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46 CORAL ST - FENCE Ly � �` � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 4 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: FNCE17-0028 Description: install fence Estimated Value: 0 Issue Date: 1/4/2018 Expiration Date: 7/3/2018 PROPERTY ADDRESS: Address: 46 CORAL ST RE Number: 169566 0505 PROPERTY OWNER: Name: HOWELL NATHAN E Address: 46 CORAL ST 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. ,,,t-=Lvf./r, City of Atlantic Beach APPLICATION NUMBER 64 Building Department f"? .. F ti A 800 Seminole Road (To be assigned by the Building Department.) j : Atlantic Beach, Florida 32233-5445 r& � ;I � -()Da �:�, Phone(904)247-5826 • Fax(904)247-5845 J U N 2 0 2017 /�� —1s �r E-mail: building-dept@coab.us Date routed: d(C I let( 11 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: tica M . Department review required Yes No Budinfi g Applicant: D Wu( Planning on T minis rator Project: 1 n SA-C1,1 t `-t—c-paV (12._ rks Public Uti!tie) Public Safety Fire Services Review fee $ Dept Signature rief/` 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. I 'Denied. . of applicable (Circle one.) Comments: BUILDING PLANNING &ZONING / Reviewed by: e Date: r 7 TREE ADMIN. Second Review: nApproved as revised. ❑Denied. . ['Not applicab e P sC WORIS,8 ments: BLIC UTILITIES 6- ze-tPUBLIC ET� Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. . ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 rs-=L`/r,, City of Atlantic Beach APPLICATION NUMBER j1 ikiiii , Building Department ;. -{, �,,. (To be assigned by the Building Department.) ` 800 Seminole Road .4--- 'V ':.1..:- A) - Atlantic Beach, Florida 32233-5445 �,v � � _n� N � Phone(904)247-5826 • Fax(904)247-581N2 o 2017 j C o;� )r E-mail: building-dept@coab.us Date routed: C(D I( ( I 1" City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 1. Property Address: ' b)IGl\ Si - Department review required Yes No (AAA( BudinII g A Applicant: D w , A Planning on Tree Adminis rator Project: 1C\ S I ` Li 'D+ CLQ orks ,_Public Uti sties 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: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. . ['Not applicable (Circle one.) Comments: e 41k44.14. �,•;,tt ig0 BUILDING `iG `� PLANNING &ZONING l�b' Reviewed by:,e�� i, 6C�Gt� Date: i �"� ti L TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. IIINot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: 1 lApproved as revised. ❑Denied. . ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 „„—ILA f;.rl City of Atlantic Beach APPLICATION NUMBER rjBuilding Department (To be assigned by the Building Department.) A ")i r 800 Seminole Road e 1 i ` 1 i _CC(� S( Atlantic Beach, Florida 32233-5445 ` ,(„ Phone(904)247-5826 • Fax(904)247-5845 ,n � E-mail: building-dept@coab.us Date routed: QO �C�( I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Li . U. Ll S'k Department review required YleyNo Bu ding • Applicant: D ,A) '\- 'Y' Planning! on r T -- _ minis rator Project: 1 SkC-t 1 \ 9—-Po p-t 1cl. °fes (ublic Utlitie) 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: APPLICATION STATUS Reviewing Department First Review: roved. ['Denied. [Not applicable (Circle one.) Comments: UILDING PLANNING &ZONING Reviewed by: / i Date: G g Q v7 TREE ADMIN. Second Review: Ill 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 05/19/2017 ,,,,,y,-.,..„, Building Building Permit Application Updated5/5/17 rt c.'7''> . ` City of Atlantic Beach OFFICE COPY J 800 Seminole Road,Atlantic Beach, FL 32233 `J''!.)r Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: " (O1'&\ St-Pee} Permit Number: F.-Aic L I 1 -b0.4-8 Legal Description Ve-9A-C'e_ 7RE# Valuation of Work(Replacement Cost)$ .,.. 4-100 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): ew Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esidential • 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 perfo rmed: C.0411)c 6, cUL� bl ,L back_ n k,j 0, V,717-11.0./\ �J' - t1v�t Yr„i'l. LIP+t 11 (.J Z �(G1r WSJ J Florida Product Approval# for multiple products use product approval form Property Owner Information 11 j� & A 1 'e.�\ `.l , &k-Tte4- Name: Address: city Nikc,,khcgState FL Zip 322-33 Phone (1o'I 34M,- (4196.E-Mail (le-V1f33Oe',1�� i5 e zrw�,-L` , co d�- Owner or Agent(If Agent, Power tAttorney or Agency Letter Required) Contractor Information Name of Company: . •.rio/ Ire ACC k I liL Qualifying Agent: ` Address Sip - U. City S;eudaktf, (Le_ State F L Zip '1_2_2-571 Job Site/Contact Number -- g--.----...7 ::: t 1� Office Phone '� . . i.���� State Certification/Rei'- ion# "l. ``'� I V Architect - : Phone# i I Enginee s Name&Phone# UN 1 q 2017 1 Workers Compensation 1.-..-./ Application Exempt/Insurer/Lease Employees/Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. I-er I y a no work or installa n on has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the l )Atsxegulationg 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 RECORDING YUR NOTICE OF COMMENCEMENT. 41_, (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this lel day of Signed and sworn to(or affirmed)before me this day of "akr1 t , Don-, by J qW&n 1,-kti w L 1 t , by viic--AX-t-,.. , Si (Signatu of Not ) (Signature of Notary) ,��,�7.4,,••,, JENNIFER JOHNSTON r'A,.'t MY COMMISSION#GG 042984 [ ]Personally Known O ': ,; `,:o= EXPIRES:October 27,2020 [ ]Personally Known OR [1Produced ldentificati 1 `f.P,;f;°P� Bonded Thru Notary Public Underwriters [ ]Produced Identification Type of Identification: 6. 1J L; S "'k'.E 1 Ls I Type of Identification: Perm ci + # fili FAICg—l7 r egg NOTICE OF COMMENCEMENT FLDOUOFFICE COPY State of County of N ( Tax Folio No. s To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 15- Z, (9 C-(`7 S-2G ®C-.e R.N Cl O� 1_. Dili A F Na IN , rsnr Lor 2. 6 L c 6 No Address of property being improved: Li b C-o(� rG..1 (-r i- r ,�_itAl-tc ('- v, FE j 32 z z� General description of improvements: A 1 J-tull i� 0 b Emu l (JIT 1 J` d PSL lO`.vt.(/, (X. V)raov 0p_ t' V-re - I o A' C,�l I'V-, 2 C2f-e.c Owner: 1 & t.J Address: LI G Cv rt,t S V-rez Owner's interest in site of the improvement: A- Y-1,r- 1)&x.) Fee Simple Titleholder(if other than owner): Name: Contractor: 56uMe__ t:,_j 0.-9 AU - Address: Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: ttiVto_ 1 v uA.( " `1 Address: .b CaNA S/-- -4- [ Vk.k G (St,-c(-- FC, '32Z-3 Telephone No: (�.0L.'$Dy' 7 V-? Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER / c Signed: Date: / i 1.f( '} Before me this te\ day of JU.v\ .L 6D11-in the County of Duval,State .. - - _ ._ - - - - - - Of Florida,has personally appeared b R.rvr-L. cc\.L Doc#2017143103,OR BK 18023 Page 57, Personally Known: j or Number Pages:1 Produced Identification: Ct.rw Q, ;.� Recorded 06/1912017 at 12:49 PM, Notary Public: N &. _� M^�� Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission ex.les: 0 COUNTY I RECORDING$10.00 ► ; A''v:ilk, JENNIFER JOHNSTON ra MY COMMISSION#GG 042964 Sr,: '°"" ;�. EXPIRES:October 27,2020 ,.,,,,, dR, ' pBonded Thru Notary Public Underwriters Arc +"s ., CITY OF ATLANTIC BEACH OFFICE COPY 0PY y Y '3%WNER/ BUILDER AFFIDAVIT '.,..--&,;_i.0. • 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 44 6 Cil-c,t S1-,,,, - 3a1 Z 5 0-0 >4I°k51-(ab ADDRESS e �{- 'do: � ] IIII PH NE NUMBER 'PRINT NAME 6'�J l`�r ix, i \�j ( l SIGNATUR DATE Before me this ICI day of v�'l 20 k'An the county of Duval,State of Florida,has personally appL y himself I herself and affirms that all statements and declarations are true am ' v Notary Public at Large,State of F f 6 V(A ,r.'; — JENNIFER JOHNSTON 'a$ ` MY COMMISSION#GG 042904 ❑Personally Known y i*: ! ` EXPIRES:October 27,2020 %Produced Identification- (�Y t 3 11-4` '-aS %.r,��� O. %.For.Ft,?;:" Bonded Ttw Notary Public Underwriters • Notary Signature: F:BLDG/Owner-Builder Affadavi,REVISED:486/20^" ii 11tvi:,. City of Atlantic Beach APPLICATION NUMBER r51 Building Department (To be assigned by the Building Department.) a ) 800 Seminole Road G y -;_ Atlantic Beach, Florida 32233-5445 ► ,v -op Phone(904)247-5826 • Fax(904)247-5845 r ��g �i E-mail: building-dept@coab.us Date routed: o(,p le( I I' City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: y CtiCa S* . Department review required Yes No Bu ding ' Applicant: D ln) (\IA( Planning:-on T -- £!minis rator Project: l n Ska,l \ - CDp-i - •rks r�ublic Uti itie) 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: APPLICATION STATUS Reviewing Department First Review: ['Approved. Denied. . ❑Not applicable (Circle one.) Comments: BUILDING tv oyrt,y)y l�� v" em^ PLANNING &ZONING /2---((( TREE Reviewed by: / Date:(� TREE ADMIN. Second Review: Approved as revised. ❑Denied. . ❑Not applicable PUBLIC WORKS Comments: /9_ff 0 J e via f a / I t P G if f�U/►c e 1 ��1 • - -V 7 ry PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: — 3-I ! FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. . ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 SL 4 s' l" CITY OF ATLANTIC BEACH �` f `y ?� JAN - 2 2018800 Seminole Road AS) ,�if Atlantic Beach,Florida 32233 r 1;519` REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date 1/z-/17 Revision to Issued Permit Corrections to Comments I Permit# F UG6 (7- 22 Project Address `U) Corso.` 5 d-r(e r >Z Z 3 Contractor/Contact Name lI'` "GC`JGA• ` l Phone( 0L1) 3C -sk Df' Email Vle-knm well g5(03itA,(,-,',17C-c79(4-,__ Description of Proposed Revision/Corrections: Permit Fee Due $ IvIsa fe.vue c.10,„5 cue c u!a.. I.1 e,(ep haA oC q .Kc L Sc(cAr c.) t. 14 ,G w,e P lc io c_1 l oU fir AN e ss ,'ti. 6 dig yc ir(; in a(COrcLce 10 ftse.. i c sLy app ro ve.I 1•i LTi cki,c Additional Increase in Building Value$ 'A Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed name) Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved / Denied Not Applicable to Department Revision/Plan Review Comments 0VY'd V, A Ia(;,,ct (10/i 7 / l c'i 7) De•artment Review Required: : .ding_. ___________ ' . nin• &Zoning Reviewed By T -- administrator. 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