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1718 BEACH AVE RFNC22-0133 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: RICHARDS JOHN D 1718 BEACH AVE ATLANTIC BEACH FL 32233-5810 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169591 0000 OCEAN GROVE UNIT 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1718 BEACH AVE RESIDENTIAL FENCE ONE STREET FRONTAGE 4' FENCE $125.00 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: 12/13/2022 PERMIT NUMBER RFNC22-0133 ISSUED: 12/13/2022 EXPIRES: 6/11/2023 RESIDENTIAL FENCE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 c',r;,. Building Permit Application Updared10/9/18 City of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY cntIS REQUIRED.Phone: (904) 247-5826 Email: Building-Dept@coab.us 177 ' RtNCJobAddress: Beach Ave., Permit Number: J Legal Description Ocean Grove Unit No 1 Lot 10 Block 8 X RE# Valuation of Work(Replacement Cost)$125.00 Heated/Cooled SF Non-Heated/Cooled Class of Work: DNew DAddition Alteration DRepair Move Demo OPool Window/Door Use of existing/proposed structure(s): DCommercial Residential 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: Replace 18 ft of metal fence with wood fence 4 ft high. Add additional wood fence 4 ft high that extends intothe right of way. Florida Product Approval#for multiple products use product approval form Property Owner Information Name John U, Richards Address 1718 Beach Ave.. City Atlantic Beach State FL Zip 32233 Phone 904-521-9995 E-Mail jdredn(a?gmai[.com Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company Qualifying Agent Address City Zip Office Phone Job Site Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt u Expiration Date Application is hereby made to obtain a permit to do the work an. stallations as indicated.I certify that no work or installation has commenced prior to the issuance of a permit and that all w.. •II be performed to meet the standards of all the laws regulating construction in this jurisdiction.I understand that a -.. • e permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS, FURNACES,BOILERS,HEATERS,TAN ,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of this permit,there may be additional restrictions applica•le 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 OBTAI Fl • CING, • ) S T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD!j '• d R NOS' ' O •MM) CEMENT. Signature of Owner or Agent) —= Signature of Contractor) ed and sworn to(or a it )before m his Ldayof S ned and sworn to(or affirmed)befor• e this day of 202 ,b . C`: U'C. by n ignature of Notary) ONI GINDLESPERGER I Personally Known OR M. :*_ MY COMINI$9fElAldirfi18y3fAsH8vn IR Produced IdentificationJ n.P EXPIRE9:Da1e4 c da'• • tific Sion Type of Identification:f Bonded ThIAPWINkie REVOCABLE ENCROACHMENT AGREEMENT ALL INFORMATION1s* City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHTED IN GRAY i 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 John D Richards 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 a FL of wooden fence,4 Ft.in height. 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 1718 Beach Ave..Atlantic Beach Fl 32233 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 harml s by the . ER froom any of the work herein under the terms of this permit and that all of said Iia ilities re ereby . .um:• b the USER. CY„ I Date ec— / 7- , 2f lZ— Pro erty/ ner/Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 1 Z day of ! ' Lam. 20 2 Z. by O k rl l r, ir,C;,- A,_.5:,, who personally appeared before me and rinted name of Signer) ack ow 'dged ths • signed the instrument voluntarily for the purpose expressed in it. il ; .^.'u TONI GINDLESPERGER vw MY COMMISSION#GO 353178 Department Approval:l. " EXPIRES:October 6,2023 Signature of Notary Public,Sta if Florida Bonded Thru Notary Public Underwriters I Personally Known r I Produced Identification(Type)Scott Williams, Public Works Director H:\Applications&Forms\word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 Owner Builder Affidavit ALL INFORMATION 5 J`''' HIGHLIGHTED IN ri' City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 f`'"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@COAB.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 ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: r'7 / f ecz .cL r4v e_ f1 1`,c cj . 1 3?-2 33 Owner Name: y— .- k9. C.L v cks nn Phone Number: rQ f - s---2_,s---2_,i -9 4 Q r /rMailingAddress: f I»cL TiCity: 7 co-,- c i& cl! tate: F Zip: 3 2-2_ 3 Notarized Signature of Owner The oing ins truu ent was acknowl d d before me this 1 a day of a E 20 , the State of Florida, County r Signature of Notary Public Or I Personally Known OR [ ] Produced Identification dr Type of Identification: v c GIUpdated 10/24/18f...,+:•.;;,..a ,. MY TONT COMMISSION ik GONDLESPERGER178353 EXPIRESOctober6,2023 se&"iZ"' Bonded Thru Notary Public U deroders Fence Addendum Updated 1/14/2021 i 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: l Z/ l Z / z z 1718 Beach Ave., Atlantic Beach, Fl 32233 Property Type:Lot Type/ Features: Residential 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): Wood 4 Four Foot(4ft) Chain Link Six Foot(6ft) Vinyl El 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) No II tree(s) be removed in association with proposed project? El 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. 17TH STREET 40 FOOT RIGHT OF WAY) 90'15'8"' MEAS.) 54.30 (MEAS.),e 9017' 54.30 (REC) 'Y"o (REC.) FOUND 1/2- OIRON PIPE1 ,...........:„...................\\ 1110, A1 . 89'48' L- ( REC.)