925 Amberjack Ln 2013 fence CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002623 Date S/17/13
Property Address . . . . . . 925 AMBERJACK LN
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 --------------
-------------------------------------------------------------
Application desc
6FT FENCE
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Owner Contractor
------------------------
------------------------
EASTERBROOKS, WILLIAM OWNER
925 AMBERJACK LANE
ATLANTIC BEACH FL 322334226
-- -------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc - - 35 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date 11/13/13 -----------------------
Due
Fee summary Charged Paid Credited ----------
----------------- ---------- ---------- ----------
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.
MAP SHOWING BOUNDARY SURVEY OF
LOT 22 BLOCK 4 ACCORDING TO THE PLAT OF
ROYAL PALMS UNIT ONE
AS RECORDED IN PLAT BOOK 30 , PAGE(S) 60 AND 60A OF THE CURRENT
PUBLIC RECORDS CF DUVAL. COUNTY, FLORIDA.
CERTIFED TO: WILLIAM M. EASTE_IBROOKS,
PRIMELENDING, A PLAINSCAPITAL COMPANY,
THE LAW OFFICES OF ROD SCHLOTH, P.A. , AND OLD REPUBLIC NATIONAL TITLE INSUIL"TCE COMPANY.
LOT 12
:3
LOT 13 N 23*37'33" E 83.00- (M) BLOCK 4
BLOCK 4- N 23*37'.33" E 83.00' (R)
LA
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CONCRETE w
4
BOX POSSIBLE 600 NA!L
SZVJER SYSTEM IN -
C ZAM OF
ON CRETE
onio art Tient
planning an 1/2'
10' EASEMENT FOP
h gpp ca e
jAptionce
DPAINAGE 8: UTIUTIES Val verifi ji ot er local land
x X X�, zo in P u 'does not constli te
0. develo'ment regulatiO ' of permits. Compliance
(2) 1/2" 0. approval for the issua all other applicable
Ul
REBAR ith Florida B Ilding e and.
REF COR LOT iQpal, State.and Fed I permitting requirements
BLOC by I ature of the City of Atlantic
LB 5488 must be verified i prior to the issuance of a
3.00' Beach Building Off
OFFSETS Building Permit-
y:
Appl`03908B
24.7*
w Date'
-12/--'1 -�L
La
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LOT 21
BLOCK 4 w 19.4' BLOCK 4-
b ky_
7 'dr I STORY
00
0 BLOCK & STUCCO 80
Uj
r- Cq C14
C,4 RESIDENCE
w C-4 .. w
NO. 2,2
x ZD
z 04 0 COVERED V) 0.7'
tD CONCRETE BLOCK 0.2'
LO PORCH 10.0, ,WALL
-4.21 1 X--
0.7' 19 4
0.7' 25' BRL
�ONCRETE BLOCK WALL
VIALK 0.7' -R
PLANTE
BLOCK
C4. WALL 1-9
CONCRE
DRIVE
5/8'
1/2 BEARING REFERENC7 UNE
11 1/2' S 23*37'33' IN REBAR
S 2,3*3733 21.78' (R)
S 24'00'24' W
83.00' (R)
21.72- (M)
S 2.3*37',33" W 82.96' (M)
V- VINYL FENCE AMBERJACK LANE 60' R/W
.'X(SHADED AREAS OF 0.2X ANNUAL CHAAC�-FLOOD; AREAS OF 1%ANNUAL
FLOOD rL)QN /P-000 YGME S FROM IX ANNUAL CHANCE FLOOD-
FLOOD ZONE")C'= AREAS DETMMINED TO BE OUTSIDE TRE 0,%A?;NUAL CHANCE MILE; AND AREAS P OTECTED BY LEVEE
CHANCE VATH AVERAGE DEPTHS OF LEM THAN I FOOT OR wi4 rRAINAGE AREAS LESS THAN I SOUARF
L
E Y 1. BEMINGS ARE BASED ON G(RHER j"B'01FIO PAGE 60A
2.STRUC11JRE NO.-2-25 SHOO HEREON LIES VATHIN FLOOD ZONE x AS
C2 EST DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO. I 6ATED-04-17-196�-
330CIATED SURVEYORS INC- 1 17HIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS.
PIPES AND UTILITIES, IF ANY, NOT DETERMINED.
LAND & ENGINEERING SURVEYS NVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT
..JURISDICTIONAL AND40R E
3P,4-6 8-ANNNG BOULEVARD LOCAT'.�M BY 'HIS SIJR\lr-'(. IPTIONS FURNISHED. THE PUBLIC
JACKSONVILL�_, FLORIDA 32210 5.THIS SURxFEY BASED ON LEGAL DESCR
ws 904-771-6468 RECORDS WERE NOT SEARCHED By. THIS SURVEYOR FOR EASEMENTS, TITLE,
r COVENANT';, B.R.L'S RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC.
