712 Amberjack Ln RFNC23-0048 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
DURBIN TIMOTHY R 712 AMBERJACK LN ATLANTIC BEACH FL 32233-4205
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171126 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
712 AMBERJACK LN RESIDENTIAL FENCE ONE
STREET FRONTAGE Re-install Fence $500.00
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: 5/5/2023
PERMIT NUMBER
RFNC23-0048
ISSUED: 5/5/2023
EXPIRES: 11/1/2023
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ALL INFORMATION
Revision Request/Correction to Comments
HIGHLIGHTED IN
6 City of Atlantic Beach Building Department GRAY IS REQUIRED.
1 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: FMCS-- Day`
Revision to Issued Permit OR I Corrections to Comments Date:574/2i02 3
Project Address: 712 ,i9jP-r/-4L l-
Contractor/Contact Name: b13.-1 6/v4/el
Contact Phone: 9 1 993 -/2Z' Email: --/-141c 0 242057,4,1a/ rotn
Description of Proposed Revision/Corrections:
reM.s/a..` fl4c e f-evDcable croQc ev - A-re'emeN+
I !1 affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
Wil oposed revision/corrections add additional square footage to original submittal?
No Yes(additional s.f.to be added:
MU-proposed revision/corrections add additional increase in building value to original submittal?
No *Yes (additional increase in building value:contractor must sign if increase in valuation)
r--
Signature of Contractor/Agent: 1--
Office
i''`(
Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
i, REVOCABLE ENCROACHMENT AGREEMENTr:
llEs,
I.' \,
n\City of Atlantic Beach
ALL INFORMATION
s HIGHLIGHTED IN GRAY
800 Seminole Road,Atlantic Beach, FL 32233
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized and
existing under the laws o e State f Elorida, hereinafter referred to as "CITY" and
1fn U``h/ of Atlantic Beach, Florida, hereinafter
i
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 Beac
This work is generally described as r'emg/al I e/T C
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 to USER,said notic to USER/ "" shall be given by certified mail,return
receipt requested,to the following address 7/2 /jm4erjQ.C1 J -
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 ed the USER.
Date ,5/4/222.3
Property 0 Agent (signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this 14 day of 1111044 20 2";
by t.WID q 2( 1)1,4))/1 printed name of Signer),who personally appeared
before me and acknowledge that he/she signed the instrument voluntarily for the purpose expressed in it.
4;,,, VANESSA ANGERS
M ' MY COMMISSION#HH 244118
e EXPIRES:March 23,2026
Department Approval:
Signature of Public,S ate of Florida
Person ly Known
j,}'Produced Identification(Type) bL Public Works Director Date
Revision Date:4/6/2023
Permit Number: RFNC23-0048
Site Address: 712 AMBERJACK LN
City, State Zip Code: Atlantic Beach, Fl 32233
Applied: 5/1/2023 Approved:
Issued:
Parent Permit:
Parent Project:
Applicant: <NONE>
Owner: DURBIN TIMOTHY R
Contractor: <NONE>
Description: Re-install Fence
Finaled:
Status: AWAITING CORRECTIONS
Details:
Owner-Builder
LIST OF REVIEWS
SENT DATE RETURNED
DATE DUE DATE TYPE CONTACT STATUS REMARKS
Review Group: AUTO
5/1/2023 5/1/2023 SUBMITTAL
COMPLETENESS Permit Tech APPROVED
Notes:
Uploaded 1 attachment.
5/1/2023 5/1/2023 5/15/2023 ZONING Zoning DENIED
Notes:
Please submit a revocable encroachment agreement since the proposed fence is within an easement.
Printed: Tuesday, 02 May, 2023 1 of 1
Permit Reviews
City of Atlantic Beach