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1781 Sea Oats Dr 2015 Deck `S CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J � J ° ATLANTIC BEACH, FL 32233 _ INSPECTION PHONE LINE 247-5814 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DECK-357 Job Type: DECK/PATIO Description: concrete patio Estimated Value: $2,750.00 Issue Date: 2/27/2015 Expiration Date: 8/26/2015 PROPERTY ADDRESS: Address: 1781 SEA OATS DR RE Number: 172020-0450 PROPERTY OWNER: Name: WOODEY JR, JAMES W Address: 1781 SEA OATS DR PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: Reduce patio size from 406SF to 400SF to comply with Section 24-66(b) of Land Development Code. 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: BUILDING PERMIT FEE $63.75 STATE DCA SURCHARGE $2.00 PLAN CHECK FEES $31.88 STATE DBPR SURCHARGE $2.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �J ss1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Total Payments: $99.63 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Aeras Gx � k � = 8S s 9.1 S� I. S2 x z y 3 x G�2•-s �cl Csfr✓ 'f Tl�l'i s �, )CEASJ2� vvEf•> -2-11-ell r CITY OF ATLANTIC BE ` BEACH I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STAT UTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 439.103(7),FLORIDA STATUTES: COSTATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED NTRACTORS. YOU ITAVE APPLIED FORA PER T UNDER AN EXEMPTION TO THAT LAW. THE EYEMPTTOr7 ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY.TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. 1'l)L_ 1 KILTS-( 'AIDER VISF II IE C UN'!I kUC'1_I0N YOURSELF YOU MAY BUILD OR EVIPROVE A ONE—OR i i VJ0 FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25.000.00 OR L&SIS. TITS BUILDING LOST BEFOR YOURUSEAND OCCUPANCY. IT MAY NOT BE BUILT FOR SALF.OR LEASE IF YOU SELL OR LEASE A BUILDING YOU I_IAVE BUILT YOURSELF WITHIIV ONE YEAR II AFTER TIM CONSTRU,—,TON IS CONIPLETE, THE LAW WILL PRESUIVIE TNA'T YOU BUILT IT FOR SALE OR LEASs_ Viq_IICH IS IN VIOLATION OF THIS EUWT70N. 1'l)IJ (ItILL_.1N I)NLlC1::NSI_F OFRSUN .LS YOUR i_UNTR.1CTt1R YOUR CONSTRUCTION MUST BE DONE ACCORD TO THE BUILDING CODES AND ZONING REGULATIONS. I I I.ti V01.1111 R1:SI'("INSIBILI I TO NIAKL-. St IRF THAT PEOPLE ENfM DYED I3Y; 1 L1LI f ICl_NSt_ti-ItI_=OLIIRED .=Y ST.ATC LAW AND By-COUNTY OR MUNICIPAL LILENtiILII_r II INJURY UABILITY, SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY I IIRF- FHE EUILDING DEPART{UENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE r'URC,I iASED III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO I OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIP.EMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. Ih: PENALTY; UNLICENSI_u CONTRACTORS CANNOT BE EMPLOYED_ UNDER ANY c_IFCUNiSTANCES. (OWNERS .BEING SUBJECT TO $5,000 PENALTY UNDER, FLORIDA STATUTE NO. I 455-228(1). AN-OCCUPATIONAL LICENSE" IS NOT ADEQ1 I T E. THE OWNER SHOULD PHYSICAL LY I SEE THE GOUNTY "CERTIFICATE OF COMPETENCY"ENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR.. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.A1;KHOWL.EDGEMENT; 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. O 81 3 OATS DkAys4-4G¢�-7l Co ADDRESS PRI� yet PHONE NUMBER NAME SIGIqATURE DATE Before me this I day ofZp the county of Duval,State of Florida,has personally app&=.led herin by himself/herself and a;nrms that all statements and declarations are true anr:accurate. Notary Public at Large,State of � ,County of r _ Persynally Knocein �"7 / • ,f/...� ��— V �J\i' 1 roduced Identification-(—V Notary Signa — _ ;=ettl f°i JENNIFER WALKER i MY COMMISSION#FF 011480 a EXPIRES:April 24,2017 F' Bonded Thru Notary Public Underwriters r:rrr_r rio,,, ;-Eu, rtad,�r;x;•:vtst:U: :n�,,.;os P,E -- - ►� ca, � O )L City of Atlantic Beach �HAPPLICATION NUMBER 800 Seminole RoadBuilding Department (To be assigned by the Building Department.) J Atlantic Beach, Florida 32233-5445 ./ Phone(904)24.7-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �O Jf�, Jdr'S �)r De art mentreview required Yes No Applicant: �� T1 /e Planning & Tree Administrator Project: Public Works 'JO —A—b�(— Public Utilities 7 Pu is y Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date 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. [Denied. (Circle one.) Comments: 5 t� BUILDING PLANNING&ZONING Reviewed by: Date: /cj /5 TREE ADMIN. Second Review: ,Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 F77_01_19 TREE & VEGETATION AFFIDAVIT FEB 2 5 City of Atlantic Beach a Department of Community Development By Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 (P) 904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION /wner(s) F- Legal Authorized Agent* NAME OF APPLICANT SARA A fj w2 b-4 S NAME OF COMPANY ADDRESS OF COMPANY PHONE CELL EMAIL CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY I.T $ f S �-A OA-j 5- D{Zr vF_:� If an address has not been assigned to this property,contact the AB Building Department at(904)147-5816 to request an address. LEGAL DESCRIPTION LOT BLOCK S� SUBDIVISION SELV/ 44RlN4 /U0, REAL ESTATE NUMBER LOT OR PARCEL SIZE: %Z f 9 G-7 SQ FT AC RESIDENTIAL '� COMMERCIAL OTHER(SPECIFY) 1 affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach,FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above-described or adjacent properties in conjunction with this project. ,&Uk b SIGNATURE OF OWNftR SIGNATURE OF OWNER Signed and sworn before me on th2q day of �e� j,by State of County of Wv Identification verified: F:"L- Oath sworn: F- Yes V v Nota S nature 7AiF R -, MY011480 My Commission expires: E2017 OF Bondednderwr ters BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 179 / 5AA vl T5 �V/&�� Permit Number: Legal Description LOT 9 DL 0 C� /.5, SCl-✓A / 412%V 19 Wa. parcel # F oor Area o q.Ft. t Valuation of Work S 2, 7,50 —Proposed Work heated/cooled non-heated/ cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa windo d Use of existing/pro osed structure(s) (circle one): Commercial esidenti If an existing structure, is a fire sprinkler system installed? (Circle one): es No /A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: /I/-t'_--u/ 1AT/0 S�Po�/�A ;�� � �% d" l"r��s` 7�i % ������ w�rel c'k�A-�•,�� ���� ,�if���,Qln� Property Owner Information: name: S;�m// /_� Address: 1711 6 /9r-5 /_)/'0- City 4 r°1 Aiu 7-1C ��A-CL- p 2r State&Zi23Phone_c E-Mail or Fax#(Optional) Contractor Information: "ompany Name: /N/L S g 4 'G rJ CR E T-6 L-4- C Qualifying Agent: kddress: Q Z 3 %G n) A✓o!-:- 5-0 c1 771 City aA c F,.--H State E L_ Zip 32 25-0 )ffice Phone OC;C;a-Job Site/Contact Number Fax# >tate Certification/Registration# architect Name&Phone# ;ngineer's Name&Phone# ,ee Simple Title Holder Name and Address 3onding Company Name and Address Mortgage Lender Name and Address pplication is hereby made to obtain a permit to do the work and installations as izzdicated. I certify that no woz Iz or installation has commenced prior to the suance of a permit and that all wozk will be performed to meet the standards of all laws regulatz'ng construction in this jurisdiction. This permit becomes null nd void zf work is not commenced withizz six(6)months, or if construction or wozk is susppended or abandoned for a ppenod ofsix months at any time after ork is commenced. I understand that separate permits must be secured for EZectricaCWorly Plumbing,Signs, Wells, Pools, urnaces,Boilers,Heaters, 'anks 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 5-3 --1 6-z- e.jCOMMENCEMENT. �A- 0 iereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this ne o work will be complied with whether sppeci zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the `oviszons ofany otherfederal,state,or local law regulatin constz ction or the pezformance of construction. gnature of Owner V ( iA, Signature of Contractor int Name S.f .k-1 .. ....._�h_.._.... .N_`�. .S..................... ...... Print Name 'vo�,subscribe f re me Sworn to and subscribed before me is Day of 120 S this Day of 20 W ry P b is Notary Public JENNIF[RWALKER Revised 01.26.10 �� Pyr= MY COMMISSION#FF 011480 EXPIRES:April 24,2017 ;;•.....;;e`O.