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Permit Fence 512 N Nautical 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 .VA Application Number . . . . . 12-00000878 Date 7/13/12 Property Address . . . . . . 512 N NAUTICAL BLVD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc FENCE REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MOTES JENIFER A OWNER 512 NAUTICAL BLVD N ATLANTIC BEACH FL 322334119 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . NEW FENCE Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/09/13 ---------------------------------------------------------------------------- Special Notes and Comments Full right-of-way restoration, including sod, is required. Roll off container, if used, must be on City approved list and container cannot be placed on City right-of-way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management) . ---------------------------------------------------------------------------- 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 ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach Building Departrnent APPLICATION NUMBER 80MO Sem nole Road (To be asskIned by the Building Departrnent.) Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-afte: http:/Mw.coab.u9 APPLICATION REVIEW AND TRACKING FORM Property Address: -Departrnent-review required Yes No Applicant: �Qannina & Tre inistrator Project: A 1� Publi i ilitie_s"� lit P u ublic Safety P lic S r vic s Fire Services Other Agency Review or Permit Required Revi or Receipt Date Florida Dept.of Environmental Protection of Permit Verified By 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: 94proved. nDenied. (Circle one.) Comments: 0 7///120 tZ Reviewed by: __,Zate: TREE ADMIN. Second Review: FlApproved as revised. [-]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: OApproved as revised. MDenied. Comments: Reviewed by: Date- Revisid 07127110 BUILDING PERMIT APPLICATION CITY OF ATLANTIC 13EACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 12- N kfTi &-y 6 YJ Permit Number: Legal Description Parcel# 1,loor Area ot Sq.Ft. Sq".'�t Valuation of Work$ 3& 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 I�esiden�tial -,I If an existing structure,is a fire sprinkler system installed?(Circle one): Yes Vo.�) N/A Florida Product Approval# For multiple products use product approval I-orm Describe in detail the type of work to be performed: );Ekec- Prope!:Iy Owner Information: Name: Address: -57 4 A)Atir,eld-c— V 10 city StataOL Zip Phone 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 4 Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address ere y made 0 ' 'n a erm,-t 10 do he work and installations as indi ca or installation has commenced prior to the ss n be e 0 ..ed a mZ,,he San�ards a la s thisjurisdiction. This permit b�comes null a', -c ai�f Spe m'and h 'a 0'a'rk P' i, rf 0 ' w P1' 0 i Pua ce a r w ork,s u ajeriod of sixpo)months at any time q/ter s or, c "tructo or s (6 n h n 1 0_0, s i'0 ' a' ' 0 w ' p d 0-d k I , com 11' d wthin t me c' on 0 f 0, Jecir, v is c f�'e"'d_ I under ta'd t at separate pemi s u t be Secured E ca Ws,PoWs, urtraces, Bolleis, Heaters, T, k s " r C . ks d A, Odul"ers,et, 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. lhere certify that I have read and examined this a lication and know the same to be true and correct. Allprovisionso ,flaws and ordinances governinz this 111work ivill be complied with whether eq fleg herein or not. The granting of a permit does not presume to give authority to violate or canc�l the provisions ofany otherfederal,state, or local's flaw regulating construction or the perfiormance ofconstruction. Signature of Own A., Signature of Contractor te Print Natne ...................................!111!�....... Print Name Swor&jtn'7�-subscribe '16 1 n ne f Sworn to and subscribed before me th�i Day of 2 0 this Day of Notary Public Nota MI�PW_74 Revised 0 1.26.10 CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIODAVIT 1. 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 TBE CONSTRUCTION IS COMPLETE, T14E 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. [I. 