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106 SEMINOLE - FENCE A Lt, CITY OF ATLANTIC BEACH w�, s 800 SEMINOLE ROAD J ±� 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: 17-FNCE-3423 Job Type: FENCE PERMIT Description: replace existing 6-foot wooden fence Estimated Value: $2,000.00 Issue Date: 3/28/2017 Expiration Date: 9/24/2017 PROPERTY ADDRESS: Address: 106 SEMINOLE RD RE Number: 170590-0130 PROPERTY OWNER: Name: MURPHY, JAY Address: 106 SEMINOLE RD PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site during construction. Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling, Shapell's Inc.). Container cannot be placed on City right-of-way. Full right-of-way restoration, including sod, is required. All old fencing must be removed from job site by Contractor. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERNIIT IS APPROVED ONLY IN ACCORDANCE WITH A1.1, CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA BUILDING CODES. I 4.1 jf .,1 CITY OF ATLANTIC BEACH �, OWNER / BUILDER AFFIDAVIT c_n1 'r 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 TIIOUGU YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF, YOU MAY BUILD OR IMPROVE A ONE–OR j 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 BUILDINQ MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. 0— IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,TI-IE LAW WILL PRESUME TIIM YOU BUILT CD IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMI'TION. YOU MAY NOT C.) HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST w BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. LI IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY 'YOU HAVE. LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING (i) 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 AN' CIRCUMSTANCES. OWNERS BEING SUBJECT TO 55,000 PENALTY UNDER FLORIDA STATUTE NOZ 455-228(1). AN"OCCUPATIONAL LICENSE' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY< = J Z SEE THE COUNTY 'CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTOROL V Q 0 CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THEO. a Z 1- i BUILDING DEPARTMENT(247-5826)IF IN DOUBT. 2 la - 0 - Z V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSUR m 0 0 1±.1 STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF Attj U a 0 0 OWNER-BUILDER PERMIT. 1— 0 I � ZCCZ Ooa I IOSCMINOLE Q 01- L3- 4c.a i u g N P ADDRESS PHONE NUMBER O Q IZ Z friU O W W PRINT NAM / a CC CD lW SIGNATURE I DATE ` 1 W V Cl) W I �►r., ; W Before me this (0 day of 1"'''— .20 I Tin the county of W W Duval.State of Florida.has personally appeared herin by himself/herself and affirms that CC CC all statements and declarations are true and accurate. /� + Notary Public at Large.Stale of FL .County of A Jet` ( YrpT.' ;?oi JENNIFER JOHNSTON ❑Personatly Known 984* MY COMMISSION#GG 042 solaced Idenucation C ( 4 S �i( t4^`St #,; a EXPIRES:October 27,2020 - • J ,:v i.oP: Bonded Thru Notary Public Underwriters _____.‘tiviet.4Notary Signature: F1nLUG'O.'n,:.11,Wn Arr.,daot.REVISED $'16'200') I S Prepared By: ,..•"" 411.7.N. N II Lard S..ueyors,Inc. r® 11•61•/.41 ....A..p f R 1 PROPERTY ADDRESS:106 SEMINOLE RD,ATLANTIC BEACH,Florida 32233 SURVEY NUMBER:FL1005.1114 FIELD WORK DATE:57r9noio REVISION DATE(S):aey.0 5/19/2010) sD TABLE: NOIR FL 1005.1114 �. L1 50.00'(D) co BOUNDARY SURVEY S 29°55'09"W 49.80'(M) 40 DUVAL COUNTY �/�O 12 N 5°21'05"E 11.66'(M) �0�� L3 N 30°00'00"E 39.40(M) FN&D FLaN0.50�66 v e L4 50.00'(P) h No ID 1 , y/„ , N 30°00'00"E 49.98'(M) O L5 25.00'(P) • 20 ys�'`'� N 29°57'42"E 25.02'(M) co to o°°�y L6 25.00'(P) FN&D SIRC cv %73 �° / N 30°02'04"E 24.96'(M) NO ID C1 1.861337 JV 04,Q / O. g CO Z • O i r tiDT �•00./Ol°°?4, 0 „ LB67337 / Ras"'<Fo 41 76'0, 8J 0 is 1y END.'X'C 3 s i a. n "- y`. 1u2'FIP LB/17337 `9..7-'''O''je' ,ce'` ^b :.�.' Oy C3 DLI 0_ OT6o OFA pk G �.. p! 6 QST' ' SING •, GO 6�f. ° L3%7337 tie O/f�p�� * '4• .d • Opp 1.9J co 5 ..., 3... 