909 Amberjack Revision Submittal ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
ON
s�� HIGHLIGHTED IN
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City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
. 247-5826 Email: Building-Dept@coab.us Phone: (904) B pcoab.us PERMIT#:@
❑ Revision to Issued Permit OR n Corrections to Comments Date:
Project Address: 909- /iib✓�)&•,c frt
Contractor/Contact Name: 1!Of++-).k Eu.c, /414 CSI•ei
Contact Phone: `/o4- 92c-- 15o Email: JA.44c/eod c.-o.)-I.-e_ eme .Nr3;
Description of Proposed Revision/Corrections:
QNe Ple•ce y � Tri%' Gine,' rrce
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Wi roposed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added:
• Wi proposed revision/corrections add additional increase in building value to original submittal?
No ❑*Yes (additional increase in building val e: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: , C...
(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
,
{ J U3 COPY C/"1 P�,/ RECEIVED
By Jennifer Johnston at 3:33 pm,Nov 12,2020
Building Permit Application 74/Z Updated Jo,9,i4
'_ City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 9t`4 f�,•i/D:/'-,14..L.. - Z.41) PH••ii-it. `x.40, s'_;,133 Permit Number: FNCE20-0133
Legal Description 3(-:' -Ci /, _ .5..-,,/ft' (Q,cX,.I iktt7r,5 b.,..-1' I Gd1"..1) RE#
Valuation of Work(Replacement Cost)$ /Ted Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ENew EAddition 3-Alteration l*epair =Move ODemo OPool :Window/Door
• Use of existing/proposed structure(s): ❑Commercial Ofesidential
• if an existing structure, is a fire sprinkler system installed?: ❑Yeso
• Will tree(s)be removed in association with proposed project? flies(must submit separate Tree Removal Permit) r No
Describe in detail the type of work to be performed:
TCO i-, 1 r.fe,J. q' TZ, i t CAA,.--ii );dr-+lk t-crx.,' C(/) r 6-4' IC
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name C/ir•S Cp i&D riiAddress 9oei •1 ire j(}tk GI)
City fit /44./'Y:. laic: 1-,, State rt- lip 3?25 3 Phone fc4 .S2 - -1,24i
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company I t"b^H,+,rtc "ju-01 Z t( Qualifying Agent 4111..•1 y►7cc Lext,1
Address /dir., tt #!/1 -/4 t�u< i7r, ,rrt City Jri-,cy_j,.,,,y,;(1 c State FL- Zip 3,1,2 j2
Office Phone 1F- 44-.2 -7- S1 Job Site Contact Number `1 ' ",5.5; - 3--00
State Certification/Registration# E-Mail J,/l/4eLe.-/)h(A) Frurt1-1• �e f-,,-C'..1, rjt'f-
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer ,41 'ii' OR Exempt o Expiration Date 7//aiai
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.
2 (I t e. (.
(Signature of Owner or Agent) (Signature of Contractor) ,�
Signed and sworn to(or affirmed] before me this Ill ay of Signed and sworn to(or affirmed)before me this j 1 f day of
s . c /L , by N - 5 �0 ♦ . � . by 4, _ 1 •C S .fit
( ,...•. .i-.41.,• MELS SLOT. ' 1 - _ I :.;ii•a NELS Si nTI4 II d�- '•
11 Notary Public-State of Florida( gnature of Notary) ( r Notary Public-State of rlo ture of Notar�')�_
r Commission:GG?+164 �., NELS CLO'.'
4 s; Commission tr Go 747646 a'. My Comm,ExDiies Aft 9, 2 c
My Comm.Expires Aug 9,2022ut
a n Notary Public •arida I
Beo,dc through National Nota Assn. Bonded through National holiry „ N..
Notary • Commbsfor.` y I-
( Produced Identiticatio ( J Produced Identification a n. My Comm.Es 1i, '2 (
�� b L C(0-//:-; �(� '�� _ -Bonded through Nat n.
Type of Identification: 1J Type of Identification: __
c-15 --U
FNCE20-0133
LOT 23 , BLOCK 4, ROYAL PALMS UNIT ONE
AS RECORDED IN PLAT/DEED BOOK 30 PAGE(S) 6e) -6 C FkOF THE CURRENT PUBLIC RECORDS OF D L)V pi L. COUNTY, FLORIDA
i
L RECEIVED
I By Jennifer Johnston at 3:34 pm,Nov 12,2020
ci' -A• IN �'
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21 .78 .,_
AMBERJACK LANE ( 60' R/W )
CVHvr IATA RIM) I' ANNOTATION'S.
