717 Triton Rd FNCE20-0076 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
MCCALL JASON 717 TRITON RD ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171417 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
717 TRITON RD FENCE WALL OR BARRIER FENCE 6' FENCE $2800.00
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: 8/27/2020
PERMIT NUMBER
FNCE20-0076
ISSUED: 8/27/2020
EXPIRES: 2/23/2021
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 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.
6 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 2Issued Date: 8/27/2020
PERMIT NUMBER
FNCE20-0076
ISSUED: 8/27/2020
EXPIRES: 2/23/2021
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $81.50
FNCE20-0076 Address: 717 TRITON RD APN: 171417 0000 $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: R12995 $81.50
Printed: Thursday, August 27, 2020 8:20 AM
Date Paid: Thursday, August 27, 2020
Paid By: GRIFFIETH CHRISTOPHER C
Pay Method: CREDIT CARD 354971505
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12995
1111!! ·~ TRAKiT
FNCE20-0076
,, i:1~'u'Jr1~·:j Building Permit Application
11\ ~~,f 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: 7 -1 :J \ t t.±o y') Qd . Permit Number: __________ _
Legal Description -Ito ( -· S -T DF D A PALMS lAN lT RE# I , l 41 J -0 DOD
Valuation of Work~eplac~gint~aft) J::~&:l) D , OC> Heated/Cooled SF ____ Non-Heated/Cooled. ____ _
• Class of Work: □New □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 □No
• Will tr e s e remov din association with ro osed ro·ect? DY s must submit se arate Tree Removal Permit
Describe in detail the type of work to be performed: •.
pu.:fu:Y\. J \M a., t,OCOci ~ U2 LAA
Florida Product Approval # __________________ for multiple products use product approval form
Property Owner Information
Name -1.--. ~-
City l""-,~MJb-4~---State PL
l
•
Address 7 / Tf L iO ~;....:_.,.=--=-....,.---=-=:;:----:-,:-----r----'-.-.
Zip ~~33 Phone --1~~~~-'-L-'--u-..:.::,8=-'-=:::,-=S:::::.....-.L L--~
E-Mail _ ___.,,_µ~~i...:...::-.!::!:..!.!....1...1.:~:.J.L.Ji....l.Ul.d-~1..LU-!.!-1..------------------------
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) __________________ _
Contractor Information
Name ~f Company \-\Dm.t D\OY).e,,C Qualifying Agent __________ • _____ _
Address. ___________________ City ________ State ---Zip _____ _
Office Phone ______________ Job Site Contact Number ______________ _
State Certification/Registration# E-Mail. __________________________ _
Architect Name & Phone# _________________________________ _
Engineer's Name & Phone# __________________________________ _
Workers Compensation Insurer _______________ OR Exempt o 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
const r uction i n 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 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.
C ~4f\--\.-, .}\,ctQ,.OQ :j.0-\..~ UC'-C'aQ 0
(Signature of Owner or Agent} (Signature of Contractor)
Signed and sworn to (or affirmed) before me this __ day of Signed and sworn to (or affirmed) before me this __ day of
____ _, ___ _,by __________ _ ____ _, ___ _,by __________ _
(Signature of Notary) {Signature of Notary)
•
[ ] Personally Known OR
[ ] Produced Identification
Type of Identification: _____________ _
[ ] P'ersonally Known OR
[ ] Produced Identification
Type of Identification: _____________ _
•
Updated 10/24/18
Owner Builder Affidavit **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED. City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________
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: ______________________________________________________________________________________
Owner Name: ____________________ _______ Phone Number:
Mailing Address: City: ___________________ State: ___________ Zip:
Notarized Signature of Owner
The foregoing instrument was acknowledged before me this _____day of ___________, 20___, in the State of Florida, County
of _________________
Signature of Notary Public __________________________________________________
[ ] Personally Known OR [ ] Produced Identification
Type of Identification: _____________________________________________________
FNCE20-0076
Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233 _
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: _______ _
El Revision to Issued Permit OR D Corrections to Comments Date: 08/05/2020
Project Address: _7_1 _7_T_ri_to_n_R_d ___________ · ________________________ _
Contractor/Contact Name: _Ja_s_o_n_D_._M_c_c_a_ll ___________________________ _
Contact Phone: (904) 994-3554 · Email: jason.rdm@gmail.com -----------------.--
Description of Proposed Revision/ Corrections:
I would like the fence in the side lot of my property. Lot 26 Block 10. I sent an outlined area in a survey and the height.
I Jason D. McCall affirm the revision/correction to comm~nts is inclusive of the proposed changes. --------------(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
0No EJ Yes (additional s.f. to be added: ____________ )
•.,,..,ill proposed revision/corrections add additional increase in building value to original submittal?
......... No El*ves (additional increase in building value:$ _________ ) (Contractor must sign if increase i n valuati on)
*Signature of Contractor/ Agent: ·~ ~ o::f" ~ C C0,Q(2
(Office Use Only)
D Approved D Denied D Not Applicable to Department Permit Fee Due $ -------
Revision/Plan Review Comments -------------------------------
Department Review Required:
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
'
Reviewed By
Date
Updated 10/17 /18
FNCE20-0076
_.,.. . --.
LEGEND:
-X-== FENCE
0 = CONCREiE
0 = SET 1/2" REBAR STAMPED PSMfJ6146
• == FOUND 1/2" IRON PJPE NO IDENTIFICATION
(UNLESS OTHERWISE NOTED)
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■ = 4"x4" CONCRETE MONUMENT
A/C = AIR CONDITIONER
PC -POINT OF CURVATURE
PT = POINT OF TANGENCY
PRC = POINT OF REVERSE CURVATURE
PCC = POINT OF COMPOUND CURVATURE
NOTES:
1. BEAR i NGS ARE BASED ON THE . --'1:..1:t-.L. __ BEARING OF _tl_BZ:4;3..'..~l:L_L_ ALONG THE
NORTHERLY BOUNDARY LINE OF SUBJECT PARCEL.
., u
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE --~--_, AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED JUNE 3, 2013. COMMUNITY NUMBER 120075, PANEL _.Q408 H ·-·
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4: THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE ANO AUTHENTICATED ELECTRONIC SEAL.
J OB # 29064 DATE OF FIELD SURVEY: 03-07-16
CERTIFICATE
-•· ..
REVISIONS
DATE DESCRIPTION
$CALE: 1" = 20'
Ray Thompson
SURVEYING, Inc.
!Going the DISTANCE for Youj
1825 University Boulevard West
I HEREBY CERTIFY THAT TEIS S DE .UNDER MY RESPONSIBLE CHARGE
AND MEETS THE STANDARDS ~T FORTH BY THE FLORIDA
BOARO OF PROFESSIONAL S AN ~~S IN CHAPTER SJ-17, FLORIDA
ADMINISTRATIVE C • __ .n-L~ .ANT 1£.i;~~~ON LORIDA STATUTES.
I Jacksonville, Florida 32217 -o RAYMOND THOMPS
(Phone) 904-448-5125 REGISTERED SUR OR A!ffi,;1\4.sPPER 9.. 146 STA TE OF FLORIDA
I--.L.-.L.-Tjt.:ii~~~~~----:~(;_F_ax....;)_9_0_4-4~4"8-5.:ic17~8;;j~~~Clt01~VC:---L~~s~~~B:;U;!S~IN~E~SF-l_ ~-7-46_9 _______ ---1
1 LAND SURVEYS O CONSTRUCTION SURVEYS BDIVISIONS
•
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FNCE20-0076
..
MAP SHOWING BOUNDARY SURVEY OF
LOT 26, BLOCK 10, REP L A T Of P ART OF ROYAL PALMS UNIT TVl/0 A, AS RECORDED IN PLAT BOOK 31,
P,A,GES 16, i5-.A. TH RO UGH 16-D, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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LB 7337
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CERTIFIED TO:
JASON D. McCALL
EVERBANK
OSBORNE & SHEFFIELD TITLE SERVICES, LLC
FIRST AlvlERICAN TITLF INSURANCE COMPANY
N 82"43'58" E
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FNCE20-0076
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MAP SHOWING BOUNDARY SURVEY OF
LOT 25 , BLO CK. 10, REPLAT OF P A RT OF ROYAL PALM S UNIT TWO A, AS RECORDED IN PLAT BOOK 3 1,
P /1,GE S 16, 16-A THROUGH 1 6-D , OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA .
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LB 7337
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CERTIFIED TO:
JASON D. McCALL
EVERBANK
OSBOR NE & SHEFFIELD TITLE SERVICES, LLC
FI RST Atvl ER ICAN TI TLE INSURANC E COMPANY
LOT 25
BLOCK 10
N 82"43'58" E 93.00' (PLAT) I
N 82.43'58" E I 92.98' (MEASURED) l 2 .•
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