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Permit Fence 43 Stanley Rd 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001378 Date 10/09/12 Revision number . . . . . . . 1 Property Address . . . . . . 43 STANLEY RD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . Soo ---------------------------------------------------------------------------- Application desc INSTALL 6-FT WOOD FENCE IN FRONT YARD ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SATANI YOUSEF OWNER 2086 FOREST GATE DRIVE W JACKSONVILLE FL 322161115 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/07/13 ---------------------------------------------------------------------------- Special Notes and Comments 201 setback from Stanley Road property line. Roll off container company 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. ) 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 3S . 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 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' - —City of Atlantic Beach DATE: 03-11-09 Planning and Zoning Department This approval verifies compliance with applicable zoning, subdivision and other local landl development regulations, but does not constitute approval for the issuance of permits. Compliance with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified by signature of the City of Atlantic Beach Building official prior to the Issuance of a Building PermiL Approved B .- y- 1,7�7 'FOstor Date, OFFICIALI RECORDS' 13514, PAGE 957 FW(?E-12-a7F I LOT 6 1 00'(P) FILE COPY N89*49'02"E 99.97'(ACT) FND. 3'X3" COQUINA -L2L�—� ot MON., NOT LABELED -SET 1/2-I.P. 50.00' 49.97'(ACT) --V4 LS6076 2 -(P) so Z 6.1 FRAME SH 1 11Z Z 6.2' > C) to 0 x x X1 0 0 0 > LOT 3 1 0 8.1' 113 F0 0 c6NC 0.2' X x 11.7'3 11.9' 14/ Z LOT 4 rq rri .1-STO Y jQ-'I? I �' 2.7 0 FRAME -4 #43 U1 ;0 x r 20.51 > 00 -0> OVERED 0) 0 ENTRY �N -71 7,1 C- 4 Co % WALK CONC.-'... 0.1 DRIVE 7*N CHAIN LIN CE 4-5*(V).*rA 0. 1.4' 50-g 50'(p) FND. 3"X3-COQUINA MON., NOT LA13ELED LS6076 S90*00'00"W 99.97'�ACT) (BEARING BASE) 1 Do' P) ffb STANLEY ROAD (FORMERLY STANDLEY ROAD, 30'. R/W) 461-h-Lk lyz�!rLl L,A� BUILDING ]PERMIT APPLICATION CITY OF ATLANTIC BEACH 900 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: 4Y� Permit Number: Legal Description Parcel# C,j Floor Area of Sq.Ft. Sq.k't Valuation of Work S 's-Z)0. —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 Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval 4 For multiple products use product approval Uo—rm Describe iq detail the type of wo$to be performed: wood C V a- Property Owner Information: Name: Vo(-,5 tj p ... Address:- 41 Q 4c- city State(�I�i P Phone t,* ftj E-Mail or Fax#(Optional) AA Contractor Information: Company Name: Qualifying Agent: Address: city —State Zip Office Phone Job Site/Contact Number Fax 4 State Certification/Registration# Architect Name& Phone 4 Engineer's Narne&Phone 4 Fee Simple Title Holder Narne and Address Bonding Company Name and Address Mortgage Lender Name and Address .�pplicatioq is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the issuance o ,fa0permit and that all work will bepedbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void w rk is not commenced within six(6)months, or if construction or workis suspended or abandonedfor a period ofsixfio)months at 017V lime qfter work is commenced. I understand that separate permits must be securedfor Electrical'Work, Plumbing,Signs, Wells, Pools, urnaces, Boileis, 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 herehy certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governimT this ope P�work�vill be complied with whether specified herein or1not. The granting of a permit does not presume to give authority to violate Or MX�l the provisions of any otherfederal,state, or local law reg I struction or the peFformance ofconstruction. A Signature of Owner A U71 Signature of Contractor L/ Print Name Print Name ............. ........... ..................................................... ....................................................................... SWOVI'And subscribed I re i e Sworn to and subscribed be'lore nle 20 this Day of ' 20 Notary Public lot_.,4rF;05,34Fj r Notary Public PUNO Oder0ters !