182 Magnolia St RFNC23-0032 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
Kirik Patricia 182 Magnolia St Atlantic Beach FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170615 0000 SALTAIR SEC 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
182 MAGNOLIA ST RESIDENTIAL FENCE ONE
STREET FRONTAGE Partial Fence Replacement $800.00
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: 3/30/2023
PERMIT NUMBER
RFNC23-0032
ISSUED: 3/30/2023
EXPIRES: 9/26/2023
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
1'v'lf,.. Building Permit Application Updated 10/9/18
1JCity
of Atlantic Beach Building Department ALL INFORMATION
HIGHLIGHTED IN GRAY
u,a/
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED
o Address: l 3 2. Ync viol tu, $r Jr7eel- Permit Number:F 23 -GC .3 2
Legal Description 1.-01. 0 Lit agile Ab I. L ft4 t f' ACRE# /14)615 -b000
Valuation of Work(Replacement Cost)$ *)0 Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial gResidential
If an existing structure,is a fire sprinkler system installed?: Yes 'ANo
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:
kemove 3 . 0_,e pos 4- a via 35ecii -s 4 --f-- ' Oct.444- ll- e,a
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 120,i'r C-t a K t rt L Address 18 a magi 10(tC.0 sem+
City hi-10A t L 5{ Uik State rt_ Zip 3 7-23 3 Phone 2Q 6,I D-0 L3 1
E-Mail 'triso ktrtiK33 69 0\ 1-
viQ.J t 0 c-cri
Owner or Agent(If Agent, Power of Atto ey or Agency Letter Required) PC r l G4_02_ K`t(--y
Contractor Information
Name of Company C v R1J 1-1 QS (i9 It7S iROCTI OJ • alifying Agent {il }f2-C'A(ZFT 2'u AJ ELiVS
Address 248 (3A Y 5T City MEPTON€ t3LH State FZ- Zip 3 ZZ(a`,
Office Phone 9 04 . 2119 ' goo& Job :to Contact Number
State Certification/Registration# CtsC n4-861 b7 --Mail P Et;64V ® (0 ROELOS (-o135TROCTid1 i Cer)
Architect Name&Phone# 1\1q
Engineer's Name&Phone# N ri.
Workers Compensation Insurer OR Exempt Expiration Date $/11/23
Application is hereby made to obtain a per •' to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a .• mit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I u.•erstand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BO RS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this
permit,there may be ad.' '.nal restrictions applicable to this property that may be found in the public records of this county,and
there may be addit'• .1 permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORQIN YOUR NO ICEs •MMENCEMENT.
glIOrfi
Signature of Owner or Agent)Signature of Contract.
is ed and worn to(or affi -•• before me this( ,,,day of Signed and sworn to(or affirmed)bef'.re me this day of
It '.I -v Aro b IA r ' d jA k by
umemm
Tret - arttymer ;Signature of Notary)
Personally Known OR Y.; TONI G!NDLIf SII-iribRally K t.wn •'
Produced Identification LAA c, MY COMMISSION f &8 e1$Id! t' cation
rdiG
Type of Identification:1 _ Ip''` EXPIRES:Cctpppe Il ntifi. tion:
1 `',9„°;F ' Bonded Thru Notary Public Underwriters
Owner Builder Affidavit ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.usPERMIT#: I.FIJL,. ODQ
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:
gri
I 54°
2
Owner Name: l L. 1G rt r' Phone Number: i'f'O (X)
Mailing Address: /1#' . D J-f City: f41/I CS EZ4 t State: Zip:22-33
4L _.LNotarizedSignatureofOwner
The,oing instr ment was acknowledged before me this I LOclay ofA a• , 02;fin the State of Florida, County
of JiAI'ca
i
Signature of Notary Public _IP
t ,,...'
pNGNDLESPERGER
Personally Known OR [ ] Produced Identification ,
MY COMMISSION#GG 353178
EXPIRES:Odober6,2023 Type of Identification:
Bonded ThruNetaryPublic Underwriters
Updated 10/24/18
J73~
Fence Addendum Updated l/14/2021
PERMIT# f<q\q". --(c3
City of Atlantic Beach Building Departmentil ...
