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270 6th St 2014 fence CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000895 Date 6/11/14 Property Address . . . . . . 270 6TH ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 4FT FENCE ------------------------------------------------------------- -------------- Owner Contractor ------------------------ ------------------------ YEATS, ALEXANDER OWNER 270 6TH ST ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Plan Check Fee . 00 Permit Fee . . . . 35 . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/08/14 --------------------------------------------------------------------- ------ 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 . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 3S . 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 JUN 0 800 Seminole Road, Atlantic Beach, FL 32233 3 2014 Office (904) 247-5826 Fax (904) 247-5845 Job Address: -2-10 st. Permit Number: Legal Description Parcel# / 7 67a Floor Area of Sq.Ft. Sq.Ft Valuation of Work S 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 4 For multiple products use product approval rto—rm 41, Describe in detail the type of work to be performed: 1;?,_(-d CM10 SQC b�� S 0-F- Q.Z V �1� Name: Address: 24"46 6A*, S7- StatefL Zil city StatefL Zip__12ZZ.�_Phone E-MaAor Fax# (Optio4nal Contractor Information: CONTRACTOR EMAIL ADDRESS: V Company Name: Qualifying Agent: Address: city State Zip Office Phone Job Site/Contact Number Fax 4 State Certification/Registration Architect Naine&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4polication 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 pe?-formed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of six�6)months at any time after work is commenced. I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers, Heaters, 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing thi's .11"Work will be complied with whether specified herein or not. The granting of a permit does not pres1l7ne to give authority to violate or cancel the provisions of any otherfederal,state, or local aw regulating construction or the Performance of construction. Signature of Owner Signature of Contractor Print Name Print Name Bef , Before me this Day of Or) ' 201 this —Day of 20 No r JENNIFERWALKER Notary Public My()OMMISSION#FF 011480 7 Revised 01.26.10 EORES:AP61 24-201 BondLd Thru Notary PublicunderwrReTs r-e_,jr CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER BUILDER TO ACKNOWLEDGE THE LAV\t 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 EYEMPTION 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 MAYNOT BE BUILTFOR 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 RAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. R. 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 PENAL TY UNDER FLORIDA STA TILITE NO, 455-228(l). AN-OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS CERTIFICA71 E" 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. 2��o 32 1-%ld, ADDMESS PHONE NUMBER PRINT :?�� 051NATURE L-0" b�Al E L Before me this 7��of 20)%4n the county of Duval,State of Florida,has personally appeared he by ITim—self I herself and affirms that all statements and declarations are true and acc Notary Public at Large,State of Countyo El Personally Known -oio- 01 ?jkF1r"oduced Identification JENNIFER WALK-'-R my COMMISSION#FF 111450 EXPIRES:April 24,2017 sanded Thru Notary PubliO U15AW110M Notary Signaturv"�L,�PAP�- IV F:/BLDG/O��-Builderwffidavi�REWSED: 4/16/2009 03/31/98 13:4 1 FAX 1 904 886 9:566 Carl IvIlber & Co RECEI V. .E D APR 2 7 1998 CitY of Atlantic 13eacft Building a.rid Zc)nlndC,, : % I (: ci 4r-ZI 75 4 z CV -IWA Q.— City of Atlantic Beach APPLICATION NUMBER Building Department [RFR E�C F�-1 V�E]L) (To be assigned b t D artment.) .7 hyeui ding ep 800 Seminole Road Atlantic Beach, Florida 32233-5445 JUN 0 4 2014 Phone(904)247-5826 - Fax(904)247r-5845 ro Date ro E-mail: building-dept@coab.us BY: _Luted: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:c2 7o f-w J-T Department review required Yes No Buill Applicant: lanning . Zoni istrator Project: ic Utiliti 'fie Public Safety Vic S lFire tServices Review fee $ Dept Signatura__ 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. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. FIDenied. PUBLIC WORKS Comments: (�PUBLIC�UTILIT PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. F]Denied. Comments: Reviewed by: Date: Revised 05/14109 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned b the ujilding Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1-W Department review required Yes No Buil 11 a inn i n�g &Z 0�rnji Applicant: 1A) �t�o tr strator Project: tiliti Public 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 Department First Review: VApproved. [:]Denied. rci4e) dA (Circle one.) Comments: Arf'qvc� �Cj�red 0^ Ual-� AACe, hecxtrool BUILDING MiT Pie-cse, #%o4e, - 1vto"c -6-o�,ce 4e -j 44 .6v&. 5rvt,^d i.cll,d- lovic,, Date: PLANNING &ZONING Reliewed by: TREE ADMIN. Second Review: FlApproved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. DDenied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach I EIVED APPLICATION NUMBER Building Department (To be assigned b the ui ding Department.) 800 Seminole Road .1 JUN 0 4 2014 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(9047�247-5845__ Date routed: E-mail: building-dept@coab.us A� Cityweb-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:c2 7o 1-w JT Department review required Yes No Builp lannilng 8&�,Z�onii Applicant: strator Project: -71 Fbtiliqo Public Safety Fire Services Review fee $ (Z 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 —'r, Division of Alcoholic Beverages an J Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. [—]Denied. (Circle one.) Comments: BUILDI-NG PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: RApproved as revised. F]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: RApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14/09