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70 Jackson Rd RFNC21-0048 6' Fence RESIDENTIAL FENCE PERMIT PERMIT NUMBER Vr CITY OF ATLANTIC BEACH RFNC21-0048 ISSUED: 4/19/2021 800 SEMINOLE ROAD rt»� ATLANTIC BEACH, FL 32233 EXPIRES: 10/16/2021 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. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 70 JACKSON RD RESIDENTIAL FENCE ONE 6' FENCE $5990.00 STREET FRONTAGE TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172044 0000 SECTION LAND COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: PEAVIE HENRY E JR 70 JACKSON RD ATLANTIC BEACH FL 32233-4320 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\ 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. LIST OF CONDITIONS I Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35 00 TOTAL:$35.00 Issued Date:4/19/2021 1 of 1 Building Permit Application Updated10/9/18 City of Atlantic Beach Building Department 1 ? ry ; 800 Seminole Road, Atlantic Beach, FL 32233 • 11411441 Phone: (904) 247-5826 Email: Building-Dept@coab.us c. , - Job Address: l v '3 -! )A e-RAA 4itJA ` ` Permit Number: "ALL INFORMATION -3-2.5---1 7 HIGHLIGHTED IN GRAY IS + REQUIRED. Legal Description \-ri k \zo '-Y dSCTE# RFNC21-0048 \ ao44- cx-)o Valuation of Work(Replacement Cost)$ ) 1 Heated/Cooled SF Lit Non-Heated/Cooled c C IVE • Class of Work: ONew DAddition OAlteration Repair DMove ❑Demo DPool inflR�/DOoor • Use of existing/proposed structure(s): DCommercial Residential A 2�2� • If an existing structure,is a fire sprinkler system installed?: DYes ONo BY' • Will tree(s)be removed in association with proposed project?DYes(must submit separate Tree Removal Permit) Utflo Describe in detail the type of work to be performed: c Florida Product Approval# for multiple products use product approval form Property Owner Information �I Name \\pvv t,Al �z,� a �-.- Address t D -)Sq.N IL a' City State PC- Zip 32Z.33 Phone 9D`j' -�S�- ' b E-Mail � ,��0`12-ti' Pi n, CIVA Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) UWY1 1f( Contractor Information Name of Company 10,Y--, P �e�;J� ( ' s tl0f Qualifying Agent r w€y1C! 'E �� r, Address UOf � nor&(u 1J City P �' r ,1t�State ++r-L Zip 122_1 C, Office Phone - X6-95'59 I Job Site Contact Num•-r State Certification/Registration# E-Mail fro lC t?- ���knt�4 I �� rhtt + ✓� Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Insurer _OR Exempt r� 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 RECO�RtDING YOURTICE OF COMMENCEMENT. 4ivvwy �t.A.-.� (Signat re of Owner or Agent) Signed and sworn to(or affir •.)before me this_ day of 1:Ant-i , 70-6 ( , by A. ea L- . • 3r- . J(— i 111111011E11111111 iP TONI G!NDLESPERGER [ 1 Personally Known OR ., MY COMMISSION R GG 353178 [ )Produced Identification \ r.3`�e_` EXPIRES:October 6,2023 Type of Identification: L� . k_ .°";P. Bonded ThruNo"�.ryPubsUnderxriters (Signature of Contractor) Signed and sworn to(or affirmed)before me this day of , ,by (Sigr9tufe of Notary) [ [Personally Known OR [ [Produced Identifica. n Type of Identificati : ,J ..-or. FenceAddendum 1.. !,- Updated 1/14/2021 City of Atlantic Beach Building Department PERMIT# RFNC21-0048 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: 70 Jackson Road Atlantic Beach FL 32233 4/7/2021 Property Type: Lot Type/ Features: Residential fOne Street frontage (interior lot) ❑ Commercial ❑ More than one street frontage (corner lot,through lot,etc.) ❑ Swimming Pool Fence Material: Fence Height (select all that apply): yftWood ❑ Four Foot(oft) ❑ Chain Link 0 Six Foot(6ft) ❑ Vinyl Other 8ft wood 4ft aluminum ❑ Block/Stone (Plan details required for footings and/or retaining walls) 11 Other ,,- \v,e, v.‘,- 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.(!ront and both side of house ) Will the fence be built in an easement? J ❑ 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) 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. Owner Builder Affidavit **ALL INFORMATION r"'`- HIGHLIGHTED IN :,..-\"', City of Atlantic Beach Building Department GRAY IS REQUIRED. 1800 Seminole Rd, Atlantic Beach, FL 32233 ""`�" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT ti: RFNC21 -0048 I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . III. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: -7 G G.(.,iCSQ y\ j2- 4.- Owner Name: tA2-VI kr 1. 2c' '.,-- .. to Phone Number: 0°1)L53•- 6,ie - Mailing Address: -10 ,�CL CKSGn 12 L'. City: 417, eat , State: FI Zip: 1'L3-3 Notarized Signature of Owner �.t6 J -L `. .4eiA., „ Jie..,.._ Theig ;'o ing instru ent was acknowledged before me this day �1 tt ( , 2l - , in the State of Florida, County of L [ ,,,. 1 I . Signature of Notary Public ` (---------'' [ ] Personally Known OR [ ] Produced Identification Type of Identification: l-- _ �— Updated 10/24/18 i— TONI GINDLESPtcRGER it .