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1487 Begonia St FNCE19-0056 Replacement FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0056 800 SEMINOLE ROAD ISSUED: 5/21/2019 ATLANTIC BEACH. Fl.32233 EXPIRES: 11/17/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1487 BEGONIA ST FENCE WALL OR BARRIER FENCE replace 6-ft. fence section $100.00 TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1710810100 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: PONCE JANET M 1487 BEGONIA ST ATLANTIC BEACH FL 32233-1846 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. 1 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All mnff must remain on-site during construction. 2 PUBLIC WORKS ROLL OFF CONTAINER RMATIONAL Notes: Roil off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters, Phillips Containers,JDog/DennIs Junk Removal,All American Roll Off,WCA waste corporation). Container cannot be placed on City right-of-way. 3 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing must be removed from job site by Contractor. issued Date:5/21/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0056 ISSUED: 5/21/2019 800 SEMINOLE ROAD EXPIRES: 11/17/2019 ATLANTIC BEACH. FL 32233 DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT BUILDING PLAN CHECK 455 WOO 322 1001 0 $17.50 FETCE-- 455 0000-322-1000 0 $35.00 PW REVIEW BUILDING MOD OR ROW 001 MO-329 1004 0 �00 STATE DERR SURCHARGE 455 0000 208-07W G STATE DCATURCTARGE 455-0000 208-MM a :7192 :1 00 TOTAL 50 Issued Date: 5/21/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department) 800 Seminole Road Atlantic Beach,Florida 32233�5445 FAIC&Iq-004710 Phone(904)247�5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date muted: gl&21 1r, City web-site: hftp//�.coab us APPLICATION REVIEW AND TRACKING FORM Property Address: 14 11- UAM�1( :��nt review required Yes No Applicant: <23Ta�n Tree Administrator Project: ;--A(k Public Wor 6 L Public UtIliti3e. Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept of Environmental Protedion Forda Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: a rppr�ovlcl. E]Denied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:1�0�44=7 Date:2�_�7- ( TREEADMIN. Second Review: ElApproved as revised. E]Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:- FIRESERVICES Third Review: E]Approved as revised. [-]Denied. E]Not applicable Comments: Reviewed by: Date R.Is"ONIN2017 City of Atlantic Beach APPI-1111 ATION NUMBER Building Department (To be assigned by the Building Department) 800 Seminole Road Atlantic Beach, Flonda 32233-5445 Phone(904)247-5826 Fax(904)247-5845 Date muted: E-mail: building-dept@wab.us Cityweb-site: hftp://�.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: "Iment review re uired -'ie—S Applicant: 0 WA Tree Adm inistrator Project: LV Publi- cWo C.-POVI-C utilities.3 sttAi Public Safety Fire Services Review fee$_ Dept Signature Review or Other Agency Review or Permit Required Pt Date of Permit fled III Florida Dept of Environmental Protection Flonda Dept.of Transportation St.Johns River Water Management District Any Corps of Engineers Division of Hotels and Restaurants ivision of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ElApproved. ElDenled. ot applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: ate: 'S"ya -e7 TREE ADMIN. Second Revi PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRE SERVICES Third Review: []Approved as revised. ElDenied. ONot applicable Comments: Reviewed by: Date:— R.vim.d OW1912017 City of Atlantic Beach APPLICATICN LNUMBER Building Department (To be assigned by the Building Deparlunjent.) 800 Seminole Road FA/C&IIi-ODS10 Aflanfic Beach,Flonda 32233-5445 Phone(904)247-5826 Fax(904)247-5845 Date routed: E-mail: buildingdept@coalo.us Cityweb-site Intp/1�coalo.us APPLICATION REVIEW AND TRACKING FORM Property Address: WMI%1't D ant review required Yes No ufttffn-g--� Applicant: annina& L'4A Ad Tree Administrator Project: G( Pulokc-Wo Past-C UtilitieD Public Safety Fire Services X7 Review fee $_ Dept Signature I I I .- I." ."'' Review or a ' Date Other Agency Review or Permit Required ofPermit fiediBly Florida Dept.of Environmental Protection Florida Dept.of Transportation .Johns River Water Management District _�rmy Corp._&Ergm.e. Division of Hotels and Restaurants ivision of AlcoholiC Beverages a obacco APP ION STATUS Reviewing Department First Review: V(Approved. ElDenied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b Date:, TREE ADMIN. Second Review: ElApproved as revised. ElDended. E]Not applicable 6 PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:- FIRE SERVICES Third Review: E]Approved as revised. []Denied. E]Not applicable Comments: Reviewed by: Date:- Revised OW1912017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 FAIC&I'lt-00SIO Phone(904)247-5826 Fax(904)247-5845 Date routed: Is- E-mail: building-dept@coab.us —//.I lei Cityweb-site httplt�Coab,us APPLICATION REVIEW AND TRACKING FORM Property Address: Woq�a Sf it review re uIre YevrNol Applicant: 0 WA.J4 Tree Administrator Project: Public Works Public Safety R-re—Sewices Review fee Dept Signature Other Agency Review or Permit Required Review Date of Pe.it=PBY londa Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water ManagemeWt District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco other A ION STATUS Reviewing Department First Review: Approved. ElDenied. E]Not applicable (Circle one.) Comments: C:B:U:1LDlNjb PLANNING&ZONING Reviewed by:— Y?l Date: S'-16-19 TREE ADMIN. Second Review: E]Approved as revised. []Denied. U [-]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRE SERVICES Third Review: E]Approved as revised. ElDenied. [-]Not applicable Comments: Reviewed by: Date:— Revised 05/1912017 JOBCOPY "ALL INFORMATION owner Builder Affidavit HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept0coab.us PERMIT#: r1V4C19—L9 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. 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 15 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 BY STATE LAW AND BY COUNTY OR MUNICIPAL LIEEMSEINEG102REDR!NEAANftCEEUS.L I _�_i 11. INJURY LIABILITY,SINCE 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$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(l). AN -OCCUPATIONAL LICENSE-IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT(MCOAB.US)IF IN DOUBT. V. ACKNOWLEDGEMENT, I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDFR PERMIT. JobAddress: 119�� d 0A7)k PTI-- 604 , F-1 - 3 ?-P-33 Owner Name: jantt P004 o-e Phone Number: 'go MailingAddress: AR,7. City: 6 C14. State: Zip: 2:9 Notarized Signature of owner Lj A � rhe foregoing instrument was acknowledged before me this__V_day of 944 20_tjin the State of Florida, County 3f JENNIFERJOHNS nature of Notary Publ 'ON MY COMMISSION N ON-21184 �IRES:Cdober 21, 1�roclu PdIXdentfcat,1:1 112 [ Personally Known OR'ICW ,16, �d�,N.tpy Nbk Uld��.. Type of Identification: (�I— &-,VaS tZL4A&X- Updated 10124118 nUpdated 10i ,!Permit Application CTUy io f A tic Beach Building Department '*ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY -Uo aid Phone: (904) 247-5826 Email: Building-Dept0coall.us IS REQUIRED. Job Address: N 3 7 -666olJfA )9T7-6tJ4-. _Permit Number: Fli 001�. Legal Description !9iNI6Lj-7 fi'iAfL11' RE# Valuation of Work(Replacement Cost)$ 100 Heated/Cooled SF L • ClassofWork: EINew DAddition 0Alter Do • Use of existing/proposed structure(s): OCommerclal %Residential M A-Y7 -762�OV ation Repair OMove ODemo 04 Find! • If an existing structure,is a fire sprinkler system installed?: ClYes 00 ova 0 • Will treekl be removed in association with Droposed Pro ect? 11Yes fmust submit separate Tree Re, -it Describe In detail the type of work to keperformed: PeptA-.6 Fcr4cc /A,A /S - .. 