441 Aquatic Fence 2014 VP
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DIM" FENCE PERMIT
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JOB INFORMATION:
Job ID: 14-FNCE-1 17
Job Type: FENCE PERMIT
Description: 6FT FENCE
Estimated Value:
Issue Date: 10/9/2014
Expiration Date: 4/7/2015
PROPERTY ADDRESS:
Address: 441 AQUATIC DR
RE Number: 171818-5292
PROPERTY OWNER:
Name: POPE, JAMES R
Address: 441 AQUATIC DR
PERMIT INFORMATION: UTILITY DEPT.:
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered with
an RT1 concrete box with metal lid. Cleanout to be set to grade and visible.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: Permit Number:
Legal Description
C 0 ea psi reAl 44
ose
or ea 5
Valuation of Work$ 2,ols000 . roposed Work heated/cooled non-heated/cooled
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Class of Work(circle one): New Addition Alteration Repair Mq� Demolition pool/spa window/door
Use of e.p�ting/pro osed structure(�) f�ircle one): Commercial
If an existing strucrure,is a fire sprinkler system installed? (Circle one): Yes No
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed-
e 0 1 42+ LIZ
Property Owner Information:
N am e Z:� v
ame:
city !;�v e_ Address: L�L4 -e-
U'l L 63 )1 State Elzip_3,!'P,�J-�_Phone_0 "I -
E-Mail or Fax#(Optional i )I z/
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Qualifying ent:
Address:- - city State
Office Phone Job Site/C Number Fax#
State Cei tification/Regis 'on
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name an ddre
Bonding Company Name and Addre
Mortgage Lender Name and Address
4pplication is hereby made to,obtain a mitto 0 the work and installations as indicated I certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will be per
.formed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null
and void ifwork is not commenced within six(6)months, or ifconstruction or work is suspended or aba�donedjbr aWeriod ofs&A�)months at any time after
n
work is commenced. I understa d that separate permits must be securedfor Electrical Work, Plumbing,Mins, d1s, Pools, urnaces,Boileis,Heiiiers,
Tanks andAir Conditioners,ete.
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 here certify that I have read and examined this application and know the same to be true and correct. Allprovisions oflaws and ordinances governing this
type ollwork will be co,?zplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local law r lating construction or the peifi��mance ofconstruction.
Signature of Owner Signature of Contractor
Print Name ...... ........ .........I. .. ....P. ........................... Print Name
Beforelne Before me
this I of 20 this Day of. 20
gotary u lic Of FloridNo Public
My Commit FF 08M8990
Expires 02/14=16 Revised 0 1.26.10
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 THAI'
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 BUILTFOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER TFIE 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.
__j
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 UNr)ER FLORIDA STATUTE NO.
455-228(l). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE C ' 4ER 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.
k4 q I � d L, "� I, , 0 r , — el�,. q I – C/
ADDRESS PHONE NUMBER
PRINT N�ME
SIGNAT)ORE DATE
Beforehe this day of 20/_ in the county of
Duval�State of_F�iorida,has personally appeared herin by himself/herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of County
0 P9peTI-ally Known
/11-L 4y PIN State of Florida
roduced Identification- po jpli, Notary=Pubfic
Shirley L Graham 990
my commission FF 086990
re 0 1
Notary Signature:���Q XOF Expires 0211412018
F.1BLDG/0—erB.iI&,Affadavit�R-EVI 6 16/12009 -72 - 4&5-
MAP SHOWING BOUNDARY SUHVEY OF
LOT 3-D ACCORDING TO THE PLAT OF
AQUATEC GARDENS
AS RECORDED IN PLAT BOOK 38 , PAGE(S) 71 AND 71 A OF ]HE CURREi\11-
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: JAMES POPE, CHICAGO TITLE INSURANCE COMPANY,P.A.
WELLS FARGO BANK, N.A. AND JOHN MCE.MILLER,
20'
LOT 28-C LOT 28-D
s 07016102" E 45.00' (R)
S 07*094 1 E 45.02' (M)
_0-0-0_
1/2" 25.00' (M) T/2" 1/2" PHONE
4 CORP I-P. TO I.P. CORP CORP RISER C]-
5.V 1704 1704 1704 —0-0
0.7'
0
LOT 23-D
0
0
3'.2
0 J 0.4'
u
A/C E]A/C
PAD
zz 14.9' PAD
12.1
C
0
CON C� �3 tL
0
10.7'
14.9'
0
Qz Q� FENCE 0 UJ C)
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< 1 & 2 STORY STUCCO 1
FRAME RESIDENCE
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5,1 NO. 441 'n C14
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3.8'lo 15.2
14.9' 11.1
czli 0.5'X 1.0' COV'D QN�j
STUCCO CONC.
