94 13th Street West Fence Submittal • "'ri- Building Permit Application Updated 10/9/18
't City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
``rt 0-' IS REQUIRED.
Phone: (904) 247-5826`' Email: Building-Dept@coab.us
Job Address: qt til, '34 S4r Permit/Number: 8.0
Leal Description e-j /"\ 9 ( s f 7 ea( `�f RE# 1O O05-0070
g P � V/� I l'"�
Valuation of Work(Replacement Cost)$ (( 6 vim+ Heated/Cooled SF Non-Heated/Cooled
• Class of Work: LI emw ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial l7'Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes RIC � E
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tre mmovaTPerrmii)' IIiC>T
Describe in detail the type of work to be performed: MAR 0 9 2021
- rv�i? (o-ue .e.- - vice co s4-c-�M/^J "CelA ce i. ,
H L!.
Florida Product Approval# for multiple products use product approval form
Property Owner tInformation�"rG�W �`
l
Name P'' jr%e5 Address q IF ej� 5`�Y -_i
City Pt is 0....." g' CP State ft, Zip 32233 Phone q- ( t -4-
E-Mail ?erre('• ha✓c," _.5 MQ:(,GO M
Owner or Ag nt (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information L /
Name of Company .1-6 P1_ 5p,6,�1 r C� Qualifying Agent p&ivi �O 40.....
Address % �1 3 5 6c-t.,6 T It ,5 r k City 'Q o4v/i(IQ, State 'Flj Zip 322.1 t.
Office Phone 164-11.1 •-6(rY 4• Job Site Cont ct Number 1O/f--4q("O% c654State Certification/Registration# '�l33-27$P(-(3 E-Mail /V/A-
ArchitectName& Phone# Dci..V:et one.a`j / 'IO IF-$q1-0(H-cf „1
Engineer's Name&Phone# 94,4/a 0 rve..50 IOC(': Sqt -pCf-gif-"f
Workers Compensation Insurer OR Exempt ri 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 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
RECORDII UR TICE OF COMMENCEMENT.
•
(Signature of Owner or Agen (Signature of Contractor)
0
ed and sw IT to(or affirm 0e ore me this day of Signed and sworn to(or a firmed) before me this day of
Cir fll
7O7 by In CCy ' S NAreZDZ (, ,14: It,/:i .., ..
MPP
•1!or - of N!�,.Ij, .111P:Or.r,-
4
'"�a�- I GINDLE ,,,„",'' TOIM�'LESPERGER
ice. I �.,.....
[ ]Personally Known OR :�?' p°; lnally nown OR
<• - MY COMMISSION I , :+ =•= :*= MY COMMISSION#GG 353178
[ ]Produced Identification �fgd I entification a <-
\-4.......... 71 EXPIRES:Octo r 6 I ;, '�. EXPIRES:October 6,2023
Type of identification: ',toPF.o?, • , loofa est' ation: ��'F•'F��•,
ry Pu erwnfers .-.
J
.r�'-�'11. Fence Addendum Updated 1/14/2021
City of Atlantic Beach Building Department
\ V 800 Seminole Road, Atlantic Beach, FL 32233
,,Jit 9''' PERMIT #
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
-z--
‘,---L., 3.2,14.;
Pro�erty Type: Lo Type/ Features:
A Residentialne Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage (corner lot, through lot,
etc.)
❑ Swimming Pool
Fee Material: Fence Height (select all that apply):
/Wood ❑ Fo r Foot (4ft)
❑ Chain Link iSix Foot (6ft)
❑ Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
❑ Other
Fence Location:
Please submit an accurate and current boundary survey 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)
2K
o
Will tree(s) be removed in association with proposed project?
Q (must submit separate Tree Removal Permit)
No
Conditions of Approval:
• Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way.
• All old fencing and debris must be removed from job site by contractor or homeowner.
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.
MAP SHOWING BOUNDARY SURVEY OF
LOT 6, IJLOCK 56, EXCEPT 1111. NUNTII 52.70 rLLT TIILRCOf 106111-ILR
WITH THE WESTERLY 10 FEET OF LOT 5, BLOCK 58, LXCEP1 THC NORtH
52 70 FEET T EREOf SEC110N "H•' ATLANTIC BEACH ACCORDING TO 1HE
PLAT THEREOF AS RECORDED IN PLAT OOOK 18, PAGE 34 or T11E
CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA.
CERTIFIED TO: ROBERT J. FECAN,
STEWART TITLE GUARANTY COMPANY,
WATSON 6 OSBORNE TITLE SERVICES, INC.
AND RANK OF AMERICA, N.A.
ORCHID STREET
..„01,..... ------
(50' R/11)
.1.9.30' (R) e0111
�
^+ 49_10'(U)
I
t/2- ASSOC, 9t1RY ` 4 . I DE OVE L,3. fr085
tB. 2772 119. 5480 . . • LB.'.603
'3270'(R)
201.53(R) • • .. •••,"d 52.72•(Y)
4 14
� � a 4
7• • /
I �"
R6.7" .� 44
)Z
_ 76' .,w,4 l'�... merit.
I ,/16 L ..,. ..1,.. V
/1p n
1 1-STORY FRAME 2.5- i V Vw VI/ IS Ctikre'l •.c.ul N...._:?..,
.O 40 I •4,.
