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297 Pine St 2014 fence CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000962 Date 7/01/14 Property Address . . . . . . 297 PINE ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 4 ft fence ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LATIMER ET AL, BRUCE T OWNER C/O JEANNIE LATIMER 297 PINE ST ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/28/14 ---------------------------------------------------------------------------- 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 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLt' IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 13UILDING PERMIT APPLICATION CITY OF ATLANTIC 13EACH N 1 800 Seminole Road, Atlantic Beach, FL 32233 FJ�UX2 201(] Office (904) 247-5826 Fax (904) 247-5845 On Py W*11 W-V I Job Address: (M Permit Number: Legal Description Parcel 4 Floor Area of Sq'.Ft. Tq—.F7 Valuation of Work Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): 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 approval form Describe in detail the type of work to be performed: ft(o 00 �Mc/ vyA ) ,ojDM �TRSQfA'� P�4&- I lorma I tion: Proper Owner In Name.\Y6Ny\*M& Addres4ffl qaAe/ ��Weo city WIMAb(i wo'k Stat4��Zip�7�) hone E-Mail c�Fax 9(Opti-onal) Contractor Information: Company Name: Qualifying Agent: Address: city State Zip Office Phone Job Site/Contact Number Jax# 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. I certify that no work or installation has commenced prior to the issuance of�aopermit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void f rk is not commenced within six(6)months, or if construction or work is suspended or abandonedfor eriod ofsix(6)months at any time after work is commenced. I understand that separate permits must be securedfor Electricar Work, Plumbing,Signs,awMs, Pools, Flirnaces,Boilers, Heaters, Tanks and Air Conditioners,ele. 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 hereb certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this t 17, be complied wi 4fi`ed h6rein or not. The granting of a permit does not presume to give authority to violate or cancel the ype 'o work will th wh�ther specytea , Provisions ofany otherfe 0 ating constructio, e performance of construction. Signature of Ow r Signature of Contractor Print Name Print Name 3ef Before me hisl Day of i—vy-'vc 20 this —Day of 20 A^. L �ot biie JENNIFER WALKER Notary Public Vu kly commissioN#FF 011480 Revised 10.24.12 1124,2017 --k at U--Zcq; A X9 AX.hfit UndGrWOefS J CITY OF ATLANTIC BEACH OWNER / BUMDER AFFMAVIT 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 ENEMPTION. 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 ENTLOYED 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. 0 lyre ADDRESS PHONE NUMBER PRINT NAME 7N TURE v _X DATE B B remethis[�!_deryof OUe L_A in the county of D u i s val,State of Florida,has personally appeared herin by hims If/herself and affirms that all statements and declarations are true and accurate. FLI 0 'xAV Notary Public at Large,state of County f 0 P nally Known Zd.c,ecl Identification-- JENNIFER WALKER Notary Signatu ommissION#FF 011480 MYC EXPIRES:Apfil 24,2017 FIBLDG/0�er-Bu4ilderlAfflad it�;:-1-1 tW Bonded Thru Notary Public Underwriters WVVA MN ROUNDARY "VEY' OF _,A LOL BLOCK SHOM ON MAP OF -6.44rwlp :5'4Ze-r10A.( Al2 _e� -5 -tL AS RECORO�W IN 4PO01V -2,1--PACL -4-a-OF 7W-P"-7 CER)MED TO,4&*917E )E*,V57- e.4. L4J 'ib I(Z) e 7 vj, tjo (L L FAX 161A A lAm-v=— W,0VTY EaCLE ILA��RM.A YZ207 LF-GEND I:;7 (q"=;0- =4,v"1,g tr av C" WAMO ,q�R L (;Z)--,%V f.ArIpMW Hk%JJDT BM ABSIRAt"D ram Csoathn.ovvWm. p"Mmcr", wow "PAM'MTY tp�Wm P--"F7. FL-L CERX APO �72V City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) -141/v 800 Seminole Road 41# �?�' 1 �2�wb' Atlantic Beach, Florida 32233-5445 ?014 /� e 9� 2— Phone(904)247-5826 - Fax(904)247-5845 Date routed: ae /Y tojilq' E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c X7 Department review required Yes No Applicant: ye (fla�nning &�Zonin��� Tre—e Administrator Project: A-72M 6Tu_F7c V_Vor�k�s> e—ty Public aT 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: I (Circle one.) Comments: �rApproved. []Denied. BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: F]Approved as revised. ODenied. 1CW R S Comments: 'VO 'S 0 -Z 1 1-1 U �l UTIL T71E ;7 Reviewed by: Date: PUBIL C SAFE FIRE SERVICES Third Review: EjApproved as revised. ElDenied. Comments: Reviewed by: Date: Revised 05114/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 2- Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Date routed: ae Oil E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM . cR lal'wt XT Department review required Yes No Property Address. Planning & Zonin Applicant: Tree Administrator 65ublic Work Project: b--woz �s:> - �7 .4 Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Prot�ction 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. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by z Date: TREE ADMIN. Second Review: FlApproved as revised. ODenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: RApproved as revised. DDenied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Ilk City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address C AV 6 XT Department review required Yes —N—O] fP!1a n n inn g f8,Z o7rfl:n Applicant: T—ree Administrator _eu_b_ficWo_r_k Project: C'6 Public a ety 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: V(Approved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. ]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [–]Approved as revised. F]Denied. Comments: Reviewed by: Date: Revised 05/14/09 IVA f _N11VG BOUNDARY 5 "VEY' Of- LOT RL S S140M ON MAP OF rgl;q 45'4Fe J"/4:�" Al2 -�B AS RECaRW N lo-Arr 900K -/,, pAcEs-.L6—&vr rqEwr"v-Alw,= CERIMED TO,&OME-KIF -14TAW—Ak=e g66A4 Pik&�O -A&X , 1*-Q� —AfA('Cq,AAfr w 494p 24 AIZ5!61-1166'IF— MR, to tA CL owl. 0-1 1= t Z5 ot 411:40 eoW v 7' 0-6-1,4r,167AST,FAX j2207- 004) Lug-0= 76T4 A MAN=- -Svfry JA LFC;END raw SE"Im.bWE" MIX— MUNN V Fn. txism M. QwXZn-Lw Ab,? �=;p .4ve-vr-1 (-4)--.ms jVkj WbT gMj AUTRAMM ,tovv4kwl.%r-,Twcmgs raR (3) Vow M ppm TV WTUM 7D It 5732 RA CERX tJA WVVA Sh,,,_YIIVG BOUNDARY 5L,_,AVEY- OF 'LOL 606 SHOM on MAP OF 3.41 Al2 B� CER MEW To, OLD-- .,rt'w) 5el. 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