1110 Scheidel Ct 2015 fenceCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
70b ID:
15-FNCE-295
Job Type:
FENCE PERMIT
Description:
6FT FENCE
Estimated Value:
Issue Date:
2/10/2015
Expiration Date:
8/9/2015
PROPERTY ADDRESS:
Address:
1110 SCHEIDEL CT
RE Number:
178958-0818
PROPERTY OWNER:
Name:
CRUMBLEY, GAIL D
Address:
1110 SCHEIDEL CT
PERMIT INFORMATION:
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.
CITE' OF ATLANTIC BEACH
OWNER ./ BUILDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 'I "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 EVFN 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 RESPONSI.BILII-Y TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
It. 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.
W. 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.
///D 57CA e ( de- ( o/ '17 -l -L, 6C4 Fl, 33 r'ID y -e/ 3 ;5-a V i
ADDRESS PHONE NUMBER
19A_ I / e�,I(u�
PRINT N
SIGNATURE DA
Before me this ! _. day of ! 20_(!�n the county of
Duval, State of Florida, has personally appeared herin by himself/ herself and affirms that
all statements and declarations are true a accurate.
Notary Public at Large, State of , County of ✓�J`�
Personally Known�L� 4/5
L]�roduced Identin - _ __
Notary
F:/BLDG/Owner-Builder Affidavit; RFVISED:
rirl,Tr,+ City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 - Fax (904) 247-5845
%'r;t��r E-mail: building
-dept@coab.us
City web -site: hfp://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
/ �6-z9S
Date routed: Z L 'r
11 1 ZI
APPLICATION REVIEW AND TRACKING FORM
Property Address:
Applicant:
Project: T rA
Review fee $
Department review required Yes No
B'
n & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
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:
Apps ICATInN STATUS
Reviewing Department
First Review:
XApproved. ❑Denied.
(Circle one.)
Comments:
BUILDING
PLANNING &ZONING
Reviewed by-./A,/`� Date: 2- eI
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 07/27/10
Job Address: 8/0 Sch Lo
Legal Description -�
Valuation of Work
BUILDING PERMIT APPLICATION P Q �7
Fnp Tr��
CITY OF ATLANTIC BEACH V �- Lt
800 Seminole Road, Atlantic Beach, FL 32233 FEB 0
Office (904) 247-5826 Fax (904) 247-5845 �' 9
i 92- DL 33 Permit
i oor Area of Sq.Ft. 5q.rt
Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proosed structures) (circle one): Commercial ntial
If an existing structure, is a fire sprinkler system installed? (Circle one): es o N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be
r j d a c u 1--e-11 c e -
Property Owner Information:
Name: I Address: l i Il] 5C-4
City State ip-jolPhone fit! _ g/ - S
E -Mail or Fax # (Optional)
C
Company Name:
AddrPcc-
Qualifying
City -
Office Phone Job Site/ Contact Number
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
Fax #
Zip
Application is hereby made to obtain a permit to do th4/Svork 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 perform to meet the standards of all laws rconstruction or work is egulating construction in tter
hiis jurisdiction. This permit becomes null
and s a
work void
mmenced I understand that separate permits muor st be secured for Electrical Work, or Plumbing, Sigfor ns, aWellsoP ols x ur ac smontl, Boilers, Heaime l rs,
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 here b certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type olYwork will be complied with whether sped ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of arty other federal, state, or local law regulating construction or the performance of construction.
Aignature of Owner Signature of Contractor
.
Print Name............................................................................ .. Print Name ............. .................................................................................................................. .........
...........................................................
Before me
this Day of
Notary Public
Before me
this Day of -20
Notary Public
Revised 01.26.10
MAP OF SURVEY
CONDOMINIUM UNIT 4 OF SCHEIDEL COURT CONDOMINIUMS
A PART OF TRACT "A" (-,CHEIDEL COURT AS
C 4 R RECORDED IN PLAT BOOK 57, PAGES 99' AND
N £ 99A OF THE CURRENT PUBLIC RECORDS OF
50' DUVAL COUNTY, FLORIDA.
\R/CST of w�YC A N F
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I I
N
UNIT 1 I I o
UNIT 2
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/ IRON
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PIPE. LB 3
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22.2 I MDY
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IN 8,2-54'30"
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UNIT 5
THE PROPERTY SHOWN HEREON LIES IN FLOOD
ZONE "X" (AREA OUTSIDE 500 YEAR FLOOD PLAIN)
AS WELL AS CAN BE DETERMINED FROM THE
FLOOD INSURANCE RATE MAP COMMUNITY PANEL
NUMBER 120075 0001 D, REVISED APRIL 17, 1989
FOR ATLANTIC BEACH, FLORIDA.
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