1875 Beachside Ct FNCE18-0127 FenceOWNER:ADDRESS:CITY:STATE:ZIP:
KELLY FAMILY TRUST 2330 WATERSONG CIR LONGMONT CO 80504
COMPANY:ADDRESS:CITY:STATE:ZIP:
Ponte Vedra Fence
Company LLC 822 Highway A1A North Ponte Vedra FL 32082
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169542 0564 BEACHSIDE
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1875 BEACHSIDE CT FENCE WALL OR BARRIER FENCE Install Fence Around Pool $6268.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Shapells, Inc., Republic Services, Donovan Dumpsters,
Phillips Containers). 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: 11/23/2021
PERMIT NUMBER
FNCE18-0127
ISSUED: 11/23/2021
EXPIRES: 5/22/2022
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
FENCE 455-0000-322-1000 0 $35.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $81.50
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing must be removed from job site by Contractor.
2 of 2Issued Date: 11/23/2021
PERMIT NUMBER
FNCE18-0127
ISSUED: 11/23/2021
EXPIRES: 5/22/2022
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $81.50
FNCE18-0127 Address: 1875 BEACHSIDE CT APN: 169542 0564 $81.50
BUILDING $35.00
FENCE 455-0000-322-1000 0 $35.00
BUILDING PLAN REVIEW $17.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R18109 $81.50
Printed: Tuesday, November 23, 2021 9:58 AM
Date Paid: Tuesday, November 23, 2021
Paid By: KELLY FAMILY TRUST
Pay Method: CREDIT CARD 549862607
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18109
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
APPLICATION NUMBER City of Atlantic Beach
Bu il ding Department
80 0 Seminole Road
(To be as si gn ed by the Bu ilding Department.)
At la ntic Beach , Florida 32233-5445 FN(.f'/8-,o /2 7
Phone (904) 247 -5826 · Fax (904) 247-5845
E-mail : bui lding-dept@coab .us Date routed : l ( 2.(
Ci ty web-site : http ://www.coab .us
APPLICATION REVI EW AND TR ACK IN G FORM
Property Address: f g1 S &ac,h s ld e, er J.,..::2~~~~~~~~No~
Appl i cant: rpb(\:\-e \Jedr°'-fence
Proj ect: Fef\ce :fu ( 1?Do L
Public Safety
Fi re Services
Re v iew fee$ _______ Dept S ignature _______ _,
Other Agency Review or Permit Required Review or Rec eipt Date of Permit Verified Bv
Florida Dept. of Envi ronmental Protection
Florid a Dept. of Tr a nsportat ion
St. Johns River Water Management District
Arm y Corps of Eng in eers
Div is ion of Hotels a nd Restaura nts
Division of A lco holic Beve rages and Tobacco
Other:
APPLICATIO N STATUS
Reviewing Department First Review : ~proved. ' □Den i ed. 0Not applicable
(Circle one .) Commentsf , ,J ~ Pl Lv., l I ~ VI , In .s tt ' Ct () n, V' s ~~.~\ ,n sp~c I po O I p--r-01-1c--/rov--'"
PLA NNIN G & ZO NIN G Reviewed by : Mf'\ Date : /ld q_. -/K -
TREE ADMIN. Second Revi ew: □Approved as revised . 0Deniet! 0Not applicable
PUBLI C WOR KS Comments :
PUBLIC UTILI T IES
PU BLI C SAFE TY Revie wed by : Date :
FIRE SER VI C ES Third Review : □Appro v ed as revise d. □D en i ed . 0 No t appl icabl e
Comments:
Reviewed by : Date :
Revis ed 05 /19/201 7
APPLICATION NUMBER City of Atlantic Beach
Building Department
80 0 Semino le Road
(To be assigned by the Building Department.)
Atlantic Beach , Flo rida 32 233 -544 5 FN(E/8,o/27
Phone (904) 247-5826 · Fax (904) 247-5845
E-mail : building -dept@coab.us Date routed : ( ( 2 .. { __.__,_, ____ ~L.---
City web -site : http ://www .coab .us
APPLICAT ION REVIEW AND TRACKING FORM
Property Address: l g,s ~ac h Stele-C T_!...;,,~:S:.;:~~~~~--1-Y~e::::..s -i-:-.:-No:::.....j
Applicant: r-p~J\te wdro__ fence
Project: Fen,ee Th ( ]?Do L
Pu blic Safety
Fire Services
..
Re v iew fee $ ________ Dept Signature -------=----'
Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By
F lor id a Dept. of Environmental Protect ion
F lor id a Dept. of Transportation
St. Johns River Water Management District
Arm y Corps of Engineers
Divisi on of Hotels and Restaurants
Division of Alcoho li c Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: )Z}Approved . □D e nied . 0Not applicable
(Circle one .) Comments:
BUILDING
P LA NNIN G & ZO NING Reviewed by : ~ ~ Date : L/ -2 ( -\ 8
TREE ADMI N. Second Review : □Approved as rev ised. □Denied . 0Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by : Date :
FIRE SERVICES Third Review: □Approved as rev ised . □Denied . 0Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach C APPLICAT ION NUMBER
Building Department '=•vii:::'-(To be assigned by the Building Department.)
800 Semi nole Road &;: r-A \ Jr;;;. /2 7
Atlanti c Be ach, Florida 32 233 -5445 Nov 2 6 2Df8 1/'-'CEteyO
Phone (904) 247-5826 · Fax (904) 247-58 I, l {
E-ma il: bui lding-dept@coab .us BY.-Date routed : __._...,_(__,_2._---1'-1-......__ __
Ci ty web -site : http://www.coab .u s ~5'::::::========f====f=====~
APPLICATION REVIEW AND TRACKING FORM
Property Address: f g 1 S &ach S le ( e, CT ~~~~~.:..._;_::::_~~...:..:Ye'.:'...:::'.s~No::::...j
Applicant: r-p~t\te \Jedro.... fence
Project: Fef\Ce :fu ( }?Do L
Publ ic Safety
Fire Services
..
'Review fee$ ________ Dept Signature ----------'
Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By
Flo rida Dept. of Envi ronmental Protection
Florid a Dept. of Transportation
St. J ohns River Water Management District
Arm y Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoho li c Beve rag es and Toba cco
Other:
APPLICATION STATUS
Reviewing Department First Review: □Approved . □D enied .
(C ircle one .) Comments:
BUILDING
PLANNING & ZONING Reviewed by : ,__.__,-~~ate : //-28-1 8
TREEADMIN.
PUBLIC WORKS
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES
Revised 05 /19/2017
Second Review: □Approved as revised .
Comments:
ONot applicable
Reviewed by : ___________ Date: _____ _
Third Review: □Approved as revised . □Denied . ONot appl icable
Comments:
Reviewed by : ___________ Date : _____ _
APPLICATION NUMBER
Property Address: ( g ( '5 &:ac,h S (~( e, CT ~~~~~~~~-+--Y~e~s_j........'._:No:::....i
Applicant: 1>~1\::te \Jedro.... fence
Project: Fence £Dr }?Do L
Public Safety
Fire Services
'
1Review fee $ ________ Dept Signature ---------'
Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Joh ns River Water Management District
Army Corps of Engineers
Divis ion of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review : [l(Approved . □Denied . 0Not applicable
(Circle one.) Comments:
BUILDING
' PLANNING & ZON ING Reviewed b ~~ Date : //,.t_~
TREEADMIN. Second Review: □Approved as rev ised. 0Denied. 0Not applicable ,~
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by : Date :
FIRE SERVICES Third Review: □Approved as revised . □Denied . 0Not applicable
Comments:
Reviewed by: Date:
Revised 05 /19/2 017
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department .. AU INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHUGHTm IN GRAV
Phone: (904) 247-5826 Fax: {904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: j , -=-,...,-=-"" ...... _ ~_ -....... ~...-, Permit Number: ~ ~ { [-O{ L 7 .