800 Seminole Road, Atlantic Beach, FL 32233G
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
Property Type:Lot Type/ Features:
Residential Q. 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 JHSix Foot (6ft)
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)
JVo
Will tree(s) be removed in association with proposed project?
Yes (must submit separate Tree Removal Permit)
7i4No
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.
7--- MAP OF BOUNDARY SURVEY
DESCRIPTION:
LOT 641, PLAT OF SECTION N0. 1 SALTAIR, ACCORDING TO THE PLAT THEREOF AS RECOROED
IN PLAT BOOK 10, PAGE 8, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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SURVEY NOTES:
II BEARINGS ARE ASSUMED ON THE EAST LINE OF LOT 641, SCALE: 2" 30
BEING 822'OO'OO•M.
02 UNDERGROUrO UTILITIES, FOUNDATIONS OR OTHER
IMPROVEMENTS MERE NOT LOCATED BY THIS SURVEY. CERTIFIED ro AND FOR THE
03 ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY
EXCLUSIVE BENEFIT OF:
Flom NAP PANEL NO. 12O31C 0409 1 EFFECTIVE 06/0312013. THE JACKSONVILLE BANK.
THE PROPERTY DESCRIBED HERAPPEARS 10 tIE JM IONF 'X' MISSPRISS ENTERPRISES, LLC
4 THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT, OLO REPUBLIC NATIONAL TITLE INSURANCE COMPANY
TITLE SEARCH, TITLE OPINION OR TITLE INSURANCE.
05 DIMENSIONS ARE SHORN IN FEET ANO DECIMALS THEREOF STREET ADDRESS:
AM) ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE,
0,6 ALL EASEMENTS ARE PER PLAT UNLESS SHOWN OTHERWISE,
182 MAGNOILA STREET
ATLANTIC BEACH, FLORIDA 32233
r/ THERE
ON
BE AL RESTRICTIONSANT
BEC
FOUND
INATPUBLICYRECOCRDSARE
OF SAID COUNTY,
T SNOW
8 THIS SURVEY DOES NOT GUARANTEE OWNERSHIP,
09 TEMPLWARY, NON-PERMANENT INWJOYEMENTS AND/UR MAN-MADE ITEMS
SUCH AS, BUT NOT LIMITED TO THE FOLLOWING: BUILDING MATERIAL.
STORAGE PODS, PAVER BLOCKS RUBBERMAID OR PLASTIC UTILITY
THISDINGS
NOT ON
Y 8 TFNA?T LOCA D ORHSHOWN.
ICLESOff BLOCKS MAY BE ON
PROPf]0 LEGAL DESCRIPTION PROVIDED BY CLIENT.
NOTICE OF LIABILITY THIS SURVEY IS CERTIFIED 10 THOSE 1N1]IVIDUALS SHOWON
i 7 ( 't
1HE FACE THEREOF ANY OTHER USE. BENEFIT OR RELIANCE BY ANY OTHER PARTY IS
STRICTLY PROHIO/TEO AND RESTRICTED. SURVEYOR IS RESPONSIBLE O04.Y TO
ING1-
jr
INOSE
4.-- '/
CLYDE 0. VANWLEECW /
CERTIFIED ANO HEREBY DISCLAIMS ANY OTHER I;ABILITY AND HEREBY RESTRICTS THE FLORIDA REGISTERED SURVEYOR AND MAPPER 4J. 2546
RIGHTS OF ANY OTHER INDIVIDUAL OR FIRM TO USE THIS SURVEY, NITHOUT EXPRESS NOT VALID WITHOUT THE Sl GNA TORE 6 THE ORIGINAL RAISED
WRIT7EM CONSENT OF THE SURVEYOR SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER,