1949 Brista De Mar Cir Fence Submittal Building Permit Application Updated 10/9/18
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: /14/9 3a/$7A '7,6"-N-719 Q-C/e7 Permit Number:
Legal Description '/U` / 01`.2S_ rjL }CLV NO(;re t/" )TTLi•J0 (U i S , RE# I aQ y, - X64 L
Valuation of Work(Replacement Cost)$ Z-it.-Q/ Heated/Cooled SF Non-Heated/Cooled
E
CEIVE
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• Class of Work: frNew DAddition DAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Win oor
• Use of existing/proposed structure(s): ❑Commercial Residential FEB 0 2 2021
• If an existing structure, is a fire sprinkler system installed?: ❑Yeslo RR
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree`R�'roval Permit) -
Describe in detail the type of work to be performed: re✓'^il-al c- OZ" -NGC ✓t1C-t,) r'd ')e..,e-a Js'-T-1
PL4(4:5— (o 'ToGt—
Florida Product Approval# for multiple products use product approval form
Property Owner Information y,
Name s ,-6.4--p.. \ \ , 8 Address ��4'1 \.STc� oke--W1r� (.� r()Q_
City . \ c State Ft---- Zip 12233 Phone W'3'ITT —b4 7-31
E-Mail S a-(`t_4V k•+f\-&1ne V, I . C. --•\
Owner or Agent(If Agent, Power of Attoror Agency Letter Required)
Contractor Information
Name of Company 6)4c r X1 CdA/T Ftz,✓cef c.4.? Qualifying Agent-...1)r✓4490 A/ "ppLc20 i
Address (LL I AL.pPP(rd S 1411 S. City e.'fiDttiV iwr State I-L Zip 32-2-3,
Office Phone gal../ 74:95- 775- '� Job Site Contact Number
State Certification/Registration# E-Mail CTG Gie__)Cela)CsMA16• G•''-n--
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempt.-Expiration Date 7,///2 f
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
RECO ING OUR NOTICE OF COMMENCEMENT.
(Signature'of Owner or Agent) (Signature
of Contractor)
6ar'a� �c c.) j.. (N `_` •\,.4-7 4-A-� J2r -c+2 v 451--
Signed and sworn to(or affirmed)before me this Fir day •
of Signed and sworn to(or affirmed) before me this 2 day of
;::05
tt ii?ufe:---Wr
M4 � '
Wpbs ,t (Signature of Notary)
'� kxp�recr, ,i,f }0, ,:xt«c.� Florida
i G ;? 185Q ,_ ,.,,:;ie
} V'• '._ - M,C rrvnission GG 251656
[ rsonally Known OR '-" ''--'^".t,,.*.,,,,,y,"..."p- [4ersonally Known OR ,i expires 09/15/2022
,,-A
[ )Produced Identification [ )Produced Identification , .......
Type of Identification: Type of Identification:
11- REVOCABLE ENCROACHMENT AGREEMENT
**ALL INFORMATION
se - n1 City of Atlantic Beach
r 800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing under the laws of the State of Florida, hereinafter referred to as "CITY"and
8/01-- `TU Go' n} ,TCe- 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 theCity of Atlantic Beach.
This work is generally described as IUC n(.� Ce-'jCE: 13,01 LD
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 CITYY to�USER,said notice to USER shall be iven by certified mail,return
receipt requested,to the following address /g09 /a�-1 S r p 7C 74( ( /
• 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
liabilities are hereby assumed by the USER.
Date Z/ Z
Property Owner/Agent (si 1 in presence of Notary Public) /((
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of , 20
by \)4,'"A I" �Qz-f�CJ/ 5T ,who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
Department Approval:
Signature of Notary Public, State of Florida
[ ) Personally Known
[ 1 Produced Identification(Type) Scott Williams, Public Works Director
H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
,o'l riWA Fence Addendum Updated 1/7/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Property Type:
gr Residential
❑ Commercial
Lot Type/ Features:
One Street frontage (interior lot)
❑ More than one street frontage (corner lot, through lot,etc.)
❑ Swimming Pool
Fence Material:
pfWood
❑ Chain Link
❑ Vinyl
❑ Block/Stone (Plan details required for footings and/or retaining walls)
❑ Other
Fence Height:
❑ Four Foot (4ft)
ISix 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 Agreement)
❑ No
Will tree(s) be removed in association with proposed project?
❑ Yes(must submit separate Tree Removal Permit)
f(No
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.
LEGAL DESCRIPTION AND CERTIFICATION
Lot 86, SEL VA NORTE'UNIT TWO,according to the Plat thereof,as recorded in Plat Book 40,Pages 37 and 37A,of the Public Records of DUVAL
County,Florida.
Community Number 120075 Panel:0407 Suffix:H Flood Zone:X Field Work: 1/9/2018
Certified To:
THE LAW OFFICES OF ROD SCHLOTH,PA;OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
Property Address:
1949 BRISTA DE MAR CIRCLE
ATLANTIC BEACH,FL 32233
Survey Number:312956
Client File Number:RS 18-5359
,
ABBREVIATION DESCRIPTION:
SYMBOL DESCRIPTIONS:
A.E. ANCHOR EASEMENT F.F.EL FINISH FLOOR ELEVATION O.R.B. OFFICIAL RECORDS BOOK
NC AIR CONDITIONER F.I.P. FOUND IRON PIPE (P) PLAT
B.M. BENCH MARK F.I.R. FOUND IRON ROD P.B. PLAT BOOK (® =CATCH BASIN :-..---=MISC.FENCE
BR BEARING REFERENCE F.P.K. FOUND PARKER-KALON NAIL P.C. POINT OF CURVATURE
(C) CALCULATED (L) LENGTH P.C.C. POINT OF COMPOUND CURVE q. =CENTERLINE ROAD 0 =PROPERTY CORNER
D CENTRAL!DELTA ANGLE LAE P.O.B. POINT OF BEGINNING dZe,,u LIMITED ACCESS EASEMENT I=COVERED AREA B.
