334 6TH ST FNCE20-0024 fence permitOWNER:ADDRESS:CITY:STATE:ZIP:
PURNELL RUSSELL E 334 6TH ST ATLANTIC BEACH FL 32233-5348
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169861 0010 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
334 6TH ST FENCE WALL OR BARRIER FENCE replace 6-ft. fence $0.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
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: 4/7/2020
PERMIT NUMBER
FNCE20-0024
ISSUED: 4/7/2020
EXPIRES: 10/4/2020
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
FENCE 455-0000-322-1000 0 $35.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $81.50
4 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
5 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing and debris must be removed from job site by Contractor.
2 of 2Issued Date: 4/7/2020
PERMIT NUMBER
FNCE20-0024
ISSUED: 4/7/2020
EXPIRES: 10/4/2020
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
:;i,; City of Atlantic Beach APPLICATION NUMBER
jt Building Department (To be assigned by the Building Department.)
:::
i 800 Seminole Road r— tA
s Atlantic Beach, Florida 32233-5445 t' D ��y
,., ::
Phone(904)247-5826 • Fax(904)247-5845
i 0 E-mail: building-dept@coab.us Date routed: . /�q. l 6- 0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 ` . (j Si . D:�. 'lent review required No
,� J , nim
Applicant: DAJ I Nell manning &Zonin•
W��1mr"rator _-
Project: 4 Lpl&L-� U- WO . rP ��'•'-
Pu�tiliti-.
IMEMEMIIIIMIIMI
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other: ,
APPLICATION STATUS
Reviewing Department First Review: L✓proved. L_]Denied. Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: Date: f 41C)
TREE ADMIN. Second Review: Approved as revised. Denied.
pp ❑ Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES 1
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
-5 .VJ City of Atlantic Beach ��. APPLICATION NUMBER
�,,.
S Building Department (To be assigned by the Building Department.)
r 800 Seminole Road r _ ��
j Atlantic Beach, Florida 3223354451 MAR 2 4 y
Phone(904)247-5826 Fax(904)44 -5845 // I
�f,. 0 E-mail: building-dept@coab.us �._ Date routed: ( l� 1 6
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l --- D_• - • .4ent review required Yes No
NLA l B ' e...
� I j
Applicant: D 'Ianning &Zonin.
Tre- Al ' ' rater
Project: 4 Lel.&L-L u.— - --aQ , P • -
Public Utiltil itie
u. is Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: (proved. I 'Denied. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed bdiar4214407wei Date: cf"-Z1-;-02,0
TREE ADMIN. Second Review: A roved as revised. 'Denied.
n pp I ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: 1 (Approved as revised. I 1Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
;0.A.o; r City of Atlantic Beach APPLICATION NUMBER
,ti; 1 Building Department (To be assigned by the Building Department.)
800 Seminole Road 1 ` /
j._
MPAtlantic Beach, Florida 32233-5445 F Eta.o - o� �1
Phone(904)247-5826 • Fax(904)247-5845 I
g 9Pv E-mail: building-dept@coab.us Date routed: I l9. L 6
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �k' + - - ent review required Yes No
,� � ) B '''s.
Applicant: D� I �X A1' '/arming &Zonin•
} Tre- Ar: • rator
Project: 4 L�la-L-L U-Vi- P1ISVAl/'W
Public Utility
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. []Denied. I 'Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING y,, r_.� - Zy„
Reviewed b � Date:^ ZG
TREE ADMIN. Second Review:
Approved as revised. Denied. nNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. I INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
`s 800 Seminole Road nary
-., r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 J
�� v E-mail: building-dept@coab.us Date routed: /�� 1 al-)6
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: D,• ; • '.ent review required Yes No
,� / B ' e'..
DA) I L'i
Applicant: Q 'fanning &Zonin.
Tre- &r rator
Project: LOLL-t__ P" �=
Public Utilit0
•u. is Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. Denied. of applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:f 2`/Zig
TREE ADMIN. Second Review: Approved as revised. Denied. I Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. I (Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
�:rf i'JPJJ'r Building Permit Application Updated 10/9/18
_. J,I City of Atlantic Beach Building Department OFFICE COP' **ALL INFORMATION
J
Jr 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
p.:� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us L
Job Address: 3 3 4( 6, 1"J" - � . Permit Number: Fid CE O- O )a%-t
Legal Description 1-0 r /S [ /f 7 RE# /67 ed / -00 LLS
Valuation of Work(Replacement Cost) $ /5-ea. Q d Heated/CooledHeSF Al -A Non-Heated/Cooled N -F
• Class of Work: ❑New ❑Addition :Alteration Lair ❑ ve DDemo DPool ❑Window/Door
• Use of existing/proposed structure(s): DCommercial esidential M d R 1 Q 2020
• If an existing structure, is a fire sprinkler system installed?: DYes DWI--
•
O• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Pert) Vie
Describe in detail the type of work to be performed: 0
Re-PI-Act; OLL /-":". .u<-6- /1/?60A-',0 (?d!-.ALA- -MAP FT Q z
Florida Product Approval# ./(J - /9' for multiple products use product C iw W
Property Owner Information 0C0 —
m a o I
ct
Name Pok, JL G€ � QuS.s“c_ . Address ,3 3 ('7 G t—�` (� . W V cr V 7
city A r-L.1,4 cf id i4A-cH State ,CC. Zip 3223 3 Phone .3e7 - 966 - 7,0. 1 cc i
E-Mail Au�S PuR1vt Lc( ATT. N r`. Q o
Lt" tif
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) H 0 (-
CC
Contractor Information 0 Q w
Name of Company O G-.1 A.)✓-- f2-- /) u I L t.7 /L Qualifying Agent
U.
