679 Ocean Blvd fence 2014 �s sI CITY OF ATLANTIC BEACH
� l 800 SEMINOLE ROAD
J � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000165 Date 3/11/14
Property Address . . . . . . 679 OCEAN BLVD
Application type description FENCE PERMIT
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 0
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Application desc
6ft and Oft fenceing
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Owner Contractor
-
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PURCELL, EMILY BENHAM OWNER
654 OCEAN BLVD
ATLANTIC BEACH FL 322335341
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Permit . . . . . . FENCE PERMIT
Additional desc . . . 00
Permit Fee . . . . 35 . 00 Plan Check Fee
Issue Date . . . . 2/07/14 Valuation . . . . 0
Expiration Date . . 8/06/14
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Special Notes and Comments
Avoid damage to underground water/sewer utilities . Verify
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 . )
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Fee summary Charged 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 � AAPPLICATION NUMBER
'
�s~ Building Department 8 ?014 (To be assigned by the Building Department.)
r 800 Seminole Road ' �� A.„q Atlantic Beach, Florida 32233-5445 �(/
Phone(904)247-5826 • Fax(904)247-5845_ ���� Z
J3 �? E-mail: building-dept@coab.us ` Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7 9 De arta-ent review required Yes No
Buildi
Applicant: O 1� �� Planning & Zonin
/� �r inistrator
Project: 7- `7 7— --n &I lic Works
is Utilities
A,-z—
PublicSafety
e 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: Approved. [-]Deni
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 'r/O
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
C WOR Comments:
BLIC UTILITIE
P EIC SAF Y Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 D Q
Office (904) 247-5826 Fax (904) 247-5845
Job Address: (� 7 �G' iy�r� ,�i�ly,dUU
: Permit Number:
Legal Description Parcel # By
F oor Area of q.Ft. t
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residentia
If an existing structure,is a fire sprinkler system installed? (Circle one): o N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: �ie�Y� � ��s'/Alm,
P`
Property Owner Information:
Name:_ 07-7- voeAo Address: 7 Y OC"67fA/
City StateFL•Zip Phone t)b; —7
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
Application is hereby made to obtain a permit tb 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 tom the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work isnot commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six rr6)months at any time after
work is'
I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,1�urnaces,Boilers,Healers,
Tanks and Air Conditioners,etc.
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 hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci eed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating constructionor-the performance of construction.
Signature of Owner Signature of Contractor
Print Name o1 C oTT �ta Print Name
.................................................
3efo me Before me
his D of 20 this Day of 20
lotaiy Public Shirley L Graham rida otary Public
hyc My commission FF 086990
,�° F.n;ree 02«412018 Revised 01.26.10
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BULLARD FENCE & SUPPLY LLC
9943 Beach Blvd Ste B
'HURA€ D F EN ict Jacksonville, FL 32246
SUPP1.
50=1 f8 2�y7 e�:i c er:o_C3::
904-781-2397
www.builardfence.com
Info@bullardfence.com
PROPOSAL/CONTRACT 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 Date
Down Payment: $ Accepted for BULLARD FENCE & SUPPLY LLC:
Balance Due: $ 4798.00
Salesperson Date
LL„� BULLARD FENCE & SUPPLY LLC
KULLARD FENCE $�' 9943 Beach Blvd Ste B
1;/649-M-23
�.
SUPPLY ( Jacksonville, FL 32246
8.1-2397 wwW.BULUROFENCE.Co 904-781-2397
�,�_ .E www.bullardfence.com
lnfo@bullardfence.com
PROPOSAW CONTRACT Page 1 of 3
08/30/2013
Customer Information: Job Information:
Scott Yorko yorkodds@bellsouth.net
679 Ocean Blvd
Atlantic Beach, FL: 32233
------------------------------------------- -ti` ------------------,
r Existing wood
custom fence
3' high custom
4' x14' wood
a/c enclosure ❑
r
wf 3' gate
El6' custom
wood
HOUSE 60'
3' x 5'
pump enclosure
wf3' gate
� I
6'
toi8"
tranSiticn' �
5' gate S' gate 29
4' black 4' black
aluminum aluminum 4' custom
93 wood
TERRAIN: OBSTRUCTIONS: Approved & Accepted for Customer:
❑ LEVEL ❑ OLD FENCE
Customer Date
HILLY ElTREES
Accepted for BULLARD FENCE & SUPPLY LLC:
❑ STEEP 11 BUSHES
❑ ROCKY ❑ SPRINKLER LINES salesperson Date
ASPHALT ❑
❑ CONCRETE
i"'O��LZMVOIEHC�E
BULLARD FENCE & SUPPLY LLC
9943 Beach Blvd Ste B
Jacksonville, FL 32246
ff SUPPLY 904-781-2397
q 8i_SW7 v.auu�Na�FEMCL(F�p www.bullardfence.com
info@bullardfence.com
PROPOSAL/CONTRACT 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
J. �J•Y
CITY OF ATLANTIC BEACH
F -- OWNER S SUII_,DER 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 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 WITH N 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 TIM BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILTIY 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.
111. 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.
ozzy
ADDRESS PHONE N MBER
PRINT NAME
SIGNA DATE
Before me thisday o 20 in the county of r
Duval,State of Flori a,has personally appeared herin riself/herself and a rms that /f
all statements and declarations are tr d accurate.
Notary Pub' t Large,State of� unty of V
❑P on- ovm
ced Identi�i Pion /
x4y Notary Public State of lorid
Shirley L Graham rf'1 V
n FF 086990
-0 49' xpiros 02/14/2018
F:BLDG/0w -Builder AffadaviY REVISE 4/16/200