594 Aquatic Dr - Fence Permit r I' ~ �s v CITY OF ATLANTIC BEACH
- r) 800 SEMINOLE ROAD
' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -FNCE -409
Job Type: FENCE PERMIT
Description: 6ft Fence
Estimated Value: $600.00
Issue Date: 2/19/2016
Expiration Date: 8/17/2016
PROPERTY ADDRESS:
Address: 594 AQUATIC DR
RE Number: 171818 -5198
PROPERTY OWNER:
Name: BISHOP ET AL, JOHN B
Address: 544 OCEAN BLVD
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.
, 01-4 - 0,, City of Atlantic Beach
'le 11 Building Department APPLICATION NUMBER
- ' J ur 800 Seminole Road (To be assigned by the Building Department.)
4
Atlantic Beach, Florida 32233 -5445 � C� _ ‘-\ 01
Phone (904) 247 -5826 • Fax (904) 247 -5845
4 \D;iis) E -mail: building- dept @coab.us 1
City web -site: http: / /ww.coab.us Date routed: M.... [
w
APPLICATION REVIEW AND TRACKING FORM
Property Address: 5 Nc C ',r-- _ �� • 1 t review required Yes No
0 Building 1
Applicant: - CA' t\ \ S
Planning &Zoning
Tree Administrator
Project: \- 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: 71Approved.
(Circle one.) Denied.
BUILDING
PLANNING & ZONING !�
R eviewed by:�' %V +�� Date: Z/) X1/0 U
TREE ADMIN. Comments:
Second Review: Approved as revised. Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: 1 'Approved as revised. (Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
i
1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH _ \G —�"
800 Seminole Road, Atlantic Beach, FL 32233 ` ,2 . v
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 5q4 bee , C 1k:, v e—
Permit Number:
Legal Description 1..o� l 1 1- C 'u :� G.k -6 Parcel #
00 Floor Area of Sq.Ft.
Valuation of Work $ 600 Proposed Work h /cooled f 1 / 1 o t
no M I
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structures) (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: K € V) ( 4c E? hL�
Property Owner Information:
Name: ;Dh - s , Sb. ? Address: C 000.74-13 k.1
City P't(44 , c_ •i3 ?c 1 StateFl_Zip 32 3 ? Phone Suit -374
E -Mail or Fax # (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: t'4 /4- Qualifying Agent:
Address: City State
Office Phone Job Site/ Contact Number Zip
State Certification/Registration # Fax #
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. 1 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 (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical 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 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 spect ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
7rovisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner % Signature of Contractor
'Tint Name 7) hvl , 5 64-, Print Name
�les l e � , .y •���, ,i,� Before me
of �'— � �N DIES ^ this t
�^ � �:. ., ' 1 • ION #FF9ER Day 2 0
� l . E �_ ,
Iotaiy Pu . lic :.�. ,�
°. • Th I, • Pubic Underarkers Notary Public
Revised 01.26.10
r t t S,y j
V rON!'
- ;—"" :..4. 4 t CITY OF ATLANTIC BEACH
'J : r
�'•u ,sl�r
41 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 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT (247 -5826) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER- BUILDER PERMIT.
ADDRESS
PHONE NUMBER
7 jhh — S•SktP
PRINT N ME
2---). a/17/115
SIG RE
DATE
y /
Before me this( day of 20 Y e county of
Duval, State of Florida, has personally ap eared herin by himself / herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large, State of r-L , County of CA RA--
ally Known I • ❑ Produced Identification - /
TONI GINDtE$PERGER
1
\EXPRESO
IMN Notary Signature: `� • d ''r n ThNNotetYP��
•Fi.J �PN�
F:/ BLDG / Owner - Builder Affadavit REVISED: 4/16/2009
LOT 12C, AQUATIC GARDENS AS RECORDED IN PLAT H BOOK 6 3B URV PAGES 71 AND 71A OF THE CURRENT PUBLIC RECORDS
FLORIDA, OF DUVAL COUNTY,
FOR: AQUATIC E RDENS, JOINT VENTURE
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CHARLES BASS= &- ASSOCIATES, INC.
215 CENTURY 21 DRIVE ( 904) 774 9433 32216
SURVEYORS. ENGINEERS AND LAND PLANNERS JACKSONVILLE, FLORIDA
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THE NI..RyA!l,JI ,tip : ■ee M•••••, '1.1 , 0,0 •, W• P. B. 38 P 5 7/.7/A
BEARING DATUM BASED ON _ '°• 5 . 3 8 PGs. 7/, 7/A I
FLOOD ZONE .__ � _ As BEST ASCERTAINED FROM TII( FLC)C)D INSURANCE RATE M AP .
C OM MUNITT PANEL No /ZVO7$- o4�4 /c - - - - - - -- D 4-'8-83
I HEREBY CERTIFY THAT THE ASOvE _ LOT • WAS SuRVE'ED •T LEGEND:
WE AND T„AT /// DPt/ELL /A/6 is _
LOCAT - ID UPON LAM( A• 24 R N INC A U �A
OW AND TNAT TN(( AR( O NC OCHM(NTZ •ON SAID
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TH,6 BOI/A DA R V 6VRV(♦ M(ETS TN II MINIMUM TS C NNICA'_ STANDARDS A6 GET FORTH OT O F° MO.� ... .
THE FLORIDA •OARO OF LAND SLPFIVC7OE01 PURSUANT TO SECTION •7I 07 0RID• A71._1T 1. O Se I.p.. ••.
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