745 AMBERJACK LN FNCE18-0131 FNCE PERMIT ., FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
� }- FNCE18-0131
� . " . CITY OF ATLANTIC BEACH
.. .mea ~ 800 SEMINOLE ROAD ISSUED:
v s r EXPIRES:
°ij�� ATLANTIC BEACH. FL 32233
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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
745 AMBERJACK LN FENCE WALL OR BARRIER FENCE 4' & 6' Fence Replacement $2186.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171197 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
SUPERIOR FENCE AND RAIL 5470 HIGHWAY AVE JACKSONVILLE FL 32217
OF NFL
OWNER: ADDRESS: CITY: STATE: ZIP:
CLAY REALTY INVESTORS 745 AMBERJACK LN ATLANTIC BEACH FL 32233
INC
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
i
I
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers,JDog/Dennis Junk Removal). Container cannot be placed on City right-of-way.
Issued Date: 1 of 2
- �� FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
7go,� � ' FNCE18-0131CITY OF ATLANTIC BEACH�_ ISSUED: `
Ji
800 SEMINOLE ROAD ,
,;�1�� EXPIRES:
ATLANTIC BEACH. FL 32233 I
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing must be removed from job site by Contractor.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
FENCE 455-0000-322-1000 0 $35.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $81.50
Issued Date: 2 of 2
Cityof Atlantic Beach APPLICATION NUMBER
(r;o_An-,,,
�' stiffBuilding Department (To be assigned by the Building Department.)
r, _,
A: s) 800 Seminole Road JC IO — 0/3
I t J
97
_ �r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
f~..r ii19 E-mail: building-dept@coab.us Date routed: Z I&
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
7&5 / ' (IYt ��/' Department review required Yes No
Property Address: J q
�Bu ild i V
Applicant: Sr�� i✓ (d ( 'retie Manning &Zonin,
j� - Tree Administrator
Project: - ` - `,Q ' ,/"1Ce. ublic world
is Utilities)
Pub is Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 1 Approved. I 'Denied. ['Not applicable
(Circle one.) Comments:
:UILDI G
PLANNING &ZONINGQ�
Reviewed by: ) �2^�1 y Date: 11
TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. Denied. [Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
. 01.,A,`, City of Atlantic Beach APPLICATION NUMBER
s� '", ..- Building Department C (To be assigned by the Building Department.)
800 Seminole Road
-6...,,, Atlantic Beach, Florida 32233-5445 SEC 6 2018
Phone(904)247-5826 •• Fax(904)24 - 45 Z 18 s3
-_...01410 E-mail: building-dept@coab.us �y Date routed: / O
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
j� 1 De Department review required Yes No
Property Address: 3145 / ' ���� �-C�� p p
_ _ J :uildi.:►
Applicant: , u t'�(b lr + " , annin. &Zonin•_
t Tree Administrator
Project: LQlCe ublic Wor<
0 lic Utilitie )
PuTlic Safety
Fire Services
Review fee $ Dept Signature I
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: WrApproved. I 'Denied. nNot applicable
(Circle one.) Comments:
BUILDING //
PLANNING &ZONING Reviewed by4.4 Date:
TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. nNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
s / City of Atlantic Beach APPLICATION NUMBER
61y . Building Department (To be assigned by the Building Department.)y
4 ) 800 Seminole Road pJ CE/8_ NS(
�—,. y Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 i r� le
-_0;319 E-mail: building-dept@coab.us Date routed: 1 Z' `P
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
C A De artment review re uired Yes No
Property Address: -7(l �� p p
T �uildij
Applicant: c -'t -(b Y c-r1Le annin�Zonin
Tree Administrator
Project: '4 ' ''- Cr \ce ublic Wor<
0 lic Utilitie)
Pubic Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants */(R.*.'\
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: /Approved. Denied. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONINGI2-6
Reviewed by: Date:
TREE ADMIN. Second Review: I 'Approved as revised. ['Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. ❑Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
i.:v/r City of Atlantic Beach EIV APPLICATION NUMBER
ol 1 d Building Department (To be assigned by the Building Department.)
