363 AQUATIC DR RFNC21-0018 isuliaing rermit /application Updated 10/9/18
A City of Atlantic Beach Building Department.f.
**ALL INFORMATION
;,r_,;/;/ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
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Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 363 Aquatic Dr Permit Number:i-\\I N `—
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Legal Description 38-71 17-2S-29E AQUATIC GARDENS LOT 21-A RE# 1718185266
Valuation of Work(Replacement Cost)$ 1850 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ONew DAddition ❑Alteration ZRepair .1.1-Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial 2'Residential
• If an existing structure,is a fire sprinkler system installed?: :::Yes ❑No
• Will tree(s) be removed in association with proposed project? Yes (must submit separate Tree Removal Permit) 1ZINo
Describe in detail the type of work to be performed:
Fence installation as shown on attached sketch
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Denise Tung Address 363 Aquatic Dr
City Atlantic Beach State FL Zip 32233 Phone 904-933-8481
E-Mail denise.l.tung@gmail.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Big Jerry's Fencing Qualifying Agent Jon Davis
Address 12620 Beach Blvd,Ste 3-131 City Jacksonville State FL Zip 32246
Office Phone 904-476-2528 Job Site Contact Number 904-476-2528
State Certification/Registration# N/A E-Mail Jon@BigJerrysFencing.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt sd Expiration Date 2/13/22
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.
(Signature of Owner or Agent) /'- ' (Signature of Contractor)
Signed and sworn to(or affirr> _.)before me th':�"u day of Signed and sworn to(or affirmed)before me this,.-)t(1 day of
�(�;11\ r41, =1 ,by G Z� --'v\. , ', 1,3,- 1 , by :MN A T1-ti\i,) DSV! c
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110
fvsvNit, Notary Poetic State of Flor'tta
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• Chnstyn Marie Kelly
[ )Personally Known OR [ I Personally Kn. ` ExpiresMy C 09/2 on 24HH 04f{a4 S
civ 09129/2024 ,
[ 1 Produced Identification [,,)/Produced!de tfi a' .1 �, y
Type of Identification: Type of Identification: v [(i•-' -K'��'�^
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J;r _,. Fence Addendum Updated 1/7/2021
'r� ," I City of Atlantic Beach Building Department
Jr 800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Property Type:
[Residential
❑ Commercial
Lot Type/ Features:
i One Street frontage (interior lot)
Kore than one street frontage (corner lot,through lot, etc.)
❑ Swimming Pool
Fence Material:
Wood
❑ Chain Link
❑ Vinyl
❑ Block/Stone (Plan details required for footings and/or retaining walls)
❑ Other
Fence Height:
❑ Four Foot(4ft)
Six Foot(6ft)
❑ Other
Fence Location:
Please submit an accurate boundary survey required showing all existing improvements (including building footprint,
driveway, swimming pool,etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or
retaining walls and any portion or fencing above 6ft in height.
Will the fence be built in an easement?
❑ Yes(must submit separate Revocable Encroachment ViK-lo
Will tree(s) be removed in association with proposed project?
Yes (must submit separate Tree Removal Permit)
(J N o
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.
Denise Tung � � ,�363 Aquatic Dr. and 369 Aquatic Dr. ONtt ldlA,
iii
Atlantic Beach, FL 32233
904-993-8481
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denise.l.tun@gmail.com . , ��, tk 'tea
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f � '"'+� ~4'Single Gate Ilk
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f -----k+4,'"04.� ' % '' *`` "N" a 0 7'' Me Note:
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* ar : . - - . : -Sketch is not
to Scale
6' Wood Privacy Fence -Big Jerry's
Style: Board on Board ";C provides our
( CC I' using
(including Gates) 14. 1"1 it ` ,' 4i = quotes
• ' ' � the total
156ft of Removal and Disposal \... 'Z ' `' linear footage
` including the
of Existing Fence Required.
width of the
• Posts to be concreted.
Ir.'t'it....,,,
,, _ .. ) ts 1. ,� gates and we
._ pre-discount
® 00 1 t , c "'0 : ~4'Single Gate our gates
•+L-M accordingly.
Any requests to change sketch must be documented with the office in addition to the installers. This sketch is part of the contract with Big Jerry's Fencing,LLC.