655 Selva Lakes Cir RFNC23-0110 fence permitOWNER:ADDRESS:CITY:STATE:ZIP:
SOLODYANKIN TIMOFEY 655 SELVA LAKES CIR ATLANTIC BEACH FL 32233-4379
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172027 5896 SELVA LAKES UNIT 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
655 SELVA LAKES CIR RESIDENTIAL FENCE ONE
STREET FRONTAGE
Remove & replace existing
old fence with vinyl fence $4020.00
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: 11/13/2023
PERMIT NUMBER
RFNC23-0110
ISSUED: 11/13/2023
EXPIRES: 5/11/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
f-44,,,, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
s
t \ City of Atlantic Beach Building Department PERMIT# Z5 (c
r2
J 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required toprocess
i 9r Phone: (904) 247-5826 Email: Building-Dept@coab.us
JobAddress (,,:,.t55 5 _)f L &YDS Ci ig.... RE# i ` z. 2,7.-52(5;6
Legal Description lf'/ -6O /6 -ZS 'Z"/ 5f LA,n LA-IegsLA-I 1,,N.T t3 Lor- 157--
Valuation SZValuationofWork(Replacement Cost) L/0/—e, Heated/Cooled SF t,1A- Non-Heated/Cooled SF `A-
Class of Work: New Addition Alteration Repair Move ['Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial , Residential • Ifexisting structure, isa fire sprinkler system installed?:YesgliNo
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:
PytKo`1c= rt-t---s• 't..%PL_ c—v_ N .5--",-%N c-c c. 0 PCNL - w 0-4-1
Florida Product Approval# For multiple products use Product Approval Information Sheet)
Property Owner Information Name Ilt„tL3 E.y U Se)LoDIArJ Phone sae-7, 7z-5 f_557
Address 657 Sit_t---•.)9 LA be-e_25 CT‘Q_ - City Auhr,stirc istEACH State rb Zip 3LZ35
Email j,r-{p,=oys LevyA10,4/00wner or Agent(If Agent, Power of Attorney or Agency Letter Required)
lMn1t_ c c.Contrac or Intormatlon Name oompany OK) s_fi5„4Z__ Phone
Address City State Zip
Qualifying Agent State Certification/Registration#
Email Job Site Contact Number
Worker's Compensation Insurer OR Exempt Expiration Date
Architect'sName Email Phone
Engineer'sName Email Phone
Application is herebymade to obtain a permit to dothe work and installations asindicated. I certifythat nowork orinstallation 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 aseparate 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 ofthis city/county,and there may be additional permits required from other governmental entities such as water
management districts,state agencies, or federal agencies.
OWNER'SAFFIDAVIT: I certify that allthe 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. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
e-4
c ilag, re of Owner or Agent) Signature of Contractor)
Signed and sworn to(oraff. before th. ` 0 / day of Signed and sworn to(or affirmed) before me this day of
ocre).e e_ P • •Y . . li, t ;- I. ,11.4r/"..)by
Signature of Notary 1„,.........
V i -- Signature of Notary
Personally Known Produced Identific.40 Personally Known OR [ ] Produced Identification
Type of Identification: • Type of Identification:
s.4.g.•I ,.,.•
TONI GINDLESPERGER
MY COMMISSION#HH 407122
1.•' EXPIRES:October 6,2027f.°F.
s'-"%
r. Fence Addendum Updated 1/14/2021JI - til
d• a
City of Atlantic Beach Building Department
j800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# ['FN(7' - 01IV
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
655 3eLJA L.4-iGe--t5 c Ii-3ZZ-3'3 OCT-. -50 ; 7-40Z-.
Property
c z-
Property Type:Lot Type/ Features:
Residential 5gt One Street frontage (interior lot)
Commercial 0 More than one street frontage (corner lot, through lot,
etc.)
Swimming Pool
Fence Material: Fence Height (select all that apply):
Wood Four Foot (4ft)
Chain Link IS1-Six Foot (6ft)
LS--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)
K No
Will tree(s) be removed in association with proposed project?
0 Yes (must submit separate Tree Removal Permit)
Q 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.
Owner Builder Affidavit ALL INFORMATION
I'( -, ,,,,,,.
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
J`
i
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: f) IIGI
I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/ BUILDER TO ACKNOWLEDGE THE LAW:
IDISCLOSURE 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
i 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 SELLOR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
1
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 ANDZONING REGULATIONS.
ITIS YOUR RESPONSIBILITY TOMAKE SURETHAT 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 OFAN OWNER-BUILDER PERMIT.
Job Address: 55— -(--1. 1h -t 6.-/e• •
Owner Name: I t-{Cr=L, t) o[.,C,PyAiQV-ii%-' Phone Number: Sc-347 7Z3. 5.5-61/
Mailing Address: g55 S lv+I- LA c kQ City: ATl.i}Ni1C (3fALl State: fQ Zip: :57,13.5
c..---.."
Notarized Signature ofOwnerg___,,
The fo,(egoing instrument was acknowledged before me this 3) day of rt — , 20 Z in the State of Florida, County
of 1)00 fq-c___ .
111.
Signature of Notary Public 5) 1--
Personally Known OR [ ] Produced Identification
Type of Identification: I—, L-
Updated 10/24/18Pv `'`Y TONI GINDLESPERGER
MY COMMISSION#HH407122
I''. ` .°` EXPIRES October 6,2027
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PROPERTY ADDRESS:655SELVA LAKES CIRCLE, ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER:2209.5088
2209.5088BOUNDARY SURVEY
DUVAL COUNTY
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SURVEYORS NOTES: MB MEN sem '
FENCE OWNERSHIP NOT DETERMINED. GRAPHIC SCALE(In Feet)J.E.A.-E.•JACKSONVILLE ELECTRICAL AUTHORITY EASEMENT Iinch a30II-
SURVEYORS CERTIFICATION: POINTS OFINTEREST:
tttpuuueI
rtu, 1.CONCRETE DRIVEWAY OVER 7.5'JACKSONVILLEIherebycertifythatthisSurveyofthelandsELECTRICALAUTHORITYEASEMENT
aN E O!.described hereon was made under my direct
c )° t+•Nu y • supervision,and to the best of my knowledge
LS 7386'9 and belief is a true and accurate representation
1 - of said lands and meets the Standards ofK,b,L,_ PracticesetforthinChapter5J-15.050through AF... -a , a - SJ-15.053,Florida Administrative Code,t k"c pursuant to section 472.027,Florida Statutes. .EXACTASTATEOFc s..n.L.n6s....e.r WIPThissurvesnotvalidwithoutthes! naturo and . L..,awn.vo...uc WWIu> FLORIDA
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o.iginal raised seal of aFlorida licensed surveyor 161.7)5.1!1617:164.7/4211.32
rp Y 71w Wnaing 6aJe.r6.16616.ae.FL 11116
i?,44 SURVVC°9: ` and mapper,signature andsealpoftsaFloridaenthe electronictedsurveyor
JOHN E KRC)BATH and mapper isaffixed hereto
51111 UFbSM PIOINrbrW 11)x2216 and 46.017.AFFILIATE
UwwNurew 73111 Association MEMBERSecuU.91111‘6,61...LIG]Lae 0291 He.FLT r ..
DATE SIGNED:10/07/22
FIELDWORK DATE,10/6/2022 SEEPAGE 2OF 2FOR LEGAL DESCRIPTION
PAGE 1OF2-NOT VALID WITHOUT ALL PAGESREVISIONOATEN):(REVD 10/7/2022)