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1494 Linkside Dr Fence CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 C Application Number . . . . . 14-00001324 Date 9/02/14 Property Address . . . . . . 1494 LINKSIDE DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6FT AND 8FT FENCE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KNIGHT, GREGORY F & MICHELLE OWNER 1494 LINKSIDE DR ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/01/15 ---------------------------------------------------------------------------- Special Notes and Comments If used, 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 3S . 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 L� j�@ CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32 A116 15.2014 Office (904)247-5826 Fax (904) 247-5 2014 JobAddress: 14q14LjAVzJ�0).ej-v_t Legal Description Permit N�umber�_- �� Parcel# 7 SqTt Valuation of Work$ 1b 32- Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of exi�ting/prorosed structure(�)(�ircle one): Commercial �esidential I If an existing struc ure,is a fire sprinider system installed?(Circle one): es Florida Product Approval# 0 q�N 7/A For multiple proaucts use product app`rova1To_rm Describe in detail the type of work to be performed: A '04g, sm., ce— Atm..- Property Owner Information: Narne:,�,ce a A ddress: q Lj_1 ksj4 Ci tate &Zip 3,;Ut Phone -&-7—ip_ or �r. _J[R0!V) 7q2—A3q9 E-Rail or Fax#(Optional)_a�tv�. L �: Qctamca_ 2�no-f— Contractor Information: CONTZIACTOR EMAIL ADDRESS: 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 I certify that no work or installation has commencedprior to the issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null and void ffwork is not commenced within six(6)months, or if construction or work is suspended or dbandonedfor a period qfsix�6)months at any time after work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Sigans, Wells,Pools, urnaces,Boileis,Healers, 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 YOVIi NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined this a plication and know the same to be true and correct. Allprovisions of laws and ordinances gove this r Y.,� 'Pwork will be in ied with whether s,eci zed herein or not. The granting of a permit does not presume to give authority to violate or=the provisions ofany oth fany othe al,state, or local a e ating construction or the peFformance of construction. Signature of Own AA-C, AA Signature of Contractor Print Name ....................................... .../../ .................... I Print Name ............ .......... . .......... ........................................................................................................................................ Befo t is y 0 h of 2 9tate 0 .20 Notary PU Shirley L aharn _My Commission FF 086990 Expirees 0 Notary tTic P l* Revised 01.26.10 CITY OF ATLANTIC BEACH 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 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, WfHCH 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. 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(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. cic_ PHONE NOMBER P IN_ A Ll f 4c. 1 -4 GN DATE Before me this—da 0 20L4the county of Duval,State of Florida,has pers6nally appe ed din—by hi h�rself and affir th t all statements and declarations are true an accurate. f 4 � -2� Notary Public at Large,State o '(�7-County of �0 Perso ally Known :P/.ced Identification- Eu Notary Si t4@18fy PUMIC State of Florida I §h!H@y L Graham MY 001TIM168lon FF 08699() 17)13LDG/0�er-Builder Affadavit;REVISED 4/16/20 Wiftb OW141201s MAP SffOWMG BOUNWRY SORMNY OF --M.4P OF - AS SHOWN ON 0 440i:L Z A-5 --r-t#?DM AV PL4 T' _6ES_2_5�,ZL a- 7W PUMV WCOWS ')F_-' 4WVAL CCOV77Y FLORVA, f CER77REFTO P.A. I-a -za 451 s/ly,7 7_7 '00 63 A#` NN _4 1p P R 0�2��AfrD'N. TO-B EP_LA_r,E_A_L_6LM W) )I K 4�15e_ i 7�- zc City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigne e 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: 0 Cityweb-site: http://ww\Aj,coab.us. APPLICATION REVIEW AND TRACKING FORM le) Department review required Yes No Property Address: ag � I I' t Applicant: ::::�-P4aaWng &Zoning__'*�, Tree Administrator Project: r if eEru--blic works`-�) V 'gOM�� Public Safety Fire Services Review fee $ Dept SignaturqJz Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmem Protection Florida Dept.of Transport�.--�411'1 St. Johns River Water Mar-"ement District Army Corps of Engineers Division of Hotels and Res I.,--�-_-ants Division of Alcoholic Bever �ies and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. ElDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review-. FlApproved as revised. F]Denied. I WOR Comments: UBLIC UTILIT PUBLIC SAF Y Reviewed by: Date: FIRE SERVICES Third Review� E]Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department vplb (To be assigne e Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 - 2014 Phone(904)247-5826 - Fax(904)247-5$45 E-mail: building-dept@coab.us Date routed: Cityweb-site: http://w\wj.coab.us, APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Applicant: 1k) l2lawn ng &Zoning__�� Tree Administrator Project: J77 (,r'u--blic Works --N Public Safety Fire Services Review fee 6 - Dept Signatu re I Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmentt"', Protection Florida Dept.of TransportzAic'.1 St.Johns River Water Mar,-.gement District Army Corps of Engineers Division of Hotels and Res�.,��-_-ants Division of Alcoholic Bever, ies and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. ElDenied. (Circle one.) Comments: BUILDING Da A +�� n��61 d, PLANNING &ZONING Reviewed by: A te: TREE ADMIN. ff Second Review: E]Approved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach Building Department APPLICATION NUMBER (To be assigned by the Buildin7LgDe p aa m e n JJt.) 800 Seminole Road P 9 Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904)247-5845 building-dept@coab.us Date routed: E-mail. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /t,9q 1-1.A kir Department review requir ed Yes No Buildin D Bue P i Id a in rt Applicant: /At r lanning &Zonin nt review:requ ire id: s 7P Tree Project: Public V Public Util[fies P p u I Ic ublic-;a,- i S v —— 4FireSeivices Review fee $ Dept Signature Review or ec t Other Agency Review or Permit Required Date Florida Dept. of Environmental Protection —of Permit Verified By 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 Rev,iew: pproved. nDenied- (Circle one.) Comments: BUILDING P�LANNING & Reviewed by Date: Vog T TREE ADMIN. Second Review: DApproved as revised. RDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. F]Denied. Comments: Reviewed by:____, Date: Revised 05/14/09