Permit Fence 1451 Linkside Dr 2012 \ " CITY OF ATLANTIC BEACH
s -; r) 800 SEMINOLE ROAD
J " ` = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
--01.1!)
Application Number 12- 00000589 Date 5/18/12
Property Address 1451 LINKSIDE DR
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
REPLACE 6' TALL FENCE
Owner Contractor
CHIANG CAROL Y & BLAKEMAN OWNER
JUSTING M TRUST
1451 LINKSIDE DR
ATLANTIC BEACH FL 32233
Permit FENCE PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/14/12
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.
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.
•
PART Cr BECTON tT - - . ....,.. . u. UU VnL '_.'JO 11, tLUKOUA.
F s A► n` • L8
S 06`45'00" E 1)44 CERTIFIED TO:
10. GEORGETTE R. TRUJILLO & JON M. TRUJILLO
x PNC MORTGAGE CORPORATION
romp t,, otoN PIPE . i l O' •
X00 STEWART TITLE GUARANTY COMPANY
sTA>wED 1704' RICHARD T. MOREHEAD, P.A.
2W DRAINAGE_ %Platt
AND SEWER EASEMENT
VA -1
LOT 65 fa-11
A., • tY‘A 'VtP ...--
ex
1 ttp
i f luk-
c .......•...._
.t.
(.9 i tio .A., re ..
,_
.._ _
,A
...,
t, I'
I AA' i
4 libi'. 'S.N
s qa LOT 66
A
•
1
t � S 'AS
ea
o.o' s
L..1 J GO " U N. i
.#
In
0.
T" d
r)
CO
Z e
22.5' , a• 0
PART OF SECTION 17 r
„e t, g0
. 4 . O O g .
II.
e
•
O 6: •i o
j •
"i
i �: • ' - - Q ,1G ' rout* 1/2' IRON PIPE
v f ESE STALPED * LB x20 CROwDEI
T5,tty SSE
FOUND 1/2' IRON PIPE FOUND X OJT p. C v
STAMP@ 'LB 120 CROASLElE' PONT OF TANGENCY ti i� V L nD0)
N 06'45'00* W 60-°0 '. lP�
24.90'
LINKSIDE DRIVE
(50.0 RIGHT OF WAY)
. 1 NOIES: ACCEPT: ?',:
LEGEND:
R = RADIUS — X — = PENCE
L LENGTH CD = CONCRETE
NOTES:
1. BEARINGS ARE BASED ON THE PLAT BEARING OF N 8315'00 E ALONG THE REVISIONS
NORTH BOUNDARY UNE OF SUBJECT PROPERTY,
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED (,ANDS UE WHIN FLOOD ZONE X AS ON THE 1 DESCRIPTION FLOOD INSURANCE MAP 0 AP DATED APR& I7. 4989. COMMUNITY NUMBER 120075. PANEL DI 0
J. THIS SURVEY REFLECTS ALL EASELCHTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT
IF SUPPUED. UNLESS OTHERWISE STATED. NO OTHER ITTLE IERIFiCAU0N HAS BEEN PERFORMED BY THE UNDERSIGNED 1 I
L`' City of Atlantic Beach APPLICATION NUMBER
i *I � Building Department (To be assigned by the Building Department.)
r - 800 Seminole Road /A — 'S
-6 Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 .�--
�0, 9• E -mail: building- dept @coab.us Date routed: > /S /.
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
S Department review required Yes No
, re
Property Address: � T � � p
Building
Applicant: Planning & Zoning
Tree Administrator
Project: Public Works
Public Utilities
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:
APP (CATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING l (14(1/4- Reviewed b i Date:
TREE ADMIN. Second Review: ['Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
,:any- City of Atlantic Beach _ APPLICATION NUMBER
<js Building Department RECEIVED (To be assigned by the Building Department.)
800 Seminole Road I � —
_MOB 0
'
vat, •• Atlantic Beach, Florida 32233 -5445 MAY 1 b 2012
Phone (904) 247 -5826 Fax (904) 247 -5845 ,�--
F4013110' Email: building-dept@coab.us Date routed: is ��--
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: AV-S7 ,r1/ "Li i a-c _ Department review required Yes No
Building
Applicant: '` ` Planning & Zoning
Tree Administrator
Project: ' ' ' "" ` Public Works
Public Utilities
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:
APPLICATION STATUS
Reviewing Department First Review: [Approved. (Denied.
(Circle one.) Comments:
BUILDING ( , I
PLANNING & ZONING
� I * //6l /Z,
Reviewed by: Date:
TREE ADMIN. Second Review: A roved as revised.
n 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 05/14/09
s ; ;i! :r City of Atlantic Beach APPLICATION NUMBER
#�" � Building Department REGEIV��
s� To be assigned by the Building Department.)
r �.. ;- 800 Seminole Road
Uy � Atlantic Beach, Florida 32233 -5445 MAY 1 5 2O1L
Phone (904) 247 -5826 • Fax (904) 247 -5845
- 4)11 1 >%' E-mail: building-dept@coab.us BY :- - Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: . : Department review required Yes No
Building
Applicant: Planning & Zoning
Tree Administrator
Project: Public Works
Public Utilities
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:
APPLICATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: Date: 6 ;/(.7 /
TREE ADMIN.
Second Review: DApproved as revised. ODenied.
P - :);joittia - omments:
PU1 IC TILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
4 }% WNER / BUILDER AFFIDAVIT
1 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.
Plc 01 4 r - 7sq
ADDRESS PHONE NUMBER
C kZOL CE-1-(At
PRINT NAME ��
C� /
SIGNATURE B A T E Y "4
iR'l
5,1. SH I • MIN Before me this / day of A ��J 2 2 in the co d MYCp M« GRAHA
Duval, State of Florida, has personally appea/ed herin by imself / hers = l - � +�� thdfXpif # t 9 57760
• ; „ Bonded Febtu
all statements and declarations are true and accurate. Thr Not P a r 14, 2014 Underwriters
Notary Public at Large, State of [. , County of lJ
6 :17sonally Known •
roduced Identification - Ada
In. Notary Signature: �.
F: /BLDG/Owner-Builder Affidavit; REVISED: 4/16/2009