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984 Sailfish Dr 2014 fence CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r Application Number . . . . . 14-00001391 Date 9/03/14 Property Address . . . . . . 984 SAILFISH DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6ft and 4ft fence ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CALDERON, LOUDES M OWNER 984 SAILFISH DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/02/15 ---------------------------------------------------------------------------- Special Notes and Comments 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 . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 3S . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 3S . 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: Cis V. , D'. Permit Number: Legal Description 3 0- 66 R_ Aoy—� W Parcel# 1,loor Area of �q Sq.Ft 4F Valuation of Work$ t t Proposed Work 2d/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 R��, If an existing structure,is a fire spriWer system installed? (Circle one): Yes IiQ N/A Florida Product Approval# For multiple products use prod_u_c_ta`pp�rova 4`rm � Describe in detail the type of work to be performed:Aen1cLccyy-)en gL&�J,nq h CC Property Owner Information: Name: (-4A Ap ran —Address: T C&VcAk a RnarA � r.n r 9r.4 State IELZip Z,-A23,3 Phone _3�0L2 city i�t� E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name:_15mi-e- T)CQ Qualifying Agent: lrudln Address: 4-011 rivao Ci State L_ zip 32DtA Office Phone 904-Pi31 - Q66 31- Job Site/Contact Number Fax# State Certification/RegistratioA 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 ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null and void ffwork is not commenced within six(6)months, or ifconstruction or work is sus work is commenced. I understand that separate permits must be secured -pended or ahandonedfor a Period ofsixp�)months at any time after Tanks andAir Conditioners,etc. for Electrical Work, Plunibing,Siins, Wells,Pools, Jurnaces,Boilei-s,Reaiers, 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 FINANCING9 CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certi is a j fy that I have read and examined th* _pplication and know the same to be true and correct. Allprovisions oflaws and ordinances governing this work will he complied with w ether specVi-ed h in or not. The granting of a permit does not presume to give authority to violate or cancel the provisions ofany otherfede all,state, or lo 1 law regu onstruction or the performance ofconstruction. C Signature of Owner Signature of Contractor Print Name ................. .. . . ........... ....... .................................. Print Name ........................................................................................................................................ Before me Before me this_;Z_�?Day of 40h, V4 20 this Day of IA�� - 20 Notary Public 6 ---Susafft.LudlamNotary Public State of Florida 4'My COMMISSION#FF 103715 Revised 0 1.26.10 Exn!rAs-Anril 9 )nl 2 CITY OF ATLANTIC BEACH Aft qvWNER / 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 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. 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(l), AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OvvNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE F-1-ORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTI_�ACTOR. 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 F,.)R THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 019�Y ILA( 4 zz .34 z?,- ADDRESS PHONE qUMBER PRINT NAME OY 0g. ?0/4� SIGNATURE DATE Before 20/ ir the county of ly a ared Duval,�t.t.of Florida,has perso ly a ared f—e,,.—b.y himself/herself and affirms that s are Nt.eac., —Aviv L—, all statements and declarations are true accurate. Notary Public at Large,State of County of. [J.Pqrsonally Known llx---d Identification- 0 Notary Public State of Florida Shirley L Graham Notary Signature: My r;QMfhjIjsjon IFF 0869N F/BLDGIO�er-BLHIder Affadavit;REVIS -009 MAP SHOWING BOUNDARY SURVEY OF LOT 16 BLOCK 4 ACCORDING TO THE PLAT OF ROYAL PALMS UNCT ONE AS RECORDED IN PLAT BOOK 30 , PAGE(S) 60 AND 60A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: LOURDES M. CALDERAN, GIBRALTAR TITLE SERVICES, FIRST AMERICAN TITLE INSURANCE COMPANY. e�5� SA IL F1,511 DRI ME �20' � (60' R19) 1-5' CURG GU R N o8olo'45" E 74-59 0?) /y N 08-10'45" E 74,52, (M) A R=140.00' L=75.4J' BEARING REFERENCE L E A 112- -24.9,9, 112 4f GX P.C. P.T. 112- CONC 0.1' DRIVE' co. CONC. 25' B.R.L. A COV'D CONC. A 130, . - .. I + -0.4' cz 44.0' 2.7.6, CIL, lQ-1 A/C < I STORY PAD BLOCK 04 NO. 984 FRAME a STORAGE 44.0' 0.2' N COV'D CONC. LOT 16 BLOCK 4 5�p \V LOT 15 METAL SHED 112" \ .\0 . 0� BLOCK 4 LOT 17 W/ WOOD FLOOR REBAR 0\ 0.9, BLOCK 4 j7JJ7 BTN 0.2, 0 1.3' 10' EASEMENT FOR Lo 0.4' -2 ol o 1 BTN DRAINAGE & UTILITIES OFF 0 9 �F 0.1 x X S (m) )J. — — , 112" 112 j.0 0917,- 04-55'55 LOT 18 s BLOCK 4 S 04'00 -?a 0,9 LOT 19 30- BLOCK 4 FFLOOD ZONE"X" AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOOD PLAIN FLOOD ZONE-X (SHADED)" — AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1%ANNUAL LD ' CHANCE WTH AVERAGE DEPTHS OF LESS THAN I FOOT OR WTH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEWES FROM 1%ANNUAL CHANCE FLOOD. Y T\j E Y GENERAL H07E31 PLAT BOOK 30, PAGE 60A 1. BEARINGS ARE BASED ON CD 2,ITRUCTURE NO. 984 SHOWN HEREON LIES WITHIN FLOOD ZONE x AS e C. BEST DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO. 408 DATED 06/03/2013. City of Atlantic Beach APPLICATION NUMBER Building Department 'To be assigned y the Building Department.) 800 Seminole Road FT11- I I � --- -- t t Atlantic Beach, Florida 32233-5445 Phone(904)247 -5826 - Fax(904)247-5845 46 7 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us Lp'�l-.1 -- APPLICATION REVIEW AND TRAC, ING FORM Property Address: Department review required Yes No Buildin Applicant: to 1-4 annin�.: Zonin ree � istrator Project: ublic V Public ty Fire Se, -es Review fee Dept Signature ot%V Review or Recei, Other Agency Review or Permit Required of P r t m i� if Date of Permit Verifiee 7y 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 Re ie Xpproved. [:]Der" (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 4D Date.- TREE ADMIN. Second Review: DApproved as revised. []Deniec� +I'CIC WMO*R Comments: UTILITIE TY SAF P L SAFETY Reviewed by:_ Date.- FIRE SERVICES Third Review: DApproved as revised. F]Denie Comments: Reviewed by:_ Date: Revised 05/14/09 City of Atlantic Beach MBER Building Department APPLICATION NUI 0 S (To be Lassignedpy the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us I Date routed: City web-site: hftp://www.coab.us AUG 2 7 2014 APPLICATION REVIEW AND TRAC�'!A,]NG FORM Property Address: De a jn:t�review�requ� uired Yes No Bui r: F Building__ Applicant: �annin,- istrator Project: ic b IV I/ u 'ic J Public .:-,4-ty � -ty Fire Se,- -.es Review fee Dept Signature - Ar— Other Agency Review or Permit Required Review or Receipt Date -- of Permit Verified By Florida Dept. of Environmental Prot�ction 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. F]Den' (Circle one.) Comments: /b_/ BUILDING �f PLANNING &ZONING Reviewed by: Date: 9 TREE ADMIN. Second Review: []Approved as revised. ElDenied.11 PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:_ Date: FIRE SERVICES Third Review: F]Approved as revised. E]Denie Comments: Reviewed by: Date: Revised 05/14/09 X'0-1141- City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigne 800 Seminole Road y the Building Department.) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 -9.8 vj;� E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us L APPLICATION REVIEW AND TRA(,,' ING FORM Property Address: Depart ent review required No Buildifn 'a Applicant: La.nn i n �Zo n i n��� I ree A� istrator Project: lo ublic V Public ty F7ire Se, 'es Review fee Dept Signature Other Agency Review or Permit Required Review or eceipt 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: []Approved. XDen' (Circle one.) Comments: Mq.>r_ ec,,ce Xe-.544 i, 44 e -K,.,4 ye6rj ly I/ .4cef, BUILDING 1'ecf- ro-4%�00% _/C� J"f 44.-.r erweer4j PLANNING &ZONING 00, Reviewed by: Date: TREE ADMIN. Second Review: MApproved as revised. F]De ier. /_- 0 or,�-;Cp 60% 0_� PUBLIC WORKS Comments " L V�e.r ;14 PUBLIC UTILITIES p4 -re4ce.. 70/4 ct J'A PUBLIC SAFETY Reviewed by: Date- j%A !te�A_ 11 FIRE SERVICES Third Review: Approved as revised. E]Denie Comments: P Jr, re 4 f r of tl' X%e . k.,c,e on re�c r Reviewed by:z� Date: V-161lq Revised 05/114/09