1024 Main St RFNC21-0070 6' Fence RESIDENTIAL FENCE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RFNC21-0070
7211 ISSUED: 5/21/2021
� f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 11/17/2021
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:
1024 MAIN ST RESIDENTIAL FENCE ONE 6' FENCE $1469.00
STREET FRONTAGE
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170995 0600 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
COAST TO COAST FENCE 1221 GALAPAGOS AVE S JACKSONVILLE FL 32233
CO
OWNER: ADDRESS: CITY: STATE: ZIP:
MASTERS RALPH L 1024 MAIN ST ATLANTIC BEACH FL 32233-2624
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
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL:$35.00
Issued Date:5/21/2021 1 of 1
,:.• ;'''r% Building Permit Application Updated 10/9/18
S�'t
1. " City of Atlantic Beach Building Department **ALL INFORMATION
/ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
*,90, IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 10Z4)1'iA l/J SI-% Permit Number:j\ENC Z- ( - 007 0
Legal Description KS-3.1 ' '--,„25 -.244t SCGN ArliVi?I4 �EPci# t-OT K W-IRE# t 7 0(PI c — a(. r;a
Valuation of Work(Replacement Cost)$ I (0 9 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed: ge-r•-7 'u oz.) G '6,c"11.) CC-JCx r ec-PL-f°c-6-4-//7N vg'(-t.
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Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 1.1cl(,f 4+ 9?rL..--Y (4135)Ep--S Address /04r A?'1 6.1---
i ,
City /9 T4/9/r I 6 &F/064 State E Zip 3.723,; ,70-4( 4/1.,Phone t/(,,/'
E-Mail _
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company
p y Gi'AST iz �ol�ST�...1G� Qualifying Agent p^J �t�-,[,7✓r 5
Address /2Z(Gl AMo„dS 13I'1 City,f/4A,CSfA✓d//I"f State L Zip`2 Z Z.3
Office Phone QG°Y/?Dr~: —f 7 S}' Job Site Contact Number
State Certification/Registration# E-Mail ' TUCFEP‘,Cc, & -/114))/..- . 00-"--N
Architect Name& Phone#
Engineer's Name&Phone# `
Workers Compensation Insurer OR Exempt Expiration Date -7 11 23
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 :ARE
RECORD N 0 0'-1, • E OF COMMENCEMENT. �%
I ,/ _ !i► rl'e?%�<I _
�ignature f Owner Agent) (Sigof Contractor)
•{ A J0,1*-40 ' �vvz.t2.v r g
Signed and sw rh to(or affirm-e ' f re me this of Si ned and sworn to(or affirmed)before me this •D-C.)day of
.1_4.4Y , ?U-?) , • $,4 LC ,�►i R. Signed
•4 ' , ,-2OI 9 • *?L _ w .
lAird
_ 11-.... - - r..� - -
i�n.ture�o'{ o -
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� p;. ::state o Florida .. yr roe Naary Public Stale of Florida
Ra (.i Carlisle f' `� Roberta 0 Carlisle
M mmission GG 2516584
. My Commission GG 251658
or[personally Known OR E 09/15/2022 (1.1/Personally Known OR Expires 0971512022
( ]Produced Identificati [ I Produced Identificatio °"`
Type of Identification: Type of Identification: —
Addendum Updated1/14/2021
-f City of Atlantic Beach Building Department
�r 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
107,L4 VW. 5T -/Zoiz
Property Type: Lot Type/ Features:
/Residential Co One 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):
%Wood ❑ Four Foot (4ft)
❑ Chain Link 'Six Foot(6ft)
❑ Vinyl LI 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)
(g No
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
c' 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.
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WEST PLAZA SCALE: 1" a 20'
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