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386 2nd St fence permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 FENCE PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 305 INFORMATION: Job ID: 17-FNCE-3133 Job Type: FENCE PERMIT Description: 6' FENCE Estimated Value: $6,729.00 Issue Date: 2/13/2017 Expiration Date: 8/12/2017 PROPERTY ADDRESS: Address: 386 2ND ST RE Number: 169793-0000 PROPERTY OWNER: Name: Sklenicka, Laura Address: 386 2Nd ST GENERAL CONTRACTOR INFORMATION: Name: SUPERIOR FENCE AND RAIL OF NFL , N/A Address: 5470 HIGHWAY AVE Phone: 904-382-2221 PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site during construction. Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling, Shapell's Inc.). Container cannot be placed on City right-of-way. Full right-of-way restoration, including sod,is required. All old fencing must be removed from job site by Contractor. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CTTV OF ATIAATIC BEAM ORDINANCES AND THE FLORIDA BUILDING CODES. * City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fox(904)247-5845 � o E-mail: building-dept@coatims City web-site: hftp:/Awww.coa1b.us APPLICATION REVIEW AND TRACKING FORM Property Address: Sa(e I Depa ent review re uIred Yes No Applicant: R nIng &Zonm Project: me tor FE�-3ce ublic Wo lic Utilities Public Safety es Fire Servic FT ReViewfee $--Dept Si nature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B -Florida Dept-of Environmental Protectiow— Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineems Division of Hotels and Restaurants Division of Alcoholic Beverages and Tabs= Other: APPLICATION STATUS rReviewing Department First Review: N?fApproved. [-]Denied. (Circle one.) Comments: -fa BUILDING I UiL PLANNING&ZONING Reviewed by:: Date: TREEADMIN. Second Review: EIAPProved as revised. E]De d, PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date, FIRE SERVICES Third Review: ElApproved as revised. oDenied. Comments: Reviewed by: Date:_ Revised 05114tO9 City of Atlantic Beach Building Department 800 Seminole Road Aflanfic Beach, Florida 32233-5445 Phone(904)247-5826 - Fa�(904)247-5845 E-mail: building-dept@wab.us City web-site: httP.*www.coab.us JAN 3 u APPLICATION REVI KING FORM Property Address: Ss& 'z Department review re uIred Yes No ��Ufldmq_,) Applicant: QL&)k3,ic_-P _. - ning &Zonin Project: ZL /I — ree na or -4 � 651 1--ENOCE ublic We lie Utilities Public Safety Fire Services WM :Rev'ew fee $ Dept Ir - _ - _� -. Other Agency Review or Permit Required Review or Receipt ate of Permit Verified B Florida Dept,of Environmental Protection- Florida 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: Eg/Approved. DDenied. (Circle one.) Comments: C BUILDING 3 men, F Co rs m- Re a vw n A re e d led rPLANNING &ZONING vie ad by Date: TREEADMIN. Second Review: DApproved as revised. ElDemed. W Comments: B BLI C I UETUTI3TES PUBLIC SAFE9 Reviewed by: Date:— FIRE SERVICES Third Review: ElApproved as revised. ElDenled. Comments: Reviewed by: Date:— Revised 05114109 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax 1904)247,5a45 E-mail: building-dept@mab.us Citywelb-site: hftp-1hvmmcoa1b.us APPLICATION REVIEW AND TRACKING FORM Property Address: Sa 61 De artment review reoulred Yes No P ino WildlnR2 Applicant: L&2 ming&Zonm Project: 4 ree tor FE-toe� ublic Wor lic,Utilities Public Safety Fire WSewices Review fee D pf S!gnature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified IS 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: kApproved. E]Denied. ev' W' g "partons ((Circle one.) Comments: C'cl-0 B U UILDING B IL ZO PLANNING a ZONING Reviewed by:'&----' Data-V?k�rf pp TREEADMIN. Second Review: EDApproved as revised. DiDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by Date:- FIRE SERVICES Third Review: EIAPProved as revised. ElDenled. Comments: Reviewed by: Date:- Revised OW14109 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 i_7- EMQ&- �3133 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: J Cityweb-site: http:#�.coalous APPLICATION REVIEW AND TRACKING FORM Property Address: Sa(' -z s" Department review reguired Yes No ;Auildinc-), Applicant: OL&Dt'Dc-l? V�ning &Zoniq f Tre-e7MMTM9 nmor Project: FENDcF- L�ubhc WorRb '2011c Ufihtku;� 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: D?rPP-1ved. E]Denied. (Circle one.) Comments: LDINW PLANNING&ZONING Reviewed by:— Date:i::_�/7 TREEADMIN. Second Review: E]Approved as revised. E]Denied. PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: —Date: FIRE SERVICES Third Review: ElApproved as revised. DDenied. Comments: Reviewed by: —Date: Revised 06/14109 BUILDING PERmrr APPLICATION OFFICE COPY CITY oF ATLANTIc BEAcH SW Seminole Road,Atlantic Beach,FL 32233 I1111111111111111111111==1247 592=6 I/F (904)247-5945 Jill; YAUQ4WAWAWAUA9Q jig JobAddress: 32/0 2wb Sr Permit Number: Legal Descriptim QAIedAwillz kles)"Or'17ce p�i# r loor Area of Sq.Ft �nq�,MF th Valuation of Work$ 7�, Proposed Work beated/coolled eated/coolled Class of Work(circle om,)�,.�mjiaidition Alteration Repair Move Demolition pool/spa �mdowldoirr Use of existing/prorosed structure(s)�ircic one): Commercial Residential Han existing struc lure,is a fire sprot er system installed?(Circle one): Yes No (�N:/:A:) Florida Product Approval 4-_ For multiple products use pr�swt approval form Describe m detail the type of wo&ta be pefformed, 6 ' 7,411' e'VC0�h lsfd-Ke- r enoe? 7ro eePI-Rent CiUrrenZ Chl?/Al I W IN &JK-e- rAir cX J?6(v Property 0onser Informistlew Name z6--/V/C,<Jq e-AVIZI, Ad&=. 8,6 2 A10 --f E-Mail crrFax�#(Optional) 4e��t Com Contractor ftformation: Company Nama:S-i�-QOR J"t"r"All,/&r_dt A//Z QmhfZft Agent: _Z1" 1"C1704- Address: City,3A,- ,<S�Wvda&- State t-4- Zipf�44�jO !lJobSit�e1ConWNumbcr —Fax# state Certificanomirgegistration 0 Amhitect Name&Phone fi Engineer's Name&Phone# Fee Simple Title RoklerNameand Address ?4V 1 Bonding Company Name and Address Mortgage Leader Name and Address Application is heri�by made to obtain apemil to do dise work and instigations as indicated fewrt6th�ww�*��IdLWmbwe�edp�wtothr issu�e%ape,rmitandthwallw�kwdl&p,4� 4rmdfo nima the standwals ofall Laws regalahmil conshocrim in dusjuisdartion, .f andvoid workwnoic==,r Is & "161 d ,;�LboVag -a oirsup,sa,,kk%W;.e g,%f si, work is cstmnced I Lf,be T,a*ksandA1rCona1d;,anng,� WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR DIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y6M NOTICE OF CONIWNCEMIENT. lhem�certify that I have mad and examined this ication and know the save,to be fte and correct. Allprovisions oflaws,and oixibiancesgoverning this qpe p wark will be coin ird plied with whether erect ed sector o, at. The grambill avra pecoo,does not pmn,,ne to saw,audiaray to sailase,o,cancel the an Smiature of Signature of PrintNaruc Printloarne 2.44-11 Sworn,to and an beibreffle Swom to g nd subs�mbed