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472 Sailfish DR 2013 Fence CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003054 Date 7/19/13 Property Address . . . . . . 472 SAILFISH DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 4 ft fence ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MOSES, ANA M B/M OWNER 472 SAILFISH DR E ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/15/14 ---------------------------------------------------------------------------- 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 . Fence must be on Owner' s property, not City right-of-way. ---------------------------------------------------------------------------- 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 ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. qW MAP SHOWING URVEY 0 Loi 11, Block 10, as shown on the Replat of a Part )r 1',Ioyal Palms Unit 2-A, as recorded in Plat Book 319 Pages 16, 16A, 163, 16C and 16D :)f tho.Current Public .Zocords of Duva County, Florida. City of Atlantic Beach oseph N. -^Ilcurios - JINs christiv -ile Your F -!o. 529 1- 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. Compliance with Florida Building Code and all other appliaAle local, State and Federal permitting requi�rerri must be verified by signature of the City a�,�ticplyltl� Beach Building Official prior to the issua gArf a Building Permit. AUG 19 1996 Approved By: All Zoning -7/ P577 07 Building and Date: 0 g�, -4 P� 0 N4 - 0 A D -5. -7 1(a 2! x F7 �10 4 f--V� 4 7 2'-J.7' to /�j 7" 161 A N. -7 7 5 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) "i xv 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us led: al 1 .1 Date rou City web-site: http://Www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: . '5�t7-IAS'A Department review req-uired Yes No Bu.1 Applicant: Planning�� iree Administrator Project: Z/ ublic Wor—k:0 I Ic U t� c Utilities till u u lic S i blic Safety Fire Services Review fee Dept Signature 5�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: 0-Approved. MDenied. (Circle one.) Comments: BUILDING ,--P_�LANNING &ZONIN Reviewed by: Date: L�Tzl��1_12 TREE ADMIN. Second Review: []Approved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. DDenied. Comments: Reviewed by: Date: Revised 05114/09 R.,ECEIVED I io City of Atlantic Beach APPLICATION NUMBER JUL 15 2013 Building Department P (To be a�ssigned by the Building DepartmeInt.) P i.1%" J 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Date route f02119 E-mail: building-dept@coab.us F d: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -2)Y-_ Department review required Yes No Building Planning Applicant: �0 Fee Administrator Project: 4// 7- /e,-nA ublic Wo=rks I ic U c Utilities-:�) u U lic S blic Safety 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 Departm nt First Review: IpApproved. MDenied. (Circle one.) Comments: 1,12 41�C� IIA-Y\ Ir— C-YJ BUILDING 64,./ PLANNING &ZONING Reviewed by:_ Date2�.r)-/C3 TREE ADMIN. Second Review: []Approved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: OApproved as revised. ODenied. Comments: Reviewed by: Date: Revised 05114/09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FFJUL 15 20131 800 Seminole Road, Atlantic Beach, Fl, 32233 Office (904) 247-5826 Fax (904) 247-5845 Lc Job Address: lj472- Permit Number: Legal Description 3 /)a e D Floor Area of Sq.Ft. Parcel 4 Sq.Ft 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—app—r-o-wal form Describe in detail the type of work to be per ed: ss 7m Property 01Wher Infqrmatio 4 Name: Address: Cityt State UZip,��A�Phone E-Mail or Fax#(Optional Contractor Information: Company Name: V411, Qualifying Agent: Address: a4� 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 e e de ana e d he work and n 'at ns as i ndi cat or installation h as commenced prior to the a a i ' to, tt i StO5 riods I�aw this jurisdiction. Thispermit becomes mill 0 1 rmi'to 0 0 d he t I s f sixPU5)months at any time after m th to I't , p i b r a d k e me an a k s aWeriod o v s, or t s Odor 11 Pools, urnaces,Boilers,Heaters, r is h r by f "c io a r (6)mont n n P it a at 'a p Ap issuance 0 a P' s t om t six f and id ok i no me ced'i hin i 0 e s work is c ""ed I understand that separate Perm ts t be secured 0,Elec"ca Tanks andAir 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 apolication and know the same to be true and correct. All provisions of laws and ordinances governing this 111work will be coTplied with whether ecifz'ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provist.ons of any otherfederal,sta or localsflalw re ting construction or the pe�jbrmance of construction. Signature of Owner Signature of Contractor PrintName Print Name ........................................................................................................................................ B -C- efo Before me this-A ay f 20 this Day of . 20 u Not ry u ic - - MY MIS; blic 2. ION#DID 957760 "PIPES:Febnj:14,2014 1 c Bonded Thru Notary Pubj c Un(jewrffem Revised 10.24.12 CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "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 THOUGII YOU DO NOT tIAVE 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 WITMN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME TITAT YOU BUILT IT FOR SALE OR LEASE, WI-HCH IS IN VIOLATION OF TIES EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO TITE 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. [I. IMJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. 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. 911-11/ ADDRESS PHONE NUMBER A' PRINT INAM -7 6-1 �rt�ATURE jp'ATE B fore me this 2��day of .20 the county of a Duval,State of Florida,has pers4ona Iyappear herin byl,,� all statements and declarations are true an rate. r "Iherself and ffl th at Notary Public at Large,State of_,County of �E]�Persl<nown "y` p ', ed dentifiration- J- Notary Sign HAW L MytMISSION#613957760 14,201 F:,r BLDG lie J� _Orpary 14,201 &ACTA"o ary Public Undo C'EIVED , City of Atlantic Beach JUL 15 2013 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road /9 - Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM , __;V 5-/) vJ Department review required Yes No Property Address: �7Z_ Slat? V — Applicant: ��_Planning &_4911E6�� =T=re;;--e'Administrator Project: ZI 7- 1V a2,4 6 --P-ub Fic—Wor-k-s-7) :r=icUtilitie­s7::) "7u-bricSafety 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: YApproved. FjDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:=�'v Date: TREE ADMIN. Second Review: []Approved as revised. E]Denied. C� comments: W6 PUBLIC UTILITIES PUBLICS F�E Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. F-]Denied. Comments: Reviewed by: Date: Revised 05114/09