Permit Fence 354 Aquatic 2011 . yr t s� CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
'` ` '-'4' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
F`
Application Number 11- 00002121 Date 6/03/11
Property Address 354 AQUATIC DR
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . 0
Application desc
REPLACE 6FT FENCE
Owner Contractor
STROHECKER LARRY G OWNER
1764 LIVE OAK LANE
ATLANTIC BEACH FL 32233
Permit FENCE PERMIT
Additional desc . INSTALL 6' STOCKADE FENCE REAR
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/30/11
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.
..„f4 CITY OF ATLANTIC BEACH
®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 489A03(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 WTTHIN 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. 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.
ADDDR— ESS HO NUMBER
' PRINT N E
" A
"4,
_ • q7,
SIGNA JRE DATE ((
Before me this 0 day of / 20! )In 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. 1
/
Notary Public at Large, State of / L—. , County of 1 1/r `°
❑ Personally Known j. f -+
Ctl oduced Identification - L AIP "0 "•',), _ (f1AH.AM
'.•�} d *OMISSION OD 95776'1
E P RES: Febr 'i 1 2014
Notary Signatu7e
"T r taon ° Nu Notary F to r Underwriters
��a .. m
F:/BLDG/Owner-Builder Affadavit', REVISED: 4/16/2009
,; r51::5j , City of Atlantic Beach 4 ` e k.,, APPLICATION NUMBER
�• s a Building Department 117-1,) (To be assigned by the Building Department)
r 800 Seminole Road / �� 8 ✓/ r & /o2 /
D Atlantic Beach, Florida 32233 - 544,. �,
\, Phone (904) 247 -5826 • Fax (904) 247 845
-5
oj; ay. E -mail: building- dept @coab.us Date routed: .5 / Z €//1
City web -site: http: / /www.coab.us �`'� ///
APPLICATION REVIEW AND TRACKING TRACKING FORM
Property Address: 234 .A kL G Department review required Yes No
Building
Applicant: 6 tv-2-2 b 4 inning & 2?iying
/ Tree Administrator
ill
Project: T e 66 RF /Aefuenr Public W
Public Utilitie
Public Safety
Fire Services
RevieWfee $
-0"
, . ?bpt 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.) Comments:
BUILDING
PLANNING &ZONING Reviewed b Date. 4/
TREE ADMIN.
Second Review: ['Approved as revised. ❑Denied.
p . c i W • : - - , Comments:
CO: LIC S
-3--c
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
s1 �4/ City of Atlantic Beach APPLICATION NUMBER
j Building Department (To be assigned by the Building Department.)
=- 800 Seminole Road 1/ — e Atlantic Beach, Florida 32233 -5445
F:>
Phone (904) 247 -5826 • Fax (904) 247 -5845 ,
;sl>
f Email: building- dept @coab.us Date routed: ,2/2 f 1�
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM • Property Address: £ 3T7 /4 ti=? 6 Department review required Yes No
Building
Applicant: 6 Lv i 4. clanninging
/ Tree Administrator
GP
Project: r ,P / ,4e (E, Public W ,�ck�
it-nee, --ublic..Wtilities-
Public Safety
Fire Services
Review fee $ . ; •_ =',.,. 41 A Dept-Signeture 411: :ii ;.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:
APPLIC TION STATUS
Reviewing Department First Review: pproved. ❑Denied.
(Circle one.) Comments:
BUILDING t
ELANNING & ZONING jja_el-tA-- -2 3° //
Reviewed by: Date:
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
MAP SHOWING SURVEY OF
LOT _.r BLOCK --' AS SHOWN ON MAP OF
AOIJAT /C nARDEA/S
AS RECORDED IN PLAT BOOK 38 ,PAGE 7/ A OF PUBLIC RECORDS OF DUVAL CO., FLA.
FOR TOM WES HOMES, aye.
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I"' " L Planning and Zonir 9
This apnrrval verifies compliance v t �� ,t
V ^ E D +sion and othee 10 t
, -p p R O ; BE dev&
', il.i.;1'I developrrr ons -ce of , but pe does n� 1
' , c.,FFiCS •.rova o rmits Syr r, 1 t /,/� /' Q 9nd all other 4O JA T/V DR/ , ith F16 �> )w•
� rrli,nu rFU -F
r .cal, S sty I
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t 1 , t 1 1 �� must be of
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ip, Beach Building Build +r : a
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Fedr,;,,ii pL % ' L'
Approved By - SC ..�/ ' -'^r
CHARLES B SETT & ASSOCIATES, INC. •
215 CENTURY 21 DRIVE ( 904) 724.9433 32216
SURVEYORS, ENGINEERS AND LAND PLANNERS JACKSONVILLE, FLORIDA
.5:a,‘1r City of Atlantic Beach ' APPLICATION NUMBER
40 a Buildin Depart ment MAY � . .. (To be assigned by the Building Department.)
y 800 Seminole Road 1
R P Atlantic Beach, Florida 32233 - 5445 '"' *r, ' 0 �� ✓ / /c) 1
. 1 Phone (904) 247 -5826 • Fax (904) 247 -5$45
,f;:2: • E -mail: building- dept @coab.us Date routed: 0 /
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: . 4 ,4 `tic-6 6 Department review required Yes No
Building
Applicant: 6 ay f 4' planning & typing
/ T nistrator
U1
Project: r e— ,i e6., /'?e I e4% ( W
tic Utilities
Public a ety
Fire Services
Review fee $: s;., . . , .
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: ❑Denied.
(Circle one.) Comments:
BUILDING t 1 / f �/ 41 //
PLANNING & ZONING by: ', Date: ,y J)
Reviewed by.
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