1648 Sea Oats Dr 2013 fence ft SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002041 Date 1/31/13
Property Address . . . . . . 1648 SEA OATS DR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 --------------
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Application desc
6ft fence replacement
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Owner Contractor
------------------------
------------------------
PERRYE JEFFREY H & TINA R. OWNER
1648 SEA OATS DRIVE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit FENCE PERMIT ED PLANS
Additional desc 61 FENCE PER APPROV . 00
Permit Fee . . . . 35 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/30/13 -----------------------
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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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address; ig Permit Number:
Legal Description IY-.:rt a7-ALzr-' Parcelh! 1je4 e%3
e" Floor Area of Sq Ft. Sq.1,'t
Valuation of Work S �7 f-v —Proposed Work hea* ted/cooled non-heated/cooled
Class of Work(circle one): /,�� Addition Alteration Repair Move Demolition pool/spa window/door
Q=�
Use of e�i�ting/pro sed structure(s) circle one): Commercial
If an existing strucf:re,is a fire sprinMr system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product apprav-a-17—rm
Describe in detail the type of work,jo be performed: 5*1 '),0),
4 A (/Z.,.0-p- -j �Zt` 0,!2 6� '()e 041
Property Owner Information:
Name-.J-'/h/ Address:111W -4-
city 0 St —Zip3z 733 Phone 9�& Y.!r 3 YX-7
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: �. 0 ing Agent:
Address: -,state Zip
Office Phone er ax#
State Certification/Registration Contact�#er
Arch itect Name&Phone
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
�Jpplication is hereby made to obtain aper"'it t dl,,tl;eii,orkaiiditistallatioi7sasiii cated I certify that no work at-installation has Call"Ie edpriarlothe
issitance ofapermit and that all work will bepe� -medtonfeetthL'standa-l*,d4scofa mvsrogiilatiilgcoiisti*itctioiiiiiihisjiirisdictio)i. Thispermilbucoinesmill
foi ; Invs,
and void if work is not commenced within six(6)months, or ifconstniction or w: ,Is suspended or abandonedfor a eriod ofsU ffl months at any thize after
work-is commenced I understand that separate permits inust be securedfor Eleetricar Work,Plumbing,Mitts, KMs, Pools,Purnaces,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 here certify that I have read and examined thi's application and know the same to be trite and correct. All provisions of laivs and ordinances governing this
0 Plivork will be complied with whether specified herein at-not. The granting of a permit does not presume to give anthoriot to violate at,cancel the
all state or loca
provisions ofany otherfedet I lint)regulating construction or the pe�fbrmance of constrtiction.
Signature of Signature of Contractor
Print Name P le, Print Name
... ........I......................... ...........................................................................................................
Sworn ubscribed b Ke e Sworn to and subscribed before me
this Day 20 this _Day of .20
c L.GRAHAM Notary Public
DC,9577eC
1"T—S:Febwaty 14,2014
Revised 0 1.26.10
'Thri Nuiary Public U11,jeRy6ters
CITY OF ATLANTIC BEACH F1 E COPY
OWNER/BUILDER AFFIDAVO
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 ^CONSTRUCTION
CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW
DISCLOSURE STATEMENT FOR SECTION 499.103(7),FLORIDA STATUTFS:
STATE. LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSLD
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO TuAT
LAW. THE EXEMP`nON ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
E T -T N rIDN_yD3=ELL 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 BUILDINQ
AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SFLL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFT`ERT1IE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION- XQUIM-WI
Tp
HIRE AN UNUCENSED PERSON AS YOUR C ACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO TItE BUILDING CUIJk�S AND ZONING REGULATIONS- IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YQkJ HAY
-ANDRY-AAMINTY OR MUMCIPAL LICLNSINQ
ORDINANCES,
11,INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTM SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
S ON THE WORKERS THEY
OBSERVE IRS WITHHOLDING TAX AND/011 FORM 1099 REQUIREMENT
EMPLOY ON THEIR IMPROVEMENT TRADES,
IV. PENALTY; J141,10ENSED C211411: CTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMBI&NOE1 OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIUA 5 iATUTE NO.
455-2280). AN"OrICUF IIONALLIQjEN E'I T ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY 'CERTIFICATE �6F 650ETENCY' 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,
CL �/_?yl— -7
PHONE NUMBER
ADDRESS
J,/z
_PRT1NT_N1WLr—_
1_16
S AT
IGN 5"ATE
day of the county of
Before me th,s I
by him,,ff I herself and affirmis that
Duval,State of Florida,nas Pem�ajjypp...d�h-.
all statements and declarations are true and accurate
Notary Public at Large,S County of
0 Produced I on-
SHIFLEY L GRAHM
Notary Signature: ITTT I wl
E)(pjrjES,Feb,,jary 14�20111
i BL1Xj0B.ddAf%d_R, D 1061,2
City of Atlantic Beach APPLICATION NUM13ER
Building Deparbnent (To be assigrW by the Bdiding D4mftert i
8W Seminole Road
Atlantic Beach, Florida 3223-1-5445
Phwe(M)247-5M - Fax(W4)247-W5
E-mad: bUi1Cfin9-dePt@?coab_us Date roqAed.
Cityweb-site: http:/twww.c0ab.uS
APPLICATION REVIEW AND TRACKING FORM
Ila
Property Address: 76 J�k �IIT5 bl- Departmentreviewmquired Yes No
"b
BVikfing—,
uj
Zoni
Applicant: tPlanniing&Zoning--,
Project: Jy-x ("6.
;�c�1 I
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Pennit Required Review or Receipt Date
I of Permit Verified By
ofida Dept.of Environmental Protection
Florida Dept. of Transportation
SL Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurards
Division of Ncoholic Beveraqes and Tobacco
APPLICATION STATUS
ReviewingDepartment FirstReview: U4roved. DDenied.
(Circle one.) Comments:
BUILDING
—ELA�NI �ZDNIP�33
Reviewed by:_ P'"Atla_gL Date:- 0
TREE ADMIN. Second Review: E]Approved as revised. F]DeniecL
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE:SERMCES Third Review: DApproved as revised. ElDenied.
Comments:
Reviewed by: Date:
RevLc,-d 0127110
ordered By:
The Law'Offices of Rod Schloth
T,
2187 S Third St
Jacksonvitle Bch� FL 322150 .4 9
T
904-372-9351
beach@rod-law.com
PROPERTY ADDRESS, 1M SEA CATS DRIVE ATLANTIC BEACH,Florida 32233 SURVEY IN J.MBER: FL1 206.0521
...... .......
FIELD WORK DATE:w3nam REVISION DATE(S):(rmii U1312012)
FL 1266.0.521
r
BOUNDARMRVEr
LOT I
DUVAL COUA.r[Y 13
0,M 1/2'Fir
8130-4 VI 140-1 . NO to 11 1P
C.0
53a4-9-50'E I A
I IF'Fir
1A
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10
0. V
in
7a k 5TY- 4.0'
in in
I G45
0 LOU
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LOT� L., b
23-q 11i —
E-U-, 1'3 to
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-q.
tri
300
40-1
LOT E 312-PIP
5U. J S
NO to
'5u*W 140-0a(F)
50304
0.4,Orf M
5 w I
112.MF- jhtj c Beach
NO ID 9- City ,I g E)epartment
Planning
ro
j-,ance with 8POcablel
erlog-CIM other local Ian
k`pproval V n
�s not constitute
subdiv lab t doe
evelopment 169.u4i -0 permits Compliance
E BLI, 13 d Gtil nd 0 Ot�er app�icable
approval for the ls%9 9 jirernents
-da Building itting req 't�ls
FW1 - p a ,
5-ITBAG11,WFOPMATION WOM 014 nAT,WT VEMM With d Fedgma of Atlantic
local, State Ein of the City
LOT AFPFAk9 TO CC 5eM. CED BY CtTWV IYATIM MID ied by St e issuance of a
Zff ORYMERSMIP WT UMMMeD must be Verit oft�cial*1 AW
Beach BuiIding No IP
Building Permit. M
hereby certify that thIs Sketch of Survey of the Approved BY'
hereon described been made under
my direct F. of my knowiLdge and Date'
