1201 Seminole Rd fence permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
FENCE WALL OR BARRIER - FENCE
MUST CALL BY 4PM FOR NE)[T DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: FNCE17-0035
Description: replace fence&gates
Estimated Value: 2200
Issue Date: 7/17/2017
Expiration Date: 1/13/2018
PROPERTY ADDRESS:
Address: 1201 SEMINOLE RD
RE Number: 1718910000
PROPERTYOWNER:
Name: HAMILTON AMY F
Address: 1201 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5506
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFDRMATION:
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 RVAC work, a Notice of Commencement is only required when F[VAC work
exceeds and estimated value of$7,500.
�gglllliii, City of Atlantic Beach APPLICATION NUMBER
4PBuilding Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 FjVC&11--00&5
Phone(904)247-5826- Fax(904)247-5845
E-mail: building-dept@coab.us Daterouted: 0 (V/.'(0/ta
City web-site: hfip:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 �roi DeLa ment review required Yes No
i7
Applicant: <_2Lannino &Zoninq--A
Tree Administrator
Project: 161 L9 �61(t' a4cs _ef��
.4:EL�Iic Utilities_--�,
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Recel P'
of Permit Verilied By Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Div-1sion of Alccholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: )4,Approved. EDenled. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: (ais
TREE ADMIN. Second Review: [:]Approved as revised. E]Denied. ONotapplicable
PUBUCWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. DDenied. ENot applicable
Comments:
Reviewed by: Date:—
Revised 0511912017
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us
Cityweb-site: hupJA�.coaLus
APPLICATION REVIEW AND TRACKING FORM
Property Address: If De artment review re uired Yes No
Applicant: 0 ou't/ n i &Zonin
Project: U �'Atfl( t– d- Tree.Administrator
or
ic Utilities
Public Safety
Fire Services
;PM
Review fee Dept l3ignature
Other Agency Review or Permit Required Review or Receipt
of Permit rifled B 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 Ncoholic Beverages and Tabs=
Other.,
APPLICATION STATUS
Reviewing Department First Review: gApproved. ElDenied. [–]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed bl-C—_10�1 _ DatZ%_2 -211:1
G
TREEADMiN. Second Review: EC]Approved as revised. [–]Denied. E01Not applicable
]Denied
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. DDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised(ISM912017
City of Atlantic Beach
Building Department
800 Seminole Road rm
Atlantic Beach, Florida 32232�-.544,5,
Phone(904)247-5826 Fax
E-mail: building-dept@wab.us
City web-site: htIp://www.r;oaIb.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 �rol 5tm; Ott- ". Cie artment review re ulred Yes No
Applicant: 0 Liu,,/ ni &Zonin
Project: 161 cp— kific t— Tree..Administrator
ork
I c Utilities
Public Safety
WFireSeNices
Review fee Dept Signature
W Other Agency Review or Permit Required Review or Receipt
of Permit Verified B 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:
M_
APPLICATION STATUS
Reviewing Department First Review: [OApproved. ElDented. EINotapplivable
(Circle one.) Comments:
B 13
UILDING
I ZO
FPLANNING &ZONING Date
TREEADMIN. Second Review: E01Approved as revised. E]Demed. 'tppl",
]Notap ble
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ElDenied. E]Notapplicable
Comments:
Reviewed by: Date
Revised 0511912017
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 FaXf904)2475845
E-mail: building-dept@coalbus
City,web-site: hItp:1Avmvcoab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 �-o 51,M'(10 (sw — eW required Yes No
Applicant: 0(AJQ4/ in &Zonin
Tree Administrator
apicict Tivict- ork
Project: S I..c Utilities
Public Safety
Fire Services
Review fee $ Dept Signature ir�
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept.of Environmental Protection
Florida Dept, of Transportation
St.Johns River 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: ElApproved. E]Denied.. Not applicable
(Circle one.) Comments:
BUILDING
Tree Administrator
Public Safety
Fire Services
FPLANNING &ZONING Sm., _ h" Date:
Pp I
TREEADMIN. Second Review: 0APproved as revised. ElDenied. E]Not applicable
P WORKS Comme is:
UB�C UTI Tfy'�7
TY
I Ai tE
—'WiP7
C ?
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied. ONot applicable
Comments:
Reviewed by: Date
Revised 0511IM017
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
0 Phone:(904)247-5826 Fax:(904)247-5845
JobAddress: �5ol 9-�DLQ_ —Permit Number.
