Permit Fence 1570 Linkside Dr 2013 CITY OF ATLANTIC BEACH
\ ¢1
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
' INSPECTION PHONE LINE 247-5814
t
Application Number . . . . . 13-00001983 Date 1/28/13
Property Address . . . . . . 1570 LINKSIDE DR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
replace 6ft fence
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Owner Contractor
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DEAL, HENRY MICHAEL & MARY A OWNER
1570 LINKSIDE DR
ATLANTIC BEACH FL 322337307
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Permit . . . . . . FENCE PERMIT
Additional desc . . REPLACE 6 ' FENCE
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/27/13
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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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233 O
Office (904) 247-5826 Fax (904) 247-5845 °r-4
13
Job Address: it 70 L/N KS 117 E DR Permit Number.
Legal DescriptionParcel#
oor ea o q. t. q. t
Valuation of Work$ 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
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed:
Property Owner Information:
Name: ACC 8 Y 7FAL Address: 15 70 4.1 XKS I Yk TR
City State 4 Z_Zip Phone 90 H 1 7156
E-Mail or Fax#(Optional) ha a r ch�e f & MSO Com
Contractor Information:
Company Name: Qualifying Agent:
Address: City State Zip
Office Phone E��Jo:b:S:it:e/Contact Num Fax#
State Certification/Registratio
Architect Name &Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Ad ss
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 abandonedfol a period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks anti 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.
I hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whetherspeci ied 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 Signatu\ame
Print Name1 /�!� . ..............:... t/9aL Print N
Befor Beforet ' Day f 20 this 20
,o. :e;�r•; SHIRLEY L.GRAHAM
N Public =�: f,OM ISSION#DD 957760 Notary Public
EXPIRES:February 14,2014
pF ` Bonded 7hru Notary Public Underwriters Revised 10.24.12
CITY OF ATLANTIC BEACH
OWNER 0 B lU JL1LaDJL R AF EDA t/IT
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 VIOLATTON 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.
Ill. URS 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. )NI - 71S6
15 7th LINKS 1, .E DR PHONE NUMBER
ADDRESS
1 ,EN2Y M _-DE7RL
PRINT NAME
SI NATU 2 DATE
Before me this day of 20�-.M the county of
Duval,State of Florida,has personal y appeared herin by himself/herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of County of
❑Persona .Known
duced Identification-
=ot""' SHELEY L GRAHAM
^i ""Y t%t)h4tdiSS101N DO 95?760
Notary Signatu ` EXPRES:February 14,2014
R n°. Honded'i hru Notary Public Widerviriters
RBLDG/Ov.mer-Buildu Affadavit;REVISED: 4/16/2009 ""—`—
�;s- City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the ung lelarherd)
800 Seminole Road
-" - Atlantic Beach.Florida 32233-5445 i,3 1-I 1 3
Phone(904)247-5826 • Fax(804)247-5845
-ri;tI E-mail_ buildHng-deptAMcoab_us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: DZl'/7,61:6i Zr De rtrnent review uir ed Yes No
Q Buildin
Applicant: fanning&Zonr
#Public
dministrator
Project: �� 77 C Safety
Fire Services
Review fee $ Dept Signature_. 4
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Envirormentol Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurards
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Cirde one.) Comments:
BUIL
NTNG&ZONING �u �p 6l
Reviewed by: - -_ Date:_61 l 201
TREE ADMIN. Second Review:
[Approved as revised. ❑Denied.
f PUBLIC WORKS Comments:
IPUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revisal 07127110
srr City of Atlantic Beach
Building Department (To be asstAPPLICATION
by the NUMBER
800 Seminole Road / )
Atlantic Beach.Florida 32233-5445
PhWe(904)247-M - Fax(904)247-5&45
E-mail: buitabng-deptQcoab.us Date routed:
City web-site. http://Www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required T Yes No
�,,
j � � � Duildin
Applicant: lu ~Planning&Zone
Tree Administrator
Project: x -n C
U is
Public Safety
Fire S ices
Review fee $ � Dept Signatu
Other Agency Review or Permit Required Review or Receipt Date
Of Permit Yerif'ied By
Florida Dept.of Environmental Protection
Florida Dept of Transportation
St Johns River Water Management District
Army Corps of Engineers
Division cf Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
O0W.
