1963 COLINA CT - PERMIT FNCE18-0043 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 INFORMA77ON:
PERMIT NO: FNCE1 8-0043
Description: replace 6-foot wood fence
Estimated Value: 4000
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1963 COLINA CT
RE Number: 1695061060
PROPERTY OWNER:
Name: MURPHY STEPHEN R
Address: 1963 COLINA CT
ATLANTIC BEACH, FL 32233-4530
GENERAL CONTRACrOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see aftached 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.
NOTICE: In addition to the requirements of this pen-nit,there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
NOTICE OF COMMENCEMENT
State of of i cle– Tax Folio No.
Coupty of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: N C'e Xr e 1p I OL e in e JW
Address of property being improved: 19 0 r2,
General description of improvements:—R!t Q I A r !f 4^�, xjo o e-!e 44 redt e
A
-�kkf;6e� - S�fpkvm 4))vr A Address: 04-3 Co 114A J8
Owner: I V-�—
Owner's�terest in site of the improvement:
Fee Simple Titleholder(if other than owner): N . A
Name:
,e D
Contractor: RN Ce I ro
Awddress: I ft. V, P&Cie- R
T
lelephone No.: q Vq .32- 1 t3&2� Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: lat
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: 14 10,
Address:
Telephone No: 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):
TIHS SPACE FOR RECORDER'S USE ONLY OWNER
Signed Date: _y1whs-
Doc#2018102871,OR BK 18370 Page 2053, �Before this 10 day of k jaDj 8 in the County of Duval,State
AA(, PtLop
i ,(_i CA
Number Pages:1 Of Florida,has personally aPpeare - Y�\j
Recorded 05/01/2018 03:20 PM, Not Public at Large,Stat of Florid Co of Duval.
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL commission expires:
COUNTY �Pysonally Known: ... ir-FRjoHNSMN or
RECORDING $10.00 MursstON#GO 042984
Produced Identification:
EXPIRES:o*ber2l.2020
Notwy POW Undlmbfs
BQnded
L
City of Atlantic Beach
APPLICATION NUMBER
Building Department APR 19 2018 (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32. —coga
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us L�ate routed: 4 to
Cityweb-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ct v�) LoUavk Department review required Yes No
�inqg ��>
Applicant: r�—L,/ ing &Zoning
Tree Adminii-fir—ator
Project: LO �D()+ 1,3 (DO
'P u'
bl c UpTqk�
_P_UV—IC 7SU�
Fire Services
Dept-Sigpature .
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: [XApproved. OlDenied. ONot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed Date:
TREE ADMIN. Second Review: FlApproved as revised. F]Denied. F1 Not applicable
E'—P_UB 12,1 DEC K S, Comments:
W6R _j
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. []Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
REVOCABLE ENCROACHMENT AGREEMENT
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida, a municipal corporation
�p�nized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and
-L :S:�r— ket4 onv fV;!30 of Atlantic Beach,Florida,hereinafter
Affed to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the
property for the purpose as described in the City of Atlantic Beach.
This work is generally described as 0--C
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirty(30) days' notice by CITY to USER, said notice to USER shall be given by certified mail,
return receipt requested,to the following address I q (# �3 CDCIMA, LL P , B
• In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining,repairing,operating,replacing or adding
to of the utilities and facilities of the CITY or franchise utility provider.
• The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY,including City Code Section 19-7(h)
which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete leftnatural in color so that it matches the existing and adjoining sidewalks."
• The USER,prior to making any changes from the approved plans and/or method,must obtain written approval from
the City of Atlantic Beach Public Works Department,for said change within 30 days after the day of completion.
• This permit shall inure to the benefit of,and be binding upon,the USER and their respective successors and assigns.
• USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications,to include utilities locate requirements and use limitations/requirements of easements, public right-
of-ways and other public land. USER fin-ther agrees that the CITY and its officers and employees shall be saved
harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are
Aereby assumed by the USER.
"Y Date
hA h
Pripei"ty wner/Agent(sibe/in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this t6 day of 20
by PaA,6 c:k k Kw who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
Sig�)l -C QAI�Iary Purlic, State of Florida Department ApprovaI:
Personally Known_ %�
Produced Identification(Type) f-L- Ct V', -&�
ScottVill!i�r�s,Pubili'c)F�o-r s bire�to-r
\Revoc
H . ..... A .\Pubhc-ANNMd0NN8T0N �Jle Encroachment Agreement 2.5.18.docx Kayle Moore,Public Utilities Director
Re /144Y COMMISSION#GG 0)42984
0 0
EXPIRES:October 27.2020
thdam t
n ere
Bonded Thru Notary Public UrAeWtere
City of Atlantic Beach APPLICATION NUMBER
APR 19 200
Building Department (To be assigned bythe Building bepartment.)
800 Seminole Road Q -oo
Atlantic Beach, Florida 322.
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us
L_L.te routed:
Cityweb-site: hftp://Vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: bbULr\a a Department review required Yes No
15R[din g—>
Applicant: Lk) ZgE�g�&Zo r�i fng
Tree Administrator
P -_'_
Proj�ect: Lo — �D 6+ 0 C)A u a_U_"X3W_ni�_
I Nui W__�:Gwwl 1 11,i��_w 0i
Fire Services
,Review fee $ Dept Siqnatu'
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: DApproved. ElDenied. 4N ot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:-
TREE ADMIN. Second Review: []Approved as revised. ODenied. E]Not app(icable
PUU151�VORKS Comments:
NN."'dmil 45.-
Via. R
zo—IT
PU LIC SAFET Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. []Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach �APPI_IcA
TION NUMBER
Building Department (To be assigned by the Building De'pqrtment.)
