962 Ocean Blvd Fence Submittal Building Permit Application updated 10/9/18
ilCity of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Jii39' IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
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Job Address: �4Z U �-�A;� ` ..i.)1� Permit Number:
Legal Description /c-b0 It '.25'2? O./S A1L/-.kr 1<.RA P/}E'444/AI/P'r Cots/ RE# 1 7v 34?— Cl
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Valuation of Work(Rep acement Cost)$ Z c) Heated/Cooled SF Non-Heat re E}f f--• .
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• Class of Work: ❑New IaAddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Windo oor
JUL
15 2021tit
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• Use of existing/proposed structure(s): ❑Commercial Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes f o BY:
• Will tree(s) be removed in association with proposed proiect? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed: 5 j rb`t- W o r.. t Zv!,,'reNr_ % v , R-R LIU"1 n
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Florida Product Approval# for multiple products use product approval form
Propert Owner Informationn
Name ',�V1n l(AM\4.1/'" - Address q( 2 (J7J.i „ -4 tV
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City W ,VOL (*J1. State ("I/ Zip '-'" ).__D,3'' Phone 'log 3 gtp '.1-"`S
E-Mail "LI- vlL1\ A-0C� G1,tl^t%tA`•(, `^
Owner or Agent(If Agent, Power of AttorneyJJor Agency Letter Required)
Contractor Information
Name of Company 1 i. ''r TbOt/ C- 11.7JCd: W Qualifying Agent ')) �O-a a Sr"
Address LZZ) A Lark 'f )'7 I} City State Zip
Office Phone (kg .7L) -1'7 > > Job Site Contact Number .,)
State Certification/Registration# E-Mail Cf7JC e---A-?6,..-5_ �' -m a/&_ C=r7•_-,,
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date 7/tt/73
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
RECORD Y UR NO -E OF COMMENCEMENT.
J�( iggnnatugref n r Agent) (Signatureofof-Contractor)
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Signed and sworn to(or affirmed)before me this 15 day of Signed and sworn to(or affirmed)before me this day of
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Notary Public State of Florida �ar
Jessica A eP _ Notary Public State of Florida
[ ]1 rsonally Known OR 'AY C477;116,14000 HN 142217 [ �--rsonally Known OR •' Mir NH 142217
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Type of Identification: .'•of Identification:
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Fence Addendum Updated 1/14/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
art 9'
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
4 "-•" /7-
Property Type: Lot Type/ Features:
.1Residential kOne Street frontage (interior lot)
D Commercial 0 More than one street frontage(corner lot,through lot,
etc.)
JZ Swimming Pool
Fence Material: Fence Height (select all that apply):
k Wood 0 Four Foot (4ft)
O Chain Link ❑ Six Foot (6ft)
O Vinyl C8-Other
O Block/Stone (Plan details required for footings and/or
retaining walls)
O 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)
No
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
j1 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.
MAP SHOWING SURVEY OF
\ LOT 3 AND THE SOUTH 1.5 FEET OF LOT 2, BLOCK 1, ATLANTIC BEACH PARKWAY
AS RECORDED IN PLAT BOOK 15, PAGE 61, OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
LOT 1
— — 110.5
�
/
? '�a '°1 0 / T/
SCALE: 1" - 20' ICD ? -Q
REMAINDER OF d )
LOT 14 -o LOT 2
U r i-'_,,-- CO
I c �. x/� /
1 SOU 1.5' 44OM'12 m
OF OT 2 1-',.)1 •-P I
in FOUND NON
PROPERTY . PWE. I/7' • AA& 85.1 _ UNDER ASPHALT U
FENCE POST
�,FENCE — — 102'(PLAT) Rai Cr a
SEE ' II TFA E o mi.,' - W
N. 2._ FA ^ oc.c EETE > 2
DETAIL mcx ( , 2 DRIVEWAY ^ W Q<
m PAYERS LS, N
•dA LOT 3 all ("-E4-4
J a
EON O i ti
1 & 2 STORY A II F a
J O BRICK AND FRAME J Co o W
',4 RESIDENCE 45 122.$ OCT)a'w >a
LOT 13 0 o Na. 962 a s'a
2 to CONCRETE . SOD z W
DRIVEWAY m 1QUQ 3
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0 - NATE'�� 0
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ORIOT __ 444 1y %I O 0
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PAVER`4.ip , OKE' OAW;6—__y T - N
PLANTER ., n _ / : In _A OU WORD FOUR)1/Y IRON
• 91.14' POWER PIPE NO CAP
PROPERTY PLANTERPAVERS' P� FOUND 1/2"PCN
c * ,W 91.6'(PLAT) h< PPE.No CAP
FENCE POST OIJ
ra
LOT 4 In
n LOT 12 I l
DETAIL
REMAINDER OF I a
I LOT 2
LOT 14 i I �NOS I
PROPERTYI
CORNER N 'VN _.
FENCE POST n 5.0 = —
X0.7 ha.._-_o E POOL
b D 0 PUMP
0
.15WOOD PAVERS _
_ —
.� PLAZA STREET
NOTES: 40' RIGHT OF WAY PAVED PUBLIC
1. THIS IS A BOUNDARY SURVEY.
2. BUILDING RESTRICTION UNES AS PER PLAT.
3. INTERIOR ANGLES PER FIELD SURVEY AS FOLLOWS:
A = 81.44'18"
8 = 98'22'05'
C = 89'57'37"
D = 89'56'00" THIS SURVEY WAS MADE FOR THE BENEFIT OF
E = 270'04'00• DANIEL & AMY HALVORSEN; BANK OF ENGLAND;
F = 8936'O0' ATLANTIC COAST TITLE AND ESCROW and OLD
4. NORTH PROTRACTED FROM PLAT. REPUBLIC NATIONAL TITLE INSURANCE COMPANY;
THE PROPERTY DESCRIBED HEREON LIES IN FLOOD
ZONE "X" (AREA OF MINIMAL FLOOD HAZARD) AS WELL
AS CAN BE DETERMINED FROM THE FLOOD INSURANCE
RATE MAP NUMBER 12031C0409J, REVISED NOVEMBER
2, 2018 FOR DUVAL COUNTY, FLORIDA.
DONN W. BOATWRIGHT, P.S.M.
„or VNJD WITHOUT NE SIGNATURE NO THE ORIGINALFLORIDA UC. SURVEYOR and MAPPER No. LS 3295
SEAL of A FLORIDA LCENSED SURVEYOR ANO MAPPER.* FLORIDA LIC. SURVEYING& MAPPING BUSINESS No. LB 3672
CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE:
AUGUST 12, 2020
DRAWN BY: KLW
FILE: 2020-1019 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1