787 CAVALLA RD - FENCE , r)
CITY OF ATLANTIC BEACH
s-) 800 SEMINOLE ROAD
Jj ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0.11.19r"
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-FNCE-1429
Job Type: FENCE PERMIT
Description: 6' FENCE
Estimated Value:
Issue Date: 6/22/2015
Expiration Date: 12/19/2015
PROPERTY ADDRESS:
Address: 787 CAVALLA RD
RE Number: 171350-0000
PROPERTY OWNER:
Name: ROYS, WILLIAM J
Address: 787 CAVALLA RD
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.
,
�.F CITY OF ATLANTIC BEACH
i "WATER / BUILDER AFFIDAVIT
I 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 i2.EQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS TI-M OWNER OF YOUR PROPERTY.TO ACT AS
YOUR OWN CONTRACTOR EVEN TI-TOT TON YOU DO NOT HAVE A LICENSE. 1 tJLt 1\I I;I
'.l_I'I.It\'I'I' 1111:o.JN',I I<L1i_TI(JN Yo.IItsELF YOU MAY BUILD OR IMPROVE A ONE-OR
1\4/U FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25-000.00 OR LESS. TILE BUirpTNG
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE[WILT FOR S:\LF OR I E,\ I:
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITT-IEN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, ME LAW WILL PRESUME THAT YOU BUILT II
II IT FOR SALE OR LEASE. uIIIICH IS IN VIOLATION OF THIS EXEMPTION. Yt JI1 A I A\l N■)(
illiti-..\N I R_JI Ir_I-NSI-.1'. A'I:RSUN ■ti 1't"i wit_t_t1NIR.a+Tl)k YOUR CONSTRUCTION MUST
BE-1-.)ONE AACCURDINO TO THE BUILDING CODES AND ZONING REGULATIONS. I I IN �
MI i(< NI :I't lhl51I311 )t 1 i7 NI 11 1_ SI IRF 11 1.1-1 PEI ll'Ll fAIPI f.11'GD (31 1!IU 11\1 I
II I(7_IJSJ ' l<I:VU11tUj -i). 51.11.1 LA By cot_iNl'Y (Ill MUNICIPAL_I Il•Ft_1:1(10
(iitUINaNCES.
H. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS TFIFY I NR!_.
9 1 i I-tt 1(IILDINI, DEPARTMENT SUGGESTS WORKER'S COMPENSATION INS!UR,\w( I. RF:
i'IJR(I iAtii_I"r
HI 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.
i1: PENALTY; UNLICEN6i:U CONTRACTORS CANNOT BE EMPLOYED UNDER
I CIRCUMSTANCES'. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN'OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICAL
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. •
7 C4 Ui Ili 904-133e1 a
ADDRESS
6/1'ff.4o-if; PO/5
PHONE NUMBER--- �
��
PRINT NAME
SIGNATURE Alle-eAN., V / !
/� DATE
Before me this ' i day of 1/47i,L1 L-• ,215 the county of
Duval,State of Florida,has personally 4r.peP.Ied herin by himself/herself and affirms that
all statements and declarations are true ant':vccurate.
Notary Public at Large,State of '� ,County of DU V aj
❑Per rally IGiovni 00 ,//J ,�-._/K� /
-221 -0
V.Koduced Identification- O `'� /V
Notary Signature. - i
• h':/iSLIJG/Uwnerdiuilder Affadavir;Iti VIS6U: 4/10••.,9 1
;5=4V, City of Atlantic Beach
. Building Department EATION C NUMBER
Arm
800 Seminole Road • - th1Atlantic Beach Florida 32233 5445
Zi
Phone(904)247-5826 Fax(904)247-5845 of qr Email: buildingdept coabus ' m�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:1e/ CAVAL-1" Department review required Yes No
Applicant: W RQ y
S P A ministr
aor o
Project: _ rte__ Publ ic
Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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: XApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING //
Reviewed by:�!/ Date: O /`}/i 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
•
lig• BUILDING PERMIT APPLICATION D u r 1 77
CITY OF ATLANTIC BEACH . . .
800 Seminole Road, Atlantic Beach, FL 32233 . J u iw j 7 \ J
Office(904)247-5826 Fax(904)247-5845
I n
_i._ J______,
Job Address: 1 1 (GE, V Cc, C r_ i (' Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. q t
Valuation of Work$ c70-0 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/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval #
For multiple products use product approva form 6 /
Describe in detail the type of work to be performed: 6 / �J of (/
f
, mEfftwirmi.
, .,L! ..„...„.
