1518 RICHARDSON LN RFNC23-0125 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
BLAIR CHARLIE MAE 1518 RICHARDSON LN ATLANTIC BEACH FL 32233-4331
COMPANY:ADDRESS:CITY:STATE:ZIP:
TB Remodeling & Home
Renovation 11661 Rainbow Springs Ct Jacksonville FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172180 0000 DONNERS R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1518 RICHARDSON LN RESIDENTIAL FENCE ONE
STREET FRONTAGE
Remove old fence & replace
it $1500.00
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: 12/27/2023
PERMIT NUMBER
RFNC23-0125
ISSUED: 12/27/2023
EXPIRES: 6/24/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
sr-„s +, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
J3tCity of Atlantic Beach Building Department PERMIT# VFN C.2 3 -012.5
woi 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required toprocess
tn P''
V
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address P5 3 t-)0c,c'f6n V` t RE# 17Z (` 0 _pr c)a
Legal Description on AP c-s i'/P PT Lot Z , Vie 9 O' L04 b R 1 K
Valuation ofWork(Replacement Cost) 0U(7 Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: New Addition Alteration Etjepair Move Demo Pool Window/Door
Use ofexisting/proposed structure(s): Commercial gResidential •Ifexisting structure, is a fire sprinkler system installed?:Yes No
Will tree(s)beremoved in association with proposed project? Yes (Must submit separate Tree Removal Permit) ["No
Describe in detail the type of work to be performed:
r /t t o 14 —ce r,C.( ROoC C. ti--
Florida Product Approval# For multiple products use Product Approval Information Sheet)
Property Owner Information Name C,0 r c( .13 .76)ct l r Phone Q04 • 333-(o IoOS
Address 1 ( V RI GkG rc vl Lai City j.4 iorttiC., igc II State ' t, Zip 322- j-
Email Owner or Agent(IfAgent,Power of Attorney or Agency Letter Required)
Name of Com an i8 q . ( rQ., "V " Phone Lqoci) 72 1-2,1 o7
Contractor Information p Y 1 r ell a io
ty .so State .1C Zip 3Z--l° l
Address (Q(p (, Y'0.1ri S °S
Qualifying Agent
State Certification/Registration#
Email 1 rtcnfl'e‘11\512.13.Z.06) “..c m 1, C o""-- Job SiteContact Number Ooq)g16` 2 27-3
Worker'sCompensation Insurer e,M,...p+- OR Exempt Expiration Date
Architect's Name Email Phone
Engineer'sName 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 hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetthestandardsofallthelawsregulatingconstructioninthisjurisdiction. 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 ofthis permit, there may be additional restrictions applicable tothis property that may befound inthepublicrecordsofthiscity/county,andthere may be additional permits required from other governmental entities such as watermanagementdistricts,state agencies,orfederal agencies.
OWNER'SAFFIDAVIT:I certify that all the foregoing information is accurate and that all work will bedone in compliance with all applicable
laws regulating construction and zoning.WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULTINYOUPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHESITEOFTHEIMPROVEMENTBEFORETHEFIRST
INSPECTION. IF YOU INTENDRECBTAIN FINANCING,
ORDINGNG YOUR
NOTICENSULT
OF
COMTH
YOUR
MENCEMENT.
MENTDER
OR AN
ATTORNEY BEFORE
Signature ofOwner or Agent) _ Signature ofContractor) `
Si d and sworn to(or aff me )Wore me this ZOdarof Signed and sworn to(or affirmed)before me this 1QJ day of
L)eQ , 2Oi by 0{c. V)23 by1 TO$41, 3ic.;4-
Signature of Notary po Signature of Notary
1 Personally Known OR [ ]Produced Identification Personally Known OR [ ] Produced Identification
Type of Identification:Type of Identification:
dY" .,: TONI GINDLESPERGER
MY COMMISSION#HH 407122
46.‘.Xi EXPIRES:October 6,2027
JF F....'
Owner Builder Affidavit
ALL INFORMATION
rf1 ,y HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
s?
800 Seminole Rd, Atlantic Beach, FL 32233
0;:='r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: N\i(-2 11)125
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 CONSTRUCTIONTO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIEDFORAPERMITUNDERANEXEMPTIONTOTHATLAW. THE EXEMPTION ALLOWS YOU,ASTHE OWNEROFYOURPROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGHYOU 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 ATA 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 LAWAND BY COUNTYOR 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 WITHHOLDINGTAXAND/OR FORM 1099 REQUIREMEN-ISON THE WORKERS THEY EMPLOYON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECTTO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THEOWNERSHOULDPHYSICALLYSEETHECOUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORSCERTIFICATE"TO ASCERTAIN IF A PERSON ISA LICENSEDCONTRACTOR. 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 FORTHE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: VG.GA-.c11 dSo• L- 1J
Owner Name: e OcC1 B • Phone Number: 'f0 kI - 3 33 _I, bo
Mailing Address: .SCk_/Y\ P City: tl%}taut' State: 1-1'Zip: 3 2.Z. 3-3'
Notarized Signature ofOwner
ThelloiNoing inst ument was acknowledged before me this ?L.Hay of AM., . , 202- in the State of Florida, County
of 1/4.)v0
0
Signature of Notary Public
Personally Known OR [ ) Produced Identification
Type of Identification:
Updated 10/24/18
4;,:• TONIGINDLESPERGER
MYCOMMlSS10N#HH 40712
EXPIRES:Uctotrer 6,2027
ii,,,,.,, Fence Addendum Updated 1/14/2021
0----City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# f1\1UZ -CIZS
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
I 148 kti,GhG,rdSOC 1-- LI1211 1 .2023
Property Type: Lot Type/ Features:
LResidential 13 One Street frontage (interior lot)
Commercial D More than one streetfrontage (cornerlot,through lot,
etc.)
0 Swimming Pool
Fence Material: Fepce Height (select all that apply):
Wood Four Foot (4ft)
O Chain Link g:-ix Foot (6ft)
O 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 offence/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?
O Yes (must submit separate Revocable Encroachment Agreement)
131-4-oo
Will tree(s) be removed in association with proposed project?
0 Yes (must submit separate Tree Removal Permit)
G'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.
DRAWING FILE NO.7P--/98 MAP SHOWIING BOUNDARY SURVEY OF;
APART OF BLOCK 15, E.H. DONNER'SSUBDIVISION. AS {RECORDED IN PLAT BOOK8. PAGE 4 (FORMERLY A PART OF GOVERNMENTLOT2. SECTION 17, TOWNSHIP 2 SOUTH, RANGE 29 EAST) AND ALSO BEING A PART OF LOT D. BLOCK 15, AS SHOWN ON BUTNOTINCLUDEDINDONNER'S REPLAT AS RECORDED IN PLAT BOOKR19 POINTPAGE 16,OF
REFERENHE
PUBLIC
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VALTCOUNTY.FLORIDA AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
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10°1510.
FRANCIS
0 E.-
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67A OF THE AFORESAID(
AS NOW ESTABLISHED
ASBA155RECORDS:
S.
FOOTRIGHT-OF-
WA). ADISTANCE OF 71.7 FEET. MORE OR LESS. TO ANI INTERSECTION WITH THE NORTHERLY RIGHT-OF-WAY LINE OF DONNER'SROAD (AVARIABLE WIDTH RIGHT-OF-WAY AS ESTABLISHED BY THE AFOREMENTIONEDDONNER'S REPLAT): THENCE N.85°18'40'W..ALONG SAID NORTHERLY RIGHT-OF-WAY LINE OF DONNER'S ROAD, A DISTANCE OF 223 FEET, MORE OR LESS, TO THE WESTERLYLINEOF AN ALLEY KNOWN AS RICHARDSON LANE (SASIID ALLEY BEING PLATTED AS 10 FEET WIDE AND ACTUALLY BEINGMONUMENTEDASA20FOOTWIDEALLEY): THENCE N.0O°3845"W.. ALONG THE WEST LINE OF SAID RICHARDSON LANE. ADISTANCEOF124.0 FEET TO THE SOUTHEAST CORNER OF THE LANDS INTENDED TO HAVE BEEN DESCRIBED IN OFFICIAL RECORDSVOLUME3229. PAGE 399 OF THE AFORESAID PUBLIC RECORDS AND TO THE POINT OF BEGINNING: THENCE 5.89°42'20"W., ALONG
TENCE
NN89°42'20'E.. A
DISTANCEOFE
SOUTH LINE OF SAIDS90.
00A1STANCE
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OF9O.010
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TE., ALONGHENCEOTHEW ST LINE OFTRICHARDSON LANE,
AOF
47.50TDISTANCE
OF 47.50 FEET TO THE POINT OF BEGINNING. BEING THE SOUTH-HALFTS1/2) OF THE SAME LANDS AS INTENDED TO HAVE
BEEN DESCRIBED IN OFFICIAL RECORDS VOLUME 3229. THEE
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BEARINGS ARE BASED ON THE WEST RIGHT-OF-WAY ti -- -
LINE OF FRANCIS AVENUE AS BEING S.00°15'00"E. N.eTiB'4o'yy, "t`--_ .223s
THERE MAY BE BUILDING RESTRICTION LINES BY ZONING ppNNEOREASEMENTSTHATAFFECTTHISPROPERTYTHATARER,tGN NEPS ROAD
RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT wlbTrivARJEs)
ARE NOT SHOWN ON THIS SURVEY.
PHIS PROPERTY LIES IN FLOOD ZONE "X" WHICH IS THE AREAOUTSIDETHE500YEARFLOODACCORDINGTOFEMAFLOODMAPREVISED4/17/89, COMMUNITY PANEL NO. 120075 0001 D.PinMarDFnRTxT Ou+EEIT o<:
FINISHED FLOOR ELEVATION SHOWN HEREON IS IN FEET AND
BASED ON NATIONAL GEODETIC VERTICAL DATUM. OM ,TOFTHICFAUYE3ACSCNYIIIEBEACHESFADEA(HES HAOITAT;CRUEY5'T1115-:NSURANCENND,INC.; y
1
DCNAHDO,CALL 1M<MENAMY,PA.
1 DUR1 EN LAND
SURVEYORSORS INC.
6645
BRUC SR.E DURDEN
LB PROFESSIONAL LAND SURVEYOR NO.1674 FLORIDA
1103 SOUTH THIRD STR6ET DATE: _ MARCH 21. 2000
JACKSONVILLE BEACH, FL40RIDA 32250 SCALE: C-36
904) 249-7261 FAX (904) 241-1252
THIS MAP OF SURVEY IS NO7FVALIDFLOURIDALAANDHASTHERAISEDSEALl ND SURVEYOR. DRAWING FILE :40., '-/9#
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