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1290 HIBISCUS ST - FENCE
01.A4,-,..4., iso CITY OF ATLANTIC BEACH 41 r �. 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 4"-e;; t- INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: 17-FNCE-3418 Description: install 6-foot wood fence Estimated Value: 1200 Issue Date: 5/16/2017 Expiration Date: 11/12/2017 PROPERTY ADDRESS: Address: 1290 HIBISCUS ST RE Number: 171057 0000 PROPERTY OWNER: Name: Address: GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. w-14;,, City of Atlantic Beach APPLICATION NUMBER CJs { , .,)\ Building Department MAR 0 6 2017 (To be assigned by the Building Department.) /j \,-., 800 Seminole Road / / _ Atlantic Beach, Florida 32233-5445 11—PN C_G-3"l.q " '.z - ~� Phone(904)247-5826 • Fax(904)247-5845 ----------z_ i? an1.0. E-mail: building-dept@coab.us Date routed: Oa 1,03 I 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I ACID 11• •b1S(.k.ks 5k- . D-.4 . tment review required Yes No 41 Buildin• 1111.IIIIMMIIII. Applicant: ow{1 14 , Planning &Zoning...JIM.. r re- •. mis rator _- Project: i r1S{ &\ (D _6 WDDl. �r.e 1CQ / Pu. 41 Public Utiliti u• is Safety == Fire Services Review fee $ pDept.Signature -v� 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 TION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: , J n BUILDING /� (/�- PLANNING &ZONING 4/ Reviewed by: i Date: �/( 7(7 TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. P 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 Cl;a,��c City of Atlantic Beach APPLICATION NUMBER ;Building Department (To be assigned by the Building Department.) ' ' ' 800 Seminole Road ( I _ �� Atlantic Beach, Florida 32233-5445 MAR U ,� ,. A�'� J CUM 1 Phone(904)247-5826 • Fax(904)247-5845 6 �1�1� f 1 J;31�~ E-mail: building-dept@coab.us Date routed: 03 �d3 19 City web-site: http://www.coab.us r�_ APPLICATION REVIEW AND TRACKING FORM Property Address: I ACID • 01SCL S 5- . D tment review required Yes No Buildin Applicant: OW{1 (Planning &Zonin r I ree Hominis rator Project: r1S `\ 10 Tt '� WOOD � � 11CQ P .i >, • Public Utiliti- 'us is Safety 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: Approved. ['Denied. C3-gir (Circle one.) Comments: /� BUILDING .ree �"'�''`'�,J,-�a c, ia PLANNING &ZONING Reviewed by: ./.,A AiP, Dater//8J/7 TREE ADMIN. Second Review: Approved as revised. n I ied. 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 01,,Ly; City of Atlantic Beach APPLICATION NUMBER s '�:416 Building Department (To be assigned by the Building Department.) ri 800 Seminole Road t�—�N CG—3"l l$ rt. _,. Atlantic Beach, Florida 32233-5445 ay= Phone(904)247-5826 • Fax(904)247-5845 Date routed: O 3 tb 3` 19 _,531 .- E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I aft VAliSLu S Sc • D- • . _ ment review re.uired UM No 4 Building =� Applicant: OBJ(1 41 Planning &Zonin• re- •• mis rator Project: i, AS `\ (D — ;& wiz)c 3 Zu1co. _- ti Public Utiliti- BMRIZOSCIIMIIIIMIIIMIIIII Fire Services _- 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 1 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: F✓Approved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: / Date: 3>/:2J/7 TREE ADMIN. Second Review: Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: filDater 5~-1 7 FIRE SERVICES Third Review: ❑Approved as revised. ❑De ed. Comments: Reviewed by: Date: Revised 05/14/09 Vii, ' v:,y, City of Atlantic Beach APPLICATION NUMBER i '; ? Building Department (To be assigned by the Building Department.) 800 Seminole Road -r Atlantic Beach, Florida 32233-5445 '1 T N C._ 3 Lt.1 fk Phone(904)247-5826 Fax(904)247-5845 ---,art E-mail: building-dept@coab.us Date routed: O3[031 I9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I % tD IA •b SC.A. Sk- . D• • . tment review re•uired Yes No 4 Buildin. 11111 Applicant: OBJ C\ , Planning &Zonin• rr re- A.minis rator Project: r1S A — WODt). Ze.J1CQ 4 PuL—A . ti Public UtilitiLAIMINE111 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: ❑Approved. enied. (Circle one.) Comments: 114_ ,tllc , BUILDING PLANNING &ZONING -- / Reviewed by:�jL�n.. Date: ., TREE ADMIN. Second Review: roved as revised. pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: r Date: y/2201 FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 .01A? Building Permit Application OFFICE COPY • A +u City of Atlantic Beach j'7r 800 Seminole Road,Atlantic Beach, FL 32233 - it 0' Phone: (904)247-5826 Fax: (904) 247-5845 + Job Address: 12`10 N i 11..;%<.1: Y/►`, A-. Permit Number: Tr FN Ck- 341 g Legal Description RE# Valuation of Work(Replacement Cost)$ /Z`�'�—i Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one) 1 Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercialcj esidenti • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: +5tc.1%.. . L.'-Tei.,--e. „ue,r(1 Pr.�„...c\-`-,,ac. u„„�"^3 100+�y ,rc. Florida Product Approval# for multiple products use product approval form PropertVwner Information Name: nr+c,►L ,it-'t i 1I►xo-.r Address: /290 /./,bJ-Se✓ S 5t. City /9//t,,,/,c.. e.ticL.. State FL Zip ,. 2233 Phone ( r.'4) di3 -23Sb E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) -- Contractor Information ---CC 11_� ``U 11 II� Name of Company: Qualifying Agent: I--& G © L v L.. I Address City I ES-tate Zip I j 1 Office Phone Job Site/Contact Number , - 3 Z��i I j 'i 1 i State Certification/Registration# E-Mail I Architect Name&Phone# —I Engineer's Name&Phone# 1 --- Workers Compensation 1 Exempt/Insurer/Lease Employees/Expiration Date - 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 prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 RECORDYOUR N/OOTICE OF COMMENCEMENT. /1.NG C,” _.5. -- 0/7 ----- (Signature of Owner or Agent including Contractor) (Signature of Contractor) Signed and sworn to(or affirmed)before me this 3 day of Signed and sworn to(or affirmed)before me this day of MGArcY\ , AOM ,by , ,by ----)cdS'286.(Signa re of N tary) (Signature of Notary) i..1r. [ ]Personally Known OR OZOZ'LZ�4�0 S3aIdX3 F.4: : n CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT '. on U' I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER 1 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 TI IOW!! 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 TH1 CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME T I IAT YOU BUILT IT FOR SALE OR LEASE,\VIIICII IS IN VIOLATION OP 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 hEQ"U1RED 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. 0 III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO O OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY V EMPLOY ON THEIR IMPROVEMENT TRADES. LU IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY V 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 (L SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS O 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. UJ U /2)o Ab/st.a< st ( ,) '/3--235' Z vi ADDRESS PHONE NUMBER Q I J Z N. ,� a1z2 r'f An A%i/1i1c-, - c 01 PRINT G M o c , �/ , Oltn ~ z r SIGNATURE i�// �+ -- ghoi7 V 0 00 U0 0 egO DATE IW P Q Before me this�_day of MCLIC A .203Lin the county of 0 Z O Duval,State of Florida,has personally appeared herin by himself/herself and affirms that U. all statements and declarations are true and accurate. //�� CC I.— N 1- Notary Public at Large,State of i' L ,County of 1J 4113'1 ❑Personal),Known .. u. O lii cc la '' I�Preiucee wear:cation- LL r1 Q-{ `;�,,.Q,• s t JENNIFER JOHNSTON LLQ m r""vr''•, ,..;."t; , ,., MY COMMISSION#GG 042984 O I' '" : s EXPIRES:tartober 27.2020 N W Notary Signature: _./ li,_ — %',;F, �o!. Bonded fltru Notary W Public Underwrite �� -. i writ W I-JUWU.'U,rna.Uwlikt AIi,J vt Ns VISEI) t�Ir0W6t :75 . MAP SHOWING BOUNDARY SUR"/EY OF LOT / _ BLOCK . 