411 Skate Rd FNCE20-0119 PermitOWNER:ADDRESS:CITY:STATE:ZIP:
ROBERTS CARSON 411 SKATE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Big Jerry's Fencing 12620 Beach Boulevard #3-131 Jacksonville FL 32246
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171529 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
411 SKATE RD FENCE WALL OR BARRIER FENCE FENCE $9000.00
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: 11/13/2020
PERMIT NUMBER
FNCE20-0119
ISSUED: 11/13/2020
EXPIRES: 5/12/2021
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.
7 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 of 2Issued Date: 11/13/2020
PERMIT NUMBER
FNCE20-0119
ISSUED: 11/13/2020
EXPIRES: 5/12/2021
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $81.50
FNCE20-0119 Address: 411 SKATE RD APN: 171529 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: R14109 $81.50
Printed: Friday, November 13, 2020 1:47 PM
Date Paid: Friday, November 13, 2020
Paid By: Big Jerry's Fencing
Pay Method: CREDIT CARD 394927592
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14109
~+; CENTRALSQUARE
Building Permit Application
j 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 GRAV
IS REQUIRED.
Job Address: 411 Skate Rd, Atlantic Bch, FL 32233 Permit Number:
Legal Description 31-16 17-2S-29E RIP PT OF ROYAL PALMS UNIT 2 A LOT 10 BLK 18 RE#_1_71_5_29_-o_oo_o _____ _
Valuation of Work (Replacement Cost) $_9_oo_o _____ Heated/Cooled SF ____ Non-Heated/Cooled. ____ _
• Class of Work: 0'New □Addition □Alteration □Repair □Move □Demo □Pool □Window/Door
• Use of existing/proposed structure(s): □Comme rcial 0'Residential
• If an existing structure, is a fire sprinkler system installed?: □Yes □No
• Will r e remov d in a sociation wi h r
Describe in detail the type of work to be performed:
Replacin existing fence as shown on attached sketch
Florida Product Approval # __________________ for multiple products use product approval form
Property owner Information
Name Carson Roberts
City Atlantic Beach
E-Mail crobertm@gmail.com
Address 411 Skate Rd
State _F_L --Zip 32233 Ph one 904-535-3615
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) ___________________ _
Contractor Information
Name of Company _B_;:ig'-Je_rry=--'s_F_e_nci_·ng-"-----------Qualifying Agent _J_on_D_a_v_is ____________ __;
Address 12620 Beach Blvd, Ste 3-131 City Jacksonville State _F_L __ Zip 32246
Office Phone 904-476-2528 Job Site Contact Number _9_04_-4_7_6_-2_5_28 ___________ _
State Certification/Registration # NIA E-Mail Jon@BigJerrysFencing.com
Architect Name & Phone# __________________________________ _
Engineer's Name & Phone# _________________________________ _
Workers Compensation Insurer _______________ OR Exempt 121 Expiration Date _21_1_312_2 ____ _
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 ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOe O~M NC MENT. <
Signed an sworn to (or affirme ) before me this n day of
QctdQe,, . d()[JQ, by1~~· ~~t;!:~=--~
( I Personally Known OR
("1 Produced Identification
Type of Identification: --I-lo-""-£=---------
__!__,4-:::q:.:.::=:-,:=. ________ _
(Signature of Contractor)
Signed and sworn to (or affirmed) before me thisZ3'.Jday of
Oi:J-cber , @ZQ , b;-T~ .
,i~~:~~--JOHN P LUNNEY ~~& :•~ MY COMMISSION# GG050934
'•!ft.~.~~ EXPIRES November 29, 2020
21.o'
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• CO't£RED
POR~-STORY BRIO<
NUMBER 411
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REVOCABLE ENCROACHMENT AGREEMENT
City of Atlantic Beach
800 Seminole Road , Atlantic Beach, FL 32233
**ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Flori da, a municipal corporation organized and
existing under the l aws of the State of Florida, hereinafter referred to as "CITY" and
(Jc.A)(\ Q C: of Atlantic Beach, Florida, hereinafter
referred to as "USER".
WITNESSETH:
Tha t the CITY does hereby gran t the USER permission o n a revocabl e basis as described her ein the r ight to enter upon
the property for the purpose as described in the City of Atlantic Beach.
Th i s work is genera lly described as _ __,___H.....:....;Ac.....,....:1 Le.= _ _;_V_ef=+.....:1_a_r...e___:....rv,__,__;e::.....,_n.:....-f-.,__ ________ _
Any faci lity ma intained, repa ired, erected, and/or insta lled in the exercise of the privilege granted rem ains subject t o
relocation or removal on thirty (30) days' noti ce by CITY to USER, sa id noti t USER shall be given by certified mail, return".2
receipt requested, to the following address ~ Y\ , Ft 22,,,, -_;; 3
• In the event it is necessary for the CITY o r the Crty's approved representative or other franchised utility to ent er
upon the above described easeme nt or property of the CITY, the USER shall r eplace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or
adding to of t he utilities and facil ities of t he CITY or franchise utility provider.
• The faci lities allowed by the p ermit shall meet the current requirements of the City Code, Buil ding Codes, Land
Development Code and all other land use and code r equire m ents of the CITY, including City Co de Section 19 -7(h)
which states "Driveways that cross sid ewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concret e left natural in colo r so that it m atches the existing and adjoining sidewalks."
• Th e USER, prior to making any changes from t he approved plans and/or method, must obtain written approval
from the City of At lantic Beach Public Works Department, for sa id change within 30 days after the day of
completion.
• This permit shal l inure to the benefit of, and be binding upon, the USER and their r espective successors and
ass igns.
• USER shall meet the terms and conditions of this perm it and to all of the applicable State and CITY laws and/or
specificatio ns, 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 emp loyees sha ll be
saved harmless by t pe USER from any of the work he rein under the terms of this permit and that all of said
cp;~med by the USER. Date f'D /1.. l / Ul
I I
Property Owner/ Age nt (signed in presence of Notary Public)
STATE OF FLOR IDA , COUNTY OF DUVAL z_ 7 0 . (
The fc:!oing instrument wa~nowledged this ____ day of _=_Q_';t""-\-------' 20 Z.Q
by Qr-so 0 l<:..ob c;::ir--~ , w ho personally appeared before me and
ack"inted name of Signer) ~:,~:r•·' the instrument vc hmtari ly for the purpose expressed in it.
/fA;.'ii',•.:~~-.. TONI GINDLESPERGER
[•: :•i MY COMMISSION# GG 353178 "1~~·-.. •o~'i-' EXPIRES: October 6, 2023 Department Approval :
·-.~~.(.\,·•· Bonded Thru Notary Public lJndelWl1ters Signa t u re of Notary Public, State of Flori
[ ] Personally Known D
[ ) Produced Identification (Type) {__ Scott Williams, Pub lic Works Director
H:\Applicat lons & Forms\Word & Excel Document Orlginals\2D180831 Revoca ble Encroachment Ag reement.docx Revision Dat e: 8/31/18
RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION
City of Atlantic Beach
800 Seminole Road, Atlantic Beac h, FL 32233
PERMITTEE RESPONS IBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
**ALL INFORMATION
HIGHLIGHTED IN GRAY IS
REQUIRED.
Job Addre ss YI\ (~ft'r4t At}anhc 0ch ~ermitNumbe r ____ _
Contractor Information
Company PJ \ g v-emj I { AA Ll ng Qual ifying Agent ____________ _
Address ____________ ~-----Ci ty ___________ State. ___ Zip ____ _
Phone_q O_Y_.__Y_._.7_0----'1.-'---S_1-_g __ EmailJ On@ ~it BJ .Q,yy-~ 5' [en C{ 08 . Cam
State Certification/Registration# ________________________________ __;
Architect. _________________ Phone. _________ Email _________ _
Engineer __________________ Phone~---------Email. __________ ___;
Workers Compensation Insurer _________________ OR Exempt □ Expiration Date ____ _
• Permittee declares that prior to filing this app lication t hey have ascertained the location of all existing util ities, both aerial
and und erground and the accurate locations are shown on the sketches.
• Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or
relocation of all, or any portion of said street o r easement as d etermined by the Public Works Director, any or all said poles,
wires, pipes, cables or oth er facilities and appurtenances authorized hereunder, shall be i mmed iately r emoved from sa id
st reet or easement o r r eset or relocated hereon as required by the Public Works Director and at the expense of the
Pe rm i ttee unless reimbursement is authorized.
• All work shall meet City of Atlantic Beach or Florida Department of Transportation St andards an d be performed under the
su pervision of Own Q C: (Project Superintendent)
with (Company Name) _____________________ Phone ____________ _
• All materials and equipment shall be su bject to inspection by the Public Works Director.
• All city property shall be restored to its original condition as f ar as practi cal, i n keeping with City specification s an d the
manner satisfactory to the City.
• A sketch of pl ans covering details of this i nstall ation, as w e ll as a copy of a recent survey shall be made a pa rt of this permit.
Calculations showi ng any increase in impervious area on owner's lot or in the City right-of-way are to be included with
this application.
• The permittee shall com m ence actual construction i n good faith withi n ___ days. If the beginning date is more than 60
days from d ate of permit approval then permittee must review the permit with the Pu b lic Works Director to make su re n o
changes have o ccurred in the area that would affect the permitted construction.
• It is understood and agr eed that the rights and privileges herein set out are granted only to the extent of the City's right,
title and interest in the land to be entered upon and used by the holder, and the holder will, at all times, assume all risk of
and indemnify, defend and save harmless the City of Atlantic Beach from and against any and all loss, damage and cost of
ex penses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
• I Wor. s Dir ctor shal e notified 24 hours prior to starting work and again imm ediat ely upon completion.
-~t-------->---------Dat e / D /2] /2,?J r I
STATE OF FLORIDA, COUNTY OF DUVAL
___ day of_____:::C)=--:o;~>{,___ ______ , 20 2 0
L
H:\Applkations & Forms\Word & Excel Document Orlglnals\201801001 Right-of-Way Easement Permit Application.docx Revision Date: 10/1/18
Revision Request/Correction to Comments **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 #: _____________________
Revision to Issued Permit OR Corrections to Comments Date: ________________
Project Address: ____________________________________________________________________________________
Contractor/Contact Name: ____________________________________________________________________________
Contact Phone: ______________________________ Email: _________________________________________________
Description of Proposed Revision / Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I_______________________________ 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?
No Yes (additional s.f. to be added: _____________________________)
Will proposed revision/corrections add additional increase in building value to original submittal?
No *Yes (additional increase in building value: $____________________) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: _______________________________________________________
__________________________________________________________________________________________________
(Office Use Only)
Approved 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 Updated 10/17/18
□
□ □
□ □
□ □ □
Note: Sketch is not to Scale
Customer Info:
Carson Roberts
411 Skate Rd
Atlantic Beach, FL 32233
Description of Fence:
6’ tall board on board pressure treated pine RED
6’ tall board on board framed in between 6x6 with post caps, a 2x6 top trim and 3 deco runner boards PINK
4’ tall board on board framed in between 6x6 with post caps, a 2x6 top trim and 2 deco runner boards GREEN
8’ Wide Double Gate
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