730 BONITA RFNC22-0107 rsr�''''r4, Building Permit Application Updated 10/9/18
r \'s� City of Atlantic Beach Building Department **ALL INFORMATION
J � 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
`Ji3 9r IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: ' c r�i 3 . RQ Permit Number: R fl' C. ZZ J 0 I O
/Legal Description C a 4.l v} L_O+ '1 13& i r RE# t 7 1 0 R Li
Valuation of Work(Replacement Cost)$ 3bet Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑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 ❑No
• Will trees)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe inEIVILthe type of work to be performed:
t c.A 1v“.4-IC5.-, '
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 2`ev4c.4,,.Q 'M itze. KA,Ii(k. Address no Bc w O'` (2cI
City A+1c 4;L, t3er..cL State Fl Zip 3»33 Phone 9b 3/ r 7 Ica
E-Mail .jor 4 0 +1.QGe.+...4le.3a.vdon, . Co e.....
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company QAbIsS ft"c i!l Lt-C... Qualifying Agent ry ;ke %J..ti g i is i.e 4--
Address
Address 11335 DCyr%vticeV 60 (J City ,-e.4-fa.cofvlac State !<L Zip 3a. r
Office Phone 904-Ica - 3 ae1(o Job Site Contact Number go-I-35.4-10 9 f
State Certification/Registration# X104,0t. E-Mail hi lbc.(e e+C.iv•yP5..Nb.j 1. Co."
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt4 Expiration Date 10/38(4)0})
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 NOTICE OF COMMENCEMENT. ,
(Signature of Owner or Agent) (Signature of Contractor)
• ned nd sworn to(or affir . before me this 2 7 d y of Signed and sworn to(or of .)before met is•2 L. day of
' ZO2L,by 'telemati.4 OL K
-'1:fRg;•, TONI GINDLESPERG . ,' ,•t re o • ign• - _ •
F .. . MY COMMISSION#GG 353178
an :, O:L Ser 6,2023
•Z' i9 RRt onallyKr1oWh:Om;nderxriters [ ]PersonallyKnown OR r 'P�"•"•Y r` o; TONI GINDLESPERGER
FOF FL fix{
•' �•� - MY COMMISSION#GG 353178
[ ]Produced Identification *. rEXPIRES:October 6,2023
Type of Identification: Type of Identification: le•-..-:?' = e
t—
,,L''-'-ii,,, Fence Addendum dated 1/14/2021
J
City of Atlantic Beach Building Department
r: 049;- 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
7 3 a i3ar.,4c- iZ 1 1p --a.cp-aa - "- -
Property Type: Lot Type/ Features:
GY esidential C"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):
IV'Wood It-Four Foot (4ft)
❑ Chain Link W.- 1x Foot (6ft)
❑ Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
LI 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)es
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.
r BOUNDARY SURVEY IS
1
71-x--,-::4: - BONITA ROAD '''y,
;_ ;...'• `;,t.-:t:.: - T 60'R�W M RO :r----„--r-
N85°20'02"W 1
80.65'
FOUND 1/2" '
IRON PIPE P _ ..:I�'
NO I.D. . :- . FOUND 1/2 "
;CONCRETE' IRON PIPE
` N .. DRIVE NO I• to .D. sic-S
vI(i - 25'BUILDING :; .�' Ri \ 1(e�'
�� ! RESTRICTIO_NLINE �••.: 1
CQ' p� ' 28.1 --,..�•
a a fib`
//1��� 0.5 43.7' _
L - ct rn 8.8' o (2
Y°' I o o ra- t boa
LOT 5 w `— BUILDING o
BLOCK 1 5) #730 N
a; 0 19.0' 8.9' o LOT 3
CO
z I BLOCK I
0 0 O
AFC Z
LOT 4 I
28.1' 24.7' BLOCK I
ISHED !
