835 MAIN ST RFNC23-0033 C •'ALI , Building Permit Application Updated 10/9/18
X' 2/ City of Atlantic Beach Building Department
L INFORMATION
ep
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
oils IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us 7
Job Address: 835 Main St Permit Number: t F N /_
C 3- OC)33
Legal Description 18-3417-25-29E SEC H ATLANTIC BEACH S 10FT LOT 3,LOT 4,N 20FT LOT 5 ' RE# 170944 0020 ..4
Valuation of Work(Replacement Cost)$2000 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ibRepalr ❑Move ODemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ONo
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) 0N
Describe in detail the type of work to be performed:
Fence installation as shown on attached sketch
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name James Hendrick Address 835 Main St
City Atlantic Beach State FL Zip 32233 Phone (904)333-9045
E-Mail jhendrick00@gmail.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Big Jerry's Fencing Qualifying Agent Jon Davis
Address 12620 Beach Blvd,Ste 3-131 City Jacksonville State FL Zip 32246
Office Phone 904-476-2528 Job Site Contact Number 904-476-2528
NIA Jon1�Bi Jer sFencin com ,
State Certification/Registration# E-Mail g ry 9•
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt 0 Expiration Date 2/1324
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affir before me thl / da of Signed and sworn to(or affirmed)before me this day of
.'✓14-Ct, 2o1'?( F..titr n J-,`Cf ittan-i , 2c23 b 33 -01. 1)Avis
u Tin ur of Notary) n r�BUC�CLEY
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£ OZ 3 legol J S3bIdX3 Notary Public
`• "= State of Florida
��,; clNdl4^'1 AW -
( I Perionally Known OR "":fin;"•Ai I )Personally Known OR "2/,I! - commit HH235895
!;i,, ( I Produced Ide ificd Jroduced Identification a c Expos
Type of Identification: Type of Identification: "%a rie i✓ S £ Ce
Sy ' Fence Addendum
4~ 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:
/1,A Sfv-t "217-Z( /z
Property Type: Lot Type/ Features:
E'Residential 2 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 ❑ Four Foot (4ft)
❑ Chain Link C3 Six Foot (6ft)
❑ Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
E 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?
E Yes (must submit separate Revocable Encroachment Agreement)
3 No
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
L 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.
Description of Fence: Customer Info: `%Off S 6,
6'tall stick-built board on board pressure treated pine James Hendrick 4 A
th:s4
Estimated 68' including gate 835 Main Street
Atlantic Beach, FL 32233
(904) 333-9045
� .�
A O 8 REMAINDER LOT 3
in NI O• E31.1: 1SI 0 c5
N N `t .9 O. -NOT INCL.- LOT .
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,,,Note: e _ ., eoi,c.- aw:
METAL o N 20' LOT 5
-Sketch is not to Scale : SrtED 7 N o., OFF
-Big Jerry's provides our quotes • :� 1(2• E '
using the total linear footage 112 Mr, � wcw _ W 02 Od' (P) 6 F' o r10�° �r
including the width of the rro rD0 58'56'00'W 01 •92�(M) N
gates and we pre-discount our '• N B.R (ASSUMED) = (
i/ 1 O REMAINDER I-OT 3
gates accordingly. Y / I Q �I I` ISI
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