Permit Fence 1845 Forsyth Ct 2012 e �f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
c11tit
Application Number . . . . . 12-00000631 Date 5/30/12
Property Address . . . . . . 1845 FORSYTH CT
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
6FT FENCE
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Owner Contractor
-
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METTE CANDACE L OWNER
1845 FORSYTH CT
ATLANTIC BEACH FL 322334338
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Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/26/12
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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
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MAP SHOWING SURVEY OF
LOT 8, FRANCIS COVE THREE, AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF CURRENT PUBLIC RECORDS OF D
EXCEPT THE FOLLOWING DESCRIBED PARCEL:
BEGIN AT THE NORTHWEST CORNER OF SAID LOT 8, FRANCIS COVE THREE;
THENCE NORTH 89'26'40" EAST, ALONG THE
A DISTANCE OF 40.00 FEET TO THE EAST LINE OF SAID LOT 8; THENCE SOUTH 00'34'13" EAST, ALONG THE EAST LINE 0
OF 100.00 FEET; THENCE SOUTH 43'29'27" WEST A DISTANCE OF 10.37 FEET TO THE
AINTERSEACTIONWESOLY STE LINE
OF OF 1
RE
NORTH LINE OF RESIDENCE 1845 (FORSYTH COURT), THENCE NORTH 90'00'00`"
WEST OF RESIDENCE 1845 A DISTANCE OF 8.36 FEET, THENCE SOUTH 00'00'00" WEST ALONG THE WEST LINE OF RESIDENCE 18
FEET TO THE SOUTHWEST CORNER OF SAID RESIDENCE 1845; THENCE SOUTH 03'56'17" WEST, A DISTANCE OF 19.44 FEEI
SOUTH LINE OF SAID LOT 8, SAID POINT LYING ON A CURVE CONCAVE TO THE NORTHEAST AND HAVING A RADIUEETM0
S OF 25
NORTHWESTERLY ALONG THE ARC SAID CURVE AND ALONG SOUTH LINE OF SAID LOTHORD 8, A DISTANCE OF 27 OCO FE E STOFTHE� WES'
65'22'36' AND HAVING A CHORD BEARING OF NORTH 57'52'02" EAST AND
THENCE NORTH 00'34'12" WEST, ALONG THE WEST LINE OF SAID LOT 8, A DISTANCE OF 130.42 FEET 'TO THE POINT OF E
SugpllVIS10i";
N ��NNEP AGE 4
OKP�A� 8� N 89'28'49" E 40.00 (FIEI
N 89'26'40"Ei
40.00' FOUND ca"FOUND 1/x' IRON - -' MONUMENT, NO ID �
'F�FjE-M 3672 � Q
POINT OF p�
BEGINNING V
(EXCEPTION) �u
a
20' BUILDING -` Q N
RESTRICTION LINE \\1 Vco
CO
41
/
\\ J Q�
W F ()
Z
J U W &[o
C / O
� o � O
O rn 40
pl a+iu Go lui9 75e
luent
WLd �ac�proval verifies com liith applicable 7
oning, subdivision anpd, local Taq� �o m - Cvevelopment regulations, butnot const pproval for the Issuance of perms. Compfcaln�$ L O T 8 0 r,�
ith Florida Building Code and all other appliatiT�
ocal, State and Federal permitting requirergrits I?-C-)
ust be verified by signature of the City of Atlanf�C O
each Building Official prior to the issuance of�e S 3'29
wilding Permit. 3 ::4: L0
10.37 $, I
pproved By:
v i v v
Date: �
I - 12-(vel o W
Z I w w
\ ( w I j a N 89'36'OS'� E » 50.07' (FIELD)FOUND 1/2'
N89 26 40 E 50.00 PIPE, LB 66
90'00 1 W a A C
8.36' PAD t` 7.11) 5 BUILDING
\ x I RESTRICTION LINE �+
S 2 p o 29.2' �m 0
O O`rc^�, COVERED
J` •NTRY L ui
00�tm9� RESIDENCE 1845
� OyYi FINISHED FLOOR 41
a� CONCRETE ELEVATION=13.40 ` tJJ
DRIVEWAY _ 36.Fi r• �'Cn BUIL IN m I Cf3
0 I \ \29.2 ; S ICT10N UNE 1/ „�
City of Atlantic Beach DECEIVED APPLICATION NUMBER
Building Department (ro be assigned by the Building Department.)
