880 SAILFISH DR - FENCE (2) , ,..
"
;, :„f CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'--011 !) INSPECTION PHONE LINE 247-5814
FENCE WALL OR BARRIER - FENCE
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: FNCE17-0010
Description: 6 foot wooden fence
Estimated Value: 3000
Issue Date: 5/24/2017
Expiration Date: 11/20/2017
PROPERTY ADDRESS:
Address: 880 SAILFISH DR
RE Number: 171162 0000
PROPERTY OWNER:
Name: MCKENNA ANGELA E
Address: 880 SAILFISH DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
01.A1J;.4, City of Atlantic Beach APPLICATION NUMBER
Js 40` 1 � Building Department (To be assigned by the Building Department.)
A-.;� 800 Seminole Road ,, I ++ _ 7�
`r) Atlantic Beach, Florida 32233-5445 rt �� 1 �L' V
Phone(904)247-5826 • Fax(904)247-5845
x si 9? E-mail: building-dept@coab.us Date routed: OS l cl
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � SaA�S' 'Of Department review required Yes o
Applicant: CAA Manning &Zoning
pp,,,, Tre A� dministrator
Project: ( Q P��L� �0' � WDvU -n- --n(0 °: '- s�
• ilities
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: fVoc..
PLANNING &ZONING
Reviewed by: `� Date:
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
rsy�y;,JCity of Atlantic Beach APPLICATION NUMBER
lJ. Building Department
(To be assigned by the Building Department.)
f 1.- 800 Seminole Road
Atlantic Beach, Florida 32233-5445 F706-6 + F — QC; (0
Phone(904)247-5826 • Fax(904)247-5845
'�c )
E-mail: building-dept@coab.us Date routed: GAS 1L j I City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �� SC- A- SA`Q{, Department review required Yes No
Applicant: bW CRlanning &Zoning
Tree Administrator
Project: 10' p,,- 0O J \AYbc- ' -r't(Q
• ' ilities
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: KlApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed byJ - v /cam Date: 5 72-3/ 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
s=Lpr City of Atlantic Beach
APPLICATION NUMBER
r + • ��. BuildingDepartment• \5,, p (To be assigned by the Building Department.)
r 800 Seminole Road
'-e Atlantic Beach, Florida 32233-5445 C E r" r tU CE I I- — o C, (t',�
Phone(904)247-5826 • Fax(904) 247-5845
`"!0;119%' E-mail: building-dept@coab.us MAY 15 Date routed: ds L 111�-
City web-site: http://www.coab.us Z�i
3
APPLICATION REVIEW ANo TRACKING FORM
Property Address: 0 SCL ,S( °3{, Department review required Yes No
Applicant: DA (1,1W -PJanni, p &?oning
j_ rr 0,, Tree Administrator
Project: I. _c�L L (0----DO V OAO-A--n(Q -- WQrk.
• • ilities
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: 4e iff��• 4,042iiii
BUILDING
i
PLANNING &ZONING Reviewed by,:---/ j�J,�laia___Date: % f
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 07/27/10
r11:L`Jj-.4., City of Atlantic Beach APPLICATION NUMBER
j' '',. s,
Building Department (To be assigned by the Building Department.)
800 Seminole Road (VI i (C'
�r Atlantic Beach, Florida 32233-5445 1
Phone(904) 247-5826 Fax(904)247-58
pi MAY 1
`��;���%= E-mail: building-dept@coab.us � 2�1� Date routed: C'�S70—
I 1�-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: WO SCL SIA,Lj{, Department review required Yes No
Al: - 41:n.
Applicant: CNA n C—Planninng &_Z_oning
r p,, Administrator
Project: ( .6) -CC(--/L1---- DO -k— Wtb0/10A 4—I1(Q
ublic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature w'
(.,
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:
APPLI ATION STATUS
Reviewing Department First Review: I Approved. ❑Denied.
(Circle one.) Comments: di
BUILDING
PLANNING &ZONING �c//(
Reviewed by: Date:
TREE ADMIN. Second Review:
!Approved as revised. ❑Denied.
