91 Ocean Breeze Drive FNCE20-0098 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
KHADIVI FAMILY
REVOCABLE LIVING 91 OCEAN BREEZE DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
FENCEPRO, INC.3727 Spring Park Road JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
168908 8205 OCEAN BREEZE REVISED
PLAT
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
91 OCEAN BREEZE DR FENCE WALL OR BARRIER FENCE FENCE $5800.00
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: 9/28/2020
PERMIT NUMBER
FNCE20-0098
ISSUED: 9/28/2020
EXPIRES: 3/27/2021
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: 9/28/2020
PERMIT NUMBER
FNCE20-0098
ISSUED: 9/28/2020
EXPIRES: 3/27/2021
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $81.50
FNCE20-0098 Address: 91 OCEAN BREEZE DR APN: 168908 8205 $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: R13444 $81.50
Printed: Monday, September 28, 2020 1:20 PM
Date Paid: Monday, September 28, 2020
Paid By: FENCEPRO, INC.
Pay Method: CREDIT CARD 381961915
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R13444
FNCE20-0098
FNCE20-0098
Revision Request/Correction to Comments ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email:PERMIT#:
ElRevision to Issued Permit OR El Corrections to Comments Date:
Project Address:
C1 I vC-12--CLYI IJV Q ,V V. 0 ri t k
Contractor/Contact Name:
1) • $ •
y0
Contact Phone: l " UZ Email: ( ( ) -L 7 H' L I 1 a } • ftQ
Description of Proposed Revision/Corrections:
I ()ARIA 4\arit\A 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?
ENo El Yes (additional s.f.to be added:
ill proposed revision/corrections add additional increase in building value to original submittal?LINo El*Yes (additional increase in building value: $ Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
Office Use Only)
Approved Cl Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated10/17/18
FNCE20-0098
e75‘>>
i, REVOCABLE ENCROACHMENT AGREEMENTr
City of Atlantic Beach
ALL INFORMATION
r- HIGHLIGHTED IN GRAY1%;
l':, 800 Seminole Road,Atlantic Beach, FL 32233
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
ex ting under the laws of the State of Florida, hereinafter referred to as"CITY" andJ--1\n Daj ) hU-cit;‘it of Atlantic Beach, Florida, hereinafter
referred to as "USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon
the property for the purpose as described in the City of Atlantic Beach.
This work is generally described as (k), U,ry u (\[ 4Y ) ,-c-t-v (j)
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirty(30)days' notice by CITY to USER,said notice to USER shall be given by certified mail, return
receipt requested,to the following address q ( l i(QLIXl 2-?. 4 °v. (\&.h _--k '? arin (R--- 3233
In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or
adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h)
which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks."
The USER, prior to making any changes from the approved plans and/or method, must obtain written approval
from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of
completion.
This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and
assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications, to include utilities locate requirements and use limitations/requirements of easements, public
right-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be
saved harmless by the USER from any of the work herein under the terms of this permit and that all of said
liabilities are hereby assumed b the USER.
nv' Qjihib - s..,10\ LA Date q/r / 0-670
Property Owner/Ag• t (signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL L-]C...)
The foregoing instrument was acknowledged this day of,_ c) ,
c51/4-(--
20 7
iI
byDci-f- (,i n c LJ, K,!!]ll 1,i who personally appeared before me and
printed name of Sign r)
a n wledg d h t e/she si ned t 'nstrument voluntarily for the purpose expressed in it.
ti'HV PL soul G;I;;reR=: Department Approval:
in
Signature of Notary Public, State of Florida
is.,
do
MYCOMMISSiUt+#GG?.
EXPIRES:October 6,'20-
Personally Known b_____,—i.„„;-,°,v/ .Bonded Thru Notary Public Undenrnite,s ;
Produced Identification (Type) Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
FNCE20-0098