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679 Ocean Blvd 2014 Fence CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000165 Date 2/07/14 Property Address . . . . . . 679 OCEAN BLVD Application type description FENCE PERMIT Property zoning . . . . . . . RES GEN 2F DISTRICT Application valuation . . . . 0 ----------------------- ----------------------------------------------------- Application desc 6ft and 4ft fenceing ----------------------------------------------------- Owner Contractor ------------------------ ------------------------ PURCELL, EMILY BENHAM OWNER 654 OCEAN BLVD ATLANTIC BEACH FL 322335341 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc - - 35 . 00 Plan Check Fee . 00 Permit Fee . . . . Valuation . . . . 0 Issue Date . . . . Expiration Date . . 8/06/14 ----------------------- ---------------------------------------------------- Special Notes and Comments ter/sewer utilities . Verify Avoid damage to underground wa vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management . ) -------------------------------- ----------------------------------- ------- Fee summary Charaed Paid Credited ----Due--- ----------------- ---------- ---------- ---------- --- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road Z-5- -5445 z Atlantic Beach, Florida 32233 Phone(904)247-5826 - Fax(904) 247-5 route r0i 19' E-mail: building-dept@coab.us Date�routed: City web-site� http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 9 bl�0,4!r5 Department review req Yes No Buj!g�.. - Applicant: ,�Plan.ning &Zonin Inistrator Project: 7- 7- lic Works ic Utilities Public Safetv e 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. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: DatA�/ TREE ADMIN. Second Review: PApproved as revised. E]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 11 r-rn A A )ni U -- - Job Address: Permit mber: Legal Description Parcel# By Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): GD Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial (R-;es i d;e�nt i a6 If an existing structure,is a fire sprinMr system installed? (Circle one): 0 N/A Florida Product Approval# I For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Information: Name:— 1_527o7-7— Address: 67? city 0&,:�! �/c Statuo'Z-Zip ZZ23.3-Phone e!�Fto:K a9g:g E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: Address: -city -State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4pplication is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior to the issuance of a permit and that all work will be pedbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void ff work is not commenced within six(6)months, or i(construction or work is suspended or abandonedfor a period ofsiXP6)months at any time after work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaiers, Tanks andAir Conifflioners,e1c. 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here certify that I have read and examined this apolication and know the same to be true and correct. Allprovisions of laws and ordinances governing this 1�wcprk will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provi.si.ons of any otherfederal,state, or local law regulating construction oF the pe�fomance ofconstruction. Signature of Owner Signature of Contractor 01— PrintName Print Name ........................................................................................................................................ ............................... Befo me Before me this Da of 20 this Day of 20 —7;3R7§MrW-Mdnda '0 NOW! otary Public Notary Public Ir Shirley L Graham My Commission FF 086990 nifes 0211412018 Revised 0 1.26.10 7r,> 4tY4 "I AN Hill OCEAN BOULEV4PIP -)Oa 5�).Oo iq Tjo E3 rn 7_1 7% T4, Z7 KJ (J) 0 < rn Lo Z: N —U 50.0(y 1�50.00 .0a '0A (30 CD D no Z5 G:� > C). Li BULLARD FENCE & SUPPLY LLC 9943 Beach Blvd Ste B �VLL�ANOIENCE I Jacksonville, FL 32246 Sol V; so M 904-781-2397 T_09- C www.bullardfence.com @7__V, lnfo@bullardfence.com PROPOSAWCONTRACT Page 2 of 3 08/30/2013 Customer Information: Job Information: Scott Yorko yorkodds@bellsouth.net 679 ocean Blvd Atlantic Beach, FL: 32233 Notes: -Remove and haul off