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Permit Fence 630 Sherry Dr 2013 0 S CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002095 Date 2/07/13 Property Address . . . . . . 630 SHERRY DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPLACE 6FT FENCE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEVIN, INES M OWNER 630 SHERRY DR ATLANTIC BEACH FL 322335356 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/06/13 ---------------------------------------------------------------------------- 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 OIC' ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. fyL�a; City of Atlantic Beach APPLICATION NUMBER j�25 Building Department (To be assigned by the Building Department.) is 800 Seminole Road Atlantic Beach, Florida 32233-5445 2 U ' { z Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 2 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Buildin Applicant: OA)N`�� anning &Zonin Tree Administrator Project: C ublic Wor Public Safety Fire Services Review fee $ Depf Signature *� 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: roved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZO GReviewed by: g,4_1 aa'4�� Date: 6Z 1_Z__ Z�_ 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 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 LIE -0 I Z� L (� LIZ LL Job Address: C9 �r''� 41 , 6,,14 -3t,-17 Permit Num FE Legal Description Parcel# 7 <;..v Floor ea o q. t. Valuation of Work$ Proposed Work heated/cooled non-heate 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# For multiple products use product approva orm Describe in detail the type of work to be performed: G ��c e_ i I Z-1 �f r "� Property Owner Information: Name: cru St Address: 6,30 S /. City State Zip_�z z z Phone q1jCi 1/3 E-mail or ax#(Optional) Contractor Information: Company Name: Qu ing Agent: State Zip Address: Office Phone Job Site/Contact er 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 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 ruction or work is regulating construction in thisjurisdiction. This permit becomes null and er work is commenced.o work is menced.otcommenced within six I understand that separate permits muor st be conssecured for Electrical Work,Plumbing,Sigended or ns,aWells,Poeriod ols,X urnacesmontls at,Boiler,time Heatetrs, 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 application and know the same to be true and correct. All provisions of laws and ordinances governing this type o7work will be complied with whether sppect aed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or loegrllaw regulating construction or the performance of construction. Signature of Owner Signature of Contractor PrintName ............................................................... Print Name .......................................... Before me Before me this ay of e -'', 20 13 this Day of . 20 Nota =*•' *= my rnmmssirN o nn 957780 Notary Public EXPIRES:February 14,2014 n>•......•.. Q.onded Thru Notary Public Underwriters Revised 10.24.12 . .. ...... . CITY OF ATLANTIC BEACH OWNER BUILDER AFFIDAVIT PER 01 2013 I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "C UCTION 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 THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE. WHICH IS IN VIOLATTON 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 REGULATTONS. 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. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IVES 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 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. (, 30 S o 3cjk ADDRESS - .—� t.1-Z3. PHONE NUMBER PRINT NAME SIGNATUR DATE —� Before me thi� day of_ 20 in the county of Duval,State of Flor{da,has personally appe red herin by him§elf/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of ,County of D _ C roducelly Known reduced Identifi n- TlAtl3iS:�.�ic�b£Ik.