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2203 FAIRWAY VILLAS LN - FENCE Irj" t :: CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD +J _", ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 9 1. FENCE PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-FNCE-3379 Job Type: FENCE PERMIT Description: NEW FENCE Estimated Value: $3,709.00 Issue Date: 3/21/2017 Expiration Date: 9/17/2017 PROPERTY ADDRESS: Address: 2203 N FAIRWAY VILLAS LN RE Number: 169398-1068 PROPERTY OWNER: A Name: GREER, KRISTIE L Address: 5471 S SHADY PINE ST 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's Inc.). Container cannot be placed on City right-of-way. 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 BIIII,DING CODES. t1LCity of Atlantic Beach APPLICATION NUMBER r�,' ,- �\�, Building Department �'" (To be assigned by the Building Department.) 800 Seminole Road 2017 i r� Atltic Bh, Flrid322445 MAR 0 11 7— F N CE - 33-7y ��;' Phone an (904)eac247-5826oa • Fax(904)5 247-5845 \J,31�!" E-mail: building-dept@coab.us ___ ___ __ Date routed: .� City web-site: http://www.coab.us � it I APPLICATION REVIEW AND TRACKING FORM Property Address: 22o3 FA (-1 \f1 Ll.P... D- • . ent review required Yes No Buil•!•- .____•, Applicant: 0 w ,,�E---R— •fanning &Zon• ( Tree Administrator Project: 1 J'3E..c 6 woof) P • • A orks Public 1 "ties Public a e-ty 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: APPLI ATION STATUS Reviewing Department First Review: pproved. I 'Denied. (Circle one.) Comments: /�/ BUILDING ' " 7/9— PLANNING &ZONING Reviewed by:)a/ /✓, >7-6"—^s- Date: 3/7/17 TREE ADMIN. Second Review: roved as revised. ❑App ❑Denied. P WORKSCom ents: 'UBLic UTILITIES 31-17 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 • 01 iP1;ir, City of Atlantic Beach APPLICATION NUMBER JS * Building Department (To be assigned by the Building Department.) r g`• 800 eaRoad Atlantic Beach, Florida 32233-5445 i 7_ F N Q- - 33-79 Phone(904)247-5826 • Fax(904) 247-5845 / 131001 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ZZOS V-AIR.A A t-1 V I LlA.& Department review required Yes No Buil Applicant: �J �I�) ��� lanning &Zon' Tree Administrator Fico Project: F� co Qx Q Pu L1�orks Public i sties Public a ety 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: XJApproved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING3/x/17 Reviewed by: � /�—� Date: 1 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. nDenied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach • ;�;,;51..A ..:4., APPLICATION NUMBER Building Department r `i 800 Seminole Road v (To be assigned by the Building Department.) t, Atlantic Beach, Florida 32233-5445 i 7- F N CE- 3379 Phone(904)247-5826 • Fax(904)247-5845 • ~!o111911, E-mail: building-dept@coab.us Date routed: /1 1 17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ZZ03 FAtRNA)A v Vi Ll.A.S D ent review required Yes o Buil ' Applicant: 0 w ND C-.� fanning &Zoi ��� I. Tree Administrator Project: ce, co w 000 P . •i o ks Public I i i ies Public a e-ty • - Fire Services .Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required 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: IL BUDING PLANNING &ZONING Reviewed by: f'// 21 Date: V71/7 TREE ADMIN. Second Review: A roved as revised. ❑ pp ['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 0y ,if,J, City of Atlantic Beach APPLICATION NUMBER �`s Building Department C.ER "P , (To be assigned by the Building Department.) - • _ .ft.,; 800 Seminole Road i LI* zr Atlantic Beach, Florida 32233-5445 MAR 0 1 20,E si 1 7-� F N CE - 3379 \ Phone(904)247-5826 • Fax(904) 275845 ' I 0;ilgr E-mail: building-dept@coab.us ,. Date routed: �b City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ZZOP IRW A U1 V1 LAA _D . ent review required Yes No Buil Applicant: CD UU (D ER lanning &Z Tree Administrator Project: Frio C� to v 000 P • arks Public "ties Public a ay 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: I►/'Approved. ❑Denied. ka3--fria7 (Circle one.) Comments: fie 4lifv‘ZQ / yyh ak BUILDING PLANNING &ZONING / 3� //,7 Reviewed by: �� i Date. / TREE ADMIN. Second Review: ['Approved as revised. ''enied. ? PUBLIC WORKS Comments: II - PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: • FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 MAP SHOWING BOUNDARY SURVEY OF LOT 31-I BLOCK = AS SHOWN ON MAP OF FA.'R vvAy v I L__t_...A.,s AS RECORDED /N PLAT BOOK 39 PAGES 22-ZZA OF THE e-012.9+=NT PUBLIC REcoeps of ,tvvAL Co,F CERTIFIED TO: I1?