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Permit Fence 1540 Main St 2013 CITY OF ATLANTIC BEACH i 1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �4vJi3 �� Application Number . . . . . 13-00002169 Date 2/27/13 Property Address . . . . . . 1540 MAIN ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------ Application desc replace fence Oft ----------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BIDLACK ADAM M ET AL OWNER BIDLACK, REBECCA & GORDON 1540 MAIN ST ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/26/13 ---------------------------------------------------------------------------- Special Notes and Comments 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 . ) ---------------------------------------------------------------------------- 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 Q 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 F D�/ �' Ffl ' B13 Job Address: l yn ��i. i S Permit N r: Legal DescriptionParcel# Floor Area of t Valuation of Work$ /'000 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# For multiple products use product approva orm r Describe in detail the type of work to be performed: �'- Provertv Owner Information: -y Name' a r^ cry :'< 17 1 C' �q Address: ! D City_ �, j��jl State l=1 Zip Phone y� G��f� i E-Mail or Fax#(Optional) Contractor Information: Company Name: e-- Qualifying 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 Application is hereby made to obtain a permit to d0th e 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 work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period 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, urnaees,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 ofYwork will be complied with whether speci ted 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 local law regulating construction or the performance of construction. Signature of Owner/� . - Signature of Contractor Print Name .�L' .1��?? .t.. .. .0. ............................................... Print Name ........... FILE .......C..OPY...................................................... Be Before me Day f 20 this Day of .20 ,rtia@:��••,, Sill EY L.GRAHAM Notary PL is =*: - ':. MY CotviMlS�IQN DD 95776 Notary Public EXPIRES:February 14,2014 Bonded Thn!Nota Public Underwriters Revised 10.24.12 34gz 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 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 VIOLATION 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 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. 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. 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 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. /,:5-- go ADDRLISS PHONE NUMBER PRINT NAVE J, SI NAT RE �i✓ DATE Before me this / day of / 20/ in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of ,County of k V Pe41denfification /^ Pr - SHIRLr-Y L.GRAHM" —N#DD Nota • ebruary td F:BLDadavit;11E1 : 4/16 LEVY ROAD (66' RIGHT OF WAY) CENTERLINE OF LEVY ROAD S 00'23'10' E 1012' DEED (COUNTY ROAD No. 222) ---�— ----- --- N 00'23'10" W POINT OF REFERENCE W I 70.00' (DEED) NORTHEAST CORNER OF SECTION 19, m o I POINT OF BEGINNING N 00'2rj 06 W (TOWNSHIP 2 SOUTH, RANGE 29 EAST 50M1 r"1 110.21' (MEASURED) 69.96' (MEASURED) WESTERLY RICHT OF WAY LINE �•� S 00'23'10" E 230' (DEED) —"" + 0.7' WE 0.0' �¢t p 31 N LL]``+frc.I MAP SHOWING ' BOUNDARY SURVEY OF COVERED ENTRY >t 10.5 14'2 LEGA DESCRIPTION PROVIDED BY CLIENT: 9 V12.3' ' YM PART'OF GOVERNMENT LOT 1, SECTION 18, TOWNSHIP 2 SOUTH, 1 4 Y NRANG 29 EAST, MORE PARTICULARLY DESCRIBED AS: 540FOR POINT OF REFERENCE, COMMENCE AT THE NORTHEAST CORNER 13.6' OF SID SECTION 18 AND RUN SOUTH 0 DEGREES 23 MINUTES 10 10N COVERED SECONDS EAST 1012 FEET ALONG THE EAST BOUNDARY LINE OF ' PATIO SAID (SECTION 18 (BEING ALSO ALONG THE CENTER LINE OF LEVYROAD] COUNTY ROAD NUMBER 222) TO A POINT; AND THENCE RUN NORTH 89 DEGREES 49 MINUTES 10 SECONDS WEST, 33 FEET TO APOINT IN THE WEST RIGHT OF WAY LINE OF SAID LEVY ROAD, WHICH POINT IS SOUTH 0 DEGREES 23 MINUTES 10 SECONDS EAST, 77 � LLJ FEET FROM THE SOUTH LINE OF THE LANDS OF LOUIS SEIDL AS DESCRIBED IN DEED RECORDED IN DEED BOOK 204, PAGE 506, OF (_ 11 THE CURRENT PUBLIC RECORDS DUVAL COUNTY, FLORIDA, TO A a Q Q 0 POINT; THENCE RUN SOUTH 0 DEGREES 23 MINUTES 10 SECONDS w ltl L1,1 Li EAST, 230 FEET TO THE POINT OF BEGINNING; THENCE RUN NORTH p 89 D GREES 49 MINUTES 10 SECONDS WEST, 440 FEET TO A P0IN1 THENCE RUN SOUTH 0 DEGREES 23 MINUTES 10 SECONDS o IM o EAST,! 