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800 Stocks St RFNC23-0063 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: HERNANDEZ RUFINO RAYA 800 STOCKS ST ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170945 0020 ATLANTIC BEACH SEC H JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 800 STOCKS ST RESIDENTIAL FENCE ONE STREET FRONTAGE Install 4 ft Fence $400.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00 TOTAL: $35.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 1Issued Date: 7/3/2023 PERMIT NUMBER RFNC23-0063 ISSUED: 7/3/2023 EXPIRES: 12/30/2023 RESIDENTIAL FENCE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 irt S'1-41J.BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY 1\ City of Atlantic Beach Building Department PERMIT# F N0 23 -Ct9l r.,_ v 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process on Y.Phone: (904) 247-5826 Email: Building-DeptC@coab.us Job Address QO SVCCKS ST-E=ET.RE# il094C-00t D Legal Description Sec H NH ay1. _ -Beach Ni '7..S-1 LL 4 BIJK ISZ Valuation of Work(Replacement Cost) tC.)e an—0-x. Heated/Cooled SF Non-Heated/Cooled SF Class of Work: New [ ddition Alteration Repair Move Demo Pool Window/Door Use of existing/proposed structure(s): Commercial BResidential If an existing structure,is a fire sprinkler system installed?: Eves e' Jo Will tree(s)be removed in association with proposed project? Eves(Must submit separate Tree Removal Permit) 2-110 Describe in detail the type of work to be performed: r I1 s .k\ a 0 FVVI T-- , c . Florida Product Approval# For multiple products use Product Approval Information Sheet) Property Owner Information Name 12, V (`' `,,, .RQ,,--na T Phone t(OL") '600 B--16:a Address Q GbOck- S4 City 11J EA C__. b. State L Zip 3 Email ' er h (2,-- 0 er or Agent(If Agent, Power of Attorney or Agency Letter Required) l. C jr Contrac or Informatio Name of Company Phone Address City State Zip Qualifying Agent State Certifica '•n/Registration# Email Job Si - ontact Number Worker's Compensation Insurer \` OR Exempt Expiration Date Architect's Name Email Phone Engineer's Name TmaL Phone Application is hereby made to obtain a permit tddo the work and installatio7ts-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`neet 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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN A EY BEFORE RECORDING OUR NOTICE OF COMMENCEMENT. gSi nature of 0' ner or Agent) Signature of Contractor) Signed and sworn to(or affirmed)before me this Z(O day of Signed and sworn • (or affirmed)before me this day of V/o e 07 by f-V I AD 1-lirn Llvc by Signature of Notary Signature of Notary Personally Known OR [N Produced Identification Personally Known OR Produced Identification Type of Identification: ply T e of Identification: i Y • •. VANESSA ANGERS t: --' i*= MY COMMISSION#HH 244118 p+''^fie; EXPIRES:March 23,2026 ri- Fence Addendum 1 Updated 1/14/2021 City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# l`7 - "J,tIJ Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: pc tiq n tic. &Ada Date: 322;3-3a G 126 i 2.0 2:3 Property Type:Lot Type/ Features: a Residential One Street frontage (interior lot) Commercial More than one street frontage (corner lot,through lot, etc.) Swimming Pool Fence Material: Fence Height (select all that apply): Wood Four Foot (4ft) Chain Link n Six Foot (6ft) Vinyl Other O Block/Stone (Plan details required for footings and/or retaining walls) O Other Fence Location: Please submit an accurate and current boundary survey showing all existing improvements(including building footprint, driveway, swimming pool, etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or retaining walls and any portion or fencing above 6ft in height. Will the fence be built in an easement? 0 Yes (must submit separate Revocable Encroachment Agreement) II No Will tree(s) be removed in association with proposed project? O Yes (must submit separate Tree Removal Permit) No Conditions of Approval: Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way. All old fencing and debris must be removed from job site by contractor or homeowner. 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 RECORDING YOUR NOTICE OF COMMENCEMENT. JJ,..,„ wner Builder Affidavit ALL INFORMATION 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#: jr,, i'"/ -. 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. r Job Address: B ac h LjC r c ` S_\• a GCS 1 ( Owner Name: 12_`j - Y\(;) Q f 'C CAn c z 1 Phone Number: q )3Vn 61 Mailing Address: SOO StC)Gk- 5 E. City: AIAC,r)Ltd.) State: 1 L Zip: 20 Z 2_? Notarized Signature of Owner c'''.2I--ET-LA-WAS?' The foregoing instrument was acknowledged before me this 2l;• day of DiAle , 20.1- , in the State of Florida, County of I)v,,:C[ Signature of Notary Public Personally Known OR [i Produce ntification1,- VANESSA ANGERS MY EXPIRES: SION HH 244118 Type of Identification: •T L-Pi- 2-U.64 10't t.G Kl,l.iti1•'' EXPIRES:MF•.": arch 23,2026 Updated 10/24/18 f itI 1 I 1 ._ F. ' I r 1 1 6 ilti 1 • 3 3 i 4... _ sea. Z;s o w_02122_++ lit SI 1 s c ;3 z 2 en 10 10 lf zJ c .:.„> rI I x9 II Q n Ce 297 fi II f 1 jrr 9V100"E 70160• Og g2Y 1 iOp x I N IA i ______ g I. 7 — = CYC a , i, iIli •y LOS MU- jai, Y© WEST 9th STREET JAhhcimmtrimiroriii,. NIMc SLOP r. en I MINIM. PAVING AND DRAINAGE PLAN S_aur Revision Request/Correction to Comments HI_ L INFORMATION I ON r rs ` S HIGHLIGHTED N lir City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 11 ' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: Mg-23 -CY2b 3 Revision to Issued Permit OR ISI Corrections to Comments Date: 7/3/Z3 Project Address: ga) Slvc(cs &-1 ree+ Contractor/Contact Name: etkno f X V.3.41_ Contact Phone: 90c(— 30L) -t55-7(,---/ Email: Description of Proposed Revision/Corrections: IA e-- C-. C-C-C_ I-- (-X 0, I c2A. Ut(\n k1 Q Vaflrxty LI) rai1 / ection to comments is inclusive of the proposed changes. printed name) Willproposed revision/corrections add additional square footage to original submittal? No Yes(additional s.f.to be added: iT W.eproposed revision/corrections add additional increase in building value to original submittal? No *Yes (additional increase in building value:$ Contractor must sign if increase in valuation) Signature of Contractor/Agent: Office Use Only) Approved Denied Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building Planning&Zoning Reviewed By Tree Administrator Public Works Public Utilities Public Safety Date Fire Services Updated 10/17/18 7c/ S /, ca»t cr h+wa 7.....:: I2,r_3u,IrpRcRovo. 1 1.;";-.: r::«YD.SMI CMy[C Kai mat T LrM[ r[r---- c [a I G* r*..x.17,_ 0 hc.. z•= w.wti•r. wr-[..... d T'11'; QR tj J. r , I R.b..i CYq.,b., 1 V f r l l.h o 1 1a..,[yn1g ir y V 1. _I 9r.+ww. Yl I u r.•••••• real..•los r— ! r I Ice"arum.;re,. `. 1/ T I ,n...me [.. Ir.°[ sR.a+.r --_ jl I t r I I I Ilii 9 4.I R 1 K; \ / 8. w .1 I III I :8 I o iii u 1. III I I • 1 Ii ! I d .,., g t J I. III I ' Q = I I I'.tR.ww... ..on I Qr ~ I' , AI i r7rl 11 .-- Pt i .P v':w.Tf,n. g t i 1 I I 1 I I.I ' I IdIF 17 I . $ I -•r+,f.,._, iii fin'• i a.ma aR, Wk.... 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