1505 PARK TER E - FENCE , -SrJ9 Pr ail
_ ._ CITY OF ATLANTIC BEACH
___
15 7 s)v 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
�Osi S) 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-3745
Description: install new wooden fence
Estimated Value: 8500
Issue Date: 5/11/2017
Expiration Date: 11/7/2017
PROPERTY ADDRESS:
Address: 1505 E PARK TER
RE Number: 171951 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.
City of Atlantic Beach APPLICATION NUMBER
Building Department
(To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 ( C.t�-3��15'
Phone(904)247-5826 • Fax(904)247-5845 I
x J; E-mail: building-dept@coab.us Date routed: 04 l�c� In-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ISO Q c IAC -1-exCQ u. £ Department review required Yes o
(Bui dii ng
Applicant: NAVA-e ,,7 —Uannmg &Zoning
Tree Administrator
Project: 1 C S LL) WO 0 C O-r\ �K-� C� ic orks
Public Utilities
Public 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:
APPLATION STATUS
Reviewing Department First Review: P4proved. ['Denied.
(Circle one.) Comments:
ETEDID (1)
Q
PLANNING &ZONING �/�,,
Reviewed by: / / `' Date: /2 1-7
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
rs==4.0,, City of Atlantic Beach
Building Department APPLICATION NUMBER
/, 800 Seminole Road (To be assigned by the Building Department.)
i r
sr. ) Atlantic Beach, Florida 32233-54451
Phone (904)247-5826 • Fax(904)247-5845 I �� I 1 1(-4-` .
".40109r E-mail: building-dept@coab.us Date
City web-site: http://www.coab.us routed: d� l(4 �
APPLICATION REVIEW AND TRACKING FORM
Property Address: ISMS P 0-it- (Q (j £ . Department review required Yes No
Bui i"Tc�g
Applicant: MA()1\-e,1
Tree Administrator
Project: \C\Wk. 0 U WO (Q lic Works
Public Utilities
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 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: INIApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING ��� ��'-
Reviewed by: Date: `///')y
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:
:vised 05/14/09
City of Atlantic Beach
(p.,A,,p,..4.,
iftokit Building Department APPLICATION NUMBER
IrAi, s p 800 Seminole Road E C E I V EI)
(To be assigned by the Building Department.)
11� Atlantic Beach, Florida 32233-5445 I1-- }`10 C&'�� ts
4111 Phone(904)247-5826 • Fax(904)21f84AP1
I
F „,„0 E-mail: building-dept@coab.us 13 2017 Date routed: d�-( l t.3- (,t l-
City web-site: http://www.coab.us
BY:�_.__
APPLICATION REVIEW AND TRACKING FORM
Property Address: ISM P O- '(.-- "e.-(1 at Ck Department review required Yes No
Bui iTd—g
Applicant: NAVA-4 ' -.lin. &Zonin.
Tree Administrator
Project: \c'\Skc l.,1 A OD0d4)-(\ (Q lc Works
Public Utilities,
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 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 eel1''.17
(Circle one.) Comments: /,,,
i� i�'' ' i�/ c,(�M01Qy4f'
BUILDING
PLANNING &ZONING
Reviewed b • ./44/1/. . , /_ „ - Date: 'r!`
` fil7
TREE ADMIN. Second Review: °Approved as revised. ❑Denied. I
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: []Approved as revised. °Denied.
Comments:
Reviewed by: Date:
avised 05/14/09
City of Atlantic Beach
(c:51..ivprir,
K , Building Department APPLICATION NUMBER
II �,� 800 Seminole Road (To be assigned by the Building Department.)
1� r� Atlantic Beach, Florida 32233-5445ECEIV a f''i `= C 3i�5
•" Phone (904)247-5826 •• Fax(904)247-58
J;330 E-mail: building-dept@coab.us APR 1 3 2017 Date routed: 04 l t4 ��-
City web-site: http://www.coab.us
APPLICATION REVIEVVia CKING FORM
Property Address: ISMS P Department review required Yes No
4 Bui id ng
Applicant: MnM-bi ' -.,in. &Zonin.
Tree Administrator
Project: \ \Sk.U\ A Qom) WO 0c illLQ 4 :MT Works
4 Public Utilities
Public Safety
Fire Services
Review fee $
(V----- Dept Signature /tcii . ,
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
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: lih4roved. ['Denied.
(Circle one.) Comments:
BUILDING
i t/7/9/
PLANNING &ZONING
Reviewed by: _ Date: / P /
TREE ADMIN.
Second Review: []Approved as revised. ['Denied.
