418 SAILFISH DR RFNC22-0032 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
KITCHEL BRYAN G 418 SAILFISH DR E ATLANTIC BEACH FL 32233-4133
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171394 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
418 SAILFISH DR RESIDENTIAL FENCE ONE
STREET FRONTAGE 6' FENCE $2200.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $35.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 1Issued Date: 4/8/2022
PERMIT NUMBER
RFNC22-0032
ISSUED: 4/8/2022
EXPIRES: 10/5/2022
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
p';% IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 4'/L i-AlSit Pi ,ft",--92.uui. 114Permit Number: ` ` -'N C Z Z-vQ 3 a
Legal Description L c j ? fl is V U K61. 7 117-4 O E# 1`7
Valuation of Work(Replacement Cost)$ tfo0.au Heated/Cooled SF Non- Heated/Cooled
Class of Work: New Addition Alteration Eepair 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
Will tree(s) be removed in association with proposed project? EYes(must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed: t
6.; Fer c e.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Y "94/ 14.1-4444.- Address i//e Sir..a2'S'{ ,M.,4,
cw
City / , g[,}i. State n, Zip .79.2..) ,Phone C90y) Z,e ,y Noe
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information f'3r Lt an `{ AC--/A e- C-1mia- IL `'CM
Name of Company ,/ AL, ,i4 _ i 4. Qualifying Agent( ---
y6Address ?e,(.42 — 13,44 'm City S k 4t,,i 4t6 State /=tik Zip 3
Office Phone Job Site Contact Numb$r
State Certification/Registration# E-Mail
Nur,
Architect Name&Phone# 7
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt D Expiration Date
Application is hereby made to obtain a permit to do the w and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a parate 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 BEFOR(
RE RDING YOU Q E OF COMMENCEMENT.
Signature of Owner or Agent)Signat of Contractor)
i ned and worn to(or . ed)before me this 2 •ay of Signed and sworn to(o affirmed)before me this day of
ZOZ7 , L by
Signature of Notary)Sign... e 4 g ry
Personally Known OR tp.',.:'e:;., MN!GINDLESTIOi[sonallVnown OR
Produced Identification a' ;, MY COMMISSION#iGPt d7 ed dentification
Type of Identification: i. ,EXPIRES:Octob8 Iden'ification:
ft° bonded t nru Notary Public Underwriterstivw -
Owner Builder Affidavit ALL INFORMATION
r1=`r"
is/HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
i 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
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 $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: yog 5„JLF-N$ A, ,a„4-{ 14?.., Raz.i`1i ?1133
Owner Name: 2,11.4,17J 61140 if ,Zj,"( Phone Number:
Mailing Address: V/5 ' ..pf A2. 7— City: kZ. NW_ State: /C414, Zip: _}0-0-1)
Notarized Signature of Owner c A.T3
The-f.pregoin2 inst ment was acknowledged before me this ,t3 day of 20 Affr+n the State of Florida, County
o$ -L3' cA_
Signature of Notary Public c- C
Personally Known OR [ ] Produced Identification i
Type of Identification: 1
UNI GINDLESPERGER
I ,;:ii:MYC064;11SSION# G 353178Updated 10/24/18
EXPIRES:Cct4be6,2023YrFor . Bcnded Thru Notary Public Underwriters
11::::0;,-4, REVOCABLE ENCROACHMENT AGREEMENT
S
City of Atlantic Beach ALL INFORMATION
HIGHLIGHTED IN GRAY800SeminoleRoad,Atlantic Beach, FL 32233
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized and
ting under the lavtspf theiSthatp_of FI rida, hereinafter referred to as "CITY" and
N a-n , j 1-0',1(\ of Atlantic Beach, Florida, hereinafter
referred to as "USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon
the property for the purpose as described in the City of Atlantic Beach.
This work is generally described as Ve/\Com..
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 CITY to USg,said noticeR to UR s be given by certified mail,return
receipt requested,to the following address 4 1 A. l h 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 the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or
adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h)
which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks."
The USER, prior to making any changes from the approved plans and/or method, must obtain written approval
from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of
completion.
This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and
assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications, to include utilities locate requirements and use limitations/requirements of easements, public
right-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be
saved harmless by the USER from any of the work herein under the terms of this permit and that all of said
liabilities are hereby assumed by the USER.
Date 0?-23,-,,it
Prope Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this 27 day of Aka/ 20 2 2-- ,
by R240063 &may ,1j j who personally appeared before me and
rinted name of Signer)
ackn edged that h he signed the instrument voluntarily for the purpose expressed in it.
Cu Department Approval:
Signature of Notary Public,St a FlOflda J,,,;:..":116'.'..,;,
i,;
TCN1 GINDLESPERCER
Personally Known MY COMMISSION#GG 353178
I ;,,. EXPIRES:
ypber6,
dery Cott Williams, Public Works DirectorProducedIdentification(Type) ci ',FPeF 4,' BondedThruNotaryPublicUnderwriters
H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
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
Job Address: Date:
z 3 Z
Property Type: Lot Type/ Features:
Residential 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):
B"Wood Four Foot (oft)
Chain Link V<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 ust submit separate Revocable Encroachment Agreement)
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.
MAF' SttUWINU SUKVtY yr
LOT 3, BLOCK 10, REPLAT OF PART CIF ROYAL PAL UNIT IWO A AS EICORDED IN PLAT BOOK 31 PAICBS
16, 16A, 168, 16C AND 16D OF THE CURRENT PUELIC RECORDS OF DUVAL COUNTY, FLORIDA.
SAILFISH DRIVE EAST
60' R / W ( PAVED)
FIELD 80.60')
FOUND 1/2_ IRON FOUND V!"IRON
PIPE. NO CAP S. 07 16
021.
E. 80.65 PIPENO CAP
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PIPE ,No CAP e__ N. 07° 16'0 2 W. e0.6 5 PIPE, NO CAP
FIELD 80.83)—4'CHAIN LINK FENCE
L
6
LOT 24 LOT 25
NOTES :
THIS IS A BOUNDARY SURVEY.
BEARINGS BASED ON WESTERLY RIGHT-OF -WAY LINE 1OF
SAILFISH DRIVE EAST AS PER PLAT.
25' BUILDING RESTRICTION LINE (B.R.L.) AS PER PLAT.
I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON LIE' IN FLOOD ZONE "X" (AREA OUTSIDE 500-
YEAR now PLAIN) AS SHOWN ON 'I1-E FLOOD HAZARD BOUNDARY MAP FOR ATLANTIC BEACH, FLORIDA.
1 HER-BY CERTIFY TO BRYAN G. KITCHEL, FI.' T_ L:RICANTITLE INSURANCE CCMPANY, & BARNETT
nv. >n ^rt r--v.sr ray nay yr, a r - It' rA OTT MI