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328 10th St FNCE19-0103 6' Fence FENCE WALL OR BARRIER PERMIT PERMIT NUMBER sty FNCE19-0103 CITY OF ATLANTIC BEACH ISSUED: 8/22/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233MUST CALL EXPIRES: 2/18/2020 INSPECTION • • • 1 i PM FOR • • ALL WORK MUST CONFORMTO THE CURRENT • 1 OF • ' BUILDING CODE, ' OF ' NTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT • • PLEASE 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: r 328 10TH ST FENCE WALL OR BARRIER FENCE 6' FENCE $5000.00 TYPE OF i • GROUP: 170035 0000 ATLANTIC BEACH COMPANY: ADDRESS: ' SUPERIOR FENCE AND RAIL 5470 HIGHWAY AVE JACKSONVILLE FL 32217 OF NFL • ADDRESS: ' DYER KELLY L 328 10TH ST ATLANTIC BEACH FL 32233-5530 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. F-1117, 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,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. Issued Date:8/22/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0103 800 SEMINOLE ROAD ISSUED: 8/22/2019 9' ATLANTIC BEACH. FL 32233 EXPIRES: 2/18/2020 1 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 4 T PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing and debris 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:8/22/2019 2 of 2 51 :Ly;y+, City of Atlantic Beach APPLICATION NUMBER j� Building Department (To be assigned by the Building Department.) � 800 Seminole Road // " Atlantic Beach, Florida 32233-5445 FN c,& (9 Phone(904)247-5826 - Fax(904)247-5845 Q, l E-mail: building-dept@coab.us Date routed: G� City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -3 Z & + 0"- T Depa ent review required Yes No uildin Applicant: I anning &Zoni (— Tree Administrator 1— Project: e n o is o 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. M<ot applicable (Circle one.) Comments: BUILDING C� PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revisl6d. ❑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 Building Permit Application OFFICE COPY Updated 10/9/18 City of Atlantic Beach Building Department "ALL INFORMATION ~ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY rsi`�.� IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address:�32- -jcirK st✓-Fiz-f Permit Number: 1--6 V cz 19 -V 1 co Legal Description 1-ni I I LO r ( 3 C ig�K w I S H� ELK i Z—RE# i 3 C0J G" 0000 Valuation of Work(Replacement Cost)$ 5,00 Heated/Cooled SF Non-Heated/Cooled • Class of Work: BfVew ❑Addition ❑Alteration ❑Repair ❑//Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial [!I esidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes er<o- • Will trees be removed in association with proposed roject? ❑Yes must submit separate Tree Removal Permit 51,} Describe in detail the type of work to be performed: 62 eC Florida Product Approval# for multiple products use product approval form Property Owner Information Name CtSctJA R 14L Address 3z t) V✓ -e1 City ft. C be - State fL Zip 3 L Z 3 3 Phone 7t If - 6,&/ -'-1/ 7 E-Mail 14a-11-03 , O P— Owner or Agent(If Agent, Power of Attorney or A ency Letter Required) Contractor Information L / Name of Company Y12Yl L2. �� dcJ Qualifying Agent c*UY! 7 ��5C't y t<L Address 5`f7u City 7ke14m o ALL StateF-t- Zip 322 Office Phone 10q 08'3 Job Site Con act N,ulrmber State Certification/Registration# E-Mail C�<fiy/cf Ls) t1(in.1i lel 6kre-)'1 1,1 _ 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 N-VI federal agencies. U OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with allZ to applicable laws regulating construction and zoning. \ Q = JZ � VZCIO - WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY moo F RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEJ p TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE a o ° RECORDING YOUR TICE OF COMMENCEMENT. p 4� O (Signature of n r or Agent) (Signature of Con or) O Q `Z LL LL cc Si ned and sworn to(or affirm /before me is ay of Signed and sworn to(or affi ed)before me this day O a W m Si I Ci b 0_S-a n h c� e r y LU H w w N Si V W (Signature of Notary) (Signature of Notary) W LL1 W [ ]Personally Known OR [ ]Personally Known OR [ ]Produced Identification [ ]Produced Identification Type of Identification: . (__ Type of Identification: Owner Builder Affidavit "ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 'fan y f) ' 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 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. 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: 32�23 ID %L f" Owner Name: jeDSO E1 e�v Phone Number: _7D --(a/,,/"q1 7 Mailing Address: 3 Zc? �� +� City: /t�/4LIL hl State: EL. Zip: 322.53 Notarized Signature of Owner A-) �__= regoing instrument was acknowledged before me this day of ��dr , 20 /9, in the State of Florida, County of UCS Signature of Notary Public [ ] Personally Known OR [ Mroduced Identification Type of Identification: C� �(::)CD——/ Z O �� Updated 10124118 MAP SHOWING SURVEY OF LOTS 11 AND 13, EXCEPT THE WEST 15 FEET OF LOT 13, BLOCK 12, PLAT NO. 1 SUBDIVISION "A" ATLANTIC BEACH, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA TENTH STREET �_,a zo 40 40' RIGHT OF WAY PAVED PUBLIC ROAD SCALE: 1" = 20' (84.86' FIELD) FOUNo 1/z'IRON^ p RPE.NO CAP 85.OO' CONCRETE SIOEwAL o 2, FOUND 3/4-IRON W O 15.00' _ J A AER ON _ > 0 1 uETER UNE 250.00' i B m m _ I o v� �— a 1 0 0,0 Q WALL I c O ti 1- WALL w F- ¢ 122' .5 o.T-�.. 6.5 9.4' OVER ~ CED 0 I � O BRICK w La .5' 5.0.o - I Q 1 STORY BRICK AND n ,3,,• 4 w ix ,.5• SIDINGI RESIDENCE e.6• 5' '0' NUMBER 328 I 0_ W O U K1 LOT 75 t o '�O Q n s.s' , O w n O LOT 9 1^ p PAVERS 126' 0 13.6' N 1 r Y1 M O TER kC v y 126' 1 BRICK .Y I 1 183(TYPKfiL)j . WOO OECK PLANTER COLUMN F. C 3 W rS 2 WOOD 5 m& <0 I HOT I11 Z 1 TUB O m I BPoCK p V) I COLUMN 16.3' N� 1 o ; C� O.Y 0.Y o p 15.00' ,<—,< 35.Q0_ %� \ a 10.2•. .B• _ t0. 0.3' FW NO 1/2'IRON ^ o $ 0 T-6 MVOD FENCE ------ PPE•ILlFOIBLE ( DFOUND 3/4'IRON 1 \v, 84.96' FIELD) PIPE NO CAP 1 0 1 I LOT 16 I LOT 14 LOT 12 I LOT 10 I I I NOTES: I. THIS IS A BOUNDARY SURVEY. - - 2. NO BUILDING RESTRICTION LINES AS PER PLAT. 3. INTERIOR ANGLES PER FIELD SURVEY AS FOLLOWS: A = 90'00'32' B = 90'01'59' C = 90'01'34' D = 8955'55" 4. NORTH PROTRACTED FROM PLAT. THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN) AS WELL AS CAN BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP NUMBER 12031CO409H, REVISED JUNE 3, 2013 FOR DUVAL COUNTY, FLORIDA. "NOT VAUD WITHOUT THE SIGNATURE AND DONN W. BOATWRIGHT, P.S.M. THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER." FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295 FLORIDA UC. SURVEYING &MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DRAWN BY: PGP DATE: FILE: 2015-1219 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 OCTOBER 7, 2015 SHEET 1 OF 1 .i1A . .. City of Atlantic Beach APPLICATION NUMBER JS r � Building Department Al- (To be assigned by the Building Department.) 1 800 Seminole Road �] /� f Atlantic Beach, Florida 32233-5445P1, AUG 5 2019 ' I N C& ( -7 V 6 o� Phone(904)247-5826 • Fax(904)245 E-mail: building-dept@coab.us BY�_ a Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ' V'-LL i , Department review required Yes No / uildin Applicant: (`- anning &goning Tree Administrator Project: Fe A 0 �e �c or s 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 b 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 rtyly�; City of Atlantic Beach APPLICATION NUMBER �S �d Building Department (To be assigned by the Building Department.) 800 Seminole Road (<-"n \v C rl._. ( 9 J 0 t c -�' Atlantic Beach, Florida 32233-5445 I 1 s 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: + , Department review required Yes No falnning dnApplicant: (�- &Zoni {'— Tree Administrator 1— Project: e/A 0 �c or s ublic Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof 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: [�pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING 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. ❑Not applicable Comments: Reviewed by: Date: Revised 0 511 912 01 7 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) z i 800 Seminole Road �_ ^ \ c'r / 9 r/� f C�� Atlantic Beach, Florida 32233-5445 1 v l . l (J 6 Phone(904)247-5826 - Fax(904)247-5845 tri E-mail: building-dept@coab.us Date routed: It City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z 8 I V i , Depa ent review required Yes No u"din Applicant: �anning &Zoni Tree Administrator Project: Fen o �eis or s ublic Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: proved. ❑Denied. [-]Not applicable (Circle one.) Comments: ?1P BUILDING PLANNING &ZONING Reviewed by: 400T' Date: u (C( 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