346 SARGO RFNC22-0066 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
GLAVIN THOMAS M 1158 WOOD DUCK HOLLOW JACKSONVILLE FL 32259
COMPANY:ADDRESS:CITY:STATE:ZIP:
Morton Building &
Construction 1198 WOOD DUCK HOLLOW ST JOHNS FL 32259
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171686 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
346 SARGO RD RESIDENTIAL FENCE ONE
STREET FRONTAGE 6' FENCE $3400.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $145.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date:
PERMIT NUMBER
RFNC22-0066
ISSUED:
EXPIRES:
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date:
PERMIT NUMBER
RFNC22-0066
ISSUED:
EXPIRES:
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
1- -fr Building Permit Application Jodated 10/9/18ie
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 3N 6 cars t fC cX- R\ a z Z—CCG j
ii
Permit Number:
Legal Description ke4C:.k Pc.,ty-vS .- I 2 A LC t(, /L K 21.1RE# 171 6 6 —OOoC)
Valuation of Work(Replacement Cost)$ 7‘Li L)( Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition Alteration DRepair DMove .Demo Pool DWindow/Door
Use of existing/proposed structure(s): DCommercial XResidential
If an existing structure,is a fire sprinkler system installed?: DYesiVo
Will tree(s)be removed in association with proposed proiect? Oyes(must submit separate Tree Removal Permit) ,KNo
Describe in detail the type of work to be performed: Rt' IQcletc-<- (`tj itee 4.{may -Fe,A(e
6 1AJ' . A S .,. rte' v,,. e-n .(c-',`,.e
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name -1ki; 45 G..ic=ii.A Address it c S Vih-al- 49,::::_t t4t, t ./
City 5 I-. Y lit} State FL Zip 312c.ct Phone 9ifi4—)t.1'3--3S(?E-Mail I c.V i i er e e'fro ; €c)el-1
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor information
Name of Company 1 ,-4A ai r.1?-5i-CCvt&{ruefiroi LLL_Qualifying Agent G-e1--e
yr1,
i'4,l
Address it cI r i . .e O,,,,K E-k it.a City 51, ‘..,t%I^"1 State FL Zip ?). -9OfficePhoneqQt{.— 63i- 5 LS r Job Site Contact Number
State Certification/Registration#Cu C 1159399 E-Mail 9eite vv,i}r'}v:v;
tr
@ 1,41-.4,04 , C:,,,v,Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date 9 5v/ ;)-?
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 beadditional restrictions applicable to this property that may be found in the public records of this county,andtheremaybeadditionalpermitsrequiredfromothergovernmentalentitiessuchaswatermanagementdistricts,state agencies,orfederalagencies.
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
RECORDING YOUR N T CE OF COMMENCEMENT.
S ature of Owner or Agent)Signature of Contractor)
l 57 S51Signedandswornto(or affirmed)before me this day of
1
Signed and swor
j to(or affirmed)before me this day ofJ"-Vi-7 2:2_.,by w4 2c fi/L. , 202Z , byy V A 52424l
4 /v ` • ' ary) oatfarf .-
r u ARD SBALBI
ARD saki?!jPersonal) Known OR r°sa'':• EDW EDW
V
A , * C
NN260884 XPersonally Known OR y i..
a Com mi,_
Produced Identification s Expires may 3,2026 I Produced Identification
r
F ' Ires #HN?60980
Type of Identification: 140f OP*Type of Identification: Maya X028
1y+7ir, REVOCABLE ENCROACHMENT AGREEMENT
A
a City of Atlantic Beach ALL INFORMATION
HIGHLIGHTED IN GRAYi800SeminoleRoad,Atlantic Beach, FL 32233
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing under the laws of the State of Florida, hereinafter referred to as"CITY" and
7T-e-4214,7 A-& /14 Gi-A3/4") 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 RE 474/9 C177-4.ad i Qr" X365-7")6-- r£A'CE
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 USER,said notice to USER shall be given by certified mail,return
receipt requested,to the following address /%50 /4)06D 'VGK (/d Si 7 Th`WS F-4..