4'f-1- )WI -- - I Florida Product Approval#_for multiple products use product approval form PropertyO nerinformation Name 74a,11 'et 1`6 A cf— Address IVY7 5 Citya � oc lt3te,��—Zip 3,>2---L3 Phone '�f6fl-f,,Xff -5 -M � J_ , E I!� ly zirm� " Owner at Agent(if Agent,Power of Attorney or Age V Letter Required)_ Contractor Information Name of Company lk Qualifying Agent Address r City State—Zip Office Phone Job Site Contact Number State Certification/Registration# E-Mall Architect Name&Phone It Engineer's Name&Phone# Workers Compensation Insurer ORExempto ExpiratianDate_ 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 regulating 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,them maybe additional restrictions applicable to this property that maybe found In the public records of this county,and there maybe 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 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 RECORDIN=fIq OF COMMENCEMENT. ik� iSignature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or affirmed)before in this_t&_dayof Signed and sworn to(or affirmed)before me this_day of A 011"I.by 'J on, by J�NIFERJOH (Signature of Notary) ore of Notary) MyWM1ASS10N#GG0i29ra EXPIRES:Odotai ]Personally Known OR 6.�ftod.ced dartiftation I Produced Identification Type of Identification: J�L Aiiiii, %;LtAae_ Type of Identification: MAP SHOWING BOUNDARY SURVEY OF LOTS 1 4( 2, BLOCK 251, "SECTION -h- ATLANTIC BEACH! ACCORDING TO THE PLAT THEREOF AS RECORDED IN Pa. la, PAGE 34, OF THE CURRENT MAXIC RECORDS OF DUVAL COLWTY FLORIDA 0 10 20 30 4D NOTES, LES SCALE--I'.M' P"FIELD WE0SRT=SHED JAI ThE FIELD. RCH 15, 1995, L E V y R, 50' R'1W ARM LW A, 0A D FftW D R T R 0 A D ) 10258 COAF. a4 Q� L 0 7 0.1 9505104� P�x W, 35.20 WAS Q PAM -0 A p WALK 4.0 lb Co ft -k �9, WSJ P" L 0 T - .00 LM AS 10 /01.80 Comp. 3.3 Callm: PAD cr, LOT 3 ct, 950167-�/94 Co. I 0,�0"` O�A _ _ p 04-POINT w w6INNING 777=7,7. M-P.GWO p C,ZNT Of CGRVATURE �S.-REGIST Cow-COWNTTED RAD_Ru� ESNT,EAS ,_Po'ff- - ERED LAW"MOR T-TANGENT R-TA.H. DAL-WILDING RESTRICTION LINE PT P I MKI L 0�L"JEGfE WS""E'S L ARC LENGTH -DELTA A.,,E F�l-FLOOR ZANE AT OF TA I&Q�INT W REVERSE CuXVE O.R DRus V.LOWE I & p R I , GAGS lc_pOINT OF .0NPGLKD CURVE 0I`F:,C:AL REC A KA-ALSS KNOWN AS EXIST-EXISTING I-_ INTERS AL... W_R G"T_IX`_WAy A PROX-A A OXINNATE E ARAL SIAN NENT Do_=BOOK ROF `R.SEO ON N` 'A. ,_RGINT OF INTERSECT I SD-CHORD W.R.,DISTANCE AS SOON N/F-NOW OR FGAWRLY R �11_-CE.TERLINE AVE, VEGAUE RD,NOA, p QP.-PERNAM=T,8&POIT �-F,GRJ N,_&OCX �l IP NA_,MM PLEV.-FINHIGH�LGQR El EVIT12� ST,�TREET CT-CMRT PAIM-PERRIARENT 0 &W SCRALEVARD 6855�8 WItS(]W 8CRkEVAW, JACKS�ILLE. RM– OONEY & SONS P.O. WK6957. GICKSCINVILLE Ft�j" J2ZS,_,,37 TEL.-W41-772-070Z FAXIWI,-1904�77t-9006 I HEREBY CERTIFY TO 114RIVIESTAMTGASEAW, INC. — GOWWW""M LAND "' 'M-CNAT THIS SURVEY IS A TRUE AND CORRECT REPRESENTATION OF LANDS DESCRIBED IN THE I MOVE CAPTION; THAT THIS SURVEY PROPERLY AND ACCURATELY INDICATES THE LOCATION OF ALL IMINOVEMENTS ON T ' I , I SAID PROPERTY: THAT THIS SURVEY WAS PREPARED UNDER MY DIRECT SUPERMSION, AND THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH By THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS, IN CHAPTER GIG17-6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472-027 FLORIDA STATUTES. - � Wl�� X S S OW RE—ON —LIES—WITHIN'FLC TH REBY *iFTY THAT THE—ABOVE LOT SHOWN HE bgf RATE MAP 12007.mL�001D )OD HAZARD AREA ZONE x AS SHOWN ON FLOOD INSURANCE ?/ COUNTY, DATE 4,lil_19ft 0_1ROW'In 11p, GRAGSID,, * A -10 CHAINE'Alf� GET WXX - .�.O WOOD FENCE AVAIRRESSET WTID�Rra a 25MV01,17 Z -SENI,Tr�sEr a- �-AO WIAF FENCJF OTC 3-Z--,S NEW- CSIGGA MIL I DIM AE�GEMENM WW GAS`HIRAI A_� NED 1�_U...... 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