P WORKS Comments:
�`��UTILITIES� 7
P LIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
:vised 05/14/09
i
i"npy
BUILDING PERMIT APPLICATION
c)
I► 1` CITY OF ATLANTIC BEACH DATE
�._7 v~ 800 Seminole Road,Atlantic Beach FL 32233 �/ l
,;� v� Office: (904)247-5826 • Fax: (904)247-5845 -7'11!
Job Address: 5O 5 Pork 1 er E, Ai-Icwdc EeoctI, k- 32233 Permit Number: /7 —nth c e '- 3 7`/S
Legal Description L04 1 Nock y SOYA Mogriv Unit 140• 2.. RE/4
Valuation of Work(Replacement Cost)$ 50 0 Heated/Cooled SF WA- Non- Heated/Cooled N/A
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Ciesidentiala
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No CD
• 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:
New Woodeo -Foie e, ins-6I1A-1-itry.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Dov I d Aid(twS Address: ISO 5 Pork Ter E
City A4-1*4-I,(. Q t4ci\ tate I t-Zip S-2-112$ Phone q04-1- 3`14- 2218
day el btivd 'tw s 0 1416t.;I' • Geti►-1
Owner or Agent (If Agent,Power of Attorney or Agency Lettesi required) ��
•• • RNING 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.
Contractor Information:
Name of Company: S' " ' ' FtP'tt And P 4 L Qualifying Agent: pal t F�•!f S t'lMt011l
Address: 5170 j 64 /�+t City ja ri
ks ';1 t State Zip FL— 322322-S-41S-
Office Phone 10i{- (Q 3-�(i39' Job Site/Contact Number
State Certification/Registration# E-Mail .
Architect Name&Phone #
Engineer's Name&Phone# 1� "
Worker's Compensation -')
Exempt / Insurer / Lease"Emplot / xpir21113Date,
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 a!!laws regulating-Construction in this jurisdiction.
This permit becomes null and void if work is not commenced within six(6) months, or if cring tiction or work is suspended or abandoned/or a
period of six(61 months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Heaters,,Tanks and Air Conditioners,etc.
Signature of Prop- Owner: /0.i .+A Signature of Contractor:
Before me
this 1I Day of MI ' 4 Ji • 1- '• Da,
W
TONI GINDLESPERGER
s ;= MY Cq p11SION#FF 92
Notary Public: � •.��g>zaryp :. . .,
-;:f t°Ps's Bended Thor Wlay Puy' ndevir„ers J
I hereby certib,that I have read and examined tit plication and know the same to b• true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specified here or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the
performance of construction.
Rev. 5/2/16
• I.
r!r1
•,;
.� CITY OF ATLANTIC BEACH r,"' - ' "'" 1
f 'J%WNER / BUILDER AFFIDAVIT
'—D;t l—fir"
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 REQUIRED 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.
AD 1. 5 5 p,,-f�14 i€jz. (F /i-11�t-,i c (3Pc FI, 404 ?�. l`l 2218
2j LZ 3-3 PHOINE NUMBER
Dav i c1 Ay'dr ews
PRINT NAME
/..' 1-5-1-1:-.1----. Lit« i(7-
SIGNATURE � DATE
Before me this l ( day of qpi
( ` 20in the county of
Duval,State of Florida,has persppeared herin by himself/herself and affirms that
all statements and declarations aree trueruand accurate.
Notary Public at Large,State of ,County of 0 VQ
2 P naNy Krawn ,5Y�YYY�����6—I
16 .7
roduced Identification 13 3 22 —
��"" ^—"`;r s_saxrnwsrnssars...:
w T64,1 LESPE 24R la
�����:= fdY COI.SYISSIG�i t`FF 925951 I�
Notary Signature: _"In—. ,: EY.PIRES:OCto6sr 6,2)15
. _ % `:• Bono irbru Lary P�SEG UnOerMi:^.r 1,,l'?
F:BLDG/Owns-Builder AfFadavit;REVISED:41IN2009 r
TSuijiEjj P.e1E Q 5 (14 - s ckacii* 6
FENCE&RAILmic. Proposal for Fencin InstallationJ 4/AFA MEMBER BBB
Where Quality Matters! g 10. Amerin en -Il—
AssociationcaF,Inc.e
J 3
I .. MEMBER
,.v NORTHEAST FLORIDA
Customer's Last Name,First Name t�r J
i A.665-5'
Service Addresses-` d � °�� !y�/�- Date / 4/0//
�' ff f /1(i f / J` s'✓' ,/ I �,•--. I �^1�� PRICE IS VALID 30 DAYS FROM
City r l f C.. -2'7-34 DATE OF PROPOSAL.
