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1648 Sea Oats Dr 2013 fence ft SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002041 Date 1/31/13 Property Address . . . . . . 1648 SEA OATS DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------- -------------------------------------------------------------- Application desc 6ft fence replacement -------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PERRYE JEFFREY H & TINA R. OWNER 1648 SEA OATS DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit FENCE PERMIT ED PLANS Additional desc 61 FENCE PER APPROV . 00 Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/30/13 ----------------------- ----------------------------------------------------- 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 Office (904)247-5826 Fax (904)247-5845 Job Address; ig Permit Number: Legal Description IY-.:rt a7-ALzr-' Parcelh! 1je4 e%3 e" Floor Area of Sq Ft. Sq.1,'t Valuation of Work S �7 f-v —Proposed Work hea* ted/cooled non-heated/cooled Class of Work(circle one): /,�� Addition Alteration Repair Move Demolition pool/spa window/door Q=�­ Use of e�i�ting/pro sed structure(s) circle one): Commercial If an existing strucf:re,is a fire sprinMr system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product apprav-a-17—rm Describe in detail the type of work,jo be performed: 5*1 '),0), 4 A (/Z.,.0-p- -j �Zt` 0,!2 6� '()e 041 Property Owner Information: Name-.J-'/h/ Address:111W -4- city 0 St —Zip3z 733 Phone 9�& Y.!r 3 YX-7 E-Mail or Fax#(Optional) Contractor Information: Company Name: �. 0 ing Agent: Address: -,state Zip Office Phone er ax# State Certification/Registration Contact�#er Arch itect Name&Phone Engineer's Name&Phone Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address �Jpplication is hereby made to obtain aper"'it t dl,,tl;eii,orkaiiditistallatioi7sasiii cated I certify that no work at-installation has Call"Ie edpriarlothe issitance ofapermit and that all work will bepe� -medtonfeetthL'standa-l*,d4scofa mvsrogiilatiilgcoiisti*itctioiiiiiihisjiirisdictio)i. Thispermilbucoinesmill foi ; Invs, and void if work is not commenced within six(6)months, or ifconstniction or w: ,Is suspended or abandonedfor a eriod ofsU ffl months at any thize after work-is commenced I understand that separate permits inust be securedfor Eleetricar Work,Plumbing,Mitts, KMs, Pools,Purnaces,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. I here certify that I have read and examined thi's application and know the same to be trite and correct. All provisions of laivs and ordinances governing this 0 Plivork will be complied with whether specified herein at-not. The granting of a permit does not presume to give anthoriot to violate at,cancel the all state or loca provisions ofany otherfedet I lint)regulating construction or the pe�fbrmance of constrtiction. Signature of Signature of Contractor Print Name P le, Print Name ... ........I......................... ........................................................................................................... Sworn ubscribed b Ke e Sworn to and subscribed before me this Day 20 this _Day of .20 c L.GRAHAM Notary Public DC,9577eC 1"T—S:Febwaty 14,2014 Revised 0 1.26.10 'Thri Nuiary Public U11,jeRy6ters CITY OF ATLANTIC BEACH F1 E COPY OWNER/BUILDER AFFIDAVO 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 ^CONSTRUCTION CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW DISCLOSURE STATEMENT FOR SECTION 499.103(7),FLORIDA STATUTFS: STATE. LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSLD CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO TuAT LAW. THE EXEMP`nON ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST E T -T N rIDN_yD3=ELL 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 BUILDINQ AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SFLL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFT`ERT1IE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION- XQUIM-WI Tp HIRE AN UNUCENSED PERSON AS YOUR C ACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO TItE BUILDING CUIJk�S AND ZONING REGULATIONS- IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YQkJ HAY -ANDRY-AAMINTY OR MUMCIPAL LICLNSINQ ORDINANCES, 11,INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTM SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO S ON THE WORKERS THEY OBSERVE IRS WITHHOLDING TAX AND/011 FORM 1099 REQUIREMENT EMPLOY ON THEIR IMPROVEMENT TRADES, IV. PENALTY; J141,10ENSED C211411: CTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMBI&NOE1 OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIUA 5 iATUTE NO. 455-2280). AN"OrICUF IIONALLIQjEN E'I T ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE �6F 650ETENCY' 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, CL �/_?yl— -7 PHONE NUMBER ADDRESS J,/z _PRT1NT_N1WLr—_ 1_16 S AT IGN 5"ATE day of the county of Before me th,s I by him,,ff I herself and affirmis that Duval,State of Florida,nas Pem�ajjypp...d�h-. all statements and declarations are true and accurate Notary Public at Large,S County of 0 Produced I on- SHIFLEY L GRAHM Notary Signature: ITTT I wl E)(pjrjES,Feb,,jary 14�20111 i BL1Xj0­­B.dd­Af%d­_R, D 1061,2 City of Atlantic Beach APPLICATION NUM13ER Building Deparbnent (To be assigrW by the Bdiding D4mftert i 8W Seminole Road Atlantic Beach, Florida 3223-1-5445 Phwe(M)247-5M - Fax(W4)247-W5 E-mad: bUi1Cfin9-dePt@?coab_us Date roqAed. Cityweb-site: http:/twww.c0ab.uS APPLICATION REVIEW AND TRACKING FORM Ila Property Address: 76 J�k �IIT5 bl- Departmentreviewmquired Yes No "b BVikfing—, uj Zoni Applicant: tPlanniing&Zoning--, Project: Jy-x ("6. ;�c�1 I Public Safety Fire Services Review fee Dept Signature Other Agency Review or Pennit Required Review or Receipt Date I of Permit Verified By ofida Dept.of Environmental Protection Florida Dept. of Transportation SL Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurards Division of Ncoholic Beveraqes and Tobacco APPLICATION STATUS ReviewingDepartment FirstReview: U4roved. DDenied. (Circle one.) Comments: BUILDING —ELA�NI �ZDNIP�33 Reviewed by:_ P'"Atla_gL Date:- 0 TREE ADMIN. Second Review: E]Approved as revised. F]DeniecL PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE:SERMCES Third Review: DApproved as revised. ElDenied. Comments: Reviewed by: Date: RevLc,-d 0127110 ordered By: The Law'Offices of Rod Schloth T, 2187 S Third St Jacksonvitle Bch� FL 322150 .4 9 T 904-372-9351 beach@rod-law.com PROPERTY ADDRESS, 1M SEA CATS DRIVE ATLANTIC BEACH,Florida 32233 SURVEY IN J.MBER: FL1 206.0521 ...... ....... FIELD WORK DATE:w3nam REVISION DATE(S):(rmii U1312012) FL 1266.0.521 r BOUNDARMRVEr LOT I DUVAL COUA.r[Y 13 0,M 1/2'Fir 8130-4 VI 140-1 . NO to 11 1P C.0 53a4-9-50'E I A I IF'Fir 1A Ell tn 10 0. V in 7a k 5TY- 4.0' in in I G45 0 LOU 'i AJC LOT� L., b 23-q 11i — E-U-, 1'3 to 44.9 !L0 OT 15 AXI d) -q. tri 300 40-1 LOT E 312-PIP 5U. J S NO to '5u*W 140-0a(F) 50304 0.4,Orf M 5 w I 112.MF- jhtj c Beach NO ID 9- City ,I g E)epartment Planning ro j-,ance with 8POcablel erlog-CIM other local Ian k`pproval V n �s not constitute subdiv lab t doe evelopment 169.u4i -0 permits Compliance E BLI, 13 d Gtil nd 0 Ot�er app�icable approval for the ls%9 9 jirernents -da Building itting req 't�ls FW1 - p a , 5-ITBAG11,WFOPMATION WOM 014 nAT,WT VEMM With d Fedgma of Atlantic local, State Ein of the City LOT AFPFAk9 TO CC 5eM. CED BY CtTWV IYATIM MID ied by St e issuance of a Zff ORYMERSMIP WT UMMMeD must be Verit oft�cial*1 AW Beach BuiIding No IP Building Permit. M hereby certify that thIs Sketch of Survey of the Approved BY' hereon described been made under my direct F. of my knowiLdge and Date' (e represen ation of a bellef, tt n a 9m!nlrn tnnn survey th eets standards e __by e roo Board Of 30 0 is 311 Profession r -Uescrlbed in Chapter M-1 5J-17 of t efd-A tive Co e. GRAPMC SCAM (In Feet) N State oi an rof 13 0 rs.�. and Mappe�, 0 IIJA 1 inch 30' ft. a, 4 ultv Ula clThis Survey ror Furpases other thin intended,wihaut written ver1rKation,will beat the Ujer�Sala Hisk and Wthvut 1-lability tothe SoryLyar, t,ri-ANY rwo—o—m.- oi,—r--, A ET EE) D JAN City of Atlantic Beach APPLICATION NUMBER Building Department ­fftAsA"gped by ft&MOV ftaftet) 800 Seminole Road Atlantic Beach,Rorida 32233-5445 JA/V 2 4 2o13 Phone(904)247-5626 - Fax(904)2, T-W � y E-mail: buHcfin9-dePt@?c0ab-Us _y Date raAed: Cityweb-site� httpJtwww_coab.us APPLICATION REVIEW AND CKING FORM Property Address: 7J J�k_ (�117-5 Department review uIred Yes No Btti1din9-_______ Applicant: 0 zv -Planning&Zonk4- -W r5Lt-Adrnir4strator--' Project: -ub!ic Works, c P PubrieDfirives, I _T_] Ic Public Safety P c-af S FFire Servkices Review fee Dept Signature Other Agency Review or Permit Required Review or Receipt Date I of Permit Verified By Florida Dept.of Environmental Protection Flodda Dept. of Transportation St Johns Mver Water Management Dishict kmy Caps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Of". APPLICATION STATUS Reviewing Department First Review: roved. FIDenied. (Circle one.) Comments: FAPP BUILDING PLANNING&ZONING Reviewed by: DMe: TREE ADMIN. f Second Review- E]Approved as revised. 0139nied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date. RRE SERVICES Third Review: E]Approved as revised. ElDenied. Comment-: Reviewed by: Date: fzeyiscA 07127110 Rlu-CEIVED ' X-N-U.0 City of Atlantic Beach JAN Building Department 2'9 APPLICATION NUMBER 8W Seminole Road (To be assigned by Ole Buikft Depafteri) Atlantic Beach. Florida 32-233-5445 JAN 212013 Phone(904)247-5&26 - Fax(904) 5 E-rnafl: buHcfing-ck*A0co.-th.US Date route& City web-site. t1tlPWYMW-Coab.us APPLICATION REVIEW AND CKING FORM Property Address: &Id 73 6-1 Department review uhed Yes No Building Applicant: Planning&Zoning- -Admi . rator Project: blic s! ic U611th-es Public S4,ety Fire Services Review fee Dept Signatur*�—, FOther Agency Review or Permit Required Review or Receipt Date er gcnc Florida Dept of Environmental Protection of Permit rified By P FIowddaDept. of Transportation _t Jo St Johns Mver Water Management Dishkt A y C Ps of I rmy Corps of Engineers F�sj:sion of Hotels and Restaurants J, on of AicoWic Beverages and Tobacoo Other. A PLICATION-STATUS Reviewing Department First Review: roved. DDenied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by* A P: D nent Fir:.Review_ Co r__ ents_ epa le,on C c cWe7 L BUILDING PLANNING&ZONING "IN &ZO Date- T TREEADMIN. Second Review- DApproved as revised. ElDenied. P ments: PU f,1.17111-MES PUBLICSAFETY Reviewed by-, Date: FRE SERMCES Third Review: ElApproved as revised. DDenied. Comments: Reviewed by _=Date: FeyLsed U27nD