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1892 Hickory Ln 2014 Fence CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD jrt ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000649 Date 5/02/14 Property Address . . . . . . 1892 HICKORY LN Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6ft fence ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COVINGTON, LARRY B. OWNER 1892 HICKORY LANE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/29/14 ---------------------------------------------------------------------------- Special Notes and Comments Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management . ) ---------------------------------------------------------------------------- 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. CASTRO MTG _ _ 904241.5554 09/28 19d 10:06 NO.425 U1/U•1 Di 1R@� LAANDD SURVEYOR t PAGE D3 pSU !% > �•'. iii/ �r7 +� �it'd iG 1 ` Cw t (.OT. ':L; ;.^.i:,1ti•�, 4JlS3i f W11 ' T NO r 3.2-;-A i y ��• Et)✓ 0Hvjw uq �j i.A I :OOOK 30, PACE T6 OF THr CURTiENT i~U.UTC•.•T11?tOrCA,3 :k3�?t'U ,%CnUMI"C•� ,� Larry B.Covirigton rp ov•�o•si.ie77d',�,o�o i3r Oc.� 1892 Hckory Ln. Atlantic Beach,FL 32233 ,ti;�g'••" , y, .,' I �� ' '`�!�. �•:vim' i. aG7 '0' at �, -71 :�`'• ' .�' .x91. � ,';'�•.;(,•,'. - ,', . •' ®t caK wNic � .� � � r��r. + „.,t•'t' �t1. j!�1'/a�n Olaf - �.. .: k' -�'`?' .c G."y'• /S � �, a 1L111VJ11Y i�IlY�'•;'y t' W J. J`• 4` 14 a Ai•+fit• ' , �LV. '''iC ,� ,d„'�,�•'Y+i• � 'X77118 PRl1VT, 1S FOR 114Fl34/1141- ATiON 1 •,� 4 ' .nox . .' .. Pl1RPpSCs OMLY. HIS PR1AJT PM 7. .. sr. ..a NOT DZEN EAMO55EU WITi THE SURVEYORS SEAT. AND IS NOT VALID. r,�++��.�a,�o d9i�J' �:% tS9"';::%6J�.►.3,t�. ze,:r4''7+S' rv��cv �3 v3t7':!Kc xSY..+ T.�.d't''�• ./{<:eKP iSae,,k�34-�: d7''�: rK�y ✓4y.'/9E3$ ?'a /�'•hob� •JrR .�s ,� .�'c:'�y�''f!y.�/�S:I��4Y'i'S�*T•�wYf;M71'G'"k9s/�laS �'CI✓l-G�'C�tf7 Crl,•�-rMciwi�� :'i�%tii:. t ,�„ ��'l.'yD�C., ° .�/MCC/ "3/�I��'•�''1/✓�7=+�G.OriE 98� To .Fs CiYECK.SO �dc%vTt9i19Er.E.4 S?a, � TJ+,.�'��•v [.-�.,✓rt.�;'4 �v+-" ... .� ..ai�✓.1 c �uoz•vt x r.rte: raer�4ca' %�' 't. ✓r_i"i�. %xe.a •� . -ter a'',o "` ''• 1, ro¢y cortlty e11at We surway rtlaets the ml Inguh/teahnloal stetrldardm es eat forth by orida B r' Fl • '•.r!•�� � .� '.,• �, � , ,,•' ,-,. to nerd of LandSur'vmyora,pursuant �+ f;• t9$ectic"f7ros7 Florida Statutes. '/L'JT .{7%'arid pr L' iAt�i'F�Yj?IVQdf�•A'�NT6 :' •, wr�.r►tARt�riu�vtr� �/b�ra.�. 4�u sti/. QI�S ' ,•'':.'•4Mv�,OttiN • ,Jn wit pwp TloHQr7,1QflGO• SGA T•• �' C ' TNIMBtJfYY�1Y'�•NirisT''�?.I�t�:11�.,�[J'il:•CSS:"��f�.T�b}Y*.:1:�..• :�wasawLt..e�►�,ear..�e...rr_r,00vE atair6o. n. '.: �-•11E'•'�ax p1t�tO � •.7'$71'' C � 1Hr ► BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: _I E2- ACAW Permit Number: Legal Description Parcel# Fx F oor ea o q. t. t Valuation of Work$ J �? r 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 n � Describe in detail the type of work to be performed:/ Property Owner Information: �Q j� �` Name: L -eey 4W,,A 6- 0 A/ Address: �(1�J Z A�fWYt�j L/A) City L /? StateF`LZip 2L Phone E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: JV842�t Qualifying A ent: 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 Application is hereby made to obtain a permit to do the work and installations as indicated. I 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 abandoned for aperiod of six 6)months at any time after work is commenced. I understand that separate permits must be secured for EfectricalpWork,Plumbing,Signs, Wells,Pools,�urnaces,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 hereby 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 o work will be complied with whether speci ted 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 Owne Signature of Contractor 74 Print Name l—g Cr0V/.,L", J x,J Print Name ........................................................................... ......................................................................................................................_................ Be Before me s Day f t ' Day of 20 roar �i� Notary Public State of Florida Graham C `a a v My Commission FF 08494ary iblic of FLOP Expires 02/14/2018 Revised 01.26.10 CITY OF ATLANTIC BEACH OWNER d 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 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 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 REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. Il. 