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87 Forrestal Cir fence permit i s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD { � ATLANTIC BEACH,FL 32233 - -�-> INSPECTION PHONE LINE 247-5814 L FENCE PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ]OB INFORMATION: Job ID: 16-FNCE-2332 .Job Type: FENCE PERMIT Description: replace rear fence with 6-foot tall fence damaged by storm Estimated Value: $1,600.00 Issue Date: 11/15/2016 Expiration Date: 5/14/2017 PROPERTY ADDRESS: Address: 87 FORRESTAL CIR RE Number: 171729-0000 PROPERTY OWNER: Name: RODRIGUEZ, BENTON & FRANCIS, Address: 1224 FOREST OAKS DR PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site during construction. Full right-of-way restoration, including sod, is required. 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. ,.I. City of Atlantic Beach APPLICATION NUMBER f. Building Department 9 (To be assigned by the Building Dnepartmm2e^^n��t.) 800 Seminole Road ` I - 1 1V( - d'3- Atlantic Beach, Florida 32233-5445 910Z 1 Z 10l Phone(904)247-5828 - Fax(904)247-5845 (51 �o;,tar E-mail: building-dept@coab.us Date routed: i cak 6 City web-site: http://w .mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6-7 Fo `vst. � G rtu_S. Department revievirrequired Yes No Applicant: �Q/'T�nP./�cQngt,cC7 tannin Tree Administrator Project: 1___f I&C2 (, -1AC71- kD Q, u li o s u Ic afety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Flodda Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: }Approved. ❑Denied. (Circle one.) Comments: Jm BUILDING PLANNING&ZONING Reviewed by: Date: �3 TREE ADMIN. Second Review: ❑Approved as revised. Elilemed. lr_ LICA Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised osnaoe City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 i b—fAl CE-a 33d Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept(Mcoab.us Date routed: l0l)t 116 City web-site: http://www.mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 'WA %<raoLt Gi(, S e review re uired Yes No Buildin Applicant: 01241 CXn VbkiiAAF7+- mg Zoning Project: QAa —(0—%0+ -kALQ— Public Works Public Utilities �. Public Safety ag PAID Fire Services H♦• 3 o Other Agency Review or Permit Required Review or Receipt Date of Pet= B B 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. Denied. (Circle one.) Comments: fu fl-�«[1vJ BUILDING / PLANNING&ZONING Reviewed by: .. zc% Date: /s/2! /l TREE ADMIN. Second Review: Approved as revised. ❑Deniied. PUBLIC WORKS Comments: p,- / 4 '.'e'Approved lob44, PUBLIC UTILITIES T w --// -- PUBLIC SAFETY Reviewed by:/> 9 Z,--�A� Date: /t / FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: ll ;! `yL> (r- Reviewed by: 2:;44v 4v Date: t t Revised OSF14MO .1 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-58 F j;tlj E-mail: building-dept@coab.us OCT 2 7 2016 Daterouted: Cityweb-site: httpilA w.wab.t APPLICATION REVIEWAMD-��ING FORM Property Address: R7 FOt'm�b I Carrie, S. Department review required Yes No op Build' Applicant: _Bonbn �cX11r�gttiZ;'z T istrator Project: (Z1Jl,4rQQj} Ce_ MOM Public Utilities U IC Fire Services Review fee $ bT Other Agency Review or Permit Required Review of Permit Verified or ReeeiptB 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 APP TION STATUS Reviewing Department First Review: 56Approved. ❑Denied. (Circle one.) Comments: BUILDING , ,,,�— PLANNING&ZONING Reviewed by: 6f_bate: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. WO S o m Cents: PUBLI UTI PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114109 ZONING REVIEW COMMENTS City of Atlantic Beach Community Development Department k> 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 Email: dreeves@coab.us Date: 10/26/16 Permit: 16-FNCE-2332 Applicant: Benton Rodriguez,Owner Review: 1" Address: 1224 Forest Oaks Dr,Neptune Beach, FL 32266 Site Address: 87 Forrestal Cir S Phone: (904) 2494508 RE#: 171729-0000 Email: dawsta@aol.com Correction Comments 1. Fence Location: The proposed fence extends beyond property lines into City right-of-way. Approval must be granted by Public Works for construction in the right-of-way. Derek W. Reeves Planner dreeves@coab.us Le PAID *F&Wc6 DAAMICp pi STORMS BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fu:(904)247-5845 Job Address: �O./( ,. L TL./ PermitNumber. IVFNe&—a� Legal Description / V 4 RE# 7! / fL,&aj-c / Valuation of Worklacemeat Cost)S!(_6 IReP HeeterVCoaled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commemi Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or A//ffidavit of No Tree Removal sDescribe in detail the type of work to be performed: r C4 / C4— ! )K✓IG,Ci GLS JC'fp2 /K CL�� /� dnn e�/O � �H 1) DAM Florida Product Approval# fmmultiple products use product approval form N�Property Owner Infor 'on ,t� /� J Address: A-2 t �G //9/./' 1/2 7n Cityr'U!v - State ip Phone/a'-4ng - E-Mail A OwnerorAgent (IfAg-tPowerofAaomryorAgmcyLettaRequiroi) WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT TNTS UYUFTOOBTAIN FINANCING CONSULT OR WH YOURLENDEROPROPERTY.ATTORNEYBEORE RECORDING YOUR NOTICE OF COMMENCEMENT. Contractor Information: D �/ Name of Company: Qualifying Agent: Address: City p Office Phone Job Site/Contact Numb State Certification/Registration# _ art Architect Name&Phone# Engineer's Name& Worker's ensafion xempt reamer I 1,ease Epjyes I ate Appp"canon v hereby made to obtain a permit to do IM1e work aM inrtalfadau as indicated I tett fy that rsa warkar ium[latlon hos commenced prior fo the issuanre oja permit and that all work wit(be per(armed to meet the standards ojall laws regu(a(ing construction in this jurisdiction. permit become null arsd void ijwork u not commenced within six(6 months, or ijronsnuction ar work is suspeMed or abandoned/pr a pperiod o/six(6)months atany Xme ajkr work is commenced. !un a that separatepermitr must be securedjortileGrical Work,P! b.ra JSgrts, Wells,Pools,Furnaces,Boi[us, em,TaNv attdAir n io ers,etc. Signature ofProperty O ignature ofContmctot B6n I this L Day of v Before me tbis ay of Notary Public: >? WNG smte os tFbBde It'anw e"" Notary Pub ' . Thereby certify that f have read and examined this application and know the same to be true and con-ect. All provisions of laws and ordinances governing this type o(work will be cromplled with whether sped red herein w•not. The granting of a permd does not neesume la give aut orgy to violate or cancel the provisions of any otherfe era{state, or local law regulating constn¢tion or the oerjormance ofcanstractm ne., anisic n CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW iTHECONSIRUCTION CLOSURE STATEMENT'—SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED TRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT . THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS R OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE q LICENSE RVI TU MUST ON TRU YOU MAY HUILD OR AIPROVEAONE YO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR OVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THF,BUILDINf. TBEFOR YOL cAAND OCCUPANCY. TTMAYNOTBEBUILT FORSALEORLEASE, OU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITTEN ONE YEAR R THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUII,T ST R SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTIONYOU MAY NOT AN UNLICHNSED PPRC NAS AOI RCONE ACCORDING TO THE BUILDIN D ZtYOUR ONSTR CTIOS IT IS RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLO D BY YOU HA VRS C REORRED BY STATE LAW 4ND BY COUNTY ONANCESII. INIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. 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 CIRCUMSTANCUNDER ANY ES OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(E AN-OCCUPATIONAL LICENSE'IS NOTADEQUATE. 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(247-5828)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 R OWNER-BUILDER PERMIT. AN 41 oR ss Md V , 99" _7 4- PHC WENV BER`O T C PRINT /y,�r�' Refore I mor .. aay of ��. p mo muny of eoval,Slap of IoM—a,ryasl 'oonaYy a PT rya�n by ryimaeM�ryeneMentl aRirma Met ualelemanlsandaeclar. n,am bne and amu.ae. Notary PuMlcat Large,stallof 'pt County N On P aonapluwa VANEEu�Kltahl Of PIERRE `44,arwdlmmr yon- VAWNotaESSA c.StahlKELLY PIERREa „//" CammissioM FF 9855/7 Ny mmm.evtlray Jgrt 28,2020 Notary signature: P/ELeCdJxnv-B vilder Nhdevig AC{+tgED;ytyg� �L FORESTAL, C19C1E SourH 60t IZ/w r �� _ ._ •5` (09 ° 3/`25"F �lD` ss /0. � FXtST. CatIC, r CAP- war 'S ov t\G B�oNP Ns ,.� so 01- ATE fLITE QLAr ALE 1"=Zp'-d° •c'37 2T ! 8Locr LAW-fc- 8EAC44 V/LLj r 1Y 0. /. - FL�,Wo zonc- AtA-,�i:� lnv o i= r�e o'l?,. G G ' o sIEN G e '/Zgf�/M ?Z 7'onnPL t.9�i'-H Al �ic�C l5 00, /w �.��i.� ._.• ------------