452 Osprey Key RFNC21-0117 6 Ft FenceOWNER:ADDRESS:CITY:STATE:ZIP:
HUTCHINSON DEBORAH
CASIMO 452 OSPREY KY ATLANTIC BEACH FL 32233-4367
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172027 5092 SELVA LAKES
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
452 OSPREY KY RESIDENTIAL FENCE ONE
STREET FRONTAGE 6-ft. fence $500.00
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 1Issued Date: 9/21/2021
PERMIT NUMBER
RFNC21-0117
ISSUED: 9/21/2021
EXPIRES: 3/20/2022
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
Building Permit Application Updated 10/9/18
j-,I City of Atlantic Beach Building Department ALL INFORMATION
75
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
woo/ IS REQUIRED.
Phone://(904) 247-5826 Email: Building-Dept@coab.us/
Job Address: 5: 0 4 F/ 5ZZ3{'ermit Number:
Leal Descri tion 5 / CC- l[ ltioj
r//
it E# / -1o,07 - U
Valuation of Work(Replacement Cost) $ 5-00 Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition DAlteration DRepair DMove Demo DPool Window/Door
Use of existing/proposed structure(s): Commercial DResidential
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) No
Describe in detail the type of work to be performed: /
ri 5a i(G"6 G'/lce l/oh_i
Florida Product Approval# for multiple products use product approval form
Property Owner Informati•n ,/ ,,
1 p
Name 7e ,(J ' U"///J/ -Address "r-ra!/f/'(
City ' a- ' , /' / State l-i Zip 3Zz33 Phone 9o$)33-2-053x-
E-Mail JI h v C/(//iio 1')/, //w) D cif /ooJ , . n
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information O(/k w 73 ( , i-- ,/ //1_ e G a
Name of Company
r
Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempt o 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 OB AIN FIN a NCING, C SU / TH YOUR LENDER OR AN ATTORNEY BEFORE
RECO ' Y i R NOT{
S' nature o O n1)
7f0a7ENT.•
gent) Signature of Contractor)
igned and sworn to(or affirmed) before me thi
C
day of Signed and sworn to(or affirmed) before me this day of
S.x-01 'C3 l , by Cl CO4th knS .e1 by
i JENNIFER J• • •• Signature of Notary)
f.: '•' ,,• MY COMMISSION II HH 057579(S atu • of Notary)
7 • EXPIRES:October 27,2024"%
r•Rr F1.?P: Bonded Tl_.Notary Public Under*fte s
1
Bonded 1'.0..v.a.1
r reiSun I d,11,1,„SR" r ." Personally Known OR
Produced Identification
S,
Produced Identification
Type of Identification:n, It{,Q H S 1`La-6 Type of Identification:
c A, Owner Builder Affidavit ALL INFORMATION
oiL\
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
uj 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 I
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 /HE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address:5 1
or, /
Phone Number: ( 0 1G. "013_Owner Name: igyJ 1
Mailing Address: S-A V ii. . .
IJ ,!? City: it /4i/LII 6 / 41 State: Zip: 1-7i5)
Notarized Signature of Owner nifrivu/g 1
The foregoing instrument was acknowled: • before me this
C\, "
day of Ctc-V_2051, in the State of Florida, County
of i,1. v' L \
11.111SignatureofNotaryPublic
11.111
JENNIFER JOHNSTONc`•"•"•r Personally Known OR [0 Produced Identificationt;.:
a' MY COMMISSION#HH 0$7579 Qe%
fOift
PRES.October 27,2024 Type of Identification: P , v'(t tJ.-- 3 ``LL t 3-
Bonded TTS Notary Public Underwriters
Updated 10/24/18
5-Fence Addendum Updatedl/14/2021
i City of Atlantic Beach Building Department
i 800 Seminole Road, Atlantic Beach, FL 32233
u;;, PERMIT #
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address:ji- i 4)Date: Serim ibw c)?0 02/
Prop y Type: Lot Type/ Features:
esidential 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 Four F t (4ft)
Ch Link ix Foot (6ft)
Vinyl Other
Block/Stone (Plan details required for footings and/or
retaining walls)
Other
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 "St submit separate Revocable Encroachment Agreement)
QYNo
Will tree(s) be removed in association with proposed project?
Yes ust submit separate Tree Removal Permit)
0
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.
N MAP SHOWING BOUNDARY SURVEY OF:
LOT 45, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 Sc 55A OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
f LOT 43
RESIDENCE #447
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TYPE OF FACE:
Wood: ErnWool:
Alum:
Chain Link:
STYLE'
Board on Board: 0
Stockade ri
Shadow Box
Por t,k, la' Horizontal
Picket: .
I?' W V' S1
MGM":
4',6',8': %I
Custom Height:
GATE;
Size(4',5',etc):
Arched: —
Flat Top:
Swing in/out:
Pool Code:
Make all checks payable to COAST TO COAST FENCE Turel Uutii Customer Signature
43%additional charge for credit card purchases
15%non-refundable deposit required pnor to booking all projects
Any changes atter start of project will incur additional labor fees•material cost G iic&gccd
This company is not liable for irrigation or damages incurred for failure to disclose irrigation
locationAllproposed project dates are subject to weather conditions Proposed bite of Installation
Revision Request/Correction to Comments ALL INFORMATION
s HIGHLIGHTED IN
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"<,I \`,`,_.., - _'
n Revision to Issued Permit OR Corrections to Comm-ntsDate: h/ X/
Project Address: cJ l/ J y
Contractor/Contact Name: IZ -- 17/7 7
1
I /77/—
Contact Phone: 96;57-
4 ?"-- , ,) Email:Oh,&,/-Ut/ A / -'
7L-7o (. (//-'
Description of Proposed Revision/Corrections:
Ad 6 c IVIV—el /
1
7-1C,, 7 ,_/ ,__ y2_._-
I p, / 77W744affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
Will posed revision/corrections add additional square footage to original submittal?
o Yes (additional s.f.to be added:
Will pr osed revision/corrections add additional increase in building value to original submittal?
o *yes (additional increase in building val - $ C. tr. or must sign if increase in valuation)
Signature of Contractor/Agent:ff,`i /,/
Office Use Only)
Approved Denied LI Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
N MAP SHOWING BOUNDARY SURVEY OF:
LOT 45, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 & 55A OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
II LOT 43
RESIDENCE #447
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RESIDENCE #444 RESIDENCE #440
DEBORAH NUT CHINSON
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5. I hereby certify that this survey meets the
C4p I minimum technical standards as set forth by
A
DURDEN I the Florida Board of Land Surveyors,pursuant to
or0-%G.
s PROPERTY LIES FLOODa0001 x•,t0 ELEVATION(s 732-0 Section 472.027 Florida Statutes and Ch ter
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APPEAR nBOUNDARY Ass See OF TELE WORK ORDER NUMBER: 70386
OF DEVAI COUNTY.ROAM. sSUR.,NUI MO UMISS m.J PRINT a A.M.N m Oct SEX OF THEABOVE B-9737