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151 Seminole Rd Fence Submittal S-A'1'>, Building Permit Application Updated 10/9/18 r L City of Atlantic Beach Building Department **ALL INFORMATION 75r �y� �� 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY 'ii IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: /57 Sc/2f/A2e0 e�-_.' Permit Number: Legal Description 1 0 -•? CI a) (-1 r Sal-Iv(.t i r SC(_1 S 33 c---1-t0 3'3 C-1- RE# 1'10(60C? - 000° Valuation of Work(Replacement Cost) $ .3?')er Heated/Cooled SF Non-Heate • Class of Work:/ New ❑Addition ❑Alteration ❑Repair EMove EDemo ❑Pool ❑Windo oorjj 2 0 • Use of existing/proposed/lstructure(s): ❑Commercial ❑Residential 2021 • If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No • Will tree(s)be removed in association with proposed project? ❑Yes must submi epar to Tr Removal Permit) ❑No Des ib in detail the type of work to be performed: )(,,t(L ,c6� ( a. iz+ E /77. i� pif flei'4,LiCp -- /4et) e- ci'lir;‘-"r"-- 7c # Al/idgii_/F Florida Product Approval# for multiple products use product approval form Property Owner Information L Name S�- ... /2 L)i't— Address : ! -... "1/4/1.4.-1Z. /�_. City ' ` L-- Lir State - L Zip `J Phone 6 3 '3 je� E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information / Name of Compan�; 1i i''� �iz'C'�-� Qualifyin Agent / - i %)., j CZ_ Addresy09/�S la. ' "L-%fit✓ 1 - �/ City State L. Zip Office Phone,29 l 7 Job Site Contact Number `:' • e- ./,r State Certification/Registration# E-Mail .Z/ 3 L') e - L! ,, 1/) (t)/!�-. Architect Name& Phone# Engineer's Name&Phone# , Workers Compensation Insurer Se...2 J 4,4g l / 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 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 O ATTO' * Y :EFO' RECORDING YOUR NOTICE OF COMMENCEMENT. V / 0) t°61 C' ��4—it (Signature of Owner or Agent) Signature of Contractor) Signed and sworn to(or affirmed)before me this r day of Signed and sworn to(or affirmed)before me this )lday of \ / , -,�`,-A , by Ut GI "TY-t U t' � �y � (, by �- X7 v-t LD)Q'i-e lk vP p"r` ~ LORDA • .i .#._of N ie,,) `: i!:1;:t MICHELLE NICOLE MCNAIR • Loa • = MY COMMISSION#GG 228145 ': =�i r�r :* c!o MY COMMISSION#HH 019008 -,,r ���.• EXPIRES:June 12,2022 '':°:;;....'1> r, P rsonall Known OR •-•EOFig, [ ]Personally Known OR . e� EXPIRES:July 8,2024 [ ] Y Bonded Thru Notary Public Under rites .. 'F t�°, Bonded Thru Notary Public Underwriters [ Produced Identification ` i -- [ Produced Identification_ - _____ - Type of Identification: Q( I v ( � 5 l I( L'v 4 Type of Identification: �t C I 9,, • ' r:y :; ,s dR 3 r f 'IZ • • ,J,.a': "-NT .'9� '1.st.l1 ', 5o i'g 'S-J 4e„4''. � xi +'• Fy�rs Y. RUO �i r? i Vi,` Yx� �r3 �,t1i � ���r �l�V ..if'iff :=4. C .�xErF :4t� .•. r ?.I p ,.. , r .', ^a y.• jP Lt' 9Y31 •'$I iki# •Rf { .f "s< A{'� �� f.. 4'v..`- .t ff'<�.. 22.J�� C�",Y�9�., ,..F. .= ..k 4.�s°y °'.f� .