1696 ATLANTIC BEACH DR RFNC22-0115 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
COTE ROBERT WILLIAM 1696 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
SMITH FENCE COMPANY 1329 MARCHECK ST JACKSONVILLE FL 32211
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169505 1705 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1696 ATLANTIC BEACH DR RESIDENTIAL FENCE ONE
STREET FRONTAGE 4 ft. aluminum fence $4890.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PERMIT TECHNICIAN NOTICE OF COMMENCEMENT INFORMATIONAL
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
2 PERMIT TECHNICIAN Workers Compensation Insurance INFORMATIONAL
Notes:
Workers compensation insurance information must be updated prior to permit issuance.
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: 11/22/2022
PERMIT NUMBER
RFNC22-0115
ISSUED: 11/22/2022
EXPIRES: 5/21/2023
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $35.00
3 PERMIT TECHNICIAN GENERAL LIABILITY INSURANCE INFORMATIONAL
Notes:
General liability insurance must be updated prior to permit issuance.
4 PERMIT TECHNICIAN Local Business Tax Receipt INFORMATIONAL
Notes:
Local business tax receipt information must be updated prior to permit issuance.
2 of 2Issued Date: 11/22/2022
PERMIT NUMBER
RFNC22-0115
ISSUED: 11/22/2022
EXPIRES: 5/21/2023
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r;. REVOCABLE ENCROACHMENT AGREEMENT
o"City of Atlantic Beach ALL INFORMATION
Y
800 Seminole Road,Atlantic Beach,FL 32233
HIGHLIGHTED IN GRAY
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
lC(4ae /( /I/IUGI 5-p 4 I 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 Atlantic1Beach.
This work is generally described as kr)Ce /VI S'i-0i 11 R"f'o il
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 /b 9 6 A-t/a,'r/i C Sea di pl. / Ail Be ti 3ZZ33.
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.
Zo22-
Date
Property Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this 2 day of O 20 Z
by 1 v KA/\,0r `SC A L who personally appeared before me and
pri ted name of Signer)
ackno le ged th he/sb(e signed the instrument voluntarily for the purpose expressed in it.
C
1 . =n , d Department Approval:
TOidl GINDLESPERGEP,Signature of Notary Public,Stat f Florida *z• ' i: MY COMMISSION#GG 353178
Personally Known EXPIRES:October 6,2023
Produced Identification(Type) C ,. °`,F`°?` Bo,nd;hruNotaryPublicUndenvrcers Scott Williams, Public Works Director
H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
RFNC22-0115
RFNC22-0115
RFNC22-0115