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 REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. -5-1-7 A�) 6 14 7 t ADDRESS PHONE NUMBER .le4,7 i PRINT NAME DATE 7G A R7= fore me this_,�eday f 2tl-in the county.f 01 Duval,State of Florida,has F. Ily ap red herin by�i�mself/herself and affirms that .�urate. all statements and declarationi��rate. re true and accu Notary Public at Large,State of County of,(QA� MAW �"alx ii Personally Known �W044�1! duced Identification Al Z-0 <(--z-/ Expv N,�-b%ljo ...... Bode, Notary Signature: F-/BLDG/O��-Build�Affida�it REVISED: 4/16/2009 MAP SHOWING BOUNDARY SURVEY OF LOT 10, BLOCK 3, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, �LORIDA. CERTIFIED TO: JASON D. MOTES AND JENNIFER A MOTES PRINCIPAL MORTGAGE FORTRESS TITLE COMPANY, INC. STEWART TITLE GUARANTY COMPANY CENTER[INE PO;NT OF TANCENCY FOUND NAIL AND DISK STAMPED _RMA&A" NAUTICAL BOULEVARD NORTH (60' RIGHT OF WAY) 0 FOUND 1/2" IRON PIPE S 06*46'00" E 80-00' (PLAT) bb- NO IDENTIFICATION S 07*13'110" E 80.01' (MEASURED) FOUND 1 2" IRON PIPE NO IDENTIFICATION ,_,__�O' BUILDING RESTRICTION LINE 2' 0 --1 X X 4.1' 12.7 'o"NTR b 32.3' 14 7' 1.4' 1_j 4,0 cNi Ld ONE STORY MASONRY X POSTED # 512 Li rL 6. Z_ �D C14 C� Cj 23.1' 0 0 1 12.2' U-) C) LOT C; LOT 11 BLO 3 0 cd BLOCK 5 3t x 26.0' 0 Lr) 14.5' 0 C:) -U-) SN to OD V) 00 Go 00 LOT 10 no cc z BLOCK 3 U) To' DRAINAGE. UTILITY AND SEWER EASEMENT 0.2' 0.2' x x — x — X FOUND 1/2 IRON PIPE 0.4' 0.4 FOUN 1/2- IRO PIPE NO IDENTIR TION N 07*13'19" W 70.04' (MEASU ­�D"TlElr rm N 06'46 1 00 11 W 70,00 PLAT City 9VAtlantic Beach Plenni -*nd Zoning Departmed a ROYAL PALMS UNIT TWO (PLAT BOOK 30, PAGES 94 AND Is 11 W111199"plianoe with applicable . au illnoag, subditrilelon and other local land development regulations, but does rM constitute approval for the Issuance of permits. Compliance with Florida Building Code and all other applicable local, State and Federal permiffing requirements LEGEND: -must be verified by 01911MM-0-fte-C"Atlantla R = RADIUS —X— FENCE NOTES: #e_i0hAlW1idiiIga__ to#10 buqwm Elul lung_P4r61C_____ I Prior L. = LENGTH CONCRETE / 4. Anioved She NOTES: 2 1. BEARINGS ARE BASED ON THE PLAT N 88*56'29" E e* ------- BEARING OF -_ t SOUTHERLY BOUNDARY LINE OF SUBJECT PAkCEL. ------- ALONG DESCRIPTION 2. BY GRAPHIC PL.OTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE X AS SH0iN?494F/'72-- NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 1206'75, PANEL J. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT I IF SUPPLIED, UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. I I JOB # 182 DATE OF FIELD SURVEY: 10-25-00 SCALE: 1 20' CERTIFICATE I HEREBY CERTIFY THAf THIS SU;41EY WAS MADE UNDER MY RESPONSIBLE CHARGE RAY THOMPSON SURVEYING AND MEETS THE MINIMUM IECHWCAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSION/k &LIRVEYORS AND MA5PPE S CHAPTER 61G17-6. FLORIDA ADMINISTRATIVE CGD�aURSUANT TO SECT)F)N� FLORIDA STATUTES. 1936 Southampton Road Jacksonville, Florida 32207 (Phone) 904-396-3155 RAY)AOND THOMPSO�� (Fox) 904-396-3156 REGISTERED SURVEYOR AND MAPPER j 6146 STATE OF FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 '_ SUBDIVISIONS . j City of Atlantic Beach IvEry Building Department APPLICATION NUMBER (ro be a3SWW by the Building DepafteM.) 8W Seminole Road JUL 12 2012 rtment.) Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us _J Date routed: Cil!VW015-846: htIP:/Avww.eoab.u9 EM APPLICATION REVIEW AN D TRACKING FORM 11-11 Property Address: _J/2 W,41.-,W*oe:5>1vd Do artment review Yes No Applicant: &0 lannina & IMMAC114:1histrator Project: f Aok N_ ilitie fety Fire Services Other Agency Review or Permit Required Review or Receipt _—Fof Permft Verified By- Date Florida Dept.of Environmental Protection A Florida Dept.of Transportafion St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco APPLICATION STATUS Reviewing Department First Review: pproved. E]Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Datelk,k TREE ADMIN. Second Review: [:]Approved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [-]Approved as revised. FIDenied. Comments: Re v*iewed by: Date: Revind 07127110 BUILDING PERMIT APPLICATION CITY OF ATLANTIC ]BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax (904)247-5845 JobAddress: NAoTid-A� Permit Number: Legal Description Floor Area of __�q�t. Parcel &q�_ t Valuation of Work$ 3& 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 (Ke_sick_�i­ial If an existing structure,is a fire sprinkler system installed? (Circle one): N/A Florida Product Approval# For multiple products use product aplir-oval Iorm Describe in detail the type of work to be performed: EC--A-&C, Property Owner Information: Name: I?