262 S Nautical Blvd FNCE21-0007 Fence permitOWNER:ADDRESS:CITY:STATE:ZIP:
JODY SOMMERS 1648 ATLANTIC BEACH DRIVE Atlantic Beach Fl 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
SUNSET FENCE, INC.10418 NEW BERLIN ROAD, #106 JACKSONVILLE FL 32226
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170703 0404 SEASPRAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
262 S NAUTICAL BLVD FENCE WALL OR BARRIER FENCE 6' FENCE $5225.00
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: 1/29/2021
PERMIT NUMBER
FNCE21-0007
ISSUED: 1/29/2021
EXPIRES: 7/28/2021
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: 1/29/2021
PERMIT NUMBER
FNCE21-0007
ISSUED: 1/29/2021
EXPIRES: 7/28/2021
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $81.50
FNCE21-0007 Address: 262 S NAUTICAL BLVD APN: 170703 0404 $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: R14742 $81.50
Printed: Friday, January 29, 2021 11:09 AM
Date Paid: Friday, January 29, 2021
Paid By: JODY SOMMERS
Pay Method: CREDIT CARD 418323051
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14742
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building DepartmentoALLINFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: 1uilding-Depth coab.u.,
IS REQUIRED.
c 0(707JobAddress: Z /14(..) e2/ Permit Number:
Legal Description /-t/1'l I1 -1-5- Z9'C 5 0- 15' 13LK 1/ RE#)4 l q1 • °ccU
Valuation of Work(Replacement Cost)$ 52 2-5— Heated/Cooled SF Non-Heated/Cooled
Class of Work: [$(New Addition Alteration Repair EMove Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial IKResidential
If an existing structure,is a fire sprinkler system installed?: Yes EINo
Will tree(s)be removed in association with proposed project? Yes(must sub it se arate Tree Removal Perm ONo
Describe in detail the type of work o be performed pL E, g,,1i)li7/2 7W7.--f, - .7
r )'
U'(7f— 19- e / '( 74" /1I Tc Y%Lc/L— Th(i f i,L,et ______
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 3o`C D/7/414.i Address 114/017;07/7e_--
City
Ut/l i'}
City A ti-s 1 '/{ State 4 Zip Phone i(L? " J[ — 'R5c (
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Compa y ') C - /U C' Qualifyin Agent /4-/gc.:- L/Sc 4_LC_
Address/t u] „1,,44,,,, 1? //,4 City iii, State Zip ZZ
Office Phone &lP /,2 3 Job Site Contact Number do %
r ---t- ,. LXX
State Certification/Registration# E-Mail J 21 )6 #/77 6 o 'CIL. `:
Architect Name&Phone#
Engineer's Name& Phone# 4 J
Workers Compensation Insurer 62)/Vii Of i,,..\ C.t,I -e,,),IOR Exempt n 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
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 regt.irements ofFthis -" I
applicableproperty ty,andpermit,there maybe additional restrictions to thisthat maybe found in the public records of this conn
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies. JAN - 7 2021
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 COMMENC ,TIENT MAY
RESULT IN YOUR P £ YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO • :TAIN FINAOING, CONSULT WITH YOUR LENDER OR N ATTJ. NEY BEFORE
ECOR k ING YO , NOTICE OF CGOMENCEMENT. 7/7.‘
U(Sig re of Owner or Agent) Signature of Contra tor)
U-i-* 1
S ned and sworn to(or affi ;.)b:fore thi day of Signed and sworn to(or affirme )before me this !' day of
Zo2-( , by !Oa *! In S IUPC. ,'22c', by A L rod-I1
L •
1i 1_ ) .WII
Signa re of Notarylure .
YTONI GINDLESPERGE'
i
ti prn
c MICHELLE NICOLE MCNAIRMYCOMMISSION#
r 2023 MY COMMISSION#HH 019008IXIRES:0 jber 6, f
40,2.:?.Ii 'd (}Q)d+, ;b:ic Undery ers
Personally Known OR ',;„
11.i.. EXPIRES:July 8,2024 4
KJ Produced ldentificatio ''Fo C`•' Bonded T ruNotaryPublicUnderwriter
Type of Identification: uhl L.. Type of Identification:
Owner Builder Affidavit ALL INFORMATION
HIGHLIGHTED IN
y
fa City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
r n -7j 'T
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1 K)c_l I -000 7
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 1
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 $5,000 PENALTY UNDER FLORIDA STATUTE NO.455- 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: 26Z NW1 tCik-L 6 L/> C.
