447 OSPREY KEY RFNC23-0011 t".p.k RESIDENTIAL FENCE PERMIT PERMIT NUMBER
;� s,
CITY OF ATLANTIC BEACH RFNC23-0011
\, v~ 800 SEMINOLE ROAD ISSUED:
''"!.�;; v%' EXPIRES:
ATLANTIC BEACH. FL 32233
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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
447 OSPREY KEY RESIDENTIAL FENCE ONE 6' FENCE $2000.00
STREET FRONTAGE
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027 5088 SELVA LAKES
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
ROCK WALTER D & C/O WALTER D ROCK POSR ATLANTIC BEACH FL 32233-4367
DOROTHY C TRUST
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $35.00
Issued Date: 1 of 1
„,ft- Building Permit Application1'�3Updatedl0/9/18
City of Atlantic Beach Building Department°Nov--
, **ALL INFORMATION
Oa
- 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
J'; IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us n
Job Address: -t-{'1 Cr'---:) P (2- :..f \ .2 c.` Permit Number: 192U 21 gb
Legal Description R (QLD eF `( ��� E AtiSil�� ” 0 RE#
I1 r�
Valuation of Work (Replacement Cost)$ .+c_0012— Heated/Cooled SF 1/Gr -_ Non-Heated/Cooled _ i 1�--\
• Class of Work: ❑New *ddition DAlteration l*epair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial sidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes 90
• Will tree(s)be removed in association with proposed proiect? ❑Yes(must submit separate Tree Removal Permit) , No
Describe in detail the type of vrk to be performed: kJ))) ..,4_tmac) 1 4—L)17)1- _I C�
PLi)C * REe41-l2- CIL-)Alt all , 6' 1--Y. 1--�' , r1
feel Nt r------ (�!c.-
Florida Product Approval# for multiple products use product approval form
Property Owner Information '7
Name Wet u(e �r,...-,tV df uct �i�c-r� tROC—L Address 4k / 051'2 y K
City (tit (\tv-TIC, b (\CA--C State EL Zip 2,2.2 3 '-3 Phone C\'UL{ - ,41 - t-} 4 9
E-Mail Kl Cs-N JA V-NcA V Lc Ac—'# 7 7 ( A c:uL .- N 0 rym
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company tc a . Qualifying Agent
-------
Address
, -
Address City ,..„---Slate Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone# r\)a
Engineer's Name&Phone# �/
Workers Compensation Insurer OR Exempt❑ 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 wor ill be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separat permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS,FURNACES, BOILERS, HEATERS,TANKS,a 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
RECO , ING YO R N•TICf9F MMMENCEMENT.
(Sill re of Owner or Agent) (Signature of Contractor)
S-ned and sworn to(or a'irme' bef• e his3 Jay of Signed and sworn to(or affirmed)befor• me this day of
7'Z�,b ,,, •4* `��-RO GX ,by
I .Zi
�•n. -o 'o ary) ig ature of Notary)
:':;! TONI GINDLESPERGER
[ ]Personally Known OR -' i . ,- MY COMMISSION[11bSg9ffily flown OR
[ ]Produced Identification "'• 7,` EXPIRES:OctotielgrgNced Itntification
Type of Identification: r "'4-.P. -,°,"
...,,,,.-46,4.-
Bonded Thai Notary PAYMt r lits i ration:
�.:-..
S-'-'r,:, Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
�' ;.. j 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
'
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: V1 O P 2 Zd -1 V---;:' -1 Permit Number: Y127214Bk>
Legal Description
( 1P A C'-E Z t Osi AL.L Ji(!5D U.)L, ', t21:wi,4.) RE#
Valuation of Work(Replacement Cost)$ A_O 2O Heated/Cooled SF 7k-, Non—Heated/Cooled _ }/_-',
• Class of Work: ❑New Eddition ❑Alteration *Fepair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial pOsidential
• If an existing structure, is a fire sprinkler system installed?: ElYes 90
• Will tree(s)be removed in association with proposed project? EYes(must submit separate Tree Removal Permit) , O
Describe in detail the type of rk to be performed: - 4L mac; i i T -1 L
02)P le w rz (00.F
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Wa Lk v 9 �1-c�_i it--X Address ‘-k4"7 osPQ y K
City pact, (afVT1C Pi' .1 U-k State EL Zip 32.2 7- 3 Phone (I-C41 — [41 - 4 9
E-Mail l-1<<-NLA)Tv` VC,C� .`t 77 C Ac,-L.-% eC7rym
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company lir 10 Qualifying Agent
Address City __...----slate Zip
Office Phone Job Site Contact Number f
State Certification/Registration# E-Mail
Architect Name&Phone# n la
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt❑ 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 wor ill be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separat permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,a 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
RECO_R ING YOUR N ,TIC9F`OMMENCEMENT. �.
(Si a re of Owner or Agent) (Signature of Contractor)
S ned and sworn to(or a'irme•)bef' - e this�ay of� Signed and sworn to(or affirmed)befor• me this day of
� Q� ,7()z-z ,b .'0 -4A1 `�i—Roci , , by
cab. cam'.
5: n. - o o ary) ig ature of Notary)
—
GINDLESPERGER
Personally Known OR MISSION { lyown OR
Produced Identification ' EXPIRES:Octoe}�,rced Itntification
a
Type of Identification: '�.�FF��; Bonded Thru Notary Pu61(iVretrldlkigi' ration:
- Fence Addendum Updated 1/14/2021
City of Atlantic Beach Building Department
, ,,-, j,J, 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT #
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Addres Date.
�
q 1uy(24 i1 / r
Property Type: Lot Type/ Features:
IN Residential EOne 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 ❑ Four Foot(4ft)
❑ Chain Link lit Six Foot (6ft)
74, 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
Will tree(s) be removed in association with proposed project?
El Yes (must submit separate Tree Removal Permit)
1'r 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.
Owner Builder Affidavit4
**ALL INFORMATION
- ������''^ HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
/ 800 Seminole Rd, Atlantic Beach, FL 32233
^``J, r/ 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 FORK THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: �7 acip %7 i6c
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Owner Name:�'Vn G 7 /1i / 7�//Phone Number. c,
Mailing Address: • _, i , City:
/- .--R_,
(�/G l Stater Zip: zZ-3
�-I
Notarized Signature of Owner s �C�-C �y .. Z
The tpTegoing ins rument was acknowledged be1.re me this, Dday of l\ , 20 the State of Florida, County
of 1I )\)V. r
Signature of Notary Public
[ ] Personally Known OR [ ] Produced Identification
Type of Identification: U '
Updated 10/24/18
pis'ulk,•,, TONI GINOLESPERGER
/7- ,�i 'P, MY COMMISSION#GG 353176
l'•::::,,,' '� , , PIRES:October 6,2023
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LIMPID: RRL,"BUILDIPWO RESTRICTION LINE; litAV-RIM OF NAT;p"I E'iT1U11. ANCIE OF CURVE; � ?IUS;
P.C_=POINT OF CURVE; P.T."POIWF OF TANG-FACT; F.R.C.=POINT OF REVERSE CURVE; P.C.C.=POINT OF
COKPOURI) CURVE; cite-Cl flfO.ItiB; 1.P.-IRON PIPE OR Plfl; 0.R.V.',OFIICIAL RECORDS VOLUME.
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LEGEND
24A
REYORINCLAND is ENGINEERING SURVEYS p
RfQPERTY SHOWN HEREON LIES WITHIN F!OCl{
,,.40%,,,,,,,,,,,:/
ZONE X AS BEST DETERMINED FROM F. .1
P,4. BOX 382017 FLOOD MAPS PANEL NO.F 7/i, DATED 410.7 499
//,p, 5 CEDAR BILLS BLVD. . . . - - SET IRON PIPJ OR PIPE
JACKSONVILLE. FLORIDA 3
2238
$04-771-648Ei FOUND IRON PIN OR PIPE
v CONCRETE MONUMENT
FOUND CONCRETE MONUMENT
d - • TRAVERSE` OR CONTROL PONT
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY x CROSS CUT OR DRILL Hull
DIRECT SUPERVISION, MEETS THE MINIMUM TECHNICAL X_X FENCE
STANDARDS FOR LAND SURVEYING, CH.APTER 472. F.5.
•
AND DOES NOT HAVE ANY ENCROACHMENTS, EXCEPT
r
AS MAY 8E SHOWN ff /J/j//Jj(1_ J`1 IOD tt0. .ct7x' DATE „ X99
i Of F [/ I 4 ,ry
_�.a._. net � !! --_