377 12th St FNCE20-0110 6' S r
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
,i..- �� � CITY OF ATLANTIC BEACH FNCE20-0110
ur ISSUED: 10/20/2020
�� 800 SEMINOLE ROAD
�`''' �~ ATLANTIC BEACH. FL 32233 EXPIRES: 4/18/2021
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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
377 12TH ST FENCE WALL OR BARRIER FENCE 6' FENCE $5629.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171920 0000 SELVA MARINA UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
SILVERMAN FENCE 4698 DUSK CT JACKSONVILLE FL 32207
OWNER: ADDRESS: I CITY: STATE: ZIP:
WILLIAM T TOMSON AND
ANNE B TOMSON 377 12th St Atlantic Beach FL 32233
REVOCABLE TRUST
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT It
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is
needed,call 247-5878.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
Issued Date: 10/20/2020 1 of 2
�srt ". FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
ra , - l CITY OF ATLANTIC BEACH FNCE20-0110
,V V~ 800 SEMINOLE ROAD ISSUED: 10/20/2020
'..i-S U ATLANTIC BEACH. FL 32233 EXPIRES: 4/18/2021
3 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.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
5 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing and debris must be removed from job site by Contractor.
7 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
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:$81.50
Issued Date:10/20/2020 2 of 2
BuildingPermit Application
SOB COPY . , �,r7,,,1,�
pp
--ifte_ City of Atlantic Beach Building Department ' ALL INFORMATION •
e; 800 Seminole Road, Atlantic Beach, FL 32233
HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: 13uiiding-Dept@coab.us IS REQUIRED.
Job Address: "S-1-1 11.4\,-) 4 , Permit Number: NC6 -L-- "V( l C)
OF-TNC C:1-'en,5r•:v •S' .,r)4 CM Telly ,. lffL .mo i.rr,Ct".yt t.i Or L:14, 1, a,_, iwi;.ns,c:7/JNWfrfi ivr (4.'n.)-7-
Legal
.'CSrLegal Description,1.- ?,$ ANA -r!0, , 1r;;x- ar= La* 39, ' yIA/c. ickrcl arp;.trAcl• RE#
094-. Or k,AV L.1.L.T eirI1rj. sfit frt/,4t• Irl ALc: (e 4, 5 c✓4 t% ij,,.'444',4
Valuation of Work(Replacement Cost)$ -ti,'ZC l ,C.C) Heated/Cooled SF Non-Heated/Cooled_ f------
• Class of Work: ❑New LiAddition LiAlteration LTRe/pair ❑Move flDemo ❑Pool CiWindow/Door
• Use of existing/proposed structure(s): ❑Commercial LiResidential
• If an existing structure,is a fire sprinkler system installed?: I JYes riNo
• Will trees)be removed in association with proposed project? L_lYes(must submit separate Tree Removal Permit) 11No
Describe in detail the type of work to be performed:
RErc,a L c,:-,1-7--,.-=, C,,,oni7r n, FC.:.A- c Li, 6, TI 1-4/6-44
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name t-L,II-L-'nr' - -! fl JtJ(` TOVI_5Q ,t Address 317 ) ?-7VI 5'T4t 7---
City
City O T C r' ,,.'r/L (3L=n c t- State F L Zip 3 ,).?7 Phone (/,'Y S' 3 6 9 Se >
E-Mail (,c,, i Lt-,y n (773C M [ 6ei'M .. ,C. C;r.1 --
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company ;, l ve(ry-\c,..(- 'rlC ? rr c c+ Qualifying Agent l-'.1 f'\8(i c,:`1 NIerrt\CLIM •
Address `-Roel s, O S K C_f City Thc,t K.cir z , t 1 C State c 1 Zip 32701
Office Phone CICA--1 1 C ' .r'`.. Job Site Contact Number
State Certification/Registration# 1? I-ZCI E-Mail `---t t 'Jet r-r-i,.:,n 4-t im c cC :=-R eo 9 rrLi 1 , CC.IY1
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer I 1 or\ C{Ct C ,-‘ CLJC OR Exempt Expiration Date IC)12v'2J1
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.
