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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 ----------------------------------------------- Application desc 6ft and Oft fenceing ------------------------------------------ Owner Contractor - ------------------------ ----------------------- PURCELL, EMILY BENHAM OWNER 654 OCEAN BLVD ATLANTIC BEACH FL 322335341 --------------------------------------------- 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 ------------------------------------------ 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 . ) -------------------------------------------- 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 4 � 4 CEAN BOULHV W .T(Ga-9 RIGHT OF WA1� w 8§3 uS r 'V ibo.oa R ( N / 8 g Y � Ng ° -- S s Fagzo j j I. R forIrn < D � , IF 77 — w -t CA D Q,t T� R 0 cn ° (,� - - -- - - -- - f rn rn o o -U r 50.00' 50.00'. ; in z Z o Cc) ioo.oa Ln toki ' gall � Y all R. Mal R .. pNp ' TLI N. -Z .1 IF Z =p= p .. 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