770 SAILFISH DR - FENCE )
A '`S, CITY OF ATLANTIC BEACH
41, j 800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-FNCE-1384
Job Type: FENCE PERMIT
Description: 4 FT FENCE
Estimated Value: $750.00
Issue Date: 6/19/2015
Expiration Date: 12/16/2015
PROPERTY ADDRESS:
Address: 770 SAILFISH DR
RE Number: 171203-0000
PROPERTY OWNER:
Name: ATTELL, HOWARD D
Address: 770 SAILFISH DR
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY.OF ATLANTIC BEACH ORDINANCES AND TTIE FLORIDA
BUILDING CODES.
1A/ ri City of Atlantic Beach APPLICATION NUMBER
r Building Department
,a (To be assignee>the uilding Department.)
Atlantic tic Seminole Road
/3 + /I�. /
' r� Atlantic Beach, Florida 32233-5445
Y
J� v Phone(904) 247-5826 • Fax(904)247-5845 J
`o G;t �>> E-mail: building-dept @coab.us Date routed: /2/ i6~
City web-site: http://www.coab.us j
APPLICATION REVIEW AND TRACKING FORM
Property Address: .7P yieS.4 / 7' Department review required Yes No
Building
Applicant: 6 (1)-4E 4 Planni &Zonin
is rator
Project: tn6 Public Works
Public Utilities
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: XApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING ri� �/ /`/ oepf
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 07/27/10
BUILDING PERMIT APPLICATION 0
CITY OF ATLANTIC BEACH 1
800 Seminole Road,Atlantic Beach, FL 32233 JUN 1 2 ifj7j1 [E
Office(904)247-5826 Fax (904) 247-5845
Job Address: 7 7 0 Sce:), 1 c S s'\,(N c Permit Number: --------
Legal Description Parcel #
ad Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 75-C) 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 •es'.- r ..
If an existing structure,is a fire sprinkler system installed?(Circle one . 'es No N/A
Florida Product Approval#
For multiple products use product approvaflorm
Describe in detail the type of work to be performed: C\A��.,� \ ' \. çcJ-\ Cc' 1 -40 VC*
CsL-C is
P operty Owner Informatioon:
Name: O0,,NC&t• A-
k \C I I Address: "7)0 SaA ..\A. O�City U•k j -t t.
tc_o2p StateaZip 3d3 Phone 90A 6a6 X679
E-Mail or Fax#(Optional) 14 ifl A-+c-4c e1 1 (0 SA/Nu/Li • CID v
Contractor Information: CONTRACTOR 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
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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 16)months at any time after
work is commenced I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells,Pools,Furnaces,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 certi ,that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified 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 Owner 1111.1 N �alm Signature of Contractor
Print Name IL.k. A-N- ti Print Name
Before me Before me
this /2 Da of - , 2015 this Day of ,20
�� i ,,,,u,,,, .. . . I
ota u.lic .0,9.1-'"��'=�– -----M.A.sn ++-
ry ,A, _ = .•�•,°= Notary Public-State of Florida I Notary Public
'Notary. blic S`taIe of Florida ',,;;;;04..„, My Comm.Expires Nov 17,2017 ► Revised 01.26.10
_,¢_ __. ,, f .•• Commission#FF 062101
•
CITY OF ATLANTIC BEACH
INNER / BUILDER AFFIDAVIT
i
I
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION I
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
I
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
I LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY.TO ACT AS
YOUR OWN CONTRACTOR EVEN THOTTOM YOU DO NOT HAVE A LICENSE. YOU MUST
•
tiUPERVISE THE CONS I RLJCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR
TWO FAIvIJ LY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25.000.00 OR LESS. TIIE 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 LEAS..;_ WHICH IS IN VIOLATION OF THIS EXTN.PTION. YOU MAY NW_ j
FIIRF AN UNLICENSED PERSON AS YOUR CONTRACTOR.. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BOLDING CODES AND ZONING REGULATIONS. I f IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED �Y STATE LAW AND BY COUNTY OR MUNICIPAL LICENSINt,
ORDINANCES.— _.— _-_
If. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
� THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BF
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
I 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 C
BUILDING DEPARTMENT(247-5826) IF IN DOUBT. CONTRACTOR.OP.. TELEPHONE THE
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. •
ADDRE�v SOe C.
S� p kt \ . �� �6
PHCiNE NUMBER
tih.Lax cSt • I\ t k 1
E! ................._
DA 1 S
Before me this /2 day of 201, in the county of
I Duval,State of Florida,has perso ly appeae=i..d herin by himself/herself and affirms that
all statements and declarations are true en..-! accurate.
Notary Public at Large,State of Derlthix,County of X)v&\ •^-_.i.",mik_
yrtrersonany Know' { ••,,,;Y n�A' M.A.SMITH
': ,-... .(1,-... Notary Public-State of Florida
0 Produced Identification-
1 �f_ . -My Comm.Expires Nov 17,2017
`., Commission#FF 062101
Notary Signature: ., A f ..
Nota7 Public-Stale of-Flora a •
Fil31-UG/UwneM3uilder A davit;REVJ:EV 4.10•., _��, — ...,..,,, A
Reeves, Derek
From: Hd Attell [hdattell@gmail.com]
Sent: Tuesday, June 16, 2015 12:00 AM
To: Reeves, Derek
Subject: Re: Atlantic Beach Fence Permit
Mr. Reeves,
4 feet high, chain link fence.
hd attell
On Mon, Jun 15, 2015 at 2:45 PM, Reeves, Derek <dreeves@coab.us>coab.us> wrote:
Mr. Attell,
What is the height of the fence and material of the fence that you want to build at 770 Sailfish Drive?
Thanks,
Derek W. Reeves
Zoning Technician
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904) 270-1605
dreeves(a�coab.us
1
APPROXIMATE LAYOUT
Selection $ FENCE FOOTAGE CONTAINED IN THIS PROPOSAL IS APPROXIMATE BASED ON THE FIELD MEASUREMENT,FINAL PRICE
4 WILL BE ADJUSTED BASED ON ACTUAL FENCE FOOTAGE USED,AS SET FORTH IN TERMS AND CONDITIONS,L)
ADDITIONAL COST OPTIONS r -t. A ;- r r
ADD THE PRICES ON THIS
COLUMN TO THE SELECTION
TAKE DOWN AND HAUL $
AWAY OLD FENCE
,
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2 '
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r--, I .-j1•;r — _
tl' ;.7 1T
FENCE TO FOLLOW GRADE OF PROPERTY: PLEASE INITIAL
Product Product
Style: Height: Style: Height:
Footage: If Gates: Footage: If Gates:
Post Cap: Color: Post Cap: Color:
Rail Type: Post Type: Rail Type: Post Type:
Picket Type: $ Picket Type: $
d:White-Superior Fence&Rail Copy Yellow-Customer Copy
• MAP SHOWING BOUNDARY SURVEY OF
LOT 18. BLOCK 5.ROYAL PALMS UNIT ONE.AS RECORDED IN PLAT 5001( 30,
PACES 60 & 60-A, OF THE CURRENTTPPUBJC RECORDS Of DUVAL COLMTY, fLOIRDA.
NOAYARD 0. A
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RK)IARD T. MOREHEAO TITLE t ESCROW,INC
CLD REPUBUC TITLE
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NOTES
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