1845 FORSYTH CT - FENCE 441"-
si‘ CITY OF ATLANTIC BEACH
• s-) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-FNCE-1410
Job Type: FENCE PERMIT
Description: 4 FOOT FENCE
Estimated Value:
Issue Date: 6/22/2015
Expiration Date: 12/19/2015
PROPERTY ADDRESS:
Address: 1845 FORSYTH CT
RE Number: 172097-9840
PROPERTY OWNER:
Name: METTE, CANDACE L
Address: 1845 FORSYTH CT
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1 .
NORTH LINE OF RESIDENCE 1$ --.7,.. "; �:° 4
OF RESIDENCE 1845 A DISTANCE OF 8.36 FEET, THENCE SOUTH 00'00 00 U THE NORTHEAST AND HAVING A RADIUS OFr
FEET TO THE SOUTHWEST CORNER OF LYING RESIDENCE CURVE CONCAVE TO SOUTH 03'56'17' WEST, A DISTAN 'OF
SOUTH LINE OF SAID LOT 8, SAID
NORTHWESTERLY ALONG THE ARC E RING OF NORTH 507'52 02" EAST AND CHORD ODISTA DISTANCE OFA27.00 FEET STOFTHEP WES
THENCE AND HAVING A CHORD BEAR
THENCE NORTH 00'34'12" WEST, ALONG THE WEST UNE OF SAID LOT 8, A DISTANCE OF 130.42 FEET TO THE POINT OF E
S Svgp�VISlO <, ,
0°NNR :�
E GE 4 , ,ry �' ,, 1 .. .leN 1 1 s f '' LN�' vi, + ''', 'i 1'119.:"..'+4 �, : ).t'b -t Y� „
1389'26'40"E ,
40.00' _ F :CNr
pii5r. /3512— -- MONUMENT. NO ID (/)
ct-
POINT OF
BEGINNING V
�� k,;
(EXCEPTION) P {,,?3' '1 .,'1 ct J
20' BUILDING J
Q�
RESTRICTION UNE V
T (l
O 4,00_
i 0Q.
...i
J U 0 1
° °01 hJ!ii!
z
O O W d � � �0
V -N — _ - OWN\cy
(3 LOT 8 $� �r Svc
.. M ! N d ��, QC
-4 "' 0���Q PG'
N S 43'2 '27 ' W O
M 10.37' �'
- - tn.- -- - i eo - i sj,. 1,-- ,
Z i Z . �-
\ 0 .z N 89'36'08"r E „ 5050 001 ,)FOUND
�J a N89'26 40 E ,
0'00 00" W• A/C
7.5' BUILDING
'9 $ 3I ><- I B.0 n RE •ICUON LIN
/GS \� 2e 0 29.2' IL./O
.3,{t�■ i COVERED 0
.-• •Y/ RESIDENCE 1845 A
°°o•<0 JJ = FYASHED FLOOR z a W
�! !CONCRETE ELEVATION=13.40 z 1
.\PATIO 1... K
CONCRETE
I .�• DRIVEWAY— O
S 00-00'00" W _ - _ ,� -- ��I , N
18.25' '�F T I/2-IRON "17.5' JEA sue'I' ASEMENT
■ IPE, LB 36 4. J SET t/2
Vor a 8' PIPE. L 2
N 57'5O'35" W 27.00'.(FIELD)
S89'26'4� 67. $
CHORD= N 57'52'02" W 27.00' \\ Q.°: 89'28'49" W 67.2'' (FIELD)
RADIUS= 25.00' ARC= 28.53'
DELTA= 65'22'36"
S 03'56'17" W 1 ..tAI �? t)?
19.44' ft( C 0 U
NOTES:
F . ';���H
1. THIS IS A BOUNDARY SURVEY. PAVED
2. BUILDING RESTRICTION AS'PER PLAT. RIGHT OF WAY WIDTH VARIES
ai 3. BEARINGS BASED ON THE EAST LINE OF
• P I.REE BEING "
i
---------------]
� . CITY OF ATLANTIC BEACH
1 6 ' • R / BUILDER '�+1IDAVI[TI.
I FLORIDA IDA STATUi ES; CHAPTER 489,. FLORIDA
CONTRACTING"REQUIRES OWNED,/BUILDR TO ACKNOWLEDGE NI T !E LAW:
1 "CONSTRUCTION
i
DISCLOSURE STATEMENT FOR SECTION 439.103(7),FLORIDA STATUTES:
I
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 TI-TOTTGH YOU DO NOT HAVE A LICENSE. 1 t_ILAllis I
',t_1'I It vim• nit:It:i oti.:I I<IJC IIUN •UI.IRtiE'I_F YOU MAY BUILD OR II ROVE A ONE-OR
11N a FAMILY RF,SID.ENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF 525.000.00 OR LESS. TFTE BUILDIN- I
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUIL.I FOR SALF OR LE,1a1: 1
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WELL PRESUME THAT YOU BUILT 1
IT FOR SALE OR LEAS',I. WI-ITCH IS IN VIOLATION OF THIS EXEMPTION. l't.11.1 1 I.1.1. NI)_1
11110-.,\I l l It-if 11=1-:N5L_f r RsoN_1s 1'ri 1 t.tt:oNTRR.ACTTt tl . YOUR CONSTRUCTION MUST I
BE .UuNK AcCORDINO TO THE BUILDING CODES AND ZONING REGULATIONS. I I I.ti I
Y("il IR NI NI't'IJSIitILI t TO 111.11:1- SI IRI MAT I'I:,)I'LC ChTPT ONTD 141 11,111 I1;11_1
1 It 1.1%1S__j1∎1ii,,1JI1tLIL .j1 .S1A1L: L11ti` AND BY Ct)U• II tIR i1IUNIC11'AL_ I Ii I lSlThr
I I t 11:11111vANi_'L_,S-
II. INJURY LIABILITY: SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS IHFV IIIF;L,
/ttr: IUILOINt, DEPARTMENT SUGGESTS WORKER'S
l'(j t BASE[/ COMPENSATION INti111■A Nl'T: RE
Ill. 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; UNLICENSI_J CONTRACTORS CANNOT BE EMPLOYED UNDER
N
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(4). AN`OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD P
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOlNLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
riff/ 6,-s(144, O s
I • n P NE !UMBER
-, I6 ' I 'J `C
PRINT''A' E /
SIGNA IRE DAT
Before me this I(p G td IS in the county of
Duval,State of Ron a,has personally:;f•pe.led henn by himself/herself and affirms that
all statements and declarations are true an,':accurate.
Notary Public at Large,Stale of _,County of DO VOL/
•
Personally Known (e/ 3 0 O 1 1 s 61 ^ S 3'5 00PducedIdentifcation- I,
► -or JENNIFER WALKER
Not, Signal ` ��/ (i MY COMMISSION r FF 011480
ill
' ,� .._
r.;'��.;P� EXPIRES:April 24,2017•of4,� Bonded Thru Notary Public Underwriters
V.113LUG/UvenerBuildn ..dnvir;REVISED: 4/10••...9
,,Sl •�,'irl� City of Atlantic Beach
APPLICATION NUMBER
�s Building Department
1 „� (To be assigned by t Build �aa��� epa m t.
Atlantic tic Seminole Road /� � _7 i��
,�� Atlantic Beach, Florida 32233-5445 !/ /y'
Phone(904)247-5826 • Fax(904)247-5845 ln
.�ji �r E-mail building-dept @coab.us Date routed: C!' llal
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /8'Y�' / 2$/77/ d 7 Department review required Yes No
C Bu' .'1.
Applicant: O0) --hG £ Planning&Zonin•
Project: Er Public Works .1/
Public Utilities
Public Safety
Fire Services
Review fee $ 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:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING / (�7/i5
Reviewed by,-4-14,/ �/ fl
Date:
TREE ADMIN.
Second Review: ❑Approved as revised. EDenied.
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 D Q d
CITY OF ATLANTIC BEACH 6 -
800 Seminole Road, Atlantic Beach, FL 32233 JU
Office(904)247-5826 Fax (904) 247-5845
11 C �Job �S' � Permit Number: •
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 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 approval orm
Describe in detail the type of work to be performed: n a.p , Ito Q,141 ()c) y/
Property Owner Information:
Name: L JOnCI [e-14L Address:/6 L - -,r-s-(4-1--/i & (-
City t q ie e , State FLZip3a333 Phone /- ac7 s-'75/O
E-Mail or Fax#(Optional) OA-NOLI m 3 e cj ft as L. (a.->
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: /C Qualifying Agent:
Address: City State Zip
Office Phone 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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six 16)months at any time after
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 ofYwork will be complied with whether speci zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federa tate, or local law re: latin• c,nstruction or the performance of construction.
Signature of O er Ilfai'(G�/t / ..i• l ' Signature of Contractor
Print Name UPIU WA, 01 OAR, Print Name `
Bef 4��appt'h
this]VJ Day of ( Urti 1 ,201 'S Before me this Day of ,20
Noe 'u.lic 'V Notary Public
4� +•yam: MYCOMMI COMMISSION*= Revised 01.26.10
.,,'+::3; EXPIRES:April 24,2017
.,!r 4`yo?• Bonded Thru Notary Public Unde�w f ers