(e represen ation of a
bellef, tt n a
9m!nlrn tnnn
survey th eets
standards e __by e roo Board Of 30 0 is 311
Profession r -Uescrlbed in Chapter M-1
5J-17 of t efd-A tive Co e. GRAPMC SCAM (In Feet) N
State oi an rof 13 0 rs.�. and Mappe�,
0 IIJA 1 inch 30' ft.
a, 4
ultv
Ula clThis Survey ror Furpases other thin intended,wihaut written ver1rKation,will beat the Ujer�Sala Hisk and Wthvut 1-lability tothe SoryLyar,
t,ri-ANY rwo—o—m.- oi,—r--, A
ET EE)
D
JAN
City of Atlantic Beach APPLICATION NUMBER
Building Department fftAsA"gped by ft&MOV ftaftet)
800 Seminole Road
Atlantic Beach,Rorida 32233-5445 JA/V 2 4 2o13
Phone(904)247-5626 - Fax(904)2, T-W
� y
E-mail: buHcfin9-dePt@?c0ab-Us _y Date raAed:
Cityweb-site� httpJtwww_coab.us
APPLICATION REVIEW AND CKING FORM
Property Address: 7J J�k_ (�117-5 Department review uIred Yes No
Btti1din9-_______
Applicant: 0 zv -Planning&Zonk4-
-W
r5Lt-Adrnir4strator--'
Project: -ub!ic Works,
c
P PubrieDfirives, I _T_]
Ic
Public Safety
P c-af
S
FFire Servkices
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
I of Permit Verified By
Florida Dept.of Environmental Protection
Flodda Dept. of Transportation
St Johns Mver Water Management Dishict
kmy Caps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Of".
APPLICATION STATUS
Reviewing Department First Review: roved. FIDenied.
(Circle one.) Comments: FAPP
BUILDING
PLANNING&ZONING Reviewed by: DMe:
TREE ADMIN. f
Second Review- E]Approved as revised. 0139nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.
RRE SERVICES Third Review: E]Approved as revised. ElDenied.
Comment-:
Reviewed by: Date:
fzeyiscA 07127110
Rlu-CEIVED '
X-N-U.0
City of Atlantic Beach JAN
Building Department 2'9 APPLICATION NUMBER
8W Seminole Road (To be assigned by Ole Buikft Depafteri)
Atlantic Beach. Florida 32-233-5445 JAN 212013
Phone(904)247-5&26 - Fax(904) 5
E-rnafl: buHcfing-ck*A0co.-th.US Date route&
City web-site. t1tlPWYMW-Coab.us
APPLICATION REVIEW AND CKING FORM
Property Address: &Id 73 6-1 Department review uhed Yes No
Building
Applicant: Planning&Zoning-
-Admi . rator
Project: blic s!
ic U611th-es
Public S4,ety
Fire Services
Review fee Dept Signatur*�—,
FOther Agency Review or Permit Required Review or Receipt Date
er gcnc
Florida Dept of Environmental Protection of Permit rified By
P
FIowddaDept. of Transportation
_t Jo
St Johns Mver Water Management Dishkt
A y C Ps of I
rmy Corps of Engineers
F�sj:sion of Hotels and Restaurants
J,
on of AicoWic Beverages and Tobacoo
Other.
A PLICATION-STATUS
Reviewing Department First Review: roved. DDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by*
A P:
D nent Fir:.Review_
Co r__
ents_
epa
le,on
C c
cWe7 L
BUILDING
PLANNING&ZONING
"IN &ZO Date-
T
TREEADMIN.
Second Review- DApproved as revised. ElDenied.
P ments:
PU f,1.17111-MES
PUBLICSAFETY Reviewed by-, Date:
FRE SERMCES Third Review: ElApproved as revised. DDenied.
Comments:
Reviewed by _=Date:
FeyLsed U27nD