1339 Linkside Dr fence permit -S yLyf
CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
"' "• ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-FNCE-3055
Job Type: FENCE PERMIT
Description: FENCE 6'
Estimated Value: $900.00
Issue Date: 2/13/2017
Expiration Date: 8/12/2017
PROPERTY ADDRESS:
Address: 1339 LINKSIDE DR
RE Number: 172374-5365
PROPERTY OWNER:
Name: WALSH TRUST, MARGIT F
Address: 1339 LINKSIDE DR
PERMIT INFORMATION: PUBLIC WORKS:
All runoff must remain on-site during construction.
Full right-of-way restoration, including sod,is required.
All old fencing must be removed from job site by Contractor.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CFFY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building: Department.)
.y 800 Seminole Road I ` I"N('�' 3055
Atlantic Beach, Florida 32233-5445
Phone(gl'k)247-5626 Fax(904)247-5845
'Lo;t g E-mail: building-dept@wab.us Date routed: I
City web-site: http:/Nnww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l 339 LI NKSIO C 'bP_ Department review r uired Ye No
uildin
Applicant: W 1� � anning & on
//'' r— �! Tree mems m or
Project: LO ( r' �C-3� u lic W
S�Llfilities
Public Safety
Fire Services
,Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified 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: Lyapproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: zro, Date: x'23-17
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 05/14/09
City of Atlantic Beach {�. APPLICATION NUMBER
Building Department � it, (To be assigned by the Building Department.)
r 800 Seminole Road
Y�
Atlantic Beach, Florida 32233-5445 l4N 3 55
Phone(904)247-5826 Fax(904)2 1845 23
E-mail: building-dept@wab.us hY - Date routed:
City web-site: hnp:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1339 LIA)I<Slp�. 'bP J Department review required Yes No
uildin
Applicant: W t� � aiding & on
f�- Tree minis ra or
Project: LO C- ca--3c-c— u tic W
'lilies
Public Safety
Fire Services
Review fee $ Z01— Dept Signature,
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
Omer:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by: /"7/ W Date: IZ t
TREE ADMIN.
Second Review: [-]Approved as revised. ❑Denied.
WORKS Comments:
BLI UTILITIES
- Z3-/ 7
PUB IC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
ytsari� City of Atlantic Beach APPLICATION NUMBER
Building Department (to be assigned by the Building Department.)
800 Seminole Road _ I , _ NC�_ �ot—C'
j Atlantic Beach, Florida 32233-5445 L„[ J 7
Phone(904)247-5820 Fax(904) -5WM
otiw E-mail: building-dept@mab.us 131. Date routed: I
City web-site: http:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: LINKS0G UP— De artmant reviewrequired Yes No
uildin
Applicant: f3 CLQ_ Vfarming &Zon
COf Tree minis ra or
Project: C ( C-�L-�� u lic Workso
lities
Public Safety
Fire Services
Review fee $,,Dept Signatur
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified 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: seeeG �en�
BUILDING
PLANNING &ZONING
Reviewed by: Date: Z7
TREE ADMIN. Second Review: []Approved as revised. ❑Deni
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
o`r Building Department (ro be assigned by the Building Department.)
- - 800 Seminole Road - I J -r-Noss
a Atlantic Beach,Flonda 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Daterouted: I
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1339 b&)KSIDE V� De artmentreviewre uired Yes No
&_QuildinglD
Applicant: V W h7 anning & on
Tree cmlmsraor
Project: C FIE4-32G u tical
lilies
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit VerHied 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:
BUILDING I
PLANNING&ZONING Reviewed bycz wnLA_ Date:-2/-5,6Z.
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 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH DATE
800 Seml.R.;d,Atlantic Beach FL 32233 OFFICE COPY /19h
Office:(904)247-5826 * Fax:(904)247-5845 1 -7 - FfQCe - 30SS
JobAddress: 1932 ff17_,fA(rx 6C*, r1_32Z�eorit Number:
Legal Description RE#
Valuation of Work(Replacement Cost)$_3 00—Beated/Cooled SF Non-Haoted/Cooled
epair Move Demo Pool Window/Door
• Class of Work(Circle one): New Addition Attention 6;D
• Use of existing(proposed structure(s)(Circle one): Commercial a Ces,:demial
Yes
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes 0 NIA
• Submit a Tme Removal Permit Application if my trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be Performed:
Florida Product Approval# —for aralliple,products we product approval form
Property Owner Information
Name: t�fi-rL4 t r Af/��5 Addlress: f32 &1A0cSt7)5 D9 -
City +7ZyW7r— A6A_eff StateEL-Zip 34�17 Phone� 2 qj—2-7 --3
E-Mail —
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 NOME OF COMMENCEMENT.
Contractor Inforimation:
Name of Company: al 6g__A�gem:
Address:
it y State Zip
Office Phone ob Sit rit Pit Number
State Certification/Rcgistration# E-Mail
Architect Name&Phone#
Engineer's Name& Phone#
Worker's Compensation
�ssrpt Insurer Lem Employees I FxpFaton Ua—w
menced
is no&
...d or
Ap a Ohe he mad"o ob'a
0'Perm"on
tic 0 ft is a eby 0 and void
r' t usu nee
ra' , 0
h�Pd—8 �6 0 s o a, ny'"s
o nohs a e ing,
ns� '� is' is'Funnices,Bm
c, 00
P. Owner
Sig-mar.of Pro
of -
thi B rT or
s Day
Notary P-Me
y ov
I hereby cert6 that I have read and examined this a ication andknow the same to be Ime and correct. Allprowlsionsoflausand
ordinancesgoverni this type Kwork ivill be complied with whether speXed herein or not. The granting of a permit does not
,ty
0 al
premonelogiveaut orily tovio ate or cancel theprovisions of any otherfe eralstate, or local las,regulating comiruction or the
performance ofconstruction
CITY OF ATLANTIC BEACH
OWNER/BUILDER AFFIDAVIT
1. FLORIDA G'STATUTES; CHAPTER 489, FLORIDA STATUTES, PART i 'CONSTRUCTION
CONTRACTINREQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW.
FCONSTRUCF10N
SURE STATEMENT FOR SECTION 469.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
HE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
WN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
ISE 118 CONCrR CTION YO YOU MAY BUILD OR IMPROVE A ONE-OR
MILY RESIDENCE OIL A VFARM YOU MAY ALSO BUILD OR
E A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
FORYOUR (LAND OCCUPANCY. ITMAYNOTBE BUILTFOR SALEOR LEASE,
ELL OR LEASE A BUILDING YOU HAVE BUILT' YOURSELF WITHIN ONE YEAR
HE CONSTRUCFION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT
ITFOR SALE OR LEASE,WIUCH IS IN VIOLATION OF TMS EXEMPTION. YOU AY NOT
BANL%L1QEHSED PERSON A YOUR CONTRACTUIL YOUR CONSTRUCTION MUST'
E DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. 11 IS
i YOUR RESPONSIBILITY TO MAKE SURE THAIPEOPLE EMPLOYED BY YOU HAVE
WCENS S REQUIRED By STATE LAW AND BY COIRJTY rin MUNICIPAL SIG
I ORONANCfiC.
II. INJURY LIABILITY; SINCE OWNEM 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 B EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(7). 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(247-5626)IF IN DOUBT.
V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
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