L3 =UTr1TY BOX
CH CHORD L.M.E. LAKE MAINTENANCE EASEMENT P.O.C. POINT OF COMMENCEMENT 11.P.
{M) MEASURED!FIELD VERIFIED P.R.C. POINT OF REVERSE CURVE k X.XX=EXISTING ELEVATION,r.j
(0) DEED!DESCRIPTION UTILITY POLE
D.E DRAINAGE EASEMENT M.H. MANHOLE P.T. POINT OF TANGENCY =HYDRANT =WATER METER
Q.H. DRILL HOLE N&D NAIL&DISK RNV RIGHT-OF-WAY
DIW DRIVEWAY N.R. NOT RADIAL (R) RADIAL/RADIUS C =MANHOLE e =WELL
E.O.W. EDGE OF WATER N.T.S. NOT TO SCALE S.I.R. SET IRON ROD
F.C.M. FOUND CONCRETE MONUMENT O.H.L OVERHEAD UTILITY LINES T.O.B. TOP OF BANK — —=METAL FENCE — =WOOD FENCE
U.E UTILITY EASEMENT
PAGE ) OF 2 PAGES
(NOT COMPLETE WITHOUT PAGE 2,
GENERAL NOTES:
1) LEGAL DESCPTION PVIDED BYT A It G E Pr
2) THE LANDS SHOWN HERON WERE NOTEABSTRACTED FOR EASEMENTS OR OTHER /"/ABSTRACTED
RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. SURVEYING LLC
C
3) UNDERGROUND PORTIONS OF FOOTINGS,FOUNDATIONS OR OTHER IMPROVEMENTS / V i\ �►
WERE NOT LOCATED. /
4) WALL TIES ARE TO THE FACE OF THE WALL AND ARE NOT TO BE USED TO RECONSTRUCT LB#7893
ONLY
BOUNDARY LINES. SERVING FLORIDA
5) ONLY VISIBLE ENCROACHMENTS LOCATED. ,
6) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN.
7) FENCE OWNERSHIP NOT DETERMINED. 6250 N.M&.ITARY TRAIL,SUITE 102
8) ELEVATIONS INDICATED HEREON ARE IN FEET AND DECIMALS REFRENCED TO N.G.V.D.1929 WEST PALM-BEACH,FL 93407
9) IN SOME INSTANCES.GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE PHONE (561)640-4800
CLEARLY ILLUSTRATE RELATIONSHIPS BETWEEN PHYSICAL IMPROVEMENTS AND/OR LOT LINES. STATEWIDE PHONE (800)226-4807
IN ALL CASES.DIMENSIONS SHALL CONTROL THE LOCATION OF THE IMPROVEMENTS OVER
STATEWIDE FACSIMILE (800)741-0576
SCALED POSITIONS.
WEBSITE: nnp ....."res
BOUNDARY SURVEY 1
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1 s' \p A\ %ac ''n'Z p LOT 86 \.. /ql `�20
'\ o\ 'L°6,°. BUILDING o�ciP-
/ c \ #1949
- Q\ q,� v 3.3'& \pe �7
`� o ���t‘ ,.,„/
-''' �,I, / q /
LOT 87 .3 ,a \ \SG Go? a G ► �.
0.3' \ Nr+ o
LP lir 0
A,
20'U.E./D.E.
SURVEY NOTES 6.5
E CROSS THE PROPERTY 1'7,)--'
LINE ON NORTHERLY SIDE OF LOT 0' ,. 9 2 ' ___.____,
SET 1/2"
SET 1/2"
THERE ARE FENCES NEAR THE BOUNDARY IRON ROD S89°08'46"W 143.00 IRON ROD
LB#7893
OF THE PROPERTY AND CROSS INTO THE LB#7893
20'U.E./D.E.AND 10'U.E./D.E.ON SOUTHERLY g
AND WESTERLY SIDE OF LOT.
THERE ARE FENCES NEAR THE BOUNDARY
OF THE PROPERTY AND CROSS THE PROPERTY
LINE ON WESTERLY SIDE OF LOT.
i
„H_
''''/t, No-6415 y` SURVEYORS CERTIFICATE ,,,,,,, 'TARGE T
k;
9i . I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY SURVEYING,LIE T
io IS A TRUE AND CORRECT REPRESENTATION OF A fr L Jv
SURVEY PREPARED UNDER MY DIRECTION.
\ NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC��'a` ?' SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, LB$*7893 i
\� STATE OF 4/
� ? OR A RAISED EMBOSSED SEAL AND SIGNATURE.
N4/::?...` s R SERVING FLORIDA
6250 N.MILITARY TRAIL,SUITE 102
WEST PALM BEACH,FL 33407
PHONE (561)640-4800
_ STATEWIDE PHONE (800)226-4807
(SIGNED) KENNETH J OSBORNE g,ACF F')PAC STATEWIDE FACSIMILE (800)741-0576 i;
PROFESSIONAL SURVEYOR AND MAPPER 46415 (N O P wt7'►to I) WEBSITE: http:IRargetsurveying.net F
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