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Permit Fence 630 Aquatic 2012 CITY OF ATLANTIC BEACH i I ,P 800 SEMINOLE ROAD ra r ATLANTIC BEACH, FL 32233 ' -�a INSPECTION PHONE LINE 247 -5814 12- 00000081 Date 1/30/12 Application Number Property Address 630 AQUATIC DR Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . • 450 Application desc INSTALL 6 FT TALL BOARD ON BOARD FENCE IN REAR Owner Contractor TOPPING, BRIAN R. OWNER 630 AQUATIC DRIVE ATLANTIC BEACH FL 32233 Permit W /W /O FENCE PERMIT Additional desc . .00 Permit Fee . . . 70.00 Plan Check Fee . Issue Date . . . Valuation . . . . 0 Expiration Date . 7/28/12 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. Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 74.00 74.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ., MAP SHOWING -: R LOT & B LDC K AS SHOWN ON MAP OF AS PlECORDED IN PLAT BOOK 3B ,PAGE 7tF7IA — OF PUBLIC RECORDS OF OUV{L..FtA. FOR SSOC1i( S o Atlantic Beath m d y P f� �p and Zoning Depa P rh Florida the ing Code and an oth: aDP bk ig Federal PermRtlPnmg 4 _ n . 0 mum be Nonacid total, State and l ature of tc the City Beath Building Prior `/ Building Perna. 7 le OR /�E (50'13 /w) A ey: ,,. -. L ` •""7" . , r Date: OOOo c20 A( 7 /c • D2 '' w = .v3T�43's8 •� 3S. 3''„• 45:D' 30.0' 30 D 240.0' , _ '? a= 39.27 OVE h 0 \.. Nit a l( ' A C. C A % 1.44 ...... L T /4-A . LO /4- C 0T /4 -. , , Lor /4 ,� \6 � L. d 407 l5 - � , h • in =W h NI oi co os co c a Ni 1 a k - Oto'op E a V 7 is' at,4,,v.ace, amines arc ze'ws z y 450' 30.0' 38.8• 5:,0' o �i" t " -s T° /6' Oz" x4, f3EPbAT OF PT 0f A0 PALMS U N/ T TW0 -4 ' ',2 0 Pd. 3/ ?G. /6i /60 �h✓ S4 ' /� /w FOR GRA /NAGS 1 Uric /T/ES APPROVED CITY OF ATLANTIC BEACH E! UILDING OFFICE 1,_________ 0 31985 4),° m m CHARLES BASSETT & ASSOCIATES, INC. 215 CENTURY 21 DRIVE - ( 904) 724 9433 32216 li St1RVEYORS. ENGINEERS AND LAND PLANNERS JACKSONVILLE. FLORIDA' CITY OF ATLANTIC BEACH ®WNER / BUILDER AFFIDAVIT , PART I. FLORID STATUTES; CHAPTER 489, FLORIDA STATUTES E THE LAW: 1 'CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO A 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 REOUIRED 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" IFICA DEPARTMENT " TO CE IF IFPE ERSON IS DOUBT. A LICENSED CONTRACTOR. TELEPHONE THE B E STATEMENT AND I ( COMP Y WITH ALL THEE ABOVE DISCLOSURE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER- BUILDER PERMIT. 6 3o A-9 vG ) G D,•.ud. (gd 897 -I3YZ ADDRESS ` PHONE NUMBER • /3r; a-.4 Tn,,"i PR T NAB' V ib e/g 2- SIGNATURE ���`' / DATE Before me this day of ,1 201_ the county of Duval, State of Florida, has pe ,• Ily appeared heri , himself / herself and affirms that all statements and declarations : e and accurate. a Notary Public at Large, State of , County of • D ?ersonally Known 0 L 1 s 0 7 6 , , ,p , �+� P I A os MaY2EE0' S 9 foduced Identification - � — rn , _ YPUum und Ciaaj � -_ nWiter Notary Signat • F:BLDG /Owner - Builder Affadavit; REVISED: 4/16/2009 ` City of Atlantic Beach APPLICATION NUMBER Building Department ( To be assigned by the Building Department.) . 800 Seminole Road f a— d 6 ,, Atlantic Beach, Florida 32233 - 5445 �/ Z A Phone (904) 247 -5826 • Fax (904) 247 -5845 Date routed: - 2 , 0 -� r a E -mail: building- dept @coab.us City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Address: ��� dg d� ' Property Addre Building ` anning : Zoning Applicant: -- - a or ‘ t Project: . �. c aet Fire Services - Other Agency Review or Permit Required Review or Receipt Date UT u of Permit Verified By Florida Dept. of Environmental Protection a 6)2 Florida Dept. of Transportation 0/7/—>7)&1/Z-- 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: %pproved. ❑Denied. (Circle one.) Comments: y\ -.^ 14,1 wyciAill , 0/ BUILDING ���d � PL NING &ZONING b I Ok 1 � - L ate 11/3/12--i 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 +1.4\ -4 City of Atlantic Beach APPLICATION NUMBER s` _ Building Department (To be assigned by the Building Department.) s a 800 Seminole Road 4 `' r / a� -0 Atlantic Beach, Florida 32233 -5445 E. ED Phone (904) 2.47 -5826 • Fax (904) 247 -584 � ZOtZ Date routed: 20 r s3 E -mail: building- dept @coab.us City web -site: http: / /www.coab.us d -- , APPLICATION REVIEW A CKING FORM Pro ,q d C . j , Department review required Yes No a / p Address: 6...: Building a rming :Zon Applicant: - - - , a or Project: is r - / ��- _ - .� :. c a . et - Fire Services �) � � �' ��' �'§"; � e �, & x�e Y � f e —, t � � a av, � aS Al i �G., ..��., „mss �.. .. . ,. . , s, Review or Receipt Date p2 Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection (1./O Florida Dept. of Transportation ©`'L'i���L_. 