P WORKS Comments:
PUBLIC UTILITIES
.5-is-ry
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
a,a y;. - FILE COPS(
1-• :t, BUILDING PERMIT APPLICATION
15 if - - 2
��, CITY OF ATLANTIC BEACH DATE
�~ 800 Seminole Road,Atlantic Beach FL 32233
ortisr? Office: (904)247-5826 • Fax: (904)247-5845 S-. e--1
Job Address: 8t 3 S a,Ri S n ri ,r-C- Permit Number: Do(6I.1—O0 (0
Legal Description RE#
Valuation of Work(Replacement Cost)$3 000 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): el Addition Alteration Repair o Pool Window/Door
• Use of existing/proposed struc ire s) (Circle one): Commercial Residential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
mon IAJtdaR". lv‘CA- ivN toac,L S to fe ea-ce, CA k -i-
Florida
Product Approval#_ for multiple products use product approval form
Property Owner Information
Name: AnofA'a N\ -vin a Address: 3g b S 4\ V\S.V. DN('\‘1`f..
City A41ar 6La-c ti. State-FL Zip 3)-.)-- 1 Phone 9o4-1-Sr- 1$4a
E-Mail aQMnC ...enha 3 l(,l- 1--c+0-Laws
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) .
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 Ag ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. ECEIVE Contractor Information: D
Name of Company: Qualifying.Agent:
Address: City StagiTiri 8 2017
Office Phone Job Site/Contact Number
State Certification/Registration# E- 4 ail Building
Architect Name&Phone# `�_ • City OtA Department
Engineer's Name&Phone# �.� Chi FL
Worker's Compensation --„,-,.
Exempt / Insurer / Lease Empl. ees / Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 ce i 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 I • s regulating construction in this jurisdiction.
This permit becomes null and void if work is not commenced within six(6) months, or if construct •n or work is suspended or abandoned for a
period of six(6)months at any time ajler work is commenced. I understandthat separate permits nuts se secured for Electrical Work,Plumbing,
Signs, bells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc.
Signature of Property • •. er: � Signature of Contractor:
Befor me .
this b Da of V' , 'el "•::7 efore THl'a ti t.ESPERGER t.
Day - /1� 1. � ,r •_'' MYCOMMISSION+tFr524 5' of
`� ,,�_ - EXPIRES:October 6,2019
NotaryPublic: •gllgill( ''f 'ot:r P)flilb it aublicUrderxrtes
• •
I hereby cert j'that I have read and examined this application and know the same to be true and correct. All pi-ovine s o laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of ape •,t does not
presume to give authority to violate or cancel the provisions of any other federal, state, or local lcnv regulating construction or the
performance of construction.
Rev.5/2/16
t FILE COPY
,., CITY OF ATLANTIC BEACH
AiIt CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
NNE - 1
800 Seminole Road 904-247-5800
o1s Vr Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PERMIT#
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION.
Date `j-$- nISSUES BY THE CITY
Job Address SRO Say t'&5t+ ( v E-mail 2etnnck-evnh331(oem covn
Permitee: )1/4/B'-V-0/ina Telephone# 909-1155- 1$M1
Permitee Address: %g-D
Requesting Permission to Construct: Ls oad �Cv��Q I (Q - k
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both
aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes ( ) No ( ) Date:
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes( ) No( ) Date:
Comcast
Yes( ) No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder,
shall be immediately removed from said street or easement or reset or relocated hereon as required by the
Director of Public Works, and at the expense of the Permitee unless reimbursement is authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of (Contractor's Project Superintendent)
located at Telephone#:
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and
the manner satisfactory to the city.
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of
this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of
Way are to be included with this application.
7. This permittee shall commence actual construction in good faith with days. If the beginning date is more
than 60 days from date of permit approval, then permittee must review the permit with the Director of Public
Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's
right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times,
assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and
all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder
of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-four(24) hours prior to starting work and again immediately
upon completion.
OWNER
Signed: A VLA Date: 0 Before me this VV\ day
7oNI civ gra �`E":}- ' in the County of Duval, State Of Florida, has personally appeared 0
F/YcO 'lS c`, s2=a, Notary Public at Large, State of Florida, County of Duval. My
,.
EXPIRES.CO fl1 itm ai pires:
ry o;; .... B_.1drd?hr tzry , d' _ ,� _ Personally Known:
• Produced Identification:
Revised 7/29/15
i
Permit Attachment of for
Permit# issued ,20_Atlantic Beach,FL 32233
Owner's Name: Property Address:
R.E.#:
Subdivision: Lot#/Block#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT,issued on this day of ,20_,
by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of
Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida,
hereinafter referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to
enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic
Beach Right-of-Way/Easement permit numbers ted above(copies attached).
This work is generally described as: ,Q.G1ae
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains
subject to relocation or removal on thirty(30)days notice by CITY to the USER, said notice to USER shall be
given by certified mail, return receipt requested, to the following address:
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the
exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition.
In the event it is necessary for the CITY or the City's approved representative or other franchised utility to
enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing, or
adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,
Land Development Code,and all other land use and code requirements of the CITY,including
City Code Section 19-7(h)which states"Driveways that cross sidewalks: City sidewalks may not be replaced
with other materials, but must be replaced with smooth concrete left natural in color so that it matches the
existing and adjoining sidewalks."
Page 1 of 2
The USER, prior to making any changes from the approved plans and/or method, must obtain written
approval from the City of Atlantic Beach,Public Works Department, for said change. The USER shall,at the
discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30) days
after the day of completion.
This permit shall insure to the benefit of, and be binding upon, the USER and their respective successors and
assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws
and/or specifications, to include utilities locate requirements and use limitations/requirements of public
rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall
be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said
liabilities are hereby assumed by the USER.
DATED and SIGNED this day of V1 , 20 I —
By:
Pro erty O er
(to be signed in presence of the Notary) re.a.,..arardwoBarramakoramarerserarmamparrer
_
,:,'411 r' TONI GINDLESPERGER
STATE OF FLORIDA : MY COMMISSION#FF 924951
COUNTY OF DUVAL �? EXPIRES:October 6,2019
.,�(f 1 a Rcnded Thru No:ery Pcblic UnderHoters
On this es day of L 20 , personally appeared before me, a Notary Public in
and for s� county--( d State, Q the property owner of
S Or` ,Atlantic Beach,Florida,known to me to be the person(s)described in
and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely
and voluntarily and for the uses and purposes therein mentioned.
Notary Public in for said County and State ,
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Approved:
Kayle Moore,Public Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere, City Manager
Page 2 of 2
•
J _ -.., RLE COPY .
'" CITY OF ATLANTIC BEACH
'a- }v '0%WNER / 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 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THEW
BUILDING DEPARTMENT(247-5826) IF IN DOUBT. .ZU CA N
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE•
.... Z J Z ry
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF ANJ C) z O v1
OWNER-BUILDER PERMIT. 0. Q O
2W - o •
Om ~ z
23YU S4N, 0rt _ 90K - -1- s- (Via- W 0 8 8 o
ADDRESS PHONE NUMBER Q f" Q a
Z
Arr\el a MC{e.lv va o o d7 c.-1.•PRINT AM U ..1
H
Cc 2
GN TU 5 ^$- 1i o 2W
Q� i�n DATE 0 4.
Before me this v day of f y 20 1 in the county of W W 5 c3
Duval,State of Florida,has personally appear herin by himself/herself and affirms that W
all statements and declarations are true and accurate.
