174 15th St Fence Permit Submittal Building Permit Application Updated 10/9/18
_ ,. ,.,rj' City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
''•r �.;9.r IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: ( 7 V b i' Y., 4 Permit Number:
Legal Description lb —I/ r't:"ZS— Z?E 41,46)�y' Iv/ it< '-Ic so REP / 11 1 b/b/
-- Do ei -
Valuation of Work(Replacement Cost)$ _5 D. !Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existin /proposed structure(s): ❑Commercial Residential EC E'! 7
• If an existing structure,is a fire sprinkler system installed?: ❑Yes .No 7 .
• Will tree(s) be removed in association with proposed proiect? ❑Yes (must submit separate Tree't#temo&PRerInit) .Dtj
Describe in detail the type of work to be performed: j 1
FCi2«� 6 1 6,-/ Jc BY
Pp
Florida Product Approval tt ( for multiple products use product approval form
Propert wner Information S
Name � ) L iI k 77 /I E4 YL,' Address ��
city fl f'f 4h/-,c (304C-h , State Fc-- Zip 3 L 2 33 Phone
E-Mail D14>f !AOT' -t-'r+` &t i ''lzr's -.Cav
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information L I L
Name of Com any I n�'t-C(1 it ( Q, LL., �j ,A,, tot err Qualifying Agent 4 SC , 4 ���c`.v ZL�
Address 3 (,,i e:/-1-1,\, A-fl �,7 ic.3e4L [. State Zip 3
Office Phone CP) S/> -36 6( Job Site Contact Number
State Certification/Registration tt C--(3!S 0 L57 5 i.,i E-Mail 10/ 4-5'! i 4 p 1rtta, t f S , C0 ✓3/\
Architect Name& Phone P
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date 23/i.3,–
Application is hereby made to obtain a permit to do the work and installations as indicat d. 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 affirm before me this
4*-
of S' ned and sworn to(or affirmed) before me this (1'day of
Apr.) X*1,1 , by_ i< •.l evtarte) _ rs:, 2.47-1 ,by Dws`-'ti 6 1f4ont
'f o.�,.e.. p..$1,0`' ciLiGI O N\ I. Notary) gnaturey�• t<=1,'i
.��\,.(Oi I LAS---- .. O�F�i� 3T '�.• • �19 ?q Z
�' (+" t128'`19?,,) •y 1 Personally Known OR * ;• •.
Personally Known Of ;'� .}• '�,.
Z [ ]Produced Identification •OpOM�2J 2
[ ]Produced Identifica�n v• Z
Type of Identification: * • •• * I Type of Identification: '. `
81�J13 ; 1�, ,4LZ
MAP SHOWING SURVEY OF
LOT 14, BLOCK 60, MANDALAY, AS RECORDED IN PLAT BOOK 10, PAGE 11
II OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
410
SCALE: 1" = 20'
15th STREET
40' RIGHT OF WAY PAVED PUBLIC ROAD
BENCH MARK: SET MAGNAIL IN
EDGE CF PAVEMENT
ELEVATION-10.17 N.A.V.D,1988 47.97' FIELD
8 48.00'
48.02' FIELD ` PAVERS
SET RAG NAIL
4B.DD' k DISK,123672
FOUND YAG NAIL& Q- ---- GONGRETE WALK
-
DISC LB 3848 -'_ 9 � -
t Ox FOUND 1/2-_
IRON -----
PIPE LB 3848
- 0?r. SWALE� I Ica o.,x.._fi7
SAND I XII/1x9.9/9.10.:
/ A 4, DRIVEWAY tq7 x9_ 9.9.0., "3
(,99 Alt- "1 o'- A 0 1
p W
, NL 1C 9 1,,3
1.OB ':1.3
Li I' 10.1' 7 ,tat OE
o s'
I a-11 § .=c
�/ 0 .. I . >d
CON WiVERS �� I
Q /16 5.2'
Q 1
2 qq 2-STORY FRAME
>S U I@. - LOT 15 AND BRICK 1 0
o RESIDENCE No. 174 0 w
J<a_ I.01 9- /Go . FINISHED FLOOR-12.26' 0 - LOT 1.3
W 0 GARAGE FLOOR-10.89' 'Y Q N
y0 W
Q n m o,
CO a 0
I of 0
<Y I a,
m a
3 twY' %111'/-o
Zw OI .I '7.05.2'
WF I 3
ow
U I •
I COVERED cecK
O (
xO6 S1IE 1p
ry~ x108 XIO:i lC,�x p
Q\
',
FOUND 1/2'IRON 48.00' FOUND 1/Y IRON 6 ' FOUND i/2'IRON
PIPE,NO CAP 48.19' FIELD PIPE,NO CAP 48.00
48.06' FIELD PIPE,NO CAP
fi\
1 LOT 8
1
SURVEY NOTES: / '
�j l 4-1/ 4ori Zo44/ 1416eSe/
1. THIS IS A BOUNDARY AND LIMITED TOPOGRAPHIC SURVEY.
2. NO BUILDING RESTRICTION UNES AS PER PLAT.
3. NORTH ARROW PROTRACTED FROM PLAT. i (.�p
4. SITE BENCH MARK SHOWN HEREON WAS ESTABLISHED BY G�'-V
GPS OBSERVATION USING SPECTRA PRECISION EPOCH 50
L1/L2, RUNNING TRIMBLE VRS SOFTWARE.
ELEVATION - 11.37 N.A.V.D. 1988 DATUM.
5. BUILDING TIES SHOWN HEREON ARE TO THE CONCRETE
FOUNDATION AND NOT THE EXTERIOR TRIM OF THE
BUILDING.
THIS SURVEY WAS MADE FOR THE BENEFIT OF
THE PROPERTY DESCRIBED HEREON LIES IN FLOOD MATHIEU BUILDERS.
ZONE "X" (AREA OF MINIMAL FLOOD HAAZARD) AS
DETERMINED FROM THE FLOOD INSURANCE RATE
MAP NUMBER 12031C0409J EFFECTIVE NOVEMBER
2. 2018 FOR DUVAL COUNTY, FLORIDA.
JASON D. BOATWRIGHT, P.S.M.
NOT VAJD WITHOUT 111E SIGNATURE AND FLORIDA UCENSED SURVEYOR and MAPPER No. LS 7292
THE ORIGINAL SEA.OFA FLORIDA LICENSED
SURVEYOR AND MAPPER.' FLORIDA UCENSED SURVEYING&MAPPING BUSINESS No. LB 3672
CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE:
DRAWN BY: JOB MARCH 17, 2020
FILE: 2021-0195 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET I OF 1
REF: 2019-1847
Fence Addendum Updated 1/14/2021
; City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
17L/ / S t4l SJ (2_--7Z-
,
Property Type: Lot Type/ Features:
Residential One Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage(corner lot,through lot,
etc.)
0 Swimming Pool
Fence Material: Fence Height (select all that apply):
Wood - 0 Four Foot(4ft)
O Chain Link �1 Six Foot(6ft)
O 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)
No
ill tree(s) be removed in association with proposed project?
Nx❑ Yes(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.