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602 STURDIVANT AVE - VOIDED FENCE r „,v r :5LA-4/71-> City of Atlantic Beach ey APPLICATION NUMBER �� : Building Department sty U� ` (To be assigned by the Building Department.) l - a4W 800 Seminole Road OD �-- -, Atlantic Beach, Florida 32233-5445 1 Lc --F /C_E - Z7 6? \ t:',:,..:. Phone(904)247-5826 • Fax(904)247-5845 -"�rjiiis: E-mail: building-dept@coab.us \� Date routed: I Z 5 City web-site: http://www.coab.usIMI APPLICATION REVIEW AND TRACKING FORM (p0Z Property Addressh?e S l vim.0 (\/¢1-737-• Department review required Yes No ""'� `; il C ldin Applicant: (D J sFlah-lim &g Zoning) Tree Administrator Project: H ��CC.� -I 16 is Worst u licc Utilities .� Public Safety Fire Services 0 `, RovioW fee $:.. Dept;Signature .. j) 0 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 • LI� STATUS Reviewing Department First Review: 11.'"'. .--Approved. I 'Denied. (Circle one.) Comments: `B1141 ING; -- PLANNING &ZONING pink_ Reviewed by: Date: /2.7•/G TREE ADMIN. Second Review: ' 'Approved as revised. nDenie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. nDenied. Comments: Reviewed by: Date: Revised 05/14/09 rSy,,,�„ OFFICE COPY :J `\ BUILDING PERMIT APPLICATION �SJI "' -` CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 © Fax: (904)247-5845 1 J ` 'N)e4 2T7c Job Address: 600 - 6.d QQ '(-0l VOL t* . Permit Number: Legal Description RE# 1.7 0 0 Co Cl •— 0 0 SO Valuation of Work(Replacement Cost) $ /COO. G Heated/Cooled SF Non-Heated/Cooled • • Class of Work(Circle one): Addition Alteration Repair Move Demo Pool 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 No N/A D Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type ofork to be performed: J2(6W/97p-e_ C r.,2/,--Z-e- 7 L ' Irl ,:e ��c1r ia le.:7.4;e_ 57.7, ,, - Florida Product Approval# for multiple products use product approval form (% Property Owner Information N, ��`7.1-e / n, . � /_ / 1 � Illi Name: • A I L /1 aG J i rT / L� ' Address: 0°° - 6 O Sit.)v. 1\IFS 4 V City 11MState_Zip 3a..9..33 Phone 9 04 J-O3 - _4 * - E-Mail• cut,j itferR0 A.e SO(, . hEf - Owner or Agent ( .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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Contractor Information: \ Name of Company: ---_____ Qualifying Agent: Address: ,--...,, City State Zip Office Phone Job S bi Contact Number State Certification/Registration \-Mail Architect Name &Phone# Engineer's Name &Phone# Worker's Compensation Exempt / Insurer / Lease Employees / xpiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be per ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void i work is not comme. e• within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at anytime_a t: work is et me ce. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs, Wells,Pools,Furnaces,Bob er:,Heaters, en ,• .vers,etc. B f atur of Property 0 Nir/Air/ ..i I L,'i Si_natur . .. . . . this Day of .11114 _ .r=:: '- •. .,- i D ay of f /�J j ' 44 ;a;'�:;y� DEBORAH WHI7E�/ Notary Publi �r.