The URL can be used to link to this page

1871 SELVA MARINA DR - FENCE PERMIT y\1\ -- �� ,s, CITY OF ATLANTIC BEACH ,- - 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 30B INFORMATION: Job ID: 15-FNCE-1849 Job Type: FENCE PERMIT Description: NEW FENCE Estimated Value: Issue Date: 8/6/2015 Expiration Date: 2/2/2016 PROPERTY ADDRESS: Address: 1871 SELVA MARINA DR RE Number: 172020-0846 PROPERTY OWNER: Name: POWELL. GREGORY M Address: 1871 SELVA MARINA 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 THE FLORIDA BUILDING CODES. ,- City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ff j Atlantic Beach, Florida 32233-5445 5 ( NCE- ( 84-9 Phone(904) 247-5826 • Fax(904)24 - ' ( ) 7 5845 , ., / E-mail: building-dept©coab.us Date routed:7/3 i/15 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (B71 SELNA ( APRA /O{k >(Z Department review required Yes No Buildi Applicant: ic_G'I.Die v pc)w E _ o(A,AD Ptannin &Zoni ree Administrator Project: l\D p EiL.DCC Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: XIApproved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: �,*./ e-------.-:,----fDate: V,71/s TREE ADMIN. Second Review: Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ['Denied. Comments: I Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 Job Address: jg7/ gets* iWaii,u, - r- Permit Number: 15-1– NCI:.-I8 I Legal Description Parcel# Floor Area of Sq.Ft. Sq.r't Valuation of Work$ 7/30 Proposed Work heated/cooled N4"— non-heated/cooled Pa Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial idential If an existing structure, is a fire sprinkler system installed? (Circle one)_____ -gs o N/A Florida Product Approval# For multiple products use product appro Fform Describe in detail the type of work to be performed: 4 e_ / 1 riL *WAS, //ta et/_ see. Property Owner Information: / ,�/ Name: r • .: `a. [• - Address: I f?/ GQ4,i I�[hiit(l-- -- City .177 ,77:17::_m ,gy_ Stat: ip r• _ f Phone toy 2vc—yzzg E-Mail or Fax#(Optional) t /,.. - C :a _ , ...... Contractor Information: CONTRACTOR EMAIL ADDRESS: Company N v - _ ,, „2. i. , 1±1M _ :i. •r: ' gent: Address: iif.ti erg lb City _ Star Z20 Office Phone •� `Ti7�?t ifi ! Job Site/Con . 4 Number '� Fax# . l S/z State Certification/Re ' # AL 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 certj 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 aperiod of six_(6)months at any time after work is commenced. I understand that separate permits must be secured for ElectricalpWork,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 cert5 that I have read and examined this a placation 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 regulat' construction or the performance of construction. Signature of Owner ;Ottri Owner; /"` �%��T Signature of Contractor Print Name (�/�q• ,M 3 we ' Print Name Cart Bef-. - r. Before me t . D. of W. 20 1_ this Da -. ,20 v.W1 . Ike, T O Notary Public State of Florida t ` 7 4: Stilt K f a : ' l� ∎' aryl?` � . ExpiCrll�t1aM010' I�ub Revised 01.26.10 q0 . o 1 ,;s!July-r. CITY OF ATLANTIC BEACH 'v imp ®WNER / BUILDER AFFIDAVIT '4.1.r ii jr ~ I. 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 REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. 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. `46 7( el.i.t, /iiYlN/i cbc` *9).207-4/22g ADDRESS EMBER Ca re o✓' /14 -' O LC- PRINT •' , A......., ILI 7/3//26/5----- 6-7-E / DATE Before me this 3I day of f 1 V 2042 in the county of Duval,State of Florida,has personally app'fbred herin by himself/herself and affirms that all statements and declarations are true an d accurate./ Notary Public at Large,State of /i ,County of-DJ.4 I/ez �❑r�y�Pe(Q�rs'onally Known mir,.L Z A / 9 — /l i1 / L(�V — ros9'r°ua, Notary Public State of Florida Shirley L Graham N.' Signat A _ 'a ,"i My Commission FF 086990 =Id "1.01,"o" Expires 02/14/2018 F:/BLDG/Owner-Builder Affadavit;' ED: . 16/2009