Permit 418 S Oceanwalk Dr 2011 Fence CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001498 Date 1/05/11
Property Address . . . . . . 418 S OCEANWALK DR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3000
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Application desc
INSTALL 41 ALUMINUM FENCE IN REAR YARD
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Owner Contractor
------------------------ ------------------------
WALINSKY, LYNNE OWNER
418 OCEANWALK DR. S .
ATLANTIC BEACH FL 32233
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Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation 0
Expiration Date . . 7/04/11
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Special Notes and Comments
Remain clear of utility easement.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: ILO tj I k T,r-)ve Permit Number:
Legal Description L4 7 - -0 8 -- S-- 2"'1 f �. Parcel# i L 9 H �' �'? - 0 5
4 Ploor Area of Sq.Ft. 7qTt z '000
Valuation of Work$ N�0 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/pro osed structure(s) circle one): Commercial CjUjZn]t-j1__)
If an existing structure,is a fire spriler system installed? (Circle one): Yes No
Florida Product Approval#
For multiple products use product approval fo m
Describe in detail the type of work to be performed: I nsftll ji)la' 6c adVoll1wo", �elxc I,,% lmicr_("A
4
U
Property Owner Information:
Name: L�Inaf_ �,Jedjilskq Address: �1� oce I L�Jlw�[K_ Q,
City
A16 ,0:h(�_ &?Lr'j� Statef-L Zip 131 Phone
E-Mail or Fax# (Optional (1,44
Contractor Information:
Company Name: Qualifying Agent:
Address: city State Zip
Office Phone Job Site/Contact Number Fax 4
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address r1i r (in
Mortgage Lender Name and Address- — _r IL- E UU1 I
ca here pade ain a e �d he work and n a a 'nd or installation has commenced rior 0 the
st s' I
a thisjurisdiction. This permit bepcome's n
r 0 f sixP5)
nFr k aWeriod o months at any time after
a i i a it mi 0 t d to mZt t i tan'; d r Is
e 0 me
L,P(6 m r nths, or �s 't
'i 0 s by t to o't r p be
t a h t al wo k w
0
it cur f
0 1 ctn e ul
APP "'q a P'rmi 0 be� ed r0E e Pools, urnaces,Boilers,Heaters,
iss 'i , 0, is 0 co, t in s
and' d� k ' ""'d wi h t
work is c in""d, I understand that separate Perm s m,
Tanks andAir Conifitioners,eta
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
lhere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
1�work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfiederal,state, or local law regulating construction or the peTfo�mance of construction.
Signature of Owne'i�"�" ' ctor
00,� Signature of Contra
Print Name
Print Name wa:..l , .............
S and subsc 'bed before me Sworn to and subscribed before me
'Wlt . . . 201 D
this Day o Ce 01�1 Y__ this —Day of 20
A7, WHITE
Nofiay Public EXPIRES:May 21,2011 Notary Public
....... Borlded Thru Notary Public Underwriters
7Y f72- c)
MAP SHOWNG BOUNDARY SURVEY OF
LOT 13, OCEANWALK UNIT TWO, AS RECORDED IN PLAT BOOK 42,
PAGES 13 THROUGH 13-D, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO;
LYNNE WAUNSKY
FIFTH THIRD MORTGAGE COMPANY
T
IRADEMARK TITLE SERVICES, WC
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
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Ray Thompson REVISIONS
SURVEYING, 1-c- DA7E
IGofng the DISTANCE for Ybu�
4613 Philips HIghVrjy,Sufte 210
JarksonvIlle.Florida 32207
(Phonei 904-4,18-5125
(Fax) 904-448-5178
Jos# 18502 FIELD SURVEY: 11-22-2010 SCALE: 1 30'
CERTIFICA TE j..
NOTES I HEREBY CERTIFY THAT TIP 'w NDER My rCSPoNSKE CHARGE
Ate mzim-�vi wwmg wim I CFO Y ..
I: 13CARINGS ARE EASED ON THE LAT BEARING or STA14 SET 1111H a I�K-
6ftm HAPTER 6 G17-4.FUDRMA
ALONG THE EASTERLY BOUNDARY LINE OF SUBJECT PARCU. BOARD OF PRC*T-%!,, '15ECTI
2: eY GRAPHIC P=THE CAPTIONED LANDS Lie VATH'N FLOOD ZONES AWINISTRArIYE AN TO 47 LORIDA S`rA-.UTES-
A� sH—ON IME NA1,10NAL.FLOOD INSURANCE MAP,
Teo: APRIL 17,1989,comwUNITY NUMB : 120075 PANEL-=I-M,
3: THIS SURVEY PULEM ALL PASEI,4ENTS&RIGHT OF WAY AS PER RECORDED
PtIT& TITLE Col"TmEml IF sUPPLI).UNLESS OTHFI10W.STATED.NO AYM@WffE P.
C1w
ER
TLE VERIFICATION HAS BEE14 PERFORMED BY THE UNDERSIGNED. REGISTERED SUR I)MA Ft GRIOA
4: THIS SURVEY IS NOT VAUD MTHou-r Am AU��Em-,OATED EUECTRoN;C SICNATURE 7469
M,ID AIJTHV41TCATED ELECTRuN'C"AL'. u
LAND SURVEYS 0 CONSTRUCTION SURVEYS
DEC-N"J@r4j@-,07 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 Page-216f 2
3 NOTICF, OF cOMMENCEMENT
OwPARE w ou PLIGAM
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I)L D Penn Tax Folio No.
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To whon ft May 001110WIr
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5 ple undonogd hoWW Inform%
.you that Improvernoft VAII be mado to ewbirl real prope
once wkh Seetion 713 of the IF1001141L gt*tutW tft fOlIVOing Inforr"st'*n to SMIled in'hW Mollep-OF
accord
Yi r-OMMENCEMENT.
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= :u Addrom of proporW behg invrove&
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09noral description of improvements: �*p c-e,
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Address
Owner's Irdered in alle-of the Improvarnent
Fee Simplo'ntleholtler(it aMer then owner) kc-
Addren
comadar
Address fafm
PhQne No. .31t,2— ru No.
SW"(if any)
Addve5s Amount of bond
Phone No. Fox No.
Nam arid addreu of afff petsory rnsking a loan br ft construdion ofthe improverrint&
Name
Addiefis
Phone No. Fax No.
New*of Person vAthin Be Side al Rxids.obw then himwN.des%p by owner Lpm wharn ruAiwa or odw
dacumoM may be served:
Name
Ad*ou
Phone No. Fox NCL—
In addillon to Hmseff,owner designates tie fbilmoong porhon le recolva a copy of 111v Wonor's Notice as proOdet!in
Sedon 7`13.00(2)(b),Florida Statms.(Fill In at Owners opfion).
Name
Address
Phone No. Fax No.
Expirstion date of Notice of Commencernerd Mw o*ImWn date is gne(1)your*=the dab of recardlirg union a
different dale Is specd@M:
THIS spAca PoR P956–R—PER'S USE ONLY
tl�..d, DATE
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http://www.ahridirectory.org/ahridirectory/pages/hp/defaultSearch.aspx 12/28/2010
CITY OF ATLANTIC BEACH
OWNER / BUILDER AFFIDAVIT
nit
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. YOU 14AVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO T14AT
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, WI-RCH IS IN VIOLATION OF TIRS EXEMPTION. YOU MAY NOT
141RE 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 THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
q I
PHONE NUMBER
h
PRINT NAME,
§fGiqA'TU DATE
Before me this day of 20/1 in the county of
Duval,State of Florida,has personally appeared herin by himself/herself and affirms that
all statements and cleclaratio�saretru n accurate.
d
Notary Public at Large,Sta of County-f��a
Q Pe;sonally Known
3/roduced Identifi tion- SHIRLEY L GRAHMI
kAY COMMISSION#DID 957760
EXPIRES:February 14,2014
Notary Signature: onded Thru Notary Public.N.-It,
C)
FMLDGIO�er-BuilderAffadmit;REVISED: 4 6/2009
City of Atlantic Beach RECRT APPLICATION NUMBER
(To be assigned by the Building Depaqment.)
Building Department DEC 2 9 2010
800 Seminole Road
Atlantic Beach, Florida 32233-5445
- Fax(904)
Phone(904)247-5826
E-mail: building-dept@coab.us L_Eate routed:
Cityweb-site: http://vmw.coab.us =_J1
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address: T,,,g Building
Applicant: Planning&Z onipgi37
QTree-Adminl9frator
C
Project: l?-ubI`i__ or
-u6ii-C�QWWes.—,
Public Safety
Fire Services
ot r Receipt Date
erified By
Flor a ep . o nvironmen a ro e ion
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: P(Approved. F�Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:—,o
Date:
TREE ADMIN. Second Review: F]Approved as revised. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road /o-
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L_2ate routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 41il 6�W,,v-lk 49n Department review required Yes No_
Bq�Wng--,-—,
Applicant: Planning &Zoning--)
Tree-Adffiffiist rator
Project:
:�Pbbri&�Ufflifits
-fyubl-ic'gifety
Fire Services
h'M
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. ElDenied.
(Circle one.) Comments:
.=PLNG
8,Z
ANNINGONING Reviewed by:
TREE ADMIN. Second Review: F]Approved as revised. RDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. RDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
717,-,
FZ 2' C I�,'T V F,%D
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road DEC 2 9 2010
/0
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)241
E-mail: building-dept@coab.us Date rout d:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �/4 o4 54) Department review required Yes No
�WAI Building __
,P�11ing &Zonia—
Applicant: � g�
'Tres-A-Cm-inistrator
Project: 14_�nce
C��P�ulic Utilities—'
Public Safety
Fire Services
0
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.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: -Date:
TREE ADMIN. Second Review: ElApproved as revised. ElDenied.
4PWORk Comments:
T
P U LIT
PUBLRAF TY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. ElDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09