r ''�':i 800 Seminole Road DEC �! CE/3- 0/31
u,.., _ , Atlantic Beach, Florida 32233-5445 6. 2 i`"� V
Phone(904)247-5826 • Fax(904)247-584 E-mail: building-deptcoab.usDate routed: E Z lie
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
7'4 s
Property Address: J fl\ ra 6 ey &ck Department review required Yes No
uildin
Applicant: c k-'t er(b v.- renLe e-ranning&Zonin
Tree Administrator
Project: `A — `.Q 1 e,(1Ce ublic Work
lic Utilities)
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑ VApproved. Denied. Not ap licable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: — Date: /Z/0 -1 Y
TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
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
-tilt Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 714_5 4f'fie6IQ.r i C'/'( 6/9/'JC Permit Number: FNc�: l g -013/
Legal Description 36 -60 /7-25 24-le RQy4L7)4j tJ( 007-/ RE# /7017 " 0 006
Valuation of Work(Replacement Cost)$ 2. 1 2f o Heated/Cooled SF Non-Heated/Cooled
• Class of Work: lew ❑Addition ❑Alteration ❑Repair EMove ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ECommercial ❑Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No ❑N/A
• 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: ,.4f7 '6 C C''RL'Nl` C/'i4/ti G/N
re n c W/fl'V i.UCot AA/0 V!N Y4�Cy f e 7", 4. ..?RRT�/'/G FO
NT
O /70 - 6 e f/4/L 77 ,2e T-84r/c <//Vr Nor t3t/NG ,QePZioc-e z
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name C 619Y / /'&i7 iNVCsTORS Address / JJt_c tilC/t)7 'We t//v1 42)0
City Wp i—PoM7-COJC State Zip Phone
E-Mail I/32 2/7--'j' c/o 1,,A&,1
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company S<) /0 F-6-Nc" f'RIQ////tQualifying Agent Z/ICW P xro, )
Address 5'4/`sem` ftr/G/c/601e,y Aye City j-ele,,Z'id,J% State R Zip 3-2 2t59
Office Phone qo'' 3, - -/ Job Site Contact Number
State Certification/Registration# /V//l E-Mail O#9076. F:".9( /4-6NN/,V Sipe//sONVfc.Lt•Gd11
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer PODE/4/4 ,5 /` ef-0XL OR Exempt 0 Expiration Date Oe//s/2O,4q
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
RECORDING YOU ' NOTICE OF COMMENCEMENT.
��.. DA �erorA Agent) c4, DAVID EARS actor)
MY COMMIS IUN � t®t!✓ g )
�� '�j • MY COMMISSION#FF157186
��C�11ES September 4,2018
E«•rne sw• n •
At#�,11e.,bye/for me this_S •
day of Si end��1� �sffibenAdg6gf. e me this day of
lorida•-t.. Alva t 2 /..S/N Ath gsp' r ,fft/ / L:/Se/t✓// NIL
,,�„sit�,;,; � a by � laJj��isa F� �ry ic_s.
(Signature of Notary) (Signature of Notary)
[ ] Personally Known OR ,[Personally Known OR
,[/Produced Identification T [ ] Produced Identification
v
Type of Identification: L Type of Identification:
MAP SNO`-
LOT i2 WING BOUNDARY SURVEY OF
OOKocx
//��,, ®L S ACCORDING TO THE PLA OF
AS RECORDED IN pLAT B" pALMC urtiT ONE
PUBLIC RECORD$ PAGE(S) 60 AND 60A OF THE CURRENT
CERTIFIED TO: DUVAI COUNTY, FLORIDA.
FIRST FIRST CLAY REALTY INVESTORS, INC., ,
AMERICAN OF TITLE INSURANCE COMPANY AND
INTERNATIONAL TITLE, INC.
LOT-18
BLOCK 5
LOT-19 LOT-20
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25I.30' (R) N `85'20'02" W 80.65' R ~ x---
AMlBERJA CI( LANE
(60' R/W)
7:-...--- -----------------------------,.....__