existing chainlink and wood fence -Install 60' of custom wood fence transitioning to 4' at front of house -Install 29' of 4' custom wood fence to front of property -Install 4'of 4' high black aluminum fence at fronts of house -Install 1-5' and 1-4' black aluminum gates -Install 26' of white vinyl fence 3' high around pump and a/c areas -Install 2-3'x3' white vinyl gates at pump and a/c areas TERMS & CONDITIONS BULLARD FENCE & SUPPLY LLC agrees to guarantee above fence to be free from defects in materials and workmanship for one year. BULLARD FENCE & SUPPLY LLC shall advise the customer as to local zoning regulations but responsibility for complying with said regulations and obtaining any required permits shall rest with the customer. BULLARD FENCE & SUPPLY LLC will assist the customer, upon request, in determining where the fence is to be erected, but under no circumstance does BULLARD FENCE & SUPPLY LLC assume any responsibility concerning property lines or in any way guarantee their accuracy. If property pins cannot be located it is recommended that the customer have the property surveyed. BULLARD FENCE & SUPPLY LLC will assume the responsibility for having underground public utilities located and marked. However, BULLARD FENCE & SUPPLY LLC assumes no responsibility for unmarked sprinkler lines, or any other unmarked buried lines or objects. The customer will assume all liability for any damage caused by directing BULLARD FENCE & SUPPLY LLC to dig in the immediate vicinity of known utilities. The final billing will be based on the actual footage of fencing built and the work performed. Partial billing for materials delivered to the job site and work completed may be sent at weekly intervals. Adjustments for material used on this job and adjustments for labor will be charged or credited at the currently established rates. Additional charges for any extra work not covered in this contract that was requested by the customer will also be added. The full amount of this contract along with any additional charges will become payable upon completion of all work whether or not it Approved & Accepted for customer: Contract Amount: $ 4798.00 Customer DIte Down Payment: $ Accepted for BULLARD FENCE & SUPPLY LLC: Balance Due: $ 4798.00 Salesperson i)-1t I BULLARD FENCE & SUPPLY LLC 9943 Beach Blvd Ste B ENCE Jacksonville, FL 32246 ZW:A I SOMY 904-781-2397 Z097 ----AW&Lr www.bullardfence.com info@bullardfence.com PROPOSAWCONTRACT Page 1 of 3 08/30/2013 Customer Information: Job Information: Scott Yorko yorkodds@bellsouth.net 679 Ocean Blvd Atlantic Beach, FL: 32233 ------------------------------------------------------------------------ Existing wood cu��om fence custorf, wi-od 4' x14' a/c enclosure--- wl 3' gate 6' cu�torf, wood HOUSE 60' 3' x6' pump enclosure w/3' gate 6' t _4Wr t .�, ra 'tloj gate 61 gate -)Q 4;,, blac�. 4' blac), 4' custom a minun, aluminurf, wood TERRAIN: OBSTRUCTIONS: Approved & Accepted for customer: LEVEL El OLD FENCE customer Date HILLY El TREES Accepted for BULLARD FENCE & SUPPLY LLC: STEEP 11 BUSHES ROCKY El SPRINKLER LINES salesperson Date ASPHALT CONCRETE El BULLARD FENCE & SUPPLY LLC 9943 Beach Blvd Ste B Jacksonville, FL 32246 904-781-2397 www.bullardfence.com Info@bullardfence.com PROPOSAWCONTRACT Page 3 of 3 08/30/2013 Customer Information: Job Information: Scott Yorko yorkodds@bellsouth-net 679 ocean Blvd Atlantic Beach, FL: 32233 TERMS & CONDITIONS has been invoiced. A finance charge of 1 1/2% per month (or a minimum of $1.00) , which is an annual percentage rate of 18%, shall be applied to accounts that are not paid within 10 days after completion of any work invoiced. All materials will remain the property of BULLARD FENCE & SUPPLY LLC until all invoices pertaining to this job are paid in full. The customer agrees to pay all interest and any costs incurred in the collection of this debt. CUSTOMER Initial SALESPERSON Initial CITY OF ATLANTIC BEACH (OWNER / BMDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "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. TBE 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. TBE 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 RAVE -BUILT YOURSELF WITHIN ONE YEAR AFTER TBE 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 TBE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU RAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR.MUNICIPAL LICENSING ORD]NANC S. It. 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 $5,000 PENAL TY UNDER FLORIDA STATUTE NO. 455-228(l). AN-OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. e��O ADDRESS PHONE NUMBER PRINT NAME SIGN UK DATE Beforeme7thls � dayo 20Liiin the county of , f Duval,State of Flori a,has personall-appeared h?dn7*:,sel1/(herself and a irms that all statements and declarat tions are try�_wd accura Notar�y Pu " t Large,State of U1 Ry of son ovMn ced Identifiii tion Notary Public State of lorid Shirley L Graham n FF 086990 xpires 02J14/2018 FIBLDG/Omer-Builder Affkdavi�RFVISE 4116/200 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 n il A )n1A Office (904) 247-5826 Fax (904) 247-5845 iiR n� Job Address: 067e—_��Al 1674VA UU L) Permit Number: Legal Description Floor Area of sq[.P't. Parcel Sq.-Ft Valuation of Work$ /�ff, 0040 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): (�;DAddition Alteration Repair Move Demolition pooUspa window/door Use of existing/proposed structure(s)(circle one): Commercial (R_;esiden�fia6 If an existing structure,is a fire sprinkler system installed? (Circle one): M 0 N/A Florida Product Approval# For multiple products use product approvaFFo—rm Describe in detail the type of work to be performed: _7 7 Propertv Owner Information: Name:— JZor-7— Address: 6 7 city 49!-? - =�/C_ �d�_ � Stato�'ZZip ,��Phone E-Mail or Fax#(Optional Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: Address: city State zip Office Phone Job Site/Contact Number Jax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 11,P a, 3 re ade I ain a e d he work and ns a q n a ndca d e y that no work or installation has commencedprior to the f i ns uctio in thisjurisdiction. Thispermit becomes null rmi'to 0 t to m t 1 s t ' tio s s s i, I c rt an 0 P'ic c io i he by md 0 o't ork p e e 0 d Z, he ta d a �w ating a" a an a a wi me r ' . 3 9'�,r ca0b tdr ned�o aWeriod ofs months at any time after r, , k I 'us d 0 r f r 0 WL p 6 m nt or c nst c on or 0 issu Perm d e 0 _ i ' ' "w and 0-d work s not c e e hin I r "c r, f 'r or I ctr W Ic or _1"m I g,S1 s, omm 'c s 0 Oh d E e a k b n gn ells,Pools,"xiurnaces,Boileis,Heaiers, u, , t t s P p r is_u t 'o 'is f ""'d de tand e arate e k co s Tanks and.Air Con i ioners,eta 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. I here certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this 111work will be co�nplied with whether s eci ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the ,f fz' provisions of any otherfederal,state, or loca aw regulating construction epeifo�mance ofconstruction. ............. 2_!C�tio Signature of Owner Signature of Contractor Print Name Print Name ........................................................... ..... ................................................................ ....................................................................................................................................... 3efo me Before me rm"N e efo me his Da of .20 this —Day of 20 Rd irlida - 4otary Public 4P 1% Shirley;L Graham otary Public my Commission FF 086990 02" 018 Fxnires02/1412018 Revised 01.26.10 City of Atlantic Beach APPLICATION NUMBER ed by the Buildi Building Department (To be assign ng Department.) 800 Seminole Road At antic Beach, Florida 32233-5445 A. Phone(904)247-5826 - Fax(904) 247-5845 —/-!z// Date routed: .? E-mail: building-dept@coab.us 4 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 79 b�Llo�6_zw Department review required Yes Nol Bui!0kr1g==, Applicant: Planning &Zonir I ree ATnTi—nistrator Project: P6IS_11ic Vl,rks ic IJLAie—s ---_-�� P ublic Safety e 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: APPLICAT19N STATUS Reviewing Department First Review: g0rp p�rove d E]Denie (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: nApproved as revised- nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. DIDenied Comments: Reviewed by: Date: Revised 05/14/09