1323 Linkside Dr fence permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
�Ji31`J`
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 17-FNCE-3072
Job Type: FENCE PERMIT
Description: 6' FENCE
Estimated Value: $2,400.00
Issue Date: 2/1/2017
Expiration Date: 7/31/2017
PROPERTY ADDRESS:
Address: 1323 LINKSIDE DR
RE Number: 172374-5370
PROPERTY OWNER:
Name: THOMAS II, ROBERT D
Address: 1323 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 CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
J 800 Seminole Road '-7 F M – 7 Z
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 Date routed: I —3/17
E-mail: building-0ept@coab.us
Cityweb-site: http://w .coab.us
APPLICATION REVIEW AND TRACKING FORM
PropertyAddress• i3Z3 (.tKAKstoc � f2' me
Dentrequire d Yes No
Build
Applicant: JP &Zoning
Tree Administrator
Project: u lic UtilRies
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B
Florida Dept.of Environmental Protection
Flodda 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 by: Date: /ZA
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
Ud Building Department (To be assigned by the Building Department.)
800 Seminole Road ' 7— 17N y _ 7 Z
° Atlantic Beach,Florida 32233-5445 cbj)
Phone(904)247-5826 - Fax(904)241398_45
1-7
E-mail: building-dept@mab.us Date routed: t Z3
City web-site: http://www.coab.us '_J
APPLICATION REVIEW AND TRACKING FORM
Property Address. 132-3 Lk&_-ii(S10£ � tZ De rtmentreviewre uired Yes No
�+�, Build'
Applicant: `-ill>�C-{�Z &Zoning
Tree Administrator
Project:
` Ic Wo
u tic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature_
ffi0ther. _WM
gency Review or Permit Required Review o iReceipt Date
of Permit VerHled B
Floridaept.of Environmental Protection
Floridaept.of Transportation
River Water Management District
rps of Engineers
f Hotels and Restaurants
of Alcoholic Beverages and Tohacco
APPLIJCATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments: /
BUILDING N�
PLANNING &ZONING Reviewed by: Date: 1411%;7
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
P WORKS Com nts:
PUBLIC UT _ITI/�
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
.SCity of Atlantic Beach APPLICATION NUMBER
Building Department �CjEFJ 9gT (To be assigned by the Building Department.)
800 Seminole Road ' i 7- FrO - - 7 z
_ Atlantic Beach, Florida 32233-5445 ,/��V
Phone(904)247
.1 , -5826 - Fax(904 TJ 5 2 3 2017 _+� I Z3
-0e t@mab.us �,J Date routed: I
1 6Y,•
Cityweb-site: http:/Aw+w.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1323 l-IfJs(O£ VFireSewices
nt review re uired Yes No
�r�, �
Applicant: Oujo` is(z Zoning
istrator
_
Project: �Y r �l`•�`--�- es
ty
s
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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
,t7�ry
Reviewing Department First Review: �/ Denied Approved. / A ❑ /
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. [O]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
?tsar�� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assignedbythe Building Department.)
d Boo Seminole Road 17 r— N
Atlantic Beach, Florida 322335445
J Phone(904)247-5826 Fax(904)247-5845 Date routed: I Z3
F�oflly E-mail: building-dept@mab.us
City web-site: http://n .ccab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address• 13 (.Ir,� 510£ fZ, De rtmentreview re uired Yes No
Build
Applicant: `�llJ9��Z &Zoning
Tree Administrator
�� u Ic Work
Project: _ - u lic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review dr Permit Required of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
R
Reviewing Department First Review: Approved. ❑Denied. �j
(Circle one.) Comments: /Q ' oalvc&'�'rrr� W�'t"[ 1� r,IN
UILDING
PLANNING&ZONING Reviewed by: Date:
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 05/14109
BUILDING PERMIT APPLICATION /
CITY OF ATLANTIC BEACH DATE 1/��,
800 Seminole Road,Atlantic Beach FL 32233 OFFICE COPY ` !1
Office:(904)247-5826 • Fax:(904)247-5845
Job Address: 132.3 LIAKS7 & Drive, PennitNumber: 17`0� cE' 507G
Legal Description RE#
Valuation of Work(Replacement Cost)$ Heated/Cooled 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): Commercial 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[ices are to be removed or Affidavit of No Tree Removal
Describe in detail tIhe type of work to be performed:
Remaut 4h0. replace, wocUri Fence °^ 6�4 s44s oh hw.SZ-
Florida Product Approval# for multiple products use product approval forth
Property Owner Information
Name: Robert 1"A md.s Address:
City fEt-(o 'hie, M(-k StatefL-Zip 3u33 Phone
E-Mail lnd IOM I"68 Cil emd '• eaM
OwnermAgent (If AgeatpowerofAmemeyarAgencyl.etterRequiedl rJwn.t�G
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 NOTIa OF COMMENCEMENT.
Contractor Information:
Name of Company: ifying Agent:
Address: City State Zip
Office Phone Job Site/ ontact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
xemp[ sorer e p oyees xpaatwn ate
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
pnor to the issuance ofa permit and that all work will be performed to meet the standards of all laws regulating.construction in this jurisdiction.
%his permit becomes null and void if work is not commenced within sa/61 months, or ifcoretrucam or work is suspended or abandoned for a
period ofsis(dl months at any time after work is commenced. I understand thm separate permits must be secured for Bledrlcal Wor Plum2ing,
signs, Wets,Pools,Furnaces,Bogen,
Heeatt ens,Tamm a�n�d�A�ir�Condhloners,ec
Signature of Property Owner: 'f�'O"'•y l/rI e � Signature of Contractor:
Befogs
this Day of �2futtJbr 2O( Before me this Day of
O s
Notary Public: ublic:
, gCte� MELISSAe.aINEaA
i:,. co sitiff 7329
I here cern that I have read and exan i! '.* r /mow the sit to be true an correct
A(I provisions of Jaws and
ordinances g governing this type o((work t t pSii J ) PpPI/e e�r� herein or not. The granting of a permit does not
presume to give authority to wo(ate or, 'i)'erowsi d 1 'b Erd@ state, or local law regulating construction or the
performance of cow lrucitan.
w , = CITY OF ATLANTIC BEACH
OWNER/ BUILDER AFFIDAVIT
ul
L 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 n.R rcT
SUPERVISE 771E CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR
TWO FAMILY RESIDENCE Olt A FARM OUTRUILDMO YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING Al A COST OF S25,000.00 OR LESS. THE BUILDING
MUST RP FOR Y -UR nev AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE,OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT'YOURSELF WI77IIN ONE: YEAR
AFTER THE CONSTRIIC'RON IS COMPLETE,THE LAW WILL PRESUME TUAT YOU BUILT
IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HI R AN UNLICENSED PERSON AS YOUR CONTRACTOR, YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. EE IS
YOUR RESPONSIBILITY TO MAKE SURE THAI' PEOPLE EMPLOYED BY YOU HAVE
LICENSES REOUIRED BY STATE LAW AND BY COUNTY Oft MUNICIPAL LICENSmG
ORDINANCRS
R. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, O
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE (-)
PURCHASED.
W
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO ~
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY co
EMPLOY ON THEIR IMPROVEMENT TRADES. co
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYEE) UNDER ANY d
CIRCUMSTANCES OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.
455228(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(247-5828)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 AN W
OWNER-BUILDER PERMIT. U
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