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501 Vikings Lane FRNC23-0045 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: DORN ERIC 501 VIKINGS LANE ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170703 0260 SEASPRAY JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 501 VIKINGS LN RESIDENTIAL FENCE ONE STREET FRONTAGE Replace Fence Posts $300.00 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: 4/28/2023 PERMIT NUMBER RFNC23-0045 ISSUED: 4/28/2023 EXPIRES: 10/25/2023 RESIDENTIAL FENCE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 rSr''''r Building Permit Application Updated 10/9/18 OECity of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY u ti9- IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us CAL') Job Address: 5© 1 r' 1 k :445 Loc., , J L_A 1-j Esj,j1 Fl Permit Number: Nj H NC'1j" Legal Description 37 -C/ 17-2.5 Q.M.k ScA sPN1 r L-} 3d Mk ARE# 70703 ' O2‘.-0 Valuation of Work(Replacement Cost) $ 3d Heated/Cooled SF Non-Heated/Cooled Class of Work: New Addition Alteration aRepair Move EDemo 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) LNNo Dscr detail the type of work to be performed: Florida Product Approval# for multiple products use product approval form Proper Owner Information Name rk..t Dorn Address 5.0 1 tie ;'t ' LG61 ' 7, G / L City fiG. arm e- State f.L Zip 2 . Ph.ne '0 7 E-Mail Q'' •,,, @ ,tctc . cors„ Owner or`Agent(If Agent, Pbrwer of Attorney or Agency Letter Required) Contractor Information Name of Company 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 o 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 RE DING O NOTICE OF COMMENCEMENT. Signature of Owner or Agent)Signature of Contractor) gned an sworn to(or aff ,,:) before is day of Signed and sworn to(or affirmed)befor- e this day of rLI Z . . r)C. ! * r - t Y°O TONI GINDLESPERGE- 1.Lam\/S I . .i ;. i Signature . Notary) i81 :. MY COMMISSION;GG 353178( ) nature, of Notary) EXPIRES:October 6,2023FP,F`;0" Bonded Thru Notary Public Underwriters ZravPo' Personally Known OR r' • '; j[e sona` Known Ok- i R I Produced Identificatio Y "l qua dBc Identification Type of Identification: L '-ForF,1gp; type:0f Idel,ification: Ublic Unte,reriiers t=iL`1r, • Owner Builder Affidavit ALL INFORMATION i _ HIGHLIGHTED IN Ti a(-- City of Atlantic Beach Building Department GRAY IS REQUIRED. l - V 800 Seminole Rd, Atlantic Beach, FL 32233 rtie Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: gfIv(,Z3--v s- 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: o1 V I [0,5 44 MIQn1 lie 1 Ft- 3223 Owner Name:P.-1"f e. D a r—#1 Phone Number: PI/y39 7551 14.1' Q i Mailing Address50/ /I op- Lr. City: a4 f ic,L G1 State: Fl.Zip: Notarized Signature of Owner ' v4, d The furegoing instrument was acknowledged before me this - day o --,'D , 20=,in the State of Florida, County of 4cVJet_ 11111k Signature of Notary Public Al Personally Known OR [ ] Produced Identification Type of Identification: t. ` L-- Updated 10/24/18 e c; TONI GINDLESPERGER iis•)_ i-MY COMMISSION#GG 353178 11. 0pEXPIRES:October 6,2023 F,F°P' Bonded Thru Notary Public Underwriters Fence Addendum Updated 1/14/2021 J City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233fi ;;,r PERMIT# Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: 50 1 t/,k11s C.n Mia nt- c l °'G F 33 6 y7u/2.0 2.2 Property Type:Lot Type/!Features: Residential IN'One Street frontage(interior lot) Commercial More than one street frontage(corner lot,through lot, etc.) El Swimming Pool Fe ce Material: Fence Height (select all that apply): Wood 0 Four Foot(4ft) El Chain Link VSix Foot(6ft) Vinyl 0 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? Ides (must submit separate Revocable Encroachment Agreement) No Will tree(s) be removed in association with proposed project? Yes (must submit