161 Seminole Rd RFNC21-0106 4' & 6' FenceOWNER:ADDRESS:CITY:STATE:ZIP:
POLITAN PATRICK JOHN 161 SEMINOLE RD ATLANTIC BEACH FL 32233
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:
170608 0000 SALTAIR SEC 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
161 SEMINOLE RD RESIDENTIAL FENCE ONE
STREET FRONTAGE 4' & 6' FENCE $9000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL: $35.00
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 1Issued Date: 8/9/2021
PERMIT NUMBER
RFNC21-0106
ISSUED: 8/9/2021
EXPIRES: 2/5/2022
RESIDENTIAL FENCE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $35.00
RFNC21-0106 Address: 161 SEMINOLE RD APN: 170608 0000 $35.00
ZONING PLAN REVIEW $35.00
ZONING FENCE PLAN REVIEW FEE 001-0000-329-1003 0 $35.00
TOTAL FEES PAID BY RECEIPT: R16558 $35.00
Printed: Monday, August 9, 2021 1:04 PM
Date Paid: Monday, August 09, 2021
Paid By: POLITAN PATRICK JOHN
Pay Method: CREDIT CARD 494684442
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16558
rS `i ,\ Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
J +t,r
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
Job Address: /i 7 sjrjj//1),Z., Permit Number:uRildZi 0(e
Legal Description 341-T4 R •SEC- ' , LOT- 6 30,AI / ) Pr LOT (23 I RE# 1'70 6 0 e, — 00A J
Valuation of Work(Replacement Cost)$ 7Sd C-' Heated/Cooled SF Non-Heated/Cooled
Class of Work: New DAddition Alteration Repair Move Demo Pool Window/Door
Use of existin proposed structure(s): Commercial DResidential
If an existing structure, is a fire sprinkler system installed?: Yes No
Will tree(s)be removed in association with proposed proiect? Yes( ust submit separate Tree Removal Permit)7No
Describe in detail the type of work to be performed: 4(5,d LG , la )6/ ll/keAt
F e7 e gitoc . 5„il27y l
Florida Product Approval# for multiple products use product approval form
Pro a Owner Info mation
Name i LlL-cy4it) Address /‘( ,51c /2J//dL i--'
City ,it-L, g ,,, 1 State 41_ Zip Phone a-3 c2
77e
E-Mail AT ZZTTjL1 03 (I 04 4 Zi., co wk
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information ,,
l
Name of Compan v, 6/111-7 ,....„--Qualifying Agent c_
AddressjEJq fa 1fZL--/iV 44 4.7e/- ....
City -St to Zip
Office one A4- l Job Site Contact Number j)73
State Certification/Registration E-Mail / Z il 6/ k.,/,,z...6'„,,, •
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer i//2..1j)1 /7 OR Exempt 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 OR) ATEY BEFORE
RECORD G YOUR NOTICE OF COMMENCEMENT.
T "
4.i
Signal a of ner or Agent) Signature of Contractor)
Signgd and sworn to(or affir j,) .•fore me thi, „ •ay .f Signed and sworn to(or affirmed)before me this "Tay of
1-L* , (, by I AS L AS Alt Q. 7.i(`J , .1C'iAi, by_:/"tb VC 11'tt l--Mock II
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LE NICOLE MCNAIR
4,4,4. '. TOS I GNI LESPERGER i .,,
r::. ,• MY CO . = ION#GG 353178 MY COMMISSION#NH 01900
EXPIRES:July 8,2024I.II
Personally Known OR S.: EXPIRES:October
rson ly Known OR P Public underwritersAr.Q Fov e°• Bonded Th u NotaryFPFFQ; BondedThruNotaryPublic .,}d; 1
Produced Identification Identification,.
Type of Identification: l- Type of Identification: t"(0 < Ct ( V iV'e"'V I I C2-"C 1'3
MAP SHOWING BOUNDARY SURVEY OF
LOT 630 AND 1HL NORTH 1/ FEET OF LOT 631, ACCORDING TO THE PLAT OF "SECTION NO. 1 SALTAIR"
AS RECORDED IN PLAT BOOK 10, PAGE 8, OF THE CURRENT PUBLIC RECORDS OF DITVAL COUNTY, FLORIDA.
