1929 Mary St RFNC24-0009 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
WILHOITE SUZANNE 1929 Mary St Atlantic Beach FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172360 0010 LEWIS S/D
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1929 MARY ST RESIDENTIAL FENCE ONE
STREET FRONTAGE
Install 6' wooden fence with
additional 4' fence $2400.00
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: 1/29/2024
PERMIT NUMBER
RFNC24-0009
ISSUED: 1/29/2024
EXPIRES: 7/27/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
9BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
AS t City of Atlantic Beach Building Department PERMIT# N(,2-OO
800 Seminole Road, Atlantic Beach, FL 32233
ALL information required to process
ri 9Phone: (904) 247-5826 Em il: Building Dep (Wcoab.us
Job Address LO( "1.OAY n+iC- CY L RE# 023(0.0._OD(0
Leal Description 'Z DOA i 333
Legal 2 11-2S ZaE ti s S bd viscs 14 '12Lek t t i 3
Valuation of Work(Replacement Cost) p2 OO°° Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: New Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial [residential •If existing structure, is a fire sprinkler system installed?: ( N
Will tree(s)be removed in association with proposed project? Yes (Must submit separate Tree Removal Permit) [10
Describe in detail the type of work to be performed:
to u 'Do e n -riVQA e
t1` Oki A ono ) q cam.
Florida Product Approval# For multi le products use Product Approval Information Sheet)
Property Owner Information Name Z(14.,11(lie__ \kJ all 0 Phone qDq-1.4 L'3 -'3331-)
Address t()CACI MOA City nil thiltielyil. Statef L Zip 3 aa3
EmailL.U11 er or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information Name of Company Phone
Address 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 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
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
ALA,1 k,, is - ,
Signature of Owner or Agent Signature of Contractor)
Signed and sworn to(or affirmed)before me this 2(o day of Signed and sworn to(or affirmed)before me this day of
3-0.-§nJa Z02`f by 5v2u 1ne c (Pr l 1A.0 ti,e by
Signature of Notary Signature of Notary
Personally KnevR [‘-Produced Identification Personally Known OR [ ] Produced Identification
Type of Identification: ft OC._ Type of Identification:
II
0:€*:. VANESSA ANGERS
MY COMMISSION#HH 244118
3'''''.(7..'
EXPIRES:March 23,2026
Fence Addendum Updated l/14/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# - NC2-9.000
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
Okrti S 1416 VL 3aa3-
Property Type:Lot Type/ Features:
Residential M/One Street frontage (interior lot)
Commercial More than one street frontage (corner lot,through lot,
etc.)
Cl Swimming Pool
Fence Material: Fence Height (select all that apply):
Wood Four Foot (4ft)
Chain Link Aix Foot (6ft)
Vinyl 0 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)
6d/No
Will tree(s) be removed in association with proposed project?
0Yes (must submit separate Tree Removal Permit)
13/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
if-',
i' HIGHLIGHTED IN
i. 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#: (-f NC?4 C
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: r ti N <•. r 1
Owner Name: Y r C .Luk\h,„t - Phone Number: q 014` q(03- 3?i 32-1
Mailing Address:1q Intl" City: 14±104.11710_,&11State: 1 L Zip: 33
p n l I L
Notarized Signature of Owner ' Lj x_._ 1 Ua I \JAL
t 1
The foregoing instrument was acknowledge efore me this z6 day ofjetAUCA-v( , 2029, in the State of Florida, County
of Adcl,(
Signature of Notary Public
Personally Known OR [vrProduced Identification
N "r {.1'.
VANESSA ANGERS
Type of Identification: Su2ar rl C ii(h17
i MY COMMISSION#HH 244118
n .o:F loe,• EXPIRES:March 23,2026 Updated 10/24/18
MAP SHOWING BOUNDARY SURVEY OF
NORTH 1/2 OF LOT 8 BLOCK 3 ACCORDING TO THE PLAT OF
LEWES SU ,:; 0)IVESION OF ATLANTIC BEACH
AS RECORDED IN PLAT BOOK 24 , PAGE(S) 92 OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: LARRY C. PORTER,
FIRST AMERICAN TITLE INSURANCE COMPANY,
WATSON & OSBORNE TITLE SERVICES, INC.
AND COUNTRYWIDE HOME LOANS, INC.
28.00' (R) 1" = 20' Ah..
28.03' (Al)METAL 6r4
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28.00' (M) Las.i88
M
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MARY STREET
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s 1.MOOS ME 91!•101 HS UV QEP1ERAL NOTES*
3 2.STRUCTURE No..194‘__SHOWN HEREON uES*THIN FLOOD NONE K AS BESTASSOCIATEDSURVEYORSINC.O
F.E.M.A. FLOOD MAPS
3.THIS IS ASI
APANEL
CESURVEY ONLY. THEEXTENT LW UNDERGROUND FOOTINGS,
w LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED.
4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY. NOT3846BLJNLDINGBOULEVARDLOCATEDBYTHISSIJ 'I'.
4. JACKSONVILLE, FLORIDA 32210 5.THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBUC
J jiv 904-771-6468
RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS,
O
4 CERTIFICATE OF AUTHORIZATION NO. LB 0005488 TITLE, COVENANTS, RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC.SSV THERE COULD BE OTHER MAILERS OF RECORD THAT AFFECT THIS PARCEL
6.UNLESS OTHERNESE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY
LEOEYID/AMREVIATIOWsDIRECTSUPERVISIONANDMEETSTHEMINIMUMTECHNICAL0SETIRONPIPEORREBARP.C.=POINT OF CURVE COPD = COVEREDSTANDARDSFORLANDSURVEYINGPURSUANTTOCHAPTER -ASSOC.SURVEY- OR L.0.5483 P.T. =PONT OF TANGENCY Ee.-ELECTRIC BOX61G17-. F ORIDA ADMINISTRATION CODE. CHA•TE 472. F.S. • FOUND IRON PIN OR PIPE (IP) P.R.C. =POINT OF REVERSE CURVE
mi FOUND CONCRETE MONUMENT (C.M.) P.C.C. -POINT OF COMPOUND CURVE
BY ' /
7
X CROSS CUT OR DRILL HOLE C/L = CENTER LANE R/W=RICHT OF WAY
CHARLES B. HA CHER • LORIDA CE' IFICATE NO.RR. =RADIUS=RECORD (N)= ARCLENGTH CONC.AR CONp
TIONERB(
E.T.)BUI EAVE nE
CHARLES L. STARUNG FLORIDA CE'TIFICATE NO. 4579 O.R.B.=OFFICIAL RECORD BOOK ® =WATER METER '9,= nu(POLE
RAYMOND J. SCHAEFER FLORIDA C 'TIFICATE NO. 6132 O.R.V.-OFFICIAL RECORD VOLUME P.EO. -POOL EQUIPMENT -.=GUY ANCHOR
P.R.M.=PFRWWENT REFERENCE MONUMENT -0.U.-=OVER HEAD UTILLTIES CH = CHORD
JOB NO. 35953 DATE 05-07-2003 B.R.L a BUILDING RESTRICTION LINE x—x CHAIN UM(FENCE ETN. =BETWEEN
SCALE 1" = 20' DRAFTER C. .8. E.T. -ELECTRIC TRANSFORMER & PAD W-W WIRE FENCE 0-0 WOOD FENCE
J.E.A. =JACXSGNNU£ELECTRIC MJDK MY C & R = COVENANTS & RESTRICTIONS
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER