED
16T 49.97'(ACT)
50.(P)
,11. AME 9.11
8" . , -
Eij 10
6.2- 10 1'
Z -X U)
x �6,�j�< x I
IN) 8 0
LOT 3) 0
0
P. F. 0
C; -ta"i-0.2' C;
11.7' .IL x-
0 6 LOT 4 m
2.7.1-STORY 171
FRAME". 0
CR -4
#43
x R
01 20.5'
U!
bD
X3 7C. A
OT
�IN
OVERED
0 ENTRY oi
4'CHAIN LINK FENCE
174.5'(P) 0.
YX3' .WN.
MON..NOT LABELED
S90'00'00"W 99.97'�ACT)
(BEARING BASE) 100.P)
STANLEY ROAD
(FORMERLY STANDLEY ROAD, 30'. R/W)
THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN BEARINGS SHOWN HEREON ARE ASSUMED
'ON THIS MAP THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. UNDERGROUND FOUNDATIONS/UTILMES NOT LOCATED
THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE 'X" AS SHOWN ON FLOOD INSURANCE RATE
MAP 1200750001D FOR THE CITY OF ATLANTIC BEACH, FLORIDA, DATED 4-17-89.
C & C LAND SURVEYORS INC.
774 NORTH STATE ROAD NO. 13, SUR 13C
JACKSONVILLE, FLORIDA 32259 (904) 287-0407 - UCENSED BUSINESS NO. 7390
A88RFVIATIONS USED IN THIS 13RAVANG ALL MAPPED FEATURES SHOW HEREON WERE PERFORMED UNDER
A -ARC LENGTH N.G.V.D. NA110M GEODETIC MY DIRECT SUPERVISION AND DIRECTION. THIS MAP/SURVEY
ACTUAL Mat VERTWAL DARN MEETS OR EXCEEDS THE MINIMUM TECHNICAL STANDARDS
IRRJDING ESTO�BUSKEO BY THE BOARD OF PROFESSIONAL SURVEYORS AND
RE511INCrsON LINE
ON CHORD DISTANCE C PLAT T OF CURVATUM MAPPERS PURSUANT TO CHAPTER 472.027 FLORIDA STATUTES
P PM AND CHAPTER 6143117�6 FLORIDA ADMINISTRATIVE CODE.
OmC.-CONCRETE C.C. POINT OF COMPOUND
C 0115NIMNIE CURVATURE
A DELTA Pi. POINT OF INTERSECTION THIS MAP/SLIRVEY IS NOT VALID
ESMT EASEMENT P.R.Q POINT OF REVERSE
F.F.L FINISH FLOM CURVATURIE WITHOUT SIGNATURE AND RAISED SEAL
ELEVATM P.T. POINT OF TANGENCY SAMUEL C. COOLER
FND. FOUND R1,W MONT OF WAY
I.P. PIPE It RADL48
1.P. ROD (R) RADFAL
OHL OVERHEAD UK(S)TAN TANGENT ............ ------------
(W) VIIIINESS
PR QO�N��S�URVEYQR ik MAPPER NO. LS 6076
F-.8, 32:26 DR. BY scc DIR, D:/DWG 2009 Ra 09-80 ORDER A10. 09-80
White, Debbie
From: White, Debbie
Sent: Wednesday, September 07, 2011 10:48 AM
To: I yousufsultani@hotmail.com'
Subject: Fence Permit-$39.00
Mr. Sultani, Your fence permit is ready. You may pick it up or have someone pick it up for you and pay the$39.00 fee or
call and pay over the phone with your visa or mastercard. Thank you, Debbie
(904) 247-5826
DEBBIE WHITE
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247-5826
(904) 247-5845 FAX