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1660 Jordan St FNCE19-0082 4' and 6' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0082 P 800 SEMINOLE ROAD ISSUED: 7/19/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 1/15/2020 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 1660 JORDAN ST FENCE WALL OR BARRIER FENCE 4' AND 6' FENCE $700.00 TYPE OF REALIESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1722880020 ED SMITH S/D COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: THOMAS JACQUELINE E 1660 JORDAN ST ATLANTIC BEACH FL 32233-4336 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. 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,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. 3 1 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. issued Date: 7/19/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0082 800 SEMINOLE ROAD ISSUED: 7/19/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 1/15/2020 4 PUBLICWORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing must be removed from job site by Contractor. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CHECK 455-0000-322-1001 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:7/19/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Fr,,�ce 19 -ODE) Phone(904)247-5826 - Fax(904)247-5845 -I E-mail: building-dept@coab.us Date routed: 7� (o City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: [6�,o � OP,(3fkk) Department review required YeV No i inq Applicant: 0 CAj ND GIZ_ .4;,tanning &Zoni_n`g��) Tree Administrator Project: r-�'j CP- u lic W — I _/-P`6"blic Ut'ilifies 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: RA-pproved. ElDenied. E]Not applicable (Circle one.) Comments: &ZONING PLA Reviewed by: Date:71-7'1� 0a TREE ADMIN. Second Review: FlApproved as revised. FIDenied. V F]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 OFFICE COPY Building Permit Application Updated 1019118 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: lbuc) _�Vjnd Permit Number: 5�u-. 9 Legal Description a VN U_ —RE# Valuation of Work(Replacement Cost)$:7 Heated/Cooled SIF Non-Heated/Cooled • ClassofWork: ONew DAddition DAIteration DRepair ElMove E]Demo ElPool E]Window/Door • Use of existing/proposed structure(s): DCommercial W6esidential • If an existing structure,is a fire sprinkler system installed?: Dyes XNo • Will tree(s) be removed in association with proposed project? E]Yes(must submit separate Tree Removal Permit) KNo Describe in detail the type of work to be performed: qqlas_�'IN Od _�ty\tq_, LU (_.C2 + Zi 0 Z Florida Product Approval# for multiple products use product approv wry.j Z PropertV Owner Information :i 6 0 CL Name 'ti�_ AM6&yn 7V,70"w'� Address 1(pGo JIQiJL1tA ;bt n City #,A-1AnA7;e_ it)qacl State --irk Zip 37.L55 _PhonJ_(kD,4) 9U4- 8b"50 0 Ca Z E-Mail U Owner or Agent(IfAgent, Pm�er of Attorney or Agency Letter Required) -M < j3 - Z Contractor Information U. L) Name of Company Qualifying Agent X U) - Z Address City State Zip n W Office Phone Job Site Contact Number IL ILL �R State Certification/Registration# E-Mail 0 , n CC LU Architect Name&Phone# t- UJ L) - CY Engineer's Name&Phone# U) LU Workers Compensation Insurer OR Exempt 0 Expiration Date U1> 11Z Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal rgh has 4- commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws rege t1w-A Z construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SMN65 .4 0 WELLS, POOLS, FURNACES,BOILERS, HEATERS,TANKS, and AIR CONDITIONERS,etc. NOTICE: In addition to the requiremek ogt&r- permit,there may be additional restrictions applicable to this property that may be found in the public records of this couk1h, gdr- IIIJ there may be additional permits required from other governmental entities such as water management districts,state agEairj a 0 4 Li federal agencies, Lu a CC S OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wo 0 < applicable laws regulating construction and zoning. 0 U- (a Cn I— CC Z WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT NTAY1L. Z- !�J " im :2 RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE QJW — X Im TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE LU D 0 W C3 W R D I N W U) W LLJ LU _y (Signature of Contractor) ILL CC 5d\Signe� and sworn to(or aff"m d)beforeLmethiszday of Sig d a d sworn to(A affir e before me thisO a of 'ZO by 4 b y Q C�V I P_ T_ U(e7RA r4-/ TOINI GIN.DLESPERGER MYC0k0A1SSloIq#FF924951 E'PIRES:October 6,2019 X p B.nd I()t,1j UNDLESPERCER Known OR Personally 924:4951] mIsSION#FF 92 P—rod-u—ced Iden-ti ication Produced d a ion ; C 019 I entific t' my CONA ifi EXPIRES:October 6,2019 Type of Identification: Zc�/�- ape ofident cation: ��My q "ALL INFORMATION Owner Builder Affidavit HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: R�6C 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. YOUHAVEAPPLIED 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. UR 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 INJURIESTO WORKERSTHEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . Ill. 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. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US ) 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. Job Address: 1660 Jordan Street Owner Name:jacquelone Anderson Thomas Phone Number: (904)864-8830 MailingAddress: 1660 Jordan St�eQt citv: Atlantic Beach State: F1 ZiP: 32233 Notarized Signature of Own bu The f ing instru ent was ackno 148 before me this t�) day of 20f in the State of Florida, County o f V/ AO— Signature of Notary Public Personally Known OR Produced Identification REVIEWED FOR CODE COMPLIANCE t) ZC) -4 5 �� -5 Z9 - C) CITY OF ATLANTIC E?EAC Vpe of Identification: SEE PERMITS FOR ADDITIONAL Updoted 10124118 REQUIREMENTS AND CONDITIONS C& #IF 92495 :S.OclnbPr 6,20�19 EXpIlIE REVIEWED BY: DATE: City of Atlantic Beach APPLICATION NUMBER Ire Building Department (To be assigned by the Building Department.) 800 Seminole Road flantic Beach, Florida 32233-5445 F�,s ce 19 -0-08 Phone(904)247-5826 - Fax(904)247-5845 0B E-mail: build ing-dept@coab.us Date routed: 7/16:2 �1 City web-site'. http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No_ i ing Applicant: 0 CkD t3 a-(Z- ?ra�nning &Zoning`�> Tree Administrator Project: �Ifu��rlcw � _/-P—ubflc Ut—irit—ies 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: 1�pp roved. []Denied. [:]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Date: '?// 6 Reviewed byz� TREE ADMIN. Second Review: [—]Approved as revised. []Denied. F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. OlDenied. []Not applicable Comments: Reviewed by: Date: Revised 05/1912017 -11"i City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 F��ce 19 -0-0 8-! Phone(904)247-5826 - Fax(904)247-5 E-mail: building-dept@coab.us J1 IL 6 20 Date routed: A City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1(06D &)P_C)ftA-D Department review required Yes No_ i inq A-ra'nr�ing &ZoLin Applicant: 0 uo to C-(z— e j-> Tree Administrator P r oj e c t: to C-Ap- !:u I�Ic W� _/-P-u�blicUti`lities 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: VApproved. ElDenied. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed bl.'f�� Z1&-44X'a Date: TREE ADMIN. Second Review: []Approved as revised. ElDenied. []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. ElDenied. []Not appiicabie 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 Ft,�c_e 19 Phone(904)247-5826 - Fax(904)247-5845 W1 E-mail: build ing-dept@coab.us Date routed. 74 (ol[ 9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No i in Applicant: 0 UJ P3 C--(Z- &Zonin6_'_�> Tree Administrator Project: !EUT ic:W� -rulb I—ic—U t i—1i t i-e-s- -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. OlDenied. rNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed bv-. IZ- (,_�-"tllate: 7-17-lq TREE ADMIN. Second Review: []Approved as revised" []Denied. FINot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. E]Denied. DNot applicable Comments: Reviewed by: Date: Revised 05/1912017 MAP SHI]VING BDUNDARY SURVEY LIF; THE NORTH 50.00 FEET OF THE SOUTH 61.50 FEET OF LOT 9, BLOCK 1, ED SMITH SUBDIVISION, AS RECORDED IN PLAT BOOK 26, PAGE 50 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 2 0 A L L E Y -- 60 Thli Por fioA 010 4*19 lVa Included /n ell- LOT17 nji Survey (Z I I LOT 8 Z- 0 T 7 LOT'6 LOT 9 1- 0 T 6 U 5) /00.00, /V-8-9 0 3r.'00"E. 0 '�R V aw f r19 Y V/IAVI L -;t fv� �'Aobva RE51pnVeE "ki A19 4) nomAIC aAID1 .......... -,41 .4PVA114.1,4�� 471' owff LOT 6 J. 99 36'0 0'W- LOT 5 ZZ L T 9 LOT6 Lo x /0 1z �7174 10orllon' Oy,-4019 Qj LOT5 Nb�//)C/4/aeC(//7 ThIt C)) Q, NOTES: NO BUIL DING RES TRIC TION L INE SHO WN, BU T THERE MA Y BE RES TRIC TION L INES OR E4 SEMEN TS THA T A FFEC T THIS PROPER T Y 8 Y ZONING OR RECORDED IN THE PUBL IC RECORDS OF THIS COUN T Y THA T A RE NO TSHO WN ON rHIS S UR VE Y BEARINGS ARE BASED ON THE WEST RIGHT-OF-WA Y LINE OFJORCIAN STREET AS BEING S.00*15'00'E. /S Y,04,47- THIS PROPERTY LIES IN FLOOD ZONE 'X"BY FLOOD MAPS REVISED 4117189, COMMUNITYPANEL NO. 120075 OOOID. PRLCm9Lr'o '441-CLINF -67 71-1VU45 A R GHT -4AL B TW I-4911UF I-,m, ,41aA1,41v1rr a,- 7,q,- -1AL-,-5a1vv1zLz- LAND S R EYORS, 9646416�f allbla 6.CA,'1-1FJ 41A,617Al— D/B/A. ArIWIVEK�' rlrl-L" 11V5Z1,4'AA1eE 1"ZIMP, Ale. 949AIAI-10 �Azz 4f V��A,�Z�WAAIIY' RA. Z/fDURDEN LAND SURVES YORS DONN W. BOATWRIGHT, r$.M, FLORIDA LIC. 5URVEYOR cpd MAPPER NO. LS 3295 FLORIDA LICENSED SURVEYING AND MAPPING BUSINESS NO. 3672 1711 SOUTH 5TH STREET DATE: 441411fF 17, Z001 JACKSONVILLE BEACH, FLORIDA 32250 SCALE: (904) 249-7261 FAX (904) 241-3346 THIS MAP OF SURVEY IS NOT VALID UNLESS IT IS SIGNED AND HAS THE RAISED SEAL OF A FLORIDA LAND SURVEYOR. DRAWING FILE NO. (FL K