permit Fence 1633 Beach 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000488 Date 7/17/12
" Property Address . . . . . . 1633 BEACH AVE
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4228
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Application desc
INSTALL NEW 4 ' BLACK ALUMINUM FENCING
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Owner Contractor
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FARR JAY AND MARY OWNER
1633 BEACH AVE
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 1/13/13
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Special Notes and Comments
Full right-of-way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
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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
I'
PER11jiIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUIL, ING CODES.
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Ordered By:
i
The Lawn Offices of Rod SChloth
2187 S Third St
Jacksonvitte Bch, FL 32250 I
904-372-9351
beach@rod-law.com 1"Q 'I i
pity W 1633 EACH AVE TLANTIC BEACH,Florida 32233 SURVEY NUMBER:FL1109.1817
'Planning
FIELDWORK DATE:iatvmin REVIS N OATE(S):(n..0 sor4rz011) ,
This approval veri s compliance with applicable
zoning,' subdivi ngA,*7other localland
development regul iot constituteapproval for the is anComplianceAPPROX.MEAN 121GN WATERLINE-10-1-11(M.H.W.L.)
with Floilida Buildin Cerapplicable (NAVOWDATUM)11A5BITN °DERMroT
local, State and F eral permitting requirements FROM The FLORIDA WAKTWNT OF
must be'verified b ignature of the City of Atlantic BOU oA�`�ORMA"CO>b"'a°
Beach Building O ial prior to the Issuance of a
APPBuiltloved ermit. W�gA5UN��lG)TO ML.N•`t't'L' S1* }, �}
Pjvdlo meet Director G2.74'(0)1 10
10?of° jell i
Date: .gA'556 Oct(TO r1A 1/2•FIPC ,1 `
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' 54aa ('27"W 17q.98
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'1�FlPct TABLE:
LI N 1-32W E 102.84'(P)
W I C05TAL CON5TROCr1ON CONTROL UNE N 1032'00"E 102.79'(M)
I RPCORMD 'C'IN MAP BOOKPAGE5 72 L2 N 1032'000 E 154.26'(P)
I .C% T D72111 O,R B.7371 114M17e5 To N 103200"103200"I 154,21'(M)
12.
J L3 N 1032'00'E 51.42'(P 4 M)
L4 N 1032W E 51.42'(P b M)
I rr ryT PC L5 5 12014'l OP E 50.24(M)
NO ID
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s R GRAPHIC SCALE (In Feet) f
KERN A.Sri 1 inch - 50' ft.
— _.�-.... —.-..__._......._..-......._.
srra��lw_"'aRreya.bwva«
L,prra Nu.x521
Use of This Su—yfor Purpose,other than Imende4wnh"wrm.overm<ar,n,will be at the Users sole cask and Wfthout Liability to the surveyor.
Nothing hereon shell be construed to Glue ANY Rights or Benefits to Anyone Omer than those Certified.
POINTS OF INTEREST: NONE VISIBLE
FLOOD INFORMATION:
B performing a search with the local governing municipality or www.fema.gov,the property appears to be located in zone AO,VE,&(with a Base Flood
Elevation of 14&15).This Property was found in THE CITY OF ATLANTIC BEACH,communit nurn er 120075,dated 04/17/89. ����//
CLIENT NUMBER:RSi 1-305 DATE:10/4/2011 Jill FOUch FjWr <
I
BUYER:JAY FARR AND MARY FARR REALTORas 904.505.5043
SELLER:GLORIA NUNN www.'iUfouch.remax.com
CERTIFIED TO:JAY FARR AND MARY FARR;THE LAW OFFICES OF ROD
SCHLOTH,PA;OLD REPUBLIC TITLE INSURANCE
GROUP;CASH "; 1 a
wwwsurveystarscom
Land Surveyors,Inc. P 866-735-)916•Fa66.744-m2
This is page 1 of 2 and is not valid without all pages. LBA 73s7 1222o Towne Lake Drive,Suite 55•FL Myers,FL 33913
City of Atlantic Beach APPLICATION NUMBER
Building Department Qp �� (To be assigned by the Building Department.)
800 Seminole Road / i ?�® /r1
Atlantic Beach, Florida 32233 5 ,z foC
Phone(904)247-5826 • FaR -90J)247-5845
E-mail: building-dept@coab.us Date routed "" 2
City web-site: http://viww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 33 Department review required Yes No
Building
Applicant: ping & i t/
live-ATrYffln—istrator
Project:
i ies
PubTic-755Tety
Fire Services
`.,.
"SltcttT .It _*...� ItIPr,ifioli& ,y
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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE MIN. Second Review: [—]Approved as revised. ❑Denied.
P
Co ments:
PU IC I
PUB C SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Addre4s: �._ t' Permit Number:
Legal Description Parcel#
Floor Area of S q.Ft. Sq.Ft
Valuation of Work$ y LZ cir Proposed Work heated/cooled non-heated/cooled
Class of Worrk(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existipg/pro osed structure(s) (circle one):, Commercial idenha
fires sprinkler system installed? Circle one): es N/A
If an existing strucure,is a p y ( )
Florida Product Approval#
For multiple products use product approva orm
Describe in;detail the type of work to be performed: ��^C AAA
Property Owner Information:
Name: 1* � t f Address: 3
CityG State Zip 1�3 Phone q o q- t,2 P -u 1'y
E-Mail or Fax#(Optional) aw.� �c,i r ( a-
Contractor Information:
Company Name: 4l`30 Qualifying Agent:
Address: 3 d City J—AN�4- State Zip 2 7-2/
Office Phonei /Contact Number Fax# r7 71- y 6 1 to
State Certifioation/Registration#
Architect Nine&Phone#
Engineer's Name &Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage LOnder 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 null
and void if woilk is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six 16)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,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.
I hereb 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 ojYwork ifill be complied with whether speci'ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of a'iy other federal, te, or local law regulating construction or the performance of construction.
Signature of Ownf
Signature of Contractor
Print Name �� rr Print Name
. ...............� ..... ..................................................... \............. ...........................................................................
Sworn l subscri e before e Sworn to and subscribed before e
this-49' ay of 201 this Day of 20
Notary P ? pv�uMM+s +��' ' '`" Notary Public
+ !s
+XPIRES:May 2't.2 Iters 1
Thru Notary Puh+��aderv+ Revised 0\26.10
d= Bonded
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 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 ORIMPROVE 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 BIUDING
MUST BE FOR YOURUSE 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
HE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST
IR
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
LOURSRESPES REONU RED BYILITY .STATE LAWiRAND HBY COUNTY OR MUNIAT PEOPLE CIPAL LICENSING
NG
ORDINANCES.
IL 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(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE TO ASCERTAINCATE OF IF A PERSON A LICENSED NSEOR THE FLORIDD CONTRACTTORA "CONTRACTORS
CERTIFICATE" TELEPHONE THE
BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
OVE
V.ACKNOWLEDGEMENT;
I I COMPLY WITH ALL TDHEEREQUIREMEN SE FOR THEE DISCLOSURE
STATEMENT ISSUANCE OF AN
OWNER-BUILDER PERMIT.
PHONE NUMBER
ADDRESS
je �u r
PRINT NAME
SIGNATURE DATE
eld.rh
Before me this day of20/�e county of
Duval,State of Florida,has personby himself/herself and affirms that
all statements and declarations areNotary Public at Large,State of of ----
Oo
AM
�L /
DEBDRAH ANDA WHITE
Elersonally Known V ( G MY COMMISSION N EE 057349
roduced identification- EXPIRES:May 21,2015
Bonded Thru Notary Pul*underwriters
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Notary Signature:
i
i
F:BLDG/Gwner-Builder Affidavit REVISER: 4/16/2009
1
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
j 800 Seminole Road /.2
�r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
�'�t �• E-mail: building-dept@coab.us L Date routed: � /21
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: De ent review required Yes No
r
Applicant: annin &Zonin
Tree Administrator
Projects
���iL� ublic or ✓
P—ObTic Utilities
u is a ety
Fire Services
5 � "rCi�iF
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection `7
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING
CPLA'NNiPNG &ZONIN (Jct 27
Reviewed by: 9A-h ate:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUB4IC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 0 /14/09
t
City of Atlantic Beach
ih APPLICATION NUMBER
c Building Departmentj ,(�� "�%,� r, (To be assigned by the Building Department.)
s) 800 Seminole Road ` s V
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247 I
�' r �•r E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND ACKING FORM
Property Address: Department review required Yes No
Building
Applicant: tanning &4o
Tree Administrator
Project: <Tu tic or ✓
Publi t/
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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:f
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 06/14/09