lega l Description °1 RE# { Ca Er5Lf J-0 5'.b L/
Valuation of Work (Replacement Cos ____ Non-Heated/Cooled ____ _
• Class of Work: □N ew □Addition □Alteration □Re pai r □Move □Demo □Pool □Window/Door
• Use of existing/proposed structure(s): □Commercial □Residential
• If an existing structure, is a fire sprinkler system installed?: □Yes □No
ro·ect? □Yes must submit se arate Tree Removal Permit □No
Describe In detall the type of work to be perfonned:
R.emo e
Florida Product Approval # _________________ for multiple products use product approval form
State f:'L '---;-~ ....... ----~--~=---:----....=..;;;.:.: tM,\,com
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) _________________ _
Contractor Information d 1,
Name of Company POl,'\+e Ved f d fen c..e Quali::g Agent ____ f ....... ~11 ... t\ ... e_.\.""--'.½;.-:ot\,_t\..,..._-R..: .... A-~~:-=-~-.
Address SI z~ ~ ~.Ltt tJ ..s.+ 3 IQ ~ City ~ v '" State L Zio[?'2ct.;1.
Office PhonefO q: 13§;;-o 70~ j Job Site Contact Number ==-===~~=--=-:;,r--:=-=-
State Certification/Registration# _______ E-Mail r'12t1lFiZW J4 @c.eyt?qa,c,.( i ~J1r1
Architect Name & Phone# _______________________________ _
Engineer's Name & Phone#_-:-------.,.-----,;-==-----==---=-----:-:--------=---,-,-::------
Workers Compensation Insurer ____ OR Exempt Expiration Date ?-/6-z..oz 0
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 a1endes.
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
RECORDIN NOTICE OF COMMENCEMENT.
Signed ::worn to ( r affirmed) before me this 2 \ da of
Nf'M.--'""'o~~by ~~~-~~r-=!~,_
(Signature of Contractor)
Sijned and sworn to (or affirmed) efore me this 20day of
fL O Vtvnbti 2(:) I by ~ t
MAP SHOWING BOUNDARY SURVEY OF
LOT 12, BLOCK 1, BEACHSIDE. AS RECORDED JN PLAT SOOK 42, PAGES 14, 14A THROUGH 14C,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ,[
CERTIFIED TO:
RALPH H. ANDERSON AND MAUREEN E. ANDERSON
BUSCHMAN, AHERN, PERSONS AND BANKSTON .
fD t).,()m.-0 fiJ v\ (fl~ '6 °' ff
w l~ Ii Sf! A-Ll)\.I t; ~'W.k'"eN
fu$1Ll?'3 '° mww MfJ\~~I
Wl'l iO t7r,-~ n-htWb~-r:Jk,""l.
·~ (.O(JE . "-1) C,ttl',YN QE IN r~w~e:tJ½
COVcU·bE l~f't>Jlu'JS .
-TO ~~N) U1)A1l,
LOT 30
BLOCK 1
1\Jtl0
De~\-<-o FF
6RJ\Df-G
(.,/
~
LOT 13
BLOCK 1
w w • • 0
~-0
O'I a,
£'lN a, •
"'en co zz
TICOR TITLE INSURANCE COMP ANY
COUNTRYWIDE HOME LOANS, INC .
LOT 31
BLOCK 1 ,
S 03'l g'00" E 60.07 (PLAT)
s OY12'08" £ 59~(ME~ED_) -
--sCT 1/2" R!:BAR ,
ST"-"PCD DJ~%
4 ,6'
.,
..;
TWO STORY
MASONRY & FRAME
POSTED 1875
;t? /?cJ ,,,0 e/?"T / t / ,A/ c ; e ..ucc.-
u/ ,~ S et:/.:::Ct:.:PJl"-<-9 ~~~,r:
t....--;r..-r c.t!, 1""":-Jfl ~.,,,,.,rr':(, ,. ~-,-,,. r-~
S-1/" J,,, 9~ .1 /v"c c i!"-'-e!!!.. ·
AC.A,e,,,--ts ~,.I" ,/-J({ j)oo/2.J
./'r-/V D u-> I",,,, £Jc,GUf C <:!,--9.Z>l""7
LOT 11 TO /JetX ..,,,,£~_ /e£ cr-L)'<-
BLOCK 1
r r D 0~ el \_oC-A .\-,oV\ ~of' ·I\)~ \>..J
t'Q:'..V'-(_~ Is SAMe: locA+\~;'\ l\S .Q.)(\S+1 A°\-te..v'\c.e.
. ~!,..J\J'Jj/
,, r,. "'... ~
r_/ ••}
it) REVOCABLE ENCROACHMENT AGREEMENT
};
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation
organized and ex istin 1 under the laws of the State of Florida, here inafter referred to as "CITY " and
of Atlantic Beach, Florida, hereinafter
WITNESSETH:
That the C ITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the
prope1ty for the purpose as described in the City of Atlantic B each.
This work is ge n era ll y d escribed as _f:eh4--=-....._..,.L-..e.., _________________________ _
Any facility maintained, repaired , erected , and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirty (30) days' notice by C ITY to USER, said n ot ice to g iven by certified mail,
return receipt requested, to th e following address -+-'IJ'--'-.......C----'-:bo"-""""'-.:...=--'-_._,,$,:.,,..,""->-----=:.....L.---------
• In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described easement or property of th e C ITY , the USER shall replace at the USER's so le expense,
any and al I material neces sar il y di s placed during the action of maintaining, repairing, operatin g , rep lacin g or adding
to of the utilities and faciliti es of the CITY o r franchise utility provider.
• The facilities allowed by the permit s hall meet the current req uirements of the City Code, Buildin g Codes, Land
Deve lopme nt Code and all other land use and code requirements of th e CITY, including City Code Section l 9-7(h)
which states "Driveways that cross sidewalks: City s id ewalk s may not be replaced with other material s, but mu st
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining s idewalks."
• The USER, prior to making any changes from the approved plans and/or method, mu s t obtain written approval from
the City of Atlantic Beach Public Works D e partment, for sa id change within 30 days after the day of completion.
• This p ermit s hall inure t o the benefit of, and be binding upon, the USER and their re s pect iv e s uccessors and assigns.
• USER shall meet the terms and conditions of this pennit and to all of the applicable State and CITY laws and/or
specifications, to include utilities locate requirements and u se limitation s/requirements of easements, public right-
of-ways and other public land. USER furth er agrees that th e CITY and its officers and employees s hall be saved
h arm less by the USER fr om any of the work he re in under the terms of this permit and tha t all of said li abil iti es are
h ereby assumed by th e USER.
P1·o perty Owner/Agen signed in presence of Notary Public)
Date ti / )A l { ?)
I
ST ATE OF FLORIDA , COUNTY OF DUY AL
1
/
The fo regoing in strum ent was acknowledged thi s ~2-:...--~l __ day of ___ ~N~O~v~-----' 20 _ffi_,
by Hf].{:"{) j [)t U=,~ , who personally appeared before me and
(printed nam e of Signer)
acknowledged that ho lgned the lnstrnment voluntarily foe the pu,pose expcessed In It
Si nature of Notary Public, Sta o Florida
Department Approval:
ersonally Known__ M_
Produ ced Id en tification (Type) D L-.
/k,~'.°f~-, JAMIE D. SMITH f~r~·1~\ MY COMMISSION II GG 255331
O:\Public Works\ADM {W"incM~iltPi4!MAJ3Q~
Revision Date: 8/31/1~ ....... !');,•• Bonded Thru Nolaiy Publlc Underwrtters
'~~ Scott Williams, Public W orks1rector