--I S1-1 E L. G 2€�ER i C ovN-rg-vw/DE N1)�I E C-04 rq S, W c. r"" E5T?GE -r1ZE cowl p4?q y, iv-rrogx-re-Ys'ys' -7771-e /x/5511eAkie E FUN v, by c, LL. FArrzwAY VILLAS LAiWE 1•! a k4 (so• R/w) •p.4.,,..p N .01° 23' 15" W. Sp.O*. No CA? 300.t8* ?C, tr 1 1 r ��•S• Q.E.A. FD•%2"1.P. — _ _ — — — eASEME.4T_� _ C/Mic.z O .8 • . .a : 0 G COVGRED M ceNc• N �!, M d //rr zz.a 3.9' IQ° (n W z /!; W v • • c.l K X— • . , .. .. 1-STo�2y ' A 3 iv„0 .n., Y {_ — [—r .__,__........4____.. x 1\I'2203 N U" � �M .i 1.9 ,/ FENCE -0 _.. , __._._O _ _. . il 3.CY14. ® 8,y• ODveeeb O O 4/C. / CONC. ( m 19.8' PAC' y• .3:� 13 •,. . 3.9' °3 W W •.• . . • I -J U J e. do' • `l i �.� . • FC . Co,.. C.. G'!HA/N e./...,l FENCE oN <.//'g/ Fb./-t .p Mom bMEM' 140 cAp No 1D '5.OI° 23' 1S" E . x.00' SeLVA 'MAR 1 A GOLF Coo2S e ( c. R R . v. 6. 52 , PAc_e 984/ ) 12 SUPERIOR0 AFA MEMBER BBB I / Ij�l FENCE&RAIL,m4 c. Proposal for Fencing Installation 0. American Fence --�— Association,Inc. MEMBER NORTHEAST FLORIDA Where Quality Matters! I (7' /`-- Customer's Last Name,First Name 9 y / �, r //-:,/.2 ' -� el/ V l� (f S (1/74/e (A)6- �� Date / /,/ Service Address PRICE IS VALID 30 DAYS FROM _ �. , 9 �� I I �� I �_'33 DATE OF PROPOSAL. State Zip City 11 i -�J / ;,/. ,� .. - i i Customer's Daytime Phone No. Customer's Evening Phone No. Customer's E-mail Address I Nearest Cross Street .., n PERMIT/INSPECTION INFORMATION ;/(\' i �,.//06 Superior Fence&Rail Plot plan or survey available? Permit required?Q Yes ❑No Homeowner to obtain permit—j to obtain permit ©Yes LINo J Superior.Fence&Rail regmrei-apy of permit before Installation) J l APPROXIMATE LAYOUT Selection $ ,'` 1 FENCE FOOTAGE CONTAINED IN THIS PROPOSAL IS APPROXIMATE BASED ON THE FIELD MEASUREMENT,FINAL PRICE WILL BE ADJUSTED BASED ON ACTUAL FENCE FOOTAGE USED,AS SET FORTH IN TERMS AND CONDITIONS,L) ADDITIONAL COST OPTIONS 1 I 1 I ADD THEHPRICES ON THIS I I I I COLUM TO THE SELECTION C( /.e4r /4. ,. 1 I I 1 1 1 TAKE DOWN AND HAUL J'� 1 I AWAY OLD FENCE $ ti / 1 1- ', r -� 1 --1- - I I i � I l I i i I I I 1I -:...,,,,,,,, � .i Ali .., i E.........___,______ 1111 1 I 1 I I II i I l //c �- 71 - i (, , t I I 11 I _ SUB TOTAL $.R Q 7 I DEPOSIT AMOUNT DUE i $ `,/ %. . I I I I I I I I 1 ( I I I 1 r t- FINAL AMOUNT DUE ���' FENCE TO FOLLOW GRADE OF PROPERTY: PLEASE INITIAL I ,, /-,-.` ' �J Product ' / ) i ' 0 Product 4 J'f -•///�AE=0r, rA, (_J':/_ • Product �(�%.%_�, ) Style: �–://./‘,.5b1/1/L Height: 5 (/ ( I Style: �� Height •�-`, ,: //, Height: < tY -r Style: lel., �. f� g r-- If Gates: [Footage: ! BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 17 -f=it e _33'-n NT/G Job Address: , M0..3 F/)/44(./.1P1 VP-LAS L✓!,A/. ,(2RO.�; FL. Permit Number: Legal Description L07-24,1 /A/QGOA)( V/L.(,//-,5 Parcel i4_14;:, ` a Floor Area of Sq.Ft. qt Valuation of Work$ 7O j, Proposed Work heated/cooled 0 non-heated/cooled 171 i-1 Class of Work(circle one): New Addition Alteration AlterationItqaji Move Demolition pooVspa window/door Use of existing/proposed structures)(circle one): Commercial esidenti If an existing structure, is a fire sprinkler system installed? (Circle one): es No 1/ Florida Product Approval/products product For multiple use ^approval form Describe in detail the type of work to be performed: frPz-AA'.0 Ey/.STi J4 f1/-I 5 L FavG/,v6--, ofx..vm 1Jt r i(/,x/F im - G i) 017-7-1 /v&-Av r i&,Jo s/. s--i Property Owner Information: Name: 1i2/S7/� �4teae, Address: 74eisG7- City j/K. .51>A/V1 LL , StateFL Zip 4W?4 Phone g0L/-"7/0- QD, E-Mail or Fax#(Optional) e.SkY/f/7/fk JXS/Aitl, ('D/7) Contractor Information: Company Name:S/J/06R/0,2 T/VC6 Y,i/L Qualifying Agent: Z/2C/L / Y7Uit/ Address: %.541 70 1-4/41l1U4f 4-v. City x./.90 .SFJit/viU.. State FL Zip LMaSc,I Office Phone 901-4:42,q- aj lig Job Site/Contact Number Fax# State Certification/Registration# Al/A Architect Name&Phone# Ar/A Engineer's Name&Phone# Ai/,4 Fee Simple Title Holder Name and Address Av/,¢- Bonding Company Name and Address .v/A Mortgage Lender Name and Address .l/A 1pplication is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the ssuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null old void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned/or a periodf six(6)months at any time after vork is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,Tanks nd Air Conditioners,eta 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 NOTICE OF COMMENCEMENT. herebycerti that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this pe of ork will bbe complied with whether s eeifued herein or not. The granting ofa permit does not presume to give authority to violate or cancel the provisions any other federal,state,or local law regulating construction or the performance of construction. Signature of Owner ignature of Contractor_ Print Name£i/&G.( . Print Name Sworn to and subscribed Sworn to and subscribed before me before e this F 4 Day of re 0A,kck,✓ — ,20 (l this Day of V ver . 20 0 C a is \111".•1-1 Notary Pu is \(()p_ � ,,• -31— Revised 01.26.1 Q Notary Public '� VALARIE WRIGHT 1 . Commission#FF 92767 t Expires October 14,27061791 019 Benne:TMuTroy FinIImmoNO-385-70t9 / ice" CITY OF ATLANTIC BEACH ®WNER / BUILDER AFFIDAVIT I. 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 MUST SUPERVISE THE CONSTRUCTION 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$25,000.00 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 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 NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS 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 BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY °CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADc v.5 TAJ iOJY ViYJ13 LE. �L g©el S PHONENUMBER ✓ l)C/r�/ )(< Si/I L. :6-t023 PRINT N• E �� iiisa-:I..�aiiNirr — ______ v SIGNAT -E / �] DATE Before me this C7�—1 day of 17\,0".t( 20E3 in the county of Duval,State of Florida,has personally appeared he n by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of .County of c\.L'J2..1 0 Personalty Known ��`"f+i•., LR . ?oduced Identification-' — fJ t„ ey, LD— 2-0 �� CommissionVAARIEIN#FF IGNT 927671 �� A;l Expires October 14,2019 BNNM Tru Tray Fin barn.$ 439-7019 1 . Notary Signatu =• V F:/BLDG'Oxmr•Builder Affadavii;REVISED:4/154009 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of PLO,enDA County of Di/vg L_ To whom It may concern: 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 OF COMMENCEMENT. Legal description of property being improved: LDT.'q PR-/ 4L)A / V/LLJ'15 Address of property being improved: 03 FA/,€144V ✓/LL,4S 1.Al, General description of improvements: &791A-C-6. FEUD x/E�— /SGL S/USS Owner X1-1577E Address 71!95 ,5, /D /DSV//1 ,c CT. 0,4-x, FL 2,1,01441- Owner's ' SOwners interest in site of the improvement tEA/T7LL P/e0Pae y Fee Simple Titleholder(if other than owner) Name Address Contractor Address Phone No. Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name /5(fi¢- Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name iooe,../Ok FEN6.4 .CA/L< Address .5%/70 #/6HW14'/ AV, .14CJ JVILI-6/ /L Phone No. Clark3-62§4.9 Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY 0. NE-a , Abu oZ/02Cf//7 Signed.— ::_'.�..,.�__ A!._ " I Before me th .-ai day of J.• . . . ..• in the County of Duval. tate of Florida.hasp sonar y appe-L- / TIE Z. herein by ..�a..r...r.�v. himself/herself and affirms that all statements and declarations herein ,gyat� ;�•; VALARIE WRIGHT are true and accurate _:• Ah Commission#FF 927671 Expires October 14,2019 C\LD y fiP� 0., Pondod Tiro Troy Fill hwa+u EA038S7019 Notary Pubs ai Large.Stot ., any h1y conitttlSSbn expires: � f -�� Personally Known or Produced identiticston YL ‘t_ Eytn 1"l9"�7