300 5th St RFNC21-0011 Fence Pool Barrier PermitOWNER:ADDRESS:CITY:STATE:ZIP:
WINGATE OWEN W 300 5TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
PHILLIPS BUILDERS LLC 1250 SELVA MARINA CIR ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169827 0500 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
300 5TH ST RESIDENTIAL FENCE POOL
BARRIER 6' FENCE $1000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
FENCE 455-0000-322-1000 0 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $91.50
LIST OF CONDITIONS
Roll off container company must be on City approved list . 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: 2/1/2021
PERMIT NUMBER
RFNC21-0011
ISSUED: 2/1/2021
EXPIRES: 7/31/2021
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 2/1/2021
PERMIT NUMBER
RFNC21-0011
ISSUED: 2/1/2021
EXPIRES: 7/31/2021
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247 -5826 Email : B u i I d i n g- De pt(Ocoa b. us.
Job Address:w S"tL sr 32L33 Permit Number:
Legal Description RE# tb1 827 - O,5c,E
Valuation of Work (Replacement Cost) $t.o.,o Heated/Cooled SF
-
Non- Heated/Cooled
r ClassofWork: Bllew trAddition trAlteration DRepair EMove DDemo trPool trWindodDoor
. Use of existing/proposed structure(s): ECommercial lResidential
r lf an existing structure, is a fire sprinkler system installed?: DYes ENo
Florida Product Approval f for multiple products use product approval form
Propertv Owner lnformation
l\)
State
Address 3CO -59 fI-
zip 6?233 Phone <164 ' 553 - zoaZCity
E-Mail . dOr.n
Owner or Agent (lf Agent, Power of Attorney or Agency Letter Required)
Contractor lnformation
Name of companv R{i tt iPS Bur\OEP5 QualifyingAgent BaeBaPn P'r\ r\\ i PS
updated 1o/9/18
{.*AU INFORMATION
HIGHLIGHTED IN GRAY
IS REQU!RED,
Address 9? z o(€tll Btuo city_A-3-,-state F i zip*,3?.z33-
office Phone qA't ' 3.1q' Z'iqa Job Site contact Number
State Certification/Registration # Ld tZB13 14 E
Architect Name & Phone #
Describe in detail the type of work to be performed:
NCW (aE frscE vJ rrrA GnFisf
Engineer's Name & Phone #
Workers Compensation lnsurer OR Exemptf 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: ln 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 PROPERW. IF YOU TNTEND
YOUR TENDER OR AN ATTORNEY BEFORE
MENT.
or Agent)(Signature of Contractor)
.-ajr'-
this/fi-lday of Signed and sworn to (or affirmed) before me this _ day of
.by
Krron"ilvKnown OR I Personally Known OR
I Produced ldentification[ ] Produced ldentification
TO OBTAIN FINANCING, CONSUIT
Sigled and sworn to (or affirmed) before me{tueu? 2iu .oJ qdo, 4
.s$X,ti; 3:llL';liH,,,*
?,,#$*ll*qi'#i3l',.0*,**,^*
Type of ldentification:Type of ldentification:
(Signature of Notary)
Name
RFNC21-0011
NOTICE OF COMMENCEMENT
stateor FIDRtD4\Tax Folio No.
countvof DUr'a,\
To Whom lt 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 stated in this NOTICE OF COMMENCEMENT.
LegalDescriptionof propertybeingimprovedt (E* lb1gL1'OSe / 5'b1 lb-23'21€ /
-lt1 b
Address of property being improved:5os 5I {T R?233
General description of improvements:YE.hJCG
owner: DwEN VJ: $ C="ag
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
Address: 3bb 1'ti 5f 3ZZ<<
xtF-r-r FE M-e
Name:
Contractor:
Address: 112 OCEa* BlvD a?,?,33
rerephone No., I dl- 3't 1 -
"qq
1 Fax No:
Surety {if any)
Address:Amount of Bond S
Telephone No:Fax No;
Name and address of any person making a loan for the construction of the improvements
Name:
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:
ln 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 date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY
Doc # 2021018305' OR BK 1 9549 Page 1922'
Ntrmber Paqes: 1'ri".-l"o oi rzzzozt, o'tt
$}1r,. cou RT DU'AL
LO-Ov psrr-r-rps CLERK Cl
COUNTY
RECORDING $1O.OO
Beforemethis / k7/'4ay ol
Of Florida, has persodally appeared
Notary Public at Large,
My commission expires:
Personally Known:
Date: ' /tf /z t
the County of Duval, State
Produced ldentifi cation:
OWNER
Signed:
RFNC21-0011
RFNC21-0011