��({ ��"` -*' ft ci MY COMMISSION# 5 p A ���; •���;ea Bonded Thru Notary I I hereby cert that I have read and examined this application and know t e same , ,_ - 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 provisions of any other federal, state, or local law regulating construction or the peifornaance of construction. Rev. 3/14/16 •te J WNER / BUILDER AFFIDAVIT r r 4 CITY OF ATLANTIC BEACH OFFICE COPY � ' 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. 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 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. . /— CUL) 0 r- 60-2_. . . I / ,a L n3 b�(p 0 ADDR :S �� : � PHONE NUMBER �C PR;N ,JI`ME / / SIGl URE ��?�� �� �,�L��'� �/ r DATE t Before me this ' day of t="'C�• ,201}Q in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are trtrue �aand accurate. �� Notary Public at Large,State of �`�r` ,County of `"' ❑Personally Known //p z/ f � s�36 �?o,�::�:;b p�6 roduced Identification-/[L (!/ h :. `•. I °I . : MY ,511ti «tEXPIRES:May 21,2019 '�������4``� BondedThNNofarypuyllcUnde Notary Signature:j‘d?-e4 < �' — Underwriters FJBLDG/Owner-Builder Affadavit;REVISED:4/16/2009 a City of Atlantic Beach APPLICATION NUMBER ''.? Building Department (To be assigned bythe BuildingDepartment.) 9 . �„� .�.�"�• l J`s 800 Seminole Road E � r - Atlantic Beach, Florida 32233-545 "'- I �� z-7631 Phone(904)247-5826 • Fax(904.'24 kst45 i /10.21 r E-mail: building-dept@coab.us 0 6 2016 Date routed: IL S / s City web-site: http://www.coab.us 3Y: APPLICATION REVIEW A TRACKING FORM (00 Property Addres .: i�_� (v. VA Department review required Yes; No ' uildin Appliant: LON-) Planning &Zonings Tree Administrator Project: I— �f���� u lic Works.--) rI Utilities1 `Public Safety Fire Services Review fee $ De t Si nature 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: 14kpproved. Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: j71' )6' (27/17A Date: TREE A emiN, Second Review: Approved as revised. nDenied. :, VVORKS Comment . PLIC UTILITIES PUBLICS'AFET Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. Denied. Comments: Reviewed by: Date: Revised 05/14/09 • s L L`./r City of Atlantic Beach s� �� APPLICATION NUMBER -S, Building Department �. r ,`� g (To be assigned bythe Building Department) `� 800 Seminole Road k` � = . Atlantic Beach, Florida 32233-5445 DEC 0 6 2016 L- �� "' / w Phone(904)247-5826 • Fax(904)24 84o ` � `a;;ig%- E-mail: building-dept@coab.us t� Date routed: I 2_ S 4111 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM • Property Address:. ToTog U (\(i9- T' Department review required Yes No ..,Cl ding) Applicant: C)GO ND � •,_taninmg &Zoning j Tree Administrator Project: ��r` Pu"�icvvor u lic Utilities Public Safety Fire Services Review fee �_. _.... _--- � ` ° ... Dept Signtur'e: . : . 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: 14'Approved. I (Denied. a /g-9-4, (Circle one.) Comments: -16e liehluaaaa BUILDING PLANNING &ZONING Reviewed by: Date: /Zl�z/�� TREE ADMIN. !- Second Review: I 'Approved as revised. 'Denied. ELG WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. I 'Denied. Comments: Reviewed by: Date: Revised 05/14/09 RD-FnIGE-21oa • j ev Job ID JobType" • Status Code - I Year I Description Tenant Name 1-Tenant Number Address I Land Key . Public Building.F [16-FNCE-2709 FENCE PERMIT-FNCE PERMIT ISSUED- 2016NEW,6`FENCE _.. ... 602 STURDNANT None ... 0 5fiVIA501060 12-1- I to 1(o-FACE -210q MAP SHOWING BOUNDARY. SURVEY OF: • LOT 779 AND THE EAST 1/2 OF LOT 778, SALTAIR SECTION 1 , AS RECORDED IN PLAT BOOK 10, PAGE 8 . OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA LAKEVIEW AVENUE PER PLAT STURDIVANT AVENUE 3 50' RIGHT-OF—WAY FOUND 3/4" IRON PIPE FOUND 3/4" IRON PIPEFOUND 5/n" IRON PIPE NO.IDENTIFICATION . NO IDENTIFICATION 75.00. ' 12" CPP NO IDENTIFICATION O 75.00' DHE• OHE OHE OHE C'A (50.00') (25.00) (25.00') - OHE � (50.00') o° iv 00, • °p (T, 0o, N. N °o 0 SACOVERED cn rw o c). o e I - 2' CONCRETE WALK nn 12.1'_ : M► : 14.9' .(,C)Ca- a 24.0' 24.0' 'EM {-1:3' /�- -f-e-4-°6'1--- z 8" MASSONRYo . WALL `z M 1 STORY �, p 4o MASONRY o o c\i I DUPLEX. • N 1 0 LOT 777 p••• 0 M -in { O z o #602 #600 i ..:? O I COVERED :O T") xi frl -o I CONCRETE it-.- . O (f)' vi J 0 12.1' 24.0' 24.0' 14.91 0 o —1 J s x • 7 << ROOM/ \m 03 � X__JURTOOM y -• SON dRETE' MASONRY e 1.. P• 10 8" WALL •N o - LOT7 .-nl o Vl r -I pp00. '90 F.1 50.00' . ) - o , "' ,_ 7 , x"w , �.o FOUND 1/2" IRON PIPE ( ) (25.00' ° (.25.00.)p '(50 D0).-,' 3 5NO IDENTIFICATION 25.00' 77 a • I (0.51' E.) (25.00') (25.00') (25.00'). I) .7' (25.00') (25.00') —�� (25.00') FOUND 3/4' IRON PIPE/ FOUND 5/8" IRON PIPE NO IDENTIFICATION' I 75.00 NO IDENTIFICATION } , r0 • LOT 765 LOT 766 LOT 767 LOT 768 LOT 769 • LOT 770 J $ cn 4, I t. 1. • NOTES' LEGEND, . 3 THIS PROPERTY LIES IN FLOOD ZONE "X"PER FLOOD INSURANCE RATE CPP a CONCRETE POWER POLE EM = (2) ELECTRIC METERS MAP (FIRM), CITY OF ATLANTIC BEACH, COMMUNITY No. 120077, GA = GUY WIRE ANCHOR MAP/PANEL No. 12031C-0409—H, REVISED JUNE 3, 2013. OHE= OVERHEAD ELECTRIC/UTILITY LINE(S) ' ALL INTERIOR ANGLES SHOWN HEREON ARE AS FIELD MEASURED AND • I POSSESSED. 0 --//-- = 6' WOOD FENCE. } NO BUILDING RESTRICTION LINE BY PLAT. THERE MAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT SHOWN ON THIS CERTIFIED TO: SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF DUVAL COUNTY, - FLORIDA. • - • • GAIL McWHIRTER • mu. . . III I I hereby certify that this survey meets the A .minimum technical standards as set'forth by DURDEN • ' the Florida Board of Land Surveyors, pursuant to g Section 472.027 Florida Statutes and Chapter, qq+ SURVEYING AND MAPPING, INC,- I 5J17 Florida Admnistrative C t 1825-B 3RD STREET NORTH JACKSONVILLE BEACH, FLORIDA 32250 ;�'/r. ; I I ' ,(904) 853-6822 Fax 853-6825 I i' . / LICENSED BUSINESS NO. 6696 FLORIDA REGISTERED SURVEYOR No:•470 SURVEYOR'S NOTE, H. BRUCE BURDEN. Jr. THE SURVEY HEREON WAS MADE WITHOUT THE BENEFIT OF ABSTRACT OR SEARCH OF TITLE AND THERCERR�TIONSE ERENGARONGNED AND INNFORMATIONDEN SHOWN OR NOAND SHOWN HEREON PERTAINING TO SIGNED FEBRUARY 24. 2016 EASEMENTS.CLAIMS OF EASEMENTS,RIGHTS—OF—WAY,SETBACK ONES;OVERLAPS,BOUNDARY LINE _ 3 DISPUTES.AGREEMENTS,RESERVATIONS OR OTHER SIMILAR MATTERS WHICH MAY APPEAR IN THE SCALE: 1„ - 20' B---8825 : r�-{ THIS SURVEY SEARCH VCALLID OF THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. WORK ORDER NUMBER: 16068 LJ—8 8 2,5