592 CRUISER LN RFNC22-0098 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
JANE FULLETT 592 CRUISER LN Atlantic Beach Fl 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
BEACHES FENCE DECK &
PERGOLA LLC 844 MAJESTIC CYPRESS DR JACKSONVILLE FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170703 0328 SEASPRAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
592 CRUISER LN RESIDENTIAL FENCE ONE
STREET FRONTAGE 6' FENCE $6309.00
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: 10/19/2022
PERMIT NUMBER
RFNC22-0098
ISSUED: 10/19/2022
EXPIRES: 4/17/2023
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application Updated 10/9/18JP
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h
I City of Atlantic Beach Building Department ALL INFORMATIONl) 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
Job Address: 50 Z L-24U15` e- LA-/ Permit Number: R N C-2a- o 9 scj
Legal Description 3T1 /7-25.-c2y6 5- 1);"4(Z., r aj isZ.4RE# j 7V 7U.3 - 03 Z r
y
Valuation of Work(Replacement Cost) $r6 l, / Heated/Cooled SF Non-Heated/Cooled
Class of Work: ((New EAddition EAlteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial residential
If an existing structure, is a fire sprinkler system installed?: Yes 121Qo
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) .0-No
Describe in detail thte type of work to be performed:•yi-,0-z,&-C-9-2..9 'r A_Ucr - -- 7u,&--.4„
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name \J LSML Iv -Lt% 1 ' Address ,Z C i_.' 'S 2 L "-
City )9'IL "Ji cE- f- C, - State L Zip _Z'a Z ;.:3 Phone 8-4-(7 e-,/0 7 S—
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 4(4( S --/ircc4CLKll-PcQ6,,,1_..4 Qualifying Agent J 0 ti -DG2z LC t.,1 S
Address r-fti-ftVV1,44 '•_zc 5c C/S Ci) e City J A)C State r-t Zip 3'2 Z33
Office Phone t-72-/ 74)5c -7 71,_<-- Job Site Contact Number
State Certification/Registration# E-Mail ACHe.> PC d/4,6,4/ z • << •-i
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer i_ 7-7--,7? f%s'7 OR Exempt Expiration Date ?/.t /23
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
RECORDING YOUR NOTI • • i MENCEMENT. 7
Signature of Owner or Agent) Signatur- of Contractor)
Signed and sworn to(or affir 1-•) before me this (p day of Signed and sworn to(or affirmed) before me this (P day of
COotxr , ?Ootid ess,' • 4 t 00bpr , a6 da ,e . A • ,
Si:nature of Not! )
Notary Public State of Florida
eflifoN Notary Public State of Florida Jessica A Dolquist
Jessica A Dolquist My Commission HH 142217
Personally Known OR t j My Commission HH 142217 pQ Personally Known OR 6,1 Expires 08/14/2025
d Expires 08/1412025ProducedIdentificatignba Produced Identification
Type of Identification: f-.1 Type of Identification:
f-
Fence Addendum Updated1/14/2021
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:
JAZ. Cv/ — 6 ZZ_
Property Type:Lot Type/ Features:
Residential ZrOne 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):
Wood E Four Foot (4ft)
Chain Link ix 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 (must submit separate Revocable Encroachment Agreement)
VN o
Will tree(s) be removed in association with proposed project?
Yes (must submit separate Tree Removal Permit)
L '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.
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TO;SCOTT F. GRIFFIN AND CHRISTOPHER T.
GRIFFIN DANK OF AMERICA, N,A,
f.OLD REPUBLIC NATIONAL TITLE INSURANCE
COMPANY ICHARD T. MOREHEAD TITLE & ESCROW. INC.
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