32z,5-_5'
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.
c?"2x77?e 44'7- _ Date 7/54 2-
Property Property Owner/Age (signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of 20 L
r
by ho
My/
Q S 1 U G bV t C1 who personally ppea red before me and
lied name of Signer)
acknowl;.:ed that hesi: •-• the Inst ument voluntarily for the purpose expressed in it.
TONI GINDLESPERGER Department Approval:
Signature of Notary Public,State of Florida r
MY COMMISSION#GG353178
I Personally Known F. ,op
EXPIRES:October 6,2023
o,R1;::• Bonded Thru Notary Public Underwriter_ry
Produced Identification (Type)
I Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\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:
3'.119 A f 6.O IU z-ur. .3 D, 2,227—
Property
22Z--
Property Type: Lot Type/Features:
Residential One Street frontage(interior lot)
O Commercial 0 More than one street frontage(corner lot,through lot,
etc.)
0 Swimming Pool
Fence Material: Fence Height(select all that apply):
3iirWood 0 Four Foot(4ft)
O Chain Link ESix Foot(6ft)
Vinyl 0 Other
O 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)
ifNo
Will tree(s) be removed in association with proposed project?
Yes(must submit separate Tree Removal Permit)
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.
MAP SHOWING SURVEY OF
LOT 18, BLOCK 24, REPLAT OF PART OF ROYAL PALMS UNIT TWO A, AS RECORDED IN PLAT BOOK 31,
PAGES 16, 16A, 16B, 16C and 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
1 t
CUTLASS60' RIGHT OF WAY PAVED
D
UBLIC ROAD
O
IMPERVIOUS CALCULATIONS:
IN SQUARE FEET (S.F.)) i
LOT AREA 7,500 S.F. 21
HOUSE 1,700 S.F. 01J'WOOD DECKS = 324 S.F.N aALLCONCRETE = 1,634 S.F. m 11 0 I0TOTALIMPERVIOUS = 3,658 S.F.
48.8% SCALE: 1" = 20'
E Q
I1
LD
1c W N 43'I i 5 IQ.
I I nI1V,
I t A II
LOT 6 I I
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I I LOT 1911I
1r_______1 r
FWND 1,2 IRON T
FiII1m10. ' PIPE.30 CAPm ;S] /\J
15' EASEMENT 1 1
93 00' 4' GN AIN D1 FES
3. dx7.0
25
II I1 82'43'58"
7.9 15' EASEMENT I 0
Ot- -L 7.8 Q, .(719
rt 7.7 I p A f OSET'L[2 IRON
2 O I®181x72 N0.k. •7 1 x7.6 . 7.7 CONCRETE Im
z
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329.8' 0 1 x. .7.0
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Fn
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F'
FLOOD EO7,
qE" (EL 7) I--Tm----------________-
1
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sI
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tl I I I i
I
NOTES
IS IS A BOUNDARY AND TOPOGRAPHIC SURVEY.
ARINGS ARE BASED ON THE EAST UNE OF LOT
LOCK 24, BEING SOUTH 0716'02" EAST, AS PER
FOOT BUILDING RESTRICTION LINE SHOWN AS PER I
E BENCH MARK AS SHOWN HEREON WAS n
3USHED FROM A CLOSED LEVEL LOOP FROM A O
I MARK ESTABLISHED BY GPS OBSERVATIONS BY
FIRM UNDER WORK ORDER No. 2020-1485 USING
IRA PRECISION EPOCH 80 RUNNING TRIMBLE VRS MIVAREINN.A.V.D. 1988 DATUM. THIS SURVEY WAS MADE FOR THE BENEFIT OF
A`v5TINCr
MAP SHOWING SURVEY OF
LOT 18, BLOCK 24, REPLAT OF PART OF ROYAL PALMS UNIT TWO A, AS RECORDED IN PLAT BOOK 31,PAGES 16, 16A, 16B, 16C and 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CUTLASS p` E60' RIGHT OF Wqy PAVEDUBLIC ROAD4
IMPERVIOUS CALCULATIONS:
IN SQUARE FEET(S.F.))
