1890 LIVE OAK LN - FENCE STOP WORK ORDER e: ''� �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
JOB INFORMATION:
Job ID: 15-FNCE-1867
Job Type: FENCE PERMIT
Description: STOP WORK ORDER. 6 FT FENCE
Estimated Value:
Issue Date: 9/1/2015
Expiration Date: 2/28/2016
PROPERTY ADDRESS:
Address: 1890 LIVE OAK LN
RE Number: 172020-1418
PROPERTY OWNER:
Name: FEDERAL NATIONAL MORTGAGE ASSO
Address: 3900 NW WISCONSIN AVE
PERMIT INFORMATION:
IFEES:
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.
• MAP SHOWING SURVEY OF
LOT 8, SELVA MARINA UNIT NO . 12 -C AS RECORDED IN PLAT BOOK 37 , PAGE 25 OF
1HE CURRENT PUBLIC RECORDS OF DIJVAL COUNTY, FLORIDA .
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1 HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON IS IN FLOOD ZONE "A" AS
,.r;- :,`,,j City of Atlantic Beach APPLICATION NUMBER
.. pj - Building Department (To be assigned by the Building epartment.)
+,_:4+ ':' .; ) Ala tic Seminole Road �r IED"
�'J Atlantic Beach, Florida 32233-5445
/ Phone(904)247-5826 - Fax(904)247-5845
y5iF`:// E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us —
APPLICATION REVIEW AND TRACKING FORM
Property Address:194 0 LIVE. OF\IC.LtsJ Department review required Yes No
Building
Applicant:• CoV/N TON Wing Zon
Tree Administrator
Project: (pFl" PENG?... 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: ( Approved. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by:. , ,It t. (/ l Date: OAS
TREE ADMIN. Second Review:
['Approved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
ys 4
;L it, CITY OF ATLANTIC BEACH
(J%WNER / BUILDER AFFIDAVIT
rit 9'r
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 TIIAT 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.
g,0 ZikCc)/4 . LA) Q'O Y-'l6 12-0
ADDRESS PHONE NUMBER
gol3E/27
PRINT NAME
6/0 4//2-0 f
-GNATURE Jl.� ' 1 ( DATE
Before me this day of IN v \(�1 2c in the county of
Duval,State of Florida,has personally appeared t}erin by himself/herself and affirms that
all statements and declarations are true and accofate.
Notary Public at Large.State of FL./ ,County of Vv vOLk
O Personally Known F )S
10.fw'roduced Identification 3 'j JENNIFER WALKER
t = MY COMMISSION Y FF 011480
t
�;•.,,''' a EXPIRES:April 24,2017
Notary Signat• °o' BondadTtwNOtaryPublicUndenvrAera
F/BLDGJOwner-I3uil.er Affadavit;REVISED:4/162009
BUILDING PERMIT APPLICATION
i CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
Job Address: //l U L/IA Crgi L/V Permit
Nuj eFNG� ' lgt')
Legal Description Parcel#
Floor Area of Sq.Ft. q, t
Valuation of Work$ 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#
For multiple products use product approval form /
Describe in detail the type of work to be performed: C'�.`.e4'
b /
Property Owner Information:
6F- vasva t1NL4.c06,
Name: /3E►2 l Ca v/N,' N
/v Address: ' i 4=1 Vr 5-22? e .t CA w.) Ic
City PZ'T L Nc t t StateZip 3X-7-37 Phone 'o V- 7/6-4'2.0 c
E-Mail or Fax#(Optional)
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 certib,that no work or installation has commenced prior to the
issuance ofa 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 if 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 certify that I have read and examined thisplication 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 re ating construction or the performance of construction.
Signature of Owner,
Signature of Contractor
Print Name 4 ie...—f Co ✓/A+,A� J Print Name
Bef tL
this ' Day of Pk0 201 Before me
Day of ,20
&Vail E ., •as• "fir=0
,
Ntr, ' : .,••:._ cM ''.rd 0,4 gji
Notary Public
:!' B
tR Bonded
_7___;__. .
Revised 01.26.10
1
cY 1 \s\ CITY OF ATLANTIC BEACH
y..
800 SEMINOLE ROAD
;Tj =r ATLANTIC BEACH, FL 32233
�. (904)247-5800
NOTICE
THE 5TH EDITION OF
THE FLORIDA BUILDING CODE
TAKES EFFECT
JUNE 30, 2015
ALL BUILDING PERMITS, APPLIED FOR, ON OR
AFTER JUNE 30, WILL BE REVIEWED AND
INSPECTED UNDER THE FBC, 5TH EDITION.
BUILDING PERMITS APPLIED FOR BEFORE JUNE
30, WILL BE REVIEWED AND INSPECTED UNDER
THE CURRENT 2010 FBC.
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date:
Development Size
Habitable Space Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
J' f- SSA 800 Seminole Road
; J• Atlantic Beach,Florida 32233
`'3'' '.< _ - Telephone(904)247-5800
/ FAX(904)247-5805
,\0131 9f:
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan—parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2.
3. Location of construction trailers, loading/unloading area and material storage
area.
4. Location of chemical toilet area.(chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction)
5. Location of dumpster. Dumpster must be from an approved waste company
(in accordance with Chapter 16 City Code)as of 2009 the permitted
dumpsters are Advanced Disposal,Realco Recycling, and
Shappells. Dumpsters will have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy.
6. Traffic control plan,showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
7. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber,concrete remnants
and other such construction debris including cans, metal,plastic and paper.
8. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion& Sediment Control Plan(silt fence,catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
9. Other activities,where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Revised 5/2009