� ❑,.orlon Th,u Notary Public Underv+riters S AJ r City of Atlantic Beach AAJ Building and Zoning S� 800 Seminole Road Atlantic Beach, Florida 32233 Telephone(904)247-5826 Fax(904)247-5845 http://www.coab.us February 19, 2015 1781 Sea Oats Drive Zoning Review Comments 1. Tree Removal: Please submit a Tree Removal Permit Application if any trees are to removed. If no trees are to be removed, then please fill out an Affidavit of No Tree Removal. Both forms are available on the city website under"Planning and Zoning" and at City Hall. Derek W. Reeves Zoning Technician X70 / & 0r City of Atlantic Beach APPLICATION NUMBER Building Department RE EIVED (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 FEB 18 2015 C 3�7 i Phone(904) 247-5826 Fax(904)247-5845 / E-mail: building-dept@coab.us BY: Date routed: JA City web-site: http://www.coab.us _ APPLICATION REVIEW AND TRACKING FORM Property Address: lal sifo- (Jar ' Department review required Yes No Applicant: Q&) 71 te- /e Planning& Tree Administrator Project: Public Works 40 Public Utilities Pu is Fire Services Review fee $ Dept Signature kda gency Review or Permit Required Review or Receipt Date of Permit Verified By ept. of Environmental Protection ept. of Transportation s River Water Management District rps of Engineers of Hotels and Restaurants of Alcoholic Beverages and Tobacco APPLICATION STATUS Reviewing Department First Review: Approved. DIDenied. (Circle one.) Comments: BUILDING 'Q6Moe- ?Farm S� �E r(to406 5 a .4 c) O SF o C b•-.Pc i 0,/ 2 ��aTie✓ './- ����� of LA-v� �E✓E'co/a� � PLANNING&ZONING Reviewed by: 4-- Date:Z oP jr TREE ADMIN. Second Review: ❑Approved as revised. enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1791 5kA oIq 75 tl� Permit Number: Legal Description to—j 9 15 5-ft-11A A1412/1VIJ /0 8 Parcel# Floor Area o� Sq.Ft. Sq.Ft Valuation of Work$_'7,7,50 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa windo Use of existing/pro osed structure(s) (circle one): Commercial esidenti /wr1d If an existing structure, is a fire sprinkler system installed? (Circle one): es No /A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: /Vic-A/ lif T/v Property Owner Information: Name: Address: A76` � 4 6197-5 �/E City 47—GAiv t I C 0—Ll StatefiLZipz1.3` Phone ;of E-Mail or Fax#(Optional) Contractor Information: :ompany Name: IN/1-S c rJ C v ri CX 67_6 44- Qualifying Agent: kddress: IF Z 3 A✓E 5_0 c1 TH City 7VA X 6C H State F L_ Zip .322,>c� )ffice Phone9 y S S 32-Job Site/Contact Number Fax# ')tate Certification/Registration# krchitect Name&Phone# mgmeer's Name &Phone# -'ee Simple Title Holder Name and Address 3onding Company Name and Address Mortgage Lender Name and Address pplication is hereby made to obtain a permit to do the work acid installations as indicated. I certify that no work or installation has commenced prior to the rsuance of a permit and that all work wzll be performed to meet the standards of all laws regulatinLconstrgchoInthisjurisdiction.n This permit becomes nulld void zf work is notcommenced within six(6)months, or if constructionor work is suspended oandoned for a pezzod of six(6)months at any time afterk is commenced. I understand thatseparae permits mustbe secured for Electrical Worly Pbing, Signs, Wells, Pools, Furnaces,Boilers,Heaters, 'anks and Air Conditioners,etG 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 ein _COMMENCEMENT. iereb certify that I have read and examined to plication and know the same to be true and correct. All provisions of laws and ordinances governing this ne of work will be complied with whether sped zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the `oviszons of any other federal,state,or local law regulatin const coon or the performance of construction. gnature of Owner VL( L1r Signature of Contractor int Name Print Name 5.( .IziA.N.... .........�1N.'D. 1f yo�subscribee f re me Sworn to and subscribed before me is Day of �� I .' ` 20 S flus Day of_ 20 W ry P b is Notary Public JENNIFER WALKER Revised 01.26.10 !Pyr'`= My COMMISSION#FF 011480 nl 24,2017 EXPIRES:Ap c•.. ..�e: n,.ndad7nruNotaryP, 1'i ndenuriters , r c CITY OF ATLANTIC BEA, cH 5,9 T\,TEqR AYE I. FLORIDA STATUTES; CHAPTER 489,, FLORIDA STATUTES, PART -1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW DISCLOSURE STATEMENT FOR SECTION 439.103(7),FLORIDA STATUTES: STATE LAW itEQU7RES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU 111AVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE E1MMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR O�AW CONTRACTOR EVEN THOTiGH YOU DO NOT HAVE A LICENSE. 1 UU AILIS-1 �L!I'F:ft Vltil 11DE:C'UN`,11:1-1i.FRON 1'OLIRSEI_P. YOUMAI'BUILD OR IMPROVE AONE—pTt T\VU FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMViE.R.CIAL BUILDING AT A COST OF$25.000.00 OR LESS. THE BUIL.DINCT MiUSTBE FOR YOURUSE AND OCCUPANCY IT I IAN' NOT BE BU1L.1 FORS ALF OR LEASL: IF YOU SELL OR LEASE A BUILDING YOU 1LAVE BUILT YOURSELF WITIIIN ONE YEAR AFTER TTS CONSTRUCTION IS COMPLETE, THE LAW WILL PRBSUIVIE THAT YOU BUILT IT FOR SALE OR LEAS•r-±_ WT11CH IS IN VIOLATION OF THIS E)CEIVIPTION. 1"t)f.l Illitl-_.1N I)NI_lc�i_:NSFf i'LRS0N .NS 1'OLIIt C)NTR.�CTl1P.. YOUR CONSTRUCTION NIL1S'f BE DUNE �CC0 RDINC, 'TO TAE BU1LBTIVG CODES AND ZONING REGULATIONS. I f Is �'Cr11I f'CSPC1NS1131Lf1 Til N1,kIiJ= SIIRF HIAT PI- )PLE LniPl.n�'CL> Inti lit I _ t R 1=NtiiN(LEE+JUlIi1D ;Y .SIaTL LrN\V AND BY COUNT)' OR 1IUNIt11`AL�LI�ENtiI�I�� �I r.JItC11N 11ICE_S. III INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES To WORKERS THEY HIRE, I FiE RAJILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION A URt: INSURANCE BE :I iSEL+ III. IFAS INITH HOLJ:DING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD LSO I OBSERVE IRS WITHHOLDING TAX AND/OR FORM '1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT T RADES. W. PENALTY; UNLIC:tNSLQ CONTRACTORS CANNOT BE EMPLOYED _ UNDER ANY t_IP.C11114STANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STA T U T E N0. I 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 STA T EMEI1 T AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE. ISSUANCE OF AN OWNER-BUILDER PERMIT. I`7 g 1 OTs _nt2ivs ADDRESS }/�lL �y ` 1p�n�`.rc PHONENUMBEP. PRINT NAME SIGNATURE —'�✓ IS DATE Before me this I day of 20]5 the county of Duval,State of Flor da,has personally ozppe.=ied herin by himself/herself and affirms that all statements and declarations are true am1 ccurate. Notary Public at Large,State of ,County of. � �❑,Pegs ally Knocem Iden —7—5U� ^1 CProduced iiric^,tion-(—V, ` YJ ` ` KV U � Notary Signa _ _ ,zotN" JENNIFER WALKER MY COMMISSION#FF 011480 EXPIRES:April 24,2017 ry Public Underwriters FAW DGIo,vner-eu, f tch-ir,REVISED: 4-1/1 : •?;pF F�°.•' Bonded Thru Notai MAP SHOWING BOUNDARY SURVEY OF LOT 9, BLOCK 15, SELVA MARINA UNIT No. 8, AS RECORDED IN PLAT BOOK 34, PAGE 85, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. d'1 CERTIFIED TO: SARAH B. ANDREWS PONTE VEDRA TITLE, LLC FIRST AMERICAN TITLE INSURANCE COMPANY SEMINOLE ROAD (100'RIGHT OF WAY) S 00'08'20" W TRACT•C. 95.61' (PLAT) S OOpO'56" E 95x67' MEASURp D_7' Q POOL ,4' PUMP LOT 9 46' PAD BLOCK 15 Y- SHED 8.0' ®IJ {a �❑ POOL t7 �❑ W H LLJ '�; Q <? EUI I4a. o o LA¢j _. �! a.5' !0, 27.2' tD M O m O� U In M n M Go ONE STORY MASONRY POSTED #1781 LOT 10 LOT 8 BLOCK 15 ° BLOCK 15 COVERED ENTRY_Y 3 uJ W 7 0 :. 00 �m 4.1' .dam.'..• -4 •` (nZ. ' 4••, zl.a' za.r . ..—..—..—..—..30'BUILDING RESTRICTION UNE ._..—..—• �-.,.'F. :. ~• ',d- 119.47(PLAT) 118.43'(MEASURED) PC N 00'09'44" E 95.68' (MEASURED) N 00'08'20" E 95.61' (PLAT) SEA OATS DRIVE (60'RIGHT OF WAY) LEGEND: (D =SET t/2 REBAR PC = POINT OF CUR VANRE STAMPED PSM,fil46 FOUND 1/2-IRON PIPE PT s PONT OF TANGENCY NO IDENTIFICATION PRC = POINT OF REVERSE (UNLESS OTHERMSE NCTED) CURVATURE =4-,4'CONCRETE MONUMENT PCC = PONT OF COMPOUND A/C = AIR CONDITIONER O CURVATURE —x— = FENCE = CONCRETE Ray Thompson REVISIONS SURVEYING, Inc. DATE DESCRIPTION Going the DISTANCEfor Yo 4613 Philips Highway,SUIIB210 PONTE VEDR TITLE, L.L.C. Jacksonville,Florida 32207 `:,w (Phone)904-448-5125 (Fax) 904448-5178 JOB N 24393 DATE OF FIELD SURVEY: 4-15-2014 SCALE: 1" = 20' NOTES: CERTIFICATE , T 1: BEARINGS ARE BASED ON THE PLAT BE OF--h-H45LST-W--_ I HEREBY CERTIFY THAT THI N/,91 h NIGER MY RESPONSIBLE CHARGE ALONG THE SOUTHERLY BOUNDARY ALT OF ARIN SUBJECT PARCEL AND MEETS THE MINIMUM STAND SET FORTH BY THE FLORIDA 2: BY GRAPHICPLOTTING ONLY THE CAPTIONED LANDS UE WITHIN FLOOD ZONE BOARD OF PROFESS RVEYO(K,&Q MAPP II CHAPTER 6IG17-6,FLORIDA x AS SHORN ON THE NATIONAL FLOOD INSURANCE MAP, ADNINISTRATVE C DANT TO SECTION 47 ORIDA STATUTES. DATED: JUNE 3,2013,COMMUNITY NUMBER: 120075 PANEL 0407 H . 3: THIS SURVEY REFLECTS ALL EASEMENTS @ RIGHT OF WAY AS PER RECORDED PLAT a:/OR TITLE COMMITMENT IF SUPPLIED.UNLESS OTHERWISE STATED,NO O1HER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. �� k 4: THISSURVEY IS NOT VALID N17HWT AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SUR146 STATE OF FLORIDA AND AUTHENTICATED ELECTRONIC SEAL 469 LAND SURVEYS 0 CONSTRUCTION SURVEYS O SUBDIVISIONS Impervious Surface Calculation - 1781 Sea Oats Drive Square Feet Lot, per Duval Property Appraiser 95.61 135 12,907 House, gross total per Duval Property Appraiser 2,280 Driveway 1 ,385 A/C pad - 3'x4' 12 Side porch stoop - 4'x3.75' 15 Pool deck 552 Shed - 8'x8' 64 Pool pump pad 4 Total existing impervious 4,312 New patio (see diagram) 406 Total proposed impervious 4,718 50% of lot 6,453 Total proposed impervious as a % of lot 36.6% Remaining impervious allowed 1 ,735 d a � C I N C D n i ! D I � f f � . �P D I ; D � V n co )• w cn --- m rn - ------- - DD n _ „ r C/) W � N � N _ W � i w rn � City of Atlantic Beach 7247-5�845 CE��ED APPLICATION NUMBER �.; Building Department (To be assigned by the Building Department.) 800 Seminole Road EB 8 Imo ) Atlantic Beach, Florida 32233-544205 „} Phone(904) 247-5826 - Fax(904 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 141 sof 4, - J.1r.5 944117r Department review required Yes No Applicant: QW 77 C i Planning & Tree Administrator Project: -+ Public Works �O Public Utilities Pu is y Fire Services Review fee $ Dept Signature %4-1 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 II Other: i APPLICATION STATUS Reviewing Department First Review: KP op'r'oved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 7 Date: Z �y !s TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. O WORK Comments: C/UTILITIES PUBLIC SAFET Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH -Z 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1-791 SQA 01 /S & gl2i- Permit Number: Legal Description Loi 9 DL 6 eK 150 5;fl-✓A /1'1g121NII A(a, 8 Parcel# F oorrhea ot- Sq.Ft. Sq.Ft Valuation of Work$ x,750 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa windo Use of existing/proosed structure(s) (circle one): Commercial esid+ entice If an existing structure, is a fire sprinkler system installed? (Circle one): es No Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed- M--_61 14T/o 13 �� Z" 154/� 7_22 1-k- ('cl 1124 aX-WV2--L 1)1669AM) Property Owner Information: Name: 5,Wi4d 4/V�/2�G?i'�' Address: 6 /9TS e�A City 47—G A1,j r1C g�y State&Zip_=;u?j Phone g034 — E-Mail 0tl —E-Mail or Fax#(Optional) Contractor Information: Company Name: 1N/L sant C v J CA ETF 1-4- G Qualifying Agent: Address: 92, 3 ZO Til R V S0 V 77-1 City TAX LSC H State F L_ _Zip 32 2.50 Office Phone (q6 o S I S S 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 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 tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of sixp6)months at any time after work is commenced. I understand that separate permits must be secured for ElectricarWork,Phunbing, Signs, Wells, Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,etc- WARNING tcWARNING 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 62- ­510Lf COMMENCEMENT. "' d I hereb certify that I 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 ojYwork will be complied with whether speei 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 regulatin const coon or the performance of construction. Z W Signature of Owner U%PV\ Signature of Contractor Print Name _...��?. - t.. ..._. j.....__pl.lD' �5.......................__..... Print Name ...... .......................................................................... Swosubscrib f re me Sworn to and subscribed before me this Day of . 2015 this Day of 20 Notir Qy P b is Notary Public W.' JENNIFERWAIKER Revised 01.26.10 '`'��y My COMMISSION#FF 011480 `* *` EXPIRES:April 24,2017 +'•...d��` Bonded ThN NotaryPaas Underv+rirers CITY OF ATLANTIC BEACH OWNER BUMDER AFF ffDAVffrff' 1. FLORIDA STATUTES; CHAPTER 489,. FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTP.AC T ING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 459-103(7),FLORIDA STATUTES: STATE LAV ?2EQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU RAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE E�MIVTPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY.TO ACT AS YOUR OWN CONTRACTOR EVEN THOTTGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE C'(-)N)(RUCTION YOURSELF YOU NLAY BUILD OR IMPROVE A ONE—OR I"WO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU NIAY 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 NIAY NOT BE BLIILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU DAVE BUILT YOURSELF WITHIN ONE YEAR AFTER TIS CONSTRUCTTON IS CONIPLETE, THE LAW WILL PRESUNTE THAT YOU BUILT IT FOR SALE OR LEAS-_ MTERCH IS IN VIOLATION OF THIS E�MIVIPTTON. YOU NIA}' N()-I_ HIRE AN UNIACL_NSl=1-, PERSON AS YOUR CONT tACTOR YOUR CONSTRUCTION ML1S"f I BE DONE ACCORDING 'IO THE BUILDING CODES AND ZONING REGULATIONS. I i IS YCAIR RE'SPONSIBIL11V TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE I LICI NSFti RFOUIRED SY STATE LA\V AND BY COUNTY OR A1UNIC71'4L LICENSING VII ORDINANCES. IIt. 