1927 Mary St RFNC24-0010 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
MILLER RICHARD 1927 Mary St ATLANTIC BEACH FL 32233-5615
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172360 0000 LEWIS S/D
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1927 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: 2/9/2024
PERMIT NUMBER
RFNC24-0010
ISSUED: 2/9/2024
EXPIRES: 8/7/2024
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
I
J., BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
IL City of Atlantic Beach Building Department PERMIT# L 2 i- 0l)
800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process
14,011"'' Phone:Phone: (904 247-5826 Email: Buildin:-De•t . coab us
Job Address Alk /.GL l// .e .% 13c2a-33 RE# I l2 {OCi " GOOD
Legal Description -7q...(12. 7- i S- qE ,O0-1 1..),A)L's (StADjNts cc'-) 5 ‘12. 10+ $ bLIL 3
Valuation of Work(Replacement Cost) . YQ6/ 'oHeated/Cooled SF Non-Heated/Cooled SF
Class of Work:X'New Addition Alteration Repair Move ['Demo Pool Window/Door
ll
Use of existing/proposed structure(s): Commercial Residential • If existing structure, is a fire sprinkler system installed9:1Fes-NQ/V/4
Will tree(s) be removed in association with proposed project? Yes (Must submit separate Tree Removal Permit)'No
111111
Describe in detail the type of work to be performed:
r(1441
bd
ce: d2er2 Po'in re r7ce., WA 41,111 conal III fnce
Florida Product Approval# For multiple products use Product Approval Information Sheet)
Property OwnerpInfor ationName t•e/'c, ..T 1 c ez /, 4Per Phone 9Dy oo? -9, 1
Address 19a 7 ,. Se. A City /.nth/it. 4`A State r/, Zip 3a ,i,y
Email BeiodOVGner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company Phone
r /j
Ly
t Cit StateAdc _ e nit heir, y Zip
Qualifying Agen
C State Certification/Registration#
Email Job Site Contact Number
Worker's Compensation Insurer OR Exempt Expiration Date
Architect's Name Email Phone
Engineer's Name Emai Phone
Application is hereby made to obtain a permit to do the work and installations as I :• ated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to mee •- standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELEC • .. 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 prop- hat may be found in
the public records of this city/county, and there may be additional permits required from other governmental entities . has 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 app •.ble
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
TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
z,,,,
nature of Owner or Agent) Signature of Contractor)
Signed and sworn to(or affirmed)before me this 2.71 day of Signed and sworn t. .r affirmed)before me this day of
c 0LAALl,rvl. , 2l t y- by g-LC,t O^rCl T. [11t 1(f?t" by
Signature of Notary J`/ Signature of Notary
Personally Known `OR [ U f r duced Identification Personally Known OR [ ] Produc-• •entification
I Type of Identification:V- Type of Identification:
VANESSA ANGERS
a MY COMMISSION#HH 244118
orrkr"`.
EXPIRES:March 23,2026 '
Fence Addendum Updated 1/14/2021
rt City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# NG24-bDl0
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
t . C
is , J , Ar/..e•- • .i'; : / - -
Property Ty•e:Lot Type/ Features:
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):
g Wood Four Foot (4ft)
Chain Link Six 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)
No
Will tree(s) be removed in association with proposed project?
Yes (must submit separate Tree Removal Permit)
ji 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
HIGHLIGHTED IN
w ,
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#: —(
1vVi-
1—WILi
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
tOF
AN OWNER-BUILDER PERMIT.
Job Address: 1 I N 7 //1 , St Al a 4 / 3 973
Owner Name: / f%f/%6-7; `lv -_,V2,4, ,t. ,7[)} Phone Number: *' -',_3-42'/c&
i/Mailing Address: ` 2 77 City:State: P‘7, Zip: 5Z93
r
Notarized Signature of Owner gjel'G - / /
The foregoinginstrument was acknowledged be ore me this 2L day of 1641ti tj , 202`I, in the State of Florida, County
of Do,./A,11
Signature of Notary Public
4,.P*.