IState Zip
Customer's Daytime Phone No.
Customer's Evening Phone No.
I Customer's E-mail Address
Nearest Cross Street
PERMIT/INSPECTION INFORMATION,,. •-,9F""" `� ""`�" , ,ii/0 /� J s
I Permit required? fJ
r me w er to obtain permit
Q Yves No Q� u nor Fer'tc�"&R�fPFeyuiresEopq of permit before installation) u t Uobtainr permit&Rail Plot plandS s eY No Ilable?
Selection APPROXIMATE LAYOUT C Q
$CO e 5.-- 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
ADD THE PRICES ON THIS
COLUMN TO THE SELECTION ■■■■■■■■
TAKE DOWN AND HAUL ■■■■■■■■ 64. , ` `";
14
AWAY OLD FENCE $ ■■■■■■■�� , • - ...-
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SUB TOTAL D��I O ■■■■■■1119®����1131 1■■.!
DEPOSITAMOWD34 ! .f ® � �®
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FINAL AMOUNT DUE
47-20 '.> ?2 -7 FENCE TO FOLLOW GRADE OF PROPERTY:PLEASE INITIAL 1-"
Product
Product 3//' �l / 7
r! Product / i 31(:3J , �f�/' ,r%' /
cransminnii
Style:sty.7�"Q6 ),8',x ieight: Lj Style: ..i"J �- =� ' -� eight: 27-( /
Footage: Gates: r '"7 �`��-•-'���� `�"
' 2 / Footage: 9 If Gates: "—" Footage:g X If Gates:
Post Cap: Color:
Post Cap: Color: -
Post CaptColor:
Rail Type: ,ry5 � ' Post Type: •�S <'' Rail Type: `S 4 Post Type: Z--/,‘‹ Rail Type:' r-'`!L f
Picket Type: -S .��Y $ ��/ .s r " r. � � ,G �• 1 Post Type: � ��
�.e .. Picket Type: 5/S, $ '5 /4 Picket Type: ./s $ :5327
- 2 vl .1.;1 g:" •
DISTRIBUTION:White-Superior Fence&Rail Copy Yellow-Customer Cony "- ' / -'
MAP SHOWING BOUNDARY SURVEY OF . w
LOT 1 BLOCK 4 ACCORDING TO THE PLAT OF
ENLVA BA riNik UNICT NO. 2
AS RECORDED IN PLAT ROOK 27 , PAGE(S) 6 AND 6A OF THE CURRENT
•
CERTIFIn TO: PUBLIC RECORDS OF DUVAL COU TY, FLORIDA,
BRUCE P. ANDREWS, SUSAN B. ANDREWS,
FIRST AMERICAN TITLE INSURANCE COMPANY, AND GIBRALTAR TITLF SERVICES.
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LAND do fiNGINEMING 5URVEYS PIPES AND UT1UTiES, IF ANY,.NOT OETERMWE•D.
4,JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT
4'ff/ 3846 BLILLE, F BOULEVARD LHISTED RY IS 14E0Y.
�j� ,: JACiCSONVILt.E", FLORIbA 3221b .THIS .SUR . Y gAS�t) ON LEGAL DESCRIP1i0NS FURNSSHED, THE PUBLIC
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t7 COVENANTS, B.R L'S RESTRIC oN$, CLOSURES, TAKINGS OR ORDINANCES, ETC.
0 S S d CERTIFICATE OF AUTHORIZATION NO. 1B 0005488 T.{� COUU) BE. OTHER MAT ItRS OF RECORD THAT AFFECT THIS PARCEL.
6.UNLESS O. .RWMSE STATED Al L IRON PIPES FOUND MAVE NO IDENTIFICATION.
I HERESY CERTIFY THIS SURVEY WAS DONE UNDER MY ' LEOENEWAPB1I'tEVIATION11
DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL O SET IRON PIPE OR REDO P.0, - POINT OF CURVE CH - CcHORD
STANDARD FOR TAN SU VEYING. PURSUANT TO CHAPTER ASSOCSRON P'I OR OR PPE(IP pdU' Un �(M) MEASURED
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CHA L B. HATCH FLORIDA RTIFIQATE NO. 3771 b.k.V.-CFFIG1At RECORD VOLUME P.M' EQUIPMENT PHONE RISER
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RAYMOND J.. SCHAEFER FLORIDA CER'T'IFICATE NO. 6132 E.T. *FECRtO.TRANSFORMER'S PAO .t .r.wobo•E'utet '. unuTY POLE
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