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258 MAGNOLIA ST - FENCE ' t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ! � J;3 INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0085 Description: 6 ' FENCE Estimated Value: 0 Issue Date: 12/27/2017 Expiration Date: 6/25/2018 PROPERTY ADDRESS: Address: 258 MAGNOLIA ST RE Number: 170534 0000 PROPERTY OWNER: Name: NARAYAN SUJATA ET AL Address: 258 MAGNOLIA ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: SUPERIOR FENCE AND RAIL OF NFL Address: 5470 HIGHWAY AVE JACKSONVILLE, FL 32217 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$7,500. 0).A1,./:,., City of Atlantic Beach APPLICATION NUMBER ,-)sIlly ,A, Building Department (To be assigned by the Building Department.) '' , 800 Seminole Road s" FI\ 0'F t-7 — 0O C- 67 2r Atlantic Beach, Florida 32233-5445 V vC�� Phone(904)247-5826 • Fax(904)247-5845 / i�,3 qr E-mail: building-dept@coab.us DEC 04 201; Date routed: 1 Z ` t /1 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Zoo INN ick i,oj Ltc De artment review required Yes No Buildin Applicant: S 0 PC-g-(O(L P-s _k_ c_._.G. fanning &Zoning Tree Administrator ( Project: LoCN clicor „c-:: .___lic Utilities Public Safe1 Fire Services Review fee$ 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 !' if 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: FXApproved. ['Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by--f Date: /2'i�/, 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 �iL��;i�� City of Atlantic Beach APPLICATION NUMBER �1Otte, Building Department (To be assigned by the Building Department.) 800 Seminole Road j,: 4„,,_ __,•e� Atlantic Beach, Florida 32233-5445 Fw C.E.17 — 0085 Phone(904)247-5826 • Fax(904)247-5845 DEC Q 4 21117 / 110. E-mail: building-dept@coab.us Date routed: 1 Z. /1 17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Z,JB I i \A- �C5 LOA Department review required Yes No Property Address: C� - Cliuildin Applicant: Su PC—g.( 0(Z P .A. C..-e. anning & Zonini) Tree Administrator Project: ZQ P-' __ Q u Ror c..- Tic Utilities D Public Sgfefy Fire Services Review fee $ ,e- Dept Signature jc- Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection „sf 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. r<lot applicable (Circle one.) Comments: BUILDING 47.--7 ,_____ PLANNING &ZONING Reviewed by: 2�/ � Date: /LiV C7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PU WORKS Comments: BLIC I TIES /7—to — 17 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ,-0..A.,, ,i City of Atlantic Beach APPLICATION NUMBER vA r ' ,\ Building Department (To be assigned by the Building Department.) tla SeminolecRoadiiiFI\\ C.E i '7 _ CO,�:� L �� Atlantic Beach, Florida 32233-5445 V L LJIJ Phone(904)247-5826 • Fax(904) 247-5845 + ft A. DR q� E-mail: building-dept@coab.us Date routed: l Z- ( /17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z�Q A-QIVC) Lt \ Department review required Yes No (Building, Applicant: SU PC---g-( p R. P ,KDc_E tanning &Zonis r Tree Administrator Project: & CC . u is o tic Utilities ublic Sae y 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 /l fc' f 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: eZrApproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING � PLANNING &ZONING Reviewed by: //� Date: (2-1/—f_f 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. ElDenied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 .01.J-r:rj, City of Atlantic Beach APPLICATION NUMBER J� A Building Department (To be assigned by the Building Department.) s 800 Seminole Road r�(�� �- �� Atlantic Beach, Florida 32233-5445 ��v�,�_1 — v Phone(904)247-5826 • Fax(904)247-5845 Jp; �? E-mail: building-dept@coab.us Date routed: 1 Z /1 17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM c� r icj Li. De artment review required Ye No Property Address: 2�C7 C� q Buildin Applicant: SU PG-,e(oiz., �,�c___G_ lanning &Zoning Tree Administrator Project: j �Iv0_- - /PublicoW ks---_ lic Utilities Public Safe Fire Services RAJOIWi #':, < . #. D.ept Sigt atuI-- 1 Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation X •• (- St.Johns River Water Management District v Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. nDenied. [Not applicable (Circle one.) Comments: BUILDIN� PLANNING &ZONING Reviewed by: Kil `-- Date: 1.:71 •`"/ '19 TREE ADMIN. Second Review: nApproved as revised. nDenied. nNot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. fNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 0` 'j-f, BuildingPermit Application Updated 5/5/17 pp A �l City of Atlantic Beach y5 `_` "= OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 r A}r Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 2'S' M�c -.Lt'r�`5'r' Permit Number: r SCE t7-00E6L Legal Description 5 T (M/' JP( .+ 0-(‘ Au.--\ Ale e 1 Se.-(--tom RE# Valuation of Work(Replacement Cost)$ /)61--" 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 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 det it the type of work to be performed: // (Zekve.l et AA w +n of ir•s44,lle�-�d`-N at h —Tem o en 1,Grec (^/4w) Florida Product Approval# for multiple products use product approval form Property Owner Information Name: Gft!vuS'To1'tf�-(5LorSt. /Sti7A--tri- HLgyi, Address: ZSg G tii}GuoLf,- S'1- City /-1-1- .-Ttr_ (Ed State FC- Zip 32.233 Phone g7o-c/Fi- ?ZIT" E-Mail CriPt✓L_C i LCO re"-{ ,.J@ 6.P—tan t c.- , ca.-,,t_ Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information / `� Name of Company:S)? 'IOg. ( `e 7 kit l //"It- Qualiying Agent: Address JAL/70 ///6/Y 4(16 City< nC � t/�LLC State Z Zip` � Office Phone 4/O< 382_ 2 / Job Site/Contact Number State Certification/Registration# E-Mail ----` Architect Name& Phone# Engineer's Name&Phone# /A A Workers Compensation V 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 RECORD ING YOUR c E OF COM ENCEMENT. 1 ,i— (Signature of 0 %•r Agent) (Signature of Cont - or) (includin!contractor) Si ed and sworn to(or affibefore •:this day of Signed and sworn to(or affi - ed)before me this day of NnlitOV , Z©(7 ,by 1 - wifali1 1-.0ocSe •y Milkl:AWX .. ,_. _ _4—Sigrtatvle tti . )a (Signature of Notary) ''::'''`• TONI GINDLESPEPGER =' -T;"__ MY 60.M ISSION,#FF 924951 Ass EXPIRES:October 6,2019 P cr�c;°•• bended Thru Notay Public Underwriters [ ]Personally [ ] •-rsonally Known OR [ ]Produced Identification L�� -//6, _&/ — [ ]Produced Identification Type of Identification: PType of Identification: 1 C24 -1Th : V'impo \ p CITY OF ATLANTIC BEACH rI 42'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. Zs' A6r•voLlft .r T- 77a-6I"- eh.3 sr- ADDRESS PHONE NUMBER C64✓t...(ST0,43 - 12 . . &{' PRINT N• E ilyg / /` ?e) — 2-0 ) ..? • SIGNA r111/0DATE Before me this .. ()day of C)\J 200n 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. (�\\ - - ,;til 24951 Notary Public at Large,State of 1 ( ,County of -- k VQ�( FFp2019 L..: •-.^,ier5 ❑Personally Known � D Produced Identifica . i1_y�, ! . — Notary op 111A A Signature: ;o*:,0.,,,'' TO ^ _ ,?. a g4'; NI«INLLESPERGER �u- MY COMMISSION FF 924951 F:/BLDG/Owner-Builder Afiadavit;REVISED:4116t2009 I. fy,�I',��,.oP= EXPIRES:October 6,2019 F,; Bonded Thr Notary Public Undervmters MAP SHOWING SURVEY OF LOT 495, PLAT OF SECTION No. 1 SALTAIR, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 10, PAGE 8, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SEASPRAY AVENUE 50' RIGHT OF WAY PAVED PUBLIC ROAD —--—-FOUND 1/2'11- $7 11 NO CAP 1 \.1)\.1)� �v 0ta Nl_ j.:)-N I LOT 482ILOT 494 4'CHAINS FOUND 1/2.IRON ( 100.18' FIELD ) I LINK FENCE 1 y�.PIPE,NOCA--._ --- 00.00 -- 0.8' I O / FOUND 1/2'IRON • PIPE, CAP ILLEGIBLE l v 0.1 0.7' 'I D WOOD DECK BRICK WALK _�� A Z 19.9' o O IurI5, f CONCRETE .� DRIVE N D r_ U I p 15' 3.9 p -<D LOT 483 :0 . R 2 STORY FRAME X 1 DECK Orn o p I > N WITH VINYL SIDING 0 .1 mQ I co RESIDENCE No. 258 3.9' O m o� o p o c bg I 5.0 19.9' v C� I M 45.3' Q1- o m 0.9' I `+ v PLASTIC❑ ."3' WOOD . D T O A/C PADS FENCE .—- B I ' 1 FOUND 1/2'IRON. 0.1 ' 0.6' PIPE, NO CAP PIPE,NO CAP 1 00.00 ( 99.80' FIELD ) I .I I LOT 484 I LOT 496 \`\ NOTES 1. THIS IS A BOUNDARY SURVEY. 2. NO BUILDING RESTRICTION LINES PER PLAT. 3. INTERIOR ANGLES PER FIELD SURVEY AS FOLLOWS: A = 90'03'58" B = 90'00'41- C = 90'25'08" D = 89'30'13- 4. NORTH PROTRACTED FROM PLAT. 5. ALL FENCES SHOWN ARE 6' WOOD PRIVACY FENCES, UNLESS LABELLED OTHERWISE. ? 10 z0 410 SCALE: 1" = 20' THIS SURVEY WAS MADE FOR THE BENEFIT OF CHRIS LOOSE & SUJATA NARAYAN. THE PROPERTY SHOWN HEREON APPEARS TO LIE COMMUIITY DEVELOPMENT IN FLOOD ZONE "X" (AREA OUTSIDE THE 0.27. ANNUAL CHANCE FLOOD PLAIN) AS WELL AS CAN BE DETERMINED FROM THE FLOOD INSURANCE i"1 i PROVED RATE MAP No. 12031C0409H, REVISED JUNE 3, 2013 FOR DUVAL COUNTY, FLORIDA. DON . OATWRIGHT, P.S.M. � D THE ORIGINAL RAISEDSEAL OF A FLORIDA LICENSED FLA. UC. SURVEYOR AND MAPPER No. LS 3295 SURVEYOR AND MAPPER.' FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE:• DECEMBER 9. 2016 DRAWN BY: JDBJSWC 1500 ROBERTS DRIVE FILE 1: 2016-1449 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF REF:2011-0313