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287 S Nautical Blvd 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 NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0048 Description: install 36"wood picket fence Estimated Value: 300 Issue Date: 8/23/2017 Expiration Date: 2/19/2018 PROPERTY ADDRESS: Address: 287 S NAUTICAL BLVD RE Number. 170703 0371 PROPERTY OW NER: Name: VOGEL LANE M Address: 287 NAUTICAL BLVD S ATLANTIC BEACH, FL 32233 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. -s:vv„ _ City of Atlantic Beach APPLICATION NUMBER j°r 9� Building Department (To be assigned by the Building Department.) s 800 Seminole Road .. I�/_ Q�LI � Atlantic Beach, Florida 32233-5445 V" l.. 11 Phone(904)247-5826- Fax(964)247-5845 p r� E-mail: building-deptecoab.us Date routed: City web-site: hap://www.coab.us APPLICATION REVIEW AppNDJ TRACKING FORM Property Address: aB S Naa,h(G( I D ent review reuired Yes V No r� n Applicant: �Jn nnin &Zomn Tree Administrator Project: It orks tic Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Reeeipt Dale Of Permit Verified B 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: APP KATION STATUS Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: s TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. ❑Not applicable Comments: Reviewed by: Date: Reviwd 05/1912017 ys.�vr City of Atlantic Beach IftAPPLICATION NUMBER Building Department r:- a^ (To be as -signed by the Building Department.) 800 Seminole Road 1 V��L .y l ` j s Atlantic Beach, Flodda 32233-5445 ��y AIN " s ` 1 0 Phone(904)247-5826- Fax(904)247- 5 E-mail: building-dept@wab.us Date routed: C) ssI II ('r City website: http://www.coab.us By:-- APPLICATION REVIEW AND TRACKING FORM Property Address: M _ P'S Naaii( C( I d D ant review re uired Yes No in Applicant: t"I A ta ring &Zon � it Tree Administrator Project: h,r\ (p W L20 i I k arks LEUt Utilities Public Safety Fire Services Review fee $ Dept Signature sC Other Agency Review or Permit Required Review of Permit Verified or ReceipB t Data Flonda Dept.of Environmental Protection Flonda 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. of applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: ate Date: TREE ADMIN. Second Review: A roved as revised. Denied. ❑ pp ❑ ❑Not applicable PWORf(S Comments: fiIct- 174-7 LLI ESPUBLIC SAFEETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Nat applicable Comments: Reviewed by: Date: Revised 05/19/2017 rc-�v City of Atlantic Beachr � :' APPLICATION NUMBER } 9� Building Department (To be assigned by the Building Department.) J't 800 Seminole Road G AUG i 2W N - 001-ifp � s Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 qq r� E-mail: building-dept@coab.us ---- Date routed: Q r,l j� i9 City web-site: hap:1Avww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c U S Naafi ( y'( I ent review required Yes No in Applicant: nin &Zonm I I Tree Administrator Project: \ S��i 3 (D WDPA D l_T e4t Q orlcs eMbl,c Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review rmit Verfied By t or Receipt Date Florida Dept.of Environmental Protection of Pe 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, ❑Not applicable (Circle one.) Comments: BUILDING / PLANNING &ZONING Reviewed by;.1 Date: i TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Dale: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. ❑Notapplicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) i 800 Seminole RoadIC/ 004G ~ " Atlantic Beach, Florida 32233-5445 W 1. r� 0 Phone(904)247-5826- Fax(904)247-5845 _� sill (-/ E-mail: building-dept@coab.us Date routed: City web-site: hftp:/Avww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: a U I S tvau(-- ( 6I I VI ��' D99aftment review required Yes No in Applicant: QWAta t� -nnin &Zomn iIr Tree Administrator Project: s�SA I I��W��Q /ItQorks IEUD]Lc Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: �VApproved. [-]Denied. ❑Not applicable (Circle one.) Comments: BUILDING X/,. U PLANNING &ZONING Reviewed by:��Datat /— TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. [-]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. [—]Not applicable Comments: Reviewed by: Date: Revised 06/19/2017 L Building Permit Applicatio D L� 0E0 'YIN 5 OFFICE C PY city of Atlantic Beach f 400 Seminole Road,Atlantic Beach, FL 32233 ' AUGi r us v� 77aa rr��II Phone: (904)247-5826 Fax:(904)247-5845 Job Address: `8�'/•1��//6V{jrn1 (Nd s Permit Nun ber: Legal Description kyr SLf%lackii Owl '6 SPnSA-Y RE# Valuation of Work(Replacement Cost)$'�vPb Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one):(OAddition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Iden " - • If an existing structure,is afire sprinkler system installed?(circle one): Yes ZPN/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: al is Mfl M ;Vadd pt.W Fc-� - -ro .we ec Jorepuy-y /ue •Vonµ, 4..t -rrlw"I"11) mt r. Awe- , sew Drw.v� Florida Product Approval# for multiple products use product approval form Property Owner Information Name: Address: 28f'4/4V4'W 1610d S City - h State el- Zip 32� -Iy Phone 67tH E-Mail Owner or Agent(ff Agen o eraf Attorney or Agency Letter Required) Contractor Information Name of Company: Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation 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 RECORDINZYR NOTIC F COMMENCEMENT. I (Signature of Cillener or Agent) (Signature of Contractor) (including contractor) Signed e and tsworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before me this_day of AKgK.-L,aotg ••by L-dtr\LYO by (Signat eo otary) (Signature of Notary) _:A','.'wYyk JENNIFERJOHNSTON li.; MYcoRES:0ON#gg2020 t.� EXPIRES:OcbEer TT,Pal [ ]Personally Known OR \„„p.' awtl•Oldu Ndary Pude UMnKlm [ ]Personally Known OR [Produced Identification [ ]Produced Identification Type of Identification: diuJ/.tC lslLIS2 Type of Identification: I`\'> �ITYOFATLANTICBEACH OFFICE COPY t ' (OWNER/ 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 OUTBUHAIlQG. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUSTBEFOR YOUR USE AND OCCUPANCY. IT MAY NOT BE 13UJLTFOR 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 YOURCONTRACTOR: 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 REOUIURD BY NATE LAW AND BY COUNTY OR MUNICB I LICENSING ORDWANCI 11. 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(2475826) 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. pGGA RISS /1�avf��2A1 Ovid S 49,R- _W) 6:d-332-4`fZz PHONE NUMBER Leat 1fo�el PRINT NAME -�_. 9- /o- 20)+ SIGNAT E GATE Berore me Nls�dayalK S� 20_L4h Necoaa d Ouaal,Slek UFloatle,M1ea personally peered beet byhimaeM/hemeHaaaafirma Nat ell abremmk ena axlarelbna ere�we ane ecwrere. Nokry PYblic et Leryq Sbre of FL_ _ ,C..*a Ate_ ' ❑FartoMly Nnwm JaPmeuaa N.nunenon-s}l.,ILIbS �l( Ln� •;M: JENNIFERJOHNBTGN 3R'..'p?n,._ MY COMMISSION II GG Oa29fl4 - EXPIRES:Onober 2I,2020 Norery Si9BaNm :j Bpeaea Pw Nolary Pubic7,M20 kn FJBIDGpwe-Builh, tlrviI;A6Y15pp;a(l y/pp3 MAP SHOWING BOUNDARY SURVEY OF. LOT 2, BLOCK 4, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, LESS AND EXCEPT THE SOUTH 5.00 FEET OF SAID LOT 2 6` 2.4 SEASPRAY AVENUE T.— 50' RIGHT-OF WAY I i 4 x � � I.Gr i � +un Lor 9a3 � 9 i c 1 R - & S6728'00"E 100.00 a \1 o 0g tb N N F z a lg Y m fi o g s eor aN67'28 00 W 100_ M a ruLOT 5 °z" .� O- ......... .. I o MC, A R o F� 1 J) Q.. L mrm rn'na. flan xo nMm¢ulmx N67'28'00"W 100.00' S, y u R LOT a ,o.o' WT "7 f� �lev.,"pr�"' ' re , 16 ft1 i G s mmlm„m mm x.mda...,m,u,er y� myn'/��'✓(ILG� l WRO YNC AND MAPPING, INC. 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