0 CERTIFICATE OF AUTHORIZA'nON NO. LB 0005488 THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL.
6.UNLESS OTI STATED ALL IRON PIPES FOUND HAVENO IDENTIFICATION.
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY - 11.003ENDIASMIFIEVIATION3 CH = CHORD
S THE MINIMUM TECHNICAL 0 SET IRON PIPE OR REBAR CURVE
DIRECT SUPERVISION AND MEET P.T. POI T OF TANGENCY (R) = RECORD
STANDARDS FOR LAND SURVEYING PURSIJANT TO CHAPTER 5J-17.050 "ASSOC.SURVEY" OR LB.5488
APTER 472, F.S 0 FOUND IRON PIN OR PIPE (IP) -O.U.- HEAD UIILITIES (M) - MEASURED
'Up= n E HYDRANT (C) = COMPUTO DAT
THROUGH 17 052 FLORIDA ADMINISTRATIVE CODE CH 0 FOUND CONCRETE MONUMENT (C.M.) cONC. = NCRETE R. =RADIUS
X= CROSS CUT OR DRILL. HOLE A\C = A!R CONDITIONER L = ARC LENGTH
O.R.B.=OFFICIAL RECORD BOOK CM = WATER METER = PHONE RISER
BY: "40" -,3e. 1(5-ATE No _'�7 1 o.R.V.=OFFICIAL RECORD VOLUME P,EQ. = POOL EQUIPMENT
_fF IC 4579
CHARLES B. HATCHER FL R`5DA CE P.R.M.=PERMANENT REFERENCE MONUMENT X—X CHAIN LINK FENCE RIW= RIGHT OF WAI
CHARLES L. STARLING FLORIDA CE TIFICATE NO. 4579 S.R.L.- BUILDING RESTRICTION LINE B.T.= BUILDING TI!
=ELECTRIC TRANSFORMER & PAD %V—W WIRE FENCE UTlUTY POLE
MOND J. SCHAEFER DA CERTIFICATE NO. 6132 E.T. -T=WOOD FENCE
RAY FLORI KSONMLLE ELECTRIC AUTHORITY RON FENCE GUY ANCHOR
ENANTS & RESTRICT.ONS COVD - COVERED
- 6A' -2 -2(yi T BTN. BETWEEN
JOB No. 59809 DATE jCp.C&.C! Z ICORIVI -6RVE
_2 OF COMPOUND C E.B.=ELECTRIC 80
I P.R.C. SE CURVE (E.T.) EAVE TIE
SCALE: 1" = 20' DRAFTER POINT OF REVER
V F,D ,
R' '
City of Atlantic Beach
Building Department MAY 7 2013
800 Seminole Road
Atlantic Beach, Florida 32233-5445 L
Phone(904)247-5826 - Fax(904)247-584&�
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW ANQ TRACKING FORM
Property Addres.': s- Z' Department review Dquired Yes No
Applicant: �AM1611 Planning&Zorif
L- *Aa riff-ldr—afor
Project: lelr IE 72 115ublic S
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St Johns River Water Management District
Army Corps of Enginews
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Toba=.
Other:
APPLICATION STATUS
Reviewing Department First Review: proved. ElDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: -Date:
TREE ADMIN.
Ap
Second Review: FlApproved as revised. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:_ Date:
FIRE SERVICES Third Review: ['JApproved as revised. []Denied.
Comments:
Reviewed by:__ Date:—
Revised 07127110
RE �EYiii�ED
City of Atlantic Beach
Building Department
M V 0 7 12013
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-SM - Fax(904)
E-mail: buffding<Iep*coab.us
City web-sitw. httpJMww.coab.us
APPLICATION REVIEW AN TRACKING FORM
RE4
Property Address: ime d 1Z ZA� DeMrtment review r0quired Yes No
Applicant: =Planning&Zonif
I or
Project. lzwr A 77 -'Public
Fire Services
Other Agency Review or Permit Requlmd Review or Receipt Me
of Permit Verified
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
F3,the7r
APPLICATION STATUS
Reviewing'Department First Review: proved. [3Denled.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by:_ Date:
AUTREE AnMIN. Second Review: []Approved as revised. F�Denled.
Comments:
P
UTILFTIE
R&Ae%wd Date:
P B I1ESA*WW
FIRE SERMCES Third Review,. E]AppmW as revised. []Denied.