Legal Description —RE#
Valuation of Work(Replacement Cost)fR alt�O Heated/CoolecISF PiA Non-Heated/cook-l_
• Class of Work Jamie one): New Addition Afteration(5E>ove Demo Pool WindowfDoclr
esid ntia
• Use of existing/proposed structure(s)Jamie one): Commercial (�
• If an existing smucture,is afire sprinkler system instilled?Jamie one): Yes No
• Submit a Tree Removal Permit Application if any trew am to be removed or AfficISAIN. R I
Describe In detail the type of work to be performed: 95,,-e O:RQCJyWA-_j ' JUlI 2 6 2017
Florida Product Approval If for multiple products use product approval form
Proberiv Owner In mai
Name Pak -6Q SooA Address: la0l. �l
City
y pn state Fzl— zip 43k> hone
E-Mi -A�03_i 4fthoo- Cory-1
Owner or Agent("gent,Ponve691`Attorney or Agency Letter Required)
Contractor Information
Name of Contrary Qu'W ent: State Jig-, Zip
r
Address a City
Office Phone ob Sit / uicl:Number
State Certification/Registration#_E-Mail
Architect Narre&Phone#
Engineer's Name&Phone#
Workers Compensation
Umpt/lmmr/Laaw Erupl�/Expiritica,CM
Application is hereby made to obtain a permit to do the work and installations as indicated.I cenify 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 pernnit must be secured for ELECTRICAL WORK,PLU MBING,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
RECORDING YOUR NOTICE OF COMMENCEMENT.
(SignAture TFOWner or Agent Including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this�sk day of signed and swom to(or affirmed)before me this_day of
-arle Q01i'k by Am%i- SLbtli --by
(Signatu ofNdqy) (Signature of Noto,)
JENNWE'_ I
JWNSTM
WCOMMISSIcoir,cclum
I I Perwnally Kno I I Personally Known OR
It&-,wei, 'w, I
Dq Proilucin!Identilicad aawad nav Nw����Wwa I I Produmd Identificarlon
T� f Identill. ificadon:
CITY OF ATLANTIC BEACH
OWNER / BUMDER AFTWAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION
CONTRACTING"REQUIRES OWNER I 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 E3MMPnON TO THAT
LAW. THE E3MMYTION 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. TEE BUIl DING
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
rr FOR SALE OR LEASE, WHICH IS IN VIOLATION OF TIES EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR, YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. rr IS
YOUR RESPONSDBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES,
It. 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 WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX ANDIOR 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(l). AN-OCCUPATIONAL LICENSE'IS NOT ADEQUATE, THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY 'CERTIFICATE OF COMPETENCY" OR THE FLORIDA mCONTRACTORS
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
OWNER-BUILDER PERMIT.
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Description of work to be performed:Amy Scott-1201 Seminole Road
Replace 2 existing gates (one on each side of the house)to be put in the same
location as current ones.Right/south side of the house gate is 6ft high by 8ft wide.
Left/south side of the house is 4ft figh by 6ft wide.Replace each wooden gate with a
wood gate 4in pickets,medal frame. CNumbers 1 and 2 on survey map)
Replace fencing around trashcan area as existing size and location currently-6ft x 6ft
x 3ft 4ft high. Using wood pickets 4in. (Number 3 on survey map)
Replace fence in front of and on side of AC area,to be placed in current location as
existing 66xS7 in,4ft high. Using wood pickets 41n. (Number 4 on survey map)
MAP SHOWING BOUNDARY SURVEY OF
LOT 4. OLOCK 1. SELVA MAAINA UNIT NO 1, �S RECORDED IN PLAT BOOK 23.
PACE 4, OF THE CURRENT PUBUC RECORDS OF DUVAL COUNTY. FLORIDA.
MSEPH M. SCOTT & AM TX.
Y F. HAMJLITON a/k/a AMY N, SCOTT
EVERBANK
UITE TITLE & ESCROW
CHICACO TITLE INSURANCE COMPANY
SEMINOLE ROAD
OAr.. '.-" wll�ll
(CHORD) (PLA"Dwr
1675'07' E I T I)0.02,
(CHORD)(MEASLRM)
- ------------
ONE'FOR,
LOT 3 ROMASOMOY
ED Ag TED 1-20,
W LOT 5
C"'
z
A OR
PC.YN ic*\.- r LOT
-ASURED)
S 05,67 2r 99.9V (ME
9,0C (PLAT)
LOT M LOT J8
LEGEND:
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RIO�Et�T...I
7---TDATE OF—Fl� SURVEY SCALE: I- 2W
19862 —1—I.P.
I I LI I I I Rlay Thompson CERnRCATE
SURVEYING,
7-1
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jIN3PhXPIHI9".SWft21O
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(PbROR)�125 00.0.0.VW, AO-,
(Fax) �178
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LAoN. bumvtys 0 CONSTRUC'"l I SURVEn