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. e_ _-._ ---_.`
,'e • _. , , ,ti-- ,r--- L.. ..-( J- _ 3 - —)
(Signature of Owner or Agent) U (Signature of C ntractor)
Signed and sworn to(or affirmed)before me this 12- day of Signed and sworn to(or affirmed)before me this IL day of
C.X-LLc(, _ MCA_: l \ver ('Y�GL.rrl
C by�>�,A t't c,m —Tc,m�• �jrvh U�r , ?c>2U,b +..5•{
6ignatule ttotaryC� Ltgnature of Notary
r .r'• Notary Pueec State of FIon4 .40'•tk. Notary Public State or Flones
04 Personally Known OR f' : Deana Garcia ((4 Personally Known OR `t Deana Garcia
[ 1 Produced Identificatio l Mr Cem n:on GG 2wa.e [ (Produced Identification . My omm',12 GG 29444$
Or Eagnes D9 25/202 t a Or
Eupraa 0ar2512021
Type of Identification:_ e'"' Type of Identification: _ _ _
MAP OF SURVE
LOT 38, AND THAT PORTION OF LOT 39 LYING NORTHERLY C
SOUTHERLY LINE OF LOT 4, AS PROJECTED IN A SOUTHEAST
/ DIRECTION, ALL IN BLOCK 1, SELVA MARINA, AS RECORDED II
e BOOK 23, PAGE 4, CURRENT PUBLIC RECORDS OF DUVAL CC
h �;,./ FLORIDA.
4 41
90j JOB COPY \*\
Q 0 03•
O •
k�i'OO 0 T
/ r s•
Ps,. /x'2-4 e
/
') 40• os S62•
56I 50 30'E-
,t.
��
ti/0 x,3 04 2.26.
ti /
\.- to(,), 120x /
SR-0( ,„. ^ X42.411 io //
' 1'Aftp
t?- \
/
— ryv unCEpt
TANKA
SCALE 1.
°' 7 DRAIN o
7 x13 /
12.1 �4GARA tIOCRac� E3YA \ /
o,16 u
;3 w '0 S' i7 /
U n N
22 a' 11.1/10.3 0
(....: C-....)
TWO STORY STUCCO ,`411.2 '
- RESI hC£ L n -- 1 /x°.3
���` . FINISHED OOR E�r�A". v "mt10.21 4`�0.
r CZ CD v 11/4 2
•Cn � - e.* r a'13.2 hzti� x1a31 "Lk
y.2
o 5'' 1 a 10.5xAN° ALK / 9.1 x
W ,X Y. �' / es x9.•
O ' I ° - / to a� r Q'
w� , o ; *416 • x9.7
p� r 33'2 E` * ,} o • QR X701
..
Ix)N I s.-
` 'r. s t3' _ fin.. r° V
j`,3 1 7 ' _ _ _ -0101 p Ir.e�x �'i
Z , .‹.'+ 2 R-i,.'� _ ., r ..4".i4._ 3- „fox
Z 47 *.2.f* i= - i- R a3
Qo
Y - 5
t3�F a R*Xl- AREA • A *x.1.1
40.
of � '<< t G T -a
f ti x12.2 I
3 8
L 0 T "
1113 1 2' a 10,002.3 x 37y ! kliC `
-2'05"E its ze - 12.6 -- 2� 4 .t
Z _ ti __X--- 0 ^D
6 a,,SoG =hCE ^ 256witFEN'S ^T 1 ,` Cp0• *�< 78'59 1W--
5 --v ^ '` '`�ov_ ; �aTg�9'�5119.13'1F9 05 lxtt.• 10.5 99 . E •
(��441
a4f 1Z na O� 9"'h�j`
2.37J x11.0 C•40
j g 2LL
IN I
1 'El Cr
4V IU '—'
'r Z Cr.n• C{
i C
J
amu- a„u tgn Envelope ID 4564F111-1456-4BDA-AE60-FDE78870DC11
JOB COPY
P r\ 0 P A L
Silverman Fence Company
4698 Dusk Court
Jacksonville, Florida 32207
(904) 730-0882
Fax : (904) 730-5142
Please Contact: L_ -
vada or Deana Date. 9/17/2020
_
Ca.ateaer s more .!P'rM none: r;�.V,,,,,r'llene.
Tomson
853-6985
acorns (Ay. S•At, Gin
377 12th St
tote tucn waren:(1•t h:eat)
tit Smit r va, tlnnee.
