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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. I apt gerrL')0 L,- MDWSS FH�N�ER A-AIA oayyl,��n mw� SIUTAU;RE04� �..flhla a�O dayd 14111— W-llh has county d 0�1 �eafFlor0a,has hea�hallyappe� hsdnby�l�aMafflmsftd .11staimml..adaled...bohs.rat..ndassuhalw� R— caanty d INAv ct I j"IM"NS I'M upins.�r 21,MM NclaN fthauar. v 1� 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: 0 .."l— REVSlaNS .0�'A.. I.E R,, OAX 2 Gy MAW'c �GIPNC AAY ��OAA�.A l ..Il 'OOE I- AA ON FL�X]�R� E i ORE O.R`Y�All�'� �LO UN�S, Z ..'A OF A'Al 1�1 ARIOli. �l',W O,E 0 IOW SMM.NO OAHO TOX�AFIA��-A�-I- `O�..1 E J... 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 -iA=T jIN3PhXPIHI9".SWft21O J`WMRAVRA�'m (PbROR)�125 00.0.0.VW, AO-, (Fax) �178 L au..E I .A. LAoN. bumvtys 0 CONSTRUC'"l I SURVEn