239 BEACH AVE - FENCE I j rl°rJ J�
•, ' \ CITY OF ATLANTIC BEACH
1, j 800 SEMINOLE ROAD
5 -- ;" 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-2149
Job Type: FENCE PERMIT
Description: 4ft fence
Estimated Value:
Issue Date: 9/17/2015
Expiration Date: 3/15/2016
PROPERTY ADDRESS:
Address: 239 BEACH AVE
RE Number: 170190-0000
PROPERTY OWNER:
Name: HYMAN, CHARLES D AND JANET S, *
Address: 239 BEACH AVE
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL (TIN OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904)247-5845 '-'1 f
nn1 D
Job Address: f j "ry. T�J`'r=�c�� Permit '4 er:
0 2015
Legal Description Parcel # Sir
Floor Area of Sq.Ft. .Ft .,,./
Valuation of Work S 3, 30O. Proposed Work heated/cooled _ non- 'Ili•:`' •
Class of Work(circle one): CP Addition Alteration Repair Move Demolition pooVspa wino ow/door
Use of existing/proposed structure(s)(circle one): Commercial (esidential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: — / !�►• s
CAuoa.n■an U Lne\
•
Property Owner Information:
Name: ak.S �'1'1°hAddress: 2
City. .r.�C, State r7 p l ZZ53Phone o - 2`f( -e-V t'Z
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: , _ tt 'ilk_ •. . c. •ualifying Agent:
Address: W b �: tI LIMP I, L: •i ..0 1 - State !< Zip 52 Z S(e,
Office Phone "et fit mAiwa • Site/ • .ct r ber AVM' Fax#
State Certificatio 'eg"tration#
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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six f6)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 this 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 grantin of a permit does not presume to give authority to violate or cancel the
:: ::1:: 0:ovisi r of Contractor
Print Name JP ...I Print Name
Swo d . . ribed be e r=f e / Sworn to and subscribed before me
thi •s, of i. , ■ 20 this Day of ,20
to of FloricMo .• Public
Notary Public Shirley Graham
ry • ' My Commission FF 088990 Revised 01.26.10
or Expose 02/14/2018
CITY OF ATLANTIC BEACH
.r ; ®WNER / BUILDER AFFIDAVIT
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 REOUIRED 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.
..Z, �t � nU_L c1OLf-2L( - 49 25)
ADDRESS PHONE NUMBER
PRINT NA Alrirgir 411'W.*
ri
SIG j URE 0 /� DATE op
Before me this day of —/■ �!in the county of U
Duval,State of Florida,has personally ap._-red herin by himself f herself and affirms that
all statements and declarations are tru accurate. Jut,
Notary Public at Large,State of County t/ .
D P�r§onally Kn. •. Ofra
j, 6 O 'P{(,t v O
reduced I.• tdicati• iii///
1 Notary Signature: v I .•S`r°�s, Notary Public State of Florida
VFW/f I t ^. Shirley L Graham
'8 , M Commission FF 086990
F:BLDG/Owner-Builder Affadavit;REV.ED:4/16/27.• 1'`'oi n Expires 02/14/2018
Southeastern Ornamental Iron Co,Inc.
G( . .4 11307 Distribution Avenue East
•� onville, Florida 32256
iiii i11IIIIIIIIIIh A JacksPhone:904-292-0933
Fax:904-292-0588
Ovsea+KUetal%Mt ea. Tee.., www.SEOlC.com
ESTIMATE
Estimate# EST-9826
Bill To: Ship To:
Jan Healy 239 Beach Ave
239 Beach Ave Atlantic Beach, FL 32233
Atlantic Beach, FL 32233
Jan (904)241-4929
jan @charlesdhyman.com
Estimate Date Reference#
09.03.2015 Fencing
Item Description Qty Price Discount(%) Amount
Fence-Prefab East side of Home 1.00 3,300.00 0.00 3,300.00
46'of 4'high/3 line/flat top
(1)Walk Gates 4'wide x 4'high/3 line/flat top
North side of home
(1)3'fence panel 4'high/3 line I flat top
North side of Home
2'-7"of 4'high/3 line/flat top
(1)Walk Gates 5'wide x 4'high/3 line/flat top
Style-3 line smooth top
Finish Powder coated(Black)
Material:Aluminum
Panels 6'wide
Posts 2 x 2 soil mounted
Caps flat
Walk Gate latches Standard Gravity latch
Sub Total: 3,300.00
Total: $3,300.00
To accept this estimate with the terms and conditions,sign& return.
i _ /?JI_sT
Approval Signature i�,- - — � ���,. Date 9
Printed (��a►r�'l�A- S• -�-
Terms&Conditions
Method of Payment:
50%deposit w/signed proposal
50%upon Installation or Pick up
When Proposal is signed by purchaser, or purchaser issues his own purchase order,this proposal becomes a contract,binding both purchaser
and company. More or less material and/or labor, other than the amount contracted will be debited or credited accordingly. No conditions,
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Owner or contractor is responsible for locating property line. SEO is not responsible for underground sprinkler systems,telephone or electrical
cables, or any other unmarked objects.The mounting of balcony rails requires a minimum of 2",preferably more, for secure mounting-SEO
will not be responsible for membrane penetration when this requirement is not met.The mounting of rails require sufficient backing in walls
where rails end, if backing is not provided or insufficient, SEO is not responsible for the provision of backing and in the event that SEO
provides backing, a change order and invoice will be issued for that backing.Although, SEO will diligently perform to provide quality
installation,we will not be responsible for breakage of tile when drilling is required.
Permitting
All permits required for construction is the responsibility of the customer.
Cancellation:
Once material is ordered,deposit is non-refundable, however, if material has not been ordered, you will be refunded your deposit amount, less
administrative fee of$105.00.
Exterior Iron:
Exterior wrought iron products are not warranted for rust-it is recommended that all exterior products be fabricated from aluminum.
In the event of litigation,the purchaser will be responsible for attorney fees and court costs. .A dispute between the parties must be resolved
in a court of Duval County, Florida.
Initials .
t.iv r City of Atlantic Beach
c '� APPLICATION NUMBER
c '.. Building Department (To be assigned by the Building Department.)
800 Seminole Road ,l�, Atlantic Beach, Florida 32233-5445 ��� �/� — / 9
Phone(904)247-5826 • Fax(904)247-5845
/
d.019' E-mail: building-dept @coab.us Date routed: ar
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: c2R3 9 iget dA diL Department review required Yes No
/� Iding
Applicant: 0 -4£le Planning &Zonin
T /1 ree Administrator
Project: I G 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:
i APPLICATION STATUS
Reviewing Department First Review: . ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING /
Reviewed Date: 7//7/ [S
TREE ADMIN. Second Review: ['Approved as revised. ['Denied. !!(
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
revised 07/27/10
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