separate Tree Removal Permit) E/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. yslyr r..,REVOCABLE ENCROACHMENT AGREEMENT 4 r ALL INFORMATIONIndCityofAtlanticBeach HIGHLIGHTED IN GRAY r 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED. rLS% REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and e ting under the laws of the State of Florida, hereinafter referred to as"CITY" and r j L. lab C'^l of Atlantic Beach, Florida, hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as 'Fe h G2 Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days'notice by CITY t ER,said notice to US sh II be given b ertified mail, Greturn receipt requested,to the following address d 1 1 1._PA q 1d C jesr .)1 T L- In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining,repairing,operating,replacing or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of completion. This permit shall inure to the benefit of,and be binding upon,the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications,to include utilities locate requirements and use limitations/requirements of easements,public right- of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assu . • the USER. 0, Date q/zi/Zo2 j Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this day of C 20 2 byv 6-1-C tp C. n printed name of Signer),who personally appeared before me and acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. TONI GINDLESPERGEP, s `: MY COMMISSION#GG 353178 R( F F...<:'• YPIRES:October 6,202394BondedThruNotaryPublicUnderwriters Thpartment Approval: Signature of Notary Public,Sta Floridait Personally Known Produced Identification(Type) 'Di L._ Public Works Director Date Revision Date:4/6/2023 6.° 1.5' S 67°28'00" E 160.00' AND SEWERS 3.7' X I r x 0 1 ° ,.B' 6' W9'D FEN N. 0 1.4' scl IJO' 10' C° Nc WOOD I Q/p k4spGAZEEBO oI •• A.4.54' o 1 I CO bg 19/7. 2y6,• GV moo.w p Sy•s 4 fo' c tv p I Iw I y v., s°oc,4,, Co ii o , o) LOT 29 kta t5 t o, W ` c0y ,Qas y s A 66 6 \ c\1 On o sok 43, 4:142) *cam a° o 9 f' 6. E-, ti N q• I zr sIi"koREINFORCED1tiC444CA'p<I,r{, 1. CONCRETE PIPE i epI 2y , 4o°Q G• e I11 0'1 I >o',------47 °.ti 3; ::::: o ARC=11.42' 11 C 4>° 'B,t, ..:.. t •..... O r p,,, d . '`i4 :•:• .• 0.4'Go 1:::)0-. 1 I o O N F,-4lr O :..::4° o I o As.`` ' v.! ..: 0 41 I-4 C") o o I CRIBLE SER a'' ' r to LOT 31 10' CENTERLINE I 4/4.1, 7-------_________,.„:04. •• P.C.P. POINT OF cnvi-Avi,‘CURVATURE G°. f N Lrc CSco csQf° 'jig v4'n 4 c 2 Is LEGEND: O DENOTES FOUND 1/2" IRON PIPE (NO CAP) DENOTES FOUND 1/2" IRON PIPE (CAP UNREADABLE) P.C.P. DENOTES PERMANENT CONTROL POINT, FOUND NOTES: 6" ROUND CONCRETE MONUMENT "RMA&A 451" 1) THIS IS A BOUNDARY SURVEY. 2) BEARINGS ARE BASED ON THE WEST LINE OF I HEREBY CERTIFY TO: LOT 30 AS BEING N 30'13'46" E. JOSEPH L. EMMERICH & SUSAN L. EMMERICH: 3) THIS PROPERTY APPEARS TO LIE IN FLOOD ZONE LIBERTY BANK X" WHICH IS THE AREA OUTSIDE THE 500 YEAR STEWART TITLE GUARANTY COMPANY: FLOOD BY FLOOD MAPS REVISED APRIL 17, 1989,BUSCHMAN. AHERN. PERSONS & BANKSTON COMMUNITY PANEL No. 120075 0001 D. THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL4) BUILDING RESTRICTION LINES: (B.R.L.) BY PLAT. 5) ALL BEARINGS AND DISTANCES SHOWN WERE FIELD STANDARDS AS SET FORTH BY THE FLORIDA BOARD MEASURED WITHIN 0.10' TOLERANCE.OF SURVEYORS AND MAPPERS. PURSUANT TO SECTIOAI 472.027 FLORIDA STATUTES AND CHAPTER 61G17-6 FLORIDA ADMINIS RATION CODE. 9/';: olf L IZEMORE AND FLORIDA REGISTEID SURVEYOR NO.5563 ASSOCIATES INC.DATE: ROBERT D. TO PKINS 2008AUGUST4, 2008 SURVEYING & MAPPING SCALE: 1" = 30' LICENSED BUSINESS 6282 DUPONT STATION CT. E, UNIT 442 UNLESS IT BEARS THE SIGNATURE AND THE ORIGINAL 6878 JACKSONVILLE, FLORIDA 32217 RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND 904) 737-6767 MAPPER THIS MAP IS FOR INFORMATIONAL PURPOSES AND IS NOT VALID