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104 SYLVAN DR FENCE �S�J Jr1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 " INSPECTION PHONE LINE 247-5814 r i; �. FENCE PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-FNCE-1012 Job Type: FENCE PERMIT Description: 4 ft fence Estimated Value: Issue Date: 5/13/2015 Expiration Date: 11/9/2015 PROPERTY ADDRESS: Address: 104 SYLVAN DR RE Number. 170648-0010 PROPERTY OWNER: Name: STUCK, JAMES D Address: 1878 BEACH AVE PERMIT INFORMATION: PUBLIC WORKS: Full right-of-way restoration,including sod, is required. All fence to be located on owner's property FEES: Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA HOLDING CODES. -A- FN15IN FA / LINE TABLE OF O i Pua LINE LENGTH BEARING "�. KW CORNER Ll 39.10' S67n774'E '/Oi lDT 706 L2 :MW S22'42'46'V L3 6,40' S67'17141E P.O.& LOT 704 U 32.44' S22.42'46'V 1/2- LS 59AW N89-010-E PON PAPE L6 44.59' N2242'46-E L7 60.90' N67'lT14'W 0 a- it <> A� ggN \\ 4C / �} bole 24 Rv Gam. t)g, -FgAD 1/2' \ I4N -A• c BUILDING N011 PPE ,N 04 tge. Yxp. RENAINDER f -A- � OF LOT 705 `f O NOT N10.UDm P v PORTION -0, 2 O� .Oi. OF LOT 705 MloEn /� 7X dY t y/ 6' Fq.W 1/r � tlTn 47 FOUWONND PE O Y N PPE 7 N 0.5' NORTH li ] \ STURDIVANT AVENUE (F) LAKEVIEW AVENUE (P) p 50.0' R/W �X 0 SURVEY NOTES THERE ARE FENCES NEAR THE BOUNDARY OF THE PROPERTY CONCRETE DRIVE CROSSNG PROPERTY BOUNDARY ON EASTERLY & SOUTHERLY SOES OF LOT PAGE 2 OF 2 PAGM NNBOUNDARY SURVEY LB#7893 leTARGET SURVEYORSG£RPF]GTE �P��{Tppjjpp{{��/��//a'� LLC IIIEIIEavLHt/GY MaT]H46IXMwYfimET' 3UEl VGI{/t6111sL WA]RUEANDO,]VNEOTRFFA69EMA] OFA 31/RVEYPfl£PAII®IPLMV III'4f7<C/IP1f M�UAU]µHNOpAIFp SERVING ALL FLORIDA COUNTIES QPA R16C09B0.SSF0$ErY AND Sf]M>IIIE. ClydeMAo� NNL MY RN $ E10 WEST Pg M BEAORR33W McNeal �T""" PNDNEp6,)6�.�D _ FMSWRE (541740005]0 StTEWIDEFpfpNE (BWj2IBdB 61TAEQ BVEW M0�&�`ML.9/AEgNAIPMf/9t089 $]ATEMOE FACSIWLE (ETp)]41-0578 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assign the ildinA9(�Partment.) 800 Semmes Road G$u Atlantic Beach, Florida 32233-5445 /J Phone(904)247-5828 Fax(904)247-5845 E-mail: building-dept@wab.us Date routed: Z City web-site: MtIPJ/www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Applicant: » Planning &Zoning or Project: Public Utilitie Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Ronda Dept.of Transportation St.Johns River Water Management District Anny Corps of Engineers Division of Hotels and Restaurants Division ofAlcohdic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING r✓ s- ll j3 Reviewed by: pate; TREEADMIN. Second Review: ❑Approved as revised. ❑Denied. P W RKS Com ents: UBLIC qlI ITIE J— A PUBLIC AFE Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [—]Denied. Comments: Reviewed by: Date: Revlsnd W127/10 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assign y the Building Department.) / 800 Seminole Road r C£_ �Q�Z Ir Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 i n E-mail: building-dept@ooab.us Date routed: 2 / Cityweb-site: hdpJ/w ooab.us APPLICATION REVIEW AND TRACKING FORM Property Address: De artment review re uired as No Applicant: Planning&Zoning ra or Project: lic Works ilities Public Safety Fire Services Other Agency Review or Permit Required Revlew or Receipt Date of Permit Verified B 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 O her. APPLICATION STATUS Reviewing Department First Review: XApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: e946.z Lo / Date:4z /f TREEADMIN. 