800 Seminole Road -o0q
Atlantic Beach, Florida 32233-5445 f
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us P.L,rduted: tv
Cityweb-site: hftp://vmw.coab.us
APPLICATION REVIEW AND TRACKINGFORM
Property Address: LOUC\CL Department review required Yes No
in
Applicant:
—T—reeAd—miffii-t—rator
Project: Lo — �-b C)+
"Pu'blic Utilities
—P—uu rlc_s�
Fire Services
ev T ignatur
ieWfee S, D'' - t'S'
E e,.
Review or Receipt
Other Agency Review or Permit Required 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: pproved. ElDenied. E]Not applicable
(Circle one.) Comments: e7�
BUILDING
CP--LrR'N'�=NNI A AGb-' &�_@'Nl N�G,
J
Reviewed by: Date:
TREE ADMIN. Second Review: ElApproved as revised. []Denied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F
]Approved as revised. []Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 06/19/2017
City of Atlantic Beach "IF
-A..-PILICATIONNOMbit
Men A
_dd:by'tfieBbiIding'lJe' t
Building Department Issigh
800 Seminole Road
Atlantic Beach, Florida 32233-5445
-5826 Fax(904)247-5845
Phone(904)247
t
q ca
E-mail: building-deot@coab.us 6� : _. J
d
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
o 1 ,
Property Address: k-CkL Depgrtment review required Yes No
i- '_"i En T'
A pplicant: t_k) 2hg11n�in g-&Z 6-n i�ng
Tree Administrator
Project: to - �b 6+ C)
("Public Utilfties�
Fou_1C S a-f E�
Fire Services
fee
iple'VieW D6 Si natute,'
Review or-Receipt
Other Agency Review or Permit Required 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: [OApproved. [-]Denied. [:]Not applicable
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: Date: -"/-C?C/-cPO4
4
TREE ADMIN. Second Review: DApproved as revised. [-]Denied. V F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
. ^
���=������� ���� ^U»�^K�� K������^� ��KD��K^�����^��8�
- ' ' ~' ~~ �' ~~" ,r~--~--�� ' '~ ' 'xrnr— ~'
J F Updated 12/8/1),
City o7Atlantic Beach I APR 1 6 20�]
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-58ZGFax:(y04)z47-584s
Job Address: Permit Number:
~ -- - - ��
Legal Description RE#
Valuation ofWork(Replacement Cost) Heated/Cooled SF, Non'Heoted/Cob|ed
° Class ofWork(Circle une) Addition Alteration | Window/Door
° Use of existi ng/p ro posed structure(s)(Circle one): [ommerda|
=Residentiial
��" J
° |fanexisting structure,isafire sprinkler system installed?(Ordeune): Yes , 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 performed:
Florida Product Approval# formu|tip|eprnduutsyseproductapprovo|form
PropertV Owner Information
Name:
City L. 13C14 " Stat� friL zip zaa ss Phone 9a!1 (Porr q9Az
Owner or Agent(If Agdnt, Power of Attorney or Agency Letter Required)
Name of Compan C.0 ie_ X At C., Qualifying Agent: f A$
Address 37a? Pilo" rK Citv CIA.X State IFL zip go o:7
State Certification/Registration#
Engineer's tr
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 thisjurisdiction.| understand that a separate permitbe securedfo ELECTRICAL
WELLS, POOLS,FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc,4N7jT'1l,'@EJI 12
rf M111 ihiMMON,a, .e a il""I 2�11're!`frii"c*t!'oV,,"s'@ff,0141t,�p�Uletco) �may,ffe 'MI ioll 1111711 21�,Ogsrofcgj
1
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all workwill bedone incompliance with all
applicable laws regulating construction andzoning.
—' ---'— TO OWNER: YOUR-- ' ' ----- TO ''----- ' ' NOTICE OF ------''---'—''
u OFFICE COPY
CITY OF ATLANTIC BEACH
OWNER/ BUILDER AFFIDAVIT
1. 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 13Y LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION.ALLOWS YOU,ASTEE 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.
11. INJURY LIABILITY; SIN CE 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 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(l). 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.
A . 4?,Dc/ e0og- qqQ1
ADDRESS PHONE NUMBER
PRINT ANE
Lo
U
SIGNA URE r DATE
Before me this day of aor)L 20_q in the county of
Duval,State of Florida,has personally a�peared herin by himself/herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of FL— ,County of iblow CL
El Personally Known
JENNIFER JOHNSTON
DKFroducedIdentification- FL_ Af.�OIA W—Calsk 0 ISSION 0429P
C MM #CG
I S.
RE .October 27"20
N.t.,y PubliC6 ridmler.
my commissim#GG 042984
.,j EXPIRES:October 27,2020
Banded TW Notary Public Ufldmfiffitem
Notary Signature:
F:/BLDG/I.�,-I.ill�,lld,QREV'l�--D/:4/16/2009