720 Bonita Road RFNC23-0098 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
JEFFERYS DANE 720 BONITA RD ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171093 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
720 BONITA RD RESIDENTIAL FENCE ONE
STREET FRONTAGE
Replacing 6' fence and 6'
gate on east side of house $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: 10/9/2023
PERMIT NUMBER
RFNC23-0098
ISSUED: 10/9/2023
EXPIRES: 4/6/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
t2CityofAtlanticBeachBuildingDepartmentPERMIT# 1N C2-3 -009 V
800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address "")d-c. t3avat. (Lc,c4 AYIN,VA. IQ cu L. PG 3 33 RE# 09 3 -0
Legal Description go - c 0-25•-2qE jct t falMS Un '1. alk 1
Valuation of Work(Replacement Cost) - SID0 Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: New Addition Alteration Repair EMove EDemo Pool Window/Door
Use of existing/proposed structure(s): Commercial (Residential
If an existing structure,is a fire sprinkler system installed?: Yes gNo
Will tree(s) be removed in association with proposed project? Eves(Must submit separate Tree Removal Permit) , No
Describe in detail the type of work to be performed:
evItu.yA) vv.-/ lo' c-,vice rv, 'CACI 5M 0k Ia,.wSe.
L,pACC' )
f
sak o, TAS'C Sook i{.oucc._
Florida Product Approval#For multiple products use Product Approval Information Sheet)
Property Owner Information Name t
a 3-0(4-f,%4 Phone 9 OH-707_ 7$3 k
Address .7 0 g rj,
1J
City A State FL Zip 322 3 3
Email Dam,e F :a016p. Dhwner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information Name of Company //p Phone
Address City State Zip
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 Email Phone
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 YOU PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN
ATT : BEFORE RECOR' ' • NOTICE OF COMMENCEMENT.
Signature of Owner or Agent) Signature of Contractor)
414
Signed and sworn to(or affirmed)before me this 10 day of Signed and sworn to(or affirmed) before me this day of
2023 by 1`, •by
Signature of Notary Signature of Notary
Prsonally Known OR [ ] Produced Identification Personally Known OR [ ] Produced Identification
Type of Identification:
omType
of Identification:
4e. VANESSA ANGERS
MY COMMISSION#HH 244118
EXPIRES:March 23,2026
ALL INFORMATION
i,,,
i
Owner Builder Affidavit HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
p
f''~Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
ID^
rIU 72 00%
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:
1
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. 1
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: 76)
Owner Name: 'ave )"t-( — "-, I Phone Number: qct( - 707- 7 S31
Mailing Address: 7?") `6 ( ‘-" Kc'e` J City: Pgw p
c L. State: V C Zip: 32x.3.7
Notarized Signature of Owner 1
fJThefplegoinginstrumentwasacknowledgedbeoremethis (p day of (/C 4'V , 206)3, in the State of Florida, County
of L JJ't"--
SignatureSignature of Notary Public i
I J Personally Known OR [ J Pro•uced Identification
VANESSA ANGERS
MY COMMISSION M HH 244118lin
I -.e e771 EXPIRES:March 23,2026 Type of Identification:
Updated 10/24/18
Fence Addendum Updated 1/14/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT # EF{\i'(2;-00b
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
0 0-1 0/2/27
Property Type: Lot Type/ Features:
Residential 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):
J8(Wood Four Foot(4ft)
Chain Link A 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)
No
Will tree(s) be removed in association with proposed project?
El Yes (must submit separate Tree Removal Permit)
4> 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.
1,-447=4, REVOCABLE ENCROACHMENT AGREEMENT
ALL INFORMATION
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
HIGHLIGHTED IN GRAY
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing under the laws of the State of Florida, hereinafter referred to as "CITY" and
e.c.{-cvy j 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
2a-ee-celn.0
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 notice to USER shall be given by certified mail, return
receipt requested,to the following address 7 .,:=5 vs«-k pc. 32233 .
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 assumed by th- SER.
l
Date l0/(e0/4,//61_0a-
Property Owner/Agent (signed in presence of Notary Public)
Irl
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this l_—}
1"' day of ( . Y 20 2T
by )2 lP Y<'- E G( S printed name of Signer),who personally appeared
before me and acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
VANESSA ANGERS
s MY COMMISSION#HH 244118
EXPIRES:March 23,2026
Z4i
epartment Approval:
Signat r- . ,otary Public, State of Florida
ersonally Known
Produced Identification (Type) Public Works Department Date
Revision Date:05/09/2023
MAP SHOWING SURVEY OF
LOT 3, BLOCK 1, ROYAL PALMS UNIT ONE AS RECORDED IN PLAT BOOK 30, PAGES 60
60A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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LOT 32 I I I1303'0,I LOT 33
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LOT COVERAGE :
TOTAL LOT AREA 7,500 Sq.ft.
RESIDENCE 2,074 Sq.ft.
SHED 105 Sq.ft.
DRIVE 257 Sq.ft.
WALKS 278 Sq.ft.
FRONT ENTRY 144 Sq.ft.
REAR PATIO 415 Sq.ft.
A/C PADS 9 Sq.ft.
TOTAL IMPERVIOUS AREA = 3,282 Sq.ft.
GENERAL SURVEY NOTES TOTAL LOT COVERAGE = 43.76%
I. INS IS A BOUNDARY AND TOPOGRAPHIC SURVEY.
2. BEARINGS ARE BASED ON THE NORTH UPC OF LOT 3.BLOCK 1,
BONG SOUTH 889702-EAST.AS PER PIAT.
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