APPLICATION STATUS
Reviewing Department First Review: WApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed b . Date: -
TREE ADMIN. Second Review.
' [lAppnaved as revised. [Denied.
PU Comments:
B C UTIL S
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. []Denied.
Comments:
I
Reviewed by: Dom:
RedcA 07127/10
PUBLIC UTILITIES PLAN REVIEW COMMENTS
sDate: Initial
Project Name/Address L w Application Permit#:
Check Box Check
to Add Box to
Application Tracking Comments Comment "Print"
EEnsureall
underground water/sewer utilities. Verify vertical and horizontal location of ❑ ❑
g if necessary. If field coordination is needed, call 247-5834.
boxes,sewer cleanouts and valve covers are set to grade and visible. ❑ ❑
A sewer cleanout must be installed at the property line. Cleanout must be covered with and ❑ ❑
RT1 concrete box with metal lid. Cleanout to be set to grade and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will be provided or ❑
if there is a private well on the property. Backflow preventer must be tested by a certified ❑
tester and a copy of the results sent to Public Utilities.
Plans note the building will be unsprinkled. If plans change, any fire line installed must be
metered with a Sensus touch-read meter in a properly sized vault and an appropriate backflow ❑ ❑
preventer installed. Backflow preventer must be tested by a certified tester and a copy of the
results sent to Public Utilities.
If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑ ❑
requirements. At a minimum,will require a double check backflow preventer.
Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must be ❑
installed in a vault as noted in 1EA specifications.
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City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the BiirNng Dep filet)
800 Seminole Road G� C
Atlantic Beach.Florida 32233-5445
Phone(904)247--5 26 • Fax(904)247-5645
Email bui1c1ng-de�coab.us Date routed
City web-site: i�ttp:/ANw%,v.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: D %7/C d 1 Department review requhed Yes No
Q Builth
Applicant: 'Planning&Zo6l
Tree Administrator
Project: �� 77 C -Pi��Iic 1N
u rc
Public Safety
Fire Services
Review fee $ Dept Signatureyv`-
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Envirormental Protection
Florida Dept of Transportation
St Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurards
Division of Alcoholic Beverages and Toba000
00W.
APPLICATION STATUS
f Reviewing Department Fir-at Review: roved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by: pie_
TREE ADMIN. Of-
Second Review•
QAippnaved as revised. ❑Denied.
PUBLIC WORKS Comments:
IPUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.
FIRE SERVICES Third Review: aApproved as revised. []Denied.
Comments:
I
Reviewed by: Date:
Revised 07/27110
MAP SHOWING BOUNDARY SURVEY OF
LOT 146 BLOCK AS SHOWN ON MAP OF
AS RECORDED IN PLAT BOOK 47 PAGES B-4-BSB OF THE CURRENT PUBLIC RECORDS OF DUVAL CO., FLA.
FOR: 6$21174Er 1142, .s G' ,so ,�T/D.t/
NOTE: BEARINGS SHOWN HEREON ARE BASED ON THE ABOVE MENTIONED PLAT.
City of Atlantic Beach
Planning and Zoning Department
This approval verifies compliance with applicable
zoning, subdivision and other local land
development regulations, but does not constitute
approval for the issuance of permits. Complia e
with Florida Building Code and all other a b
local, State
�}and Federal permitting req it nts
.�'9�'T OF GD✓�'r�.V�'�Tr(/T C.oT /, /7 �/ug�d.1eb tc�� 9f the City f tic
X-4,ri-F 29 �i4 r�► in Of i o the issuan
Building Permit.
A ' � +�fir`,
�• Approved By:
r
Date:
gS 612/9
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