SET 1/2° z J
IRON R0, Q z
LB#7893 - -__-�, -
______
- _ -- `- SET 1/2"
0.10 �� H— ,,-3 '•' IRON ROD
LOT 30 —————N85°20'02"W 80.65' ;;LB#7893__
BLOCK 1 LOT 31 —
BLOCK 1 LOZ'32
BLOCK ]
.Y�
SURVEY NOTES
CONCRETE�DRIVE CROSSING INTO RAV
ON NORTHERLY SIDE OF LOT.
THERE ARE FENCES NEAR THE BOUNDARY
OF THE PROPERTY AND CROSS INTO THE
5'U.E./D.E.AT REAR OF PROPERTY.
J 0 8
4.t.,...,‘4% F i C;0
r ` . 9 HERRTIFY THAT THIS BOUNDARY SURVEY """/TARETSURVEYING LLC o IS A TRUE AND CORRECT REPRESENTATION OFA
SURVEY PREPARED UNDER MY DIRECTION.
• NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC
♦� SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL. LB#7893
STATE OF
i , F1. ORARAISEDEM30SSEDSEALANDSIGNATURE Digitally signed by SERVING FLORIDA
", ` °RI ° ° KENNETH
i 4 Y R V E
( KENNETH OSBORNE 6250 N.MILITARY TRAIL,SUITE 102
OSBORNE Date:2020.01.09 WEST PALM BEACH,FL 33407
PHONE (561)640-4800
(SIGNED) 12:49:23 05'00 STATEWIDE PHONE (800)22fi-0607
KENNETH J OSBORNE gAf:F OP D PA FC STATEWIDE FACSIMILE (800)741.0576
PROFESSIONAL SURVEYOR AND MAPPER H8415 (N L T'E0. fOUTYAOE II WEBSITE: httpJ/targetsurveying net
Date: L
Buyer(s): Stir -r, * tAri NJ( K v I i I'Z__
.> 97 Levy Road, Unit 107-B Address: 7 3o N!Ir,i- R I
e Jacksonville, FL 32233 City:�4[,,,L e,.� St.:
y �° 3 Ft Zip: 3�� 33
ep.,
Jake Van Bibber, Sales Jobsite: M 14v l i h-s 37&Y�L-o o "�
°"---', 904.472.6940
--�"'---�, Email: J orlon cOfitle..cc..r,dIeo c„vde'v .c-aw�
Mike Van Bibber, Owner
MikeVa 904.352.3096 Phone: °fd y-�f� - 7(�0�
Got
,fPhone: 7/t0- tie- Olo07
BibbsFencing@gmail.com Fax:
4,,,,s. t
INSTALLATION & REPAIR • FREE ESTIMATES
VINYL • ALUMINUM • WOOD • CHAIN LINK
WOOD SPECIFICATIONS
HEIGHT TYPE STYLE BOARD SIZE RAIL SIZE PERMIT CROSS STREET
D 3 ❑Cy press 0 Stockade U 1/ x 4 u 2 NEEDED
dri L9'1sTP B'gD on BD U3-1/2 x 6
-5/8 uYl x 4
7 S� ❑Chain Link U Shadowbox U 1x4 ❑4 x 4 Yfres CORNER LOT
❑Aluminum ❑Picket O 1x5 J 1 x 4 J No J Yes
u8 ❑PVC IU Full o
DESIGN INSTALLIn ❑GATE SWING SPECIAL INSTRUCTIONS TAKE DOWN & HAUL
og-Eared mood Side AWAY FOOTAGE
''
Pointed GoOu
''Good Side t 'Hillt
J Gothic U Out ??
J ❑Down Hill E6es J No
J Follow the ground line
U Top of fence straight
,,e,sti: 0,
1.1J:
\.—� —.—
los i
1
I
,..,
Lump Sum Total: GB 0 •
Deposit, if required: Y
Balance due upon completion: 346C
20%restocking fee for cancellation of any job or order. Lifetime Warranty on vinyl and aluminum fence material supplied by manufacturer./
Buyer(s) By: Dated: Salesperson: t- i kit. V