444 OSPRESY KEY RFNC22-0079 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
PANARO BEVERLEY A 440 OSPREY KEY ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172027 5098 SELVA LAKES
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
444 OSPREY KEY RESIDENTIAL FENCE ONE
STREET FRONTAGE 6 ft. fence $1800.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $35.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 1Issued Date: 8/11/2022
PERMIT NUMBER
RFNC22-0079
ISSUED: 8/11/2022
EXPIRES: 2/7/2023
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
S'y'": Building Permit Application Updated 10/9/18
1 City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
4.t4JobAddress: 9- 05 eA /'Li b < 33ermit Number:
Legal Description 41 1 Va / los b c At RE# 2f1'1 *5Qnit'PS ` '5 I
Valuation of Work(Replacement Cost)$ 1. OO '1°1>
Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition Alteration pair :Wove Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial esidential
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:
iK \CV Ce jos. Ca-T \ lOhln ti) 4 tifn u v q(
Florida Product Approval#for multiple products use product approval form
Property Owner Information
Name keit c is- POf U'D 1111. cAddres . . 9 "
City AQ State F I Zip . - Phone m — 113-- (-,
E-Mail be-V YFel ' I(Mo Ca imp- cowl
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt 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
RE RDING YOUR NOTICE OF COMMENCEMENT.
Si ature of Owner or Agent)Signature of Contractor)
Signed and sworn to(or affirmed)before me this S day of Signed and sworn to(or affirmed)before me this day of
A-1"514.St- ,jj c) ,by Pan &1 l by
imW
JENNIFER ign ure of Notary) Signature of Notary)
MY COIWdISSION#HH 057579
a= EXPIRES:October 27,2024
o .,'P p Personally Known OR
Produced Identification
tTypeofIdentification: F— ' L- Type of Identification:
RFNC22-0079
s=4` Owner Builder Affidavit ALL INFORMATION
I. 1 HIGHLIGHTED IN
pCity
of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
f'`'r
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(WCOAB.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 ISSUANCEpOF AN OWNER-BUILDER PERMIT.
Job Address: '
L`
T`t -,'`i 1 L/ A?saa 3
Owner Name: e 1 iSel ' .( Pet r° Phone Number:c1.24 -1-13101/
Mailing Address: 1-0-k e6pteCA 4"11 City: Yk State: r I Zip: 5Q.4...3-3
L_
Notarized Signature of Owner
The foregoing instrument was acknowledged before his day of C. 201, in the State of Florida, County
of tLtiJ6-1 S 3vt S a0a- a-
Signature of Notary Public
Personally Known OR Oro uce dentification
JENNIFER
MY COMMISSIONJOHNSTON057579 y p QTeofIdentification:
o; EXPIRES:October 27,2024
tid,0' BondedThru Notary Pubic Ueda tarsiiIOWr Updated 10/24/18
RFNC22-0079
r=., Fence Addendum Updated 1/14/2021
City of Atlantic Beach Building Department
F sty?
v
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Addr ssf/V,c1. - ,9a3
Date:
C 4.
PropertyProperty Type:Lot Type/ Features:
residential ne 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):
Wood 0 Four Foot(4ft)
Chain Link 2ggix Foot(6ft)
7a"l /inyl 0 Other
Block/Stone (Plan details required for footings and/or
retaining walls)
O 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)
o
Will tree(s) be removed in association with proposed project?
O Yes(must submit separate Tree Removal Permit)
7No
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.
RFNC22-0079
MAP SHOWING BOUNDARY SURVEY OF
LOT 47, ACCORDING TO THE PLAT OF
SVA LAKES
AS RECORDED IN PLAT BOOK 41, PAGE(S) 55 & 55A OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: BEVERLY PANARO AND KEITH PANARO,
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY,
UNITED HOME MORTGAGE CORP AND GIBRALTAR TITLE SERVICES, LLC
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84TH AVERAGE DEPTHS OF LESS THAN 1 FOOT OR IMTH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1%ANNUAL CHANCE FL000.E
