Loading...
1712 SEA OATS DR - FENCE � rA (r.-)' ,..`Sd CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J it e ATLANTIC BEACH, FL 32233 '''.--r;; > INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0089 Description: 6' FENCE Estimated Value: 1000 Issue Date: 12/18/2017 Expiration Date: 6/16/2018 PROPERTY ADDRESS: Address: 1712 SEA OATS DR RE Number: 172020 0438 PROPERTY OWNER: Name: ALTER! WALLACE ANTHONY Address: 1712 SEA OATS 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. ri,.a,��f��, City of Atlantic Beach APPLICATION NUMBER s ,t, Building Department (To be assigned by the Building Department.) 800 Seminole RoadN I _ OO�n ;, Atlantic Beach, Florida 32233-5445 l 7 Phone (904)247-5826 • Fax(904)247-5845 /7/t''� 0-sj;t E-mail: building-dept@coab.us Date routed: 17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 171 � S -P'c CDC-ViS Department review required Yes No (TBuildin Applicant: CDCL)k7 G-1e . anning &Z no in Tree Administrator Project: CO ( FCK)C,,E, ublic Works ub4icUhhties ) ic-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: rif pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: B ILDI PLANNING &ZONING Reviewed by: ril y-- Date: /.3 ./67 '0 TREE ADMIN. Second Review: I jApproved as revised. ❑Denied. i INot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I lApproved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 01-ty rir, City of Atlantic Beach APPLICATION NUMBER as f � Building Department (To be assigned by the Building Department.) - 800 Seminole Road t N ( _ oo8r) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 art Er E-mail: building-dept@coab.us Date routed: I 7 /71( 7 City web-site: http://www.coab.us - - - APPLICATION REVIEW AND TRACKING FORM Property Address: 17 ( �� C:)c Department review required Yes No (Idm Applicant: CD(..0 Pt ning &Zonin Tree Administrator Project: CO Iublic Works ublic Utilities Pu .c-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. I 'Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: Z—� - ( ) 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: nApproved as revised. F 'Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ri1:Lv;yJCity of Atlantic Beach APPLICATION NUMBER -•_1 Department DEC 0 $ 2017 (To be assigned by the Building Department.) 800 Seminole Road 1 N ( _ D08() Atlantic Beach, Florida 32233-5445 l Phone (904)247-5826 • Fax(904)247-5845 /71(ri%' E-mail: building-dept@coab.us Date routed: � 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ( 7 ( . Sic\ CIDATS Department review required Yes No (Buildin Applicant: CDL/L.)k.) anning &Zonii Tree Administrator Project: CO t 'EK)C, ublic Works ublic Utilities Pu .c-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: I4Approved. Denied. I INot applicable (Circle one.) Comments: BUILDING • PLANNING &ZONING Reviewed by: Date: �������, 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 5,:�,tCity of Atlantic Beach APPLICATION NUMBER �s � Building Department 8 (To be assigned by the Building Department.) I _ 800 Seminole Road FEC C. 2017 --N ( oO Cz -� �� Atlantic Beach, Florida 32233-5445 t 7 — 8 Phone (904)247-5826 • Fax(904)247-5845 011 y? E-mail: building-dept@coab.us