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2-60 BEACH AVE - FENCE .41 s„ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 a;3 0-/ INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0086 Description: 6' FENCE Estimated Value: 3000 Issue Date: 8/10/2018 Expiration Date: 2/6/2019 PROPERTY ADDRESS: Address: 2060 BEACH AVE RE Number: 169713 0020 PROPERTY OWNER: Name: GLASSER ELLEN Address: 2060 BEACH AVE 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. NOTICE: In addition to the requirements of this permit, 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. 01.m-r,,, City of Atlantic Beach APPLICATION NUMBER JsBuilding Department (To be assigned by the Building Department.) 1,1 800 Seminole Road,� . I �� Atlantic Beach, Florida 32233-5445 0_C`- 'ODS Phone(904)247-5826 • Fax(904)247-5845 /.3/i �s3�a -,,,art building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ZO& 0 F 01-!< Department review required Yes No Buildin• Applicant: (:)1,010- NZ_ -- eu_,G,,,, GL •• i' .nning &Zonin• Tree Administrator Project: FJQE Public Wor sR is Utilities j 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: oved. ❑Denied. ❑Not applicable (Circle one.) Comments: f1) 0 BUILDI GD PLANNING &ZONING Reviewed by: in). Date: Q -y -/ p TREE ADMIN. Second Review: nApproved as revised. ❑Denie . ❑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 0L-ty ie, City of Atlantic Beach APPLICATION NUMBER ,s1 "PA\ Building Department (To be assigned by the Building Department.) 800 Seminole Road . r� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 • ir �pp E-mail: building-dept@coab.us Date routed: ('"'7-3l( City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 206, v BEt0t014 Q partment review required Yes No �- � Buildin�c Applicant: C7,OK-C- GC. Giu GLRF-S-Lia0- ming &Zonin Tree Administrator Project: 111 (,,E biicWorks: is Utilitie 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. I !Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING r-4 Reviewed by4,X ��" Date: - ' S TREE ADMIN. Second Review: ❑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 ,.11,i - City of Atlantic Beach ._jr, ,a, APPLICATION NUMBER �J�r � �A Building Department ' ". ` n _ (To be assigned by the Building Department.) rJ 800 Seminole Road 7:), • �� Atlantic Beach, Florida 32233-5445 x AUG Q 3 2018 P--10.6,- I A-008 , Phone(904)247-5826 • Fax(904)247- 15 v \ p / /` 0;;�9%- E-mail: building-dept@coab.us Date routed: ( l City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Zo& O ? (i4o rent review required Yes No Buildin. Applicant: C LJK) CC,CE,�� Gu s_ �® -nning &Zonin. Tree Administrator Project: `:ublic is Utilitiess j Putilic 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 PLANNING &ZONING Reviewed la:// 772. t yJ Date: v4C2f7--- TREE ADMIN. Second Review: Approved as revised. nDenied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. Denied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 YiyL`.1 • City of Atlantic Beach APPLICATION NUMBER �S - �� Building Department (To be assigned by the Building Department.) 1----: -i `- 800 Seminole Road sj Atlantic Beach, Florida 32233-5445(liaaa ��rr ��.(_, �� / Phone(904)247-5826 • Fax(904) 247�98g6 0 2018 0 0;;�j� E-mail: building-dept@coab.us Date routed: �'`�-3/1 p.? City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z06, O 6_,A01 _Department review required Yes No /-,:— /— ( Buildin. Applicant: (.OtO(J .C=1...c..