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460 DAVID ST - FENCE • , ssl CITY OF ATLANTIC BEACH Al =' 800 SEMINOLE ROAD ,111 ATLANTIC BEACH, FL 32233 rr INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0021 Description: Estimated Value: 0 Issue Date: 6/21/2017 Expiration Date: 12/18/2017 PROPERTY ADDRESS: Address: 460 DAVID ST RE Number: 170652 0250 PROPERTY OWNER: Name: ANDERSEN DEAN S & CATHY J TRUST Address: 460 DAVID ST ATLANTIC BEACH, FL 32233-4042 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. I I I rt.:vtr,, City of Atlantic Beach APPLICATION NUMBER 61 iii',: Building Department (To be assigned by the Building Department.) J1 s� 800 Seminole Road F A K E 5 C Atlantic Beach, Florida 32233-5445 I 1" - O U Z Phone(904)247-5826 • Fax(904)247-5845 ��j� ( � E-mail: building-dept@coab.us Date routed: 5/2-G717 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 460 b AVID Department review required Yes No (Buildinq� Applicant: 0 W KD &1L__ anning &Zorn y-� Tree Administrar I— Project: Cr7 ' DO CE-- •ublic Wor Public Utilitie 'u• i aey 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. . ❑Not applicable (Circle one.) Comments: II CI PLANNING &ZONING Reviewed by: /rid-- Date: 5—a G,l TREE ADMIN. Second Review: ['Approved as revised. ['Denied. . ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. . ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 , t-t r City of Atlantic Beach APPLICATION NUMBER Js _ Building Department (To be assigned by the Building Department.) 800 Seminole Road r� �7 Atlantic Beach, Florida 32233-5445 �' N \, E 1 - 00Z ( Phone (904)247-5826 • Fax(904)247-5845 -411111111111 -ort g' E-mail: buil) ept@coab.us Date routed: s l aGF-7 City web-site: http://www.coab.us r APPLICATION REVIEW AND TRACKING FORM Property Address: 460 I VLD Department review required Yes No i�Buildinq� Applicant: W �� ` arming &Zoni Tree Administrator Project: (-) FESC -ublic Wor Pub is Utilitie "u. i aey 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: 7Approved. ❑Denied. . ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Date: Reviewed by: �/��j 7 TREE ADMIN. Second Review: ❑Approved as revised. Denied. . ❑ ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. . ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 s 01Al1r, City of Atlantic Beach r i 01 Building Department G E-7" (To be assigned by the Building Department.) A j 800 Seminole RoadtifEl < r� Atlantic Beach, Florida 32233 5445 MAY 0 r' N C C,( `7 - 00z Phone(904)247-5826 • Fax(904)#4 -5845 ( 0;119r E-mail: building-dept@coab.us :t, , , APPLICATION NUMBER Date routed: 5 a o I City web-site: http://www.coab.us -- APPLICATION REVIEW AND TRACKING FORM Property Address: 460 FVL.D Department review required Yes No Building Applicant: 0 W N3 ei _ .- anning &Zoni Tree Adminis ra or Project: Co e P-Efo e -ublic Wor Public Utilitie ------;---u• i aey Fire Services Review fee $ Dept Signature i Other Agency Review or Permit Required Review Receipt Date of Permit or 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: APP ICATION STATUS Reviewing Department First Review: Approved. ['Denied. . ❑Not applicable (Circle one.) Comments: foe BUILDING aeddcv' � e PLANNING &ZONING ��/`/� Reviewed b Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ['Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. . ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 '�< CEI" Sirc City of Atlantic Beach APPLICATION NUMBER ,i. ,f. :.�t‘ Building Department ( o be assigned by the Building Department.) '- % v 800 Seminole Road F MAY 3 0 2017 ,,' 7 i.� v0 Atlantic Beach, Florida 32233-5445 I 1An� C C. 'l — 00z Phone(904)247-5826 - Fax(904)247-5845!