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734 Vecuna Rd 2013 fence SS CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002443 Date 4/19/13 Property Address . . . . . . 734 VECUNA RD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50 ------------------------------------ Application desc INSTALL 4 ' WOOD/WIRE FENCE ------------------------------------ Owner Contractor - ------------------------ ----------------------- SHINALL, CHRISTOPHER S ET AL OWNER 734 VECUNA ROAD ATLANTIC BEACH FL 322333930 ----------------------------------- Permit FENCE PERMIT Additional desc . • Plan Check Fee . 00 Permit Fee . . . . 35 . 00 0 Issue Date Valuation Expiration Date . . 10/16/13 --------------------------------- 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_----------- --------------------------- ---- Fee summary Charged Paid Credited ----Due--- _ _ ---------- ----- -- ----- ---------- - . 00 Permit Fee Total 35 . 00 35 . 00 00 . 00 Plan Check Total • 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. MAP SHOWING SURVEY OF T 18 BLOCK 15 , ROYAL PALMS UNIT TWO A. ALICE ORDS DSIV PDUVI*,L COUNTY , LAT BOOK 31, ,GES 1, 1A, 1B, 1C AND 1D, OF THE CURRENT PUB ORIDA. VeCUAIA Z2JFIV6 v r� ANO. � e ?•• 80.G 5•' ¢i o• . �•;P � S. 85 37'Z 8: �• a/� Bim' o.: h BPL0,0 v 99.0• iii s .�o ,-? t o r /� s• G /9 � V O 9.3' CNA/N Z -'N.Y "1 t11 1e vcE --- ,!r A epartment .app ova ve i pliance with applicable zoning, subdi sion and other local land development reg lations, but does not constitute B 6Q A'IN G i y A a pE/t �[ A t approval for the suance of permits. Compliance I L o with Florida Build ng Code artd att oxRer applicable local, state and ederal permj(ng requirements o S must be verified 13y signature of the City of Atlantic Beach Building Official prior to the issuance of a Building Permit. Approved By: Date: "L" P FOR Tim CI'1'Y OFA'iLANTIC E3EAC}i, FI.UR,Di CER THAT THE PROPERTY S�IOV7N IIERI:ON IS IN 1'LUOD ZONE IH }IERE$Y _ _ .._ .,.nn nnrtninl►t2Y MA it 3 ` r v .+r• t a. ' d i G t , a v t, t • BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 3Q 800 Seminole Road, Atlantic Beach,FL 3223 Office (904) 247-5826 Fax (904) 247-5845 414 7 !� Permit Number: ^.Z L- 3 Job Address: Parcel# t Legal Description oor ea o q t• non-heated/cooled Valuation of Work$ J E Proposed Work heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pooVspa window/door Use of existing/proposed s a fire sprinkler system:install d? (Circle.one):CommercResidential UseN/A If an existing Florida Product Approval# For multiple products use product approval 1011 1111 A 1 Describe in detail the type of work to be performed: Y' Property Owner Information: not /T/ Name: L�� r l'r•[ Address: 3 !/EG v City y Gh State,4ZipPhone o �d E-Mail or Fax#(Optional) Contractor Information: Qualifying Agent: Company Name: Cid, State Zip_— Address: Fax# Office Phone ob Site/Contact Number State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address or r ormed to meet the standards of all laws regulating coQndonednor a eriod of sixn6)months attany time after null Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no woin rk thisj installation n. This commenced prior tot e issuance of a permit and that all work will be pe f Wells,Pools, Furnaces,Boilers,Heaters, and void if work is not commenced within six(6)months, or of construction or work is suspended or ab f work is commencend�tiounde stand that separate permits must be secured for E[eetricarWork,Plumbing,Signs, Tanks and Air Co WARNING TO OWNER: YOUR FAILU N w��OR IMPROVEMENTS VEMENTS COMMENCEMENT MAY RESULT E YOUR P G NG9 C NOTICE I TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN MINCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY EN BEFOREM STC granting o a permit does not presume to give authority to violate or cancel the I hereb certify that I have read and examined this aepolhertein or know ot. Thethe gr same to be true and correct. All provisions of laws and ordinances governing this type o,71 rk will be complied with whether spe f� provisions of any other federal,state, or local law regulating construction or the performance of construction. � , Si ture of Contractor Signature of owner� j( /" ............................ . �.l�w'1 ,�,A� Print N ......................................................................................................... Print Name ��11 Before me 20 Befor¢ `` this Day of th Day of ss E}(PIREN PublrcUndemdws Notary Pu c Notary Public BondedT Re d 10.24.12 -7.7(/Sin.C'ls CITY OF ATLANTIC BEACH ®WNVR / 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 11-JE 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 h 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 YOURUSE 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. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO III. IRS WITHHOLDING, h 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 LIC NSE' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON S A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT;ENTANDTHAT i( HEREBY COMPLY WITH ALL THEETHAT I HAVE REQUIREMENTS� ABOVE FOR THE ISSUANCE OF AN STAT OWNER-BUILDER PERMIT. 7 J Iq yCG Grfl /?,� — PHONE NUMBER ADDRESS G w'n e�— �.A PRINT NAME DATE SIGN ATRE , Before me this day of 4ta 20�the county of Duval,State of Florida,has pereared herin by himself I herself and affirms that all statements and declarationsd accurate. i Notary Public at Large,State of County of ❑Personally Known. ,j ❑Produced Identification- �/ r" Notary Signature:9� '�' �� „ Xp� ►r,,f2 S'.A9 fip,• J7 F:BI.DG/Ownu-Builder AFradavit�REVISED: 4/76/2009 y N^� dy<'; u�� i RECEIVE . City of Atlantic Beach APR 1 1 2013 APPLICATION NUMBER j' Building Department (To be assigned by the Building Department.) ' 800 Seminole Road BY: Atlantic Beach: Florida 32233-5445 9 �' Phone(904)247-5826 • Fax(904)247-5845 1 I E-mail: building-dept@coab.us Date routed: "T City web-site: hfp://www.coab.us APPLICATION REVIEW ,AND TRACKING FORM Property Address: q::3::3 4y_e_ftkn %L Department review required Yes No i Building Applicant: C,'1�1 sfi�i� , ' Planning &Zoning � h J� Tree Administrator Project: Public Works Public Utilities Public Safety _ Fire Services 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: y 2 TREE ADMIN. Second Review: ❑Approved as revised. QDenied. PUBLIC WORKS Comments: I PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: i Date: Revised 07/27/10 City of Atlantic Beach APPLICATION NUMBER r)" Building Department (To be assigned by the Building Department.) 800 Seminole Road ice- �u� 3 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 `�_� r• 13 E-mail: building-dept@coab.us Date routed: City web-site: http://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ' I �"I V �CLkn Department review required Yes No Building Applicant: e -�� S��►�h �� n Planning &Zoning �p p Tree Administrator Project: ' 1 C h� Public Works Public Utilities Public Safety Fire Services 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 Beveraaes and Tobacco Other: E APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNIN�&Z NIN Reviewed by: E�� Date: Alohwol TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by:____-- _ Date: Revised 07/27/10 t�CJVED I sr; City of Atlantic Beach APR 1 1 2013 APPLICATION NUMBER 't (To be assigned by the Building Department.) Building Department ��J 800 Seminole Road BY:_ – `2 q3 Atlantic Beach, Florida 32233-5445 " Phone(904)247-5826 • Fax(904)247-5845 -mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW ,AND TRACKING FORM Property Address: r7:23 4 V -e C (k, Department review required Yes No Building Applicant: �� Sfi�IP.� � 1 , Planning &Zoning j� �p Tree Administrator Project: I I ' 1 j� �i Public Works Public Utilities Public Safety Fire Services .a Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept.of Environmental Protection I 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: 0�proved. Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: — l TREE ADMIN. Second Review: [Approved as revised. ❑Denied. PU OkKS Comments: LIC ILI S PUB C SAFETTYY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑denied. I Comments: i i Reviewed by: Date: I Revised 07/27/10