before dds13 Dayof 1%,Q," IMP P go n 4 " y .201 MOMFLUSC11110MI OM= Nol 7P(d!3[i, 1"wl�zl �AIESSepaitrtxeil,Mol V=�. ,a Revisc,101.26.10 NOTICE OF COMMENCEMENT OFFICE COPY State of flaciJ,, Cousnyof —DOU�� Tax Folio No. I co 9 7 93—0 C)L)o To Whom It May Coticem: The undersigned hereby informs You that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE Legal Description of property being improved: fe,"P P, e c- Address olproperty being improved: 39(g 7,-" SA LL 32z-<,� General descriptionof improvements: we ::a interest in site of the improvement: Fee Siznplentleholda(ifotbuthmo�er): Name: Contractor: SUPWIC ��Wiq Address: Telephone No.: Fax:No: Surety(if-Y) Address; Amount of Bond Telephone No: Fax No: Name and address of my person making a loan for the construction of the improvements Name: Address: Phone No: Poor No: Name of person within the State of Florida,other than himself, designated by owner upon whom tintless or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Omer's option) Name: Address: Telephone No: Fax:No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): TBIS SPACE FOR RECORDER'S USE ONLY OWNER Si Dato: / 3b /7 B Zor cly�cf �. o,;nty 61 eeeee� ()fPlorida,has personally appeared =c TON,GloleSIEF10"a 'Ole'SIE10"a isY Co 1 0 # 4951 Personally Known: 0 T 92 ION# Mu 0, Co ES.OcIrbu 6,X19 Produced Identifica r,_ ?fEX Notary Public:_ Dw#2017022180.ORBK17859 Pa9e1274. Mycominissionexpires: Hurnbet Pages:I R�rcled 01)3W2017 at 11:29 AM, Ronnie Fusse'll CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 OFFICE COPY CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT 1. FLORIDA STATUTE& CHAPTER 489. FLORIDA STATUTES, PART I 'CONSTRUCTION I F CONTRACTING�REQUIR�S OWNER/BUILDER TO ACKNOWLEDGE THE LAW. DISCLOSURE STATEMENT FOR SECTION 499,103(7),FLORIDA STATUTE$: STATE LAW REQUIRES CONSTRUCTION TO BE 1011 BY LICENSED CONIRACIORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO IHAT LAW. THE EXEMPTION ALLOWS YOU.AS THE OWNER OF YOUR pRoppRTYTC,ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUS )OR IMPROVE A ONE-OR U MAY ALSO BUILD OR OR LESS. THE BUILDIND UILT FOR SALE OR LEASE RSELF WITHIN ONE YEA Z UME THAI YOU BUJLIJ� I MPTION. YOU MAY NOT CONSTRUCTION MUSI Y G REGULATIONS. 11 IS CLEAL LICENSING 11. INJURY LIABILITY; SINCE NERS MAY QtNE-_ _2E LIABLE FOR INJURIES TO WORKERS THEY HIRE THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE B� PURCHASED. Ill. IRS VRTHHOLDING; 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 CIBCUMSIANCES,�����R FLORIDA STATUTE NO. 455-228(1). AN'OCCUPATION L LICENSE'IS NOT ADEQUATE, THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPUTENCY� 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. A a 6 Pl-ii'�BER 14, In"1 d. 20 I.SWWdR�,has N�q PuUk.t La,e,SWW 0 F6r�1� �,d — - "GINUL, F MY commssK 201, 4S n. .ldnA�nl N 83042'00" E 65.00' (R) N 8Y42-00- E 60,.80' (M) EDGE OF PAVEMENT. l/r .89' (R) 0&4p,,PE WALL CORNER PIPE I .1110NUNE BEARING REFERE' u WALL CORNER [ 94 (CM) .70' (M) NE� ONUNE% u u 7- I.S Off 0.7' CONC Ov me. 0.8-1 BLOCK WALL TYPICAL 27 -cok LOT 04 CONr WALK a PLANTM CONQ )T 32 Wool) BRICK FE HERE 7 X- 12-0 1 STORY E FRAME & MASONRY BLOCK NO.386 6 AC In LOT PAD 17.1' b 12.1' WALL 1/2' in PXNERS ii 40 IRON a4ulqE 0 PIPE G.'r -co X— I A RS CD, RETAINNING WALL W/ 1.0` WOOD CAP 31 V-) x x kf) IRON PIPE o.s. "m"PIPE CX;L2'_ 7. X—X—X— I E O.V 83-#W IN 65.21' (IM) o I' Ow IRCH,PIPE S 83*42'00" W 65-00' (R)