606 Coastal Oak Ln FNCE20-0039 FenceOWNER:ADDRESS:CITY:STATE:ZIP:
DAVID SCOTT ARNOLD 3528 VALVEREDE CIRCLE JACKSONVILLE FL 32224
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169505 2010 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
606 COASTAL OAK LN FENCE WALL OR BARRIER FENCE 4-ft. aluminum fence for
pool $2500.00
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.
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: 6/26/2020
PERMIT NUMBER
FNCE20-0039
ISSUED: 6/26/2020
EXPIRES: 12/23/2020
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
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing and debris must be removed from job site by Contractor.
2 of 2Issued Date: 6/26/2020
PERMIT NUMBER
FNCE20-0039
ISSUED: 6/26/2020
EXPIRES: 12/23/2020
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
�} �p-Mlr1�·
1" Building Permit Applicationf City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Updated 10/9/18
**ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
Job Address: 60b ro�,-:9\ a"'" L..i'\Permit Number:----------
Legal Description I&\- l'i�Af\p,,.\k(/llAshrVAbClb,Uni\-1, f1-fl1-i-1�:J.. D.,.vo,\ ft.._RE# ,,1..s'os-.. 2010
Valuation of Work (Replacement Cost) $�2500------ Heated/Cooled SF ____ Non- Heated/Cooled
____ _
•Class of Work: �ew □Addition □Alteration □Repair □Move □Demo □Pool □Window/Door
•Use of existing/proposed structure(s): □Commercial )((Residential
•If an existing structure, is a fire sprinkler system installed?: □Yes 'j(No
•Will tree s be removed in association with ro osed ro·ect? □Yes must submit se arate Tree Removal Permit
Describe in detail the type of work to be performed:
No
Florida Product Approval # _ __..,.,-J�J.,..../\.lb:� _____________ for multiple products use product approval form
Property Owner Information
Name D�j llvi ��·otJ Address_Lf ...... 'l.,....l>�77�'-n1�k�1MO�/�/(�G�T:�rl��'�O�l�'1 ___ _
City :VoAte �;cAl\9 &.!!kh State R.. Zip 3?""° 8 2-. Phone qo'f~j,& l -� � � "1 E-Mail 'i)&.-a"' S NW')/J @. ��,J • ("-
Owner or Agent (If Agent, Power of ..f&orney or Agency Letter Required) -------------------
Contractor Information
Name of Company <;;.H: {2r.s 'JVl ]e::,L J,,..vL. Qual!f¥ing Agent JQ.Jk.4 S Qe: }�
Address Cf'.}() 3'..( '5-(,, City lltpJ.r-c. Thk,L Stater pt_ Zip_ '.l 2 2/,.(
Office Phone� ,:ov-'CZ�-9,:S:l Job Site Contact Number $ti-:,... &..s;.,"'-, '128-'IID
State Certification/Registration-# ....... _______ E-Mail bme..,s,, ..-,14@ CH ,Pe.$t�Q,l. C:'='e1
Architect Name & Phone# _�,_A"---"------------------------------Engineer's Name & Phone# -.,..-a---k./-+--�-.....,...--------,,----------------------
Workers Compensation Insurer I �&J'l c.9"\ Q..A\t\ cu') J'A\ (r OR Exempt □Expiration Date U ):z.i J �:z.o
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 law� 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.
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 COMM ENCEM ENT M AY
RESULT IN YOUR PAVING TWICE FOR IMPROVEM ENTS TO YOUR PROPERTY. IF YOU IN END
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR
RECO RD� d:�� �a.�M
-
ENCE M EN=T=-. ��-+---�-=r--�----� (Signature of Owner or Agent)
Signed a�d sworn to (or affirmed) before me this� day of
M.+1 .� ,by 1vl-<
(Sig ure of
B • 0 ssina ,,,�11��1, na o�uss._!$/�,. · · · -1�� commission t GG -1.J" p{perso nally 'K,!'1��-�� Ellpires·. October 3, 2020 I J Produced td}\� Bo nded tnru f,.aron NotacyType of ldentifri:i3tiol'I\�'' '°"di\•�------------
�-..��'.r'/JJ:� gnaif ri�n�l�a ::> ii:'"�� Commission # GG035458
1W" Personally Known ¥·-.��ff Expires: October 3, 2020
I I Produced ldentificat�
1:f
� Bonded thru Aaron Notary'''11tH1I''' Type of Identification: ______ -______ _
New Outswing Gate
New Outswing Gate
4’ Black Aluminum Pool Code Fencing to Match Adjacent
Fence.
Existing Fencing
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $81.50
FNCE20-0039 Address: 606 COASTAL OAK LN APN: 169505 2010 $81.50
BUILDING $35.00
FENCE 455-0000-322-1000 0 $35.00
BUILDING PLAN REVIEW $17.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R12182 $81.50
Printed: Friday, June 26, 2020 3:11 PM
Date Paid: Thursday, June 25, 2020
Paid By: DAVID SCOTT ARNOLD
Pay Method: CHECK 1210
1 of 1
Cashier: CT
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12182