� J ( ss., 4. ® -nning &Zoning Tree Administrator Project: F .)c' ,E (Public Wor sk' - ic Utilitiess j Public Safety Fire Services Review fee $ Dept Signature k' L'1 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 PLANNING &ZONING /3// V Reviewed by: ate. TREE ADMIN. Second Review: 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 ke"SA Building Permit Application Updated 12/8/17 a NAVCity of Atlantic Beach 41.10 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845r-„ �� 1 8- 00,05) , Job Address: 0 C G /L/\Yr�"i c-✓�U+ //�`i 1► Permit� (1,-, Number: v Legal Description 00( A-6-I 7 S oX 1-,.Yr- --72-A �'c� J REEI I (o i( 113-0000 Oi- (.,y+- cCe Cep** �(Nkei g�' o,(- ,,:( Imo,Un„4- 6 -- t Valuation of Work(Replacemen osti 3 �J t�leated/Cooled SF N(A Non-Heated/Cooled vo/ 1 I ,..06,1/4)cl (• • Class of Work(Circle one): New Addition Alteratio epair ove D ool Window/Door • Use of existing/proposed structure(s)(Circle one): mercial Residential • 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 N (4 D cribe in detail the type of work to b erformed: or, u\j: t ( (o I Lc',01(-,,1' Gnk ,,,•,Ik .�-,..pr� r-ja.. ,c .S1YccT v4- `r) (ac (G4.'Pr.c ( S-E ie _ 1��'��; p� W <��-F'/ .t� 'r1-� C�ams " bC�c.,5 c� -tiro._ S P.c'fu�- S Fri"da ProctlJcAproval# for multiple products use product approval form Property Owner Information Name: ten &(065e f Address: 2 Q ( 6L��l--. �/Cr1G1 City �I Lel—AL 6j A.UL-� State eta Zip '37 Z 3 3 Phone ((7 04) y-72 -- ?6 Z E-MailIGS5{re , CQ - S ,Ce ÷. ,n,CImo- Owner or Ag�(If Agent, Power of Attorney or Agency Letter Required) Contractor Information r Name of Company: SC,-t------- Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail , Architect Name&Phone# Engineer's Name&Phone# 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 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. NOTICE: In addition to the requirements of this permit,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. 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 IJAY 1 RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IRTENDZ 00 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE a U z 2 RECORD! ,•UR NOTICE OF COMMENCEMENT. 2 o / Uw Uao z a C LIJ � 4 0 o (Signature of Owner or Agent) (Signature of ontractor) 0 Z CCZ (includigcontractor) 2--- 0 0 Q kle.;I and sworn to(or affi me,')b-for- me thisday of Signed and sworn to(or of' med)before me this 0 0 Q y�f to ,fir ,b A,r, .► by a —' 1:301uLu j.: (Signature of No afr CO ry) (Signature of Notary)j F- W Q W �rsonally Known OR 4k:er%; TONI GINDLESPERGER [ ]Personally Known OR w V N ¢ w [ ]Produced Identificatio ;*; u *1 EXPIREMY COMMISSION bFF924951 [ ]produced Identification Type of Identification: Type EXPIRES:October 6,2019 w W • 'icUndewri!ers Type of Identification: CC � t t ;/;, l' • "', CITY OF ATLANTIC BEACH � f 0 WNER / BUILDER AFFIDAVIT 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. AWC n(Ae__..- (c/1 Q 9 ) (4-72- 62-6 ADDRESS /')'I tP/1T L 'rZ a vl-- r C.-. ,32z_ .5 PHONE NUMBER le - 61.5..SC -- PRINT•/ C SI 'A URE DATE Before me this a day of PVC.) ,2LEJin the county of Duval,State of Florida,has.ersonally app: d herin by himself/herself and affirms that all statements and declar. . are true an.•.= urate. ith Nota Public at Large,Sta ,•o ty of GL--( 1. Personally Known • 1:1Produced Identification w " /4 TONT GINDLESPERGER —ii '�3 4b MY COMMISSION r FF 924351 Notary Signature: .�; '14.,-,,.6,1::„V-,11- �; EXPIRES:October6,2019 F:BLDG/Owner-Builder Affadavit;REVISED:4/16/2009 `� Bonded Thru Noiary Public Underwriters of ,r jL4 11 ;27 "b k ;t -`� . ........j r i 01 ,, 'tr. 3—e.)Q., '----9 1 .-t-' -) . u?';', ...4-1--t- -t,-). ‘.. t !I 4 T ""444.".'"H' n. i. � t - f 7 t t . ,.:,',...?:-.,-.,. :,-.:, _ P t 4- y .. a VI . 10A ....„ r 11411111.11.1111611t 444 a 7 fr w ti t. „Amoismiammoi „T • • ' . - i leG113 ill I1j-0-4 Cn) N l--).a* TT) S i C.) c Z s '. , \ It!, i \ 1 ' '..1 4*:-!t-;'',. .''''T,'''.,--;., t A r , y,� T I ,,,' , ',,,',,,'"...,Z11*,,'\ \' . .„ \ '', tr: . . Y $ :i.- 1 I' •y . ! 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