371 3rd St RFNC23-0027 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
EILERS ELIZABETH A 371 3RD ST ATLANTIC BEACH FL 32233-5231
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169823 9000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
371 3RD ST RESIDENTIAL FENCE ONE
STREET FRONTAGE New Fence $5500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $35.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 1Issued Date: 3/20/2023
PERMIT NUMBER
RFNC23-0027
ISSUED: 3/20/2023
EXPIRES: 9/16/2023
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application Updated 10/9/18
Js,
L
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
RFNCZ -DO27JobAddress: Permit Number:
r fi,i c +c. P*- N 037. t fr i K
Legal Description Fr
c l .. _ZE• V. 121 RE# (
9 C
n
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Valuation of Work(Replacement Cost)$_j 5 Heated/Cooled SF Non-Heated/Cooled
l
Class of Work:'New Addition Alteration 'cRepair 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 tree(s)be removed in association with proposed project? Yes(must submit separate Tree Removal Permit)
Describe i etail the typ of work to be p rformed:
19 Y- `f, , , s-r 3Ac yak,0-1vA)
Florida Product Approval# NIT for multiple products use product approval form
Propert Owner Information
Name 1ZVetL'1'(1 S Address I i
aCitytoIkState1./L Zip 1f/ Phone
72q4' / j V
E-Mail
ti-
ax. ( i a 1 Q, ?j (,Q"Yl1
Owner o genttifAgent, Power of Attorney or Agency Letter Required)
Contractor Information -
i c
Name of Company
4-
je \ ( - t AvifY" Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date
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
RECOR NG YOUR NOT! F CO MENCEMENT.
6,01041
Signature of Owner or Agent)Signature of Contractor)
ed and - orn to(or affirmed)before m this day(of Signed and sworn to(or affirmed)before me this day of
by z""-'e "\ ', ler S by
Signature of tlJ Signature of Notary)
o,F r e•., TONI GINDLESPERGER
MY COMMISSION#GG 353178r*t.
Ttnpr 's.
e rsonally Known OR EXPIRE:p 2 0921 o w R
Produced Identification wy, .[ ]
Produced Ide '• tion
Type of Identification: Type of Identification:
Owner Builder Affidavit
ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
r17N C23 - 2:7Phone: (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 ISA 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: ?1 ( d3 4-- ` f-o-21-1
Owner Name: ' .1t-7,010C/11/1 Cil 1.4 -'S Phone Number: 47)-0 +1 1'3
v
Mailing Address: 5.7(
r`, '
City: "IOA4t- L?&vC'r State:Zip: J 7
Notarized Signature of Owner 1_,A4 (1 uJU f
The ToregOng instrurrtnt was acknowledged before me this ) day ofP\tLk-20L,)n the State of Florida, County
of
Q.
Signature of Notary Public C,,
J
Personally Known OR [ ] Produced Identification
Type of Identification:
TC:N!r'NDLESPERGER`
A
MY 0; "!L`+OI #'- .1'8'. Updated 10/24/18
E OZ:tOtef 6:2023 `
r,v NoUr/Public Undenvri;urs I
c;.'
y.L1r% Fence A en um Updated1/14/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT # NC23-C 2
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
3-11 ....„
J
t :
T-IR4,1 Mital,44- vaoas
Property Type:Lot Type/ Features:
Residential 4.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):
Ai Wood WFour Foot(4ft)Oh Shit, h11 ro75>r
Chain Link X Six Foot(6ft) On bA(4) bd14/ettn I1f(. K e'h Y
Vinyl 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)
j' No
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.
NOTICE OF COMMENCEMENT
State of 'OVA Tax Folio No.
County of b kivAk.,_
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information isstated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: i(e ald i?j'OOO 5-0 /6-7-SE 0 . 121 Li37.S
valKs-
General
T
At1 N1t ,B,vuJ
Address of property being improved: 1 I S ' 31;y33
KS
General description of improvements: T(°n,62.-
Owner: kt2 t9 \k•fifS Address: 51I 1)Y11 St. p) /-121,
Owner's interest in site of the improvement: Doc#2023044346,OR BK 20603 Page 333,
1
Fee Simple Titleholder(if other than owner):
Number Pages:
Recorded 03/07/2023 09:46 AM,
Name:
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
C f COUNTYOContractor: J/
RECORDING $10.00
Address:
Telephone No.: Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address o any person making a loan for the construction of the improvements
Name: p A
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
7 /) '3b1/\-1
Signed: h/17th4'L Date: /
a,
Before me this day of Y 1arck in the County of Duval,State
P,P•., Of Florida,has personally appeared el . be Gi 1 rS
v• "e:•: VANESSA ANGERS
t Notary Public at Large,State of Florida,County of Duval.
MY COMMISSION8NH244116z;
p°` EXPIRES'March 23,2026 My commission expires: '3/23/2OZ6
tOvg-0 Personally Known: or
Produced Identification: FL 01- EN&2-zz - s1-d18-c