`MF—GY....IC� . Notary Si t �. r: IAM 0 11MISSI(N `T :J 4 E IBES:February 1 b 4 F:/F>LDG/Owner-Builder AfCadavi, �,j , d Thru Notary Public U i: RECEIVED City of Atlantic Beach FEB 0 4 2013 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road r� Atlantic Beach, Florida 32233-54 ) "_ ___j 2 ` Phone(904)247-5826 • Fax(904)247-5845 ^� E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department�f/ Department review required Yes No Buil in Applicant: ��}/�� anning &Zonin Tree Administrator Project: 4C ublic Wor * iii 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: 4_ Date: 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 07/27/10 RECEa ED .5��,��;1� City of Atlantic Beach Fn 6 4 204F(Tobe PPLICATION NUMBER js Building Department ssigned by the Building Department.) s 800 Seminole Road: Atlantic Beach, Florida 32233-5445 - -- -- U Phone(904)247-5826 • Fax(904) 247-5845 ost E-mail: building-dept@coab.us Date routed: 2-11 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department�f r Department review required Yes No Buildin Applicant: dA)A 'k� anning &Zonin Tree Administrator Project: C ublic Wor Public afety Fire Services Review fee $ Dept Si nature "��''/ 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: l vJ/ Date:- 4 ate: TREE MIN. Second Review: ❑Approved as revised. ❑Denied. P WORKS Comments: PU LIC�UTILI I S P LTC SAFY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 07/27/10 Ordered By: = NAMERICAN NORTH � TITLE ■ COMPANY Like Clockwork t� 10199 Southside Blvd,Suite 106 Jacksonville,FL 32256 904.538.0694 PROPERTY ADDRESS: 630 SHERRY DRIVE ATLANTIC BEACH,Florida 32223 SURVEY NUMBER: FL1210.1908 FIELD WORK DATE: 10/29/2012 REVISION DATE(S):(rev.0 10/29/2012) FL1210.1908 51RE� BOUNDARY SURVEY FCM " 3"X3" DUVAL COUNTY @ 13 C. NO Q-�t srVIN FILE00 DOPY 0.10 2Oq 30.0 ' 6p 00, (P) PCZ a 575oAg3 VJ 6000 K• 00-? fl `P, INO1D 575oAa— A536 l 100 00 C 0. q �5�A8'36„ 2 4 P y 4/ VIA 1 :: r GARPOR� At T 12„1D ` 33.3 ,� 3is0 0 LOT 8� �� w 0 W L01 53 N W A „<, 1 #63p ro VEFS 7.1 Rf5 22.5 P1P �� PPL i GO1• 0 5p a' Np 10 1 t LOT b!D 00 5GR. ;ty of Atlantic De artment 20 IY _ Fl and Zoning NIP o0 oA8361 W jp0 00, h/t) Plann 9 compliance with applicable o ZN 5 5 57 royal erifles comp other local land o� 5�5°A5 This app Sub ivision and re ulations, but does not constitute ance zoninNp io « development 9, ermits. Comp. issuance of p hcable approval for the Code and all otherq�trements with Florida Build', raI permitting of Atlantic total, State and Si nature of the City must be verified Official prior to the issuance of a Beach Bu ilding ilding el it,Bu tree or �tis�Ev B. yds Approved By: e C,of NSM I hereby certify that thi 1G�1of$tuy ofe a on described property has Date: been made under my it ction, e,best of knowledge and belief,it Is tjtatir f a true and accurate r p eseop'Qf_'a survey that m ets the minimum technical NOTES: standards set forth b t e Fk�rida`�oard,Ot Profes al Land Surveyors as FENCE OWNEP.5111P NOT DETERMINED. described in Chapter 170f the''Florda Adminis ve Code. O� / STAR;OF q FLORIDA �C Lp j S URVEYO�'- 30' 20' 10' O 15' 30' i Wesley B.Haas N State of Florida Professional surveyor and Mapper GRAPHIC SCALE \\ ■� License No.3708 I Inch = 30 feet =011 Itt1t Use of This Survey for Purposes other than Intended,Without Written verification,will beat the user's Sole Risk and Without Liability to the Surveyor. Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone other than those Certified. FLOOD INFORMATION: POINTS OF INTEREST By performing a search with the local governing municipality or www. NONE VISIBLE fema.gov,the property appears to be located in zone A(with a Base Flood Elevation o,FEMA UNDETERMINED).This Property was found in the CITY OF ATLANTIC BEACH,community number 120075,dated 04/17189. CLIENT NUMBER:11647-12-00536 DATE: 10/29/2012 AFFILIATE BUYER:JASON SEBESTO AND CASEY M.DLUHOS-SEBESTO F ' ' MEMBERS SELLER: FANNIE MAE CERTIFIED TO:JASON SEBESTO AND CASEY M.DLUHOS-SEBESTO;NORTH AMERICAN TITLE COMPANY;CHICAGO TITLE INSURANCE COMPANY,FIFTH THIRD MORTGAGE COMPANY Land Surveyors �nC, www.surveystars.com This is page 1 of 2 and is not valid without all pages. On 7337 r P 866-735-1916• F 866-744-2882 12220 Towne Lake Drive,Suite 55•Ft.Myers,FL 33913