Aper Tvgg Material List Fence Diagram Key: rice tare frame s reeve nunsino cr house Gate O;rntra
acme o,9 rc You must to be ormaed e
X g,: h. 15-sections pull permit •,,rw, r �_� / \
- State Pecs,' 17-posts ---
• L',in ci+s1 �'�jCa.' X Ail Cypreu We Poaitipete
SVC vu.t c P T Pitts
..'ranter 2->-1r,.1x1C
Wood board widen ( LI Z-y
a " Ane - r��
w
Style: - ..-
3: ct Ps h
nn ack tax.bk. `i
Description Sy .i Ire;4i e >A 0..1 /f 0/4
•ew..... ..d
Steal tees• fare
Farm,, =rant
4U . .lor'w kite/once hove.of
c.....-,0.nine. gm_ %/ rc Belot Satinets Com,6' y Haul Off er.>Unu •
K rase do down a4atnnrr Jl /
it:
Included i b Lo 1 i
l:ct,.r>l�
Gt2teie
§ ret roomier
Girt t
t,,.-.[f'an.rf:Y:CL•i•10470[
. — Kimball
AdeS
Specifications Cash/Check= $5629.00 c5(
Thank You
n .,11,..,.lap,or Credit a$5797,87
ca-.tau at y-,,,o
he lore:et uc <•--".t .a'-�c'�` ._ r risco r rrt.y .a.wa.ter"'
Spedai work to be -, stragM ems.toe i Kr l �• rt•-) I-7
awn
performed by % pe„,„„ae oo>Ytat lox �.. �?�'" '�I li• j + ",,,,' `r`'j I [. '
rc>e anl*twat 1 S k r
customer: oar. ••-ev.....i.•.c•..r ' t �,. a ......MN'
. Copy ry 0I Struey
receives
We herr a to furnish lobo,and materials-complete In accordance weth the above - i•' _... -h- - --I
sursrtYreC2tvbu hereby f p spec iflcdian,fatheautae/
Gear here S _with payment to int mode upon completion. CISH,CHECK or CWiOIT as payment. All work to be one
Or personals labor and workmanship only. NO warranty on Pressure Treated Pine or Cypress lumberfor twisting,splitting
thong,of
yea.
warping. pl' n9 any 9
rushes .r r,neS lumber serape or otherwise I unrl,rttand ALL lumber is rair3ls salon and may nary in dimension and/or shape.Siluermon have is not
rate.-to w use responsible for underground ob>ttucborn such as power lines,irrigation,gas or sprinkler lines of any kind,pipes far wells,etc...Nor is
Siluerraon Fence responsible to repair any such Imes II damaged during prefect installation. All,menials rennie properly of Sltunman Fence
Zly Co until paid in fulL My special order items such as vinyl or olumirom wib rout a 25x rrstockup''range if the oder has been plated and/or
1 the cancellation of the order is passed a 21.hour time frame from acceptance.Silverman Fence is not responsible foe shipping delays to any
t°/2 ordered dents. Ad properties are located by Central locate Serurce through the State at Florida underyroued utilities,electrical laws.phone.
table and gas is located. Please be aware your yard u.11 be spray pointed or marked Fully licensed and insured. All lobs and contracts
or,bound per our current insurance coverages.
1hr aiaoue priers,speclflcotions and conditions are hereby accepted. You(Si(uerman Fence)are authorized to do tM work as specified above.
I agree if paying with a drug,cord;I understand this incurs a 3%added charge as listed about and I will not dispute ung charges at project
cosi plata.for ttalances paid In full Paynents wilt be mad*in full as outlined about[COD)at completion.
9/17/2020 w...,...,
Accepted: Data. Signature• tom,leo„
PREPARED BY AND RETURN I t •
Mary A.Robison.Esquire(DFD)
Fisher,Tousey,Leas&Bail,P.A.
One Independent Drive,Suite 2600
Jacksonville.Florida 32202
JOB COPY
TRUSTEE'S DEED
THIS INDENTURE,made to be effective as of the K: , day of \ ,2006,
between KATHRYN H. ARNETT, as Trustee of The Sarah P. Rourke Living Trust, whose
address is 1355 Moores Mill Road,Atlanta,Georgia 30327,party of the first part, and WILLIAM
THEODORE TOMSON and ANNE BOTTCHER TOMSON, whose address is 3305 Patriots
Lane,Norristown, Pennsylvania 19403, party of the second part.
WITNESSETH:
That the said party of the first part, in consideration of the sum of TEN AND NO/100
DOLLARS ($10.00), the receipt whereof is hereby acknowledged, has granted, bargained, and
conveyed to the said party of the second part, its successors and assigns forever, the following
described lands, situate, lying and being in Duval County, Florida,to wit:
Lot 38 and part of Lot 39, lying Northeasterly of the extension
Southeasterly of the Southerly line of Lot 4, to its intersection with
the West right of way line of 12th Street, all in Block 1, of SELVA
MARINA,UNIT I,according to plat recorded in Plat Book 23,page
4, of the current public records of Duval County, Florida.
Real Property Parcel ID No.: 171920-0000
The party of the first part hereby certifies that the above-described property does not
constitute her constitutional homestead as made and provided by the laws of the state of Florida.
Subject to covenants,restrictions and easements of record and taxes assessed subsequent to
December 31, 2005; provided, however, this reference will not serve to reimpose any such
covenants,restrictions or easements.
And the party of the first part does hereby fully warrant the title to said land,and will defend
the same against the lawful claims of all persons whomsoever, claiming by, through or under the
party of the first part, but not otherwise.