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65 19th St 2013 fence CITY OF ATLANTIC BEACH 800 SEMINOLE R6'0 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 R , Application Number . . . . . 13-00003813 Date 12/16/13 Property Address . . . . . . 65 19TH ST Application type description FENCE PERMIT Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6 FT FENCE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SWEENEY,DAVID & PATRICIA OWNER 65 19TH ST ATLANTIC BEACH FL 322335983 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/14/14 ---------------------------------------------------------------------------- Special Notes and Comments Roll off container company, if used, 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. AfAP SHOWIAIC BOUAWARY SURVEY OF THE EAST 10 FEET OF LOT 3 AND THE WEST 40 FEET OF LOT 4, A REPLAT OF TRACT A, NORTH ATLANTIC BEACH, UNIT #3 AS RECORDED IN PLAT BOOK 47, PAGES 91 & 91A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: DAVID SWEENEY AND PATRICIA SWEENEY EVERBANK OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY RICHARD T. MOREHEAD TITLE & ESCROW, INC. TRACT "B" N 89*50'02" E 49.93'(MEASURED) N 89'45'52" E N 89'45'52* E N 89*45'52' E 1 DO- (PLAT) 40.00' (PLAT) 50.00' (PLAT) M2' FOUND I/r W"m NO IDENTIFICATION FWW N 89*45'5V E CAP 20.OV (PLAT) LOT 2 LOT 3 LOT 4 LOT 5 N - ' 1'�� EID 2( LOT 4 WOOD OE0( S7EPS AIR Ld CONDITI, 4ER 24.W PAD 10 LLJ 7AV < 5.1V TWO STORY &S _v) ui I-- < p :x < MASONRY < Ld -c _j POSTED # 65 0- 04 b 20.0' c� q q 00) < 0 0 3: COVERED im w 0 &0' CONCRETE io co '7.4! IJj ry p 7.6' 7.6' - Ld '002 0 00 z 0 z 0 , 0 b 0 C:) z wo LLJ V) z C4 cli iv *mf= ZIC x dr 6 20.00' (PLAT) S 89'4,5'52* W 120.00' 30 (PLAT) S 89*45'52" W _5' ;ATEZIE S 89*45'52" W 50.00' (PLAT) EASEMEN_ w FOUND 1/2-IRON PIPE— FOUND 1/2-RON PIPE S 89*57'16 STAMPED "MILLER 38W STAMPED 'PSM 4090* 169.84' (MEASURED) S 89*45'52" W S 89*45'52* W 10.00' (PLAT) 40.00' (PLAT) S 89'26'53" W 49.86'(MEASURED) 19TH STREET (40.0- RIGHT OF WAY) THE IMAGE SHOWN IS FOR CONVENIENCE AND SHOULD NOT BE REUED UPON FOR SURVEY DATA M07M ACCEPTED BY* City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road /91 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: SF Department review required Yes No BuiUWg, <�flanning &Zon_il�N Applicant: 6 A) Tree Administrator Project: ublic Wor Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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: H<_proved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b TREE ADMIN. Second Review: RApproved as revised. F]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. E]Denied. Comments: Reviewed by: Date� Revised 05114/09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: Iq S�ree_j Permit Number: Legal Description Parcel 9 Floor Area of Sq.Ft. Sq Ft Valuation of Work 000 0 Proposed Work heated/cooled 50 no*n-heated/cooled Class of Work(circle one): S) Addition Alteration Repair eniolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial esidenti If an existing structure,is a fire sprinkler system installed? (Circle one): 0 N/A Florida Product Approval 4 For multiple products use product approval form Describe in detail the type of work to be performed: Fence. +o be in, 4ot IeJ reav ma&� V;nV1 (a I AIH-h Avo 4a)(0s. 4/ 1 -reAct, M94411,'�d L11 4�017'_ V I -t� Lliiide, 6gTe&4,fe_ re- YLorae_5, Property Owner Information: Name:_A-�1'rx0*t._ swecmv Address: (p 67 77417 -S7W 0010 S;atF ip city Mtanh�-- hwa _t-Z* _jZZ-3$Phone_ q- s_;s 959 1 E-Mail or Fax# (Optional) 4q,TA X ?X _12-6T. 6�40 el-n Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: 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 