I`LI Uwla
Notary Public at Large,State of IL ,County of 1.),-(\i \
t1J ¢ W
❑Personally Known Ai* _00 , ..S 5 G Lc
—
❑Produced Identification1 ED
Notary Signature: ��r / , r7,77-77 --177,777:E7"',,,,xN F 924951
Odl VGIF
_• MY COMMISSION
�i EXPIRES:October 6,2019
F:/BLDG/Owner-Builder Affidavit;REVISED:4/16/2009cr ° Bonded Thru Notary Publx underwriters
/`
c- 1 ,..1 ' CITY OF ATLANTIC BEACH
�'M 0)WNER / 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 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 MUS
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT I. LII cc
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAV 0]
LICENSES REIUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSIN,. 0
ORDINANCES. a I. LL
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THE IR =� W
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURAN(E G
PURCHASED. z Cl)
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULI, (I,RI
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKER . Cl„
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDE*4 '= Z
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STAT • E NO. O '
455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHY`'CALLY 1"' 1
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRA 'I UKS
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 L
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF Al
OWNER-BUILDER PERMIT. 0 S
coZ
Y0 Ck;\(t)l., tJ rk` %L( - --SS- 064-( - v a o �,.�
ADDRESS PHONE NUMBER Z
is o
eta M elteta • o co c z
PRINT AME V V a 3 0
W • S -S- f ozzi
GN TU DATE Q at
o
�` VIA N y
Before me this V day of ►I.A 20 I' in the county of CC Q F� ~
Duval,State of Florida,has personally appear herin by himself/herself and affirms that 0 M Ul
all statements and declarations are true and accurate. IL LLQ 2
Notary Public at Large,State of S L ,County of f U V \ W O n Q
❑Personally Known 7 • c��y Co _ � illW Q W
❑Produced Identification Z �v —OO 1 7 W V N LIQ
. / Q LL
. 1.---:r." TGty{GIt1DLESPRGER W
U.
Notary Signature: 0 r� '� r& = MY COM1t�I{SS{Oti rF 495 U.
>` 2019
VW
v�'I EXPIRES:October 6,
F:BLDG/owner-Builder Affidavit;REVISED;4/16/2009 •:;F c;�.°Q'� BondedThn+Nol�'PO�cUndervRiters
F -0 (A0
BECEIVEU
MAY 19 2017
R.O.W.Permit Attachment BYef for
R.O.W.Permit# issued ,20 Atlantic Beach,FL .32233,----
r •
Owner's Name: G�� �Il��e n a• ( -•` E C i `-=' ULE
Property Address: $$0 Say vc-,c L, Or MAY 1 8 2017 `
LdSubdivision: R.E.#: J
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
, 201 by Atlantic Beach, Florida, a municipal corporation organized and existing
under tellis of the State of Florida,hereinafter referred to as "CITY"and
of Atlantic Beach,Florida,hereinafter referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the
right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of
Atlantic Beach Right-of-Way/Easement permit n hers noted above(copies attached).
This work is generally described as: c\e
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted
remains subject to relocation or removal on thirty(30)days notice by CITY to the USER, said notice to
USER shall be given by certified mail, return receipt requested, to the following address:
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in
the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe
condition. •
In the event it is necessary for the CITY or the City's approved representative or other franchised
utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's
sole expense, any and all material necessarily displaced during the action of maintaining, repairing,
operating,replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building
Codes,Land Development Code,and all other land use and code requirements of the CITY,including
City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be
replaced with other materials, but must be replaced with smooth concrete left natural in color so that it
matches the existing and adjoining sidewalks."
Page 1 of 2
4r
The USER, prior to making any changes from the approved plans and/or method, must obtain
written approval from the City of Atlantic Beach, Public Works Department, for said change. The
USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change
within thirty(30)days after the day of completion.
This permit shall inure to the benefit of, and be binding upon, the USER and their respective
successors and assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY
laws and/or specifications, to include utilities locate requirements and use limitations/requirements of
public rights-of-way and other public land. USER further agrees that the CITY and its officers and
employees shall be saved harmless by the USER from any of the work herein under the terms of this
permit and that all of said liabilities are hereby assumed by the USER.
DATED and SIGNED this 1 ?) day of (/y\2,�y , ‘----+.20 � .
0
By:
(f-------
Prop rty Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this 1 t day ofrIA , 20 (j-, personally appeared before me, a Notary
Public in and for said C. ty and te, ' t q_ the property owner of
Atlantic Beach, Florida, known to me to be the person(s)
desc • in and who executed the foregoing instrument; who acknowledged to me that he or she
exec , -d the same-ly. d voluntarily and for the uses and purposes therein mentioned.
1.