70 FEET TO A POINT; THENCE RUN SOUTH 89 DEGREES 49 o 0) O o MINUIIES 10 SECONDS EAST, 440 FEET TO A POINT IN THE WEST aiO RIGHT OF WAY LINE OF SAID LEVY ROAD; THENCE RUN NORTH 0 M O DEGREES 23 MINUTES 10 SECONDS WEST, 70 FEET ALONG THE .0 WESTRIGHT OF WAY LINE OF SAID LEVY ROAD TO THE POINT OR PLACE OF BEGINNING, AND BEING A PART OF THE SAME LANDS a DESCIkIBED IN DEED RECORDED IN DEED BOOK 1072, PAGE 144, AND a a IN AGREEMENT FOR DEED RECORDED IN DEED BOOK 1651, PAGE 231, M OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. N o W •- s W J � 0 O � Q K W O K � a U Q CERTIFIED TO: ADAM M. BIDLACK, REBECCA A. BIDLACK & GORDON W. BIDLACK T' W w COMMUNITY FIRST CREDIT UNION ` _ KEITH WATSON TITLE SERVICES, INC N O o OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY 0 o City o,,M Z 00 OD Planning and Z01" Z 0 approval verifies compiie:tL' This bd;,,iSion and otl,: zoninr, s but does not development Tne = permits. Cor: approval for the issuanc with Florida Building Code efmNting requd all other prerner local, State and Federal p must be verified by signature of the City of Atlantic Beach Building Official prior to the issuance of a Building Permit. Approved BY: : Date I LEGEND: 0 = SET 1/2" REBAR ST MPED PSMb6146 PC = PONT OF CURVATURE 0 = F ND 1/2„ IRON PIPE PT = POINT OF TANGENCY N IDENTIFICATION PRC = POINT OF REVERSE J O0'17 ZO E .3' (UNLESS OTHERWISE NOTED) CURVATURE E- +%4" CONCRETE MONUMENT PCC = POINT OF COMPOUND 70.05' (MEASURED) A/C = AIR CONDITIONER CURVATURE O = S 00'23'10" E —X— FENCE CONCRETE 70,00' (DEED) NOTES: REVISIONS 1. BEARINGS ARE BASED ON THE _--DEE4____ BEARING OF S 89'49'1Q_E_— ALONG THE SOUTHERLY BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE _X _ , AS SHOWN ON THE 12-27-2010 UPDATE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL _QQ.Q1_a__. REVERIFY THE SOUTHERLY 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT 2-6-2013 BOUNDARY LINE IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED 4: THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL.F-_ JOB # 14333—C DATE OF FIELD SURVEY: 12-18-2007 SCALE: 1" = 50' Ray Thompson CERTIFICATE r 1 HEREBY CERTIFY THAT THI 16YDJ3q N NDER MY RESPONSIBLE CHARGE SURVEYING, Inc. AND MEETS THE MINIMUM (CAL STAND SET FORTH BY THE FLORIDA BOARD OF PROFESSIO RVEYORS,dt+IB MAPP IN CHAPTER 61G17-6, FLORIDA Going the DISTANCE for Yo ADMINISTRATIVE C UANT TO SECTION 47 >{0 LORIDA STATUTES. 4613 Philips Highway,Suite 210 Jacksonville, Florida 32207 4_7 (Phone)904-448-5125 REGISTERED SUR �� AY/�NT MAPPEP 6146 STATE OF FLORIDA (Fax) 904-448-5178 UC a o. 7469 LAND SURVEYS 0 CONSTRUC110N SURVEYS 0 SUBDIVISIONS .S City of Atlantic BeachxT > APPLICATION NUMBER Building Department V (To be assigned by the Building Department.) 800 Seminole Road 4 /_ r Atlantic Beach, Florida 32233-5445 Y. 4 a �w F Phone(904)247-5826 • Fax(904)247- p E-mail: building-dept@coab.us Date routed: / 3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ozP al n c Department review required Yes No pp Buil Applicant: f— Zonin CC Tree Administrator Project: �� C G ubIic Works PuB is Safety Fire Services Review fee $ Dept 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: pproved. ODenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: c:2�0 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. p9tX WORKS Comments: U LIC UTILIT UBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach ..� APPLICATION NUMBER Building Department ', t' (To be assigned by the Building Department.) „s 800 Seminole Road Atlantic Beach, Florida 32233-54 ?013 a �w a- Phone (904)247-5826 - Fax(9 7-5845 _ h /p 2 x r'. t E-mail: buildin de t coab.us '�== Date routed: O4 / .J City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 156 al_n ot-✓ Department review required Yes No QQ Buil Applicant: Q f—' Zonin CC Tree Administrator Project: Y17- ")')e G _ ublic Works Pu is Safety Fire Services Review fee $ Dept Signature Ae 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: XApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 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 ate:Revised 07/27/10 rS.a,ryJ� City of Atlantic Beach APPLICATION NUMBER J3 � Building Department (To be assigned by the Building Department.) s 800 Seminole Road a �� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 /p J,iI9' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: � a� 01 ✓ Department review required Yes No ` pp Buil Applicant: 6 1 f ' A Zoni Tree Administrator Project: It}66 -r�C G ublic Works PuB is Safety Fire Services Review fee $ Dept 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: �pproved. ❑Denied. (Circle one.) Comments: BUILDING CANNING & ZO G Reviewed by: Date: 02 MI6 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: I Revised 07/27/10