Comments:
Date:
Reviewed by:
Revised 07WI10
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STOP WORK
CITY OF ATLANTIC BEACH
BUILDING AND ZONING DEPARTMENT
NOTICE
This building has been inspected and:
General Construction F-1 Mechanical
�T (
F-1 Concrete and Masonry F-1 Electrical
F-] Plumbing E] Gas Piping
IS NOT ACCEPTED
CORRECT AS NOTED BELOW9 BEFORE ANY FURTHER WORK
/DZNOT REMOVE TMS NOTICE
Inspector:. Date:
J to t
Failure to respo, d to this Notice within 10 days will result in this violation being forwarded
to the
CODE ENFORCEMENT BOARD.
The posting of this Placard by its contents shall servc as due notice.
City of Atlantic Beach
0�
11, ' ' 7 1 �*.:::
MIMMOR, I 01e::
Building Deparbnent 1, .
800 Seminole Road N
Atlantic Beach,Florida 322&SZ445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: buJ1dIng-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AN TRACKING FORM
2w Deparftnent review r6cmired Yes- No
Property Address: s- 66—.— .
Applicant: Planning&Zorvhft�,
Project: A 7) 115ublic Works
VMS
I rubTl-C —9i
Vub USWW�
Fire Services
Review or Receipt
Other Agency Review or Permit Riquired of Permit Verified By Dal=
Florida Dept of Environmental Proteclion
Florida Dept of Transportation
St.Johns Piver Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobaoco
Other:
APPLICATION STATUS
Reviewing Department First Review: E%�roved. DDenied.
(Circle one.) Comments:
B G
PLANNING&ZONIN Reviewed by:__ Date: bT::7> C'71&L3
TREE ADMIN. Second Review: f'-JAppraved as revised. []Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
Reviewed by:_ Date:
PUBLIC SAFETY
FIRE SERNACES Third Review: nApproved as revised. ElDenied.
B G
Comments:
Date:—
Reviewed by.
Revised 07127110
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 r- \ rp Q �9 Q PQ R
[T. Ll L11 LE,
Job Address: �Vwt 1-6 61 L A,1V t- Permit Number:
Parcel#
Legal Description 11 -Sq.Ft I
�70 U1 "I OJT Tt.
0 OCII I ,�[
Proposed Work heated/cooled non-h&e&c�p!.ed
Valuation of Work$_ —
Class of Work(circle one): New Addition Alteration 69D Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial es' ;2�la ,
If an existing structure,is a fire sprinkler system installed? (Circle.one): es N;o
Florida Product Approval#
For multiple products use product approval torm
ed: vew(_�4CL e-
Describe in detail the type of work to be perform
Property Owner Information:
Address: 9 (/C L*qAIC
Name: �V-A�',A&l
City State ELZip _L
fieALL, _3 -z_L2 Phone q0 f-S 9,A'
E-Mail or Fax#(optional
Contractor Information: Qualifyin��6nt:
Company Name: city State Zip
Address: Fax
office Phone Job Site/Contact Numbep-1--
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone# nd ddress
r ss
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
I
Mortgage Lender Name and Address as indicated. I certify that no w qrk or installation has commenced prior to the
a
n in this jurisdiction. This permit becomes null
months at an time after
aces,Boilerys,Heaters,
OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWI OVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined this a 1* ' ri and know the same to be true and correct. All provisions of laws and ordinances governing this
PP lcatlo� -mit does not presume to give authority to violate or cancel the
work will be complied with whether speci zed herein or not. The granting of a pei
type.V �f nstruction.
provisions of any otherfiederal,state, r local law regulating construction or the pe ormanceofco
Signature of Contractor
4ature of Owney�
Print Name
............................ ............................... ......................................................................................................
w�
Print Na
B e e Before me 120
this a o 20 this Day of
YLU
ot Pub
Notary Pu gz XPIRIES:February 14,2014
nded Thru Notary Pubfic UndemTftmm Revised 10.24.12
aa�_ ___ __-
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:
DISC-LOSURE 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 MUS
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 PRESLTNE THAT YOU BUILT
IT FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CON ACTOR, 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 VE
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.
Ill. 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.
JRL� PHON NUMLBER
AD E�
A
M
D�g
IGNATURE
Before me this 6 day of A7 40)� 2013 the county of
Duval,State of Florida,has personally appeared henn by himself I herself and affirms that
all statements and declarations are true and accurate- —
Notary Public at Large,State of County of
U-Personally Known
E3 Produced Id fiOn-
ISSION 00 957760
NotarySigna MYCOMM.-February 14,2014
EXPIRES,
3ondpd Thru Notafy public underwriters
F/BLDG10--B-iid�Arf.d.�:t;REVISED: 16/2009