Notary Public in for sat. ount,I: d State
ii TONI GINDLESPERGER
,C MY COMMISSION#FF 924951
k` EXPIRES:October 6,2019
,-:',./..."...,,,
`. °t', Bonded Thru Notary Public Undenvrters
CITY OF ATLANTIC BEACH,FLORIDA,
a municipal corporation:
Approved:
sj ii if /
I. • I. aco.owv, ''.
x4 J&Pubic Works Director
-rca u ik„,„
File: 12/12/16
•
Page 2 of 2
MAP SHOWING BOUNDARY SURVEY OF
LOT $ BLOCK 4 AS SHOWN ON MAP OF
ROYAL PALMS UNIT ONE
AS RECORDED IN PLAT BOOK 30 PAGES 60-60A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA.
CERTIFIED TO: ANGELA E.MCKENNA,EVERETT E.GARVIN,JR.,BEVERLY J.GARVIN,VYSTAR CREDIT UNION
p� OSBORNE&SHEFFIELD TITLE SERVICES,LLC,FIRST AMERICAN TITLE INSURANCE COMPANY
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SAILFISH
DRIVE(60' R/W)
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b E 80.65 P)
FD.NAIL/DISK#7261
0.5' (IN TREE ROOT)
8.1' 18.4' • FD.#4 REBAR
#7261
S85°20'02"
E 80 .65'(p) •
S °10'47"E 80.71'(M)
85
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4 ` AA NO ID. 4'CLF o o —
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7 ��F � N85 20 02"W 69.35' P - - - NOLO.
// / `Q� SET NAIUDISK N84°54'47"W , — — — _ _
/ &6 j 0. #6715 69.39'(M)
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LOT 24 . LOT 25
•
LINE TABLE
LINE I LENGTH BEARING
S59°08'20"W LENGTH(M) BEARING(M)
L1 13.88' 13.70' S59°01'20"W
FERRET ANIS ASSOCIATES; INC.
5627 ATLANTIC BOULEVARD SUITE#6 ,JACKSONVILLE,FLORIDA 32207-(904)805-0030-FAA(904)805-9888
GENERAL NOTES: LEGEND °/P'
(11 BEARINGS SHOWN HEREON ARE BASED ON P.C. POINT OF CURVATURE R RADIUS °��
P.T. POINT OF TANGENCY Dor D DELTA(CENTRAL ANGLE)
THE SOUTH R/W LINE OF SAILFISH DRIVE AS P.R.C. POINT OF REVERSE CURVE A orL ARC LENGTH _
S85°20'02"E,PER PLAT. P.C.C. POINT OF COMPOUND CURVE C or CH CHORD i"(.
P.O.C. POINT ON CURVE CB CHORD BEARING
(2) THIS PROPERTY HAS NOT BEEN ABSTRACTED P.R.M. PERMANENT REFERENCE MONUMENT (R) LINE RADIAL TO CJRVE
P.C.P. PERMANENT CONTROL POINT AIC AIR CONDITIONER
FOR EASEMENTS,COVENANTS.RESTRICTIONS
B.R.L. BUILDING RESTRICTION LINE CONC. CONCRETE
CLF CHAIN LINK FENCE FD. FOUND
(3) UNDERGROUND UTILITIES SERVING THIS RAN RIGHT-OF-WAY I.P. IRON PIPE
PROPERTY HAVE NOT BEEN LOCATED OR O.R.B. OFFICIAL RECORDS BOOK (M) ASURE
SHOWN
on. ONLINE I>FE CE
-n.-- BREAK LINE
(4) IT IS THE LENDER'S RESPONSIBILITY TO SCALE 1"=20'
DETERMINE FEMA F.I.R.MAP STATUS FOR THE .............'"�/ r
LIFE OF THE LOAN ON THE PROPERTY SHOWN 8-6-15 d C .
ABOVE.SURVEYOR HEREON WILL CONFIRM �—
FOR ADDITIONAL FEE. DATE OF FIELD SURVEY NATHAN P. PERRET, FLA.CERT.NO.6900 LB -6715
F.B. 569 PG. 30 NOT VALID WITHOUT THE SIGNATURE 8 ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR&MAPPER ORDER NO. 2015-1410