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1870 Seminole Rd fence 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002935 Date 6/28/13 Property Address . . . . . . 1870 SEMINOLE RD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REMOVE AND REPLACE 6FT FENCE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ARRINGTON, CLARENCE M OWNER 1870 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/25/13 ---------------------------------------------------------------------------- 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. A F"1413Z 9 MAP SHOWING SURVEY OF 07' /0 43LOCA' 5 EL A 1?hVA 1,/A//,r -9 Recorded in Plat Book—�O---.Page. , I I Public Record,# of Duval Co., Fla. for:__ 4 LEGE" ............. 0 I*r4ta Iron R. L. CROASDELL & COMPANY NOT INC. .—x—x— DerWft reres CIVIL ENGINEERING & SURVEYING Date.—Pec /3' 1994f P.A.M. r*nofm rams"em ............................ Itt(trenot monument 429 East Adams Street - Jacksonville, Fld, Scale I"= go ' CERTIFICATION: This survey meets the minimum technical standards for a 4oundary -survey as set forth by the Florida Board of Land Surveyors, pursuant to Section 427.027, Florida Statutes and I further certify that the property shown hereon is within Zone B as delineated on the U. S. Department of Housing and Urban Development Boundary Map No. 120075, Panel 0001 C, effective December 15, 1983. SIGNED: 6o(ejq4jL.,j5 City of Atlantic Beach Planning and Zoning Department This approval verifies compliance with applicable; �4 0 zoning, subdivision and other local land. development regulations, but does not constitute approval for the issuance of permits. Compliance cc;16 3 with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified by signature of the City of Atlantic Beach Building Official Building Perm t. Approved By7 @:Fee terr Date:-2 0-lb FILE COPY %4 R'*6 13- V.a' 0,?'41'W- 41n' 14 L�357 .1 r '44 :Z r "7e 1 x Alb. IA6747 64' 3K" 5.o .5,E1d1A.10L,E (,ra�-440 ROAD BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH JUN 111013 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 By— Job Address: Po 5&M & kd Permit Number: Legal Description L v Mo n< C-1-VA (1/ul � Parcel# FloorrArea of —Sq*Ft Valuation of Work$ Proposed Work eated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration (E��D Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial iden�* If an existing structure,is a fire sprinkler system installed? (Circle.one)*�es No N/A Florida Product Approval# For multiple products use product appioval ro—rm jVCC Describe in detail the type of work to be performed: &,o C +C 6 C—Yntltld6� FCAKC Prope Owner Information: Name: C L &WAc,7011-C Address: Id'-70 IZOAb c i ty V E—AW t C IX*C14 State Zip 3a�*5 Phone IVY- T51- LfI3 "I E-Mail or Fax (optional_ Contractor Information: Company Name: Qualifying Agent: Address: city State Zip Office Phone Job Site/Contact Number Fax 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 4pplication 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 o a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null x(6)months, or if construction or work is suspended or abandonedfor a eriod of six(6)months at any time after and void ff work is not commenced within si ar Work,Plumbing,Signs, Wells,Pools, Fkirnaces,Boilers,Heaters, work is commenced I understand that separate permits must be securedfor Electric 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere 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 Vwork will be co�nplied with whether ecifted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provist.ons Qf an)i oth _eral, ate, or localsf,w regulating construction or the pe�formance of construction. MIX-In . 1) 8 pzj I Signature of Owner-------------- Signature of Contractor Print Name .................................. .................................................................................................... g C 7 0,1,/ Print Name ............................... ................. Bef e Before me 520 this Day of 20 this —Day of No L Notary Public JENNIFER WALKER My COMMISSION#FF 011480 Revised 10.24.12 EXPIRES:Aptil 24.2017 rdW Thru Notary Public Underwriters V, so CITY OF ATLANTIC BEACH 11�7 OWNER / 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 14AVE 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, WIRCH 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. 11. 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(l). 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. 1,(9 70 &M IWO 11-e— 0 AnDlRff PHONE NUMBER A4tawe.7ava P—RINIfNhME SIGNAfl RE DATE Before me this2,r-_f�-N 20 th unty of —day of :jQ rV 'n e co Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. --'V Notary Public at Large,State of County ofl--*1XV D Personally Known BLEpduced Identification- 0, JENWERWAM MY COMMISSION#FF 011480 EXPIRES.Apdl 24,2017 Notary Signatu eorAw Tin Pm"Public Lv4so6o 44 - - - - F,BLDG!O��er-Builder Affada�it;REVISED 4,16,9) Graham Shirley From: Kaluzniak, Donna Sent: Friday, June 28, 2013 8:31 AM To: Graham Shirley Subject: RE: 1870 Seminole Rd Shirley,yes, it is approved as well. Didn't make it to Public Works yesterday, so all are sitting in my box. I'll get there this morning- Donna .......... From: Graham Shirley Sent: Friday, June 28, 2013 8:24 AM To: Kaluzniak, Donna Subject: 1870 Seminole Rd Donna, Have you had a chance to look at this 1870 Seminole Rd 13-2935 fence permit. sKrl,ed (:;rm�am Atlantic Beach City Hall 800 Seminole Rd Atlantic Beach, F1 32233 9042475800 sgraham@coab.us City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road -I/'J -3 S Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 L Date routed: E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 0 Sca)i1n(_^)L " Department review required Yes No Building &Zon_i_n_c§`- Applicant: Mr. Tree Administrator Project: Ic�[i c Wo r—k s-�-,> —P u b Iii cUfi ri t i e-S--) 7 y__ Pubric aTeT 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: ZApproved. [:]Denied. (Circle one.) Comments: AGPLANNING &ZONING Reviewed by: Date: 4� Second Review: FlApproved as revised. F]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F_�Approved as revised. [:]Denied. Comments: Reviewed by: Date: Revised 05/14/09 Q Ali NUMBER jlf City of Atlantic Beach APPLICATION Building Department (To be assigned by the Building Depart ment.) 800 Seminole Road 3 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 ) s E-mail: building-dept@coab.us Date routed: �0 City web-site: http://www.coab.us I APPLICATION REVIEW AND TRACKING FORM Property Address: Department review re Yes No Building_ (�IEL-ianing &Zoning Applicant: Ar-. Arr]VvA0)fN L --- "J Tree Administrator Project: k�Work_s---�, Public Utflfiti_es�) _Pu_ffi_cSa7e_ty Fire Services Review fee Dept Signature A_<_ 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: EjApproved. [—]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. FIDenied. QP�UB L I C�WO R KS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. []Denied. Comments: Reviewed by: Date: Revis ed 05114/09