Owner Name: K by v401,1€{ S Phone Number: 11/0 9/ ¶ -1
Mailing Address: #f11( : op y:State: Zip: 'ZZ322
Notarized Signature of Owner A . — -
I
The fc,iegoi `ng strument was acknowledged M ore me this 7 day of ,6!1,4,1 , 20 Z f
in the State of Florida, County
T
lk:,v
Signature of Notary Public Q—
Personally Known OR [ ] Produced Identification
Type of Identification: J. C___
sss
TONI GINDLESPERGER Updated 10/24/ 18
t :.
a MY COMMISSION#GG 353178
T"•
o EXPIRES:October 6,2023
Fok F° Bonded Thru Notary Public Underwriters
www
NOTICE OF COMMENCEMENT
State of b Tax Folio No. 13f 'J I D • woo
County of 1/A-L-
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is sjed in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: La ( L 1
t
j(X,IL L 5GIt}Sp(_it / 356,(7
I c
J7 - 2S - 2R C
Address of property being improved: "4,2_ N 4ICA I L..\I1 J• A43 1-7-1_ -j Z2 J
General description of improvements:_U1_4441
Owner: C Sommtss Address: AG: 115
Owner's interest in bite of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: GL. .1 „
Address: 10 t L5 UFi) 0.36/2.1-1 14. 4. IO6, 6 L ?j 2--z-Lc,
Telephone No.: Tai [oy'6 121/ Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: N (
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the dat: o;r•
Gr•
i : . --_•-- :•----__._.;
r°t• . •.c; GINDLESPERGER_specified):
Wert *= '' ' •' ' 353178
EXPIRES:October 6,2023THISSPACEFORRECORDER'S USE ONLY OWN I 0"`P
onded7hruN•tart'P blit Underwriters
ONl
Doc#2021005357,OR BK 19528 Page 765,
Signe Date: ZNumberPages: 1
Recorded 01/07/ 2021 03:35 PM, Before me th• A day• Q 0 2 in the Co ty of Duval,State
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Of Florida,has personally appeare i1 o ar.
OM @ S
COUNTY Notary Public at Large,State o • •a,noun l.' al.
RECORDING $10.00 My commission expires:
Comair
Personally Known: b C,- or
Produced Identification:
MAP SHOWING BOUNDARY SURVEY OF
LOT 19, BLOCK 4, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64
AND 64-A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
ODT'SMMER l! á44 iv
N 'sr P a• 4 `v
HELMSMAN LANE
0'RIGHT OF WAY)
S 6728'0C" E 100.00' (PLAT)
minx
S 67'28'00' E 100.10' (MEASURED)
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Revision Request/Correction to Comments ALL INFORMATION
HIGHLIGHTED IN
r ti moi) City of Atlantic Beach Building Department GRAY IS REQUIRED.
V 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: 904) 247-5826 Email: Building-Dept@coab.us PERMIT -i l(;b 2.1 O() 7
0 Revision to Issued Permit OR Corrections to Comments Date: E/ZS- 1
Project Address: 62_ C ii(()Ci-1l V)( V; 1, i- 1_, 2 267.)
Contractor/Contact Name: ) s i"-
Contact Phone:
i(o`l 15
11 -
7-00 i Email: 'thy .5011A1ile S( 1{
n
r-
C' ',', ! • C( 1tf
Description of Proposed Revision/Corrections:
Re VC)CCa/7 /e til(Arco c r EGE IVE
JAN L a 2021
BY:
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 0 Yes (additional s.f.to be added:
propos
revision/corrections add additional increase in building value to original submittal?IIiNo Yes (additional increase in building value: $ Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
Office Use Only)
E Approved E 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
kir REVOCABLE ENCROACHMENT AGREEMENT
City of Atlantic Beach
4'*AIL1NFOR TORI
4HIG UGHTED IN RAr' 800 Seminole Road,,,,/,,,/ Atlantic Beach, FL 32233
IS RE Qy'
if
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing under the laws of the Sate of Floraida,herelinaftf r re ed to as "CITY" and
Z. j 7.. { i O Oil. C r 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 ?ki VA(,y F tk)C(
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 b give • certified mail, return
receipt requested,to the following address
4 A"
av
i z
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
bilities are hereby as•umed by the USER.
iii/ / , / /'Gi Date 1 ai
Prop- . 0 Agent(signe• in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of (./ 16,itLAC*C‘/ 20 '2-t ,
G C 1---Lt. S Vbyt
l!1, Y l'1 E who personally appeared before me and
printed na ie of Signer)
ack ow edged t . e e Signe, the instrument voluntarily for the purpose expressed in it.
iiii
2, ,c,(4/741:////''" ' I.O.." P ppTONIGINDIESPERGERDepartmentApproval:
MY COMMISSION#GG 353178SignatureofNotaryPublic,State o •rids ;. : -
o: EXPIRES:October 6,2023
I Personally Known I
f:!,•„•,-. ..,;;;,7/
rFp O." Bonded ThruNotary PublcUndenvriters
Produced Identification (Type) Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18