CERTIFIED TO: ARTHUR W. BROWNING, JR., DEBORAH BROWNING,
STEWART TITLE OF JACKSONVILLE, INC..
SOUTHTRUST BANK
AND WATSON & OSBORNE, P.A.
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V E Y 0R OINIRAL NOTES,11
j J'1. AA/6[eS 44'e Sr'ow.4/r0LTH,S S'u2vir
2 2.STRUCTURE NO.
F.E.M.
AS.{
OW4 HEREON LIES WITHIN
FLOOD MAPS PANEL NO.
FLO/OD ZONE A
DATED 4/
AS BEST
MEDFROMSSOCIATEDSURVEYORSINC. 3.THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS,
i LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED.
4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT3846
LIE,NF VIDLEVARD
LOCATED BY THIS SURVEY.Q j JACKSONVILLE, FLORIDA 32210
5.THIS SURVEY WAS BASED ON LEGAL DESCRIPTIONS FURNISHED AND THE904-771-6468 PUBLIC RECORDS HERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, TITLE,J
O • • CERTIFICATE OF AUTHORIZATION NO. LB 0005488 COVENANTS OR RESTRICTIONS THAT MAY AFFECT THIS PARCEL.SSV
6.UNLESS OTHERNISE STALED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY x—x- FENCE LIAIND/MIN IVIATION• (R). RECORDDIRECTSUPERVISIONANDMEETSTHEMINIMUMTECHNICAL0 -SET PON PIPE on REBM P.C.a POINT DF CURVE (M).MEASURED
STANDARDS FOR LAND SURVEYING PURSUANT 0 CHAPTER " ASSOC. SURVEY„ OR LB. 5488 P.T.•POINT OF TANGENCY A - CENTRAL
61 G17-6L'IDA AD NISTRATIO CODE •- • F.S. FOUND IRON PIN OR PIPE CA. - CENTERLINE ANGLE
CONCRETE MONUMENT LP.• IRON PIPE OR PIN L-ARC LENGTH
L.0 / , a. / x . CROSS CUT OR DRILL HOLE R/W . RIGHT OF WAY R - RADIUS
BY: CHAR S B. HATCHER P.R.C.- POINT OF REVERSE CURVE ELECT.- ELECTRIC (CHO)- CHORD
FLORIDA CERTIFICATE NO. 3771 P.C.C.-POINT OF COMPOUND CURVE CONC.'' CONCRETE
N&D-NAIL ANDBill,-BUILDING RESTRICTION UNE REF. COR.•REFERENCE
CORNER DISK
JOB N0. 268,3 DATE / Aoa.t too/ oRV - OFFICIAL RECORDS VOLUME( C8 R)•S
SCALE: /"=Zo' DRAFTER A.cJ-F ,-1,f, ORB - OFFICIAL RECORDS BOOK RESTRICTIONS
D P.B.
BOOK
J.E.A. -JACKSONVILLE ELECTRIC AUTHORf1Y —OU--OVERHEAD UTILITIES
I NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
Fence Addendum Updated l/14/2021
City of Atlantic Beach Building Department
V n 01."
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
sLBvue leo,W 74702.1
Property Type: Lot Type/ Features:
Q. Residential aOne 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):
AtWood Four Foot(4ft)
Chain Link Six Foot(6ft)
Vinyl El 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)
N o
Will tree(s) be removed in association with proposed project?
Yes(must submit separate Tree Removal Permit)
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.
A4., . Owner Builder Affidavit ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Ent o-
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER
OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: IL
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Owner Name:K J Pay-, Phone Number: e4"3 --3 S4 —2 114
Mailing Address: IL( St: u 20 City:
Al
I11., n1-1-"1-ft rvii State: Ft— Zip: 3ZL3
Notarized Signature of Owner 1 '
of
eSforeg ing,r tuamnt was ac owledged before me this
r .
ay 'At 202 lin the State of Florida, County
11 CJ V L: IF
Signature of Notary Public
Personally Known OR [ ] Produced Identification
Type of Identification: J
Updated 10/24/18