COLUMN
(TYP.)
C6
4
1 1 4
1' - -
057
ST X 1 0' COV
UCCO CON(
COLUMN
(TYP.
4
4
A
CONC.
350 00'
349.96' (M CbRP
1/2" 1704
P.C. CORP
1704 BEARING REFERENCE LINE
N 07*16'02" W 45.00' M
N 0; -16102- ffr 45.00' (R)
A 0 ZIA r1C DRIVE
(50' )?/W) AREAS OF 1%ANNUAL
AL CHANCE FLOOD.
NUAL CH�ANCE FLOOD PLAIN / FLOOD ZONE "X (SHADED)" = AREAS OF 0.2% ANNUAL CHANCE FLOOD;
FLOOD ZONE "X" = AREAS DETERMINED TO BE OUTSIDE THE 0.2% AN UARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1% ANNU
CHANCE vATH AVERAGE DEPTHS OF LESS THAN I FOOT OR WITH DRAINAGE AREAS LESS THAN I SO
GENER&L OTE *
1. BEARINGS ARE BASED ON PLAMBOOK 3�, PAGE..71 A x AS
2.STRUCTURE No. 441 SHOWN HEREON LIES WITHIN FLOOD ZONE 0 - -1989
ri nnr) kAADQ C)AN1171 Nn 1 �A 17
City of Atlantic Beach APPLICATION NUMBER
Building Department C� (To be a d by the Building Department.)
800 Seminole Road "Oe"Vez // 7
tlantic Beach, Florida 3-12'13-5445 W
Phone(904)247-5826 '(904)247-5845
City web-site: hftp://ww, ab.us Date routed:
APPLICATIOP REVIEW AND TRACKING FORM
Property Address: Department review require—d —Y—es FN—o
Building
Applicant: ]6�g &�Zonin�
Tree Administrator
Project: _.Eu-blicW _-
-orks.,
&MUC UtilFfi>e
PuB Fic-9-a-fety
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL A 'DRESS
CONTRACTOR CONTA, #
APPLICATION STATUS
Reviewing Department First Review: �Approved. FIDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Rev [-]Approved as revised. nDenied.
PUBLIC WORKS Comments:
fU/DILITIES
PU LIq UTILITIES
Dl�ll
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review E]Approved as revised. FIDenied.
Comments:
Reviewed by: Date:
REVISED 09252014
City of Atlantic Be-ch APPLICATION NUMBER
"k Bui ding Department !7o be d by the Building Department.)
800 Seminole Road
'1AW
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - C,�x(904)247-5845
City web-site: hftp://www.coab.us Date routed:
APPLICATIOV 4 REVIEW AND TRACKING FORM
_T Department review required Yes
Property Address: "Idl Vae'd 2�c Buil��_
Annolqq Zoni�in >
Applicant: d k) 1111F.4 _L —
Tree Adn inistrator
Project: L—r 0- t lic o
_4fJJ21ic Utilit:i> J
PuBTF—Safety
Fire Services
Review fee Dept Signature
CONTRACTOR EMAIL .A DRESS
CONTRACTOR CONTAC #
APPLICATION STATUS
-]Denied.
Reviewing Department First Review: F�JApproved.
(Circle one.) Comments:
BUILDING C? Js
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Rew: vir []Approved as revised. [JDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review F]Approved as revised. ODenieu.
Comments:
Reviewed by.- Date:
REVISED 09252014
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be a d by the Building Department.)
800 Seminole Road -'W
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - F ix(904)247-5845 41
City web-site: hftp://www.coab.us Date routed: 16
APPLICATION REVIEW AND TRACKING FORM
Property Address: dal'an 6 Department review required Yes No
Buil��
Applicant: RLmigg &Zoni�D)
Tree Administrator
Project: 7- U lic Wo
1-dnrak Utiliqg>
lruTric-�Ta-fety
Fire Services
Review fee Dept Signature
CONTRACTOR EMAIL A DRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: AApproved. OlDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Date:
Reviewed b oz
TREE ADMIN. Second Revi,.-w* [-]Approved as revised. [—]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review. FlApproved as revised. E]Denie�..
Comments:
Reviewed by:_ Date:
REVISED 09252014