O o Q"- a B OQC 58 W/t 5' EAvES '?-J-, 9¢ ^� • p O J,-,
!T N0. 94 I/ d ,s•z;, a 9,
a � p°O
EE o tort. — R i („.1°°3 I
A/C PAD 4.3' 1 W 4J
i G01R1. -41
4.3,
k ._
1 Is 6' 26
I
c(.. .:;$1.. flit .
�'- ,- Ay NORTH 52.70' «1
1 'O 5., '� n' �,ti0.5 a.a"`I 1.114.1 u.9'... 0.7 _ EXC LOTCS — _ 9.71
1
11 M 1/2'
( -, -�(tl EA DIGROVE . - . •—. • • ---,} --0.2'--"=--
'
JY IB .bas I o fa"IAL- t 3' ° Daove
o Sri(.0 LB- 460.,7 . -CONC.
OJ Or O w/ NOR 49 28' ( ,C JI WAU(
m I¢ 49.50' R)
/ LOT 5 r
ti BLOCK 5E3 c,,� J?... t'
. '
Gk Gi 00 Ens `� �1
b�
c
yib ga�,�.
otle/TNAJ 1W Tt$i
Y I AMGLES ARE 910Mt ON tM SUR,EY
V t q 4'
� %r- �' 2.SIfAY:Tl.RF h0 ._.9�_. `A1JYli 1E{Zx 04 uE5 fI1Ri!f10CC ZONf_S_ AS GIST
•-, A'— f11ERRIt4ED(Wu FEY.A ftIYO NMS PNe.NO ` DAIE'J 04-17-190
ASSOCIATED SURVEYORS INC. 3.M{IS ANDsi TCITICS.Y O'AtuNO(DE1TEweir Ci ��F001n4S.
C tJJd a ENGINEERING SURAYS
I " •' �.,A7fi1S0A14t iJAL AND/a(Lh NROef C 1 R4I4 ` N9ntE AREAS I( M'l Y.NO(
I
1848 B tZ. F OOut£3221 7GIS S NT nr,51,f. Tt fl+E PVJc
VARD
s ,1A.CKSON1LLI, C 0042E 32210 5 MI5 I)5T Y OAD Oh l£GN-DSCRSD kS FURrt£I7()4-r71-6464 RECORDS MERE NOT SEARCHED BY DNS SURVEYOR FOR EA. ITS.
'' nrLE CDVFJIA1IT9. RLSTRIcfO S. 0OTJRL5. TAKINGS OR a4DNANCFS ETC.
�! '1 TACHE C;7ttD B1 OTHER YAT I.RS OF RECORD THAT AffECT 1HS PARal.
rrxnricATE nF A111r,DRVAIKJN fv0 000s466
J C!S S Y O.UNLESS OnIEaR•sc STATED ALL IRON PIPES FOlX40*tA`k NO UCNTIRIC.l.tK?L
�y1q/A16RPErvu la/aw
I IRE iti:HY CCRTI!O TATS pAcErs I' WASDONE UNDER MY 0 SE, in., P'M 0R REQ cc - P0..T Cl cue.... �77.,D- O.M-•tl,
01RCCi SU+7FRV75 LA A1h Ev EFS THE I.t JANT TECHNICAL „s':�^cMY 1IT', M £'T -It7,T(r JNK ICrE&••LiiJ .RIA
alv.T)AADS FOP LANG S ym{it; PDE. GLIM TO 472. F.k ) 1• ti . rvMl 1 NF43 E [uttF
6'G17--��1 PICA At;N1!.STNATIC• CDDE. CI+AI'1E11 47.. F.S I, tR l iaa/x(CB) Pc E.
I. 41 a ayA-Fret
� (C) - gyAAITal fAIA if•'.Ren+T dr r{
f[j/11 , (R)- CROSS 1001 ,7R1 DRILL NOtI 1:06•(.1401. 61 - e,,ptJ1.,t T!
I- _ -�v `_-.-_ {- " AIAJ J 041 l.tJI I NCI'Acc R c CII O(ft (t-,,:)... Gn 4
STr NR' UNCI., LIC .MARYR Rtf.TTJI VR/tl W.L
F II ?IFS 6. MAESI I -- 1(.QRitLLA CLF lf,ATE N: 1 R.-RAORVS f•to _POoA C01rrA.[,I .--cu. ...040
rLOnt:5 C(f 1If c.At( NO. 4529 ORB -OPTIC J P1(0110 fl.kw
C'HART E S L. :)TAHLING CRY.V.•Or`x IC l�Od40 vd w£ -0 14. LVTR r�Jt1,pkftY'S Q. - EJa71c
RAYIACY.D J SL'RIAFJ FL.OPUM CF JT•fICAT, h0.6132 C.R Y -PF)r f[Ml It7T7l0 w eeitin 7R, -„cwt.
0%2 t-1004_ DR L.-.DJtaiii6 /N:STT•f.N.IN LH( 1t---2 CSVJN lA► �LhtC
471<e OAK F,R. -UMW:TNvrx04•AA• PM) rt-•14 R 4RT ;INCEU15 A '11.-WO 11.1
;OV NO DRAFIFR E,1, .44i.I, .1(.• .a•OIMO 1 ESILTRr;xRt+Oatt
-'C . 10-- tial RASED SEAL Of A ILORICA UCEI.SCO SURVEYOR ti40 ILAPPER
N01 YAA';I1 NRIMOUI Tt+l .:GrrATUNF At40 It,C to:L�
E -- ---- -_