4pplication is hereby made to obtain a permit to do the work and installations as.indicated I certify that no work or installation has commencedprior to the issuance ol�a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void f rk is not commenced within six(6)months, or ifconstruction or work is suspended or abandonedfor a period ofsil,6)months at any time after work is commenced I understand that separate permits must be securedfor Electricar Work, Plumbing,Mins, Wells,Pools, urnaces, Boileis,Heaters, Tanks andAir 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. Ihere certify that I have read and examined this application and know the same to be true and correct. Allprovisionso ,f laws and ordinances governing this 7Mrk will be coTol' d with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the f any other de 1,state, or lo f fconstruction. provisions q egulating construction or the pe�ormance o b Signature of Owne Signature of Contractor Print Name Print Name . .. ..... ............... ........................................................................................................................................ Be e Before me e B thi D o F C% 20 '�I_Day of 20 age=! 431ARLEY L.GMHAM 4�nn Qr)7761,� NoMffTf_t_5Tic' ,,P1 . ,:F ary14,20Not Public W- ta ublicundemrfte's A onded h Revised 01.26.10 &Z .5-6.3 —3 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. 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 EVIPROVE 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 WELL 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 ORDINANC S. 11. 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. 5357- 00&X D DRESS PHONE NUMBER RESS t P IN N E S GNATURE DATE 1-2-1 ho/ Before me this day of 20 in the county of Duval,State of Florida,has personally appeared henn by himself/herself and affirms that all statements and declarations are true and accurate. — Notary Public at Large,State of Fl— Countyof iersonally Known Produced Identification- SHIRLEY L GRAHAM IAM Notary ignature, ly COMMISSION N�IXDD 957 760 t_XPIRES:February 14,2014 ru Notary Public Underwrilters Bonded Th F-/BLDG/0�Build�Affadavit;REVISED: 4/1612009 _U"J:rl" City of Atlantic Beach RECEIVE1 -' I APPLICATION NUMBER Building Department (To be assigned by the Building Department.) >, 800 Seminole Road DEC 112013 Atlantic Beach, Florida 32233-5445 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: 97Y -Department review required Yes No Bu��. ��!a n n i n g &Z o_n'-ir*_ Applicant: Tree 77d—n7in-istrator Project: (:!�ul I i c_W_o__rM:> 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: [gApproved. FIDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: '4X_ Date: TREE ADMIN. Second Review: [:]Approved as revised. FjDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. F]Denied. Comments: Reviewed by: Date: Revised 05/14/09 BP250U01 CITY OF ATLANTIC BEACH 12/16/13 Application Tracking Step Selection by Revision 09:02:29 Application number . . . . 13 00003813 Address 65 19TH ST RE number . . . . . . . . . 169723-1040- - Application type . . . . . FENCE PERMIT NCR OLD ACCOUNT NUMBERS . - Tenant name, number . . . . Type options , press Enter . 2=Change 4=Delete 5=View 6=Fast log 8=Action log maintenance 9=In/out maint Path ---- Key Dates --- - Review Summary opt Agency description Rev Step Req In Est Cmpl Resulted Stat By PLANNING & ZONING A 01 Y 12/16/13 12/19/13 12/16/13 AP JTH PUBLIC UTILITIES A 01 Y 12/10/13 12/19/13 12/13/13 AP LS PUBLIC WORKS A 01 Y 12/10/13 12/19/13 12/13/13 AP LS Bottom F3=Exit F5=Land inquiry F6=Add F7=Revisions F8=Misc info inquiry F9=Corrections report F10=View 2 F11=Sort by agency F24=More keys