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316 10TH ST - FENCE 1.-- „ -rte , `, '' CITY OF ATLANTIC BEACH Sit ":_,..._____.,y-r..) ,9 800 SEMINOLE ROAD �� ATLANTIC BEACH, FL 32233 r)111)_ INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0091 Description: 6 ' FENCE Estimated Value: 2581 Issue Date: 8/31/2018 Expiration Date: 2/27/2019 PROPERTY ADDRESS: Address: 316 10TH ST RE Number: 170030 0000 PROPERTY OWNER: Name: BROWN DANIEL J Address: 316 10TH ST ATLANTIC BEACH, FL 32233-5530 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. 01.Ai f, City of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the Building Department.) r `� 800 Seminole Road \ _ /l r� / �.® �� Atlantic Beach, Florida 32233-5445 —W) ��C� l lJ v 1 Phone (904)247-5826 • Fax(904)247-5845 •-..,011 c).. E-mail: building-dept@coab.us Date routed: CQ J/Z-C —_-_-_-)T-1 -- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: .) t (c I OL--(F- --(- De•artment review required Yes/ No Buildin. t/ Applicant: 0C.3N_Dj _'tanning &Zoning Tree Administrator ( Project: Co �(=1NDC is arcs tic 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: ❑Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: Dc:UILDINI. iv PLANNING & ZONING ��n i dal Reviewed by: / / 1 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 ass=�vf City of Atlantic Beach APPLICATION NUMBER �s f��� Building Department (To be assigned by the Building Department.)°` �C�� r j1 l 800 Seminole Road �.__,� �� Atlantic Beach, Florida 32233-5445 �` �'\ CE Phone(904)247-5826 • Fax(904)247-5845 Q Z—CD ri-FD ���� �? E-mail: building-dept@coab.us I Date routed: CJ�u J City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: :) I (n l (f -4--- Department review required Yes No Buildin Applicant: Qcpicja /arming &Zoning") Tree Administrator Project: LO t [=NDC is ores ,. tic Utilities Public Safety Fire Services Review fee $ Dept Signature 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: 7Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by. Date: 1 TREE ADMIN. Second Review: Approved as revised. ❑Denied. I '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 i-t* ,t.? Building Application A lication Updated 12/8/17 .�" 2 City of Atlantic Beach VW, 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 �j Job Address: 316 oma' 5t Permit Number: (�''NCC( 8 -Oo ( Legal Description RE# h Valuation of Work(Replacement Cost)$ oC Sb./ 15:4Heated/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 nyetr�ef are to be removed or Affidavit of No Tree Removal Des ribe in detail the type of work to be perfo meJ 1( cc c� e� �5 v1c e_ 451- e1�pew- K� C Q V' f_hot3 C -c-tross cQ Florida Product Approval# for multiple products use product approval for Property Owner Information 'Q Name: Ca-A_ ✓�Q- V m win Address: 31/0 lv �, 54-` City Pt+120 -Y\-k(.C_ VD C41State PL_ Zip ?2 L2_3�j Phone 0.04-05-5-3 — R �a E-Mail c_a_V,NG bVtt ' C7 popN, Owner or nt(If Agent,Power of Attorney or Agency Letter Requi e ) Contractor Information (' Name of pany:S i (Jer f a J Fe_ Cc' Qualifying Agent: Address 9 S D LC_S (").t City State it Zip 3.2..2 o 7 Office Phone (9 D Lr) 13d — O�'' Z Job Site/Contact Number State Certificate /Regist ation# 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 R ORDING YOUR NOTICE OF COMMENCEMENT. . / (Signature of Owner or Agent) (Signature of Contractor) (inclu. .ntractor) Wed and sworn to(or affi -. bef. - e thi - .a of Signed and sworn to(or affirmed)before this day of Ze__)LSbY e O , , by O (Signature o-7411 * -•4 -�► (Signature of Notary) M P� TONI INDLESPERGER [ ]Personally Known OR _,: LAik MY C• MIlSI} iorgbi'aif§1Kno n OR EXPIRES:=.;r.� =a [ ]Produced Identification }t0et rit-.s ification n '•:;,o�FL°;�' Bonded Thru N.. Public .ervrrt-s Type of Identification: —= >.. _ .n: r rt tLA,'1 1,,\ J- . I,% CITY OF ATLANTIC BEACH z �• Ii%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. 3110 f0fh 't- r _ e ADDRESS — P�IQNE NUMB PRIN ,.• E w1IA (.�/� . j }f'-r iA)1c1 I4,4,,frfiE /,/t. f' ,,( A,p,, ,/�1 2/A6 )1,O I mow% CJ DATE f Bi= •re me thisZOday of ,201.t the county of Duval,State of Florida,has personally a pe ed herin by himself/herself and affi s that all statements and declarations are true curate. Notary Public at Large,State of F( ,County of 1 ❑Personally Known 5 O ----4‘zalk ❑Producedltlent�catio - _ —�©a _ ,•'Vic, TONT GINDLESPERGER _: MY COMMISSION#FF 924951 Notary Signature: ` ...1 = P EXPIRES:October 6,2019 %.o ',,` Bonded Thru Notary Public Underwriters F:BLDG/Owner-Builder Afadavit REVISED: 4/16/2009 tyLl.r City of Atlantic Beach APPLICATION NUMBER t';i:/ �J� � Building Department (To be assigned by the Building Department.) J��; i 800 Seminole Road (� 00 / J„' „r Atlantic Beach, Florida 32233-5445 AUG 2 i- �`��� C `” Phone(904)247-5826 Fax(904)247-5845 20.3 �J,319'' E-mail: building-dept@coab.us Date routed: /Z.-CD i FD City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ( ( , l 6-(/--- -T" De•artme_ nt review required Yes No :uildin• Applicant: 0(-U c/ _'tanning &Zoning) Tree Administrator Project: (9 [=-f _DC is Worcs ublic 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: Approved. ['Denied. ❑Not applicable (Circle one.) Comments: BUILDING / PLANNING &ZONING Reviewed by✓ 72z ,i2 Date: obi-/(� 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 4i�.L��;y�, City of Atlantic Beach APPLICATION NUMBER (s Building Department (To be assigned by the Building Department.) cpc / ,� IA 800 Seminole Road — 7,..„.„ _ Atlantic Beach, Florida 32233-5445 AUG Z 1 2018 I�C� g O V~ Phone(904)247-5826 • Fax(904)247-5845 Q 7 ••...,01119 E-mail: building-dept@coab.us ;y:_ Date routed: CJ/L-�FFD City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: SI- (7 16-(1— 4- De artment review required Yes No _Buildin Applicant: 0c:0,3 c I` anning &zoning) Tree Administrator Project: LO ( F1i _DC ,Pu iEVATrc�s_.) ublic Utilities Public Safety Fire Services , Review fee $ g Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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 p PLANNING &ZONING � O 22. 8 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. EI Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. FNCE18-0091 Tax Folio No. State of FLORIDA County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 5-69 16-2S-29E ATLANTIC BEACH LOT 5,E 30FT LOT 7 BLK 12 Address of property being improved: 316 10TH ATLANTIC BEACH, FL 32223 General description of improvements: FENCE Owner BROWN JEANNE BRODEUR Address 316 10TH ATLANTIC BEACH, FL 322.23 Owner's interest in site of the improvement_ Fee Simple Titleholder(if other than owner) Name Address , �t Contractor i�/ /4 Address Phone No. Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill In at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY , , O, NER Signe.. �,1,!4A_. J• - .�. DATE Before de this 1 •ay of -._ _ . in the Cou,e f Dux:,.a e of Flora,has.-<ona ly appeared 20.rA N. S n • i Y O i.v Yl hergln by Doc#2018206770, OR BK 18512 Page 698, himself/herself and affirms that all statements and declarations hereirn'v PHYLLIS g are true and accurate :•'o'''' C4!'• f H r LLIS H.NADEAI,1 Number Pages: 1 MY COMMISSION Si GG 2270; Recorded 08/31/2018 02:45 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL 'y'�►`''°' EXPIRES•June11,2022 'R7,n;?," Bonded'Rua Notary FabricUndone' COUNTY RECORDING $10.00 Jotary Public atLarge,State of ',County of Ay commission expires: 4.—l 'ersonally Known ^' rn Produced Identificationir) • </ % I . A.!- SHOWING BOUNDARY SURVEY OF LOT 5, AND THE EAST 30 FEET OF LOT 7, BLOCK 12, PLAT NO. 1 SUBDIVISION A, ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA_ CERTIFIED TO: DANIEL J. BROWN AND JEANNE BROWN SYNOVUS MORTGAGE CORP. TENTH STREET RICHARD T. MOREHEAD TITLE & ESCROW, INC. (40,0' RIGHT OF WAY) STEWART TITLE GUARANTY COMPANY N 79'57'48" E 80.19' (MEASURED) N 90'00'00` E N 50.00'00" E 20.00' (PLAT) 30owriow ,00' (PLAT) N 80'00'00' E 50.00' (PLAT) f4NOD�1/2-IRON E FOUND Lir IRON PIPE •.•. l ' EN NO IDENTIFICATION :•..• X5.5' N 80'00'00' E LOT 5 .1oo.00' (PLAT) BLOCK 12 u E. 'I• n � . .10 1- LOT 7 I •:''',.,:-1......1,'...:1:,'4:. 0 BLOCK 12 I A. "' ;' LOT 9 -----17-..f. PLANTER—�-� .'•, BLOCK 12 i t ••'• w 0,z "� t7'4 7,' x r , LLJ ,' re IX •y Lal Q. -I a ONE STORY LLI '� x S _ )4—.40 _h : MASONRY & FRAME g '=I,.• x 8 n o CONDITIONER POSTED 316 y_;• w' O PAD D �' ' • I • P�1 OD Nr r ralx `� 48.3' : LOT 3 In ?r 3 ;.• '4;' .1' 11Z.7" w W BLOCK 12 8 r ~ ' "O • • ' � O ,r;,.., fr • .• • , ,..4,,,,'. ..' : COMMUNITY �EVELOPM 1-8 ' ,�, � :: .r: at ENT / APPROVED I LLL MASONRY LLLLLLL ,51 & FRAME - x i L LL.LL`.IlLg i `I GARAGE I 17.6' �LLLL LLLLLL. l I L_LLLLL L 5 600'00" W MASONRY 27.8' 0' 0.1 0.7' 20.00' (PLAT) f0.7' 0I.F a7' `..:A1�RiAATR -A -xllE---.a Aims-.. Y FOUNO 3/4' IRON PIPE: 0.8 S 80'00'00' W S 80'00'00" W 50.00' (PLAT) FOUND 1/2' IRON PIPE NO IDENTIFICATION 30,00' (PLAT) NO IDENTIFICATION LOT 4 S 79'57'05" W 79.59' (MEASURED) BLOCK 12 LOT 8I LOT 6 BLOCK 12 BLOCK 12 REVISIONS NOTES: ACCEPTED BY: ' DATE DESCRIPTION JOB # 08-0135 1 DATE OF FIELD SURVEY: 05-30-08 DATE OF ISSUE: 06-01-08 SCALE: 1" = 20' NOTES: 1. BEARINGS ARE BASED ON THE ASSUMED_ BEARING OF N I0.00'00' W ALONG THE % G T 0� EL 2. BYWESTERLY GRAPH C PLOTTINGBOUNDARY UNE ONLY,,FTHEBJECT CAPTIONED LANDS UE WITHIN FLOOD ZONE X AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL 0001 0 X31 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. linI 4. THIS SURvEY IS NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. CERTIFICATE LEGEND: 1 HEREBY CERTIFY THAT SURVEY WAS MADE UNDER NY RESPONSIBLE CHARGE AND MEETS TME YINWUN TECHNICAL STANDARDS AS SET FORTH 8Y Twg FLORIDA R = RADIUS BOARD Of PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61017-6, FLORIDA 4%i' ADMINISTRATIVE C•.• 'SUANT TO SECTION 472.072, FLORIDA STATUTES. L z+ LENGTH 0. 1008 Loring Avenue �� x = FENCE Suite 29 ' 0v. CONCRETE Orange Pork, FL 32073 CHARLES K. MC/NTOSH (Phone) 904-215-0900 (Fox) 904-215-0910 REGISTERED SURVEYOR AND MAPPER /I 5502 STATE OF FLORIDA Licensed Business # 7381 Z9 39Val ENIA3118f1S 3S11OH1H9I1 0I609TZ1206 17T :L0 800Z/Z0/90