1921 SEMINOLE RD RFNC21-0073 •yy,
--.. Building Permit Application Updated 10/9/18
v
"' City of Atlantic Beach Building Department **ALL INFORMATION
v 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
�o.t IS REQUIRED.
Phone: (904) 247-5826 Email: Building-DeptPcoab.us
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Job Address: 1921 Seminole Road Permit Number: i�EN Z t — 00'7 3
Legal Description 42-14 09-2S-29E RE# 169542-0530
Valuation of Work(Replacement Cost)$ 2,412 . 00 Heated/Cooled SF N/A Non-Heated/Cooled N/A
• Class of Work: ❑New DAddition NAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial EResidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes IONo
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) L No ^I
Describe in detail the type of work to be performed: Cd
Install 60' of 6' tall khaki tongue and groove vinyl fence. Replacing existing
wood fence.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name -Bamond Jone Address 1921 Seminole Rd
qty Atlantic Beach State Fl Zip 32233 Phone 904-891-4909
E-Mail raykeyii@hotmail. om
wner or Agent(If Agent, Power of Att ney or Agency Letter Required) _
Co ctor Information
Name of Company Be ace and Rail of Florida, LLC Qualifying Agent Kiernan Baron
Address 7380 Philips Hwy City Jacksonville State Fl Zip 32256
Office Phone 904-268-1638 Job Site Contact Number r
State Certification/Registration# N/A E-Mail tish@bestfencejax.net d
Architect Name&Phone# N/A /1
Engineer's Name&Phone# N/A 1��..�
Workers Compensation Insurer On File OR Exempt o 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 J
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,ant,
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies. C.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all r.?
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY U
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOWAG YOUR N"TI E OF COMMENCEMENT.
/�
(Signature .t(•• er or Agent) (Signature of Contractor) ��,�
Signed and sworn to(or affirmed)before me his a o ay of Signed and sworn to(or affirmed)before me this�5 'day of
'4/. :A9a..` , by Iiie ,.•.,a•` S41ir\re' aet . 7.021 • �� n
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Notary p a S-•- • °r'da(Sig ture of—16
Nota )
4;i..:+:*:,.. COLLEEN A.KEELING +P Tish A• > l"k A
commisaan HH 004802
Commission 0 GG 165631 lv
t� xwres osiosnoz.
personally K r'•.7,..-4: Expires tNecember 7,2021 [ 4 sons .. •
[ )Produced Id= tifit it Banded Nu Trey Fain Insurmoe 1100,385.7019 • oduced dentification
Type of Identification: Type of Identification: .�n
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tAlis-/- Addendum Updated 1/14/2021
A- ;. City of Atlantic Beach Building Department
yfF }, 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Addre s: Date:
_ �
► .NEM J �-- Z� --2 (
Property Type: Lot Type/ Features:
B"Residential •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 0
Four Foot(4ft)
❑0CChain Link Q Six Foot(6ft)
E 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)
L'1 No
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)es
lit
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.
Mar-22-99 01 : 44P ACM SURVEYING , INC .. 904 354 1255 P _ 02
MAP SHOWING BOUNDARY SURVEY OF
LOT 8A, BLOCK 1, BEACHSIDE, AS RECORDED IN PLAT BOOK 42, PAGES 14 AND 14A THROUGH 14C.
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
RAYMOND AND JUNE JONES
NVR MORTGAGE
TRANSCON FINENTAL TITLE COMPANY
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPNAY
LOT 4
BLOCK 1
S 00'31'00' E 40.00'(PLAT)
S
FouNo 1/2'IRON PIPE 40.10 MEASURED) _
NO IDEIWTnF1CATICN FOUND 1/2 IRAN PIPE
_— '9 NO IOEN1YlCATiON
O
•
7/,/ // 1.0'
FIRST t SECOND
FLOOR 6000 DECX.
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LZ 3.5' � � co —
~ . 9,9 20.5 3.2 m ID
ea z o
to m v O
0 0 it
OO
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m m TWO STORY TWO STORY
FRAME - FRAME
POSTED # 1921 c., _
0 9.e• 7, •
08 a
LOT 78 g LOT 88 W I
BLOCK I D BLOCK 1 6
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x, 0
m • v !
0
27.3. 1,J
--T- , 0
Y \ . . 4
° 210.00'(PLA'n
-- g X EI K _ 21D.C3\MEASURED, __
FOUND 1/2' RETeAR FOUND 1/2' IRON PIPE FOUND 1/2'IRON PIPE
NOIDENTIFICATION N 0012'03" W NO IDENTIFICATION NO IDENTIFICATION
40.05'(MEASUREO)
N 00-31'00' w 40.00'(PPLAT)
SEMINLOE BEACH ROAD
(100.0' RIGHT OF WAY)
"4 _..._._._- ACCEPTED BY,
LEGEND: _
R = RADIUS x—x= FENCE
L - LENGTH O = CONCRETE �,- .-... -
NOTES: REVISIONS
1, BEARINGS ARE BASED ON THE PLAT BEARING OF N 89'29'00" E ALONG THE
NORTHERLY BOUNDARY UNE OF SUBJECT PARCEL,
DATE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS UE WITHIN FLOOD ZONE X AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMLAUNITY NUMBER 120075, PANEL 000t II ,
3. THIS SURVEY REFLECTS ALL EASEMENTS da RIGHTS OF WAY AS PER RECORDED PLA N !el OR TITLE COMMITMENT
IF SUPPUED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED.
A. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB # 7422 I DATE OF FIELD SURVEY: 03. 19-99 DISK # ZIP 21 1 SCALE: 1- = 20'
CERTIFICATE
k ,.j� . 2522 Oak Street I HEREBY CERTIFY THAT 11115 SURVEY WAS MADE UNDER MY -.ONSIBIF CHARGE
I��r� Jacksonville, FIorICa 32204 AND MEETS THE MINIMUM 1EC.NICAL STANDARDS AS SET F. BY THE FLORIDA
>!���� (Phone) 904-389-5988 BOARD CF PROF SSKNA. - • MORS . MAPPERS IN 81017-B. FLORIDA
(Fax) 404-389--6175 ADMINIs1RAmmvE CCM, Pu-. r To , on 47"•72, % 'A STAN'
suRVpunu int‘
v1N
UCENSED BUSINESS p 6702 REGISTERED SURVE/R AN JER # 41984 STATE OF FLORIDA
I A LIn ni i ,r'Vn /N p-,etk Ie rr 1 1ONTI,L•1 CL 1n%►I-ve' JeNk c i Ipniti1e'I/1AIC"•