44 Coral St RFNC23-0024 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
ACRI ANGELA LIFE ESTATE 11 NOMAD CRESENT TORONTO ONTARIO
CANADA M3B1S5
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169566 0525 OCEAN GROVE UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
44 CORAL ST RESIDENTIAL FENCE ONE
STREET FRONTAGE 6' FENCE - Renewed $1800.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $35.00
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $70.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 1Issued Date: 3/23/2022
PERMIT NUMBER
RFNC22-0024
ISSUED: 3/23/2022
EXPIRES: 6/11/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Yic Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
1t'llir 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
Job Address: l' r' 1s 11/Ldeetolfek Permit Number: RE.R.P2 Z- 002A
Legal Description (OCP61A 6 roue Li'-r I- I Lot 3 („5X N 5'1,415E7 RE# //, 9S4C —o5 2
Valuation of Work(Replacement Cost)$ /$0"Heated/Cooled SF ,:
c/c
Non-Heated/Cooled
Class of Work: P2‘w 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 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:
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 1h'l
J
41, /4C.-A( Address /
c1 CCP rc y-5 -+
City /yin ilc 6.2 ctcl-\ State i-----7 Zip 3 , 3" Phone 9 o4'-'/-4/6-6 6
E-Mail (3.0eJacti.(' i ( ) (- 5 e(s• (car
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company of _r 64,...icLj'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 OR Exempt 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 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIt YOUR NOTICE OF COMMENCEMENT.
3ig atureo6T wn or Agent)Signature of Contractor)
Signed and sworn to(or ai{irmed)before e his 4 day of Signed and sworn to(or affirmed)before me this day of
1/ s '.I Lara.b nc. 4 la l'- l by
i "Y° TONI GINDLESPE• 'Tm'
C )2'' ': gn:t -of . a: Signature of Notary)
4!. MY COMMISSION UGC
7,17-7...4.4.5 EXPIRES:October 6,2023
Bonded Thru Notary Public Underwriters
Personally Known OR
Produced Identification Produced Identification
Type of Identification: 0cti a r t 0 Type of Identification:
Fence Addendum Updated 1/14/2021
r tCity of Atlantic Beach Building Department005800SeminoleRoad, Atlantic Beach, FL 32233
PERMIT #
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
9L/ Corc Sfre.e 4H - 'L-- c'e-A 6v-677, 24)a
PropertyopType: Lot Type/ Features:
Residential abne 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):
Wood C'Four Foot (4ft)
Chain Link x Foot (6ft)
Vinyl 0 Other
O Block/Stone (Plan details required for footings and/or
retaining walls)
O 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?
YWes (must submit separate Revocable Encroachment Agreement)
No
Will tree(s) be removed in association with proposed project?
O Yes (must submit separate Tree Removal Permit)
6No
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.
r"?ii;. REVOCABLE ENCROACHMENT AGREEMENTr'i
Rrfr- + City of Atlantic Beach ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233
HIGHLIGHTED IN GRAY
IS REQUIRED.
oJl',
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
pf t640s Re—k1 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 -f ct i c e. ref,/ a c.c rt I et&
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 47'/ C a c'o.I -"i'e-t-•{- #71*i q4-7-_cdr c1,-1 /-3L
3LL5 'S
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 the USER.
41,
I/ i 1-._'' 471A Date A) -C-r1 '1 ( 'A
Property Owner/Agent (signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged thisj
i,
day of c- \ 20
by Cil 0 / ( H C- ( who personally appeared before me and
printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
l$$ <!•
R'.*•- TONI GINDLESPERGER Department Approval:
Signature of Notary Public, State&of Florida F',; MYCOMhtISSION#GG 353178
EXPIRES:CctDber 6,2023PersonallyKnownPFOP' BendedihruNotaryPublicUnderwriters
Produced Identification (Type) ` " "' ' '"°` Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
Owner Builder Affidavit ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department 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: Y r >sc,i ai-' /--f-1a j 'c Cedt '1 i-----/A,,,,-)A--,
Owner Name:se,,1‘. 14C440 Phone Number: 7O 'V4I 66dhl
Mailing Address: z/ty Gt;l £- City: F-i/itiniv, £/t rfi' State: F/Zip: 32233
Notarized Signature of Owner _ OM yki C, A __,._ '
The foregoi g instrument was acknowledged before me this ` day of
i)
1 crc..1 ,20 , -in the State of Florida, County
of 0 LA o
Signature of Notary Public 1,
Personally Known OR [ ] Produced Identification
Type of Identification: L_
Updated 10/ 24/18
sic: TONI GINDLESPERGER
MY COMMISSION#GG 353178
7.,•,W,_ EXPIRES:October 6,2023
O,F;°p‘ Bonded Thru Notary Public Underwriters
MAP SHOWING BOUNDARY SURVEY OF
OT 3, EXCEPT THE NORTHERLY 54.45 FEET THEREOF, BLOCK 6, OCEAN GROVE UNIT NO. 1, ACCORDING
0 PLAT THEREOF RECORDED IN PLAT BOOK 15, PAGE 82, CURRENT PUBLIC RECORDS OF DUVAL COUNTY,
LORIDA, SUBJECT TO A DRIVEWAY EASEMENT OVER THE WESTERLY 10.2 FEET OF THE NORTHERLY
0 FEET THEREOF. TOGETHER WITH A DRIVEWAY EASEMENT OVER THE WESTERLY 10.2 FEET OF THE
IORTHERLY 54.45 FRET OF LOT 3, BLOCK 6, OCEAN GROVE UNIT NO. 1, ACCORDING TO PLAT THEREOF
tECORDED IN PLAT BOOK 15, PAGE 82, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA,
LONG WITH A DRIVEWAY EASEMENT OVER THE EASTERLY 9.7 FEET OF THE NORTHERLY 74.15 FEET
F LOT 2, BLOCK 6, OCEAN GROVE UNIT NO. 1, ACCORDING TO PLAT THEREOF RECORDED IN PLAT
100K 15, PAGE 82, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: KRISTIN MICHELE BI.LLITERE,
FIRST AMERICAN TITLE INSURANCE COMPANY,
FIRST UNION MORTGAGE CORPORATION AND
WATSON & OSBORNE, P.A.
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