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(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. LADDRESS C`s � P� �d NUMBER PRINTC SIGNATURE DATE Before me this day of �� 20 in the county of Duval,State of Flo'da,has personally appeared/hedby him elf/herself and affirms that all statements and declarations are true and accurate. No�wn t Large,State of ,County of ❑Produced Identi ion- �ui� Notary Public State of Florida ^. Shirley L Graham ` My Commission FF 086990 Notary Si 018 F:BLDG/Owner-BuilderAffadavit;RE :4/16/20 CASTRO MTG 9042415554 09/28 '9S 10:06 NO.425 01/01 - -- ------- DtJRD LANA SURVEYOR t PAGE 03 i? CORW 1�r '>Waw ;CnU,MJ.'Xii �j i�lll �GOIC 3(g PACE 76 OJF THl CURRENT Larry B.Covington 1892 Hickory Ln. \® Atlantic Beach,FL 32233 • ! ' ''i:o •:4�, i 'Grp "��':Cf'. S'c;!3G7� `�o wr 44. k •�A' 47 �' S1;:.:: ::i AGE V t .'..°; .� :�,; l"'a� `•'•z., ..�r. ,. ftp � ®..��e c � -} 1'77 (r fybRCN V f u ij V fS pe v e- 1 `fATI`O/•�•i.ro� ;•:: .,.iC..: ":' .~" y �,/�''' l �7gPRINT K MN ..+�,� ��' �" '�"�• AfiT to FOR 1Air0R r;rt�d�f �,; ,�oa uMf� �•rQ-ca PUR wb.,P0^ES ONLY. MS PR141T PMS ryC}T F_�,_ry LMOOS.SEU VWT1 T14E SURVEYORSSLAL ,r�..��� r%xs;.i! •cr.3.c.. xo..-a- r+s .+:�. ANA 1S NOT VALID. ,meg�Sly",rti<,:�!Sty r-�/•r�'r'y�t• ��A�Qr�sa'p;•y�7•ir,ft: /Gr eT�.: c cubo+ •.irR ns�.M •Pc+ay76�yrit+: .C�Iri� cwtc �•9'c-.r...i i/§'r .�;i�:�1U7'rS;GCVO c''.e�Frv+�',/Giy/°d63, ��.••/� '�����e./r��.+�� 71!-1 7X/iap'1�+s;o [. +�1%�Y4sbCfti:.�.iy:-'* C/Y�CKeSO '" 1�7sF.s7GrE.6+ -9-al X96.9' To ivf�..Iyv/iG'G :4' yt '•'r i c�..:��.-,B}%:•Y?l�;T. / ` '� ',�.z *'2"dS:Pt a;r c off i gL97 rr� Y civ.ra.Or6ry•�--. 1, r, uMe tate etlut MM survey metm the ,'•., ' - " ml imufi WChnloal standards„s sat tor►h OS, th Florida Board of Land Sur;,. ► orxc.Pqjrsuant tq Florida Statutes. Are. - s:yi!►y - t.•+�u�i;'/.'1!f��,!1501i<a- RS?riftt.'� - nt"Dtti MuravfavOw •f'o• btFi�w 'ewrd4 '• ,f31GtV p `tl9t �crr Jwc Hfi fl+►PdY,fiorkfa,3¢RGO. SQA r•• /' c ' 7NtR BtJf�Vl9Y'.NCiT? ?/YtC:11.i.�11v1L!.S*T-. +14:1!/�4rY� :v .al+.¢-�te!�►�._Xar.,�c�.���OV�aIGN�D. 7z-! p qtl> 7$71 D raw r" 7+a IOU, � r . . ... . . comer :� �.- ��.�,.�, a •�---'� it_ , 5—U r� City of Atlantic Beach R APPLICATION NUMBER Js � Building Department LBY: �`EIV .� (To be assigned by the Building Department.) 800 Seminole Road /�Atlantic Beach, Florida 32233-5445PR `2 bPhone(904)247-5826 • Fax(904)247 204E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: lf92- A'CrIgyZ-7) Department review required Yes No ll Bui Applicant: D��n(� tannin &Zonin Tree Administrator Project: wor tilitte u is a ety Fire Services Review fee $ Dept Signature0 Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: 4Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: � �� 7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ICeWOS Comments: P L ES PU � Y Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date.- Revised ate:Revised 05/14/09 �� City of Atlantic Beach DECEIVED APPLICATION NUMBER Js � Building Department (To be assigned by the Building Department.) r 800 Seminole Road APR 2 5 2014 /�—• Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904) 45 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ffl2- Department review required Yes No Bui Applicant: Q f 17�� tannin & Zonin Tree Administrator Project: L XLEC Wo-ria) LU tiIities Public 7aTety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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 01, PLANNING &ZONING Reviewed b In Date: 4.2_c �� TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. i PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Js � Building Department (To be assigned by the Building Department.) 800 Seminole Road (aj 41 �r Atlantic Beach, Florida 32233-5445 (/ Phone(904)247-5826 • Fax(904)247-5845 \ J �a E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: lf9Z. M'e6Py Department review required Yes No l Q Bui Applicant: D��nl� tannin &tonin Tree Administrator Project: Wor tiIities Public a ety 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: pproved. ❑Denied. (Circle one.) Comments: BUILDING CANNING &ZONIN Reviewed by: Date: 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 05/14/09