0 OT � �av. • nDoeF< ,, J /NO< Fo (10aRFsr - ®, s '1'olca 'QO .Y, A. 10NA,S e• •se AZ o Ihereby cBrbly that, "sr'. of i' deathbed NOTES: prgoertyhas been ,:under Raw �rBCdiO/I,:•, the best 0/n1y LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER knowledge and,: ,I is a true and annulate ,_ :tab'on ofa FENCE OWNERSHIP NOT DETERMINED d sway Thal "z'r. _: set lorthbythe Florida Board Of.!t .:.. ,Land$t,` :e?:...,,:, Chapter ._ 5J-17oftheF,',.An ': 30 Imm.o is 30 111 r. >r DA4t SURs/EN° GRAPHIC SCALE (In Feet) S Mark A.Johnson 1 inch = 30' ft. �•1,, � .1Woof Florida ProiosoicaaISLowyor and*poor t: License No.6572 rJ 0 .c use d 4su Survey for Purposes other than Intended.Without written Ve,d,cauon.a91 be at the Users Sole Risk and without Laabihcy to the wye SU. Noshing hereon shall be Construed to Give ANY Right,or Benefits to Anyone Other than those Cenleed. _0 0 POINTS OF INTEREST: 1.C/S IN 15'EASEMENT 2.6•WOOD FENCE IN EASEMENT 2 -' FLOOD INFORMATION: o By performing a search at www.fema.gov,it appears to be the property to be located in a X zone with a Base Flood Elevation of N/A.This Property was found in ECITY OF ATLANTIC BEACH,and community number 120075,dated04/17/89. "D CLIENT NUMBER:LMT 10-302 'DATE:5/19/2010 vu„ h Im v�� service,ndbo ded a 's eves f ~ t li s ` full service,bonded land survey firm -C BUYER:JAY MURPHY registered with the state of Flw,da. cn .T s••'," a SELLER:RICHARD A.PALUMBO .c CERTIFIED TO:JAY MURPHY;LANDMARK TITLE LLC;FIRST AMERICAN EXACTA FL E TITLE INSURANCE COMPANY;VA MORTGAGE CENTER Lone Surveyors,inc P:866.735.1916 S Exacta Land Surveyors,Inc. F:866.744.2882 This is page 1 of 2 and is not valid without all pages. 1514 San Ignacio Avenue.,Ste.100 Miami,FL 333146 www.exactaland.com �;t,avf\ City of Atlantic Beach APPLICATION NUMBER ji ? � Building Department (To be assigned by the Building Department.) r mpip5) 800 Seminole Road ,y the ,� �r Atlantic Beach, Florida 32233 5445 11--Ff\Ze-3 4a-3 Phone(904)247 5826 Fax(904)247-5845 -:;oni9%' E-mail: building-dept@coab.us Date routed: pa 10 b I n-- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 'O (D S Lm‘. ('p\..Qr V--(1 , Department review required Yes No mg Applicant: NJ 11 a , P1a mg &Zonin9> Tree Administrator Project: Ictpa(Le. to-- DOk Wooer k(.0. is arks 4'ublic 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: KApproved. I 'Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: .00".....,...4.41....." f ,��. 0, y �� Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Sy\ii City of Atlantic Beach APPLICATION NUMBER 'S 4-I;;'- , Building Department (To be assigned by the Building Department.) 800 Seminole Road y , Atlantic Beach, Florida 32233-5445 11--FI\►�. —3 4a-3 Phone(904)247-5826 Fax(904)247-5845 fl 3 O `<,r:lyr E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t O (0 S Q,m.k (10\-C V—d , Department review required Ye/No uirding (/ Applicant: DL.)n anning &Zonin Tree Administrator Project: c Aa.(,e_ Lo-.VD ok Wo pA,Q,n 0(.k is orks ublic Utilitie 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: [oved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING /�, Reviewed by: / Date: 1 12/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 05/14/09 f�L`J� City of Atlantic Beach �' a �� N....� :J APPLICATION NUMBER rs BuildingDepartment , ?;;;,� (To be assigned by the Building Department.) IA 800 Seminole Road MAS O 6 2017 1 ,,,,``��,, I-',% Atlantic Beach, Florida 32233-5445 i I —FIS G-3 4a-3 Phone(904)247-5826 • Fax(904)247-5845 Ji3t9r E-mail: building-dept@coab.usDate routed: 3 10(0111- . City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 10 (D SQ.,'ih.l MAe_, Q,d . Department review required Yes No ing Applicant: D1..)11.P..1 ping &Zonin Tree Administrator Project: c L4 LL to ::o ok W b 0(0.4` (.Q. ' is or s 4'ublic Utilities Public Safety Fire Services . • Review fee $ Dept Signature ev , 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: ved. ['Denied. (Circle one.) Comments: BUILDING PIA PLANNING &ZONING Reviewed by: " )1-4--"— Date: 3/141/7 TREE DMIN. Second vroved as revised. 'Approved ['Denied. PJ:lWORKS ' Comments:Reiew: PUBLIC UTILITIES 3- 7-17 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. DDenied. Comments: Reviewed by: Date: 1 Revised 05/14/09 S,a,��\ City of Atlantic Beach APPLICATION NUMBER �S 1 A Building Department rMAR 0 6 2017 ' (To be assigned by the Building Department.) 1� 800 Seminole Road �� I)C(�-3 44-3 Atlantic Beach, Florida 32233-5445 ��"'� Phone(904)247-5826 • Fax(904)'247=5845- Mir- E-mail: building-dept@coab.us Date routed: 3 10(0111- City 0(O % I1- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (0 (D S g.,M'k c o\.Q_, Q_d . Department review required Yes No jutiding Applicant: O1,.)n t( a ing &Zonin Tree Adminis rator Project: r tpkAc.e_ to- vD ok W D pb,Q,n is orks ublic Utilitie 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: I%pproved. I (Denied. 6-1-917 (Circle one.) Comments: 41 /Mad/ te4me'l BUILDING PLANNING &ZONING Reviewed by: "A # Date: 3//3A2 TREE ADMIN. Second Review: ❑Approved as revised. I ID= ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I /Approved as revised. ElDenied. Comments: Reviewed by: Date: Revised 05/14/09