The URL can be used to link to this page

510 Orchid St Fence Submittal „,s ..''.'"%'�, Building Permit Application Updated 10/9/18 r ;ICity of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY � Ju'• IS REQUIRED. Phone: (904)/247-582y6,Email: Building-Dept@coab.us Job Address: -6/ 6" t%,lK `"�` ', --5tjee'71 / j Permit Number: Legal Description -370 dila/r(c 5`JKC"�y, if�Ib ��r^�lA,7'�a33 RE# J Valuation of Work(Replacement Cost)$ fieO /IRo,QG,1'Heated/Cooled SF Non-Heated • Class of Work: ❑New ❑Addition ❑Alterationp`air /❑Move ❑Demo ❑Pool ❑Window or • Use of existing/proposed structure(s): ❑Commercial )tesidential JUN 8 2021 • If an existing structure,is a fire sprinkler system installed?:/ _❑Yes BY: • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No Describe in detail the type of work to be performed: i re C\ c_e. Florida Product Approval# for multiple products use product approval form Property Q ner Information /�- Na e y ///0-47/6-04/ tAiir--11-11) Address �� vif� 't �'/�"yy`"`”1City Cxm 75C17 StateF- Zip >5 '3� Phone 'J ) fJ9 2- 7 1 00--- E-Mail ---1R.,:5/, r J ,-ii &i f)144//e C-f:/7 Owner or Agent(If Agent, Power of Attorney o Agency Letter Required) Pi frt C'ci tir'f.4., A--f'dl Contractor Information )7AVIS-1-7Deof Pe--/'CLQ Name of Company . ,W CPiz' 64r►' I erk' Qualifying Agent ,J Oil Address f/ } 5f r, r- fFjcC�ity��e�4Glt State Zip a2a fa Office Phone��b ' 'i L7 7"Ctii li'i'lv%ob Site Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer ORE pt❑ Expiration Date Application is hereby made to obtain a permit to do the work and installationindicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be perfjafined to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit mus`cbe secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CON9fl1ONERS,etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this propefty 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 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 RECORDINGS UR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) igned and sworn to(or affir`- b-fore me this day of I Signed and sworn to(or affirmed)before a this day of C 2C)-2 ,by A syM4. i' A00 (''r\ , , by 3r2tur= . rj Signature of Notary) �t'llY'" �4ril GINDLESPERGER / [ ]Personally Known OR .: ' :•. MYCOMMISSIba �USO,�331�Y8Kn i n OR [ ]Produced Identification ;»Po; EXPIRES:C�tdb�F� lS Ide 1 ification Type of Identification: r ''eO:L Bonded Thru NotaryTIV4444gpiikc•'ion: Owner Builder Affidavit **ALL INFORMATION 5 ' � HIGHLIGHTED IN �"_ 1\ City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 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. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.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-BUILDER PERMIT. Job Address: ..57b -0l� i/rGe,t�sl/�� Owner Name: f/r'!