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. DDenied. (Circle one.) Comments: BUILDING PLANNING & ZONING Date: Reviewed by: • TREE ADMIN. Second Review: []Approved as revised. ❑Denied. P ,,, O- . omments: r'U: UTILI IES • PUB IC S 4 E Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: i Revised 07/27/10 City of Atlantic Beach ` APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 14� /7 . . r y� / 2 '' E / `; At Beach, Florida 32233 -5 P? ,. 4, , J ., Ph (9 247 -5826 • Fax (90 47 -5845 1 p /2 x t" E -mail: building- dept @coab.us "�^= Date routed: / r ?.v / 'tom • City web -site: http: / /www.coab.us '` APPLICATION REVIEW A ND WRACKING FORM 6.9 C- Department review required Yes No Property Address: Building / ° arming Zoning i/ Applicant: I. A� - - in a or Project: . ‘ r S - u•li Utili / - c`a'tsfiic safety '"'� c/ Fire Services r»�,,..,�w -r,� r ' re P " F :s--'102:r , -,:'i.61.:• r,dr r -; u�i y . "�.. Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection llJ Oil (---- Florida Dept. of Transportation St. Johns River Water Management District otU)6 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 iF / / l� PLANNING & ZONING Reviewed by: �_ Date: TREE ADMIN. Second Review: DApproved as revised. DDenie•. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ElApproved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 1. 30 11% /A,1 C °rive. Permit Number: Legal Description Fen c G _P /crc ,'ti€ 'r F Parcel # F' or Area of Sq.Ft. Sq.F't Valuation of Work $ ki s- 0 an 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 Residential installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product approval form //'+ aaffli De ribe in del j'1 the type of / , work to be performed: /� G / 4 /t-ee O Tt''ic,e ane /s 11- `. Property Owner Information: Name: ? ri am 1 /'f f, 9 Address: 30 4� 1,41.,1 c. Dom; ve City Afl R e State Fi -Zip 3 ZZ Phone (a 857- ?5SZ E -Mail or Fax # (Optional) 1 Contractor Information: Company Name: A /A Qualifying Agent: Address: City State Office Phone Job Site/ Contact Number F. State Certification/Registration # Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address 7 D Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six _(6) months at arty time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF . COMMENCEMENT. / hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of 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 of any other federal. state, or local law regulating construction or the performance of construction. , ( Signature of Owner K am_ / Signature of Contractor / t Print Name i ""�'" r , D b �1 t Print Name Swo 1 ., • ubscri 0? before " { m " ° e � '� Sworn to and subscribed before me Day this % D of: t this Day of , 20 Notary Public : =y;/.`'' M . ES'. • Notary Public It 41 ec Revised 01.26.10 AL IS'� / �2S� 73 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 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 REOUIRED 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. O . IRS BSERV E WITHHOLDING; IRS WITHHOLDING N TAX AND /OR FORM WORKERS BECOME EMPLOYERS AND SHOULD ALSO ON THE WORKERS THEY OE IR 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" DING TO S TA F P DOUBT. A LICENSED CONTRACTOR. TELEPHONE THE BUILDING STATEMENT A D E THAT 1 WITH ALL THEER THAT I HAVE EQUIREMENTS E THE DISCLOSURE SSUANCE OFAN OWNER- BUILDER PERMIT. 6 3o A oaf/ ,l is uee (' ,q) 8'97 -f53"Z 9 PHON NUMBER • ADDRESS /' PRINT NAME l / � 8 /gal Z •••• • j/ �"'� b rf� � � `' DA SIGNATURE / Before me this lb day of �� ' 20_1<n the county of Duval, State of Florida, has pe • Ily appeared heri , y himself / herself and affirms that all statements and declarations a and accurate. Notary Public at Large, State of County �i/V ®1; of I% —1a a" �`',�i DEBORAH , ` / � � ; MXC DMMI S S p DA W FIIT F ?ersonally Known 0 L ` s 9 7 6 '� - I. , onded , s EE 05 7349 . ki Notary P b c U n d 15 roduced Identification - d 0/7:71/4 . -� Hunters ' Notary Signat (Ja e:1,11 F:BLDG /Owner- Builder Affadavir; REVISED: 4/16/2009 ,o7 soil -41,„„nist y _ n CITY Off' pp, A BUILDING AND ZONING DEPARTMEN 7A cf, /6 This building has been inspected and: ' I General Construction s C Mechanical (� Concr. 'lumbin • d NOT ACCEPTED 'A' ..:. � .D BELOW, BEFORE ANY FURTHER WORK • f • • , x. Ins ector: Date: ` " I Failure to respond to t i Notice within 10 days will result in this violation being forwarded to the CODE ENFORCEMENT BOARD. The posting of this Placard by its contents shall serve as due notice.