0 w w j:
tr
Address City State Zip W "i m
Office Phone Job Site Contact Number W U N Cf Iii
La
State Certification/Registration# E-Mail a w
Architect Name& Phone# W w
Engineer's Name&Phone# cc Cc
Workers Compensation Insurer OR Exempt❑ Expiration Date
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 county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies, or
federal agencies. J �
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will e one in om is ce th all
applicable laws regulating construction and zoning. Approved By Permit Desk
Building Department
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 CO ENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed) before me this /g day of Signed and sworn to(or affirmed)before me this day of
Maim , 262.0,by /Z(1S. I P (I , by
V -
Alyssa R Livers i tur otary) (Signature of Notary)
Notary Public
State of Florida
MYR]l*' .4." V 4.•tri [ ]Personally Known OR
Co l.-M ►
-
a lc3a ivn [ 1 Produced Identification
Type of Identification: (lif V(() II(FPI.S-( Type of Identification:
Owner Builder Affidavit JOB COPY **ALL INFORMATION
.: �! HIGHLIGHTED IN
7'.)f--
� 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/1'C ck) -40
ay
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: 334 6th St.
Owner Name:PURNELL, RUSSELL E Phone Number: (317)966-7987
Mailing Address: 334 6th St. City: Atlantic Beach State: Fl. Zip: 32233
Notarized Signature of Owner _ , </:_-_--(�/ A,J
— /CrbThe foregoing instrument was acknowledged before me this / day of (f( 1 , 20 24 in the State of Florida, County
of 1Dt!J[AI
Alyssa R livers
Notary Public Signature of Notary Public
,11/7
State of Florida 1
My Commission Expires 08/08/2021
Commission No.GG 112239 [ ) Personally Known OR [ o. ced Identification
Type of Identification: �kj Vt V.) 'I((v) el
Updated 10/24/18
M A P O F S U R V E Y
_OT 15, BLOCK 7, PLAT No. 1, SUBDIVISION "A", ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE
69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
6th STREET
40' RIGHT OF WAY PAVED
49.88' FI LD
50.00
- - - _ CONCRETE WALK
FOUND NAIL AND
DISC LS 1,674 D
FOUND MAG NAIL
NO Na., 0,4' N
9.7'
WATER Ll A
METER
CONCRETE
DRIVE
00 O
-I
1 BRICK WALK
TWO STORY
FRAME
RESIDENCE
No. 334
0.3CONCRETE POOL DECK I
z \ \ POOL I�
-d-
u-
ID
U
I
ID I\11 -/I
5
CONCRETE WALK
FOUND 3/4" IRON _ A35 00
PIPE, NO CAP
I
I
X1.3'
� -Pf�c�
ui
LL
0
0
-C-c v�ce
13.0' 5.17'
O CONCRETE CONCRETE
w PUMP PAD A/C PAD w
z z
.l J
0 0
\C LOT 15 B LL 2 Lo 0.5'
LOT 13
I
V)
Id
0
U
10 20 �i40
NotQ—
SCALE: 1" = 20'
FOUND 3/4" IRON �j (} FOUND 3/8"
PIPE, NO CAP I 50• "O REBAR, NO CAP
49.91' FIELD /
LOT 18 LOT 16 LOT 14 JOB COPY
OFFICE
NOTES: copy py
THIS IS A BOUNDARY SURVEY. APPIOved BY Permit Desk
NOOGBES DIISGPER RESTRICTION
EST RIC ION LINESVEY: AS PER PLAT. Buifdir',g DePaPttrI.-..lt
ANLCity Uf
A 89'39'02"
Attallbe 6aach, FL
B 90'30'30"
C 89'28'51 "
D 90'21'37"
NORTH ARROW PROTRACTED FROM PLAT.
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X"
(AREA OUTSIDE 500 YEAR FLOOD PLAIN) AS WELL AS CAN BE
DETERMINED FROM THE "FLOOD INSURANCE RATE MAP"
COMMUNITY–PANEL NUMBER 120075 0001 D REVISED APRIL 17, 1989
FOR TH17 CITY OF ATLANTIC BEACH, DUVAL COUNTY, FLORIDA.
"NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYDR AND MAPPER."
CHECKED BY:
DRAWN BY: MCC
FILE: 2010-0043
REVIEWED FOR CODE COlViPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIRENIENTS AND CONDITIONS
REVIEWED BY:
DATE: LLl(1 0y
THIS SURVEY WAS MADE FOR THE BENEFIT OF
RUSSELL E. PURNELL; JILL M. NORDQUIST;
LINDLEY A. TOLBERT; SUNTRUST MORTGAGE,
INC.; "OLD REPUBLIC NATIONAL TITLE INSURANCE
COMPANY; AND ANSBACHER & SCHNEIDER, P.A.
(FILE No. 070469C).
t
DON W. BOATWRIGHT, P.S.M.
FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295
FLORIDA LIC. SURVEYING & MAPPING BUSINESS No. LB 3672
BOATWRIGHT LAND SURVEYORS, INC.
1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550
DATE:
JANUARY 21, 2010
SHEET 1 OF 1
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