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Permit Fence 371 8th st 2012 �� , J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r, r) r) J ; r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 011 c' Application Number 12- 00000278 Date 3/26/12 Property Address 371 8TH ST Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REPLCE 4FT AND 6FT FENCE Owner Contractor WOOD OWNER 371 8TH STREET ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/22/12 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. Full right -of -way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. y L o r 37 , L 0 T 3S L o T 33 L o T FDles - t,P I r.r•71S Rp.: /x••V R� e t. N 8 9° 59' 45" E 8.3.40 • F y 'v.g -� o. vi•w y� s > - . ,_ gy p.. ___ -�_... o. ^ J 01 " N( \ o G'�vcr �..is E Fi VS rI 41, '.J V., na Y • CM.. rNG,NK I - C.". II '7). i IO lo .o- sy. C'-'-, % I i I -\ '. J) va I : i 31.1. 7.9 '' .-nI .---•..... j n I 2- STafzi , L 0 T 38 F�AMe j ®; rsri o . N' 3-71 t q 1 �� , R , N N i 4 es, i` V r ' W Q _ 4Z. s' -30, 7.9' ( '-N 1 O a ';'Q - - 2. snry a >r_ce. ,p � (_J 0 ! 2. W L Mr i . "� wA� t _ U 3 yC) ) 7 16 Fo.c.NC !y • `o L1iS �� I • M ',It/ANENT V'CO4[ w 4GK • ,89 ° 59 ' 45" W . : _ 46 FD Vc ^ P. +rG7is 00.0) ASSUMED KLEV4T1e14 N• GAP o.2 S. a.e,' c. EIGHTH (8th) S TRE F ILE £JOPN ( A 40 —FOOT RIGHT —OF —WAY ) City of Atlantic Beach Planning and Zoning Department This approval verifies compliance with applicable N °rE. (1O • 0 ) DENo��g ��T,o� zoning, subdivision and other local land development regulations, but does not constitute FF e.' 0 • s,) Afsov. . approval for the issuance of permits. Compliance ceow N of Raffia with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified by signature of the City of Atlantic Beach Building Official prior to the issuance of a Building Permit. �-i� Approved By: ,p ( J oky�" uii evil Ee Director Date: ! l� %(Jl [1 ¢(U¢ce Z -odax) 78" City of Atlantic Beach APPLICATION NUMBER ( (CLAN).- C Building Department RECEIVED (To be assigned by the Building Department.) --- w, L '1 800 Seminole Road /a? ` - - _ Atlantic Beach, Florida 32233 -5445 M! I 'I 4 2012 Phone (904) 247 -5826 • Fax (904) 247 -5845 - „ acti n E -mail: building- dept @coab.us P�/ � Date routed: /S / City web -site: http: //www.coab.us 1' - APPLICATION REVIEW AND TRACKING FORM Property Address: ot) / / Department review required Yes No _Building_ Applicant: Q / , , ( . ) / 1 / C Z C . Planning & Z onip g ` / / Tree Administrator Project: / :, /a GF_ 1 1 Wrr d 6 Publi Wor sz c' Public Utilities) ( Public Safety Fire Services �'�J ri�2 H�'�” Wi T i t4'I uy,'M' � S: Y Y Hy'TV 47p * ? µ;; 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: VApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by N Dater / / 1 Z° TREE A DMIN. Second Review: QApproved as revised. ['Denied. t P d : OR Comments: - • Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: i Revised 07/27/10 / r (To tAivf City of Atlantic Beach APPLICATION NUMBER �s # Building Department be assigned by the Building Department.) > ° Y 800 Seminole Road L' .- ? Atlantic Beach, Florida 32233 -5445 / _ ` J Phone (904) 247 -5826 • Fax (904) 247 -5845 ..r).ai� E -mail: building- dept @coab.us Date routed: , -, /s // 2 City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c j / / g 7; Department review required Yes No building Applicant: & - ) /W f ( Planning & Zoning j Tree Administrator Project: 2 S% l 4 Lt 'Y 9i-ii t ( Public W C ublic Utilities J� 1 Public Safety (/ Fire Services yr- a.3k23 4 • :tat' 'r» N: 'R :ft , f va ": ? moo 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: EtApproved. ❑Denied. (Circle one.) Comments: BUILDING _ N gI Reviewed by: 611, Date: (13 /W21/Z__, TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: i Reviewed by: Date: I Revised 07/27/10 CITY OF ATLANTIC BEACH ,'; OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES ; 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 LI BY TO MAKE KLAWSURE AND BY COUNTY OR MUNICIPAL LICENSING NG 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. STATEMENT L AND E THAT I COMPLY WITH AL E H ABOVE DISCLOSURE L THE REQUIREMENTS FORTHEIISSUANCE OF AN OWNER- BUILDER PERMIT. e 8 - i / r) (trac24 ______ H O AD NE NUMBER D S � k QJ4 J,l ,r PRINT / � , ` I�� iT /� J `� ^� < D C IGNATU ATE Before me this (0 day of A £L rC h ` 204_2in 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. { Notary Public at Large, State of 1 , County of 0 P Known DfroducedIdentification - - ■� '; +':� SHIRLEY L GRA4IAM Nota ••nature: l � + a COM MISSION DD 957760 le 7..; �� , EXPIRES: February 14, 2014 , A pF h d Bonded Rim Notary Public U F: BLDG/ Owner - Builder Affidavit; REVISE ■ : 4/16/20' - t�.Ji, -�� C ity of Atlantic Beach � �C J APPLICATION NUMBER 4s - - Building Department (To be assigned by the Building Department.) -., ; ti , s 800 Seminole Road MAR 1 4 2012 1 � Atlantic Beach, Florida 322331 4 5 - Phone (904) 247 -5826 • Fax ) 24 -584 �p �,.� �? E -mail: building- dept @coab.us T' _ __. � ' v Date routed: r5 «// Z-. City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM g J, Property Address: j 1/ / Department review required Yes No CC _Building._ Applicant: &V /✓C Z C. Planning & Zoning Tree Administrator Project: A_-_,/ c.t 1V c: Public Wor�c ub__ Utilitie 1 Public Safety Fire Services +I"a eW "r`5 M W 4 6 345g . -ty^+ r+5 K W - - Mn.stx 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: [3( Approved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: ?A -C) /Z TREE ADMIN. Second Review: DApproved as revised. ❑Deni d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: 1 Revised 07/27/10