Y R
GENERAL
NOTES:s
1. BEARINGS ARE BASED ON PLAT BOOK 41, PAGE 55A.2.
STRUCTURE NO. 444 WN SHOHEREONUES N11H1N FL000 ZONE AS BEST DEIL MINED C21:
FROM F.E.M.A. FLOOD MAPS PANEL NO.409 DATED 11-02-2018 A
S S O C I A T E D SURVEYORS INC 3. THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS. PIPES AND UTIUIIES. IF ANY. NOT DETERMINED.O
4. JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT LOCATED BY THIS SURVEY w /
i
4 LAND & ENGINEERING SURVEYS 5. THIS SURVEY BASED ON LEGAL DES(321PT10N5 FURNISHED. THE PUBLIC RECORDS MERE NOT
SEARCHED BY THIS SURVEYOR FOR EASEMENTS. TILE. COVENANTS. B.R.L.'S 1-
3846 BLANDING BOULEVARD RESTRIC710N5, CLOSURES, TAKINGS OR ORDINANCES, ETC.6.
THE HEAVY UNE SHONN HEREON. MAY NOT INDICATE ACTUAL OWNERSHIP.JACKSONVILLE, FLORIDA 32210 7. UNLESS OTHERYASE STATED AU. IRON PIPES FOUND HAVE NO IDEM TIFlCATION.L
904-
771-6468 AC =
AIR CONDITIONER 4117÷-
CERTIFICATE OF AUTHORIZATION NO. LB 0005488 E BTS =
BUILDING
RESTRICTION.
BUILDINGTILINE
PSM =
PROFESSIONAL SURVEYOR L MAPPER S
S d G BTN BETWEEN RR) RADIUS DE
CC) = COMPUTED FROM RECORDIRLS - REGISTERED LAND SURVEYOR N
CHR -
COVENANTS H RESTRICTIONS R/
W = RIGHT OF WAY IHEREBYCERTIFYTHISSURVEYWASDONEUNDERMYDCHCHORDNOT
READ TYP) = TYPICAL DIRECT
SUPERVISION AND MEETS THE MINIMUM TECHNICAL CONC = CONCRETE 0 . . . . . .SET IRON PIPE (IP) OR REBAR STANDARDS
FOR LAND SURVEYING PURSUANT TO CHAPTER 5J-17.050 & EBVD -
ELECTRIC
BOX ASSOC
SURV' OR LB. 5488 THROUGH
17 52, FLORIDA AD ST TNVE CODE, C APTER 472, F.S. ET - ELECTRIC TRANSFORMER H PAD FOUNDC IRON PIPE (IP) OR PIN ASLJACKSONVILLEELECTRICAUTHORITYCONCRETEMONUMENT(CM)1
0 L = LENGTH OF ARC x ' CROSS CUT OR DRILL SC C /
8 LB = LICENSED BUSINESS NAIL &
DISC r`
J`
L/
LS = LICENSED SURVEYOR X-X-X-%-%-X-X-CHAIN UNK FENCE Rt—I—I—I—,— METAL FENCE BY:
m) = MEASURED J-W-W-W-W-W-W- MIRE FENCE WOOD
CHA
ES . HATCHER OV
ORB - OFFICIAL RECORDS BOOK RIDACERTIFICAT' NO. 3771 ORB
NAILL DISC n n n n n n n VINYL
1IDRV - OFFICIAL RECORDS VOLUME CH
LES L. STARLING FLORIDA CERTIFI • E NO. 4579 A PC = POINT OF CURVE OVERHEAD UTILITY RAYMOND
J. SCHAE FLORIDA CERTI' GATE NO. 6132 TPCC - POINT OF COMPOUND CURVE f1RE HYDRANT PEO -
POOL EQUIPMENT PAD PHONE METER RISERPI - POINT OF INTERSECTION 0PRC - POINT OF REVERSE CURVE n' U11UTY POLE 7
JOB
NO. 73707 DATE 02-25-2019 N PRM = PERMANENT REFERENCE MONUMENT 0 DIAMETER SCALE:
1" = 20' DRAFTER WF S PT - POINT OFTANGENCY 41(--.GUY ANCHOR CENTRAL
PLS = PROFESSIONAL LAND SURVEYOR AL ANGLE_NOT
VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
RFNC22-0079