1969 Brista De Mar Cir RFNC21-0127OWNER:ADDRESS:CITY:STATE:ZIP:
KANE PHILIP B 1969 BRISTA DE MAR CIR ATLANTIC BEACH FL 32233-4525
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:
169506 1670 SELVA NORTE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1969 BRISTA DE MAR CIR RESIDENTIAL FENCE ONE
STREET FRONTAGE FENCE $4988.00
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: 10/11/2021
PERMIT NUMBER
RFNC21-0127
ISSUED: 10/11/2021
EXPIRES: 4/9/2022
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $35.00
RFNC21-0127 Address: 1969 BRISTA DE MAR CIR APN: 169506 1670 $35.00
ZONING PLAN REVIEW $35.00
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL FEES PAID BY RECEIPT: R17625 $35.00
Printed: Monday, October 11, 2021 9:58 AM
Date Paid: Monday, October 11, 2021
Paid By: SUPERIOR FENCE AND RAIL OF NFL
Pay Method: CREDIT CARD 194440439
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17625
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
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
REQUIRED.IRED.Phone: (904) 247-5826 Email: Building-Dept@coab.us
U
Job Address: j c1C1 K40'4 QJ M. — C,'rcly Permit Number: I\I.— O(2-7
Legal Description 0(0C) S;h ( 4,w111 y RE# 1 050 G —1 G 70
Valuation of Work(Replacement Cost)$ 91 cf g Heated/Cooled SF Non-Heated/Cooled
Class of Work: )(New Addition DAlteration Repair Move DDemo Pool Window/Door
Use of existing/proposed structure(s): Commercial XResidential
If an existing structure, is a fire sprinkler system installed?: DYes XNo
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) kNo
Describe in detail the type of work to be performed:
Add1
5 c- yrNyGtVM±luyyr so-r-- trvrrie_ U V': +- r1 et 4 brti
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Ke.k11(-ec.,n kqh. Address /?6? /3,,.;s#v /._ A4 - Cr,r
City At(anr;c Ac„,, State F/ Zip 322-33 Phone_ 9c`/ 57/ ,2-3"2-
E-Mail z32E-MailKI< 1-_ /130 cam. com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company `J'p r; R.,/ Qualifying Agent zac&, Peyr
Address 5470 N% l.vti City S.acl,stmti/t c. State F/ Zip 3Z2S14
Office Phone 704/ 6$3 63L/7 Job Site Contact Number
wStateCertification/Registration# /6S 85'1 E-Mail f/, Pip ac- 5t nr,/f_ e Gam'+
Architect Name&Phone#
Engineer's Name&Phone# _
tT
Workers Compensation Insurer (eo(ec e Nom^ OR Exempt 0 Expiration Date sr —I S
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
RECO; 9I
0
YOUR OTI OF COMMENCEMENT.
Signature of Ow er or Agent) Signature of Contractor)
Signed
4ann-
d''sworn to(or affirmed before me this day Signed and sworn to(or affirmed) before me this 5 day of
0 6ry ,Z by `uw a „ Oc+ ... 2-01.1
y -
AI s
Signature of Notary)
ENRI0
61/4 -
pG'
Notary Public,State ofFlorida
4940N,
Notary Public State of Florida
Personally Known OR
Commission#GG 328087 4 Pers...1 ... . •:> Britani M Norman
My comm.expires Apr.25.2023 my Commission MH 011346
roduced Identification I Produced Identification d)
aM1 Expires 06116/2024
Type of Identification: sA1
Y , , Type of Identification:
ar$»
MAP SHOWING BOUNDARY SURVEY OF
LOT 90, SELVA NORTE' UNIT TWO, AS RECORDED IN PLAT BOOK 40,
yin PAGES 37 AND 37A OF THE CURRENT PUBLIC RECORDS OF DUVAT,
COUNTY, FLORIDA. NI'
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Fence Addendum Updated 1/14/2021
v"tx'- City of Atlantic Beach Building Department9.
111I ~ 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
i/H bolodelir Circ JO/ //,2i
Property
o/
Type: Lot Type/ Features:
L11'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):
O Wood a Four Foot(4ft)
Chain Link 0 Six Foot(6ft)
O Vinyl q•'bther 1-016
O Block/Stone(Plan details required for footings and/or
retaining walls)
Q
Other /VQI))l00177
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)
o
Will tree(s) be removed in association with proposed project?
Yes (must submit separate Tree Removal Permit)
GJ'No
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.