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 07M7/1e City of Atlantic Beach APPLICATION NUMBER Building Department (To be assign ythe iltling Department.) 800 Seminole Road A Atlantic Beach,Florida 32233-5445 (,'G + �Q�Z Phone(904)247-5826 Fax(904)247-5845 E-mail'. building-dept@coab.us Date routed: 2 Cityweb-site: hfp://ww mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Q kA71 De artment review re wired Yes No Applicant: 7'}f li!L Planning&Zoning re or Project: filities U is ety Fire Services Review fee $ Dept Signature EroklmyCorpsofEEnginws gency Review or Permit Required Re low or Receipt Date of Permit Verified By ept.of Environmental Protection pt.of Transportation River Water Management District ps of Engineers Hotels antl RestaurantsfAlcoholic Beverages antl Tobacco APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING C�¢' PLANNING&ZONING Reviewed by: L� Dat TREE ADMIN. Second Review: ❑Approved as revised. nied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07MI10 ( _ - CITY OF ATLANTTC BEACH L FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE PART 7 °CONSTRUCTIONLAW: DISCLOSURE STATEMENTFOR SECTION 489.103(7),FLORIDA STATUTES: iOWIRSTATE LAW REQUIRES CONSTRUCTION TO BE DONE By LICENSED v1ORHUiJ ALLOWS PYOUD,A3 1H6 UNDER AN EXEMPTION TO THAT YOUR OWN CONTRACTOR EVEN THOUGH YOU DO OWNEROF HAVE q FROPERTYLICENSE pV�4CT AS 1UI'FJtVISIT IIIPt'UNs(Il TI ON YOURSELF YOU MAY 13 MUCf I\M1'U YANllLY RESIDtNCE OR A FARM OUTBUILDING FITZ OR IMPROVE A ONE-OR RNPROVE A COMIvtERCL1L BUBAING AT A COSTF 5,00 00 0It9AY ALSO FOLD OR IF YOU BE FOR R m SF YOUR LESS. TRF_BLU DING =� SANDILDING You IT MA1'NOi BE BUILT FOR SALF OR L EASE. IF YOU SELL OR TRUC-ASEA BOLDING YOU HAVE BUILT YOURS.FEE WTTIBN ONE YEAR AFTER THE CONSTRUCTIONC COMPLETE TFIE LAW WIL PRESUA�THAT YOU BUILT IT FOR SALE OR LEASLI WHICH IS IN VIOLATION OF THIS EXBMPTTON. 1')l LI A \q_ NO I 1{II_ AN I'NI.ICFNNS D.r N .4S YOUR fONTRaI�TDIt BL DUNE ACCORDING 'IO 7HE HUE.DIN YOUR CONSTRUCTION MUST 'iOUIR RF.SPON111;N I G CODES AND ZONING RHGO,ATIONS. 11 I.v TO MAKE SURE THAT PEOPLE EMPl(1Y-D BY YOU II tt T7N. _ IRL'rlUl )AT 7-_ ,1\4,-A. ) IjY CIUNTY )R A IIAVk �IRDINANCL_S. ICI• LIS�L LL if. fNJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE. UR BUILDING DEPARTMENT SUGGE51'S WORKER'S COMPENSATION INSURANCE BE PURCHASED III- IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS VOTHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES, WV PENALTY; UNLICENSI-D CONT TOR CIRCUt,OSTANCF_S. OWNERS ORNG SUBJECT TO CA lb OT B EMP YED UNDER ?55-2?8(i). qN"OCCUPATIONAL LICENSE'IS NOT ADEQUATE, HE OWNER DEP, FLORIDA STATUTE p. SEE THE COUNTY `CERTIFICATE OF COMPETENCY- OR THE FLORIDA ULD PHYSICALLY H SSCTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT.(2475826)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. & i' vc. _ 9oy y3 - sdoo l< PHONE NUMBER G inn et PRINT E SIG AM E DATE 1 Bafae maep 2`► Duval,Slat fFlonty,M1azaaral L�2�_�,.J(n ne coun9'of allstq ana tledarruoFea IH FPaeiaa VennM self/M1agel{aMe ue1 � eua am'amrete, NofaryP at large,State of_��Cwnry of� Vim/ mgr d. n9mnwr- Notary S, pOr Ngery Publicsb OFlmiaa a SNir"L GMhg. r munsu.„,a_aullM aflLMW;Itnms6u: o1>..-. yq n� Mr Commis FF 086990 EW—DV14/ 018