1707 W Park Ter 2013 shed 'rpt rLr�f
�� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�JJ3l��
Application Number . . . . . 13-00002246 Date 3/11/13
Property Address . . . . . . 1707 W PARK TER
Application type description SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2300
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Application desc
10 'x 20 ' Shed w/tie-downs
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Owner Contractor
-
------------------------
-----------------------
MOURO THOMAS J SR & JEAN M OWNER
1707 PARK TERRACE WEST
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------
Permit . . . . . . ACCESSORY STRUCTURE NEW RES
Additional desc . .
Permit Fee . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2300
Expiration Date . . 9/07/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
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 .
Remain 5 feet from easement along south property line.
There is an existing water main in the easement along the
south property line .
-------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -----
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 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: 7 0 7 �Ai2`< 7-e2 10 Permit Number:
Legal Description Parcel#
Floor Area o q. t. Sq.1,1
Valuation of Work$ x;010 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): 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 produci—approval Form
11 O/
Describe in detail the type of work to be performed: d�r X, Ct
Property Owner Information:
Name: S .✓� /4 Dy lZU Address: / 7(' 1-1,4 2 C L ,I a -
City •G' a-Q k Stat .
' Zip 3-5-23�5 Phone �/� 7
E-Mail or Fax#(Optional)
Contractor Information:
a �
Company Name: Qualifying Agent:
Address: City State ip,`
Office Phone Job Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address NEE PERMITS FOR ADDITI
RJEAQ
Bonding Company Name and Address VIRIEMENTS AND CONDITIONs
Mortgage Lender Name and Address
ATE: . .,�.�.�..
Application is hereby made to obtain a permit to do the work an ins a at ins llation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construc to isdiction. 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(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,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 application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o7work will be complied with whetherspeci 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 ��n� �!'/'/ � Signature o ontrac r
PrintName / o 417,45- .'..........1 19"tTZO.......................... Print Name ... ....... ..........................................................................................................................
......................... ................................
Bef_ e Before me
this Day of r'-q 20/ this ay of 20
C�_
Notary Nota Public
s�aauxuapun o!Ignd AetoN rugl papuog 41 Revised 10.24.12
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ITPROPERTY ADDRESS: 1707 W.PARK TERRACE,ATLANTIC BEACH,Florida 32233 SURVEY NUMBER:FL1008.0211
FIELD WORK DATE:en3n010 REVISION DATE(S):v-0 8n3/201o1
L1 a�xwr�.�►
FL1008.0211 NO3°03'10"E 5.64'(P)
BOUNDARY SURVEY LOT 17 N01°40'11"E 5.29'(M) I
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CALC.PT.
to the bes of y knowledge and belief,It Is a ru and FIP 1/2• (TREE ON
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m technical ards set forth by a bridear Ot _FENCE OWNERSHIP NOT DETERMINED. WIC I
' Profession[�nd Surveyors as described in ptar 5J-17
u of the Ron ministraflVdE&iF q° LOT APPEARS TO BE SERVICED BY CITY SEWER. i
FLORIDA T
�`rJ' 4Y 30 0 15 30
ur°`SAL SIJRVEY0
3
3 Mark A.Johnson GRAPHIC SCALE (In Feet)
State of Florida Professional Surveyor and Mapper 1 inch = 30' ft. -
01 License No.6572
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d Use of This Survry for Purposes otherthan Intended.Without Writ ten Verification•v11be at the User's Sole Riskand Without Liabilitym'the Surveyor.
yL„ N hi ahereon hall he Co astnied to Give ANYRIyh, 8—fir—Ary—Other than those Cettified
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v POINTS OF INTEREST; None Visible
v
FLOOD INFORMATION g
o By performing a search at www.fema.gov,It appears to be the property to be located in a X zone with a Base Flood Elevation of NA.This Property was found in ii
CITY OF ATLANTIC BEACH and community number 120075 dated 04/17/89
C CLIENT NUMBER:LMT 10-565 DATE:B/13/2010 t 1
m Exacta Land Surve yors Inc.1sa
BUYER:THOMAS J.MOURO,SR.AND JEAN S.MOURO full service,bonded land survey firm
s registered with the state of Florida. •:.
m '
a SELLER:POURANMIDOKHTASHOURIAN
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- CERTIFIED TO:THOMAS J.MOURO,SR.AND JEAN S.MOURO; - EXACTA F L
LANDMARK TITLE LLC;FIRSTAMERICAN TITLE
v Land„" rs..nc.
E INSURANCE COMPANY;N/A P:866.735.7916
- Exacta Land Surveyors,Inc. LB#7337 F:866.744.2882
° 1514 Sart Ignacio Avenue.,Ste.100
�O This is page 1 of 2 and is not valid without all page P 9 P 9 Miami FL 331-16 www.exactaland.com
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CITE OF ATLANTIC BEACH } � ILE
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OWNER / BUMDER AFFIDAVI
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.