`!:_-_ ,',6•,1�"• E-mail: building-dept@coab.us Date routed: 5 Cv t City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4( Oti FVt0 Department review required Yes No (Buildinq� Applicant: 0 W KDE12___/2 _ anning &Zoni : Tree Administrator l Project: FE' C__ ublic Wow Public Utilitiest, Fub1it-Safety Fire Services Review fee $ Dept Signature / vvl, 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. . lEtCt applicable (Circle one.) Comments: BUILDING ` PLANNING &ZONING l 9 (� / Reviewed by: Date: 6 r; ( 7 TREE ADMIN. CommeSecond Revs: iew: ❑Approved as revised. ❑Denied. . ❑Not applicable Ve— -AORKSiBLIC UTILITIES .S-30 - i 7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. . ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 e '''`' BuildingPermit Application ''r ; City of Atlantic Beach OFFICE COPY 800 Seminole Road,Atlantic Beach, FL 32233 f4_Pr Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 4 l -Daft/(c/ 5+M tt _Permit Number: F Iv et_ 17-00z. Legal Description Lac.. _ Ly ,C REtt Valuation of Work(Replacement Cost)$/,Qj• Heated/Cooled SF Non- Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial •esidentiaIli • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A // __ j • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal lam' tCX)Cc:;— Describe in detail the type of work to be performed: ,pLa.e.t__peVay► ekf tt_?ocxi blo do c FSC Florida Product Approval It for multiple products use product approval form Property Owner Information " � Name:cA 't� O /J Address: �✓td 3j- City c 7SG OL State Zip 3.3.1-33 Phone 9 900 52-3 T — -- _ E-Mail tr t.RC2 0 CarnC'Gti,�.n'LC* • Owner or Agent If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Qualifying Agent: Address City State Zip_ Office Phone Job Site/Contact Numbe State Certification/Registration it E-Mail Architect Name&Phone it Engineer's Name&Phone it Workers Compensation Exempt/Insurer/Lc Employees/Expiration Date Application is hereby made to obtain a permit to do the work and• stallations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work II be performed to meet the standards of all the laws regulationg construction in this jurisdiction. I understand that a separate ermit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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. (Signature of Owner o • •ent including Contractor) ( gnature of Contractor) Signed and sworn to(or affi ) befor, is.1(o say of Signed and sworn to or affirmed)before me this___day of � Jl�J XI) Eby , by ,---4 -,_ 1/1 diPti ‘ -.1. 70NIGIFIfLE�r' 4tRI (Signature of Notary) N# 92495' ,4Y COMMISSIU� f g '•.XPIRES:October 6, : I M Thru Notary Public Underoafn: [ ]Personally Known OR E`''—:....._,,..,�� [ ]Personally Known OR [ ]Produced Identification [ ] Produced Identification Type of Identification: Type of Identification: ‘44/ \ - (FORM R / S6T3.-. R�CHTP4,?,... F LS��� rti . . F p 4Y FJ i / PO/ AA. R,'cO�O�iiy�, ?SOS, N7'O h • 6 _'rR%cF ,0.00' :Os.. ".... F ��'/N �R=_ '� •OA/ .. �Y J ) Cq ONN (4.<" •1 LOT 718 �) .2 Ob° �� ::1::. vo. r';: ' 2 4?* off, Qr ' r oho :: . 90932. /THIS PART OF 4a• �.-:���'• =} LOT 719 LOT 735 NOT "tr ••2. •• , ( :� �' l INCLUDED IN o''' . ':A:. 0 u THIS SURVEY .L aI RQ_A-0_,t., ..J v.• c ti Q•01i X140. im 1/ / 0 • b �� b /J f• e.41/4 's. Rte"' . h i_? .'� LOT 720 ?Sos, , • cif a LOT 736 © ice '" to Q � al h 1 J IV k'''' 103'32'13" titID h'° or(c. • 6718'15" o QP > CJi f 27.15' i I11.35* MN' SP :S mc....,..,....- . Q • Q� t`�'3z9s) sn I/r RON PIPE / 45.29' '9R0• 'LB.No IWC' II.7'/I 1 r.1•v , FOUND,/Yo RON PIPE h g r-. 1 10 1 tome N r r&'cow:tor HONU"EIVF YB.Na IWC' LOT 722 LOT 723 ' LOT1724 LOT 725 • / NO BUILDING RESTRICTION LINES SHOWN ON PLAT, THERE ( MAY BE RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS 6 e,a Q ' PROPERTY.BYZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAPS REVISED APRIL 17, 1989, COMMUNITY PANEL NO. 120075 0001 D I HEREBY CERTIFY TO:CA7A/Yd.44/v/ 1d«o./✓J S.c.s;'•fofc7��,.arBcoeoo,Y.rTieN aco"q,eP2,73,-fc //..47-7.:2/v.<1.4727z. /NS.co.)/3e,{ai...r.z-./3.,,,gT<. T f" THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS, PURSUANT TO SECTION DUIRDEN LAND472.027 FLORIDA STATUTES AND CHAPTER 61G17-6 FLORIDA ADMINI T TIVE COD . R V E YOB INC. ..Le-- ��ac 41 PROFESSIONAL LAND SURVEYOR 4707 FL A H. BRUCE DUROEN, JR. POST SOUTH THIRD STREET OFF7CE BOX 50670 DATE: JUNE 14, 1994 JACKSONVILLE BEACH, FLORIDA 32250 (904) 249-7261 FAX(904) 241-1252 SCALE: 1 INCH = 20 FEET .• FORMERLY H. A DURDEN &ASSOCIATES THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. V11117885 P 2 171 CE+iCIAL RECORDS MAP SHOWING BOUNDARY SURVEY OF: A PART OF LOT 735. SALTAIR SECTION NO. 3. AS RECORDED IN PLAT BOOK 10. PAGE 16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF REFERENCE COMMENCE AT THE INTERSECTION OF THE SOUTHEASTERLY RIGHT—OF—WAY LINE OF SYLVAN DRIVE WITH THE SOUTHWESTERLY RIGHT—OF—WAY LINE OF DAVID STREET (FORMERLY PARK AVENUE); THENCE SOUTHEASTERLY ALONG SAID SOUTHWESTERLY RIGHT—OF—WAY LINE OF DAVID STREET, A DISTANCE OF 125.05 FEET TO THE POINT OF BEGINNING; THENCE CONTINUE SOUTHEASTERLY ALONG SAID SOUTHWESTERLY RICHT—OF—WAY LINE A DISTANCE OF 26.44 FEET: THENCE SOUTHWESTERLY ALONG THE SOUTHEASTERLY LINE OF AFORESAID LOT 735, A DISTANCE OF 114.31 FEET; THENCE WESTERLY ALONG THE SOUTHERLY LINE OF SAID LOT 735, A DISTANCE OF 45.29 FEET; THENCE NORTHEASTERLY, PERPENDICULAR TO THE AFORESAID SOUTHWESTERLY RIGHT-OF-WAY LINE OF DAVID STREET AND PARALLEL WITH THE NORTHWESTERLY LINE OF AFORESAID LOT 735, A DISTANCE OF 112.63 FEET TO THE POINT OF BEGINNING. wei?i �� so. <r c / '�9R I s R/C k Si-A0 ,(�,, 6-36., HT o 41�FN'rF-1 AO/ kg), SFJ Q' R'°p/ '?so M' J NTD s• _ O,c �- h° R�cE' 7oO°o' --.;:-.....e,�.. QFC/NN/N <s p =may Se>,� may° 4 LOT 718 /I) 2s by / z• `'�<, ���- m� -,...--z..,„,"„.T /, J•• 'c•H / THIS PART OF .'v.;..--4 -.. ........1,:.,... . �:, LOT 735 NOT qpm • :'•. LOT 719 INCLUDED IN o''' :::' 1111 o ' c THIS SURVEY aYO •---_, `V K 0. • kl,,,,, ,..0Joot i a 6 , t. �,:,..� g, yo, '• eft ,. : c) b '�'4,-_M 1 . / P`N Q.Nit' n _t2!2. I. s/�.•• t.f OFCYO �ro <•..J.Q N •1 4q LOT 736 • - LOT 720 ?s os. • � ..... h g y ate;--- 0 Q hro 103'32'13" �h oc� 6718'15" t: o En C?.: f 27.15' it p.. 25.... �' Q -1T: .,,,o%- er\ 4 Q • c,�.r (. /t 7X95) SET 1/Y IRON PIPE / 45.29' A •L0.No IWC • ::J I � MHO 1/7 IRON PIP£ h 'L0.No MSg ,, Jim.o IYO I a FOUND f 9Y 4'CONCRETE MONUM£NY'L0.N. 1040 • I ' ' Ii. LOT 722 LOT 723 LOT1724 LOT 725 NO BUILDING RESTRICTION LINES SHOWN ON PLAT, THERE HAY BE RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS OF • • ` • CITY OF ATLANTIC BEACH 0 WN E R / 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 TI-IE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE TI-IE 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 IUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU l-IAVE 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 REQUIRED 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. 4tpo _/ a.v'd 5i- ADDRESS 909iv 5Z 3� PHONE.NUMBER 044-1,1 y PRINT NAME SIGNATURE DATE Before me this 06day of_ I Y ,200 the county of Duval,State of Florida,has personally appear herin by himself/herself and affirms that all statements and declarations are true and a curate. Notary Public at Large,State of___p_� ,County of p U i„Q ' ❑Personally Known 53 — I i1••••••• ••-1 � q 7 ❑Produced Identification- `_f -"- __. ...____-__-- - --_--_-- --------__-. il TDNiGINDLESPERGER ',.! rn..vc"z MY COMMISSION#FF 924951 111111 ,1l"r.1 EXPIRES:October 6,2019 Notary Signature: _ __-_ f f ,._ _. aI :..f:1:V Bonded Tim Notary Put*Undermiters E./BLDG/Owner-Builder Affidavit;REVISED: 4/16i1.009