8W Seminole Road el . Atlantic BeachFlorida 32233-544 MAY 2 3 2012Phone(904)247-5826 • Fax(904 247-
E-mail: building-dept@coab.us $y; Date routed: Z_
City web-site: http:/A~.coab.us
APPLICATION REVIEW AND TRACKING FORM
Properly Address: ` `j `- ,� ; Department review required Yes No
Bu"
tannin &Zonin
Applicant: ' ��.�� .��� �`. � 9 ..9.:
ree ministrator
'.Publi;Works'-
__._so Wtifi les
Public Safety
0 Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit verified B
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: FlApproved. -]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by: Date:
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 07/27110
City of Atlantic Beach APPLICATION NUMBER
BBuoildi gg Depnole artment ;;R7
(ro be assigned by the Building Deartment.)
Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 . Fax(904)E-mail: building-dept@coab.us Date routed: r �' -
City web-site: Mtp.-1A rw.eoab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
". Bu
Applicant: &L 7~J) t--11 01anning&Zoning--*°
rhe minisb2W
- PP06bl.ic.WJtoProject: Its-
Ir
s
Public Safety
Fir ices
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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
PLANNING&ZONING Reviewedtby. Date:
L-�A3///-D
TREE ADMIN. Second Review:
DApproved as revised. ❑Denied.
P WORKS Comments:
I IES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
City of Atlantic Beach APPLICATION NUMBER
Building Department (ro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 _ 3
Phone(904)247-5826 - Fax(904)247-5845
} E-mail: building-dept@coab.us Date routed: 2 �h Z_
Cityweb-site: http:1AwAy.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �U �� 0 T Department review required Yes No
Bu' .
Applicant: (Planning&Zonin
Tree ministrator
Project: ,__11764ublic work
of
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: [Dpproved. [-]Denied.
(Circle one.) Comments:
BUILDING '• �,
P NNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: QApproved 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: /k5 _,Gesc, a C r I' Permit Number:
Legal Description Parcel#
Floor Area of—Sq. t. Sq.n
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): w) Addition `Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one):. `commercial Resident as
If an existing structure,is a fire sprinkler system installed? (Circle one): s No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: - "
a. (V r� 6 n C,9--
Property Owner Information:
Name: C4 AJ13 aC'4'f'V_- Address:
1,rr rSq-(A
City _1. 'C, State�---Zip 3�a 3 Phone 90 t( — aa-� r2 S I U
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Qualifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number Fax#
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
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 17111/
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(6)months at any time after-
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaiers,
Tanks and Air Conditioners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTENT) TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that 1 have read and examined this application 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 local law regulating construction or the performance of construction.
Signature of Owner ( (,�ILU Signature of Contractor
Print Name eal.Vt7 �- Print Name
Swor u f ne Sworn to and subscribed before me
this ay of 20 - this Day of 20
Notary u lic WW077760
EXPIRES:February 14,2014
Bonded Thru Notary Pub Underwriters Revised 01.26.10
0
1/ OY U
~-;
CITY OF ATLANTIC BEACH
- (OWNER / BUILDER AFFIDAVIT
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:-
DISCLOSURE
AW: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 MROVE 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 1S
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.
W. 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. D THE
OVE DISCLOSURE
STATEMENT LAND ETHAT I(COMPLY WITH ALL THE HEREBY EREQUIREMENTS THAT I HAVE E FOR FOR THE OF AN
OWNER-BUILDER PERMIT.
Y5, S o
AD ESS PHONE NUMBER
7
PRINT
DATE
SIGN URE
Before me this Z�-day of 20L the county of
Duval,State of Florida,has personally app red herin by himself/herself and of,
that
all statements and declarations are true en accurate.
Notary Public at Large,State of _ County of va_
❑Personally Known
roducedldentif
S!410I..ff..!I..0F#AHAM
Nota :;rs,l n
Notary Si tore:
{ — iSi j i;00 957760
*T91-3;Fr,muary 14,2014
sono=.1 Thru Notary Public underwriters
F:BLDG/O,"e-Builder Affidavit PRE SBD: 4/16/2009 ;:� .