321 10th St RFNC24-0003 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
HYRNE JASON D 321 10TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170070 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
321 10TH ST RESIDENTIAL FENCE POOL
BARRIER
Replacing existing fence with
new wood fence $20000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
FENCE 455-0000-322-1000 0 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $91.50
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 2Issued Date: 1/17/2024
PERMIT NUMBER
RFNC24-0003
ISSUED: 1/17/2024
EXPIRES: 7/15/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 1/17/2024
PERMIT NUMBER
RFNC24-0003
ISSUED: 1/17/2024
EXPIRES: 7/15/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
0- vr; ` BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
r
S
City of Atlantic Beach Building Department PERMIT# (LFN C2'-- 0003
800 Seminole Road, Atlantic Beach, FL 32233 information required to process
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address 321 10th St,Atlantic Beach,FL 32233 RE# 170070-0000
Legal Description PARCEL ID 170070-0000 L 12 B 13 PLAT NO 1 SUBDIVISION A ATLANTIC BEACH PLAT BOOK 5 PLAT PAGE 69
Valuation of Work(Replacement Cost) $20,000 Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: New Addition Alteration ElRepair ['Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial Ei Residential • If existing structure, is a fire sprinkler system installed?:Yes F'
Will tree(s)be removed in association with proposed project? Yes (Must submit separate Tree Removal Permit) X No
Describe in detail the type of work to be performed:
Replacing current wood fence with new wood fence,same height.
Florida Product Approval# For multiple products use Product Approval Information Shee
Property Owner Information Name Jason Hyrne Phone (904)334-6004
Address 321 10th St City Atlantic Beach State FL Zip 32233
Email jason.hyrne@gmail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company
Phone
Addres' 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 i
the public records of this city/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 RESUI
IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMEI\
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.
Signature of ner or Agent) Signature of Contractor)
Signed and sworn to(or affirmed) before me this k day of Signed and sworn to(or affirmed) before me this day of
c-•-\J -\ , -
p`
by 'It Sr) O. 1--\ --‘f d\by
Signature of Notary s lb-
i -
1_L-( iC Signature of Notary
Personally Known OR ViProduced Identification Personally Known OR [ ] Produced Identification
Type of Ide -:, 0•----`=- "
a-.--a-'--'-•,'" C,` SL' Type of Identification:
t,tJt 1'ttC -
Fence Addendum Updated 1/14/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# CXNCZy-OOt)
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
Z--1 ( D
om'
S— 3 z2g2 S
Property Type: Lot Type/ Features:
Residential R One Street frontage (interior lot)
Commercial More than one street frontage (corner lot,through lot,
etc.)
El Swimming Pool
Fence Material: Fence Height (select all that apply):
C9'Wood Four Foot(4ft)
Chain Link Q'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?
Yes (must submit separate Tree Removal Permit)
R 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.
ALL INFORMATION
7:,,,,,,
Owner Builder Affidavit HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
r\
Phone: (904) 247-5826 Email: Building-Dept@COab.us PERMIT#: 4Nh2`Jvl VDO3
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-DEP1 @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:
2-1 C .' S / A f-1--( v-tti 1 G- L 3 e._
Owner Name: Tc ,O i ) e ' ) Phone Number: 9'0 y" .3' " eiCB7
gMailin Address:3 2 (76 f 437:'
City: State: Zip: 322_ -5
Notarized Signature of Owner f
The foregoing instrument was acknowledged before me this 11411 ay of <3 V11l6iiU' , 2021k, in the State of Florida, County
of 1.'Vrx(
Signature of Notary Public
Personally Known OR [v]Produced Identification
N'-, VANESSA ANGERS Type of Identification: F L- 1L- .--Taj-,,„ 0. yr I'e
i MY COMMISSION#HH 244118
FO Fr.4 c:: EXPIRES:March 23,2026 Updated 10/24/18
4
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MAP OF SURVEY
LOT 12, BLOCK 13, PIAT NO. 1 SUBDIVISION 'A' ATLANTIC BEACH AS RECORDED IN PLAT
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2.THIS. AIC FIE ARY ON LIES AS PER PIAT.NO
RIOR
AG 151
3.NIFROR AHG:f3 PER E1ElD SUMO AS MOWS:
A-9092'39'
B-6936'52'
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0-°090'00'
ELEVATIONS BAMM ON NAW 1968.REFERENCE BENCHMARK
4.NORTH ARROW PROTRACTED,RCM PLAT. IS A MAO NAL t DISC LB 3872 IN SCUM EDGE of
PAVEMENT NEAR NEST PROPERTY WE AT RESIDENCE No.386
10LA STREET.ELEVATION 617 NAW 19661
THE PROPERTY SHOWY HEREON APPEARS TO LIE IN
FLOOD ZONE'X' (AREA OUTSIDE THE 0.2% ANNUAL
CHANCE FL000PLA1N) AS DETERMINED FRC44 THE ROOD
INSURANCE RATE MAP PANEL NUMBER 12031C0409H, THIS SURVEY WAS MADE FOR THE BENEFIT OF
REVISED JUNE 3, 2013 FOR DUVAL COUNTY, FLORIDA BROGAN TAILOR; NATAUE TAYLOR; AND
BRANCH BAKING &TRUST.
U.EV SUBSET'NTTH OMB)2. SWALE iiL_______}ELEVATIONS-SEPT 17.2014
ADDED SWALE AREAS-
SEPT.4,2014
NOT vAID*TRW THE S NATURE ATO THE MAL O ROWIFNTS"1/1DONN W.BOATWRIGHT, P.SM.K RAISED SEAL OF"ROMA LKat ElEVAJKWS LOCATED AUWST FLORIDA UC, SURVEYOR and MAPPERNo.LS 3295
SINLEY R Apo MAPPER'
27,2014 FLORIDA UC.SURVEYING t MAKING BUSINESS No.LB 3672
BY BOATWRIGHT LAND SURVEYORS, INC.VDAJULY 5,2013
FILL
BY: P-1Na
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