1536 Ocean Blvd Fence Permit Submittal Building Permit Application. . 7:_i_ Updated 10/9/18
1 . City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: ' ?jt,o ocecon � c
t.VPermit Number:
Legal Description kO --\\ I (,o —, 5, J -,, c1 (-- RE# V1 ItaS?J- 0000
Valuation of Work (Replacement Cost) $ 4104.Cc) Heated/Cooled SF Non-Heated/Cooled
• Class of Work: KNew ElAddition _ilAlteration ❑Repair [Wove EDemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes giNo
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) A1No
Describe in detail the type of work to be performed: _Dn x-(-&-11 t l.--1 ' off' Li'4-a_x t t.uk.itx V i1',,-AA F ,e
LA-*x-1-1- C� y' Loc-LA.IC c.--Eo c,v1.at. k) S' wc.A tt g., ,Eo
i c.-4t s) "Dom,., a 1-tx c c( FerLc-e _
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name -CL V',,,,,, eta, CDL 6,0, Address IS-3(c, CDC e_00-1 ((;(UCS
City p..4-u...,14.-c_. /3,..1k State p1, Zip .2- 2_2,33 Phone clog- S S (- %5-9 a4c1c.4t_
E-Mail ree_I 9/4.40 - r Q w c4_•1 . x'12--
Owner or Agent lif Agent, Power of Attorney or Agency Letter Required) -
Contractor Information
Name of Company Rest Fence 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 ECEIVE
State Certification/Registration# N/A E-Mail tish@bestfencejax.net
Architect Name& Phone# N/A
Engineer's Name& Phone# N/A MAY 2 8 2021
Workers Compensation Insurer On File OR Exempt❑ Expiration Dat
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 R NOTICE O C MENCEMENT. `/
i nature of 0 r Agent) / (Signature of Contractor)
(Sgg )
41-%Signed andswornto(or affir -d) before me this'd day of Signed and sworn to(or affirmed)before me this (D day of
#t
M , 202-1, by i i c- _ - , (`(�r�� , o i 1 by 1 n.— ✓oma
(Signature of Notary) '
--_-_ iour'rit Notary Public State of Fionda
, Tish A Peacock
.. ..' CHRISTIAN GILES a 4Ay Comm,won HH 004802
' MY COMMISSION tt Fi Jllj?f59 •,
•
Sna Known OR
[ ] P sonally Known OR .k
1Expires o6i09r202�
[ roduced Identification =,�''1`. EXPIRES:April13i,2ot5oduce Ide iii•icationti_
J t Yl L ''EOF,'' Bonded Thru Notary PubticTlripenef�e tificatic F l .I-"
Type of Identification: [, li ,
NOTICE OF COMMENCEMENT
State of '1(.4.pt 1Tax Folio No.
County of]U va k
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 stat d in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: Sit ro c.•1 pi't,AGi Pw'C c40-C:-1 f i'
r/7 Ana_ re 1 coe_a ,,L u-Vt tf l(‘‘f cce. -
Address of property being improved: /176 0 CEf1f? l-
General description of improvements: rer'CC ct,r-"c,01NA c,- 1'� 2• M011114 y
13- LOT 2 & ici•i
Owner:�o,1 C G, VSC✓� Address: 1 ' 3cr' QCCPr.m &-VL'
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name: r �j
Contractor: ZEST- Ittl C Q Q/1�1
Address: 3 ph,l 322cc,
Telephone No.: 2-t0'• I l93 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: i;'%1, ;
ei
Telephone No: Fax No: •',.t ..
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Sec 't.
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name: a g
Address: I g
Telephone No: Fax No: N� x
I O _ y
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different d. =
specified):
i
THIS SPACE FOR RECORDER'S USE ONLY OWNER {
Dec#20211�zzno np BK 19?23 page 1 R2R Signed' Date: .) '/3/Z /
Number Pages:1 Before me this 13 day of M A-1 2-0 2 I in the County of Duval,State
Recorded 05/14/2021 11:49 AM, Of Florida,has personally appeared
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Flo ida,County of Duval.
COUNTY My commission expires: `j�i�f/l/L �L Qii`— /V--t/LA.
RECORDING $10.00 Personally Known: or
Produced Identification: ✓
:''�, '•`J�� Updated 17 Fence Addendum ��
• 2021
"' '! City of Atlantic Beach Building Department
, J 800 Seminole Road, Atlantic Beach, FL 32233
1 ,
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Property Type:
Residential
❑ Commercial
Lot Type/ Features:
❑ One Street frontage (interior lot)
❑ More than one street frontage (corner lot, through lot, etc.)
S immin Pool
Ig
Fence Material:
❑ Wood
❑ Crain Link
Vinyl
❑ Block/Stone (Plan details required for footings and/or retaining walls)
❑ Other
Fence Height:
❑your Foot(4ft)
IVSix Foot(6ft)
❑ Other
Fence Location:
Please submit an accurate boundary survey required 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?
El Yes (must submit separate Revocable Encroachment Agreement)
iNo
Will tree(s) be removed in association with proposed project?
❑ s (must submit separate Tree Removal Permit)
Ad No
,e
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.
MI
� BSgury ery anANTic BEACH .0 o0'
SUNey PARKWAY UNIT No. 2 l'JT 2 (PLA1)
PLAY BOOL 15, PAGE 83 811-10` .J N 00'06'20" W Lot 3
03
49.82' (MEASURED) BLOCK
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