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644 Beach Ave fence permit ECEIVE E'VE City of Atlantic Beach Building Department DEC 0 1 2016 APPLICATION 7NUMBER 800 Seminole Road (To be assigned by the Building[)apartment.) Atlantic Beach,Florida 32233-5445 BY:- (o - F'f\)CG_ -ZGE) Phone(904)247-5826 - FaX(904)247-5845 E-mail: building-dept@wab.us tDate:Muted: Cityweb-site: hftp:1Avwwco@b.us APPLICATION REVIEW AND TRACKING FORM Property Address: 644 13CAQ t4 A q C— De artment review re Uire Yes No vildin Applicant: ianning&Zen Project: Tree A rm ublic or ublic Utilifie Public Safety Fire Services Review fqe Dept Signatu-re Other Agency Review or Permit Required Review or Receipt of Permit Verified B 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. ADDI u-A�I^kl ��ATUS TReviewing Department First Review: [KApproved. ElDemed. (Circle one.) Comments: Yee %&dd BUILDING PLANNING&ZONING view (C'r g e D D a P N a G n ' C' 0 ' art e"t ANNING& NING F C0 r B 5 m t m R c ev n a s w A p I ,P Reviewed by: Date: -'d Review. E]Apf ".ad led 13 ments L ZO TREEADMIN. SecondReview: FlApproved as revised. nied. PUBUCVJORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: F I S VIC S Th IRE SERVICES Third Review: DAPProved as revised, ElDenied. Comments: Reviewed by: Date:— Revised 05114109 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach,Florda 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@wab'us City web-site: hffp:/�ww,.caab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 67 4 Is�Ao tA Aq c- De artment review re uired Yes No uildin Applicant: ianning &Zon Project: Tree A m e G_- ublic; or Public Utilitie Public Safety Fire Services FT Review fee p�pt Signat6re Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Fiords Dept.of Environmntl Protection Florida Dept.of Transportaflon St.Johns River Water Management District Any Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other., APPLI CATION STATUS Reviewing Department First Review: EVApproved. DDenied. (Circle one.) Comments: 63) PLANNING&ZONING Reviewed by: Data: TREEADMIN. Second Review: EjApproved as revised. ElDenied. PUBLCWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date FIRE SERVICES Third Review: EIAPProved as revised. DIDenied. Comments: Reviewed by, Date:- Rev'..d DV14109 APPLIC City of Atlantic Beach E C EIVE 7 AT17ON NUMBER Building Department C (To be assigned by the Building Department) 800 Seminole Road DEC 0 11 2016 1 Atlantic Beach,Florida 32233 5445 FNep 247-M4 Phone(904)247-5826 - Fav 904) ff E-mail: building-dept@wab us Date routed: W 3 0 City web-sim: hffp:/Avmv.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6 4 sg42 L4 q c- D pa ment review 7re uIred 7Yes No e "I'm ui din --1 Applicant: AIK (-[�..Elanning&Zoir Project: ree A in ublic or Public Utifitre Public a oty Fire*Se"Ices Review fee De t Siqnat6re Y--"� Other Agency Review or Permit Required Review or Receipt Of Permit Verified 8 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- WM A APP ATION STATUS P AT'ON STA Approved r, 'm P eview: Reviewing Department Fimt R Approved. [_]Denied. (Circle one.) Comments: BUILDING 13 FPLANNING &ZONING w I Reviewed by Date: ZA ill, L] pp .v, LiDenled TREE A DMIN.ZSecond Review: Approved as �evised CWORK Comments: P , '4, P BU L PUBLIC SAFETY Reviewed by: Date F17RE SERVICES Third�Revlew: �E]Approved as revised. �UDenied. Comments: Reviewed by, Date:- Revised 05M4109 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 FENCE PERMIT MUST CALL BY 4PM FOR NE)lT DAY INSPECTION: 247-5814 ]OBINFORMATION: Job ID: 16-FNCE-2681 Job Type: FENCE PERMIT Description: 6' FENCE Estimated Value: $10,040.00 Issue Date: 12/15/2016 Expiration Date: 6/13/2017 PROPERTY ADDRESS: Address: 644 BEACH AVE RE Number: 170125-0000 PROPERTY OWNER: Name: HUTCHINSON, HENRIETTA S Address: 644 BEACH AVE PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site during construction. Roll off container company must be on City approved list and container cannot be placed on City Right- of-Way. (Approved:Advanced Disposal, Realco Recycling, Republic Services,Shapell's,Sunshine Recycling and Waste Pro). Full right-of-way restoration, including sod, is required. All old fencing must be removed by the Contractor. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERNUT IS APPROVLD ONLY IN ACCORDANCE WITH ALL CIT7V OF ATLAWIC BEACH ORDINANCES AM THE FLORIDA BUILDING CODES. BUILDING PERmT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beech,Fl,32233 Office(904)247-5826 Fax(904)247-5845 (a -FIJCG -z&g Job Address: 644 Beach Ave. - Permit Number: Legal Description Resnowit Replace 178'0foxisdng6'Ngh�dfsnw 83gabs - Floor Ar 6q.kt Valuation of Work$ 10040 10 —ProposedWork hiated/cooled non-heated/cooled wbee 4.r.danoged&asisting old lbute cat ion ove Demolition pool/spa window/door Class of Work(circle one): It Useofexisfing/pr sedstructare(i trelemle): Commemial ff an existing stru=lre,Is a fire spriwer systena installed?(A �-y--Y�--No rN-71 Florida Product Approval# For multiple products use p—roff-�etapprova arm 6 / p-ence— Describe in detail the type of work to beperformed: P= er, r j, Name: Hennatta S.Hutchinson Address: 644 Besuch Ave. City Atlonfic Beach State-ELzip-322.3-3Phone ew-24i-s7w E-Mafl or Fax#(Optional) s�@aalumo Contractor information: Company Nme. Dueal Fence,Inc —Qualifying Agent: JOSH LYNCH Address:1155%.2 PHILLIPS HVVY. itY JACKSONVII I F State FL Zip 322W Office Phone wo 2so-47 �Job�Site/Contact Number State Certification/Registration# 1324o Architect Name&Phone# Engincer's Name&Phone# Fee Simple Title Holder Name—and Address Bonding Compsany Name and Address Mortgage Lender Nam and Address Appliendes,isheneby maid to obtain aagenu to do hanarkond Msfulladerwas unheated leatify that no smkor installation has commencediarfor to the ienum.0 'f'.P.11 and that.11 rk nill bep .5,kisa (6?med to meet th,,,.ad.,d,ofall/a.regulating cowiraction in lhisjur�dicho& 7hispemabecomer null m 66 menths,or tiena,unahm or.,k is wTa m commenced J mahoutand!that separate penodu asus,be seraredifor Electdc� Med or about do nvdfor a wariad,(OL)munthia(wisle aub andAir Conditionere,eu� ark,Plumbing, g.., eit,pents, ,,o,Boym,He M, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMINMNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR INIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING V6M NOTICE OF COMAIENCEMENT. this the Signature of Owner Signature of Contractor PrimName, tna and Sul 'b- e o b�d be '31f,�U Sworn to and subscribed be Me 2040 this —Day of 20 Notarymung-, PubkStalbofFloft olont FF 955M" y m e y M M J;�:r28,�2m Revised0l.26.10 LqYN 7F— Y OF ATLANTIC BEACH (OWNER/ BUILDER AFFIDAVIT 1. 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 DOM BY LICENSED CONTRACTORS YOU HAVE!APPLIED FOR A PERMIT UNDER AN ID[EMPTION TO THAT LAW. THE B)MMPTION ALLOWS YOU,AS TIM OWNER OFYOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU 00 NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUMON 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 325,0W.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 RAW BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCUON IS COMPLETE,THE LAW WH,L PUSUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS E)MMPTION. YOU MAY HUE AN UNUCMSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REUU�TIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU RAW LICENSES REQUIRED By STATE LAW AND BY COUNTY OR 14LMCIPAL LICENSING I ORD21AUM I II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPERSATION INSURANCE BE PURCHASED. Ill. 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; U�ONI IS CANNOT BE EMPLOYED UNDER ANY LtACTQ119--Q� CIRCUMSTANCES.OWNERS BEING SUBJECT FU$5,003 PENALTY UNDER FLORIDA STATUTE NO. 455-2280). AN-OCCUPATIONAL LICENSE'IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY *CERTIFICATE OF COMPETENCr 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 14AVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. V figbgz—s-zg hMnbyH�fh� ftt .11 swl�n��nd d��cw wd a.r�. AOA% VANESSA KELLY PRRR Aly mM� 95%77 28.7020 F�BW�A�i�� Wt� NAW ZONING REVIEW COMMENTS A City of Atlantic Beach Community Development Department 800 Sernincle Road Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fax: (904)247-5845 Email: dreeves@coab.us Date: 12/9/16 Perenit: 16-FNCE-2681 Applicant: Duval Fence Review: Ig Address: 11556-2 Phillips Hwy,Jacksonville,FL 32256 Site Address: 644 Beach Ave Phone: (904)260-4747 RE#: 170125-0000 Ennfl: Not Provided Correction Comments 1. Fence Height: The proposed plan calls for a portion of 4 foot fencing and the rest 6 feet tall, but the plans do not show where the 4 foot section is to be located. Fences cannot be taller than 4 feet within the front yard which is the first 20 feet of the lot. Please show where the 4 foot section is to be located and revise plans if necessary. Derek W. Reeves Planner dreeves@coab.us 60 0 Z 3 pet- > Op too c pj < rn r4x amml"" lo Ol ti CITY OF ATLANTIC BEACH nflpy Ir (OWNER/ BUILDER AFFIDAVIT v ;wP 1. FLORIDA STATUTES- CHAPTER 489. FLORIDA STATUTES, PART I 'CONSTRUCTION CONTRACT[NG"REQUIRiS OWNER/BUILDER TOACKNOWLEDGE THE LAW DISCLOSURE STATEMENTFORS 189.103(7),FLORIDA STATUTES. C STATE LAW REQUIRES CONSTRUCTION TO BE DONE By LICENSED D"CLOS' Co L STA TA W F Q LER OR S ON TE � UEUS Co 49 ECII Um 'FLORIDA mioON M WINER OF AS T EA N E7 0 HAVE A LICENSE. YOU MUST A ONTRACTORS' YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT 0 VE U NTEACT ES RA Y yo W TER�T`ON WS OU,AS LAW' TER EXEMPTION ALLOWS YOU,AS TBB OWNER OF YOUR PROPERTY,TO ACT OUR OWN CONTRACTOR EVEN THOUGH YOU Do NOT E OU Y B� OR R11PROVE A ONE-OR OF ING.0 U MAY ALSO BUILD OR V OR LESS. THE 13IMPIN Yo Y N 0 0 E TWO F Y IDENCE OR A F R VE A CO C� MG AT A QDS Y NOTE --Q UPANCY IT MA ISUILT TFOR SALE ORLIEASR BZMG SAW SELF WITFIN ONE YEAR B R 0 C R LAW WILL SUMP THAT YOU BUILT O� Y OU SELL WLETE S N. Y0 0 A YOU COX RU N IS 0 M HIS C T FOR ALE OR LEAS W C 0 URB C S S Yo 0 �A -V MAY NOT CONSTRUCTION MUST E 0 C 0 T 0 �Zo REGULATIONS. IT IS B Yo D NE A C RDING 0 THE BUILDING CODES DESEESPONSESILITY To MAKE S IS PEOPLE Y T TIRE THAT LO B Y U 0 An MiltUC—EPAL IICMSUJG C RDIN Y 11. INJURY LIABILITY; SINCE OWNERS A 46 E L ABLE FOR�NJURIES TO WORKERS THEY HIRE THE BUILDING DEPARTMeNT PURCHASED. SUGGESTS WORKERS comprNSATION INSURANCE BE 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; UNUCENSED CONTRACTORS CANNOT BE 'GCCUPAT -TO CIRCUMSTANCES, OWNERS BEING SUBJECT ED UN�DERANY 456-228(l). AN $5 000 PENALTY UNDER FLORIDA STATUTE NO. THE CO@TTy--CERTIFICATE OF—EoMpE�FENCy- OR THE FLORIDA 'CONTRACTORS SEE IONAL LICENSE`IS NOT A61EQUATE, THE OWNER SHOULD PHYSICALLY 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 A13OVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. I/ 1&7A A 60-271 DRE .............. E RE =".Zis �m me 0-dZWo�Al�p.%A,, __WMe laftbounid 13�1.SU dARMde,has P.amagy M,amm, Wa byNasech1haue.1fam!affinm�that .1f.t.tem anddadauafiomam,aeaMsbmma,, Note,Public at LaMe.SWe of FL Qomhtydj��J ba- Lb)— L DACODAH PARRISH CembellIcin 9 GG 009947 V* EKPIR J1100.2020 a Be=Troy Fah mossewsomwAlls Notib,ggueurn .�&bass City of Atlantic Beach Building Department APPLICATION NUMBER (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us d: .1 City web-site: hftp://mm.coab.us APPLICATION REVIEW AND TRACKING FORM 4 Property Address: C2- na'_ De irtment review required- Yes No I e2 z il6ir a e- Planning &Zoni Applicant: A.:2 Cz- Tree A mi Project: -_Fu_b1_ic_Wo_rRS—> �11 tPublic Utilities'�o 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. �<Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed TREE ADMIN. Second Review: DApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. FIDenied. Comments: Reviewed by: Date: Revised 05/14/09