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
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Application desc
6ft and 4ft fence
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Owner Contractor
------------------------ ------------------------
CALDERON, LOUDES M OWNER
984 SAILFISH DRIVE
ATLANTIC BEACH FL 32233
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Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/02/15
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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 .
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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