ADDRESS PHONE NUMBER
PRINT�E
SIGNATURE DATE
Before me this ✓ l.' day oil-bbl tj k/ 202/in the county of
Duval,State of Florida,has personally appeared her' Ib himself/herself and affirms that
all statements and declarations are true and accura
N�taryonubfic at Large,State of _ � County ofally Known
❑Produced Identification-
MELISSA A.HART
MY COMMISSION#EE 861935
re
Notary Signatu / > '�1�/�'� + '• T; EXPIRES:January 1,2017
+.•
•.a of i; •' Bonded Thru Notary Public Underwriters
F:/BLDG/Owner-Bui" Affa 'i,REVISED: 4/76/2009
�* s Ordered By: ( ( x $ s{
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LA DMARK �
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Pl ROPERTY ADDRESS: 1707 W.PARK TERRACE,ATLANTIC BEACH,Florida 32233 --� SURVEY-NUMBER:FL1008.0211
FIELD WORK DATE:8/13/2010 REVISION DATE(S):0-0 er1v20101
L1
NO3°03'10"E 5.64'(P)
c2 "�UND Y RVEY LOT 17 N01'40'1 VE 5.29'(M)
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n— c CL7E Q %/ / (8.R.PER PLAT)
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to 0 M I
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L=94.99'(P), 95.95'(M)
A=22°56'41"(P), 23°10'35"(M) C2
Ch=N14°30'59"E 94.36'(P), FIP tr2-
N14°24'55"E 95.30'(M) NO ID eSMT F k I
C2 @ P.R.C.
R=237.21'(P&M) /✓6q N6go 4 /yqc\ r,
L=18.86'(P), 18.85'(M)
A=4°33'24"(P), 4°33'15"(M) I'V74
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Ch=N28°16'28"E 18.86'(P), 0600'
N28'1 6'49"E 18.85'(M) (M)r(P) SFR J I
Pgl<SE JOfjNs0 LOT 15
ARFh ELK 12
v
I hereby ce fY at this S61512'Survey o th hereon
described to arty has been made under m di cfion,and CALL.PT.
to the bes of y knowledge and belief,It Is a nu and FIP 1/2• TREE ON
-d ; accurate r P k&Mafiv"aou t meet a minimum NOTES NO ID PROP.COR.)
w technical ards set forth by a orida Of _FENCE OWNERSHIP NOT DETERMINED. w/c
Profession 1�,nd Surveyors as described in Pter 5J-17
V of the Flor minist a8ff�C6dAk q° LOT APPEARS TO BE SERVICED BY CITY SEWER.
U A FLORIDA {,T
w sS
¢4Y 30 0 15 30
fON'9L SURVE`I0 I
3 `
o Mark A.Johnson GRAPHIC SCALE (In Feet)
1. State of Florida Professional Surveyor and Mapper I inch = 30' ft.
01 License No.6572
m
a .
N Use ofThls Survey for Purposes other than Intended,Wllhou[Wri[ten Verification.ll be a[the UserY Sole Risk and Without Liability to'the Survryor.
r Nn[hinghereon shall he C._=d to Give ANY Rlyhn nr aenefiss to An Or her than those Certified. _—_—_—_—
T
� I
POINTS OF INTEREST: None Visible
I
FLOOD INFORMATION:
c
0 By performing a search at www.fema.gov,it appears to be the property Lo be located in a X zone with a Base Flood Elevation of NA.This Property was found in
CITY OF ATLANTIC BEACH,and communit number 120075,dated 04/17/89.
E
CLIENT NUMBER:LMT 10-565 DATE:8/13/2010
Exacta Land Surveryors Inc is a \
-p full service,bonded land survey firm 1
t BUYER:THOMAS J.MOURO,SR.AND JEAN S.MOURO registered with the state of Florida.
rn i
a SELLER: IOURANMIDOKHTASHOURIAN ---- —
0 -- !
�. CERTIFIED TO:THOMAS J.MOURO,SR.AND JEANS.MOURO; � ��� },_
`C LANDMARK TITLE LLC;FIRST AMERICAN TITLE Land,,.,.:. Is, nc.
E INSURANCE COMPANY;N/A P:866.735.1916
—__ -- Exacta Land Surveyors,Inc. LB#7337 F:B66,744.2882
0 1514 Sart I,nacio Avenue.,Ste-100
pages.P
-O This is page 1 of 2 and is not valid without all a _-- _
Miami F! 031;10 www.exactaland.com
r -
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
_ 800 Seminole Road J 3 ,
a ��
�.; Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
rj;;l E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us 11
APPLICATION REVIEW AND TRACKING FORM
Property Address: �rit<�2 `Pi(/' f,:(� Department review required Yes No
Building
Applicant: rLU'�� /\J Planning &Zoning >
Tree A ministrator
Project: d')-�'C d!� Public Works `
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature:
Other Agency Review or Permit Required Review or Receipt Date
of Permit 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: VApproved. []Denied.
(Circle one.) Comments:
BU__ILD_ G
PLANNING & ZONING OJa/Q!/2a6?
Reviewed by: � r9j Date:
EE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ODenied.
Comments:
Reviewed by: Date:
Revised 07/27/90
EX-Cw ' VE
City of Atlantic Beach MAR 0 4 2013 APPLICATION NUMBER
Building Department
s� (To be assigned by the Building Department.)
r 800 Seminole Road BY:
Atlantic Beach, Florida 32233-5 $Y;445 R a
Phone(904)247-5826 • Fax(904)247-5845
is) E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (� ��1 � - `&r J j Department review required Yes No
Building
Applicant: Planning &Zoning
Tree Administrator
Project: ublic Works }�
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature_
Other Agency Review or Permit Required Review or Receipt Date
of Permit 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: pproved. [:]Denied.(Circle one.) Comments:
RI
BUILDING
PLANNING & ZONING
Reviewed by: Date: 3 r l
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
01 il City of Atlantic Beach APPLICATION NUMBER
os � Building Department (To be assigned by the Building Department.)
800 Seminole Road 1 3 - a a y�
Atlantic Beach, Florida 32233-5445
a• Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us LDate routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 110-7 IOL , ',J Qepapt4kent review required Yes No
n Building
Applicant: MrNI UGA-) Planning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public 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: Approved. [_—]Denied.
(Circle one.) Comments:
`BUILDING
PLANNING &ZONING Reviewed by: ill 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