//u di ie w &* ) �/,/ Phone Number: (qô )q�o�"7a-o Mailing Address: �� ertd s Y City: 4 4 4 /7/ State: FL- Zip: 9d 133 Notarized Signature of Owner �� 12/1 The reg ing in rume(t was acknowledged before me this 17 day o __ — , 20 /n the State of Florida, County of Signature of Notary Publi _��. [ ] Personally Known OR [ ] Produced Identification Type of Identification: TONI GINDLESPERGER Updated 10/24/18 MY COMMISSION#GG 353178 :-,73:;;.7:15...T EXPIRES:October 6,2023 R t Bonded Thru Notary Public Underwriters Fence Addendum Updated 1/14/2021 )=),i City of Atlantic Beach Building Department `Ji3 �; ti 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address:,1 D�'/ s �� " 1 P Date: 0 (('// / Property Type: Lot Type/ Features: Residential "One Street frontage (interior lot) ❑ Commercial 0 More than one street frontage(corner lot,through lot, etc.) 0 Swimming Pool Fence Material: Fence Height (select all that apply): XWood 0 Four Foot (4ft) ❑ Chain Link >t<cix Foot(6ft) ❑ Vinyl 0 Other ❑ Block/Stone (Plan details required for footings and/or retaining walls) Q ❑ Other � ve,,, e i:tokt,,,,/ lde 4114- 1( Fence Location: Please submit an accurate and current boundary survey showing all existing improvements(including building footprint, driveway,swimming pool,etc.)and location of fence/wall and any gates. Plan details required for block wall footings and/or retaining walls and any portion or fencing above 6ft in height. Will the fence be built in an easement? ❑ Yes (must submit separate Revocable Encroachment Agreement) XNo Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal XIClo Conditions of Approval: • Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way. • All old fencing and debris must be removed from job site by contractor or homeowner. 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. o041 ei `' LOT 2 c, k. FOUND 1/2" IRON PIPE '47.00' FOUND J/2" 1RQN PIPE ^c)', NO IDENTIFICATION - 1 '4 • RLS #4144 ® a,r x rODEN _ CO(NJ yyygyyr� / i PO.-- C 24.5' o Ux J O ,c 0 A IF .....1 ....5 .,.. ..., Atom ... , , . .. . • . a . . /� 1 ../..../ , , .. ,i ,,i, .... • �„ ITetta It u_ LOTS ' "W . .:CC. 0 LOT 4 24.0. _444,!';t— o'(JQ�- _ _ J - CO /ry (� �/ �� Lit Y'' •gty.r: r \ "J 0 G_ ••. a4...s}i:}•r • 0 ^ s :FJ"`. � •s,`.,.t�l��y-1:h.,iiry.r4M'•:'. .t li' 7f ../..--- . . 1 .„...,,,,,,,,....1„....6,,,,,-,' •i°i 4rV ✓�LF i, t?w y :tCrtir:• CI' ia:!'.f Gi'w:l:'yL�.l :�{. (*:;;Z,r 4 26.0• s . e"t+;. 11.`>.':r.?s,r:h;:ie,' �./ I CO I{ 23.5' . 20.1` 01 R ® WOOD K :le 1 © 3 FOUND 1/2" IRON PIPE o•e• SET 1/2" IRON PIPE NO IDENTIFICATION 107.69 DURDEN LB #6696 O FOUND 1/2" IRON,P1PE O LB #3672 • N 0.4' SOUTH;0,.3' EAST co •• N l , ? LU' Cji ,.. -0 o� LOT 5 ci —1 o .J CO 6 c o0 a LOT 5 LOT 4 LOT 3 o` z m o LOT BLOCK 126 =>, BLOCK 126 BLOCK 126 z BLOCK a 00 55 zz z 100.00'Pio I4'CHAIN L. FENCEE1-5. 95 - Y- x x 1 xk_ j ATO UNE 5400' I 5600. Io rlr- f 010 ®"- 1 4.1w -- I i.1 ea+ I 0'.• O 1 1" •+CE j . . 4'YT K 10' tNg 01;1 raw 1S5' as.r r --. 00401 STONY FRAME O , ,• Fe",01a RESIDENCE #510 m �o, IIS,,,,,, 0, , I j 1 I co . o , x I 544• �.� 6.4; `:•*.+•. ecliC{liV4x .1 1 — -�-15.S• .i-- 1 -4 fz �; O _x.-_ ="' ft.•e .I I .1.� rllll , ariif II' .O ;..- (c-_.)) . ..3:".i<N,5- :' ',. ,! O d of 'i'rr'9;{: . d ( :.� .♦ Oti)mC'M z\ .: t5,+ r O % Obiz 1. •z 4) -0 /0) ti tin 11 rn •�6' .v 5-3O -11 �lJ' /� m /?/CF/7- Op_ Li, '°'?s. Wq �', 7-0--------.., dt,S : 0 0f to uer 1 •d