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Permit Fence 1487 Begonia 2011 ,' _ " `f CITY OF ATLANTIC BEACH s1 800 SEMINOLE ROAD t) � " —. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 r OF3ic) Application Number 11- 00002149 Date 6/07/11 Property Address . . . . . 1487 BEGONIA ST Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc replace 6ft fence Owner Contractor PONCE, JANET M. OWNER ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 12/04/11 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. There is an existing sewer service running along the south edge of the property. Locate and protect sewer service. 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. r• , df�e ...y...,.„.....:::e.: .... , ,41:), F ,, ...„ ,,,,,,, , ,,,.. . ,, , . , , , ,. , %/ j _ _ 1 --` —'s T 1 r :y, 4i'4 tf,•,4., 4, 411 ,4 a J`a x gg ty C rttP i s . ' t l t l � r ' l t ' r S4r 2 } ' 7. 1 ; 4 . . '�1 titiz , A` t n Y t ' t , , �� # !' * ' r ^'*A .' "4 ii,v+f f r t . . ' -4., i s � . - I t Z; +{t f.�r "It,, ? ,} ' - c ya s a 1 '' ; i k u $ "?„,,.:1,111,. "'h9t.� j ..1.;N4',..‘ e ` ' t t T' '.' ,f � . t T. 4 # .I' � .. 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'W ''.2;'a l , X , t; . «i, k8.833 Y.:. ,.. r. ,` , ,_, , _ '40P- CITY OF ATLANTIC BEACH Q®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 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. 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. ADDRESS l �� 7 43c� Go �v rya- -- �7' _ 9c a-y9 / PHONE NUMBER - 1/4 14 Po,v PRINT NAME 441,1/6-7/1---',.._ —I/ I SIGNATURE DATE Before me this 21 day of 4 ' 2011 in the county of Duval, State of Florida, has personally app red herin by himself / herself and affirms that all statements and declarations are true and accurate. rn Notary Public at Large, State of I L , County of V w ❑ Per ally Known TP�2f Q (J 4 n �z3 roduced Identifica ie 1 _ ` Notary Signa . ; _ • OWL • FIBLDG/ Owner - Builder Affadavit; REVISE,: 4/16/2009 !-J -V r City of Atlantic Beach APPLICATION NUMBER Building Department (To Department.) �' be assigned by the Buildin C ' v 800 Seminole Road J � / _ /i ^'' g Atlantic Beach, Florida 32233- Phone (904) 247 -5826 Fax (9 r j 247 -5845 V 1 201' 19 E -mail: building - dept @coab.us ' 7- Date routed: / City web -site: http://www.coab.us APPLICATION REVIEW AND CKING FORM Pro Address T / Department review required Yes No Applicant: d lU h �-- (Plannin ann n g & Zoni • • .tor Project: P p 4 C � , r ( - ubiic . • • _ ubiic Utili • - Public Safety Fire Services Review fee sr _ 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 P i� /r G PLANNING &ZONING Reviewed by: Date: C �1 TREE ADMIN. Second Review: A roved as revised. ❑ pp ['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 s !-= >>�"iy City of Atlantic Beach APPLICATION NUMBER J S r1 Fax (904) 247 -5845 Building Department (To be assigned by the Buildin partment. r 8 P 00 hone Semino (904) le 247 -5 Road 826 • r ) � Atlantic Beach, Florida 32233 -5445 A - `7 '`o;t1v E -mail: building- dept@coab.us Date routed: / /// City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ( � 7 L I d - J Si De . artrnent review re. uired Yes No Applicant: e k(..)Th e_-• Planning &Zonis'_ /� ��•r:r.�n rator Project: j2 G4 6 £., le r' i Cg. r- ublic . • �,�- ublic Utili Public Safety Fire Services Reviev feeM $7 :,-i, it' F <; , P S re ,ry . 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: l( TREE ADMIN. Second Review: DApproved as revised. Denied. '� • • r KS ' omments: '� � S ..„„; PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 ?v r - ; ., City of Atlantic Beach r t , Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building partment.) ," '=`�� Atlantic Beach, Florida 32233 -5445 � - iej \ Phone (904) 247 -5826 • Fax (904) 247 -5845 0.119 /� E -mail: building - dept ©coab.us Date routed: ... / /! City web -site: http: //www.coab.us / APPLICATION REVIEW AND TRACKING FORM ,7 � / 7 F -9o )&- Property Address: `? ` / Department review required Yes No Applicant: O Planning & Zoni • r - 'r rmi trator Project: (J � (p r 16.te - ublic . • Public, Utils Public Safety Fire Services Revie fee 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 c Reviewing Department First Review: QApproved. ❑Denied. CgAikit (Circle one.) Comments: , BUILDING / •p / //o!��' ariowt-iiii / „4 'CANNING & ZONI G it' Reviewed by: Sde Date: l'I/ T' ID MIN. Second Review: QApproved as- revieed. ['Denied. PUBLIC WORKS Comments: � i / _ ' • PUBLIC UTILITIES PI r • PUBLIC SAFETY Reviewed by: /d C Date: ep 1- // FIRE SERVICES Third Review: [Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10