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Permits 1340 Beach Ave fence 2010 't SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001475 Date 12/21/10 Property Address . . . . . . 1340 OCEAN BLVD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1600 ---------------------------------------------------------------------------- Application desc INSTALL 41 VINYL IN FRONT AND 61VINYL IN REAR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COONEY, MATTHEW R. OWNER 1340 OCEAN BLVD. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/19/11 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834 . 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 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 39 . 00 39 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ;OWNER/ 13UILDER AFFIDAVIT 4t I" 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "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. 11. 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l), AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ TME.ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FO I AW OF AN OWNER-BUILDER PERMIT. FIL 1.gnb V 1_3�16 6419 d ,41- 7 ADDF�ESS PHONE NUMBER PRINT NAME N TU r DATE Before a this_Le�; f 20 to in the county of Duval,State of Florida,has personally appea by tTim—self/herself and affirms that all statements and declarations are trup and accurate. Notary Public at Large,State of County ofr nally Known ('0 Pr,:d7ced Identification- A. 17-E MY C D EXPIPES,1W RY 21,2011 Notary Signatu aorwad Thru Notary Pimic ll-dotw,#., R/BLJ)G/0�er-Builder Affadavit;REVISED:4/16/2009 BUILDING PERma APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: q Z) C--e /+A, iy /-- V -> Permit Number: Legal Description Eloor Area of -&q-.Ft. Parcel 9 Sq.Et Valuation of Work$—/-, 6, 60 —Proposed Work heated/cooled , non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial 1��eidei If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A Florida Product Approval 9 For multiple products use product approval f-orin Describe in detail the type of work to be performed: E-- L,�r<-Tl 0 W Ar, Property Owner Information: Name: 01 -4-rf-17'4F'-/ R - (f.0 C,"t�z- Address: 13 City X-0 -&f-r-je ge-,'� State r�.Zip 4. - S- 7 E-Mail or Fax 4 (Optio Contractor Information: Company Name: -=S-� QualifyingAgent: I - -7 - —city. State-viii;&- ZiparTWIT-7- Address: Office Phone(9oy' `WWWW""T Job Site/Contact Number F State Certification/kegistration 9 T 3 ��n—,q n— A.rchitect Name&Phone# #Q1 ' " Ly L� n I/ Engineer's Name&Phone 4 gul nEr- Fee Simple Title Holder Name and Address U Zulu Bonding Company Name and Address Mortgage Lender Name and Address a s he e de a ape m do the work and installations""fnd or installation i mmence prior to the e airj�ads all I thisjurisdiction. nis permit becomes null f k i a period of stxp�5)months at any time after ma to 0" 1 7k f,r 0, to mZt th st o , 'n.enc,31 r c ap d tha al b e med m"t , ri , Ir rt lor er it t c,_ t en 1 07 P(6 _io 0, ki,-T ed kin _ o on' ' - en�ej it," t 'r, f 0, Ictn W Is, u 0 d e Pools, rnaces,Boilers,Heaters, 'Pp'ic 0 a e T w "'t t t,P nd d e ae be ec E "'k is a w e ra k,a d�r Con�uoff"a� WARNING To OWNER: YOUR FAIMURE TO RECORD A NOTICE OF COMAIENCEMEENT MAY RESULT IN YOUR PAYING TWICE FOR LVIPROVEM-ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOVIi NOTICE OF CONMENCEMENT. hereby ceryfy that I have read and examined this application and know the same to be true and correct. Allprovisions oflaws and ordinqnces governing this work will be co�nplied with whether specijTed herein or not. The granting of a permit does not presume to give authorit to violate or cancel the y 2rovisions of any otherfederal,state, or local law regulating construction or the performance of construction. 3ignature of Owner 'k Signature of Contractor 3rint Name Mf4-)T-fftr1-/ (2 Print Name .............................................................. ....................... .....I................................................................................................................................ 'wo Sworn to and subscribed before me 4m-fd subse Uk his D of 2010 this _Day of 20 �ot�ry Public IV]T WIV110001ull ff Liki U11414o Notary Public g EXPIRES:May 21,2011 Bonded Thru Notary Public Underwriters Revised 01.26.10 Proposal Date: FENCEPROINC. "The bestfiirin qj'Ciislollwr Appreciation is ajob well dollewil 4879 Clydo Rd. S#2 Jacksonville Fl. 32207 Phone: 904-538-0627 (r-) '7 > Fax: 904-636-5186 Name Address Phone Home: Cell: Work: Fax: Style Height Color Pressure Treated Pine Access Control Other �'4- Irr C llikzr Ph, Submitted By: Irwin Silverman All Material and Labor guaranteed by Fencepro For I Year. Other manufacturers warrantee may apply. Prices subject to change after 60 days of proposal date. Installed Price $ 4,0v Deposit $ Amount due upon completion $ ov 4,v Proposal accepted by: Date: MAP SHOWING SURvEY OF LOT 3�,SBLOCK 54� MANDALAY, AS RE-CORDED IN PLAT BOOK 10, PAGE 11, OF THE CURRENT PUBLIC FRIELRDS OF DUVAL COUNTY, FLORIDA. 1111,4 2-/W,6=0/ /:3 Z- A 2-IN17- lVd- AI'LAIVI-IC ----------- 1� — z—_z ow zonim, 01 rft appme wrom Zoning, Subdivision and other local land dwoolopment regulatiom W does 00 Co ute nits. C-wn lance approve,for#0 issuance of Parr I o"r&pp able voith Florida Building Code end al ng require 80ts kmAl State and Federst 136fm" I CRY of gnU4 mimi'be vefffed by signature Of ths Ole Beach Building OftW FW lk"isau" Building Permit. 4' L4 7: /0'z' DOW. x- 79' 12 C /vo. 13 40 CZ9 vc-Ale4> A4.4-5 01VI-1 WA 4 1 ro /"v "'O"yc' IWALK �PVCRL cod, 45 A IV 0 Z-1 4 E 1,,'A q City of Atlantic Beach APPLICATION NUMBER "I" .is Building Department (To be assigned by the Building Department.) 800 Seminole Road S1 - /�/ Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us 11 APPLICATION REVIEW AND TRACKING FORM Property Address: /3�� /,W Department review required Yes No QM Building Applicant: 0')�� Planning &Zoning Tree Administrator Project: Y�0_� Public Works 0 Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date Florida Dept.of Environmental Protection of Permit Verified By Florida Dept. of Transportation St.Johns River Water Management-671s-trict Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. F�Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 64 Date:_,�2_,12-22 TREE ADMIN. Second Review: [-]Approved as revised. []Denied. ,aWkWornments: UTI TIES f fo 0 PUBLIC 5AFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. MDenied. Comments: Reviewed by: Date: Revised 06/14/09 City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 -2 Date routed: o E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: De t review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Re py, Other Agency Review or Permit Required Review or Receipt Date Florida Dept. of Environmental Protection of Permit Verified By_ /z' Florida Dept.of Transportation 4� tDE-C 16 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: 'ZApproved. F�Denied. (Circle one.) Comments: BUILDING NNING & Z O;N I:NG: Reviewed by: OU4— Date: -7 L2-�( TREE ADMI Second Review: F�Approved as revised. DDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14109 Ili, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 �z Phone(904)247-5826 - Fax(904)247-5845 Date routed: rill E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: Public Works 0 Public Utilities Public Safety Fire Services D ROKIp- "f.0 ._e idda 1.PA _ ,��i t 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 DEC Army Corps of Engineers - - — 11 162010 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: XApproved. FIDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Datej TREE ADMIN. Second Review: nApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 05114109