Property Owner Information:
W C,. J Q
Name: � a� � Ad r ss: 7 b 7 Ca,(/ �(,`tl F G
City ddZ i X� I t State Y Zip 3 _5 Phone '0 - - 3
E-Mail or Fax#(Optional)
Cangtractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: .�I. l-e,1 A Qualifying Agent:
Address: ct-; , ilk City y�i,-�,�L A vi l A State F1.. Zip ?d-a,6k,
Office Phone Id 41- , /I. ite/Contact Number /06,,2 - va/q 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 com rior 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 null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time alter
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
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 hereby cert fy 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 of work will be complied 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 other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner (41-.16q- Signature of Contractor
Print Name (i A Q fyt Li, Q(/ Print Name
Bef. r\ S. Before me
this Day of .a1� ,( 20 [7 this Day of ,20
N.! 41 I (A)Not blic V
, ' Notary Public
Revised 01.26.10
FROM : RAYLINDA FAX NO. : 3963156 Feb. 19 2004 01: 15PM P1/1
MAP SHOWING BOUNDARY SURVEY OF
LOT 10, 13LOCK 15, ROYAL PALMS UNIT TWO-A, AS RECORDED IN PLAT BOOK 31, PACES I THROUGH 1 -E
OF' THE CURRENT PURl IC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
WILLIAM J. ROYS
HOMESOUTH MORTGAGE CORPORATION
RICHARD T. MOREHEAD, P.A.
STCWART TITLE GUARANTY COMPANY
LOT 12 LOT 13 LOT 14
BLOCK 15 BLOCK 15 BLOCK 15
0.2' E. 0.1' W..
END OF FENCE
0.2'N,. 0.0' E. 0.2' N.
0.2'N. 0,2'N.
—
S 85'37'27" E-80.65' (PLAT))
10' EASEMENT S 85'43'16' E 80x08' (MEASURED)
FOR DRAINAGE AND m' "-- •. a,...• 4' CHAIN LINK FENCE
UTILITIES
0 10.2' n r I
0.2' S. dM I
_0.1' E.
ON LINE SHEDS LOT 10 1 w
A° BLOCK 15
Lil
Ceti A•9' , _ <F
�� 24.7' 22.5' • Q Q
J
J<En • �v
i, (`')O
o
O,
LOT BLOCK115 mC°,)-r- PAS a _ ? LOT 9
L,J 0■ 22.4' 10.7' a a R BLOCK 15
r +oat ' ONE STORY 0
q� =T
W DECK MASONRY ,0 ,A �1
c�1. d No. 787 O M ''
INC.')
s r O
zNe °• • o ' H '(11 v1
0
c) .•°,-, 21.4' r $' 0
p-.,. 2' 0 4
0 Z t■ 4' CHAIN LINK FENCE
22.1 . 11.0' �'` n
7P' t.5 E.
r' 6' W000 FEN-CE .,•r.s :i. 2v BUILDING RESTRICTION LINE
71 0.3' W. v 'r• 4 ,
I` ;"e 1.6' E.
n - V Si t X , f
0.3' W. j s b a
1.,,;,O ? 1 ...
q A.
�} 0.2' N.�
G
try /J� "'
�_ I .D
eLBCK 90.04 y(MEASURED) N 85.49'03', W, 80.78' (MEASURED)
CORNER 90,00' (PLAT) N 85'37 27' W 80.65' (PLAT)
CAVALLA ROAD
(00' RICH r OF WAY)
LEGEND:
-x- = FENCE
• CONCRETE
O = SET 1/2" REBAR STAMPED PSMf6146
• = FOUND 1/2" IRON PIPE NO IDENTIFICATION
(UNLESS OTHERIMSE NOTED)
NOTES:
1. BEARINGS ARE BASED ON THE PLAT ___ SEARING OF N 04'22'33" E ALONG fHE REVISIONS
WEST BOUNDARY LINE OF SUBJECT PARCEL.
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE _ x DATE DBSCRIPT1ON
NATIONAL FLOOD INSURANCE MAP DATED AUGUST 15, 1989. COMMUNITY NUMBER 12001/, PANEL H00242 E THE. AS
3
IF THIS UNLESS NO OTHER TALE VERIFICATION RECORDED S BEEN PERFORMED By THE UNDERSIGNED. -
4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF 1HE CIR1IFY1NG SURVEYOR.
JOB # 6324 I DATE OF FIELD SURVEY: 2-18-04 I SCALE: 1" = 20'
1 * CERTIFICATE
T H 0 M P S 0 N I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH Dr THE FLOF4DA
BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS I CHAPTER 0101 7•-6, FLORIDA
SURVEYING ADMINIS IRA I'VE C r'. RSUANI 10 SEC1IoN 4%2.�LORIDA STATU1ES.
1936 Southampton Rood
Jacksonville, Florida 32207 —
Pnanc) 901-358-31:)a
(Fax) 904-396-3156 REGISTERED SURVEYOR AND MAPPER mows::614
# 6146 STATE OF FLORIDA