185 Sherry Dr RFNC23-0084 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SILVIUS RICHARD P 185 SHERRY DR ATLANTIC BEACH FL 32233-5235
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169798 0000 FLOYD & CAMPS R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
185 SHERRY DR RESIDENTIAL FENCE MULTIPLE
STREET FRONTAGE 4' and 6' FENCE $5000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $35.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 1Issued Date: 9/11/2023
PERMIT NUMBER
RFNC23-0084
ISSUED: 9/11/2023
EXPIRES: 3/9/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r ,vf, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
s
City of Atlantic Beach Building Department PERMIT# R-NCZ3-
v 800 Seminole Road, Atlantic Beach, FL 32233
ALL information required to process
I;'Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address !' 3 shorry br) tie fhtiarvc 2. acadi F/ 32233 RE# 1 (,97 9 8 _0-206
Cegal Description Lc$ ,3 Z.
S
c-( c ci ' C_a mp S Rip
Valuation of Work(Replacement Cost) oHeated/Cooled SF Non-Heated/Cooled SF
Class of Work: New Addition Alteration DRepair Move ['Demo 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) ,No
Describe in detail the type of work to be/performed:
Replaei'rr y e ciS/;15 /rI7Ce — c)1oPrd>c 5 ' -64, 64 /1-#C P YL5G/1".
iee
Florida/Product Approval# For multiple products use Product Approval Information Sheet)
Property Owner Information Name R,4evaial 1 j j,i'Niec ¶;;J ,, US Phone cloy-i"1//} -4/6op 9
Address / 5 5/t E ft y . D( _)e - City 4\41444,c Bea ti State -1 Zip 32_23
r
Email 't'"5, I%, Lc. S q'Gy/y 1 Owner
eel
or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company A n 4A,evr5 /'nce,Co, Phone 670 y--36-6... 2 33_3
Address 2 4 4.Cty atCsonU c.State f j Zip .32.L-G.
Qualifying Agent State Certification/Registration#
Email Job Site Contact Number
Worker's Compensation Insurer OR Exempt Expiration Date
Architect's Name Email Phone
Engineer's Name Er-il Phone
Application is hereby made to obtain a permit to do the wor .nd installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all ,ork will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a se•.rate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TAN, ,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 YOU PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN
ATTOR Y BEFOREfiFCOR G YOUR NOTICE OF COMMENCEMENT.
Signat - •fOwner Agent) Signature of Contra
o67
ned and sworn to(or . •)befor- -.et4'• a( day of Signed and sworn to(or affirme ore me this day of
Z i by ba
Si
by
Signature otag ry Signature of Notary
rricrsonally Known OR [ ] Produced Idero'f ication Personally Known OR [ ] Produced Identification
Type of Identification: Type of Identification:
7 Ny A,
TONI GINDLESPERGER
F MY COMMISSION#GG 353178
EXPIRES:October 6,2023
j
9r
OFFS•Q' Bonded Thru NotaryPublic Underwriters
L`r/!' Owner Builder Affidavit ALL INFORMATION
E4
Sy1
City of Atlantic Beach Building Department
HIGHLIGHTED IN
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
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: l VS 51-lette7 1)/'' Uc A+IAr1 'c_ j3 'ae I FL— 3L2. 3
Owner Name:4'Cly,-1 i,tin,/. f/ ..J, ( S Phone Number: Tot/- /O 'Y4 9
Mailing Address: / .-C-5A p,'r,7 ,
2r1 av City: f knki_8,,..c, j State: FL_ Zip: 32.2_3_3
Notarized Signature of Owner * (41,-.4
The forggoing instr ment was ackno edged before me this / / day of 4.- __ , 2023n the S ate of Florida, County
of L)v'c_
Signature of Notary Public -
r Personally Known OR [ ] Produced Identification i-
Type of Identification:
11 •S,;Y - TONI GINDLESPERGER
r 'c
y
MY COMMISSION#GG 353178t- '`
i EXPIRES:October 6,2023
Updated 10/24/18
C :yF P;,_
4 ,g dSo, Bonded 1 hru Notary Public Underwriters
Fence Addendum Updated1/14/2021
City of Atlantic Beach Building Department
J
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address:I Date:
S S' rr4, .)/, 1>c 5704
Property Type:Lot Type/ Features:
Residential One Street frontage (interior lot)
Commercial lore than one street frontage (corner lot, through lot,
etc.)
Swimming Pool
Fence Material: Fence Height (select all that apply):
Wood our Foot (4ft)
Chain Link Six 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)
KNo
Will tree(s) be removed in association with proposed project?
Yes (must submit separate Tree Removal Permit)
N o
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.
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Form 29
After Recording return to:
Doc#2023174241,OR BK 20785 Page 1679,
ARMSTRONG FENCE CO Number Pages:1
3226 TALLEYRAND AVENUE
Recorded 08/21/2023 10:28 AM,
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
JACKSONVILLE,FLORIDA 32206 COUNTY
RECORDING $10.00
Permit No.
Tax Folio # firl% (,(, j0 NOTICE OF COMMENCEMENT
FS 713.13
State of Florida
County of DUVAL
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713, Florida Statutes,the following information is provided in this Notice of Co mencement.
1. Legal description of property and street address if available:l J JIVE *
l 5 .Sh,nir d s , ve 19+14nAo ee, , FL-3 1' 3
General description of improvement: INSTALLATION OF FENCE
2. Owner Information:
a. Name&Address: LINDA SILVIUS, 185 SHERRY AVE., ATLANTIC BEACH, FLORIDA 32233
b. Interest in property: OWNER
c. Name and address of fee simple titleholder (if other than Owner) N/A
3. Contractor: Name and address ARMSTRONG FENCE CO, 3226 TALLEYRAND AVENUE, JACKSONVILLE, FL 32206
Phone number 904 356-2333 Fax number(optional, if service by fax is acceptable) 904 356-2332
4. Surety: Name and address N/A
Phone number N/A Fax number(optional, if service by fax is acceptable)N/A
Amount of Bond $ N/A
5. Lender: Name and address N/A
Phone number N/A Fax number(optional, if service by fax is acceptable)N/A
6. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes: (name and address): N/A
Phone numbers of designated persons_ N/A
Fax number (optional, if service by fax is acceptable) N/A
7. In addition to himself or herself,Owner designates N/A of N/A to receive a
copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Phone number of person or entity designated by owner N/A Fax number (optional, if service by fax is
acceptable) N/A
8. Expiration date of Notice of Commencement (the expiration date is one (1)year from the date of recording unless a
different date is specified)
14
j
State of Florida Signature of Owner
COUNTY OF DUVAL
Sworn to (or affirmed)and subscribed before me this 0 I day ofHliu' -J, 20 3 ,by Llnct it Si l-/I LAS
who is personally known to me or who has produced 1- i_O L—
as identification and who did_or did not take an oath.
Driver License# S y 12 c.)-6 S' 7%cv
444040j1:fd:
TAMMY NISHIYAMA
Notary Public-State of Florida
Commission x HH 093572
Revised 10/2002 r
My Comm.Expires Fec'6.2025