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95 Robert St 2012 fence CIT)( OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-0,0000833 Date 7/31/12 Property Address . . . . . . 95 ROBERT ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 600 ---------------------------------------------------------------------------- Application desc INSTALL NEW 61 TALL STOCKADE FENCING ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REYNOLDS JEREMY A & ANGELA OWNER 95 ROBERT ST ATLANTIC BEACH FL 32233 ---------------------------------------- ------------------------------------ Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/27/13 ----------------------------------------I------------------------------------ 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 . ----------------------------------------------------------------------------- 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 kTLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MAP SHOWING BOUNDARY SURVEY OF 495 DESCRIPTION AS FURNISHED: LOT 18 AND THE SOUTH )� OF LOT 16, BLOCK 3 OF DONNER'S REPLAT, ACCORDING TO THE PLAT THEREOF AS RE("'ORDED IN PLAT BOOK 19, PAGE(S) 16, OF THE CURRENT PUBLIC RECORDS OF� DUVAL COUNTY, FLORIDA. 6EIZ-tiv�ED -Tco'. VUZt1,3 LLL. 05 U�V43E 5"EV-r-kC-k-D -TI-TLr-- Ll-(-. ) F I R'�j C[AU.1 -111LIE: 1"SQ7j�.VJ(-;7 Cc1"?Ak'A-f L I-Vj%S 5-rV-%F--T FP t1Z-V.P 4-4Z-3 9 CL C) -'00 DO 0 to L0 ui LO-T 1-7 v- A C"Aa" Ltmw. FUVALr" Few(rL Itv-k-p- N90*00 00 to E 120.00 9 1 50.0V (M) r-T—c' v 55 L; 0.1 0.94 -cl x o co 0 611� "s'"' >1 b -j w LO w 75 0,4 t- 74.0 oo td V1 Vito I t, j w $loop: * 95 4.1' 519P% k dD LLI 0 0 tt. c' 30.1 Lu 0 30-4 0 0 0 b V, z 0 N41 0 -j 6' r-er. T V) Ace, S-4' 5454 1- (M) _CK3 —V s C'. -N90*00'00"W 12).00' -4 4 Z-5 IS 7.4051ETZ—r 5-1 TZ E E-T FIL E Copy P.E.R-RZT AYD ASS 0 C.M fyc. 5627 A TLAN77C BOULEVARD SUI 46 JACKSONOLLE FLORIL4 32207 — (90 0 — FAX (9 805-9888 GENERAL NOTES : P.C. POINT OF CURVATURE LEGEND R RADIUS (1)BEARINGS SHOWN HEREON ARE BASED ON P T. POINT OF TANGENCY A"D DELTA(CENTRAL ANGLE) THE EAST BOUNDARY LINE OF LOT 16 AS P:R.C. POINT OF REVERSE CURVE A or L ARC LENGTH P.C.C. POINT OF COMPOUND CURVE C or CH CHORD SOO-00-00-E, ASSUMED. P.O.C. POINT ON CURVE CB CHORD BEARING PCP PERMANENT CONTROL POINT �R Q LINE RADIAL TO CURVE 1(2) THIS PROPERTY HAS NOT BEEN ABSTRACTED B' C� AIR CONDITIONER I R.L. BUILDING RESTRICIION LINE C C. CONCRETE FOR EASEMENTS, COVENANTS, RESTRICTIONS CA CENTER LINE FD. FOUND R RICHT-OF-WAY )RON PIPE (3) UNDERGROUND UTILITIES SERVING THIS OFFICIAL RECORDS VOLUME �mpj MEASURED PROPERTY HAVE NOT BEEN LOCATED OR OA ON LINE (D) DEED SHOWN BREAK LINE (4) IT IS THE LENDER'S RESPONSIBILITY TO SCALE 1"=30. DETERMINE FEMA F.I.R.MAP STATUS FOR THE LIFE OF THE LOAN ON THE PROPERTY SHO 7-7-11 ABOVE SURVEYOR HEREON WILL CONFIRM FOR AbDI-nONAL FEE. I DA 7E OF RELD SUR WY GLENIV bf. BROADS77?EE7,- FLA. CERT NO. 58141 LB — 67151 F B. 534 PG.__L2 NOT VALID W7HOUT THE SIGNATURE& ORIGINAL RAISED SEAL O�A FLORIDA LICEN-5ZED SURWYOR & MAPPERORDrR NO. 2011-865 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 12 P2�2 Atlanfic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 te E-mail. building-dept@coab.us EDate routed: 7— Citywab-aita- http.-/Avww.coab.u9 APPLICATION REVIEW AND TRACKING FORM Property Address: gr Department review required Yes No Buil * 9 Applicant: -F11-anning &Zonina E.�Ist�alor r . Project: re'nex Eublic�i Fire Services RIM Other Agency Review or Permit Required Re low or Receipt Date of P rmit 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: Fg�pproved. FIDenied. (Circle one.) Comments: B (P:LAN�NING&ZONI�NG , Reviewed b�r: 9/.--4L d1Z& Date: 41 E ADMIN. Second Review: DApproved as revised. MDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b)�: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by. Date: Revised 07127110 City of Atlantic Beach APPLICATION NUMBER Building Deparbnent (ro be assigned by the Building Department.) SW Seminole Road 07.-2 Atlantic Beach, Florida 32233-5445 2- —X-3_S Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 7— Cifyweb-afta: http-/A~eoab.ua APPLICATION REVIEW AND, TRACKING FORM Property Address: gr Ra�l Department review required Yes.-No Buil ' n -oza. -PFanning&Zoning____) Applicant: dk)4� sbator Project: ;F'nez 401 7—o"L le-a—m"r . PuhHG_WQ*1r'-1 <-Public=I Mgz� I— El Fire Services JUL 0 3 7017 ,tRe -pt rD7ate uIre 7 w or try BY: nOther Agency Review or Permit Required R or Receipt Date of Pi Drmit Verified By Flodda Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division ofAlcoholic Beverages and Tobacco Other APPLICATION STATUS Reviewing Department First Review: $pproved. nDenied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date--_24,rh)___ TREE ADMIN. Second Review: ElApproved as revise(i. ]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by Date: FIRE SERVICES Third Review: F]Approved as revised. E]Denied. Comments: Rev"iewed by:!, Data: ReAnd 071VII0 City of Atlantic Beach Building Department APPLICATION NUMBER (ro be assigned by the Building Department.) 800 Seminole Road F� Atlantic Beach,Florida 32233-5445 C1 Phone(904)247-5826 - Fax(904)24 5845 E-mail: building-dept@coab.us Date routed: City vvab-aRe: hftp:Jhvww.coab.ur. APPLICATION REVIEE TRACKING FORM Property Address: gr Department review required Yes. No Buil —' 9 Applicant: jk-)4�- <-Planning&Zonina__) Project: ;!F1qjx '70u- ev-d r PJU&.AfQF� Public Fi%&rvices 1P Other Agency Review or Permit Required Re riew or Receipt Date of POInnit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Affny Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other APPLICATION STATUS RevWwing Department First Review: �Approved. ElDenied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed b): Date: 71(41 TREE ADMIN. Second Review: ElApproved as reviseol. E]Denied. Comments: PU LIC UTILITIE PUBLIC SAFETY Reviewed by�: Date: FIRE SERVICES Third Review: [-]Approved as reviseci. F]Denied. Comments: Reviewed by: Date: Revised 07127110 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 FA� (904) 247-5845 0, Job Address: i9e,4 Permit Number: Legal Description Floor Area of sq. t. Parcel# Sq.Ft Valuation of Work _Proposed Work heated/P' ooled 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 Residenti es 0 If an existing structure,is a fire sprinkler system installed? (Circle one): N /A Florida Product Approval # For multiple products use product approval F-orm Describe in detail the type of work to be performed: Property Owner Information: 6cr+ 6 Name: Address: city Ai�kftf-"C- Statea�zip �13 Phone Ydl/— Z.�V-9*7-C E-Mail or Fax#(Optional Contractor Information: Company Name: fi� Quali"ying 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 d na e I d I e k n n 'a la"ons as''ndicoted. I certif a e a e rmi' 0 0 wor 0 s y that no work or installation has commenced prior to the 0 t �c I so r re'y m to 0'a r P b d om h tan d a 1 a, ng n ction in this jurisdiction. This permit becomes null lie ' 7a s and ha a k e e e io ul-l' co stru f rm t ts g d or abandonedfor a period ofsix(6)months at any time after er v n e n x m , s 0,, stuc"on 0, 'Or''s,'And' Plumlbng, "Cur f 'PP c it I t -0 w P"' on Ob ed "ecriq Work Signs, Wells, Pools, Fiirnaces, Boilers, Heaters, uan e e m iss "d 0 P k, "c n d hi s, or s on. C' is ' c d u drsland that separate per is u t 'o-,nen e , nff .. Tanks andAir Con .tione ,etc. WARNING TO OWNER: YOUR FAI ,,LURE TO RECORD A NOTICE OF R P Y, COMMENCEMENT MAY RESULT IN YOU [NG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 0 TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. lhere certify that I have read and examined th'ia fi d know the same to b4true and correct. All provisions of laws and ordinances governing this ication an 1�work will be complied with whether 'ecs herein or not. The granting o a permit does not presume to give authority to violate or cancel the provisions of any otherfederal,state, or localsf1w regulating construction or the per o ance of construction. Signature of Ownerb Sil:�nature of\ntractor Print Name jvWmIL-V dtar-i 16 Pr'nt Name ............................... ............ . ......M ............ .. .... ...... ..................�ml .......... ...................................................................................................................... Sw VAnd subscrib o me Sv(om to and subscribe efore me 019 v of thij d- Dav of 20 thi's _Day of_ 20 MA Notary Public Njtary Public EXPIRES:May 21,201 5 qpndLd Thru Notary Public Underwriters Revised 0 1.26.10 CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNCWLEDGE 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 PERM T UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWT,ER OF YOUR PROPERTY.TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU N AY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILI ING. 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 B1 JILT YOURSELF WITHIN ONE YEAR AFTER TBE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION 0-7 THIS E)MMPTTON. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR- YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES kND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT P--_OPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY C3UNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE OOR 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 FiEQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CAININOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN-OCCUPATIONAL LICENSE' IS NOT ADEQ 1 . THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENC7(' 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 TH/j I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQ UIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 90</ ADDRESS THONE NUMBER ki t-3 PRINT NAME ,,,VONATURE DATE Before me this day of 20/zl.the county of, Duval,State of Florida,has person ppea herin by himself/herself and E Firms that ure all statements and declarations a a and urate. )WAMANDAWHITE i'�' C 4& My C.OMMISSION#EE 057349 ,-1 ou 04 Notary Public at Large,State of County of�� EXPIRES:May 21,2015 Bonded Thru NoWY Public underwritordli 0 Personally Known *roduced identification- 211 ?1 Notary Signature. F:/UDG/Owriff-Builder Affada�i�RMSED:4116/2009 --A Graham Shirley From: Classey, Michael Sent: Tuesday, July 31, 2012 8:53 AM To: Graham Shirley Subject: RE: 95 Robert St Fence Permit Applicaton 12-833 Shirley, I received it yesterday and it has been assigned. Michael D. Classey Chief of Police Atlantic Beach Police Department 850 Seminole Road Atlantic Beach, Fl. 32233 904 247-5859 office 904 247-5899 fax Email: mclassey(cD-coab.us From: Graham Shirley Sent: Tuesday, July 31, 2012 8:48 AM To: Classey, Michael Subject: FW: 95 Robert St Fence Permit Application 12-833 Chief, Were you able to look at this yet??? From: Graham Shirley Sent: Friday, July 27, 2012 3:40 PM To: Classey, Michael Cc: White, Debbie Subject: RE: 95 Robert St Fence Permit Application 12-833 I will copy it and put it your box ...I was on vacation when this carnd in and the records show it went to you on 7/3. Thanks From: Classey, Michael Sent: Friday, July 27, 2012 3:39 PM To: Graham Shirley Cc: White, Debbie Subject: RE: 95 Robert St Fence Permit Application 12-833 Shirley, I have not received a fence application to review. Michael D. Classey Chief of Police Atlantic Beach Police Department 850 Seminole Road Atlantic Beach, Fl. 32233 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Deparknent.) 800 Seminole Road f3 3 Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab-us Date routed: 12 7 LJ-4- City web-site: hft:/A~wsb.ue APPLICATION REVIEW AN 1) TRACKING FORM (7/2//7,) Property Address: 0/6-- -2,bee J7- Department review required Yes go- Building Applicant: -7) -- Planning &Zoning Tree Administrator ZZZ-, ublic Works Project: 6 J7— . Utilities P fy ju b I�ic f�6 � If Ri low or Receipt 1: Other Agency Review or Permit Required it Ver7: 11 Date of F 7veermit Vedfled By "HIEF CLASSEY Florida Dept.of Environmental Protection RECEIVED Florida Dept.of Transportation St.Johns River Water Management District JUL 3 0 2012 Army Corps of Engineers Division of Hotels and Restaurants -Division of Alcoholic Beverages and Tobacco I Other I I APPLICATION STATUS Reviewing Department First Review: ?0 pproved. ElDenied. (Circle one.) ts: �/A qommen y ee BUILDING f6p, ed Felice ' ljr?c 3 ce6- cct5)-:0 PLANNING&ZONING Reviewed by:A �J� � Date: V TREE ADMIN. Second Review: [:]Approved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. DDenied. Comments: Reviewed by:_ Date:- Revised 07WI10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: _P0 6&4 L Permit Number: Legal Description Floor Area of Sq.Ft. Parcel# Sq.Ft Valuation of Work$_ bC)O Proposed Work heated/�-ooled non-heated/cooled Class of Work(circle one): New Addition Alteration Rep Move Demolition pool/spa window/door Commerc Use of existing/proposed structure(s)(circle one): ial Residenti ire sprinkler system installed? (Circle one): es 0 N /A If an existing structure,is a fi Florida Product Approval#--Z— For multiple products use pro uct approval form Describe in detail the type of work to be performed: 1577 Property Owner Information: Name:-�36rtyno - I..— Address: 6cs-4- J:: City -h'c- IRPR�iae"� Statea�Zip7jk�,�3Phone 2061V- 2�4f-977_C 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 f Ap an �i he e made lain a er do he workandin ala n, s inch ated I certi y that no work or installation has commenced prior to the a I lays regulating construction in thisjurisdiction. This permit becomes null I i s f sixP6)months at any time after 0 0 11 mit to 0 t tom it e st t'0 s'I rk suspended or abandonedfor a period o 0 s r by d t to ' r p be e 'med It stan ard 0 t an ha al k I f hs, or n t cton or r 6 m t on p c t Iwo w p ua 'o a e in k s ot co, e, ed thin s ur f I i i s r'. d 0,E ectrit car Work, Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters, ,d d f'or i in work is commenced. I understand that separate Per.is inu be se e Tanks and Air Conditioners,ete. WARNING TO OWNER: YOUR FAILUJE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS 0 TO YOUR PROPERTY. IF YOU INTEND TO ) I TAIN FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO E RECORDING YOUR NOTICE OF COMMENCE ENT. I hereby certify that I have read and examined this lication and know the same tote true and correct. All provisions of laws and ordinances governing this typ e f 7,e§ �Iwork will be complied with whether speci ied herein or not. The gtrhaenting of a permit does not presume to give authority to violate or cancel the provisions of any otherfederal,state, or local law regulating construction or pe�fo rmance of construction. Signature of Owne Signature of\ntractor 4tr-0), �/20/06 ................ Print Name ......... Print Name ............... .......7............................................................................................... .................................... Swo d subscrib fow me Sworn to and subscribe efore me v 0 thi Day of this Day of 20 a DA Notary Public �Iotary Public XPIRES:May 21,2015 ublic Underwriters dad Thru Not"P Revised 01.26.10 5Y3 t`�PZ 71 7,2� CITY OF ATLANTIC BEACH OWNER / BUILDER FIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA 3TATUTES, PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNCWLEDGE 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 PERM T UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWIER 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 01'$25,000.00 OR LESS. THE BUILDING MUSTBEFORYO R USE AND OCCUPANCY. ITMAN 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 CF 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 FEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY OUNTY OR MUNICIPAL LICENSING ORDINANCES. I 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; UNLICENSED CONTRACTORS C 4NOT BE EMPLOYED . UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,OOC PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN-OCCUPATIONAL LICENSE" IS NOT ADEC UATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUiLDER PERMIT. ADDRESS PHONE NUMBER F L--E PRINT NAM�E ,�WN—ATURE DATE Before me this-��day f 20 in the county f Duval,State of Florida,has rson I he in by himself herself an affirms that r n u_t rppea her all statements and clecl tions ar a and urate. BORAH AMANDA WKIIE 01 1"," ara DE -7349 MY cow IMISSION#EE 6 Notary Public at Large,State of county of EXPIRES'May 21�2015 Banded Thru 18106�Public unde-nners 11 Personally Known I�Irodurecl Identification- Notary Signature�Age&( FJBLDG/0�er-Buildw Affadavi�REVISED:4/16/2009 MAP SHOWING BOUNDARY SURVEY OF DESCRIPTION AS FURNISHED: LOT 18 AND THE SOUTH )� OF LOT 16, BLOCK 3 OF DONNER'S REPLAT, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 19, PAGE(S) 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CE�Z-[IV:IED Duxt�3 VIV�oPEWJIES LLL. L I-'�J 5-T 7-F-F--T City of Atlantic Beach Planning and Zoning Department 4r Z-38 4 4Z-SB This approval verlifies compilance with appl table zoning, subdivision and other local land development regulations, but does not--constItute approval foe the issuance of permits.jUmp lance CL with Florida Building Code and all O"pt cable local, State and Federal permittl r quire ants must be verified by signature of t f ntic Beach Building 0 r1or to 40 of a 0 Building Permit. U-i Approved By- Da . = OV L-cirl k(_ F/7 q W 'Ta.; A U N9 *00 9 00 12D.00"L/ 50.00�� 4 4 z-.5 F3 usbe A 0.94' 00 x o W 7eT C6 0 0 -j C) 0 -j 0 LIJ Ld El Ui U) 30.4 ?4-c 0 "J 3 0 0 JU UJI r-%A$,own-y' j W 51 C-OP CIS 4.1' W 0 4� d 4 0 Ld W d C 0 4 0 06 0 30.4' 0 du 0 W. 4-1.1 0 0 C' 0 0: 0 64t I Z E; S-4' so C'o (P') L:�'5E-7 54.54' M A(,-I N9010-0'00"W 20.00, -4 4Z75 B TZ.rQ E-T jq7 CZ24 TES, IYVC. 5627 A AN77C BOULEVARD SUITE JACKSONWLLE FLOf A 32207 - (904) 805-OOJ-O FAX (901) 805-9888 — AIX GENERAL NOTES P.C. POINT OF CURVATURE LEGEND R RADIUS P.T. POINT OF TANGENCY A or 0 DELTA (CENTRAL ANGLE) (1)BEARINGS SHOWN HEREON ARE BASED ON P.R.C. POINT Or REVERSE CURVE A or L ARC LENGni THE EAST BOUNDARY LINE OF LOT 16 AS P.C.C. POINT OF COMPOUND CURVE C or CH CHORD SOO-00-00-E, ASSUMED. P.O.C. POINT ON CURVE CB CHORD BEARING aAN77 EVARD TE' JA CK N 10A C BOUL SUI '50 WLLt ILUt P.C. POINT OF CURVATURE W BAS P.T POINT 0, T Nr Cy N HEREON ARE ED IN "'i, .....T", R SE CURVE P Cp� PERMANENT CONTROL POINT UNE RADIAL TO CURVE C C AR CONDITIONER (2) THIS PROPERTY HAS NOT BEEN ABSTRACTED B:R:L BUILDING RESTRICTION LINE C C. CONCRETE FOR EASEMENTS, COVENANTS, RESTRICTIONS CA CENTER LINE FD. FOUND NG THIS R W RIGHT-OF-WAY -P5 IRON PIPE (3) UNDERGROUND UTILITIES SERV 0�R.V. OFnCIAL RECORDS VOLUME tM MEASURED O/L ON LINE (D) DEED PROPERTY HAVE NOT BEEN LOCATED OR BREAK LINE SHOWN (4) IT IS THE LENDER'S RESPONSIBILITY TO SCALE-j"=30' <-� DETERMINE FEMA F.I.R.MAP STATUS FOR THE LIFE OF THE LOAN ON THE PROPERTY SHOW4 7-7-11 ABOVE. SURVEYOR HEREON WILL CONFIRM FOR ADDITIONAL FEE. DA 7E OF FIEW SURVEY ai*NN m. BROADSMEET FLA. CERT NO. 58141 LB 6715 F8. 534 PG. LICENSED SuRvEyoR & YAPPERORDER No. 2011-865 NOT VALID wHour THE SIGNA7URE& ORIGINAL RAISED SEX OF A FLORIDA