592 N. Nautical Blvd fence permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERIV11T
MUST CALL BY 4PM FOR NEXT DAY-INSPECTION: 247-5814
30BINFORMATION'-
3ob ID: 17-FNCE-3137
3ob Type: FENCE PERMIT
Description: replace fence with 6-foot wood fence
Estimated Value: $4,600.00
Issue Date: 2/13/2017
Expiration Date: 8/12/20117
PROPERTY ADDRESS:
Address: 592 N NAUTICAL BLVD
RE Number: 170703-0348
PROPERTY OWNER:
Name: WESTBERRY, ELIZABETH
Acidness: 592 NAUTICAL BLVD
PERMIT INFORMATION: PUBLIC WORKS:
All runoff must remain on-site during construction.
Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling,
Shapell'sinc.). Container cannot be placed on City right-of-way.
All old fencing must be removed from job site by Contractor.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
I,E�jy IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND WE FLORIDA
BH[LDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Buildling Department (To be assigned by the Building Depnulment.)
800 Seminole Road
Atlantic Beach, Florida 32233-6445 11- FA)U- 3 1,11
Phone(904)247-5826 Fax(904)2J4*J
E-mail: btnlding-dept(§coab.us Daterouled: 011.3111:1
Cityweb-site: hftlx/A�.coab.us_
APPLICATION REVIEW AND TRACKING FORM
Property Address: Sqa Noak;(Al S�UA. A,. Department review required Yes No
c
Sol din
Applicant: Q 9
Tree—AZITTdffmfor
Project: 14W--t 0—k-&%)06tM RQ
Public Safety
Fire*SeNices
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Envinonmental Protection
-Flo—dda Dept.of Transportation
St.Johns River Water Management District
'Nr--y Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: 6?[Approved. [JDenied 91
(Circle one.) Comments:
'/el " 460"
BUILDING
FPLANNING &ZONING Reviews by Date:
TREE ADMIN. Second Review: E]Appmved as revised. nDenigo.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 1511"9
City of Atlantic Beach APPLICATION NUMBER
BuMng Department Cr"e assigned by the Building Deparfinent.)
800 Seminole Road I I— FN(—L— R I
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)244*55
E-mail: building-dept@coab.us Date routed:
Citywob-site: http:/t�ccab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: SqQL 1qqUAjLa1 Depar�tment review required Yes No
d ing-
Applicant: ng
T Tr _TffMMMtr1 or
ree ror
Project: ublic Works
Ufilite
Public Safety
Fire Se,,,,,
Review-f9e bepisqgnature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept�of Environmental Protection,-
Florida Dept of Transportation
St.Johns River Water Management District
lv-__y Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: B(Pproved. ElDenled.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: AXW'Ali" Date: 12,fi(t7
TREE ADMIN. Second Review: []Approved as revised. nD,,i,d.
P WORKY C ants:
CfUBLICUTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. DDemed.
Comments:
Reviewed by: Date:
Revised 05114109
City of Atlantic Beach APPLICATION NUMBER
Building-Department- (To It"stiIIIned trythe Buildinng Department)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date muted:
City web-site: http:1Mrww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: lTqQL Nkai;Cal EWA- Al. %D
pDartment review required Yes No
m dincl
Applicant: IA) ing
T Tr —A or
ree -ZIMMT9172ror
Project: lie Works
F__EUDJaUtdmeW
Public Safety
Fire Services
:Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept.of EnVironmenta[Protecfion
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alwholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: XApproved. DDemed.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by4gl Date: AA11
TREEADMIN. Second Review: DApproved as revised, E]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date
FIRE SERVICES Third Review: DApproved as revised. DDenied.
Comments:
Reviewed by: —Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 31
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@mab.us Date routed:
city we"Ifte: hfp:/Mww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: SqQ kuk;(Al AJ. De artment revi Ired Yes -No
I uidin
Applicant: nwal�f I Tree ing or
Project: jj RQ rublic Works
Public Utols
�Utllltll
Public Safety
Fire Services
Review fee $_ Dept Signature
De armnern revieW re turea
iul d'n
ing
Tr o or
Other Agency Review or Permit Required Rev=iceip' Date
of Pe ad By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns R ier 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: Mpproved. DDenied.
(Circle one.) Comments:
EE15
PLANNING &ZONING Reviewed by: Date:
TREEADMIN. Second Review: E]Approved as revised. DIDeniek'
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. DDenied.
Comments:
Reviewed by: Date:-
Revised 05114109
, PAID
BUILDING PERMIT APPLICATION
Crry OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233 rall P-
Office:(904)247-5826 - Fn:(904)247-5845
Job Address: VA y
L 0 PLPennit Number: V+-FPJ a4-
Legal Description RE#_
Valuation of Work(Replacement Cost)S H-ated/Cooled SF—Nou-Heated/Cooled—
air Move Derno Pool Window/Door
• Class of Work(Circle one): New Addition Alteration
• Use of existing/proposed structure(s)(Circle one): Commarcial R i ti
• If anexisting structure,is a fire sprinkler system installed?(Circle one), Z!iol N/A
• Subraft a Tree Removal Permit Application if my trees me to be removed or Affidavit of No Tree Removal
Describe l detail ther�,of work to be perfortmed:
4-tt� 0 *-
1(eme- j -PKCP-
Florida Product Approvallf (� Iq- ljrnd 40— for multiple products use product approval farm
Prooerty Owner Infortination
Narnc: 0- r Address:—Eq�
4
city aterl-Zir33�,-333 Phone
E-M�l liZ'=a '...t
0tvacrorAgent (IfAgentPie�ofAmmeorAviiil.atcrF�ui
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 NOT0E OF COMMENCEMENT.
Contractor Information:
* Co party. ior Ify
* dress: City a I �11&,_-State Zip t�L� 31D S-I
Office Phone 0 Site/Co I Vera
State Certification/Registration
Architect Naune&Phone#
Engineer's Name&P
Worke&es Comp on Xempt winter
Notary Public: Notary Public:
I i aho"M ined this application and know the same to be true and correct. Allprovisions oflaws and
0 1 1 ork ill be complied with whether spec edheremornot. Thegrantiq ofapermit does not
i ncel theprovisions of any otherfeetal,state, or local law regulating construction or the
p ��11
p 46.0"10 Rev.3/14/16
III rae ell,C nY
CITY OF ATLANTIC BEACH F 0
OWNER/ BUELDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION
CONTRACTING"REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW.
DISCLOSURE STATEMENT FOR SECHON 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. TIM EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE QDNMUCITON YOURSELF, YOUMAYBUILDORIMPROVEAONE-OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
ROPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
MUST BE ED LYUM—USE AND OCCUPANCY. Fr MAY NOT 13B BUILT FOR SALE ORLEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO TIES BUILDING CODES AND ZONING REGULATIONS IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU
LICENSES REQUIRED BY STATE LAW AND By COUNTY OR,MUNICIPAL LICENSING
ORDINANCES.
IL INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
Ill. IRS VATHHOLDING; 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 UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN-OCCUPATIONAL LICENSE-IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY 'CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
W- _-q 0 13,�-
ON Nuip
PI-ima 6-4-k
PRINT NPUAIE 17
%IG�WRE DATE
20_IfV.Me county.f
Befare me this day of -daiWflaleaultauSeranamonstrat
Du�-I.State of Florida.has pem
all statements and declannons are tanlande.i.rale.
NotsqPubl1cstLeqa,Slzdeof F�L- County of
13 pene.iny
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NOTICE OF COMMENCEMENT
State of&0r, County of 1)�k va Tax Folio No.
To Whom It I%by Comm:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE
Legal Description offaroperty being improved:L A- ') tt I-,r,C,
PU- k6pk P.qr"' ' Cq' .-A q: A
Add.,ciffirolissrty being Improved: 5!3 2� Al.A,c,.I WJ ' A/ -1k 3 12 -z -1
General description ofirnprovemeeds� rj.MpV� .�A r a
Owner: Au�,/ Address:
Owner's interest in site ofthe itripirminnent: -V-0 p
Fee Simple Titlebolder(ifothcrffiaaowner)� IVA
Name:
Contractor: "r f
Address: 5417o I
. 4'7o I �' 122-1�q
TelepboneNo.: �Lxj-
Surety(ifany)— "
Address: Amount ofBond$
Telephone No: Fax No: Doc#Z)17019545,ORBK17� Page23e!),
Name end address ofarry person making a loan for the construction ofthe improvements Nuniter Pages:I
Rscc,dedrn�017at(18:17AK
Name: A COUNTN"s"!CLFRK CIRCUIT COURT DUVAL
-44 Ronnie Fu
Address: RECORDING$10.00
Phone No: Fax No:
Name of person within the State of Florida, other than himself,designated by owner upon whom notim or other documents may be
staved: Name:
Address:
Telephone No: For No:
In addition to himself, owner designates the following person to receive a copy of the Licann's Notice an provided in Section
713.06(2)(b),Florida St s. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different data is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:
Before me is day of i eco tyo �al'S
OfFlorida,has erswiallyappeaied
d Identi c
cormissiorodErp"ic:
Expires Fftq�198ion
MAP SHOWNG BOUNDARY, SURVEY OF
LOT Z BLOCK 3, SEASPRAY. AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64A.
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA.
CERTIFIED:TO:
CHARLES I- BAILEY�ANO`41.IZABETH R. WESTBURY
BUSCHMAN, AHERN.'PERSONS AND BANKSTON
LAWYERS TITLE INSURANCE CORPORATION
COMMERCIAL FEDERAL MORTGAGE CORP.,ITS SUCCESSORS ANO/OR ASSIGNS
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LEGEND: