41 6th St RFNC21-0087 4' FenceOWNER:ADDRESS:CITY:STATE:ZIP:
MARGOL RODNEY S 2029 N 3RD ST JACKSONVILLE
BEACH FL 32250
COMPANY:ADDRESS:CITY:STATE:ZIP:
SUNSET FENCE, INC.10418 NEW BERLIN ROAD, #106 JACKSONVILLE FL 32226
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170112 0000 BROOMES R/P LOTS 1,2
BK15
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
41 6TH ST RESIDENTIAL FENCE POOL
BARRIER 4' FENCE $3750.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
FENCE 455-0000-322-1000 0 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 7/9/2021
PERMIT NUMBER
RFNC21-0087
ISSUED: 7/9/2021
EXPIRES: 1/5/2022
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $91.50
2 of 2Issued Date: 7/9/2021
PERMIT NUMBER
RFNC21-0087
ISSUED: 7/9/2021
EXPIRES: 1/5/2022
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $91.50
RFNC21-0087 Address: 41 6TH ST APN: 170112 0000 $91.50
BUILDING $35.00
FENCE 455-0000-322-1000 0 $35.00
BUILDING PLAN REVIEW $17.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING PLAN REVIEW $35.00
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL FEES PAID BY RECEIPT: R16288 $91.50
Printed: Friday, July 9, 2021 3:50 PM
Date Paid: Friday, July 09, 2021
Paid By: SUNSET FENCE, INC.
Pay Method: CREDIT CARD 479409497
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16288
e'",„• Building Permit Application Updated 12/8/17
z - . iiCity of Atlantic Beach44.t1 800 Seminole Road,Atlantic Beach,FL 3223311.0
Phone:(904)247-5826 Fax:(904)247-5845
RP-1\\02JobAddress: Permit Number: I —Oo 7
Legal Description Lot- I ,S I /Z L04' 3/ S SO t- / RE# ( 7 01 1 Z 0
Valuation of Work(Replacement Cost)$ 37.9 Heated/Cooled SF Non-Heated/Cooled
Class of Work(Circle on . Ne Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s)(Circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No at
Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:, i 1/`
geT
f e, 2y-fi•ie.--/le/Gr
Fe6 /1,O2, kr--r57.d t)- Q 5< VAI
Florida Product Approval# for multiple products use product approval form
Property Owner Informati n
Name: > -+r A%2&0 Address:______ / C '
City Art-, 34,r State fe-- Zip Phone 6 31 53 /
E-Mail Le e E j3(d Cep , co M
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Compan : _ •21 t Qualifyin Agent: /96keies ..-..64.7-_,,,
Addressfl rY € Q City ,¢X StateZip 3Lz
Office Phone 1 34• Job Site/Contact Number ,i rtr
State Certification/Registration# E-Mail /7I- 9L3 '7.0-7o6/ .--.7 dz., d ?Pin_
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation S (.) j1-z iv, 7•7
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to Bothe work andinstallations 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 regulationg
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 EFORE
o_ 1 1
g iRECORDINGYOURNOTICEOFCOMMENCEMENT.z_ Fj
4tO
J it r
i,: 1Xz, _ --7) .” e/ i , ./V 0 A
Signature o, ner or Agent) Si ure of ontractor) w 1includec,,ntractor)
q (t
Signed and sworn to(or affir e. bef. - me this /day of Signed and sworn to(or affirmed)before me this` day of 1 -
t.. 4 k ,-G3I by . - ti'//-` C (U1f'1 e aAM ,by . PM AA 4A i Ake ........
r c. \- A AA ,. a':1
1,. s.i:natu - • No :ry) gnature of .tary) i _ . ;.:
TONI GI • -SPERGE
Personally Known OR Pe .Wally Known ORMYCOMMISSION#GG 35 f
Produced Identification
EXPIRES:
OMMIS
October 6,20
Yr. uced Identificationnom: j p p'n
Type of Identification: U •''FOF•:.oP; - _-"
nderwr rs' Identification: f s1 1('l l I
rs'
1'/
i Fence Addendum Updated 1/14/2021
n City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
fiver
Property Type: Lot Type/ Features:
tO4esidential 42-tine Street frontage (interior lot)
Commercial El More than one street frontage(corner lot,through lot,
etc.)
swimming Pool
Fence Material: Fence Height (select all that apply):
Cr food I34our Foot(4ft)
Chain Link Six Foot(6ft)
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)
Will tree(s) be removed in association with proposed project?
Yes (must submit separate Tree Removal Permit)
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.