1841 ATLANTIC BEACH DR RFNC25-0050 oriLBuilding Permit Application Updated 10/9/18
City of Atlantic Beach Building Department •*ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IIsREQUI/REEDD.�
Job Address: () -1 I Ai L of c pLeach br . Q Permit Number: 1\tN`1Z 5 - Ob-DC)
Legal Description 14- ) 32 (..13-2S- 2/E . 1'52�k/ t}n'11CY*J h Cl DL ye RE# f(Y- I3
Valuation of Work(Replacement Cost)S /A111I� • I' Heated/Cooled SF Non-Heated/Cooled
• Class of Work: tNew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo [Wool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ILliesidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) (S(No
Describe in detail the type of work to be performed:
Irao,A1 1561 ok L\1 lo\ °SIC a.l vo\. n vto'1 kU(1(,. /'
Florida Product Approval# for multiple products use product approval form
Property Owner Information //1�11]]2,�,__
Name C Z-I F r zeZ i - , Address 16-11 f l-(, IIhC -
City M/ 1 .4 h state j=l Zip 32233 Phone 21(0-7yy-34-04&
E-Mail r l , di` G 1l Uri
Owner or A•-nt(If Agent, Power of Att ey or Agency Letter Required)
Contractor Information
Name of Company Best Fence and Rail of Florida, LLC Qualifying Agent Kiernan Baron
Address 7380 Philips Hwy City Jacksonville State Fl Zip 32256
Office Phone 904-268-1638 Job Site Contact Number
State Certification/Registration# N/A E-Mail rubyBbestfencejax.net
Architect Name&Phone# N/A
Engineer's Name& Phone# N/A
Workers Compensation Insurer On File OR Exempt 0 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 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,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 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 Y R NOT E OF COMMENCEMENT. .
�1h
( ,:nature of Owner or Agent) (Sig t e of Contractor)
S',ned a d sworn to or .ffir )before me his : day of Sig d an sworn to(oraff)rmed)before n
-- - , rZ k. z Glc / /( . 2c , u , 1 Jol(mr.ly _
;p , �,
• ` ` -., DEBORAH WERL N e r7f�G.1/:1I/,VPIANW r �' - OPP '
—;o MY COMMISSION#HH 422 r Signature of Notary), — - — ——-�-— (Signature of Nati
• ..r, ...‘T,
EXPIRES:November 17.2027
.„,:?b.,. :,.,-q,,,-.-- 1 Public Suite of Florl�e
1 . . Notaryish A Peacock 5
gsonally Known OR 1 ,,I,i. MX • pl3tgti�K1* tMduced Identificati 1 �Flautim
cgtl� ication
Type of Identification: ype o .ent''ca : - Cb L.,. , INF
Fence Addendum Updated1/14/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
1 Job Address: Date:
\ I-\ \ P\-\-\an-h0 ‘AC661 br. y . u . 2025
Property Type: Lot Type/ Features:
Kiesidential One Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage (corner lot,through lot,
etc.)
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
❑ Wood I� Four Foot(4ft)
❑ Chain Link ❑\Six Foot(6ft)
❑ Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
' Other WMIWYL_
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)
❑ No
Will tree(s) be removed in association with proposed project?
❑ Yes(must submit separate Tree Removal Permit)
No
Co ditions 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.
3/10/25, 2:31 PM Mall-lish Peacock-Outlook
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