VANESSA ANGERS Personally Known OR [vi Produced Identification
MY COMMISSION#HH 244118
EXPIRES;March 23,2026 ' Type of Identification: It O L
Updated 10/24/18
MAP SHOWING BOUNDARY SURVEY OF
SouTNERt.Y Ill of Core 7
BL zr 3 AS SHOWN ON MAP OF
6 EN/5 5u130/V15/0u
AS RECORDED IN PLAT 800K 24 PAGES 42 OF THE CURRENT PUBLIC RECORDS OF DUVAL CO., FLA.
CERTIFIED TO: RICHARO C4U164 M/LL.Eg
FIRST AMERICAN T/T'-e /NSU/ANILE 00MPANYlu/4750t/ iOSC3oeNe,P•A•
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THERE MAY BE AOOITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN
ON THIS SURVEY THAT MAY BE FOUND IN THE PUBUC RECORDS ON THIS COUNTY.
THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE "Jr" AS SUOWN
ON FLOOD INSURANCE RATE MAP 024/E FOR THE CITY OF JACKSONVILLE, FLORIDA, DATED 6-45-8'1.
ALL AMERICAN SURVEYORS, INC.
LAND SURVEYORS -68209oI/fhpom#PiL'ur,. SUR I - .NCkSONNLLE, FL0RfU4 J2216 - 904/099-Anti
Logond THE ABOVE LANDS WERE SURVEYED UNDER MY RESPONSIBLE
I=4ISUPERVISIONANDDIRECTION. THAT THERE ARE NO ENCROACHMENTS
CONC - CONCRETE P.R.M.. PERMANENT REFERENCE
EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN HEREON MEETS
MON, . MGNUM MONUMENT MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA
I.P. - IRON PIPE P.T. - PONT of TANGENCY BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS PURSUANT TO ALL
I.R. - IRON ROO P.C. . POINT OF CURVE CHAPTER 472.027 / CHAPTER 61017-6, FLORIDA, STATUES.
CH . CHORD P.R.C. . PONT OF REVERSE CURVE AMERICA
A • ARC LENGTH P.C.C. - POINT OF COMPOUND CURVE SURVEY NOT VALID UNLESS DA BO ED BY SEAL SURVEYORS,R • RADIUS B.R.L . BOLDING RESTRICTOH
NE JAMES D. HARRISON, JR., 2847 INC.
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ORDER NO. 98 -/o44
Revision Request/Correction to Comments
ALL INFORMATION
rs==+%,, HIGHLIGHTED IN
J1,°+ City of Atlantic Beach Building Department GRAY IS REQUIRED.
W .......-,
j 2 1
V 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: iF—ENC2-11'001'G
I 1 Revision to Issued Permit OR 111 Corrections to Comments Date: //.i .)&c-
Project Address: / 7 /fre/" \.14
h2/41 lj c /YeeCX, ` ` c2r —;-
7
Contractor/Contact Name: x/ c-hep` 1P7e#7-
Contact Phone: YO g — , c — ?/M/ Email: `,Ci'ere e /; !le r(4)44ll1rl`'_ CO vii
Description of Proposed Revision/Corrections:
0 6GL4(37-74.(fiC.,-
affirm the revision/correction to comments is inclusive of the proposed changes.
Printed name)
Will proposed revision/corrections add additional square footage to original submittal?
No Yes (additional s.f. to be added:
Will proposed revision/corrections add additional increase in building value to original submittal?
No __*Yes (additional increase in building value: $ Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
Office Use Only)
Approved I . Denied I Not Applicable to Department Permit Fee Due $
Revision/Plan Review Comments
Department Review Required:
Building
Planning& Zoning Reviewed By
Tree Administrator
4 Public Works
Public Utilities
Public Safety Date
Fire Services Updated10/17/18
MAP SHO WING BOUNDARY SURVEY OF
SGYIr ERL`/ 'IZ OF Cora , BLcaK 3 AS SHOWN ON MAP OF
CEN/5 5u13 O V15/OXJ
AS RECORDED IN PLAT BOOK 24 PAGES 9Z OF THE CURRENT PUBLIC RECORDS OF DUVAL CO., FLA.
CERTIFIED TO: RlCHARP L4UA-'A MSLl le .___
FIRST AMERICA ti/ T/T.E /AL/+QAAICE COMPA NYI&U475OA/ i OSf3U.C'n/e'f'A•
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THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN
ON THIS SURVEY THAT MAY BE FOUND IN THE PUBUC RECORDS ON THIS COUNTY.
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