675 Selva Lakes Cir RFNC24-0008 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
MCINTYRE ROGERS
ELIZABETH M 675 Selva Lakes Cir Atlantic Beach FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
LAMAR RESIDENTIAL
CONSTRUCTION LLC 347 10TH ST ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172027 5886 SELVA LAKES UNIT 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
675 SELVA LAKES CIR RESIDENTIAL FENCE ONE
STREET FRONTAGE
Replace existing fence on
east side only $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 2Issued Date: 1/23/2024
PERMIT NUMBER
RFNC24-0008
ISSUED: 1/23/2024
EXPIRES: 7/21/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 1/23/2024
PERMIT NUMBER
RFNC24-0008
ISSUED: 1/23/2024
EXPIRES: 7/21/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
LAN:..,,,, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
3
t" City of Atlantic Beach Building Department PERMIT# NC2`f— ODQB
800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process
on!fr
ri
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address ( ')j4 ,J& tivilli' Cirat,, I 1444,6- 1t 1 ",}/ZX4RE# Moe-7- 5-,
Legal Description KCS L/7 3—1vi 15 a
Valuation of Work(Replacement Cost)
RF (
cOt Heated/Cooled SF '-- Non-Heated/Cooled SF
Class of Work: New Addition Alteration Lepair Move ['Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial Residential •If existing structure, is a fire sprinkler system installed?:DYes No
Will tree(s)be removed in association with proposed project? El Yes (Must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed:
Plika -eAtWIlel max& fn S1'51de l(T
Florida Product Approval# For m Itiple producuse Product Approval Information Sheet)
nPropertyOwnerInformatioName leo (/r) (41i•ijgt) Phone vi 561-3OL)_
Address l'1.5 eCity kali, e(L State Zip 54133
Email en,r e64.10 1„,...,,.....1. t.,Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information Name of Company 1d1441k( (be1S C Phone (0411353'177--
Address 7J471 tom Jl f f'4 City 111'14t/ti2'al State r ,- Zip 3712.9.
Qualifying Agent 1' ''l
State Certification/Registration# G I'' I?f 24
Email j 1
J
1 .bO'( Job Site Contact Number s-7 3s---4 71 3
Worker's Compensation Insurer OR Exempt pc Expiration Date c7 g j j 9,
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 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 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
INSPE •N. IF YOU INTEND TO OBTAIN FINANCI , CONSULT WITH YOUR LENDER OR AN
01114, 0 NEY BEFORE RECORDING YOUR r'OTICE OF COM .NCEMENT.
Ail, ,i A„L i 4ILLA
gnature of Owner or Agent) Signa ure of Contractor)
Signed and orn to(or affirmed)before me this ZZ v‘CIday ofSigned and sworn to(or affirmed)before me this day of
al:A M/11 ,
202!-I- by t."-lI 2-ah 01- Mc1I /y. 3anva4L1 , 2024 by Nl,IIA'e,evt Lamar-
Signature amarSignatureofNotary43- Signature o Notary
PersonallyK n OR roduced Identification Personally Known OR Identification
Type of Identification: ft U.-- Type of Identification: MQvre.e 4 lam{
nYw,
VANESSA ANGERS
1 MY COMMISSION#HH 244118VANESSAANGERS
4 O EXPIRES:March 23,2026
P
MY COMMISSION#HH 244118 FOF....
FO,F o EXPIRES:March 23,2026
K,: :."--4-Fence Addendum
Updated 1/14/2021
5 s) City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# i C2{-CUU$Jia9,"
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
1 41 Coi/Ve Cirdt 1 1 )-7( 2.4-1/
Property Type:Lot Type/ Features:/
0 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):
Wood Four Foot (4ft)
Chain Link d 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.
0 Lei- yjif,Ce, I/glGf(./.iy s'`t
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)
1No
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.
MAP SHOYWNG SURVEY OF
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