LOT AREA = 7,500 S.F.to _
F
HOUSE 1,700 S.F. n ofWOODDECKS = 324 S.F. aALLCONCRETE = 1,634 S.F. ri 10 20 40
k.. ?
TOTAL IMPERVIOUS = 3,658 S.F.
48.8%SCALE: 1" 20'
1
I 1 6 to
II
I o I I
II I I
LOT 6 I I
I111IILOT19
I I
RC" o
t'-1---------------- C FOUND In
I I m r O', PAL.No co z
15' EASEMENT I I
93.0 4' .NN @+N-FS°'.
z3 5.
7.o "j
I I B»E I
Y,
0IIN82"43 9 15'EASEMENT
i- -.L ------B WODo.ME A.8 p,Arial .7.7 1 xyr• , %s D O
3EnPIPE, I •0'' 7.5 ,NO•7.7 NC
I m 1 •7.1
7.7 ' n•
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No. 3 1
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Na• 346 es i 8
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Q
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11
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SET i/2.ptOl}__
2 I
el2.(58246'57 93.00' BEID)
I N
PPE.CI.P
II I 17 I I
E
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1 1 LOX• (SHADE0)_\
1.
AE. (EL 7)
AEOD(
E 7) I( 11 I
FLOOD ZONE"
1
11 I1
I
NOTES
1. THIS IS A BOUNDARY AND TOPOGRAPHIC SURVEY.
2.. BEARINGS ARE BASED ON THE EAST UNE OF LOT
18, BLOCK 24, BEING SOUTH 0716'02" EAST, AS PER
PLAT.
3. 25 FOOT BUILDING RESTRICTION UNE SHOWN AS PER
PLAT.
4. THE BENCH MARK AS SHOWN HEREON WAS
ESTABUSHED FROM A CLOSED LEVEL LOOP FROM A
BENCH MARK ESTABLISHED BY GPS OBSERVATIONS BY
THIS FIRM UNDER WORK ORDER No. 2020-1485 USING
SPECTRA PRECISION EPOCH 80 RUNNING TRIMBLE VRS
SOFTWARE IN N.A.V.D. 1988 DATUM. THIS SURVEY WAS MADE FOR THE BENEFIT OF
THOMAS M. GLAVIN.
THE PROPERTY DESCRIBED HEREON UES IN FLOOD ZONE "X"
SHADED, AREA OF 0.2%ANNUAL CHANCE FLOOD HAZARD)
AND COMBINED RIVERINE AND COASTAL FLOODPLAIN ZONE
AE" (EL 7) AS WELL AS CAN BE DETERMINED FROM THE
FLOOD INSURANCE RATE MAP No. 12031C0408J, EFFECTIVE
NOVEMBER 2, 2018 FOR DUVAL COUNTY, FLORIDA. o._", I
JASON D. BOATWRIGHT, P.S.M.
NOT VM1D NITHOUT THE SIGNATURE AND THE ORIGINALFLORIDA LICENSED SURVEYOR and MAPPER No. LS 7292
SEAL OF A FLORIDA LICENSED SURVEYCF AND MAPPER.' FLORIDA LICENSED SURVEYING &MAPPING BUSINESS No. LB 3672
CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE:
DRAWN BY: sWC MAY 14, 2021
FILE: 2021-0646 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA (904)241-8550 SHEET 1 OF 1
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $145.00
RFNC22-0066 Address: 346 SARGO RD APN: 171686 0000 $145.00
WORK WITHOUT PERMIT $110.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
ZONING PLAN REVIEW $35.00
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL FEES PAID BY RECEIPT: R20042 $145.00
Printed: Friday, July 8, 2022 2:41 PM
Date Paid: Friday, July 08, 2022
Paid By: Morton Building & Construction
Pay Method: CREDIT CARD 665033757
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R20042