Date routed: I Z /7 It 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 17 ( 7 SU\ EATS Department review required Yes No (luild�g Applicant: c LA3/v ie 91'anning &Zonin . Tree Administrator Project: CD ( I0CGublic Works _�ublic Utilities P ibtie-Safety Fire Services Review fee $ Dept Signature �Cw-.., Review or Receipt Other Agency Review or Permit Required 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: BUILDING PLANNING & ZONING /G� � I Z1 (7 Reviewed by: Date: 111 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. LI Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application U dated 5/5/17 .46 City of Atlantic Beach OFFICE COPY Jv 800 Seminole Road, Atlantic Beach, FL 32233 I j � OV-L" (904)247-5826 Fax: (904) 247-5845 cam^ Job Address: D �� � Permit Number: F 1 aE (7- oC)5 Legal Description RE# Valuation of Work(Replacement Cost)$ /000' 00 Heated/Cooled SF >) A Non-Heated/Cooled uA • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): CommerciaResidentia • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes (NZ' 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: s Florida Product Approval# for multiple products use product approval form Property Owner Information L Name: 1Ne1I A Ce. Alf€lel Address: I 412 Jc a!A 0A-is Dirt v e City tictiztvt. k i G. la in LState fr t._ Zip -1, z 33 Phone qOy . $51 . 1113 E-Mail �/�+�(�Ace . ��"►Q v1s i4A"i1. C o►�.� Owner or Agent(If Agent, Power of Attorney or Agency Lett Required) Contractor Information Name of Company: GV-QeL �A./4�. L Q JSc l - &GQualifyin Agent: I�rah-d s►^ C 5I t^ ( Address Ix 1y2I2 c;),„ r. 1. pg.. 'Jo. City J c fr .v;i(e State FL. Zip 322 ? Office Phone qO9 -LI(et -1 %S Le Job Site/Contact Number State Certification/Registration# E-Mail 8 ra(i &" o+ 6 r€ej. ec.., j Gk_ceTset... Architect Name& Phone# AM- Engineer's Name&Phone# A/A Workers Compensation G 7-011- - ( 00 1- 1T) Exempt/Insurer/Lease Employees/Expiration 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 performed to meet the standards of all the laws regulationg construction in this jurisdiction. I understand that a separate permit 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 or Agent) (Signature of Co ractor) (including contractor) Signed and sworn to (or affir -d) before me this . day of Signed and sworn to(or affir fined)before me this day of 1)-e LIvb. ' , 201- ,by , ,c '� t , 1� - 1111k S111gatu o__Nolan')'-- "' (Signature of Notary) 'Y` MY COMMISSION i FF 9124951 EXPIRES:October 6,2019 Bo Notary PublicUndewrierc [ ]Personally Known OR ] Personally Known OR [ ]Produced Identification /+ 3 j Q ( 2 � v [ ]Produced Identification Type of Identification: (.4. lg (� 0 -33 7'Type of Identification: rS y.1i1 ,_ •J • , CITY OF ATLANTIC BEACH )�L I0%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 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. FMt2- Se, oars -l>ci .,, .e_ i0,-( ttlI f( 9 ADDRESSPHONE NUMBER 1 lac 6.(. M ' evi NT NAME ii rr.,.. --. .1____ - - 1 2-/1--/ I 1- SI ATURE DATE Before me this - day of ,11?C Zi44,6",Y/,20c1 in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. {/ Notary Public at Large,State of T` ( ,County of )V 0— ❑Personally Known A r,. m�—„ : ❑Produced Identification- 3 6-l �r I- g 2 -33 7- ' - '=�i0.,..a"� ' ' __ TONI GINDLESPERGER , rMMMlSSION#FF 924951 c� = U EY P RE`' October 6,2019 NotarySi nature: F:BLDG/Owner-Budder Affadavit;REVISED:4/16/2009 L F • u; cd. In,atary P�..�ub cU�trrt e 1111 rs y,+ ORDERED BY: _ The Law Offices of Rod Schioth °�' . 2187SThird St Jacksonville Bch, FL 32250 A ' '4,;„ 1. 904-372-9351 __"___. —_ - . beach®rod-law.com PROPERTY ADDRESS:1712 SEA OATS DRIVE ATLANTIC BEACH,FLORIDA 32233 III SURVEY NUMBER:FL1410.2936 fir FIELD WORK DATE:10/28/2014 REVISION DATE(S):(REM 0 10/29/2014) TABLE: C-I C-2 FL1410.2936 L-15 5°52'23'E 31.33'(P) R=4704.38'(P4M) 8-a,-. R=4704.38'(P4M) BOUNDARY SURVEY 5 6°1 6'14"E 31.33'(M) L=192.86'(P), 192.98'(M) 5i: L=65.10'(P),65.02'(M) L-2 N 5°52'23"W 70.00(P) A=2°20'56"(P).2°2 I'0 I"(M) A=0°4734"(P),0°47'3 I".(M) DUVAL COUNTY N 6°075 I"W 70.09'(M) CH=5 04°1 8'08"E 192.85'(P), O CH=S 05°5223"E 65.10'(P), L-3 N 6°I G'1 0"W 5.00'(P) 5 04°09'58"E 192.96'(M) S 05°53'1 4"E 65.02'(M) • N 6°23'38"W 5.08'(M) 'L .. N 84°2184°20 1'02"8'E 137.E 7(M) 04 N E 13-/ (P1 w 1 z,--,3 Oo 30.0 O 00 07 $L? 0b3 NO . 1 . 6'W.f. u? y I' °oi 47.0 I1. T 3 N I. coec. a1 I is (1 IV V 1' / • 20.1' I OE` k ZZ 1--1-- f I �IV AA $$l' 0 \I �<<W<< W -N••� _1�i T I 'x.S Q GG . I\ I..' �W� \--. - Jkp CO I ,1 6 9' �NA I 'SI r I 33.9' 61.0 u I'1 I oT l 0-7 py OFF , ON W 140.00'(P) ro o 83°43'56 139.99'(M) zA„ 43'56 W St tS °-p>i 5 83°B.R.(PER PIAT) ' Vt°p � . -� 14 .�pE )11 nn GN....�e t rtc, 511pu.•N...Y.: p Ro 101 NOT,5 1 I.D. A� .0,,SY U.HA., car IN.�PT.'R,Ar F.-cif/8R.R.VI/..�D moi" I hereby cert' rVgoukiASry -y of the hereon r Ncc O/No.o ii° rO,t r-RA.1el.D described r ro.-r19 hasproa madeu i- my direction, and to th:.,st pf my knowledge and b-li:f,it is a true and accu at•rejY,'eserltation of asame t .t meets the h ST�F ET standard-..practice-set fbrtttby the a Board of / t n A f\ Professio •urveyo6sr;Tbappers In r:-.pier 5J-17 of �5o N v v J the Florida r,'istraf tiRte. , ' s�oH $ 3a 20 IO O I5' 30 Wesley B.Haas "� �� ,�,N tl , Slate of Florida Professional Surveyor and Mapper GRAPHIC SCALE \ ` / License No.3708 I inch=30 feet '\.10% ll re of This Survey for Purposes other than Intended,Without Wratten Verikat inn,will beat the User's Sole Risk and Without Liability to the Surveyor. Nothing hereon shall be Construed to Aloe ANY Rights or Benefits to Anyone Other than those Certified. FLOOD INFORMATION: POINTS OP IN LERESF BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING NONE VISIBLE MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03/13. JAN SHIELDS ANGELA BRADLEY REFI-OR" REPLlO;" CLIENT NUMBER:RS14-2509 DATE: 10/29/2014 ^-4 i& kwrilB LUYER:WALLACEANTHONYALTERIE —_— -1 904.853 2004 904.511/016 [FELLER:MOSHE SHIMSHONI - JA8SHIELOS®1IA1S0RREAL1YCORRCON ANGELABRAOLEYRfAUORIyGRAILCON I CERTIFIED TO:WALLACE ANTHONY ALTERIE;THE LAW OFFICES OF ROD L SCHLOTH,P.A.;OLD REPUBUC NATIONAL TITLE INSURANCE COMPANY;HOMEBRIDGE FINANCIAL SERVICES,INC. Land Surveyors, Inc, www.exactalund.com P.866-735e1916•F.866-7442887 This is page 1 of 2 and is not valid without all pages. LBS 7337 11940 Fairway Lakes Drive,Suite 1•Ft.Myers.FL 33913