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740 PLAZA - FENCE �� CITY OF ATLANTIC BEACH "- ' .-, 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ----_-.0;119,' INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0072 Description: 3.5' FENCE Estimated Value: 200 Issue Date: 7/16/2018 Expiration Date: 1/12/2019 PROPERTY ADDRESS: Address: 740 PLAZA RE Number: 171289 0000 PROPERTY OWNER: Name: LLOYD JEFFREY J Address: 740 PLAZA ATLANTIC BEACH, FL 32233-3932 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: FNCE18-0072 Description:3.5'FENCE Applied:7/2/2018 Approved:7/13/2018 Site Address:740 PLAZA Issued:7/16/2018 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233 Status: ISSUED Applicant:<NONE> Parent Permit: Owner: LLOYD JEFFREY J Parent Project: Contractor:<NONE> Details: OWNER BUILDER LIST OF CONDITIONS SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 7/3/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 2 7/3/2018 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 7/3/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 4 7/3/2018 RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 7/3/2018 FENCING REMOVED INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All old fencing must be removed from job site by Contractor. Printed: Monday, 16 July,2018 1 of 1 s'r��sy�`Jrr, City of Atlantic Beach APPLICATION NUMBER 4 Building Department (To be assigned by the Building Department.) 4 800 Seminole Road �I�CTI I - O Q7 ,�,Y*, -,1Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Z / p �oll �r E-mail: building-dept@coab.us Date routed: `` D City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 740 aDepartment review required Yes o uildin 0Gan.c_ Planning &Zoni ` Applicant: < ng _ Tree Administrator_ Project: sk)ub`f'c W°r`T u IiG Utilities 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: K3proved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILD' 1 PLANNING &ZONING Reviewed by: Kir Date: 7,7/20iQ 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 A-t Building Permit ApplicationOFFICE COlat d5/5/17 A City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 r it v Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: --/ l D 7 AZ h Permit Number: I �C�, 0 -C.0 / Legal Description RE# e.,25 Valuation of Work(Replacement Cost)$ 2bO— 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 • 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: --cer\O-e___. .. tgi Ca Florida Product Approval# for multiple products use product a pX 4ic n\ Property Owner Information a- Q O 1-7. Lip Name: 'J-r4•( k v4. d Address: -7�-1 b 7/4 L,., O IA - 0 FJ City 1CtL 13c',tc'� State Zip ,322 i3 Phone ycscl Ly7 O3o w U Q 0 < o E-Mail i��->r`) 0 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) O Z CCZ Contractor Information U H N Name of Company: Qualifyinri€rt: CC a ►- z Address Ci StateZip L2L Cu_ 1 2 Office Phone Job S' ontact Number C] O w W al State Certification/Registration# - ail ¢ 0 Architect Name&Phone# uj V w W W Engineer's Name&Phone# 5 Workers Compensation IL/ Q UJ Exempt/Insurer/Lease Employees/Expiration Date CC CC 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 RECORDIN -YQIJR NOTICE OF COMMENCEMENT. d'gg.rdr)'-- ure of Owner or Agent) Si nature of Contractor) (Signature(including contractor) ....!_ye nd sworn to(�oor--�a�ffir r)befor- me this day of i Signed and sworn to(or affirmed) before ., - his day of < ,�2r,U,by W,� '� ' . 40AI _ ` ,by vino ,1,711111 _ , __ (Signature of Notary) (Signature of Notary) ?,. •!; 70NI GINGLE5PERGER =�: .= MY COMMISSION#FP 524551 ,:•,:„.. a o IN=S:O a G,201 f °#'erGgR IyrZt* ) ersonally Known OR uuic•nJ2nv,ers ,00 5_�. ] roduced Identification Type of Identification: CO�•V `� ��Type of Identification: �Sr;��J;y�, City of Atlantic Beach :: APPLICATION NUMBER �s ' Building Department A (To be assigned by the Building Department.) ,, JUL 0 %� � 800 Seminole Road (� Q r� Atlantic Beach, Florida 32233-5445 3 208 ' tC_E t , ✓ 0 07 Phone(904)247-5826 • Fax(904) 24 445 r�11 �� E-mail: building-dept@coab.us BY: _ Date routed: ___7__/_a_l_a____ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 740 L A Department review required Yes No Bdin Applicant: CADn._kPlanning &Zoning �, Tree Administrator Project: F"---ENC—E _ is (31v-- •cs u IiG Utilities 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: l✓Approved. nDenied. fNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: 7''/-�� TREE ADMIN. Second Review: I 'Approved as revised. nDenied. ( 'Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 MAP SHOrrING BOUNDARY StRVE'Y OF LOT 1(p BLOCK 5 AS SHOWN ON MAP OF Oyr.-L P, LA')S CJ1JJT TA./0 AS RECORDED IN PLAT BOOK 0 PAGES ',4- 91/)OF THE PUBIJC RECORDS OF DUVAL COUNTY, F"r;.,:,A. CERTIFIED FOR: M/c..//:-)."--7 ;<. f` ,!..9C?, 4. h'.= L'j IDAA?--Alo.eTv/9GC nOMr;;: _� C.et-^.-,',-',t) /��7/ :Atkin 7//:G 1�1s'(c' ; /3- uscv,�4,t;2H�.��••-•• . -.-_ • S. 859 37 ' l7" C EU.GS ' a 370,-z T' .r \' I v N �. 1 � � v CO2 - _(._L_ . a e . ,, ' • . . . (, ) /5 v' 4, M V j�2 i, ✓ G C `/ N.) •AG� 7- QJ Co• t�Cj..w_� C2 I 1,1P . &.i . :::-../•r c) m h N / sTY .� _ I _ - 'RI Cur& . Q LOGA< s N m / f NI \ , k/00/D '¢ 740 . N 0? 0'.� A----(\, '< 0 0 • o O vi �/2 / s.Uh p ^' i /✓./ " 0 . !. — 0.3 0 4- g /o' / A:.',4--)45 0 TZ •y 6,5-AT•7" -.7 1,e; l • -- — ———_ — '' M,'u Not ( 74•( 5 . /C/ 66" 37' 27" kt r_. �_.. Go nJ[. 1*/NL<_ p0c� ix �� God ., .z..-7 I J\. n , NOT VALID UNLESS EMBOSSED WfTH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON k;.Lz LINE /` • THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD INSURANCE RATE MAP / FOR THE CITY OFA' , FLORIDA, DATED 4 - 7-89 . AND ., .... f rjt�l•aij., •... J ` `'• CITY OF ATLANTIC BEACH ..) , li%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. -7yo 7914 Zy7 - e336 ADDRESS y PHONE NUMBER PRINT` Lip / / SIGNA .,e....;:.-2 DATE /b C3/8 Befor me this day of". 0 [,( 1 ,2cLBn the county of Duva,State of Florida,has personally appeared by himself/herself and affi s that all statements and declarations are true and acc te. ""- j� / • 1�r'y3 70NIGINDLESP Notary Public at Large,State of 1 1 ,County of U V ' ;, i :*. MY COMMISSION#FpGER ❑Personally Known `BOO - Bondedyh N 4. ❑Produced Identification A ' �� ( '""- ru Notary #. ?e ilk ';Fpf�`" 00 ecu Notary Signature: F:BLDG/Owner-Builder Affadavit;REVISED: 4/162009 owv.p.ye, City of Atlantic Beach • y APPLICATION NUMBER J1 01.4* .3� Building Department DEC E I ~_ (To be assigned by the Building Department.) ' . �, � 800 Seminole Road (��C�f � O Q� !r Atlantic Beach, Florida 32233-5445 JUL 0 3 20103 1 \N -. Phone(904)247-5826 • Fax(904)247-t,5 L. Date routed: z mart �� E-mail: building-dept@coab.us City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRACKING FORM Property Address: 740 cL4Zk Department review required Yes No uildinq) Applicant: 0uoi\ .E2 ` Planning &Zoni�g----, Tree Administrator Project: F---E- c_E. i Utilities': Public Safety 7/ , Fire Services Review fee $ J Dept Signature ,2-j. 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: BUILDING PLANNING &ZONING Reviewed by: Y;2 -- ( �..-- r Date: c t TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. ['Not applicable PU r 4,1WIR, Comments: 'UBLIC UTILITIES '7- x -fr PUBLIC SAFET Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 as.a+vrr, City of Atlantic Beach APPLICATION NUMBER ( fr ) Building Department (To be assigned by the Building Department.) `I 800 Seminole Road - D D�Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) 247-5845 c;3 i• E-mail: building-dept@coab.us Date routed: �` City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 740 ç) 4\ç Department review required Yes No t ilding� Q(.,o1� E;2_ Planning &Zonings. Applicant: < _- _-- Tree Administrator Project: �c or<s u Iic Utilities z Public Safetr— �- 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: BUILDING �(j(/r •/• ' 7(e' r PLANNING &ZONING Reviewed by: "C. — Date:7 I I-1 O 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