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Permit Paver patio 320 1st St 2012 I , 4*- CITY OF ATLANTIC BEACH r �. j 800 SEMINOLE ROAD J X ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 1... OE >r Application Number 12- 00000073 Date 2/24/12 Property Address 320 1ST ST Application type description RESIDENTIAL OTHER Property Zoning RES SF DISTRICT Application valuation . . . 1250 Application desc install paver patio Owner Contractor PEAKE LINDSEY CHANTAL OWNER 320 1ST STREET ATLANTIC BEACH FL 32233 - -- Structure Information 000 000 PAVER PATIO Occupancy Type RESIDENTIAL Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 60.00 Plan Check Fee . . 30.00 Issue Date . . . Valuation . . . . 1250 Expiration Date . 8/22/12 Special Notes and Comments Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to start of construction. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total 30.00 30.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 75-00 (DEED) N 83'47'34" E 74.83' (MEASURED) a >: _ — ... _ _. �-_�x �_. ( StP C_% 3 s ioci nh,” . 100.134 (PLAT) ' 1 O.4' 100.22' (MEASURED) 1.1.1 1 I Y E " J Y a 1 ' i r. . . 1 Q 1 tt, ' I t ° tz I I., ° I • ! + 1 Q 1 ,1 4 7 - 1 41((- 1 ,-- g Y d i r v W r .---,-, 1 t,' 114.4 15.0 10 _ ri 10. Y I 4T • 4 ' 4 . ' 1 i ...r 0 14: Y! ' a, g tLOGK32 a ...i I \ ONE STORY : Y • , i .4, 1 • :.i r . �„l • f OSTED #320 �. / I ,1 ', Y .f .- 11 ' 1 't tf NT 11 �1 . OAD I •'Y . ; . : , ... c' • ,. yP "+ it • • E ate : ( s,.s I I. to " ,. Air • d �y ",�iV 9- y , . "s. PAO 1 `' I I f N 1.116)-5 2-- l I { ' y - , • '1 i + I ,r Loft " 7..__ ._-_�-_.-,_.___..._ . • _ _,_ LOT 5 1 \ f BLOCK � �t BLOCK 2 ° 7—/ Zv vE g Y ,4'f 1 72 , 4 o , 0,4' oii' 0 e` 03' i .— - - -. _.. - _ . _ _ S 8312`32" W 75.18' (MEASURED) 75.00` (DEED) LOT 3 BLOCK 2 LEGEND: LOT 4 _.._ � BLOCK 2 C7 - E so' Ar r ob PC - Pt11Nf CO' t itlVATURE LOT 3 Pf - tom Cr TANttENCY e, ,s FILE BLOCK 2 ib TUiCA,iO11 pRd .. monk) U R£VEfiSC ( UNI�S9 I �CRYV13€ 44011-19 Gt3RVATtktE .. 4` CONCR 140 404.449 Ott '- P V A Obiti�i&/iib o A/C • AN OON111n10Ntq CD . GSNtN fiE Ray Thompson REVISIONS • SURVEYING, Inc. PATE DESCP,IPT1ON Going the DISTANCE for You 1 4613 Philips Highway, Suite 210 PONTE VEDR TITLE, L. L.C. Jacksonville, Florida 32207 - (Phone) 904 -448 -5125 r (Fax) 904 -448 -5178 JOB # 1903 1 DATE OF FIELD_ SURVEY: 10-5-2011 1 SCALE: 1 = 20' NOTES: CERTIFICATE 11 OLAIUNCIS ARC SAM ON Ti1L MAMMA UYARINO of -_• 'pil• °Ea•••• imago CCRTIFY THAT TH e.�;': 1 MASA ,.n, NUM MY Rt kC i;Utm MONO 14 RAYItA Y Y0UNOMY Lit Of StautO'F OM= ANO NIPS NC %1WI/U$ a STAND SET FORTH 99. 194E FLORf6A 3: 1Y OR 4rONO ONLY IA CAPitONCO LANDS LIE WITN iN fLODO ZONE 90AM OF - /` vEYOR6� M - CHAPTER 61017 - e. FLCINDA Al 11i01M1 ON T1tL NAfiONAL RLObo IN1tItANCL IAAP, ADWNISTRAT1vE �, 4 1 ANT TO sEC $ 47 I.I. ORtOA STATUTtt A s O 1 , 1189 Coi NUL,O)E2tl 12007!3 PANCL ' 3: INK SLIMILY mixer; .W. CAS M N1S k 1;11010 Of' WAY AS PCS RECOROCO .-ipi _ . PLAT iI//C0q 1iYI.C COMAHINLNT i SUMO. tiNLESS OYNEtt1NS€ SYAtt D No OTNCR TI71 L IQW CATION HAS SEEN PERfORIAtt, ELY THE UNDERSIGNED v - -u FA rte' "Fs 4: THIS SuftrY I9 NOT VALID WITHOUT AN AUTHENTCATED ELECTR ITC $.7-04.7..^1 t„ 4 w v ^: __ _ _ _ -,= 4 4.ir= — . _ AND AUTHEN11CATED ELECTRONIC SEAL _ fi • .r• CITY OF ATLANTIC BEACH av V ®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 REOUIRED 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. 37 1 G; - 1�Tc_�,'r I C a- 7 " - -- c-1-{ 7o - ( -t-c-. -- z_i. ADDRESS / PHONE NUMBER L , , p._.e- PRINT NAME 0 / / C SIGNA J..RR _ J(�_ DATE Before me this / day of (: rt n , 20 /An the county of Duval, State of Florida, has personally appeared herin by himself / herself and affirms that all statements and declarations are true and accurate. Notary Public at Large, State of FL_ , County of „diti: : / v , aPersonally Known IOW .... :: °��v N�'' �n OMM� D G 9F ��0 yS �S:FeN Bonded N . - T� ■S /Owner- Builder Affadavit; REVISED: 4/16/2009 ■ City of Atlantic Beach APPLICATION NUMBER Building Department f ' P; (To be assigned by the Building Department.) 800 Seminole Road � 7 -0 Atlantic Beach, Florida 32233 -5445 JAN ( 2 — e / 3 -iN Phone (904) 247 -5826 • Fax (904) 247 -5845 '� 1 i A �;3i�%' E-mail: building-dept@coab.us Date routed: _74,47 / 1/ -- � City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (,Z t / T Department review required Yes No Applicant: 77 t. Planning & Zoning Tree Administrator Project: / , -s3"7j // J Vf /1 / ft J / I ubl c _1 N orlss? _P.ibliG_Utilities j Public Safety Fire Services °/O Review flee $ 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 I Other: APPLICATION STATUS Reviewing Department First Review: nApproved. �„ ( Denied. (Circle one.) Comments: (�„ , 0 Y�k C� BUILDING �1 PLANNING &ZONING Reviewed by: Date: )/ G9i I TREE ADMIN. Second Review: *Approved as revised. nDenied. PUBLIC WORKS Comments: / / // PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: ZI /41/ 2 FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 07/27/10 s- Alif City of Atlantic Beach APPLICATION NUMBER � S De Department :1 Building p (To be assigned by the Building Department.) 800 Seminole Road j j Atlantic Beach, Florida 32233 -5445 / 2 - D D I3 Phone (904) 247 -5826 • Fax (904) 247 -5845 -� r E -mail: building- dept @coab.us Date routed: / / z- City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Pro Property Address: � 2.6 �T y p y � -� T Department review required Yes No B l u ilding_„%. Applicant: (3 I) - 77 f 4 la' nning _&Zanidg f _ Tree Administrator Project: / °77 j� // f ly V /,'- ft I id , ublic W or k s 'Public Utilities :: Public Safety Fire Services Review fee $ 0 Dept Signature 00-' 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: roved. ❑Denied. (Circle one.) Comments: / aiazzL, (�-� , // BUILDING ` 'LANNING & ZONI► t. g Re viewed by: / 'Uate. Z TREE ADMIN. Second Review: A roved as revised. ❑ pp EDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 -s- '�• City of Atlantic Beach <'ry� - -- �r APPLICATION NUMBER Building Department ss (To be assigned by the Building Department.) r � * fe, 800 Seminole Road "IN Atlantic Beach, Florida 32233 -5445 /2 — Q r7 �3 Phone (904) 247 -5826 • Fax (904) 24> -5845 ; x �;3 p%? E -mail: building- dept @coab.us Date routed: //1/ Z City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c32 6 /4r ST Drepartment review required Yes No (Building) Applicant: Q /,v 7) e anning$� Tree Administrator Project: / °77 }3 // � A Vf/e ft J /6 ublic or - Public Utilities Public Safety Fire Services 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. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: /�2.19 TREE ADMIN. Second Review: Approved as revised. ❑Denied. P .:� ORKS Comments: PU: IC UTILITIES ?- PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10