1403 LINKSIDE DR - FENCE e ' ' °S, CITY OF ATLANTIC BEACH
Ai, .s 800 SEMINOLE ROAD
'r ATLANTIC BEACH, FL 32233
J
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-534
Job Type: FENCE PERMIT
Description: REPLACE FENCE
Estimated Value: $2,500.00
Issue Date: 3/3/2016
Expiration Date: 8/30/2016
PROPERTY ADDRESS:
Address: 1403 LINKSIDE DR
RE Number: 172374-5345
PROPERTY OWNER:
Name: GARBRIEL, WILLIAM J
Address: 1403 LINKSIDE 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.
ri/l�.rA,1r,._,
Jt t- to
w ,, CITY OF ATLANTIC BEACH
-y - 0 WNER / BUILDER AFFIDAVIT
' ..4urs 9r
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,
I 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.
II 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.
fJ i n 'n ADDRESS
PHONE LiAkS(C� c � � !.�( I 5 — 2) 1 — 34' co'U�
Li��� lit V ■ 1 e PHONE NUMBER
PRINT NAME
M title
SIGNATURE DA I 9)\ 1
Before me this p�day of C 2lL 1 the county of AAA���EEE���
Duval,State of Florida,has personally appeared herin by himself/herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,Stat-of- -PI ,County of r)v Via.-
ID Personally Known
jr-:1,�
I roduced Identification- g ��- 539 -°- 1',;;a*.�:YN; , TONI GINDLESPERGER
. ��.N: , :Y_ MY COMMISSION it FF924951
'" EXPIRES:October B,2019
Notary Signature: � .'- r� "" Bonded Thru Notary Pubic Underwriters
F:/BLDG/Owner-Builder Affadavit;REVISED:4/16/2009 I
.s-5'rs= `i:fr, City of Atlantic Beach
, � Building Department APPLICATION NUMBER
Pr, `'?I 4;s� 800 Seminole Road
(To be assigned by the Building bepartment.)
Atlantic Beach, Florida 32233-5445 t _ — - �(
J� Phone(904)247-5826 • Fax(904)247-5845 ( �` `t'
'`,0;;1ar E-mail: buiidin de t .us
9 coab
p @ Date routed: 1
City web-site: http://www.coab.us ����
APPLICATION REVIEW AND TRACKING FORM
Property Address: 14-0:3 tin KS(p G 1) 2 Department review required Yes No
Building
Applicant: CDLD/ iz arming &Zoning
`-- , Tree Administrator
Project: , I A - _ ii _ — 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: PZIApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: ,J/3/
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
I i
' 11111f" BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 14 b3 L- j 4 t 5s de Or i vC Permit Number:
Legal Description f e C j cl t il CC Parcel #
Valuation of Work$ t C OQ Floor Area of Sq.Ft. q t
Proposed Work heated/cooled X non-heated/cooled X
Class of Work(circle one): Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial R4si430l\
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: Ref lac i/1/4) exislj p°t vaCy C.
C.
6
Property Owner Informattion:
Name: '" �Yi �,■c /"l tit lie' Address: 1 t\l. k.rt . hr; .-c-
city earl.. StateFlZip .3.433 Phone MINEMEIRMIIMMINIM
E-Mail or Fax#(Optional) ✓e'L w 1(7a 5 Th art t a; •c exA- 4=11Mill
Contractor Information: CONTRACTOR EMAIL ADDRESS: \
Company Name: R• C kaw• 'F'e vLC i 1
Address: 3i(o QiaNdi.i �(v � Qualifying Agent:
d' City 0v4.n..e.Part State FL Zip3rta 73
Office Phone 'Otl-37g-g-7.4.41 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 if work is not commenced within six x performed or of construction or w all
rk is suspended or abandone id for this
period of six 6)months at any time null
work is conunenced. 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 a..licati. a now the same to be true and correct. All provisions of laws and ordinances governing this
type ofwork will be complied with w - •• spec'^•d h •i r ot. The granting of a permit does not presume to give authority to violate or cancel the
7rovisions of any other federal,state, or lo' l l -re: .ti c struction or the performance of construction.
Signature of Owner /
Signature of Contractor
'Tint Name It V O"►/uu!kh Print Name
Ief�t.+ t
of • ;_ . ___ :its• e me
11S .y 1 ,.,r� !�G IN DLESPERG ER its Day of ,20
,. MY COMMISSION f FF 924951 i,k,!...r:_41 EXPIRES:October 6,2019 ak rotary''lic Iligif "'• •ubic Untle^1 Pt ) Public
Revised 01.26.10
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SURVEY NOTES
CONCRETE DRIVE CROSSING INTO 7,5' J.E.A.E.
ON SOUTHERLY SIDE OF LOT
THERE ARE FENCES NEAR THE BOUNDARY
OF THE PROPERTY AND CROSS INTO THE
D E & U E. AT EAST & NORTH OF PROPERTY
J C A E A JACKSONVILLE ELECTRIC AUTHORITY EASE►LENt
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SURVEYORS CERTIFICATE•
•• r PIEREBY CERTEV ru Ar 1703 DOGNDARr SLA9vEr SURVEYING, INC.
LS A TRUE MID CORRECT REPRESENTATION Of A
• SURVEY PREPARED UNDER Mr DIRECTION
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