The URL can be used to link to this page

1046 HIBISCUS ST - FENCE s,, ,,v.'"%,, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER r s, FNCE18-0125 y� CITY OF ATLANTIC BEACH ISSUED: 12/3/2018 800 SEMINOLE ROAD ''''.-91119' ATLANTIC BEACH, FL 32233 EXPIRES: 6/1/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1046 HIBISCUS ST FENCE WALL OR BARRIER FENCE 6' FENCE $400.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171002 0050 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: MANDARIN 13690 LONGS LANDING RD W MANAGEMENT SYSTEM WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters, Phillips Containers). Container cannot be placed on City right-of-way. Issued Date: 12/3/2018 1 of 2 S"', FENCE WALL OR BARRIER PERMIT PERMIT NUMBER dici. ri T1s, FNCE18-0125 CITY OF ATLANTIC BEACH is " 800 SEMINOLE ROAD ISSUED: 12/3/2018 '''- 4011 9''' V ATLANTIC BEACH, FL 32233 EXPIRES: 6/1/2019 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. .1 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing must be removed from job site by Contractor. 5 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Fence cannot be installed on City right-of-way. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CHECK 455-0000-3224001 0 $17.50 FENCE 455-0000-322-1000 0 $35.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $81.50 Issued Date: 12/3/2018 2 of 2 r, City of Atlantic Beach APPLICATION NUMBER ABuilding Department (To be assigned by the Building Department.) jir 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 �� 917 E-mail: building-dept@coab.us Date routed: 11 f l L C City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ( 04( L `f ID( scoz ( Department review required Y7/ No Applicant: GL) 3GXL— arming &Zoning j Tree Administrator Project: C. u lic ti sties Public afety 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: 24Proved. ❑Denied. ['Not applicable (Circle one.) Comments: UILDI� PLANNING &ZONING Reviewed by: Date: //-26 der f TREE ADMIN. Second Review: ❑Approved as revised. ❑De led. ❑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 - la ;i, City of Atlantic Beach APPLICATION NUMBER JS r Building Department (To be assigned by the Building Department.) ' 800 Seminole Road 1� sl Atlantic Beach, Florida 32233-5445 F �\C t s _0 12 S / Phone(904)247-5826 Fax(904)247-5845 l c r j )/ E-mail: building-dept@coab.us Date routed: 1 i LJ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: l 04(2 ( 1 f l 1� c ( Department review required Yes No dingy Applicant: LA...) &Zonin—� Tree Administrator Project: u lic 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:Review: ? BUILDING PLANNING &ZONING _ IC Reviewed by: / Date: TREE ADMIN. Second Review: A roved as revised. Denied. ❑ pp ❑ ❑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 ittifric, City of Atlantic Beach APPLICATION NUMBER Building Department _� (To be assigned by the Building Department.) 800 Seminole Road• ,,, .)'411111 � r� Atlantic Beach, Florida 32233-5445 AI V1131'� � O L./ �� Phone(904)247-5826 • Fax(904)247-5 I11 L9 a r c E-mail: building-dept@coab.us l��' .2018 U 8 I ' Date routed: I I / l L ` ( City web-site: http://www.coab.us BY. APPLICATION REVIEW AND TR KING FORM l O4 Co Lf L C `` Department review required Yes No Property Address: t �Ct.hS �; ( p q ,pandin Applicant: v(_,L) & Tree Administrator Project: CO u lic ti sties 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: 14proved. Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING /_/ ?Reviewed b ...‘&0,,,),404 Date: .p 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 ;;s ),:ut;yr, City of Atlantic Beach APPLICATION NUMBER # Building Department (To be assigned by the Building Department.) 800 Seminole Road CC!!'!`!V ` �\�( � ^1 [� ,3 . Atlantic Beach, Florida 32233-5445 GV+ t 'lJ -J Phone(904)247-5826 Fax(904) 247- 5 - r E-mail: building-dept@coab.us NOV y 2018 Date routed: I I L 9, C City web-site: http://www.coab.us APPLICATION REVIE&AND TRACKING FORM Property Address: !O4 (0 L4{ b( stz ,S ( Department review required Yes No Applicant: LA.) r( JG(L.- zPtanning &Zoning Tri ee Aaminissrator Project: ( — �C�- rbtic-Wurks--� u lic Uti sties Public Safety Fire Services Review fee $ Dept Signature G�'G(./ 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. nDenied. " 'Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: -Date: /r- 2(0--/cr TREE ADMIN. Second Review: ['Approved as revise . nDenied. ❑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,`,\ Building Permit Application Updated 10/9/18 ` City of Atlantic Beach Building Department **ALL INFORMATION ,4 r. r 1 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY \Wi1E/ Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED. /fit, P"�� f�� r Job Address: /0 +e AirLNSt—V` Permit Number: r�1v G.E.t '8 0 ( c S Legal Description Pt. lJ c o k Sc_,e_R , zS C I Lc�t" 5) IV (3 q J {7 I °C) ---e---' - 0050 Valuation of Work(Replacement Cost)$ r0 0 Heated/Cooled SF 4 Non-T�eldted)L of2c#' • Class of Work: ❑New [Addition ❑Alteration (epair ❑Move ❑Demo [Pool oWindow/Door • Use of existing/proposed structure(s): ❑Commercial Residential • If an existing structure,is a fire sprinkler system installed?: ❑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: - -SiSk gf v- PrerEr .1 ' ( 5 -33 Florida Product Approval# for multiple products use product approval form Property Owner Information cy � 3 . L „� Name Zc:s1 P/PfLArof4;2�- G rtY, Address ,Y4`O JlA � 1�€ City .a ; ;e,y-UI /(4' State s-L.. Zip 33- -a-.1 Phone -?.o.4.-__.1 ''la-73- E-Mail FE. i,tai2IAE 1OL, '&w1 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company 65-141v1 ) 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 Insurer OR Exempt❑ 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 regulating 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 RECOI7JG YOUR NOTICE OF COMMENCEMENT. (Signature of Ow 4-r or Agent) (Signature of Contractor) igned and sworn to(l a fir :1,{,.,r b- • : m- tin0 day of Signed and sworn to(or affirmed)before me this day of :0 ' A+, ;71;00-_--: AL 40(\ C- I. i;r1•e t , by . ,¢ MY C0i1MiSSICv# - , MINV 1 EXPIRES:October6,2019 e of►0 (Signature of Notary) ' _ Ec^ted Th-u Notay Pub c v . __ ign• [ ]Personally.Known OR [ ]Personally Known OR [ ]Produced Identification /- .., , _a.Q__3 (. 4 ]Produced Identification Type of Identification: �7— CEJ i 7 1 Type of Identification: F •. 1-J'Lt I•J , ? CITY OF ATLANTIC BEACHJO - ° ' %' ;4, 7 - 't%WNER / BUILDER AFFIDAVIT 4 s yr 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. '14 L4 7 I I.S-�ug — rC OD-• S c{ ..-0 4?-7..5 AD RESS PHONE NUMBER ?t)/1)/441 C:PALsibiAltt okilf( Mfielekie'W A 14."fli 41A-C" I PRINT NA 414 ,,,. %t r/4 //'g SIGNATURE DATE Before me this IC) day of (� 0 V) ,206n the county of Duval,State of Florida,has personally appeared herin by himself/herself and ffirms that all statements and declarations are tu�1(..— `e and accurate. ',�� Notary Public at Large,State of 1 C ,County of Y`1 0 ❑Personally Known • .9);Inliticed Identification Notary Signature: ¢..............? l , . YTCQCMANSSDILOENSPEFRF?ER49 51I , C . EXPIRES:October 6,2019 { ' IF:°' Bonded Thru Notary Public Underwriters F:/BLDG/Owner-Builder Affadavit;REVISED: 4/16/2009 —_ -- - - MAP SHOWING BOUNDARY SURVEY OF THE NORTH 13 FEET OF LOT 6 & THE SOUTH 25 FEET OF LOT 5, BLOCK 188, ATLANTIC BEACH SECTION H, AS RECORDED IN PLAT BOOK 18, PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: MANDARIN MANAGEMENT SYSTEMS, INSURANCE RICHARD T. MOREHEAD. TITLE & ESCROW, INSURANCE OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY . HIBISCUS STREET (50' RIGHT OF WAY) • S 00'18'00" E 38.00' (PLAT) • • S 00'09'45" E 38.08' (MEASURED) LB 1046 357.00'(PLAT) BLOCK . _ .•C1, - ' �DURDEN ^D CORNER 25.00' (PLAT) L 0.9' .. . 08 .2' 37.00' (PLAT) • • W I . F--* 1 0 o0 3.3' LOT 6 I--'.'•--' BLOCK 188 Cr) ":":;;;;117.\\, •• WING CENTRY AI L, 6. 5.8- COVERED ENTRY „W� ENTRY 15.4' �� ,. I% LOT 1 Li w BLOCK 158 LOT4 oapQ o �Io: � : < BLOCK 188 v p- p •• 1h o W a 4 a -,a a 0 opO� ,, 1-g 3I c1t''Ip" aa. p UT a o 0 0 �[) o 0 O) c O � 0�I``'- MIr ,_ b)_ oO 0 • Z _• 1' H N o3 ��%%%%��%/%/%// N � �D C7) CN - o • I 0 22.9' 4 11.6' I �CPATIOD ^0 I ��/1 �� W00�/� PF7AAD I GN. DECK LOT 6 (..0 1�/�1 BLOCK 188 LOT 5 BLOCK 188 -alp o< ,0.2 25.00' ole 13.00' 37.00' (PLAT) : 25.00' (PLAT) cPIAT" a+' � _ PLAT) x X X L.E 1046 0.3' X 1.2, L-1 DURDEN LOT 4 LOT 5 LOT 6 BLOCK 187 BLOCK 187 BLOCK 187 LOT 1 • BLOCK 159 LEGEND: L-1 Q = SET 1/2"REBAR PC = POINT OF CURVATURE N 00"17'50'' W STAMPED PSM�16146 38.10' MEASURED • = FOUND 1/2"IRON PIPE PT = POINT OF TANGENCY (MEASURED) NO IDENTIFICATION PRC = POINT OF REVERSE (UNLESS OTHERV,ISE NOTED) CURVATURE N �C W •= 4"x4"CONCRETE MONUMENT PCC = POINT OF COMPOUND 38.0000'' (PLAT) A/C = AIR CONDITIONER CURVATURE —X— = FENCE O." = CONCRETE Ray Thompson REVISIONS . 'l, SURVEYING, Inc- +Rirhttrb CT. Rurrhrttb DATE DESCRIPTION' (Going the DISTANCE for You' l�Zitlr ttnb +Es(2ruw, Jnr • � ) �'�' 1825 University Boulevard West • . 444 THIRD STREET • Jacksonville,Florida 32217 NEPTUNE BEACH, FLORIDA, 32266 r I' it milli (Phone)904-448-5125 (904)-247-5147 FAX (904)-247-6087 • (Fax) 904-448-5178 JOB # 34075 DATE OF FIELD SURVEY: 11-17-17 I SCALE: 1" = 20' NOTES: • CERTIFICATE 1: BEARINGS ARE BASED ON THE _PLAT BEARING OF --N X9524-09=1___ I HEREBY CERTIFY THAT THI •. ;••1� JN0ER MY RESPONSIBLE CHARGE ALONG THE NORTHERLY BOUNDARY UNE OF SUBJECT PARCEL AND MEETS THE STANDARr , -•ACTICE At. ORTH BY THE FLORIDA 2: BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE BOARD OF PROFESSI, MAPF" IN CHAPTER SJ-17. FLORIDA AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP, ADMINISTRATIVE Cr: 1y. VEYOM4I .DANT TO SECTION 47 LORIDA STATUTES. DATED: JUNE 3, 2013, COMMUNITY NUMBER: 120075 PANEL 4408.tL . 3: THIS SURVEY REFLECTS ALL EASEMENTS & RIGHT OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO L4 �.i OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. M O7 4: THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SURV AtK OF�SEAROMP l AND AUTHENTICATED ELECTRONIC SEAL.,PEND MAPPER6146 STATE OF FLORIDA LIC W. -41'''' t'1,'.. 7469 LAND SURVEYS -"'eRRI 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS