670 SHERRY DR FENCE PERMIT 6S Qvi City of Atlantic Beach - -- --- - - E. d�
CATfONNUMBER-
- - - - o - - Budding-0epartmenl- - - - lr-by the Bolding Department.
r s 800 Seminole Road N
Atlantic Beach, Florida 322335445 - c E- I P7
y Phone(904)247-5826 � Fax(904)247-5845
r- o;np%' E-mail: building-dept(a)coab.us b IS r
Cityweb-site: http://w .coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address• �h SI-IC-'.22.x( �� IZ. De artment review requiredq Yes o
y'�-� /�
But din
Applicant: tJuJ P<�E(L — ��Q L/ nnmg&Zoning
(� me
Project: 1— �.t�C E Public Works
Public Utilities
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
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:
APPLI ATION STATUS
r(=BUILD
ng Department First Review: Approved. []Denied,
rcle one.) Comments:
G
PLANNING &ZONING
Reviewed by: Date: 6 A_L
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
tweed 05/74/09
I
- - - ---- - - - - - ----- _ _ _ _
"` �', BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
C ; 800 Seminole Road,Atlantic Beach FL 32233 OFFICE COPY
Jif
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Office:(904)247-5826 • Fax:(904)247-5845
Job Address: �,Z) 5�e_rPermit Number: Ids'F&A ` 139
l
Legal Description ioc-C C:.. (-�—/ d Qf RE# 1"1039$ —0000
Valuation of Work(Replacement Cost)S L (7r>D . Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): Q Addition Alteration Repair Move Demo Pool Window/Deor
• Use of existing/proposed stmeture(s)(Circle one): Commercial Res'
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No <N/
• Submit a Tree Removal Permit Application if any trees me to be removed or davit of No see emov
Describe intail the type of work to be performed:
30,ldf_ nt, O, IJrdx�ld (rdN � tkoo�
Florida Product Approval# for multiple products use product approval form
Property 7Owner Information �q
Name: rRT JG "��`j Address: ��U dhV^'� �Ctt/<- i
City State_C p ��33 Phone Old 2F74-7 7Q]'7BZ I�Z3
E-Maild .w.n
OwneroIAgent (ffMeat.PowerofAaomey oagyi,. ,s tyuired)
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 NOTICrE OF COMMENCEMENT.
Contractor Information:
Name of Company: ifyingu3f' Agent:
Address: City State Zip
Office Phone Jo e/Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
Exempt res ase mp oyees puahon ate
Application is Hereby made to obtain apermit ro do the work aad installadans as indicated. I cefify[hot w work or insm(latino has mmmertoed
PP
to[he issuance ofa permit and! t 1"
work will be pe armed to meet the standards afall laws regulating construction in tM1is jurisdiction.
v erntit becomes nu11 and void wo it wt commence within six 6J months, ori corcrtrvctian a>nark cs suspended or abandoned(or a
ppeeriado//''stx(6)months a[any offer rkv commenced land 'and thatseparote�rmits must be sewredfor Electrical Wark,Plumbing,
Jfgu,(Yells,Doak,Furnaces,B ers,H and Air Conditioners,ere
-.-
Signature of Property Owner. Signature of Contractor:
Bef
thisay of Before
=� �r MY 9SIP41FF9Mait
Notary Public: Notary - aEa:Oc1mera Nn9
I hereby cert the I have read and examined this application and know the same to a true and correct. All provisions of laws and
ordinances governing this type of work wi(/be complied wfth whether speci red h rein or not. The granting of o armed does not
presume to give authority to viofate or cancel the provisions of any other fe eral,state, or local law regulating construction or the
performance ofconstruction.
7C C [-�err7 C
OFFICE COPY
Footer design
670 Sherry Drive, Atlantic Beach, Florida 32233
35 foot long by 2 feet wide footer centered on back 50
foot properly line (west part of property)
8 inches deep in ground
6 #.5-1 rebar running length of footer
#5 rebar uprights every 32 inches
Concrete block installed on footer, filled, secured with
rebar
MAP SHOWING SURVEY OF OFFI E COPY
LOT 80, SECTION No. 3, SALTAIR, AS RECORDED IN PLAT BOOK 10, PAGE
16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
T7
SHERRY DRIVE
BY InGlIT OF WAY PAM SCALE: I" - 20'
(30.35•FvLc)
50.00'
"n ar "vaart i (306.11'
aar j m7r
Aw
_ y, SJ asaYws I Z
A, Y 6KREN 6Y I
aTWYafq'
q 6Y .le 9Nl�6Y0Ir
' 0 \ /I store NR✓ly � �^
aawa�."m 0n
Bill
- l / \ YklEh neighbor's fence W,
fall SP permitted
_5e contact:Homeowner
Patrick Grady
Qye 904-4193747
patrick@patrickgratly.com
Walla
50.00'
m� r33 H DO) em b
� m
° 0
NOTES.-
1.
OTES1. THIS ISA BOUNDARY SURREY. INIS SURVEY WAS MADE FOR THE BENEFIT
2. ANGLES AS PER FIELD SURREY. OF JASON TODD KIND PATRIC; JAMES
3 No BU P NG RE TID FROM PLAT. GRAOM SC RE TWORAUNI PRE; LLC;
4. NO BUILDING RESTRICTION LINES AS PER PLAT. FAIRMINOS CREDIT UNION, LB.A.O.A.;
THIS PROPERTY UES /N FLOOD ZONE '1•' (AREAS CHICAGO RRE INSURANCE COMPANY.
DETERMINED TO BE OUTSIDE THE 0.2[ANNUAL
CHANCE FLOOD PLAIN) AS HELL AS CAN BE
DETERMINED FROM THE FLOOD INSURANCE RATE MAP
NUMBER 12031CO409H. REVISED JUNE 3RD, 2013
FOR DUVAL COUNTY, FLORIDA.
DONN W. BOATWPo(ilY P.S.N.
+n*vuu Wmoa amuve aa,xE BOUNDARY UPDATE FLA. Ur SURVEYOR AND NAPPER No, 1S 3295
ylpWRa""�wPlta6-"�"�® DECEMBER 31, 2015. M. 11G SURVEYING k NAPPING 9USNE56 N. LH 3672
CHECKED BY: BOATNRIGHT INA SURVEYORS. INC. DATE APML 20, z6a
DRANK BY: JN1 1500 ROBERTS DRIVE SHEET 1 OF t
FIE R Ari -len JACNSONVIIJE BEACH, FLORIDA 241-8550
"1 CITY OF ATLANTIC BEACH
OWNER/ BUILDER AFFIDAVIT OFFICE CO Y
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 YOUMAYBUILDORIMPROVEAONE—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 TIES EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MOST
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.
IL 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.
455-226(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 THEABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
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OFFICE COPY
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OFFICE COPY
Other fence as described on survey. No fence over 6
feet high in total. No trees removed.
Per plan as outlined on survey, wood fence from porch
to property line on the north.Wrought iron from that
point to northwest corner of property line.
Combination wrought iron and CB fence along 50 feet
of west most property line. Existing fence on south
side. Continue existing fence less than 10 feet toward
street,then connect with house via gate. See drawing
for more detail.
i
OFFICE COPY
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