765 Redfin Dr RFNC23-0051 App Building Permit Application Updated 10/9/18
(; i' City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
`Phone:
-((99044)) 247-5826 Email: Building-Dept@coab.us Q / 2 qQ ,C
Job Address: ` �1 17-gPFR) V1�-i{ V Permit Number: r (;275-IJ�y�,S(
Legal Description r1OO -3C'-G 4 I1-2s 2c(C. ftiM Pa(mS t.vitf-2 Cott' bia RE# (`l 1 -24 006,0
Valuation of Work(Replacement Cost)$ ill;14{Q Heated/Cooled SF Non-Heated/Cooled
V8 vtGs2
• Class of Work: ❑New ❑Addition Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ,,Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes , \lo
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) No
Describe in deta' th type of work to b erfo v�i cel E; ' ;ro - hou c i " 0 N(�a�,-` �'>4I grhv
Nps �'F,t -kr-Fvdutce u! i. 2 `F-f`-1-0 tumid 4vvet' Cab- C bervti diets- i;tAe; '-
Florida
�de, -fe�cc� w� d t w1( e i f 5
Product Approval# for multiple products use product approval form
Property Owner Information r N nw aNvit
Name )*1' citat' A V vim' 44r-5l� 7( �f" (�
iI cit AddressTAT-AVS
City ttState FL Zip -1.-Z-3 Phone (oI - -SL$
E-Mail M p t\/Gt(A Ict i yGMP70tl
,CnA
Owner or A nt(If{Agent, Powe of ttorney or Agency Letter Required)
Contractor Information JAt
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 ''rr
OR Exempt n 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 issupe-a arpermit 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 infor
`tion is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning. t..V I I/'y
WARNING TO OWNER: YOUR FAILURE O 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
RECNG YUR , '. I E OF COMMENCEMENT.
(i ' /6/ 1.�--�'
(3ignatu - of owner r Agent) (Signature of Contractor)
Signed and sworn to(or affirmed) b fore me this 10 day of Signed and sworn to(or affirmed) before me this day of
tVICA.Ai , 'llnJ ,by Mt' a.1 Pcci icIL� eyLt-v1 , , by
r of f rN tb a
ignary) (Signature of Notary)
=�:'.Y! ''' VANESSA ANGERS
[ 1 Personally Known OR ;•: ti : MY COMMISSION#HH 244118 t ] Personally Known OR
H Produced Identification `• '?•' EXPIRES:March 23,2026 ] Produced Identification
Type of Identification: i -- ype of Identification:
Fence Addendum Updated 1/14/2021
'ii.:' ) 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: 7(,,Svet?
it) VTZ1V Date: &it1ot2?a
Property Type: Lot Type/ Features:
[II Residential (2'One Street frontage (interior lot)
E Commercial E More than one street frontage (corner lot, through lot,
etc.)
❑ Swimming Pool
Fence Material.MIte w►tu Fence Height (select all that apply):
Nt,ne 1z,.$ 4vici°iM`� -
Q Wood 4V OM ' J L6 'ttQ- > VLite to Me
t ❑ Four Foot (oft)
❑ Chain Link ex,5+�' v1 ,,,/�,d -a,,,,, AA4 c(41Vl l( ix Foot (6ft)
❑ Vinyl toe- vtd 1, "u,e�vvd 4t ife ❑ Other
c4+6 eyo4i4 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)
E --No
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)w
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.
MAP SHOWING BOUNDARY SURVEY OF A
LOT 8, ROYAL PALMS UNIT TWO .- <
ACCORDING TO THE PLAT THEREOF,RECORDED IN PLAT BOOK 30,PAGES 94 AND 94A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA '+
- ba:
CERTIFIED TO: :.Y
DOLORES M.REINIKAINEN,BANK OF AMERICA,N.A.,OLD REPUBLIC NATIONAL TITLE
INSURANCE COMPANY,BUSCHMAN,AHERN,PERSONS&BANKSTON.
AtriAwnc ittgii\
SURVEYORS INC.
LB# 7657
•
I aT 12326 MESA VERDE TRAIL
/a
9 JACKSONVILLE,FLORIDA 32223
rot'ZZ 33 W Y.9OC�O) (904)683-4241 .
FAX 90
6 ✓ FAX(904)683-4231
I ,f(9.0 ,1 ATLANTICCOAST@YAHOO.COM
kiJ ( A1: 26l h ; 108 # is ZZ$
d / 14.c b 0 SURVEY DATE: 68-07-/0
3 B�cKB _ l )r»2✓ M L DRAFTED BY:6C
"�csc N SCALE: /.'r -170•
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N 4 A NOTES
j-'Alc N 1) BEARING SHOWN ARE BASED ON
N N
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io a> fNsv ♦ 2) FLOOD ZONE FROM FEMA
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r � '\ 1 � MAP PANEL, /Z f DATED //-4-9e
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Al.0 f"L-i-'??"E• 91 o CP) p ,,gg
(/Or 7 ANTI-I NY O'NEIL
FLORIDA REGISTERED LAND SURVEYOR
LEGEND PLS NO.5684
PC=POINT OF CURVATURE BRL=BUILDING RESTRICTION LINE A=DELTA . .. =FENCE
PT=POINT OF TANGENCY CL=CENTER LINE A=ARC LENGTH • =CONCRETE
PRC= POINT OF REVERSE CURVE IP=IRON PIPE C=CHORD \\\\,=WOOD NOT VALID WITHOUT THE SIGNATURE AND
PCC= POINT OF COMPOUND CURVE FD=FOUND CB=CHORD BEARING 0=FOUND IP THE ORIGINAL RAISED SEAL OF A FLORIDA
POC= POINT ON CURVE R=RADIUS A/C=AIR CONDITIONER •=SET IP SURVEYOR AND MAPPER •
CONC.=CONCRETE R/W=RIGHT-OF-WAY LEGAL PROVIDED BY CLIENT -