825 Plaza RFNC21-0065 I. '`'% RESIDENTIAL FENCE PERMIT PERMIT NUMBER
� ;; RFNC21-0065
CITY OF ATLANTIC BEACH IssuED: 5/13/2021
800 SEMINOLE ROAD
r\O;ilsr ATLANTIC BEACH. FL 32233 EXPIRES: 11/9/2021
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:
825 PLAZA RESIDENTIAL FENCE ONE FENCE $1938.00
STREET FRONTAGE
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171113 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: ,• i CITY: STATE: ZIP:
SMITH AUBREY G 825 Plaza Atlantic Beach FL 32233
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.
m i $5T OF CONDITIONS ,
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL:$35.00
Issued Date:5/13/2021 1 of 1
. A 4* Building Permit Application Updated 10/9/18
y
r .'Z ¢ City of Atlantic Beach Building Department **ALL INFORMATION
'�, ~ 800 Seminole Road,
Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
�`t —olt v9.' IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
, RFNC21-0065
Job Address: t) a.✓ Ra k._ Permit Number:
>< Legal Description ,?()—bO ..i...-)—0.-c -oZc( E RCTs/Rai1`'.2 IriiIt4-- 407' .2 ? RE#j -7t "(,I( LC'_ _
rtic I
SF Non-Heated/Cooled 'Cooled
Valuation of Work(Replacement Cost)$ / q 3 g� , (;�C.' Heated/Cooled• Class of Work: fsdev< ❑Addition ❑Alteration ❑Repair ❑M ve ❑Demo OPool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial esidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes E .
JbE C E I V E
• Will tree(s)be removed in association with proposed project?rlYes(must submit separat ee RemovI,Permit) r
Describe in detail the type of work to be performed: MAY I` 2azt
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Aft,L,j)+' U (S au tial Address ,S ;),c) Ocf' '--- /" _
City j f(c1JL. 1?Ck1 State Ft Zip 3 2(L) Phone (/0,1) j 3 3/S_
E-Mail (X h/j.1 c)Sil't.t �(LA,11r'Z ;(LW`
Owner or Agent(If Agent, Power of Att6rney or Agency Letter Required)
Contractor Information
Name of Company fir inSth 1 a. CO Qualifying Agent
Address ? . TGlr/(Fc 1c / 1VZ City ,7720'Sat
x7/ State FL Zip 2acloco
Office Phone )4 - > >-, Job Site Contact Number `7C) 'a '1-..-' 33
State Certification/Registration# " 0 E-Mail iil all�3 Gf k'flI,] ,—fir,OQ .00111
Architect Name&Phone#
Engineer's Name&Phone# _
Workers Compensation Insurer WO ti r7r-(0( C -f6 t V fariex_ OR Exempt 0 Expiration Date 60/z/a
Application is hereby made to obtain a permit oo the work and installations as indicated.I certify that no work or in tal lation 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
RECOR IN YO R NOT )LE O' MMENCEMENT.
it/ Slim ( lr
of Contractor
(Sig . e of Owner or Agent) (Signature )
i ned and sworn t• •r aff• • -• before me thi l y f f A Signed and sy✓orn to(or affirmed)before me this_day of
V ?o I,b h( .1i 1, rnZ-17 L /� , ,by
rill„),tlttA3i t•1 s % (Signature of Notary)
`•; • •l INDLESPERGER
.• ” + = MY COMMISSION#GG 35 7
' , tj personally Known OR
( )Personally Known OR „ate.` EXPIRES:October 6,20 •
( i Produced Identification ;\ "'`•' .;f;°•'• BondedThruNotary Public Unde1 Feroo aced Identification
Type of Identification: V-_' —, =.Adentification:
Owner Builder Affidavit **ALL INFORMATION
• IQ HIGHLIGHTED IN
:'. ^ -: City of Atlantic Beach Building Department GRAY IS REQUIRED.
CJy 800 Seminole Rd, Atlantic Beach, FL 32233
; ' 'j" Phone: (904) 247-5826 Email: Building-Depti'�coab.us PERMIT#: RFNC21-0065
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: S a 4/ ! Razes--
— /'
Owner Name: 2 1-( LS q / U m
Phone Nuber( 0O1) (.02.5--.22? 1.
Mailing Address: ( ( City: A/if J, State: `/—C- Zip: ,3 a,,...13L
i, /
Notarized Signature of Owner , A_ :_/, iN ,,a`_
TheThejcirgping instrumTnt was acknowledged b; o - me this ! .ay . t A • L. , 22 ` in the State of Florida, County
of 01/r0.-
Signature of Notary PublicL_..v.s_d.„
(:)--------
[ ) Personally Known OR [ ] Produced Identification
Type of Identification: 0 L
Updated 10/24/18
li;:'•• TONIGINDLESPERGER
4.• %
,,. mY COMMISSION#GG 353178
Vi...-,-�-' EXPIRES:October 6,2023
••.!OOF;,•?' Bonded Thru Notary Pubiic underwriters
/
•
{/
BOUNDARY SURVEY
LOT 13 - BLOCK I LOT I
SET,,, BLOCK I
IRON ROD
18 07893
FOLNIO Pr
N 8520'02'W 80.65' �rvNON PIPE
0 1'
o 115'
EN 0 5'
I. S'D&UE
1 Cu LOT 22 °5'
BLOCK I
LOT 23
BLOCK 1
Co
O
SURVEY NOTES
O
Oi _
CONCHE I E UHNE CROSSES THE PROPERTY BOUNDARY 11 0 N
LINE ON THE SOUTHERLY SIDE OF THE LOT Wft
`_ CD .C
W, QAC U
THERE ARE FENCES NEAR THE BOUNDARY OF THE CO 56 3' 1 __ 0
PROPERTY AND THEY CROSS INTO THE 5'0&UE AT 'nW
THE REAR OF THE PROPERTY oT J
CO
D&LIE MEANS DRAINAGE AND UTILITY EASEMENT 0� N RESIDENCE .`n I
2 — #825 .•°�'
BSL MEANS BUILDING SETBACK LINEcV
11 7
O r
0
56.3' 2
'`_• PATIO\ -1
- — � 137
_ _ _ _
•
07 N
N
S W CORNER • co ''
GF L OT JB FOUND 7r1 ,, ry
,,,
432.60' /RONPIPE .
NOIR6.2
Foavo L2'
W
IRON R00
►- S 8 NO I D
• — — _ . .�,
537 27"E 80.65'
•
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. B CONCRETE ITALK • y
V
PLAZA --_�___
80' R/W NMPR
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— — — — _ _ RFNC21-0065
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r W.MEf ♦ SUR4E Y ORS CERTIFICATE TARGE T
I HCREBY CERT in MAT THIS BOJ ORRT SURvEy
:S A"NLR EP CORRED UNI REPRISEDIRECTION 04 OF A
SURVEYING,
LLC
SURVE t PREPARED UNDER L f d�CI1CN
�. E�07•;A)pYATM A1J MI AUDTi NTKATED EIEE;?SEAL
STATE OF •
SCAR 7URE UO AU'•tENTKATED ELECTRONIC SEAL
tir....------- LB 1178'13
G.1 V• , OR A RAISED EUR/.<CED SFA)A'/7 SL ILATURE
Kenneth 1."�;,,"„; ",' SERVING FLORIDA
6750N MILITARY TRAIL SUITE 101
Osborne '4to VEST PALM BEACH.FI 31707
6, Li ft ita on PHONE 158116404800
/SIGNED) T- STATEN DE PHONE (8001 226-4807
KENNETH J OSBOHNE j',���(� C, ���(dt STATE WIN FAC ANILE LION 7414575
a:sc..un.0•,�.:L.:�u�o W,.,.I.,w... .. )71 iir WEBSI'E h-.
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, Fence Addendum Updated 1/14/2021
I - City of Atlantic Beach Building Department
,,; 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# RFNC21_O06
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
t Ls P( ( _ a_
Pr erty Type: Lot Type Fea ures:
Residential a-61e Street frontage(interior lot)
❑ Commercial 0 More than one street frontage(corner lot,through lot,
etc.)
0 Swimming Pool
Fenn e Material: Fenn Height (select all that apply):
"Wood ' our Foot(4ft)
❑ Chain Link 0 Six Foot(6ft)
❑ Vinyl 0 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?
❑ Y (must submit separate Revocable I ncroachment Agreement)
(
No
Will tree(s) be removed in association with proposed project?
❑ Yes lust submit separate Tree Removal Permit)
Nc)
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.
4I‘ Armstrong Fence Co. CONTRACT
Phone Number Dale Job A
www.armstrong-fence.com _
4/17(> Phone-Job Site Sales Rep
/ Contact Name Fax Number
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Proposal To: _________.-_ .-_ Email Address
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Job Name. ._ --------
Job Address __. .:_ i_._.:-- _ City:'` f,c ii,... i State:i Zip: L.C.
Billing Address: _— _—_City: _ __ State:_ State: Zi
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FENCE INSTALLATION RELATED TO GRADE: PLEASE INTIAL ONE SLATS 11
i.� PFEASING THE EYE .;; .t. 'I i._. i STEPPED INSTALLATION I FOLLOWING MLA Coin'
I EVEI STEPPED CONTOUR
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PRE • WNM'OaUOOVIIACP
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HPIC,KIK aveeee wf es,PRAM cNwN.•MOaww.,00. 'HERS
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Special Instructions:_ ~ r t 4 .' 1^.o,.< ___..,"_-,, /- 7 af.."
_ _--- _. _ ..—._.. . ..-.......-_ 1111.4pla GATE 2
FRAMEWORK `i i. CHAIN LINK FENCE 0 K/K 0 K/r 0 T/K C DT O SLIDE O CANT °SLIDE Li CANT,
r 0 OPERATOR / O OPERATOR
FABRIC L9 8to, Ode No,P / HanS , AMS& Baro W e ' DIA UGE DIA GAUGE
Footage HI. Gauge Xesh Sue Space Gaulle Sr, Gaye T Sin EW . ❑Gar Lr POST POST
0 ID 3,94;a2, HT HT
75 Strands
Straw1SIIZE j_____
_ ___ SIZE
J 0 ❑0 D3Straws yCGEHs_. FRAME HITCH
._
. FRAME
❑ri 0 / ❑3 Strands
❑e Strands C SNG ODD C SNG CDD
l ' 0 SLIDE O CANT/ O SLIDE O CANT i
0Alum 0 Steel ORNAMENTALNINYL FENCE(circle one) 0 OPERATOR ! 0 OPERATOR !
L-ePo , c,r.eS ^u5 c..wr DIA ;GAUGE DIA /GAUGE
rucla5,, ' Hlsor Space Sae Spec, 5,0 of Rads POST l POST
% /' yi/T HT "MT HT
/ SIZE ." _ SIZE .
HIN ES_____ FRAME HINGES FRAME
LATCH__ lftt,:S+
WOOD FENCE tR ',MISC AFC Oust
NEED
_
. r,l H R d sae Re116 Trimee
Trs
.� Glaar Lme
Ell.
Remo,e
Haul Fence
Tlench
This offer guaranteed for„30"days FOR THE SUM OF: $ / I.
By execution of this document, Buyer Accepted by Property Owner:
acknowledges that he/she has read and v It AFC] Tax: $
understands the terms and conditions Bldg.Permit' $
Signature Date -- � TOTAL: $
set forth on the reverse and front side
hereof and within any attachments IDICustomer Initial Down Payment: $
Seller shall not be responsible for ana harthe Terms&Condtions
p on reversese side BALANCE $
Buyer shall hold harmless Armstrong ° = ° %,
Fence Co.from any and all damages or Accepted By(AFC): ° MI ° d
liabilities resulting from any cut or dam Exp.Date:
aged lines including, but not limited to.
gas,water,sprinkler.electric.telephone, Signature Date ❑Please charge my card upon substantial completion__
Instals
fiber optic, cable. Buyer shall comply Terms:Cash due upon substantial completion
1
with all applicable statutes and codes re- Year Limited Warranty LEAVE FENCE SIGNS INTACT FOR
sating to the location of utility lines. ,1 WARRANTY TO BE IN EFFECT
CUSTOMER Ll _Ilk:A, -•ka...L. /&-aa _.I i •t,