831 JASMINE ST - FENCE r j r���j;
►: CITY OF ATLANTIC BEACH
t - �S f 800 SEMINOLE ROAD
'-,k\. ' .�" r ATLANTIC BEACH, FL 32233
\+ INSPECTION PHONE LINE 247-5826
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-FNCE-2450
Job Type: FENCE PERMIT
Description: 4ft and 6ft fence
Estimated Value:
Issue Date: 10/20/2015
Expiration Date: 4/17/2016
PROPERTY ADDRESS:
Address: 831 JASMINE ST
RE Number: 170928-0020
PROPERTY OWNER:
Name: GABOR, KIRALY
Address: 831 JASMINE ST
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.
C��r City of Atlantic Beach APPLICATION NUMBER
6 Building Department (To be assigned by the Building Department.)
"� 800 Seminole Road /q1 x
0
, Atlantic Beach, Florida 32233-5445 ( V s Phone(904)247-5826 • Fax(904)247-5845 ,(�:• E-mail: building-dept @coab.us Date routed: / /a /16—'
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (ce ) ✓ SMO)L. Department review required Yes No
Building
Applicant: O '3'7l g anning&Zonin)
Tree Administrator
Project: /7. 1'r 611'7CLPublic Works
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 Reviewed by: 41 -,....i �� Date: lopeLS
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
will BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: F•St 4QQ 41t4CC' sf- Permit Number:
Legal Description 12 ID 0. Parcel #
Floor Area of Sq.F't. S .Ft
Valuation of Work$ .2 000. - Proposed Work heated/cooled 0(Dt/ non-heated/cooled 3 o Q
Class of Work(circle one): 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 `. N/A
Florida Product Approval#
For multiple products use product approva o`ft rm
Describe in detail the type of work to be performed: e •fc b u 1 IAtA-
�
re ra i r v(rs-u g �u�e Actotl4 to � 32�l Qk rck s�a � aka Z 4 i
O,,. - y0 1.4.1—
Property Owner Information: 4
Name: ga6ccr Ki"41 y Address: 83( �qS UC gI-
City 44 IG $€o, -c1 / State*/Zip 3 Z23,3 Phone 9011 1-1-8 2. (p7/�j
Cr E-Mail or Fax#(Optional) (001.-kt l 1 '71 91. .d.00 c`?
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 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 certiAr 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 f 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
work is commenced. I understand that separate permits must be secured for ElectricalpWork,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.
T hereby cert 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
2rovisions of any other federal,stat or local law regulati g construction or the performance of construction.
signature of Owner Signature of Contractor
print Name Go (0 Y i✓a 1 Print Name
tefo
its / t.y of j, 20 Before me
— l4 L I this Day of ,20
otary Pu.'"" ar' Notary Public st.14 •• ..'U s■ 1
f 1? : Shirley L Graham
7 / - 7 a - ", �� My Commission FF 086990 Revised 01.26.10
far no Expires 02/14/2018 I 1
;;#, CITY OF ATLANTIC BEACH
rr
®WNER / BUILDER AFFIDAVIT
, 'i r '1
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 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 EVEN 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 RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. 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.
IV. 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.
t -gotsfrklvle
ADORE S PHONE NUMBER
c i f (oar ill v-o 17
PRINT NAME
SIGNATURE DATE
Before me this /rday of a C T 20/!4'n the county of
Duval,State of Florida,has personally appeared herin by hi L elf/herself and affirms that
all statements and declarations are trtE,Ind accurate.
Notary Public at Large,State of rr ,County of
CI Personally Known
,/Produced Identificatio I_
(�
41111.0, / —
Notary Signatur-_1� . AL " o• Notary Public State of Florid
^ a
Shirley L Graham
F:BLDG'Owner-Builder Affadavir;REVISED:4 .12009 `° My Commission FF 086990
4'0;0 0 Expires 02/14/2018
X►
11. _
MAP OF BOUNDARY SURVEY
DESCRIPTION:
LOT 2, BLOCK 147, SECTION "H" ATLANTIC BEACH ACCORDING TO THE PLAT THEREOF
AS RECORDED IN PLAT BOOK 18, PAGES 34, OF THE CURRENT PUBLIC RECORDS OF
DUVAL COUNTY, FLORIDA.
- — — — — 21•14_utx—.„• — — —
F.I.R.S/BY '
.,. ILLEGIBLE
O
0
0
LOT 1 m.
BLOCK 147
F,
0
I
S.I.R.C. 5/8'
LB 7261
I..••.•.
F.I.R. 5/8' N89'02'012 102.26' (M) FIRST COAST
l}.. 102' (P) FENCE 0.3'
'.1.• 9 ' ' 60.2
zo •a1 STRY FRAIE ti °� LOT 2
n As31 /si :++o BLOCK 148
:.: .:.:.:.:.: o;, ' �w LOT 2 / �u,
•. °a 22.0 • 7.... BLOCK 147 irl
w 43.9/ o
COYEREO o to
o � ENTRY y
� a
N
F. R. 5/8' 589'04'07'W 102.10' (M). ,� F.I.P. 1/2•
i ..... ......
ILLEGIBLE 102' (p)
FENCE 0.2I�E 6 S
LOT 3
BLOCK 147
SCALE: 1" = 30'
SURVEY NOTES:
REVISED TO CHANGE TO WHOM CERTIFIED 05/23/2013
11 BEARINGS ARE BASED ON PLAT WITH THE NORTH LINE OF LOT 2,
BLOCK 147, BEING N89'02'00"E.
12 UNDERGROUND UTILITIES, FOUNDATIONS OR OTHER
IMPROVEMENTS WERE NOT LOCATED BY THIS SURVEY.
CERTIFIED TO AND FOR THE
13 ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY EXCLUSIVE BENEFIT OF:
FIRM MAP PANEL N0. 120075 001 0, EFFECTIVE 04/17/89, A.
HULER, P.A
THE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE 'X'. GABOR KASS ASSA SY, AMA PRIED MAN
14 THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT, UNITED WHOLESALE MORTGAGE, ISAOA
TITLE SEARCH, TITLE OPINION OR TITLE INSURANCE. WESTCOR LAND TITLE INSURANCE COMPANY
/5 DIMENSIONS ARE SHOWN IN FEET AND DECIMALS THEREOF STREET ADDRESS:
O AND ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE.
• 06 ALL EASEMENTS ARE PER PLAT UNLESS SHOWN OTHERWISE. 831 JASMINE STREET
w _' .ATLANTIC BEACH, FLORIDA 32233
N 17 THERE MAY BE ADDITIONAL RESTRICTIONS THAT APPLY WHICH ARE NOT SHOWN
m ON THIS SURVEY WHICH CAN BE FOUND IN PUBLIC RECORDS OF SAID COUNTY. ., ¢y;V" •
• .. {US ' - V 1 .
o /8 THIS SURVEY DOES NOT GUARANTEE OWNERSHIP. , ,. ('1'
o
0
v 19 TEMPORARY, NON-PERMANENT IMPROVEMENTS AND/OR MAN-MADE ITEMS
ro SUCH AS. BUT NOT LIMITED TO THE FOLLOWING; BUILDING MATERIAL. `"` ��d,2 46 e•
o STORAGE PODS, PAVER BLOCKS, RUBBERMAID OR PLASTIC UTILITY •
oo BUILDINGS NOT ON FOUNDATIONS, VEHICLES ON BLOCKS MAY BE ON 31 AT Eo;
ro THIS PROPERTY BUT NOT LOCATED OR SHOWN. e0;..,-. / V
Uri 110 LEGAL DESCRIPTION PROVIDED BY CLIENT. �\"•' O• R Y,, / �a_,/
NOTICE OF LIABILITY: THIS SURVEY IS CERTIFIED TO THOSE INDIVIDUALS SHOWN ON c� ,∎:` � // wee°O .
THE FACE THEREOF. ANY OTHER USE. BENEFIT OR RELIANCE BY ANY OTHER PARTY IS- �'"ti / ` i .A111nr/�
.0 STRICTLY PROHIBITED AND RESTRICTED. SURVEYOR IS RESPONSIBLE ONLY TO THOSE CLYDE 0. VAS( KLEECK
-°� CERTIFIED AND HEREBY DISCLAIMS ANY OTHER LIABILITY AND HEREBY RESTRICTS THE FLORIDA REG TERED SURVEYOR AND MAPPER NO. 2546
RIGHTS OF ANY OTHER INDIVIDUAL OR FIRM TO USE THIS SURVEY. WITHOUT EXPRESS NOT VALID WITHOUT THE SIGNATURE & THE ORIGINAL RAISED
\ WRITTEN CONSENT OF THE SURVEYOR. SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
0
0
x
• F.C.M. - FOUND CONCRETE MONUMENT C.M. - CONCRETE MONUMENT SEC - SECTION F/H - FIRE HYDRANT ONE -OVERHEAD ELECTRIC
L F.I.R.C. - FOUND IRON ROD AND CAP P.T. - POINT OF TANGENCY TNP - TOWNSHIP C - CURVE C.L.F.-CHAIN LINK FENCE
w W.F. -WOOD FENCE
F.I.R. - FOUND IRON ROD P.C. - POINT OF CURVATURE RGE - FNO - FOUND C.6. -CHORD BEARING
i F.I.P. - FOUND IRON PIPE U.E. - DRAINAGE EASEMENT P.I.- OF INTERSECTION (P) - PLAT -WATER METER
L S.I.R.C. - SET IRON ROD AND CAP D.E. - DRAINAGE EASEMENT A/C - AI CONDITION UNIT EC - CONCRETE MM -WOOD POLE
• F.N60 - FOUND NAIL AND DISK C 6 G - CURB & GUTTER NTS - NOT TO SCA CONC.- CONCRETE WP
,, (M) - FIELD MEASUREMENT R/N - RIGHT OF WAY 4' C.L.F. 6BMT - 6ABEBEBVX LP -LIGHT POLE
m (C) - CALCULATED MEASUREMENT C/L - CENTERLINE 6' W.F. –/—/—/—/– BBR - BBBNERBOX M/H -MANHOLE
1 FIELD SURVEY DATE ' / FIRST COAST LAND \ ( PROJECT INFORMATION
PLOT PLAN ORDER NO: 23926
Lli
a BOUNDARY 05/20/2013 SURVEYING I N C. DRAWN BY: TNP
w FORMBOARD 1839-106 LANE AVENUE SOUTH, JACKSONVILLE, FL.32210 REVIEWED BY: TNP
FOUNDATION PHONE (904) 779-2062 FAX (904) 779-7784 CHECKED BY: VAN
CERTIFICATE NO. LB 7261
\ZINAL / DADSURVEYOR @AOL.COM