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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. 1339 LlAIX go - Arta 2y/- Zg�3 AOOREbb F PHONE NUM9ER IR�Grr GJALsff PRINT NAME slunANRE ,��j -F �� E.ron m.ma�mrd wmwff ' Har Ouwl,sroaafIMN,MepenmYyappeareE Ming Nm WI/Mna .w emmn ael N aalemenleeM Mda/e1MnLenLl�nn eM etcn/eY. ,1` Noary PudlcN Lvpe,babd F / Q fqunlYd Y CL /(] ❑Penon4Y Nm+i 18 I ❑PIOMrteElEp,padtlM :M"s'gF i0,NI01NOLE5P'FF I.! _ EXPIRE ISalwer F82A951 rvaary bi9natwe: x4` E%PIRES:IXlober b,2019 .I\! BmtletliAry Rdw PWCIMtlwNan FALWLu,nRuiIJn MWxil.eMM1SEp</16'ImF SnT BY: IIM [WIK W/CYI R1T P ... LOI 72, BSLVA LIYPSTPP UMIi 1. Y PPCD_PPID IM PLAY BOOK 11. P�)) AtlD 1)L. BY TY C9//[fl 1[li[ IpaKl[[ K DW,Y. COUNTY, PI.OPIOA. I I r, R ' uNaATNe ANen eecTror� n 1 m. 3 ~ 4x4—_ flT wY ll GNB 6Tp4Y � �� L4T TD ' Fq— YY �O MGbONMY(( 1 O ��' 'T. Sii. 1 : 1 I*..I j <! Y.. ;.. �' RILTYT aPAIyY �{v� uA I I) P{AKTPOP YQ PG 119 O[ TRY XGBTD LI[[ OF 'I4 LIR 1Y N ATV PPT{3 LI BY REY, 3) Ttltd PPOPTiSY "PIM tO LIE ttl s3D Ar "P" R BLOOD MN6 4Ki P[YISOO 1 AYISL ll. 1919. !.. GpYONlTT PM4 M0. 130015 0001 D. )) 0.PVAYIONP 6"= TIUP: (13.01) AEP BASED W TP{ PATIOPIL GPOOPTIC YSPTICAL DATUM II Il OF 1920. . I IM/pOYG[IlTlry ro� Pf4aK lLYpw{a 14I/{VfpY NAl1yNpL.beNK 1MAi TMI[[VNYBY N[[TY TN\NIX.MVp T[CMMKAL !.�/m.NYI'A PM[T YVw NNW i.nH•Y. /1ANpAllpp A[[[T FO11M pT TM[ILp11OA[W11O �'L 1 'I OP 4Mp WNY[TOMp.IYIp[WMTTp p[CTIpN gI.O/f T! { '.i PLO[IpA pAIYTF[Ylp[NMl[N[INX�NLO[IpA I—_� � rA Ap N�G1XATgN Gpp[. H.A.DURDEN & ASSDCIATES ,'� kY�7ruece JUL 2 21992 . .. �.:N:- :p i ' p, DA1/ _ 'PSS A:AY Ip [GALA PI N O!t > Building and Zonin ' TMI[W11Y[Y NpI VAYO YNLU[TX IIIINTgLM/O0[p XITN TM[lplt p/TN[A[OV{p/N[O .,�k '