��• '..Y - 3C'� -.... • • �S'-"'f�:�Fence Addendum Updated 1/14/2021 J ��� 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: Property Type: Lot Type/ Features: ©/Residential 0-One Street frontage (interior lot) ❑ Commercial ❑ More than one street frontage(corner lot,through lot, etc.) 0 Swimming Pool Fence Material: Fence Height (select all that apply): — `our L%�\�� F('On bod yj CL L�'F Foot(oft) "`\ ^� ❑ Chain Link ©fix Foot(6ft) j&O A 'sp.c.,4_ Q c Lo ❑ Vinyl ❑ Other J ❑ Block/Stone(Plan details required for footings and/or retaining walls) it 26ther S—[o�e° (..‘Or AA l.t..rvrt 0.01 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 ust submit separate Revocable Encroachment Agreement) 0 Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal Permit) rJ N o 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. CASURVEY OF BOUND ) SALFLORI AS RECORDED O 11 MAP SHOWING AND THE SOUTH 31 FEET or LOT bt. PLAT Of SECTION o. F'LORIpA NORTH SET LOT 63. PAGE d, OF THE CURRENT PUBLIC RECORpS OF DUVAL COUNTY, PLAT BOOK 10' CERTIFIFIREU'L LISA A STONEGTTMOREHEADETITLE 6c ESCRON RICHARD NATIONAL TITLE INSURANCE COMPANY OLD REPUBLIC -, SEMoNO T or ROAD �\�\ Css N21 5645")E ( \V3,7.00.(PLAT) (RockJi7,3'(4EASURCO) CORNER MEASURED) 02 65.85' ( „�(PEAT) X07 33.00'(PLAT). • 'T-0 � ~ 17.00'(RAI) jJ.00 (PLATT _--I 4 D.5' W^ • Lit'A 03 �� Ln, in IR • 1,1 Rt • I . o I 'C-') CD Y � wCCo 90 Ti. D s— Jt ' i SCREENED in'• Q PATOPw y F, Q f \ aaZ-4J ASE ONE STORY la, .� PAD MASONRY �^ POSTED # 151 oo M °'o o I31 T' • '•27.2'• 7 4•______ / a • • • LOT 633 / �� w LOT 630 Tao s cv O 8 tD w - co Z 9' \ / LOT 632 I-- LOT 631 1Naa c SNE0 eo 0 3' o , -1 SOP S 21'38'17" W o.,J 65.96' (MEASURED) 66.00' (PLAT) LOT 646 LOT 645 LEGEND: O .SET I/r RERAN STARRED Pu.,„ PC - PORT OF CURVATURE ••FRA I/r RO,PRE PT . PONT OF TANGENCY NO awry-C{TION TNERAgE NOTED) PRC POINT OF REVERSE (UNLESS O CUR vA Tu is.R•..•CONCRETE YONDYENT PCC .. PONT OFRE COYPWND A/C • AN c.....,,,,,,,,,c.....,,,,,,,,c.....,,,,,,,, O POINT TuRC FENCE - CONCRETE gap - Ray Thompson ::F ttr SURVEYING, Inc. tRtrlitXrD glarriipub t P DATE R.I NUI 1825 University Milt. 444 DESCRIPTION tyBoulevardWest .�8(RTIIW, IAf `1 II. Jacksonville,Florida 32217 (Rhona)B04-448-5125444 THIRD STREET (Fax) ))O4.4gg 5178 NEPTUNE BEACH, FLORIDA, 32266 JOB # 28156 (904)-247-5)47 FAX (904)-247-6087 NOTES: DATE OF FIELD SURVEY: 29_1 ARE RATED 1�_ 5 7 e NC NE NOREJTMEAN SU €Q 6EAHNG Cr FliDpbD• CERTIFICATE SOALE. 1- 20' �__ YO ONLY LINE(X I H A IC ROTTt L TME CAPTI ED�U81.[CT PAR _�__ DAOEs:D AS SNOMN ON THE IANDS LIEiLET THIN FLOOD- ZONE 60NE)MRy ET Sn$STATIF NOARII ••P'•.1.1F,11,...:, G` E 3 21,:1.C04gRtMiiY N E NAT10NAL 11000 INSURANCE NAP AOYINISTR PROFCSSIONA KYO AOnCE �•p TMMY RESPONSryLE CNAR(.'E TMES SURVEY REsLEr TS AIL E uDIT It SUPPRIOH0077 P 9O ATIVE CF. WS d `, 6Y E FLORIDA PLOT Ar/OR TOLE L%,pEl uE�ENTS ANEL Q Faa 4APP.e TH A .' 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