460AS SHOktal DN MAP OF AS RECORDED IN PU r 800K .!ll. _ PAGES *4 OF THE 4v'4',E.v1' Feil Ic R CoRC) 61-_{l{iy41_fin,PM CE'RTIFIEo 1'0: _BR/14/ G• ,y/uvTi! , .OATY P. M/4.pER , 407.1f1arbor 11,"-6 A" Ptn,r?iO ,, ..A1 eei; . _ - - , . . R t.. r7 r• i• ?-sr 9 ft./ 1. '�� / ^1 D.f i, r (') (nP/Cdr) .1'1 ., `� h `1�` A. 13 C_ 0C ,,,,-• 7. o Q "i] v ., tt: Q, c," I Oo Jit ` 3 41 ' 3 d.o figF w a0,56/e. Otte& v, .1 � . a me./790 i`• J �..._ ea v '17 r .,,, V `,11�t 0 w/sr f r �! tici• fi cnv� ----�_._._.. -._-r�•- Birt r try/ • /so'R/ ) l'Aj‘jr ZONING REVIEW COMMENTS .41 i ... City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 0.21 Phone: (904) 247-5826 Fax: (904) 247-5845 Email: dreeves@coab.us Date: 03/23/17 Permit: 17-FNCE-3455 Applicant: Brian Millner Review: 1st Address: 1290 Hibiscus Street, Atlantic Beach, FL 32233 Site Address: 1290 Hibiscus St. Phone: (904) 813-2350 RE#: 171057-0000 Email: Net-pfe3oided- (V 1 qq 114 b r GistYvtC,6 Correction Comments 1. Fence Location: Fences on corner lots are limited to 4 feet in height within 10 feet of the property line adjacent to a street. No measurement is shown for the location of the proposed fence. Please show that the proposed 6 foot fence is at least 10 feet from the side property line along West 14`t' Street or reduce the height of the fence to 4 feet or less. Derek W. Reeves Planner dreeves@coab.us U RECEIVED CITY OF ATLANTIC BEACH , , fr ` `� A 800 Seminole Road %J ;j APR - 4 2017 Atlantic Beach,Florida 32233 Telephone(904)247-5800 FAX(904)247-5845 • .74.0;319 Building Department City dI© 1t1QflST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: 0//7 Received by: Resubmitted: Permitet: Original Plans Examiner: Project Name: Project Addres :__ Contractor: Contact Name: Contact Phone : 80-2.310 Contact e-mail: BerlnwL a 19 4,/, M. Revision/Plan Check/Permit Fcc(s)Due: $ Description of Proposed Revision to Existing Permit: Aay Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: Public W/U Approval: By signin:below. 1 (print name) _ affirm that the above revision is incl c oft c po hangs. 0/7 gnature of Contractor/Agent(contractor must sign irincrease in valuation) Dal Mice use only. Dine: ,Y/2 V/7 Approved: _ Rejected: Notified by:^_ Plan Review Comments: Dr_-,:,:y.:._ few re.uired Yes No /G Tr - - . ator Plans Examiner Public Utilities _- /42-7/17 - Pu• is Safety _- Fire Services Date Created 4/13116 Rev.3 ,-, MAP SHOW/NG BOUNDARY SURVEY OF LOT 1 BLOCK ?50AS 910401 DN MAP OF1-1 o'eerfo/tr 'se" 4r44,t/7"/c., 4s3a/tIe At ... ........ ... ......_____. AS ReeoRoto IN Noir 800K,46 PAGES $4 OF THE 4n.f.',P.f..,Yt....i`7/.6?4.e.g...A147.0..R.9. ...N"..eINtoz.-..‘fli.0.-4. corm ro: ..dgRMA, 4. Avez.v.cie 4,-,e7 V P. ilif/ u 6R i eviiritract ST..lie/vA.-...e.t,r.fr'e!Ti 0,o, , N,4 eokffrrothvmd7w 41xict. ivree: ,,,vealefcvee- LoAlpAgy ....:_;:-....z..:.-:-..;..--.----.....:..._._ -_n_, ------ --- 8 r.. . 6, e /-c• 2.9 • 4/ .• DI' . 1. • . • A/Oc9 Iez6Y.00"6. --- 9.0 wan ii.AI/1 t po.Ar 0,1:7/4 r/ft /NA eAr i • 1 . .-- dew/mew. lArrl'pewee ‘. . /11 ) I 41•?, k.‘. ylp L . ItUi. . N 3 tNI IV ,,il. \,'N ,.. r.,,. kb t , % , . . •rie."1- I 1 . ,... 4kt r.4 • ,t. 111 1.. ..S1t.1/ ----To:0-7— - . lqa .,t5i t., 78t ti. /',576/ZY tk N. %.I . 1... NO./290 0 i'- II' ,ikik\ 1.".... % • • Nr 11' L. .., 0 . . . % XI VI kb ..,..‘ c)1 tevve. . RECEIVED If 0 - Ye r Yes ek-Y.0 .., ____ _. ._ 0 - . • . 4..' . P/k1 r 4,7%6 .41;,,i?:'frifflA1 I op ler 4, 0 aio APR - 4 2017 -;'•rei•.. . • ..... ..., •,,,,_,. • • •,.,, • Building Department City of Atlantic Beach, FL hi/8/g e a s .577?E e 7- •. • •