115 Seminole Rd 2013 fenceCITY OF ATLANTIC BEACft
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003802 Date 12/13/13
Property Address . . . . . . 115 SEMINOLE RD
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------------------------------------------
Application desc
4ft & 6ft fences
--------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
FEDERAL HOME LOAN MGT CORP OWNER
5000 PLANO PKWY
CARROLTON TX 75010
------------------------------------------------------
Permit . . . . .
. FENCE PERMIT
Additional desc .
. 4' AND 6' FENCES.
Permit Fee
35.00
Plan Check
Fee .00
Issue Date . . .
Valuation
0
Expiration Date .
. 6/11/14
---------------------------------------------------
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.
MAP SHOWING SURVEY OF
LOT 636, PLAT OF SECTION No. 1 SALTAIR AS RECORDED IN PLAT BOOK 10,
PACE 8, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
LOT 649
FOUND 1/2- IRONw$R€€j
PIPE, " 1618 �i 0
ONE STORY STUCCO x
ao' RESIDENCE #115 46
t9.8' E
52.3'
4' ORE AA//COTE
C�PAO r
s' x-- -T—x—x
FOUNI 1RON�f D FOUND 1100.00. °N(.:PRE. .eloe PIPE. La104 a
99.92'
ROM
FIELD
�Y T T -
LOT 637
0
0
of
of
I
STURDIVANT AVENUE
(50" PAVED RIGHT OF WAY)
(FORMERLY LAKEMEW AVENUE)
C5*- LOT 650
6' 'wow
FENCE
LOT 651
NOTES:
1, THIS IS A BOUNDARY SURVEY. p 1Q 20 40
2. NO BUILDING RESTRICTION LINES AS PER PLAT.
3. INTERIOR ANGLES SHOWN PER FIELD SURVEY. SCALE: 1' a P0•
4. NORTH PROTRACTED FOM PLAT.
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN
LOT 635
FLOOD ZONE "X" (AREA OUTSIDE THE 0.2% ANNUAL
100.05' FIELD
Mo 1/=' RCN
100.00'
FROM THE FLOOD INSURANCE RATE MAP NUMBER
C.. 1.1<FENCE
12031CO409H, REVISED JUNE 3, 2013 FOR DUVAL
O � 1
19.7'
TITLE, LLC; WESTCOR LAND TITLE INSURANCE
boa'
COMPANY. �I i�'•,I'y
CONCRETE
DRIVE
m
LOT 649
FOUND 1/2- IRONw$R€€j
PIPE, " 1618 �i 0
ONE STORY STUCCO x
ao' RESIDENCE #115 46
t9.8' E
52.3'
4' ORE AA//COTE
C�PAO r
s' x-- -T—x—x
FOUNI 1RON�f D FOUND 1100.00. °N(.:PRE. .eloe PIPE. La104 a
99.92'
ROM
FIELD
�Y T T -
LOT 637
0
0
of
of
I
STURDIVANT AVENUE
(50" PAVED RIGHT OF WAY)
(FORMERLY LAKEMEW AVENUE)
C5*- LOT 650
6' 'wow
FENCE
LOT 651
NOTES:
1, THIS IS A BOUNDARY SURVEY. p 1Q 20 40
2. NO BUILDING RESTRICTION LINES AS PER PLAT.
3. INTERIOR ANGLES SHOWN PER FIELD SURVEY. SCALE: 1' a P0•
4. NORTH PROTRACTED FOM PLAT.
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN
FLOOD ZONE "X" (AREA OUTSIDE THE 0.2% ANNUAL
CHANCE FLOODPLAIN) AS WELL AS CAN BE DETERMINED
FROM THE FLOOD INSURANCE RATE MAP NUMBER
THIS SURVEY WAS MADE FOR THE BENEFIT OF
12031CO409H, REVISED JUNE 3, 2013 FOR DUVAL
JOHN C. COX, IV; JENNIFER M. COX; NEW HOUSE
COUNTY, FLORIDA
TITLE, LLC; WESTCOR LAND TITLE INSURANCE
COMPANY; AND BRANCH BANKING AND TRUST
COMPANY. �I i�'•,I'y
`
"NOT VALID WITHOUT THE SIGNATURE AND
THE ORIGINAL RAISED SEAL OF A FLORIDA BOUNDARY SURVEY RECHECK -
D . BOATWRIGHT, P.$.1d,'-,u" -'
FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295
LICENSED SURVEYOR AND MAPPER." SEPTEMBER 17, 2013
FLORIDA LIC. SURVEYING do MAPPING BUSINESS No. LB 3672
CHECKED BY:DATE:
DRAWN BY: PGP JS
BOATMIGHT LAND SURVEYORS, INC.
APRIL 8, 1996
FILE: 2013-0884
1500 ROBERTS DRIVE, JACKSONVILLE BEACH,
FLORIDA 241-8550
SHEET 1 OF 1
REF: 96-256; JS -96-9
City of Atlantic Beach
�s Building Department
r 800 Seminole Road
Atlantic Beach, Florida 32233-5445
� °` Phone (904) 247-5826 • Fax (904) 247-5845
x jg'r� E-mail: building-dept@coab.us
City web -site: http://www.coab.us
Property
Applicarr
Project:
APPLICATION NUMBER
(To be assigned by the Building Department.)
3oOZ
Date routed: I
APPLICATION REVIEW AND TRACKING FORM
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:
A;Approved.
LI 'A I IUN 5 I A I UJ
Reviewing Department First Review: ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed b Date: h4o
TREE ADMIN. Second Review: ❑Approved as revis d. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: /1.S Se ni t A o le led Permit Numlie�3y�Z
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work S Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Iteration 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 approval form
Describe in detail the type of work to be performed:
Property Owner Information:
Name: J- y n (OX Address: IIS So mh
City StateZi Phone 90
E -Mail or Fax # (Optional)
Contractor Information:
e
Company Name: Qualifying Agent:
Address: City State
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
Zip
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 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 dor a period'o�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 hereby cert 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
of work will a complied with whether specified herein or not. The granting of a ermit does not presume to give authority to violate or cancel the provisions o any
other federal, state, or local law regulating construction or the performance ojconstruction.
Signature of Owner Signature of Contractor
PrintName Q....._n �o.................................................................... Print Name .........................
Before pe
this Y Day of be C e
Jt -
Notary Aulblic
Before me
3 this Day of • 20
My Com cpi s Oct 14, 2014 Notary Public
Commission # EE 34559 Revised 10.24.12
Bonded Through National Notary Assn.
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.
11jr sep"I 0 1p. led Ivy,(,/(, - Y/07
ADDRESS PHONE NUMBER
VO Ain COIL
PRINT NAME
A. �=L1Z -0 /3
SIGNATURE DATE
Before me this fa day of 2Q(-
3 In the county of
Duval, State of FI da, has personally appeared herin by nimself / herself and affirms that
all statements and declarations are true and V
accurate- J I
Notary Public at Large, State of�, County of 1.1 a-'
p❑ersonally Known
Produced Identification -
Notary
FIBLDG/Owner-BuiIdu
♦'PPY PV MIRIAM GRIFFIN
;z°; ;`y: Notary Public - State of Florida
zMy Comm. Expires Oct 14, 2014
°;F Commission # EE 34559
,j
Bonded Through National Notary Assn.
City of Atlantic Beach
Building Department
r 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
IOjI19' E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
)-3 2
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address:
Applicant: Jc:3 l
Project: W t (D+
Department review required Yes No
Buildina
Planning &Zoning
ree is ra r
Pub• s
u ti es
Public Safety
Fire Services
-4 Ile
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
Revised 05/14/09
Reviewing Department
First Review:
Approved.
❑Denied.
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
A<====Date:
1 Z
TREE ADMIN.
Second Review:
❑Approved as revised.
❑Denied.
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
Date:
Third Review:
❑Approved as revised.
❑Denied.
FIRE SERVICES
Comments:
Reviewed by:
Date:
Revised 05/14/09
BP250U01 CITY OF ATLANTIC BEACH
Application Tracking Step Selection by Revision
Application number . . . . : 13 00003802
Address . . . . . . . . . . : 115 SEMINOLE RD
RE number . . . . . . . . . : 170611-0100- -
•Application type . . . . . : FENCE PERMIT
NCR OLD ACCOUNT N[IMBERS . .
Tenant name, number . . . . :
Type options, press Enter.
2=Change 4=Delete 5=View
9=In/out maint Path ---- Key Dates --- - Review Summary -
Rev Step Req In Est Cmpl Resulted Stat By
A 01 Y 12/09/13 12/18/13 12/09/13 AP JTH
A 01 Y 12/13/13 12/18/13 12/13/13 AP
A 01 Y 12/09/13 12/18/13 12/12/13 AP LSW
6=Fast log 8=Action log maintenance
12/13/13
14:18:50
Opt Agency description
_ PLANNING & ZONING
_ PUBLIC UTILITIES
PUBLIC WORKS
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