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, II � W. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CI IRC LIMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER. FLORIDA STATUTE NO. 455-2288(1). TO "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTP,ACTORS CERTIFICATE" O 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. 118 I SEA OATS Dt21vF Ch4-4Ury-771 (a !9 ADDRESS �� PHONE NUMBER i�'t .\ SO PRINT NAME� Rh—M� Im I SIGNATURE DATE Before me this I� day of , 20 the county of Duval,State of Florida,has personally>:;ppcaled herin by himself/herself and affirms that all statements and declarations are true anr. jccurate- h , Notary Public at Large,State of ,County of � L/�1 (]_ Pers nally Known �"'�) Q 53'^ ,,,� � roduced Identification- � I JENNIFER WALKER Notary Signa MY COMMISSION Y FF 011480 - p EXPIRES:April 24,2017 rs Bonded Thru Notary Public Underwrite FIBLUG/0—er-1— f�i-d-4;IU:VISEU: 41/10 :4 i MAP SHOWING BOUNDARY SURVEY OF LOT 9, BLOCK 15, SELVA MARINA UNIT No. 8, AS RECORDED IN PLAT BOOK 34, PAGE 85, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: SARAH B. ANDREWS PONTE VEDRA TITLE, LLC FIRST AMERICAN TITLE INSURANCE COMPANY SEMINOLE ROAD (100'RIGHT OF WAY) S 00'0820" W TRACT C 95.61' (PLAT) o_ S 00;00:56' E 95.67 MEASU _I,_D _ 0.1' Pool 4.6' PUMP LOT 9 PAD BLOCK 15 0 80 FIE] PooL •4 FIE] W o E]EITEII -0 a J tV)illo D_w 16. 0' ," ns 'a 27.2• is o� tO N_ M :2(� D� ONE STORY MASONRY POSTED #1781 LOT 10 D. LOT 8 BLOCK 15 BLOCK 15 32.3' 3 COVERED ENTRY E. LLJ g� vl .. 0.9 7- 00 o]m wt, CA .7 d 21.6' 26.2' BUILDING RESTRICTION LRE a' 118.47(PLAT) 116.43'(MEASURED) PC N 00'09'44' E 95.68' (MEASURED) N 00'08'20" E 95.61' (PLAT) SEA OATS DRIVE (60'RIGHT OF WAY) LEGEND: O =SET 1/2'PSN�G1REBM46 N PC - POT OF CURVATURE STAMPED PT - POINT OF TANGENCY 0'/1/2'IRON PIPE NO IDENT6ICATION PRC = PONT OF REVERSE (UNLESS OTHERMSE NOTED) CURVATURE ' �=4'.4'CONCRETE MONUMENT PCC - POINT O COMP AJND IE A/C - AIR CONDITIONER O CONCRETE —X— FENCE Ray Thompson REVISIONS SURVEYING, Inc. DATE DESCRIPTION Going the DISTANCE for Yo PONTE VEDR TITLE L.L.C. 4613 Philips Highway,Suite 210 Jacksonville,Florida 32207 (Phone)904-448-5125 (Fax) 904-448.5178 JOB # 24393 DATE OF FIELD SURVEY: 4-15-2014 SCALE: = 20' CERTIFICATE NOTES: N BEARINGS ARE BASED ON THE PUT BEARING OF--LLH@5L'40'_N'--- I NERBlY CERIMY THAT TNI W161 NDER MY RESPONSIBLE CHARGE ALONG THE SOUTHERLY BOUNDARY UNE OF SUBJECT PARCEL AND 1EE15 7HE MINIMUM AL STANDS SET FORTH BY THE F- DA BOARD OF PROFESS] RVEYOU,"MAPP I CHAPTER 61 C17-6,FLORIDA 2: BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS UE VATM14 FLOOD ZONE ADMINISTRATIVE C UANT TO SECTION 47 ORIOA STANTES. x AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP, DATED: JUNE 3,2013,COMMUNITY NUMBER: 120075 PANEL 0407 H 3: THIS SURVEY REFLECTS ALL EASEMENTS R RIGHT OF WAY AS PER RECORDED OOTHER$TTITTLL.E VERIRIICAATTIMITMENT ON HAS IBEENSUPPLIED. PERFORMED BY THERVASE STATED,NO UNDERSIGNED. $ AYAVND M9FOMP 4: THIS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SUR LIC lLIJD MAPPPE 81469 STATE OF FLORIDA AND AUTHENTICATED ELECTRONIC SEAL LAND SURVEYS O CONSTRUCTION SURVEYS O SUBDIVISIONS Impervious Surface Calculation - 1781 Sea Oats Drive Square Feet Lot, per Duval Property Appraiser 95.61 135 12,907 House, gross total per Duval Property Appraiser 2,280 Driveway 1 ,385 A/C pad - 3'x4' 12 Side porch stoop - 4'x3.75' 15 Pool deck 552 Shed - 8'x8' 64 Pool pump pad 4 Total existing impervious 4,312 New patio (see diagram) 406 Total proposed impervious 4,718 50% of lot 6,453 Total proposed impervious as a % of lot 36.6% Remaining impervious allowed 1 ,735 i W M > M N CNM LL- N J QQ _ w w - -- to c� 0 V J LL- 10 Q i I i i I i .o b I ♦n � A p O i I Q LU w V �- Q i 7 N N 0 O I ! b I r. W CL1 I V City of Atlantic Beach APPLICATION NUMBER BuildingDepartment p (To be assigned by the Building Department.) 800 Seminole Road 3., 1 Atlantir,Beach, Florida 32233-5445 Phone(904) 24.7-5826 - Fax(904)247-5845 s E-mail: buifding-dept@coab.us17 Date routed: O� City web-site:�'littp://www.coab.us APPLICATI REVIEW AND TRACKING FORM Property Address: se A aT De artment review required Yes No Applicant: �W 77 te- /C. Planning & Tree Administrator Project: Public Works �O Public Utilities Pu is Fire Services Review fee $ Dept Signa re Other Agency Review or Permit Required Review o eceipt Date of Permit Ve " ied 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. ❑Denied. (Circle one.) Comments: ^�, ,� t V► I -{-O r BUILDING , PLANNING&ZONING J Revi ewed by: te: TREE ADMIN. Second Review: [—]Approved as revised. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: /791 ,SkA 0475-5 Permit Number: 15-" deck- 3S 1 Legal Description LUiq 1, ©L015;i .5fI-VA IM12/N4 Wd• 8 Parcel # Floor Area of Sq.Ft. q. t Valuation of Work 17, -7,5-0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa windo sl Use of existing/proosed structure(s) (circle one): Commercial esidenti 1w TIC,,) If an existing struc ure,is a fire sprinkler system ;installed? (Circle one): es No Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: IVC,61 IAT/6 -111"< 6y 166&- Le 14!05 451k 44 1_1z__�o '16 � , �/-��� 7� .� Property Owner Information: Name: 5"412 d /_'� Address: City 4 Ati >"/C a G_7ACd Statef:&Zip 3023` Phone 9ii E-Mail or Fax#(Optional) Contractor Information: 'ompany Name: IN/L S c 4 6-0 rJ 6_9 E j F LLC Qualifying Agent: kddress: 6 ✓,6:- S0 o T71 City -VA x- LAG H State E L_ Zip 32 25-c) )ffice Phone (0-1 S3 Job Site/Contact Number Fax# ;tate Certification/Registration# architect Name&Phone# engineer's Name&Phone# �ce Simple Title Holder Name and Address 3onding Company Name and Address ✓Iortgage Lender Name and Address pplication 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 ;suance 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 nd void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after ark is commenced. I understand that separate permits must be secured for ElectricaCWork Plumbing, Signs, Wells, Pools, Furnaces, Boilers,Heaters, auks and Air Conditioners,eta 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 15 3� ^-I �� COMMENCEMENT. ULj 0 zereb certify that I have read and examined this a plication and lazow the same to be true and correct. All provisions of laws and ordinances governing this ne 'i'work will be complied with whether sped zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the -ovisions of any other federal,state,or local law regulatin const ction or the performance of construction. gnature of Owner -V t L1r Signature of Contractor int NameS. .r�- L. L..__��......._.1 .1 ►.' .1 �. ..................._..._.._._ Print Name vo subscribe f re me Sworn to and subscribed before me is Day of 120 5 this Day of 20 W A4Z,Pilblic Notary Public 9 JENNIFER WALKER Revised 01.26.10 My COMMISSION#FF 011480 +: ril 24,2017 EXPIRES:Ap _._. •>�: _ ._ .,tinfarypublic Undenvrders r ._ CITY OF ATLANTIC BEA, CH AFFIDAVIT I. FLORIDA STATUTES; CHAPTER, 489, FLORIDA STATUTES, PART 'i "CONSTRUCTION CONTRACTING"REQUIRES OWNER./BUILDER TO ACKNOWLEDGE THE LAW i DISCLOSURE STATEMENT FOR SECTION 439.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU 11AVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. TIM E3CE1VII'T10N ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVRN THOUGH YOU DO NOT HAVE A LICENSE. YOU AILIS-1 tiL+l'E:RVItiI: IIItiCUN`rII:LICTION YOURSELF. YOU MAY BUILD ORRVIPROVEAONE—OR IWU FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR Iit EVRROVE A COM VER.CIAL BUILDING AT A COST OF$25.000.00 OR LF.SSS. TEM BUILDiNr_ + MUSTBEFOR YOURUSEAND OCCUPANCY. IT N1AY NOT BE BUILA FOR SALE OR LEASF IIF YOU SELL OR LEASE A BUILDING YOU ILAVE BUILT YOURSELF WITrI[N ONE YEAR AFTER n1E CONSTRU(TTON IS COA4PLETE, THE LAW WILL PRESUME THAT YOU PUiLT f IT FOR SALE OR LEASE_ MTIIICH IS IN VIOLATION OF THIS E)[EMPTTON. 1'UU N 1:11 Nt I f IIIItL AN t-INl.lt_1_:NSt_I i'IRSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST I BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. If I.ti VnI.IR RFSNINSII3ILFI't 1-0 NIAKE SURF THAT PEOPLE ENIPI WEU 13}_ }aril 11_\VL I I lcI-NNI_S_ REQUIRED �Y SFAEL LA\U AND [3Y Ct)Ur1TY OR AdUNICII'AL LI�EEf PJtitl� �I ORDI NANCE_S. 11. INJURY UABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY I IIRE. I'1-;t= BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE I-'URI:f iA4EC► III. IFAS V1fITHHOL.DING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO I OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. � IV PENALTY; UNLICEN6I_0 CONTRACTORS CANNOT BE EMPLOYED_ UNDER _ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER. FLORIDA STATUTE NO. I 455-228(1). AN-OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE ►HE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR.. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT;NT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STAT EMEN T AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 11$I seg o14Ts 1X1%1GRp4-4ta5--7 CQ ADDRESS PHONE NUMBER. 15 AND W-S PRINT NAME &AMAA SIGNATURE � J jA, � �S DATE Before me this I day Of , 20L5the county of Duval,State of Florida,has personally:_ippealed herin by himself/herself and affirms that i all statements and declarations are true anal Accurate. Notary Public at Large,State of ,County of � 0_ Persynally Known � Q �3'^ —7 6�—�--7_5U� �, roduc_d Identification- � \ (0 J I JENNIFER WALKER Notary Signa - MY COMMISSION#FF 011480 --_ EXPIRES:April 24,2017 ^'d' Bonded Thru Notary Public Underwriters F:/f3LUU/Owner-Bw f�rdavir,RtsVISEU: 4A o•''iO4 •Qi,� i MAP SHOWING BOUNDARY SURVEY OF LOT 9, BLOCK 15, SELVA MARINA UNIT No. 8, AS RECORDED IN PLAT BOOK 34, PAGE 85, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. d CERTIFIED TO: SARAH B. ANDREWS PONTE VEDRA TITLE, LLC FIRST AMERICAN TITLE INSURANCE COMPANY SEMINOLE ROAD (100'14Q1T OF WAY) S 00.08'20" W TRACT•C• 95.61' (PLAT) D' S 00 0056" E 95.67 MEASURED 0 0.1' I]POOL j 4• PUMP LOT 9 4.6' PAD BLOCK 15 a vwYL Poa. � D< w aD LU a J V) ••:' O v d O LLJ 27.2' (0 O M Oma/ L6 A- n OU a ONE STORY 1`0 MASONRY POSTED X11781 LOT 10 LOT 8 BLOCK 15 °' BLOCK 15 szs• 3 � COVERED ENTRY ES ww o a N b A. .. (7) ro f.•r .• •...s.4 Z Z 77 N .2' d '4•''' .- 21.9' x 26.2' .._.._.._.._.._.._ _.._.._.._.._.._.._.. -..�.�'�._1..' .._.. 30'BUILDINGINGRERE SIRICRW 118,<7'(PLA • - 118.a3'(NEnSJFEU) PC N 00'09'44" E 95.68' (MEASURED) l N 00.08'20" E 95.61' (PLAT) SEA OATS DRIVE (60'RIGHT OF WAY) LEGEND: OSET= RCBM SIAMPEO•PSM/6146 PC PONT OF CURVATURE 0=FWND 1/2•IRON PIPE PT POINT OF TANGENCY NO IDENTFICAMJN PRC POINT OF REVERSE (UNLESS OTHER'MSE NOTED) CURVATURE �=4.nr CONCRETE MONUMENT PCC = PONT OF COMPOUND A/C - ATR COIUTIONER CURVATURE O —x— = FENCE = CONCRETE Ray Thompson REVISIONS SURVEYING, Inc. DATE DESCRIPTION Going the DISTANCE for Yo' o PANTE VEDR TITLE , Ll Philips Highway,Suite 210 7 L•L•'�•• Jacksonville,Florida 32207 .,� - (Phone)904-448-5125 (Fax) 904-448-5178 JOB # 24393 DATE OF FIELD SURVEY: 4-15-2014 SCALE: 1" = 20' NOTES: CERTIFICATE ,, r is BEARINGS ARE BASED ON THE PLAT BEARING OF --- 1 HEREBY CERPFY THAT THI �" 1 WAC NDER MY RESPdi9BLE CHARGE ALONG THE SOUTHERLY BOUNDARY LINE OF SUBJECT PARCEL AND MEETS THE MINIMUM N AL STANDSET FORTH BY THE FLORIDA 2: BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS UE WITHIN FLOOD ZONE BOARD OF PROFESSIO L,e RVEYONS_"MAPP II CHAPTER 61617-6.FLORIDA V• AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP, ADMINISTRATIIE C B p UANT TO SECTION 47 ORIDA STATUTES DATED: JUNE 3,2013, AS NUMBER: 120075 PANEL 0407 H . 11 3: THIS SURVEY REFLECTS ALL EASEMENTS R RIGHT OF WAY AS PER RECORDED PLAT 6:/OR TITLE COMMITMENT IF SUPPLIED.UNLESS OTHERV45E STATED,NO y OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDER9GNIED. AYMBT'f5E 4flOMP 4: THIS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SUR - /SND MAPPpE 6146 STATE OF FLORIDA AND AUTHENTICATED ELECTRONIC SEAL LIC _ . 7469 LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS Impervious Surface Calculation - 1781 Sea Oats Drive Square Feet Lot, per Duval Property Appraiser 95.61 135 12,907 House, gross total per Duval Property Appraiser 2,280 Driveway 1 ,385 A/C pad - 3'x4' 12 Side porch stoop - 4'x3.75' 15 Pool deck 552 Shed - 8'x8' 64 Pool pump pad 4 Total existing impervious 4,312 New patio (see diagram) 406 Total proposed impervious 4,718 50% of lot 6,453 Total proposed impervious as a % of lot 36.6% Remaining impervious allowed 1 ,735 �t W M > M N CNM N J a " Q Q ; ao U � J Q e ) I m e i SO iF m i w � � j U �- 0 ce W d III4_f b �