—M a r L__ Address: S_/ 2- iljlt,_- IL-V6 C i ty ArLA,�j Stat&i'- Zip 9 V - SyeF E-Mail or Fax#(optional) Phone 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 '4,p,, cal she eb ad obtal a e do the work and nsalla'ions as i ndic or installation has commenced prior to the s5 " " ' , - ,,rmit'a arm 0 t t i s ,, pli c ion i p r r it Y ml,e 0 n p be e ed in he on a d �w thisjurisdiction. This permit b�comes null a a e a h t a' k w r a' . 0 k s eriod ofsix1io)months at anv time after 17, hs or, c nst S cton or O�r r f r' ) Ot 6 's cure f e anor p I Ob e d or Electrc e 0 m d O'd, w 'k - not co_ �enced w thin s I" rst t s P Prmi s M, t is f i, c d de dt a e arae T rk co e Viells, PoWs, urnaces, Boileis, Heiziers, a , C nks ndA, 'n to"n,'ta 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. I hereby certify that I have read and examined this application and know the same to be true and correct. Allprovisions oflaws and ordinances governinz this ope of work ivill be complied with whether s ,recifTed herein or not. The granting of a permit does not presume to give authority to violate or canc�l the provisions ofany otherfederal,state, or loco aw regulating construction or the performance ofconstruction. Signature of Own 421%4 74 ignature of Contractor Print Name !�ree ,7 , ���_s - — j�� A�.s Print Name ............................. ..................... ....................................... Sworz)*nla-subscribe '10 i-n .................................................... ....................................................................... Sworn to and subscribed before i e thi Day of 20 this Day of ?n Notary Pub I ic Notary Pu ic MIN-U9W-74 Revised 0 1.26.10 MAP SHOWING BOUNDARY SURVEY OF LOT 10, BLOCK 3, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PACES 64 AND 64A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, rLORIDA. CERTIFIED TO: JASON D. MOTES AND JENNIFER A MOTES PRINCIPAL MORTGAGE FORTRESS TITLE COMPANY, INC. STEWART TITLE GUARANTY COMPANY CENTERLINE POINT OF TANGENCY FOUND NAIL AND DISK NAUTICAL BOULEVARD NORTH STAMPED -RMA-&A' (60' RIGHT OF WAY) FOUND 1/2- IRON PIPE S 06'46'00" E 80.00� (PLAT) 10 NO IDENTIFICATION S 07'13'10" E 80.01' (MEASURED) FOUND 112- IRON PIPE NO IDENTIFICATION 4 BUILDING RESTRICTION NE x 2 12.7 bL TOR c� 32-3' 14.7' x .4. cj 40 p cy- a ONE STORY Uj MASONRY cli M X c) POSTED # 512 JAJ rL �D C-4 CD 23.1' Ir? 0 72.2' to LOT c; LOT 11 BLO 3 BLOCK J 26.0' X Lf) 14.5' 0 0) .�N -10 (Oco oo 00 Do 6u 0.070 00 LOT 10 co Go z X BLOCK 3 (41 10' DRAINAGE, UTILITY AND SEWER EASEMENT 0.2 0.2' FOUND 1/2 RON PIPE X0.4' 0.4' FOUND 1/2 IR PIPE NO DENTI TION N 07-13'119" W 70-04' (MEASURED) NO IDENTIFI ON N 06*46'00" W 70.00' (PLAT) a ROYAL PALMS UNIT TWO (PLAT BOOK 30, PAGES 94 AND 94A) LEGEND: R = RADIUS —X— = FENCE NOTES: ACCEPTED BY: L � LENGTH = CONCRETE NOTES: 1. BEARINGS ARE BASED ON THE — PLAT __ BEARING OF N 88'56'29" E __ ALONG THL REVISIONS SOUTHERLY BOUNDARY LINE OF SUB,Jb6f PARCEL. DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE ----X AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120675. PANEL ----90-91—D . 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENI IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNEDJ 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. JOB # 1 2 DATE OF FIELD SURVEY: 10-25-00 SCALE: 1" = 20' CERTIFICATE RAYTHOMPSON SURVEYING I HEREBY CERTIFY THAI THIS SLA41EY S WAS MADE UNDER MY RESPON54BLE CHARGE 'IND MEETS THE MINIMUM 1ECHNiCAL TANDARDS AS SET FORTH BY THE FLORIDA 130ARD OF PROFESSION4 SURVEYORS AND MAPPERS IbL CHAPTER 6IG17-6, FLORIDA ADMINISTRATIVE CODE.-EURSUANT TO SECTk WIN_w FLORIDA STATUTES, 1936 Southampton Road Jacksonville, Florida 32207 4;:� (Phone) 904-396-315-5 RAYMOND THOM�IISOt�� (Fox) 904-396-.3156 REGISTERED SURVEYOR AND MAPPER # 6146 STATE OF FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS .