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Permit Fence 405 Garden 2011 p",tof 9 CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD , 4 ' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002061 Date 5/17/11 Property Address 405 GARDEN LN Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . 0 Application desc new 6ft fence Owner Contractor HAMMONS OWNER 405 GARDEN LANE ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee • • . • 35.00 Plan Check Fee . . .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/13/11 Special Notes and Comments Replacing existing fence only. New permit required for fence in different location. 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. - . . ...., „..„....„ . „ .....w..,.. „,. .„..„ ....... .. ..., ., .,.. .,.. ... .. .. ... .. ... . (" r . i ...., '.:: '.):::::A (is ,.,... v (.)N fIC:) 0 ‘sf s : 1 t - ... - i: . vg 30V,..:i °" .. .:„Y • , . . N Ci V 0 c's N ei V VI V A 13 S 1 : " € 1 : ) OCrC / M980$' :.: .h::'.:;'",...::::::: ('N.13.-i , •. .,,,,., 4, NO?. ,Z,n. ..,‘ .4 ...... ........ ,.... -•• . ..... .. , .. .. ....... , .... .: ... . . . ..., . : . ..• .... .• • ..• ;,.,. ,. , •• • . . ... I i. ; •Cip -"' 0 Zi';,'. ... ,:' , ..r 1 . >> <.,;;4.,n9,, . ,.:: : •:,:: 1 ... ..... L . _ Uk . . ,, • Ci9 . .... ,. .en, • 4.;'... : 7— f.ro•‹,i 3.0-tc)No.'„). !;::,- 1/4,:,‘,4, :t- - :7:'''' --- ‘;•,.. .1 .4- :::,: • .,.n :...,:.: i •::•: .:,,,. •s„...... ,:..:-; :.;': : ..-''... I 1 ' ''' ..,, ., ,,,,,,, - •::. '-.-, , T ... .. :. •:7. N) . ' i . 0 • , c .. , t - : . • .. :::-. --P i ' , mi . '....• : .„: rn ..., ..,, . ,..f... .... i ......, e...7•= . I e"1 '1/4..,„... „ 1 . : . ... J t •-, C) . i ...... ... t 0 - ....: 1 ,,,-, .., • 1 „.,.;„ : •;„....—.......;.:-..;....L............m 2 . :?' , t . „,,,,),;::,,,.......• ' ' ' ' II..t to i . ..„.._ ......._ ,..........._......................_._. .... ,.. ..,...:: . . '...,:. Vi.'..I.Wel ,.:•A ,*, .: ..... .... ,....,..., . .,.,...., ... 1 333 ....,-''''. "'"' ' ' ".- :;' . . ,.. ..... . ..... , ,,,.........,.. ..... .... .,...-..m...., .. „ ' ...,. #4 , k Q 0 L 3 gti 90.6gN i ( 0i3i.:!.. ,30.•tc: 3„CC,:c.: t.,6 R N ) ,-.:: -,.) ::::.: :•.;.-: -•:,,, ."'.': :.,' : Ci(D' ‘:::.; i •'•''• S n i CD," •::! C: 3Avd AWA. .Q . . 3NV1 N3av _. ,. v.,. .. . ,.. 1 . 1 : Jo ',.;:, 0 d 0 :)::::: d 0 1 (Id .1 N:13 :,,,::: ....":, - 3 HI JO E:Ei: V a .,' ,:-: S V N ;:,; Nf.: ‘si VN , , , I.A1 3 S ' „ '',7 „ 13V :0 ,,,1ans ONI.MOHS dVIAI .„ .. .......,........ .. .. .. . ..... .... ..... .... . . . .... . ., . """'. ..... , . . - .. ..... „. I ; "' , CITY OF ATLANTIC BEACH 11; OWNER / 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 1 CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT e 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 TIIE CONSTRUCTION YOURSELF, YOU MAY BUILD OR IMPROVE A ONE — OR Q:kk / TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR `, IMPROVE A COMMERCIAL BUILDING AT A COST OF 525,000.00 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 r 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, 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(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; 1 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. y�� C) le" L) ct3tAAN'V.c act. �(oq __ 4 L L ADDRESS PHONE NUMBER ‹ • `N PRINT NAME 3/3/11 SI URE w,f J DATE /S Before me this '✓ day of 1.141.4. In the county of Duval, State of Florida, has personally appeared Nevin by himself l herself and affirms that all statements and declarations are trruu nd accurate. Notary Public at Large, State of • County of Personally Known �I OEO A. WHITE 10Br1tir1C8.ien - f 1.4 d1.4 t.,Mi1\41$911)1V 1 U0 e34126 . �/ // Lk! r 4 dRY 2 1, 201t Notary Signature: F.BIDG /Owner- Builder Affsde'ir, REVISED: 4116/2009 • rf .� i a, City of Atlantic Beach RE IVEI� APPLICATION NUMBER ; � , Building Department (To be assigned by the Building Department.) 3 800 Seminole Road M 10 2011 �/ - ; � ?``• ? Atlantic Beach, Florida 32233 -5445 0 6 C Phone (904) 247 -5826 • Fax (904) 2 ! x$4 /e) , / -- �ofi >r' E -mail: building - dept @coab.us ]CC Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ./G) 5 9ek 1o4 LT) Department review required Yes No Buil jng-- Applicant: /,) 7 [ ,e tanning & ZonincR)i � Administrator -� "" k Project: 6./ C � . ublic Wor ( u ' tilities) Public Safety Fire Services Review fee $ Qept 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. , (Circle one.) CopmentAte , �� 1 u 7'� �-l� �rJ �� y� ' 1 i'• In BUILDING t ,ei � ROC c,A> -. PLANNING & ZONING f— A) /G. ' • Reviewed by: Date: J4.274 TREE ADMIN. Second Review: DApproved as revised. ❑Denied. 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 Y isvp rir , City of Atlantic Beach RECEIVED APPLICATION NUMBER t: OP , , l Building Department (To be assigned by the Building Department.) �� s� 800 Seminole Road MAY 1 0 2011 // _'/ !& � ,,• = 4: Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 2.g., -.4,845 �„f ji v�' E -mail: building- dept @coab.us ••- - Date routed: 5 7/ City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ''L S A 9 ZC4 71 Department review required Yes No Buil . Applicant: ZW C 1 fanning & Zoning) Administrator Project: 6J r /----77e ublic Works _ li .1Jtiliti�s`) Public Safety Fire Services �" I I �- �� i t I� F� :� � i i r r � a� 7 ,1 Re ieW fe 4 2 n 0 �� I q Dept Signatur, x , - a, , 1 1 4 0 G' w ,G , ■1I 1 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: c.f // TREE�� I tSecond Review: ❑Approved as revised. ❑Denied. ' Comments: I UTILI I /0- PUBLIC SAFE Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 r i±,la,`,,. j � City of Atlantic Beach APPLICATION NUMBER : 'z '" Building Department (To be assigned by the Building Department.) s P 800 Seminole Road /�/ - .7 67 v� Atlantic Beach, Florida 32233 -5445 / Phone (904) 247 -5826 • Fax (904) 247 -5845 ",:t, JH 9%" E -mail: building- dept @coab.us Date routed: r� City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4 5 94 (104. 21 7) Department review required Yes No Buil • ___.... Applicant: /,() 7 , tanning & Zoning; . > &I e p Administrator 'r Project: 6 ` �, 1 W , ublic works u tilities G' 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: B G r CANNING & ZONING Reviewed by: Date: 5-P 5-, 13--' �� TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 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