1811 ATLANTIC BEACH DR RFNC24-0125 Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
ROBERT & BHAVNA
POLLOCK ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
SUPERIOR FENCE AND RAIL
OF NFL 5470 HIGHWAY AVE JACKSONVILLE FL 32254
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169505 1510 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1811 ATLANTIC BEACH DR RESIDENTIAL FENCE ONE
STREET FRONTAGE Aluminum 4ft Fence $4900.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $35.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 10/30/2024
PERMIT NUMBER
RFNC24-0125
ISSUED: 10/30/2024
EXPIRES: 4/28/2025
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FOR INTERNAL OFFICE USE ONLY
C BUILDING PERMIT APPLICATION
C City of Atlantic Beach Building Department PERMIT#
ALL Information required to process
800 Seminole Road, Atlantic Beach, FL 32233
L\--
ALL
Phone: (904) 247-5826 Email: B"'tHln eptPcoab.us C9505– :L__ S_----
Job Address 1$U ASI ,'G C • r
RE#
Legal Description C7 — 05— 5-1 E a Zvu
Heated/Cooled SF Non-Heated/Cooled SF -__
Valuation of Work(Replacement Cost) 4`
pool Window/Door
Class of Work: L/New Addition DAlteration Repair Move Demo
Yes No
Use of existing/proposed structure(s): Commercial Residential •If existingiisgbm
acture, is a fire sprinkler
separate Tree Removal Pstemi
I st
No .
Will tree(s)be removed in association with proposed project? 0 Yes (Must
Describe in detail the type of work to be performed:
114"ll:>3 i ni llac alumiriven co 4-4
Florida Product Approval#
For multiple products use r•! . t
37 q y
Property Owner information Name [L(, 1 'Po loc ii Phone qo1l 3y =—
II State Zip 32233
Address I Sig .444,n-il , ch DyA'City '9Yjf;rr ee
Email 14.1aV hu nQ ,00n,cVS'P.he Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Name of Company w re.w .. w Rag Phone
g/O{ 3'C3
Contractor Information
1 T l
Sy 70 1 L A City .j c4Nswv:
State Fl Zip szzsti
I Address five
6 / State Certification/Registration# GS>.59
Qualifying Agent girl/Vas"
inEmail1c esici1
t
G G'W i nv. . Gu* Job Site Contact Number 90/ 6 2 C3 y 7
st_ OR Exempt 0 Expiration Date 0 ( –Z •S
Worker's Compensation Insurer 6 p ywS Yktiu'1D''/
Architect's Name
Email
Phone
Engineer's Name
Email
Phone
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetthestandardsofallthelawsregulatingconstructioninthisjurisdiction. 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 inthepublicrecordsofthiscity/county, and there may be additional permits required from other governmental entities such as watermanagementdistricts,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 YOU PAYING TWICE FOR IMPROVEMENTSO TOF THEMPROV MENT BEFORE THE FIRST
YOUR IENT
MUST BE RECORDED AND POSTED ON TH
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE 0 COMMS .EM T.
Signature of Owner or Agent)ignature of Contractor)
gned and sworn to(or affirmed)before me this 2.. day of Signed and sworn to(or affirmed)before me this 2. 511< day of
4-7\ V l O I ^
V,, b Z o-
14f1/
r•r `. Q- I.k.-rr
o u r 2.1Q 2a byr _
nature of Notary Signature of Notary I Ar
Personally Kn- n OR [ Produced Identification Personally Known OR [L1oduc' Identification
pe of Identification: -(-
2-L;21 Type of Identification •..I •'it # AIMM,,eRlit e."s
Notary Public,State Of Florida1NotaryPublicStarcifyi.r:da
Andrew Corey Commission No.HH 437370
4 oto.inll.u. My Commission HH 363426 7..r/ My Commission Expires:812312027_
Expires 2/16/2027
Updated 03/07/1014
t -' ,
Fence Addendum
r
City of Atlantic Beach Building Departmen
PERMIT #800 Seminole Road, Atlantic Beach, FL 32233
211.0
Phone: (904) 247-5826 Email: Building-Dept@coab.us C U-
Date:
Job Address:
III( 1 +, 'G & aCiN Dr 210is'
I
Features:
Property Type:
Lot Type/
One Street frontage (interior lot)
Residential More than one street frontage (corner lot,through lot,
Commercial
etc.)
Swimming Pool
Fence Material:
Fence Height (select all that apply):
Wood
Four Foot (4ft)
Chain Link
Six Foot(6ft)
Vinyl
Other
Block/Stone (Plan details required for footings and/or
ret fining walls)
VOther Alvrk:nw1
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/c
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)
Et/No
Will tree(s) be removed in association with proposed project?
Yes (must submit separate Tree Removal Permit)
gNo
Conditions of Approval:
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.
oaor r",t.a-- SURA Ids i wtITTO uLStifirs
ta~w or wryn •so+sn.ol: 2 kir Dela c mac_.._ c
BEARING REFERENCE: i`II
NORTH UNE OF SUBJECT LOT AS N ST'IffU•E at :'
C • All BEARINGS 5HOV1'1 HEREON REFERENCED 1101E10. N•) motif ;,`•k ,%i
f, 4'H Black 300 Sterling Aluminum F ft ' ',.• . e .
s 4'H Black 300 Sterling Aluminum Gate r 1. - i-46
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