RECEIVED
By Jennifer Johnston at 3:33 pm,Nov 12,2020
(--i.)- JOB COPY FNCE20-0133
I n DATE: 11/11/2020
eQUOTE GOOD UNTIL: 11/26/2020
I h. \ C I N '' _-`LIGHTSTREAM
Financing Available . . . _.
Submitted To: Tracy Corson Representative: John MacLeod
Street: 909 AMBERJACK LN
City,State,Zip: Atlantic Beach FL Phone: 904-333-3410
Phone: (904)524-2249 Email: jmacleodI5frontlinefencinh.net
Email: chriscorson41fa mail.com
75'Chain-link fencint;4' tall (
i
15'Chain-link
4'tall
9' Chain
25'Chain-link j4'tall Shed
4' tall
`-" 12 Gate
House
-r-
t'
I
I
Hang fencing on left side
Posts and top rail are in ground
Home owner supplied
Provide labor, materials&equipment to build and install 136 linear feet of 4' tall galvanized chain-link
(1) 5'wide chain link gate(1) 12' Double Chain-link Gate
No, emoval or Disposal /r
Price: $ 1;80O yip 0 Deposit: ,$ � ,�f)1 J 1/v
REMOVE/DISP NO POST SPACING: 10' #OF 3'or 4'GATES:
FINISH SIDE: OUT CONCRETE: YES #OF 5' or 6'GATES: 3
TYPE CHAINLINK POST SIZE: 2X2X72 LATCHES: Post Mount
STYLE: LINEAR FEET: 151 ATTACHMENTS: IN GROUND
GRADE: FOLLOW GATE FRAME: STEEL COLOR: Galvanized
HEIGHT: 48" GATE STYLE: Chain link GATE SWING: OUT
` WARRANTY: 2 YEARS ON CRAFTMANSHIP&HARDWARE
1:1Wr, THE OWNERJAGEN: UI : PREMISES MI NI TONE 0 HFRIN,HEREBY CONTKACT WITH YOU AND AUTHORIZE YOU AS THE CONTRACTOR TO
FURNISH ALL NECESSARY LABOR AND MATERIALS TO CONSTRUCT THE IMPROVEMENTS DESCRIBED HEREIN.IN THE EVENT THE PAYMENT IS NOT
MADE AS SPECIFIED,Frontline Fencing Inc RESERVES THE RIGHT TO EXERCISE THE PROVISIONS PROVIDED FOR UNDER THE FLORIDA MECHANICS
LIEN LAW. ALL EXPENSES ASSOCIATED WITH COLLECTION,INCLUDING BUT NOT LIMITED TO ATTORNEY,COURT FEES,AND ASSOCIATION COSTS.
ALL MATERIALS ARE GUARANTEED AS SPECIFIED. ANY ALTERATION OR DEVIATION FROM THE ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS
WILL BE AN EXTRA CHARGE OVER AND ABOVE THE AGREED UPON PRICE INCLUDING A REASONABLE CHARGE FOR ADDITIONAL PROFIT AND
OVERHEAD. ADDITIONS,CHANGES OR DEVIATIONS WILL NOT BE EXECUTED WITHOUT WRITTEN ORDERS BY THE OWNER OR OWNERS AGENT.THE
OWNER/ AGENT ACCEPTS FULL RESPONSIBILITY FOR LOCATING, STAKING AND CLEARING FENCE LINES, AS WELL AS DEED OR SUBDIVISION
RESTRICTIONS. Frontline Fencing Inc IS NOT UABLE FOR DAMAGES OF ANY NATURE DUE TO UNDERGROUND OBSTRUCTIONS. IN CONSIDERATION
OF SAID WORK AND SERVICES BY THE CONTRACTOR,CONTRACTS ARE GOVERNED BY TERMS AND CONDITIONS AS STATED ON SECOND PAGE.THE
OWNER/AGENT ACCEPTS THE SPECIFICATIONS AND TERMS OF THIS AGREEMENT. 3.5% WILL BE ADDED F.• CREDIT OR DEBIT CHARGES
THIS PROPOSAL IS VAUD FOR 30 DAYS.
CUSTOMER ACCEPTANCE elm.; eel..3eNc'N. OFFICER ACCEPTANCE /, -_----