�,wY PLgki.•, � 1�• :,� 1�1Y COR1!v11SSI0N#GG 353175 lcf; . !'-`t EXPIRES:OdoDer 6,2023 ,.���Q�: ers `�«�•�.� E.e^JrimroNotaryPublicUncerw� 7\ )1\ \A, \ i \X Y c V X. x i sa .Arej wood bo' t 1,47 30 t}• aLKAiiv.,) 4 ' BAS a% , 4/ .414\_ ';_4 ,l/ I- ' t3 Os At" W°Ca /8 Lk AL ok 1Sbnty2' c.07 '? ' 51.41 C K 1 • ✓.0/YM�$S QePL47 4 h4NTVC 1' LAC�'! F.LOR OA PC A7 DOC` r9 PA&E.6 • D ►.'VA.L G OVN'' Y ---r--L,14,11.4232________ t., „ u a it. , Nes''0, 4 a .'--- - - -; 10 , , r_. _ _ 4.4 cr.r++Detre. 4,--......... 44 a - J c, U �{�.;�—B+ J �. ��:..' Y�4 V. .: i irl., i: ! 1' 1ti . ba,,•, 31.3' 441.5 ' t 5• f te.,04_____1 I __ �---' ..•., _ _ - kr. ,b <. Lo o r ova Tors ,� 4 1t \e, 4% l9 I ;!d ►4µPC.fity '+: y t C\ J' t 10 40 44 r; + • co"v• feta yr A... t. ` * 1 + +•i ar4Z r r-., - JACA: 50N .tt , r. Ju d,..,._E t `_ a • rcAte• 1"•r.a. WOO'V COON! OiVID r''''. b '' " "7"r:""' '' 7'� a1� Q' RFNC21-0048 MAP SHOWING SURVEY OF 10? Ifi UM 1?. Al SNOW ON PLAT 07 DOMINI INFIAT AS WIS II LLAT LON V. Plat IA C► INI WSW PINILIC MOSS OT SUM COMM, ?LOMA. For.' C4 g 1/1e drAY ,Q.f44t. t'crd r4 11C0WCAP5 1 1 I1 ---or or or or - mar. -- .•••••••••••••••• J 149. 1--- - -- t or oomomo or or wow...omoos• row owonowo moo*. r- 0 '4 st4 ciAt pN . RC.► AO fi,,o r... .....____.... 1 .Ai/WD , A,* i N . . 44.1.10,, Ar L 0 1 ' I I I Nk i I 44 I I 1. I I'.. � v1 1 NIi I I 1 # I 1 .tZ.t ,�. I If . ._-1.___ [....—_ _ . I NoTif: L Doc#2021088762,OR BK 19667 Page 1461, Number Pages:2 Recorded 04'07,2021 04:01 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 NOTICE OF COMMENCEMENT State of Q�\U� Tax Folio No. 17 Z 041 000 O— County of d .., To Whom It 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. ENT. Legal Description of property being improved: 7 ��V�Sh,n ' _ t�� �.e A "0614- - Z s Zai C P'T c-,v - l F�u��`>t j i? I1 K as� --I (i Address of property being improved: 7D ����c c\ � 4+ U��c�C , EC i ,� 1� 7 7-5-5 General description of improvements: V`y ‘.,> Fps.tires �Q�- -`���r. L`e yt vt.+ Owner: t1C`Y\�t �j eu�� Address: Y-fU .;`4 _\(-4.�"‘ V \c. v,:1o_ 1J�C Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: ,,(,_,f (V`Q (" Address: c0 9,RO czu-keNos tk,.G-`A 5v1i\\ ¶\ S Z' lv Telephone No.: (: l- ���� 9 5.Sy Fax No: Surety(if any) • Address: Amount of Bond$ 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: In addition to himself,owner designates the following person to receive a copy of the Lienors 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 OWNER —7 Signed: �� 1�u� I1 i - C�1 Date: ')/ / /2-Before me this 7 y of.A h I 7_0Z i the County of Duval,State Of Florida,has personally appeared ft en. E... . e qYt e, 1-- Notary —Notary Public at Large,State of Florida,County of Duval. My commission expires: ; Personally Known: �.,._� Q4-- c.--\--t"'`–i' • or Produced Identification: D ,t...___ Ei=INDLESPERGERISSION#GG 353178S:October6,2023Nary Public Underwriters RECEIVED By Toni Gindlesperger at 12:03 pm,Apr 15,2021 Revision Request/Correction to Comments **ALL INFORMATION %•' i,,, HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. r)'+ 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I I Revision to Issued Permit OR I I Corrections to Comments Date: 4/17/a I Project Address: 70 j &c K E ovl Oc—rt f4-T( o.,4 C i3s cL1 Contractor/Contact Name: F4Z Yt Y-y {�e_Gk-'\/t e Contact Phone:CgO )(p -( 1 Od— Email: k eco t/ O ] Z two • c_ v✓") PICM.t' ( Ci II Description of Proposed Revision/Corrections: C heAKV61 cj A-0 folk 1 QV affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? ❑No ❑ Yes (additional s.f.to be added: • Will proposed revision/corrections add additional increase in building value to original submittal? nNo ❑*Yes (additional increase in building value:$ _ )(contractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) _1 Approved C l Denied [-J Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building Planning&Zoning Reviewed By Tree Administrator Public Works Public Utilities Public Safety Date Fire Services Updated10/17/18 RECEIVED By Toni Gindlesperger at 12:04 pm, Apr 15, 2021 ..: `` ��, Fence Addendum Updated 1/14/2021 City of Atlantic Beach Building Department fir) 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# RFNC21-0048 Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: 7 U )a c K5c,-1 A NFL . i;c:I, 4 //v/2 / Property Type: Lot Type/ Features: [b'�esidential i/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): Iod 0 Four Foot(4ft) ❑ Chain Link I$ktoot(6ft) ❑ Vinyl ❑Other ❑ Block/Stone(Plan details required for footings and/or retaining walls) ❑ Other BLK AL V 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)Y IN1 Will tree(s) be removed in association with proposed project? ❑ Yes(must submit separate Tree Removal Permit)w 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.