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364 4th Street A - Fence Permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 -5814 INSPECTION PHONE LINE 247 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0037 Description: REPLACE EXISTING DECK ONLY (not cover porch), REPLACE FENCE Estimated Value: 1700 Issue Date: 4/17/2018 Expiration Date: 10/14/2018 PROPERTY ADDRESS: Address: 364 4TH ST A RE Number: 1698240002 PROPERTYOWNER: Name: FOX LAURA A ET AL Address: 352 7TH ST ATLANTIC BEACH, FL 32233-5434 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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. Permit Conditions City of Atlantic Beach Permit Number: FNCE18-0037 Description: REPLACE EXISTING DECK ONLY(not cover porch), REPLACE FENCE Applied:4/5/2018 Approved:4/17/2018 Site Address:364 4TH ST A Issued:4/17/2018 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233 Status: ISSUED Applicant: <NONE> Parent Permit: Owner: FOX LAURA A ET AL Parent Project: Contractor: <NONE> Details: LIST OF CONDITIONS SEQ NO F ADDED DATE REQUIRED DATEJ SATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 1 4/10/2018 1 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 2 1 4/10/2018 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell's,Inc.,Republic Services,Donovan Dumpsters). Container cannot be placed on City right-of-way. 3 1 4/10/2018 1 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 4 1 4/10/2018 1 FENCING REMOVED INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All old fencing must be removed from job site by Contractor. 5 4/10/2018 DECKING REMOVED INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All old decking must be removed from job site by Contractor. Printed:Tuesday, 17 April,2018 1 of 1 000 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 IV 7 Phone(904)247-5826 - Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3(Z� A Department review required Yes No uitdin 2=;� V Applicant: r(z % a4]�� - Tree Administrator P roj e C t:zr 4mcf d_eA v8f,9 40 r0h) I--- LcUWate� 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. DNot applicable (Circle one.) Comments: PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: DApproved as revised. 0DW-fled. F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. F]Denied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 _no Phone (904)247-5826 - Fax(904) 247-5845 Date routed: OT"19' E-mail: building-dept@coab.us City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM 2 '��- .3�� 4Deent review required Yes Property Address:— ui p ;v uildin Applicant: n Tree Administrator Project: d P,"h) lace_ _F�nc_lf_ 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: OApproved. []Denied. [:]Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by:4 Date: q4- I ? TREE ADMIN. Second Review: ElApproved as revised. []Denied. ONot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. ODenied. F]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 %_b City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road (V -no U Atlantic Beach, Florida 32233-5445 APR 0 6 20"," 7 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us L Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: D nt review required Yes No Applicant: Tree Administrator Project: 6(c dn�,,�ngf�v V�er"� po ach) (—PiLbILc-Wor� 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: VA/pproved. []Denied. [:]Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING R e v i e w e d b y D a t e: #-/fl IAP TREE ADMIN. Second Review: F]Approved as revised. E]Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. F]Denied. [-]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road APR 0 6 2014 L'E" lv :m 7 At antic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904) 247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http-://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -Departypprit review required Yes No Applicaft, � C"' � Tree Administrator Project:4400C jzcjt&��e V�_-r'o d '_-:�Ic U Public Safety Fire Services Review fee Dept Signature Lzf L4_� 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: [JApproved. []Denied. dNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: F —]Not applicable ]Approved as revised. E]Denied. PUV WORKS Comments: Ll TILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [-]Approved as revised. nDenied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: _::S� Permit Nlumberfqvcl� [3 01;�A Legal Description RE# Valuation of Work(Replacement Cost)$ eated/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 esidential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes �,'o -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: 4_111� _14,1�lzez Fl 1�pproval# for multiple products use pro'Xuct approval form Property Owner Information Name:Z Address: city State Zi Phone E-M a h Owner or Agen�(if Agent, Pm of Attorney or Agency Letter Required) Contractor Information Name of Company: _7-5 Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation 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. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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 NOTIC��OFF COMMENCEMENT. taignature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this 'C')*day of Signed and sworn to(or affirmed)before me this day of Nt�I , 2,o)rT_, by Lv-,,ro. Ar\r\ by GRACE MACKEY &A4e, N I (Signature of Notary) 141.1 nature of Notary) ., -.1- W COMMg5SION#GG 042911" EXPIRES�October 27.2020 lie Undemlit"s rggeWtr o�AyL. ]Personally Known OR i ' tion ]Produced Identification ype of identification: 717(__0A*1r\IS n SC Type of Identification: CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. 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 WITIHN 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 T14AT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. 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(l). 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. ,// /,"'L ADDRESS P�IONE NUMBER PRINT N ME DATE Before me this day of 20 in the county of Duval,State of Florida,has personallytappeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of 1q0A J& County of 0, 429i 9 02 GRACE mnK Personally Known .......r ,)42999 duced Identification- 0/)ye,_Is e4 Ce p\k MyrOMMISSIONIgrG E)(pIREs:October 27.2020 "rWn J]m public Underwiriters h..%7 Bonded Thru Notary Notary Signature: F/BLDG/Omer-BuilderAffad�igVISED*4/16/2009 MAP SHOWING BOUNDARY SURVEY OF LOTS 23 AND 25, BLOCK 5, PLAT NO. I SUBDIVISION "A" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. CERTIFIED TO: LAURA A. FOY AND LAURA H. BRIGOCKAS FIRST SOUTH BANK STEWART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD, P.A. FOURTH STREET (40.0-RIGHT OF WAY) FOUND 1/2-IRON PIPE 100.00' (PLAT) NO IDENTIFICATION 80'51'13" E 100.03' (MEASURED) FOUND 1/2'IRON PIPE FOUND 1/2-IRON PIPE 0 E Tin NO IDf!NTincApoN 5D.00 50.00' -0.1' ,55aDo'(PLAT) 0 O-r(MEASURED) .6 d Ld > 3: C) -a- 25.0' ?5.0, 6.4' x U) <c 0 6 DO ED to < w Of m_0 0 0 X of 1, 00 , . I I z Ci ci V) 6 woo b%Ul C; X Lo V) Uj V)uj cq <W - LOT 27 -E ul V -:2 U) LOT 21 0 0 0 BLOCK BLOCK 5 a- z< 25.0. 6.9' .0 C) b LOT 25 LOT 23 commu I GO NITY DEVELOPMENT z BLOCK 5 BLOCK 5 0 1 V) APpF� K OVED -'0 D* 4qz' ONE hTORY GAjArE 42' x '% 50.00' �2' FOUND 1/2-.1RON PIP] -59'52' W NO IDENTIFICATION No IDENTI CATOM S 80 99.80' (MEASURED) FUND 1/27 IRON PIPE IOO.DO- (PLAT) LOT 26 LOT 24 BLOCK 5 BLOCK 5 NOTES. ACCEPTED By, LEGEND: R - RADIUS —X— = FENCE L - LENGTH = CONCRETE NOTES, ASSUMED ALONG THE REVISIONS 1. BEARINGS ARE BASED ON THE BEARING OF N lo-DooDon W - WESTERLY BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION 2- BY GRAPHIC PLOTnNG ONLY THE CAPTIONED LANDS LIE VATHIN FLOOD ZONE—X AS SHOWN ON THE — NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 1989. COMMUNITY NUMBER 120075.PANEL 0001 0 --- 3. THIS SURVEY REFLECTS ALL EASEMENTS& RIGHTS OF WAY AS PER RECORDED PLAT A,/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERVASE STATED. NO OTHER TITLE VERiFICAlION HAS BEEN PERFORMED BY THE UNDERSIGNED 4. THIS SURVEY NOT VAUD WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. JOB # 12142 DATE.OF FIELD SURVEY: 07-27-00 DATE OF ISSUE: 07-31-00 SCALE: i" = 30' CERTIFICATE 2522 O.k St—t I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER My RESPONSIBLE CHARGE Flo,ld,32204 AND MEETS THE MINIMUM TEOWC�L STANDARDS AS SET FORTH BY THE FLORIDA B BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER SIG17-6.FLORIDA ADM..S. `SLIA�.TSAE Al 47�0 FILOQI;�fATUTI�. To L MICHAEL J. Alcl LICFNSED BUSINESS 111 8702 REGISTERED,SURVEYOR AND MAPP 4.879 STATE OF FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIMSIONS