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1890 Beach Ave Fence Submittal .1:1 ` ' •% Building Permit Application upa�redio��il8 J ": City of Atlantic Beach Building Department **ALL INFORMATION Lop v 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY ''�"J';I 9r IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 1890 Beach Ave Permit Number: Legal Description replace existing fence with installation of 160'of 6'high shadowbox wood fent,E# N/A Valuation of Work(Replacement Cost)$ 6777.00 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ( Alteration ❑Repair ❑Move ❑Demo DPool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial NResidential • 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: replace existing fence with installation of 160'of 6'high shadowbox wood fence Florida Product Approval# N/A for multiple products use product approval form Property Owner Information Name Gregg Rollings Address 1890 Beach Ave City Atlantic Beach State FL Zip 32233 Phone 770-487-2275 E-Mail greg rollings@comcast.net Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Ponte Vedra Fence Qualifying Agent Kenneth Hart Address 822 Highway AlA North Suite 310 City Ponte Vedra State FL Zip 32082 Office Phone 904-735-0709 Job Site Contact Number 904-735-0709 State Certification/Registration# L18000063273E-Mail pontevedrafence@gmail.com Architect Name& Phone# Kenneth Hart 904-735-0709 Engineer's Name& Phone# Kenneth Hart 904-735-0709 Workers Compensation Insurer OR Exempt ix 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 RECO DING YOUR TICE OF COMMENCEMENT. _ Yl' „ ..,:_:7.-----r. - t,Signature f Owner or Agent) (Signature of Contractor) Signed and sworn to(or affirmed) before me this ly,q_f si i'S'rgred and sworn to(or affirmed b fore me this �'- day of c ° I., , , by �-;;STAR y�'-L Fir , 20 22 ,by J/�eh� ef 4, f�f�K f- EXPIRES -.--• C {� ” (Signature of Notary) GEORGIA (Signature of Notary) li.° November 13,2024, t'iyi"r CHRISTIAN GILES MY COMMISSION#111_H 111153 (Personally Known OR 1%, 'S' AUBL�'.[ ec ovally Known OR ''= EXPIRES: ( ( tiRl. 0.) %Et'oduced Identificati % .�'' ApriI ,2025 Produced Identification ���''',,,,iii CiiitkotfVpe of Identification: --'.. "F�' ' - ThruNotarYPubkUnderwriters Type of Identification: Yp Fence Addendum Updated 1/14/2021 City of Atlantic Beach Building Department ; 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# Phone: (904) 247-5826 Email: Building-Dept@coab.us r Job Address: Date: Property Type: Lot Type/ Features: - f� Residential f 'One Street frontage (interior lot) ❑ Commercial ❑ More than one street frontage(corner lot,through lot, etc.) 0 Swimming Pool Fence Material: Fence Height (select all that apply): (X Wood ❑ Four Foot (4ft) ❑ Chain Link l SIX Foot(6ft) ❑ Vinyl 0 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 (must submit separate Revocable Encroachment Agreement) geN o Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal Permit) 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.