1918 Seminole Rd (vault) /, r,' .r
lt,
u� �s, CITY OF ATLANTIC BEACH
k ., rl 800 SEMINOLE ROAD
;� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 06-00032019 Date 1/13/06
Property Address 1918 SEMINOLE RD
Tenant nbr, name INSTALL 4 ' PICKET FENCE
Application description . . FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . • 400
Owner Contractor
TORP, KLAUS OWNER
1918 SEMINOLE ROAD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
Permit FENCE PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 35 . 00 0
Issue Date . . . . Valuation . . •
Fee summary Charged Paid Credited Due
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r.
BUI ._4r. ° . Fl L
'---`^' CITY OF ATLANTIC BEACH cc:
• `'.,s, BUILDING / ZONING DEPARTMENT D. Ford
, L. Higgins
`1 -— 11 800 Seminole Road pErr,)
;' Atlantic Beach,Florida 32233
;___1/ (904)247-5800 R E E
'= (904)247-5845 Fax ,
CITY OF A"Li— u zt�L,r► {
www.coab.us 8( I N, ,, -
ELAN REVIEW COMMENTS JAN 1 2 2006
Permit Application # D lit 3g BY: _ _ -.--! __...
Property Address: 1 q 18 -rvt,l 14.0 t e) �.O
Applicant: le.1 ai,L ist r p
Project: 11(1- 46, < < 4- 1 P 1 Cr.:e__f F`e,ikC e
This permit ap lication has been:
Approved
0 Reviewed and the following items need attention:
Please re-submit you . ,plication
llir
w these items have been completed. /
Reviewed By: a-l�/C Date: c2/ -/3 �2
Date Contractor Notified:
Y r' ���''h.- CITY OF ATLANTIC BEACH
I
'S{}, 9002 g 1. NVr FENCE PERMIT APPLICATION
i
` /f ! J,.. (v.:L ? jN, '�i 9 Date: I— / Z -
,,
,;. I N')N�c1 011Ntrlid�0 A110
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS-WITH APPLICATION.
Job Address: 15 ( i S 6-7:11/1/Nd CE R6 , A L 1c.t,(t A. eag'<-/./
Owner's Name: PC tat( S 1,7'I L /
Address: 15 I ' St +/'t CL1 I LC / !� t�(..t�iw`k`(. ; (,-,c,47'
iL i,4j Phone: a4cQ• ��34
Legal Description: Block Number: Lot Number: Zoning District:
Fence Contractor: l U .e
Address: Phone:
City: State: Zip:
1 / Fax: /
Type of fence and materials to be used: WOO !�,,.Z c Sit../t. a IL C 4--,...., -_s. (2c6 pz 1.eo
-4 ' u ,
Valuation Of Fence: (4 L{dv [dInterior Lot ❑Corner Lot ❑Dumpster or storage tank enclosure
Is approval of Homeowner's Association or other private entity required? 7/0 If yes,please submit with this application.
Tree Protection: [(NO. Applicant certifies that no trees will be removed for the installation of this fence.
❑YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS
REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which
meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
1. Attach copy of property survey showing location, height and all distances from property lines of the proposed
fence. (Fences shall not be placed within any utility or drainage easements without written permission from the
Utility and/or Public Works Departments. Fences shall not restrict any private easement.)
Address and contact information of person to receive all correspondence regarding this application(please print).
UL
Name: 1a-it 5 SD Re
Mailing Address: IC it S t h" i l't U 6 12-d , ,i: i- icy..4' . ik,:,a, r L 222-
Phone:
I° `-( 2 1(r!Z Z 23 ( Fax: h. t,e E-Mail: 1--(s-72-L taus k SQ,h e t
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us
Page 1 Revised 3/04/04
or
Ilk I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All
provisions of the 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 federal,state or local rules,regulations,ordinances,or laws
in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this
permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as
required.
Signature of Owner: V / Date: — ' v`�
AS TO OWNER:
Sworn to and subscribed before me this /42±41 day of iii-71 var7 ,20 06.
State of Florida,County of Duval
Notary's Signature: ;
',.�r•, DONNA L gt1SSEY ❑ ersonally known
,i, .- MY COMMISSION#DD 412624 `
!'4'> _-- EXPIRES:March 30,2009 [► Produced identification
rroiedll Notary Type of identification produced FL r L r P/ S
I /O-so(-613-.)-5?-0
Signature of Contractor: Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of ,20 .
State of Florida,County of Duval
Notary's Signature:
❑ Personally known
❑ Produced identification
Type of identification produced
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Revised 3/04/04
Page 2
y
RECL
CITY OF ATLANTIC tv Cti
BL,
,f r
j� JAN 1 2 2006
;� y -_-�� CITY OF ATLANTIC BEA H
OWNER/BUILDER AFFIDAfIX _ .
Date: I—12 6-O&
Job Address: I c1 i g St km ;'11 Ole PI/ A �<i u.�*c ce°, A
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.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UND THE HOMEOWNERS OINSS R ODE
POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS
SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
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.
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.
i'c
PROPERTY O RIB I ;■.ER
kows DI eT -ToRI7
SW ` ,! o) K • Ie - • • •••. ME THIS 14 DAY OF ■ liar 200 °
a-5'1
0
DONNA L BUSSEY D L -Rol O S D
171'11::.,.;,: ;= MY COMMISSION#DD 412624
sr
!' o`. EXPIRES:March 30,20094�
Banded mn,notary Pubtic U"da"""ef 5 NOTARY PUBLIC 2 / q
MY COMMISSION EXPIRES: M�
NOTE: PHRASES UNDERLINED ABOVE.
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CITY OF ATLANTIC 8.. _ 7 �
BUILDING OFF--ICE c
fki`(� , .
\! City of Atlantic Beach 1 w
B ...W' •IlitLegir- --- Tnning and Zoning Department- --
TMs al verifies compliance with applicable
if
zonin , bdi✓ision and o ,for . r1
level t regulations, but does nbt cdr s its TANK s*i i T BE
appro 1 the issuance of permits;;wont f1 Mi ,A m E
with rids Building Code and all other,a�Ticat�le WITH
local, State and Federal rmitting retpAre'r enfs• — - ,r ,�
must verified by sign e of the City .. Atlantic -
Be Building )fioh I'
i '' . to the co of a
Build' Permit, ,
`1e UO° v 4 �\/ Approved By: ..1., �< " .o• K ommund 'eve n. s'r
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ILDER / OWNER 1 � 0et4�i.--1U SUB-DIVISION
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ED SIMS ' DESIGN SERVICES
SUITE 117 VILLAGE ORANGESPARK ,NFLOR DA 32073
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