�undad Triru NotarY Revised 0 1.26.10 j CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT 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 TEE 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 THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WIUCH IS IN VIOLATION OF TIES 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. 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 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 5'44" L i�44 1<_;i1_ 9- ADDRESS PHONE NUMBER XQ u4rl r U I-;(*A4 ['I MINT NAME nA SIGNATUM k,,," DATE 1.1 j-Vr Yv Before me this (--I day of __20L-2—in the county of Duval,State of Florida,has perstonally�pev.red herin by himself herself and affirms that all statements and declarations are tLru d :urate ,q an acc Notary Public at Large,State of County of d 0"OWAftDA' %;1-2�e sonally Known MYOOMMISSION 0 Produced Identification- M aY21 20,, OWYNbfic Notary Signature: F/BLDG/0�er-RujlderAffadavit;REVISED: 4/16/2009 .S% City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building oDepartlmnent) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-M26 - Fax(W4)247-5845 E-mail: buj[dJng-dept@?coab.us Date rotited: City web-site: http://www.coab.us E_ APPLICATION REVIEW AND TRACKING FORM Property Address: A 54?. Department review re Yes nNo -Buildin 00� Applicant: r%Aot"P 071_anD1p&"_"W_ e Administrator Project: b I i c UAW* J—Public Utilities 1 1 Publi Safety LFire Services Review fee Dept Signature Other Agency Review or Permit Requim Rev ew or Receipt Date of Pennit 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: D�Approved. nDenied. (Circle one.) Comments, BUILDING PLANNING&ZONING 4)4"/0i.ewed1by:t Date: TREE ADMIN. Second Review: nApproved as revised. DDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERMCES Third Review: DApproved as revised. [-]Denied. Comments: Reviewed by: Date: I Revised 07127110 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 Dat routed: —fp Cityweb-site: hftp://www.coab.us P APPLICATION REVIEW AND TRACKING FORM Property Address: 0.4 4W Ara_ --Department review required Yes No Buildin-Q Applicant: lea7nning&Zoni"n% Project: 0 *Alf I I ree Administrator y s Review fee Dept Signature C­3?�:� Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection ubli Public Safet Fire Service 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 A^ 'eview: V*QApproved. E]Denied. Reviewing Department First R (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: *TRDMIN. f r Second Review: ElApproved as revised. [:]Denied. W U W RK�+Comments: P L UTILI �S - —/ z- PUBLIC SA ETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ElDenied. Comments: Reviewed by: Date: Revised 07127110 City of Atlantic Beach Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Deparbrnent) Atlantic Beach. Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-deptQcoab.us I Date routed: Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: A 2j--- 5JA� - Department review required Yes No B 'Idin u'I'('____ - - 1111=11% — Applicant: Jujanni zgaion� 0-1 ree Administrator br Ic VMM Project: U444 _e ubli�c � POW blic Utilities Public Safety Um to *- o i FFire S, Review fee Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Perm it 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: [2A/pproved. E]Denied. (Circle one.) Comments: As eiajLsw B LANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. FIDenied. Comments: Reviewed by: Date: Revised 07127110 BP250U01 CITY OF ATLANTIC BEACH 10/05/12 Application Tracking Step Selection by Revision 08:35:07 Application number . . . . 12 00001378 Address . . . . . . . . . . 43 STANLEY RD RE number . . . . . . . . . 172186-0000- - Application type . . . . . FENCE PERMIT NCR OLD ACCOUNT NUMBERS . . AB10110 Tenant name, number . . . . Type options, press Enter . 2=Change 4=Delete 5=View 6=Fast log 8=Action log maintenance 9=In/out maint Path ---- Key Dates Action Summary - opt Agency description Rev Step Req In Est Cmpl Last Type By PLANNING & ZONING A 01 Y 09/21/12 10/02/12 09/28/12 AP EH PUBLIC UTILITIES A 01 Y 09/25/12 10/02/12 09/25/12 AP LS PUBLIC WORKS 1 A 01 Y 09/27/12 10/08/12 10/03/12 AP LS F3=Exit F5=Land inquiry F6=Add F7=Revisions F8=Misc info inquiry Bottom F9=Corrections report F10=View 3 F11=Sort by agency F24=More keys