329 SHERRY DR RFNC22-0138 Building Permit Application Updated 10/9/18
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.
lob Address: 32C( Berry Permit Number: Rf"---Nc Zz- v( 3S
Legal Description 5-C,1 _, 14-25 - 29b • 06 RE# /ci 5l5 -02Do
Valuation of Work(Replacement Cost)$ Z I� Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New DAddition ❑Alteration /Repair ❑Move ❑Demo ❑Pool DWindow/Door
• Use of existing/proposed structure(s): DCommercial ✓{]Residential
• If an existing structure, is a fire sprinkler system installed?: DYes ('No /
• Will tree(s)be removed in association with proposed project? EYes (must submit separate Tree Removal Permit) /No
Describe in detail the type of work to be performed: RtfIgc;y L 6 14 vain yatcs UH i't + s:
Florida Product Approval# for multiple products use product approval form
Property Owner Information /� n
Name Me c �4rr►wy Address 3i-!W 00,54.1 8v,,,dSc- Dv,
City C-urbw+cJaic. State CO Zip SI 02-3 Phone 303 321 ZSCfs
E-Mail Mt99hL Jr7ar►iry(y ywk."I. COM
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Su.pctr:aA Funoc. o,.� Pa:I Qualifying Agent Z4 ,L P.cy-h�
Address 5410 FI:9I�yy Ate- City �.,�IAsowv:Il� State F I Zip 32259
Office Phone 1o�f C83 6349 Job Site Contact Number
State CerYrficationjrcegrstrat on# I
CSfsS`( c 1Vraii O4( cc Cl l.c; ja04semu,/QA.•corn
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer L. ky MOR Exempt Expiration Date I2./ ISZZ
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
RESUIOF 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 NCrE/OF COMMENCEMENT.
,,��.
(Signature of Owner or Agent) :nature of Contractor)
S ned apd sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed) before me this 1 d y of
2L L 2, 13\1714 IJoJ��Lxv, �o�l, by � 17i-iy �- eFkc -1�-��
(s. n .Thicz
ature of Notary)
CYNTHIA A. FOSTER ;;; . Biel J HUSSAIN •
NCTARY PUBLIC
( �-•: iota Public•State of F!onca
[ ]Pe onally Known OR MACON COUNTY, NC [ ,]Personally Known OR `.N . ,1 Commission Y NN 252507
[ roduced Identification My Commit<•on Expires 12Z1)2024 ['T rroduced Identification 4 My Comm.Expires may 9.2026
Type of Identification: ►'0. L lLir c Type of Identification:
SrS'�L�ri" Fence Addendum Updated 1/14/2021
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:
329 Sherry Drive, Atlantic Beach, FL 32233 November 22, 2022
Property Type: Lot Type/ Features:
121 Residential i i One Street frontage(interior lot)
❑ Commercial 0 More than one street frontage(corner lot,through lot,
etc.)
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
WI Wood El Four Foot(4ft)
❑ Chain Link iZ1 Six Foot(6ft)
El 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)
wiNo
Will tree(s) be removed in association with proposed project?
❑ 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.
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REFERENCE •
T HIRD 40'R/W(PAVED) STREE
ME PROPERTY SHOWN HEREf)N APPEARS TO LIE IN 1•1.(X)n T HEREBY CEPT11
ZONE "X" (AREA OUTS I nF, 5(10 YEAR moon PLAIN) AS WELL FLORIhA THAT I
+.S CAN BE I)ETERMINE( BY THE "FLOO() INSURANCE RATE THE ABOVE CAPTI0'
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