400 LEVY RD FNCE18-0003 misc °. Building Permit Application ed12/8/17
{`� : .1' COPS
rs�. w City of Atlantic Beach
`� � 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
dt
Job Address: 1f9 lU( 2orQ Permit Number: ENC& (I-b0c73
Legal Description 1,-07c J 1 iy r 4 2'/,2- I- 1-74 A - /3 RE# /710 3 -- 6660
Valuation of Work(Replacement Cost)$ bi O ' `U Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New 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 NoN/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: 4
-,1STn /( u.00) /I/( _e'% f r,Jc,e r� '-/-1't-,0 ��'67/-/-a
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: /Ti/4 G (''q�:A4 Address: 33 W 6 1( Si—
City 4-L 6‘1..„ (/ State Zip 3;�?3'3 Phone ?t,y- 3?y- 9 g
E-Mail /4c _-- CellidcS/ier,rc ,C-0u41
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) a#',ucrPlL
Contractor Information /
Name of Comm y: f}TL(„vs 30,4�if-�1 f' Qualifyi A ent: -Jo�_) /77 S
Address P . t2 ' 5i24Z City State C- Zip JZ.ZYt7
Office Phone D il • '14 r. ?yQ' Job Site/Contact Nunn)b"err
State Certification/Registration# e 5C O, 3,70 V( E-Mail % �/►l�4�s11 L 'it r" e / L. 0
Architect Name&Phone#
Engineer's Name&Phone# �,,
Workers Compensation e 1(
Exempt/Insurer/Lease Employees/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 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 i ATTORNEY-BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
r
_
(Signat.re of Owner or Agent) (Signature of Contractor)
ncluding contractor)
Signed and sworn to or affirmed) before me this day of Signed and s 0r to(or affirmed)before me this g day of
SA'`„e^y , -Z,A'g ,by 774nv4ely , Ze31 Y ,by
It-I.w-- 41101.11w—
(Signature of Notary) ignature of Notary)
4e]Personally Known O ,,�;, [�J Personally Known OR4:4-!ti,' :,,' GRAEME THOMSON
r' •• GRAEME THOMSON
° [ ]Produced Identificatitli+; '!' :+`_ MY COMMISSION#FF 151775
[ ]Produced Identificati t3;'r ,�, ,+= MY COMMISSION M FF 151775 :...,;....0:41.-..w EXPIRES:October 28,2018
Type of Identification: =s a: EXPIRES:October 28.2018 Type of Identification: -;,;e,,: Bs�ed7firuNota,ypubtcunderwrners
f„„of,t1' Bonded Thru Notary Public Underwriters
?i).An;��, City of Atlantic Beach APPLICATION NUMBER
d t , Building Department (To be assigned by the Building Department.)
. t- 800 Seminole Road
iiii
!"c_Wc— O
�r Atlantic Beach, Florida 32233-5445 .
Phone(904)247-5826 •• Fax(904)247-5845 ` CI 1 1
ir
010' E-mail: building-dept@coab.us Date routed: L
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: LtDD LQ,U`t of • I - .artment review required Yes No
Applicant: AA-l(-t fl,S IS1A-ct\ i J _tanning &Zoning ,
.e- A i inistrator
Project: lt.S-1L1�� l)1�d V\C..te.A Inca 6 „
' ublic UtiOi ifi -
t
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept. of Environmental Protection C Q-1 k_
Florida Dept. of Transportation
St. Johns River Water Management District
(61-'
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. enied. - ❑Not applicable
(Circle one.) Comments:
Ie, ce 1}e� At- $de sefic,,ks ' ( �.cl)c
BUILDING ,y / I „67,,,,”
PLANNING &ZONING ��-��� Date: /—
Reviewed by: �r"1 ....1421
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑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:
(,V, lu o 4' rvv\c - a v al Cow'-L
Revised 05/19/2017 1 Ca I I /4 in � ��� r+
4 h -k to y p4ra%i f
-=>>vr,J City of Atlantic Beach APPLICATION NUMBER
•1' .?0' T\ Building Department (To be assigned by the Building Department.)
800 Seminole Road
J11? , Atlantic Beach, Florida 32233-5445 ���� — �,
\, /i Phone(904)247-5826 • Fax(904)247-5845JAN 1 0 2018 t l q l
-...„-.0;119,-• Email: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: LIDO La J`i - artment review required Yes No
ALrSlSApplicant: Clil.'t tanning &&ZVoning
Tree Administrator
Project: l S.-kcal W0Dd sp,\CV-Q' k--n(-0_ :tic A/Gi
N 0 kt-V--
Public Uti(itie
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt ttC- _(c 1
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept. of Environmental Protection (-14-
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers I (
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ['Denied.
Not applicable
(Circle one.) Comments:
BUILDING
'
PLANNING &ZONING Reviewed b • ; ,,,., , „, ., Date: /1.-7,
TREE ADMIN. Second Review: roved as revised.
App ❑Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. I INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
11.
800 Seminole Rd, Atlantic Beach, FL 32233 _ pp
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT ti10E.-I['7''C�CX�
3
❑ Revision to Issued Permit OR Corrections to Comments Date:
Project Address: e(u) ,2i
Contractor/Contact Name: 7!/r t0 Cei47u-erv,
Contact Phone: l y- 3 3V^2 i 7 Email: 4- S , ip6` reti- 1
Description of Proposed Revision/Corrections: JAN ,)0
1 ,mac/
kAtticwig
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
Iol No ❑ Yes (additional s.f.to be added:
• W'll proposed revision/corrections add additional increase in building value to original submittal?
❑*yes (additional increase in building value: ) (Contractor must sign if increase in valuation)
*Signature
of Contractor/Agent: – —
(Office Use Only)
❑ Approved Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments Se f-jr4( L 4-/t-cf e c17/34-5
Department Review Required:
Bu�illddiinn
rtanning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
•
rr ,,uprj, City of Atlantic Beach APPLICATION NUMBER
---,k Building Department (To be assigned by the Building Department.)
_ s� 800 Seminole Road —
C ( COO�� - -,-• Atlantic Beach, Florida 32233-5445 JAN 1 0 201`i �,�
- Phone(904)247-5826 • Fax(904)247-5845 t I (� I
\�ril-119 E-mail: building-dept@coab.us Date routed: l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 'WO U2-0,1 VA I - .artment review required Yes No
Applicant: Act1\s lJikt t 16 J •fanning &Zoning
� e - inistrator
Project: l N Skill\ W)Dd gi -A-0-� -660- ilic..Works__-w
l f\ 0 tlCk- \, Ltiel ublic Uti i ies )
`� Public Safety
Fire Services
Review fee $ 7,e9 Dept Signature i.i ____
r
Review or Receipt t l ./W.
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept. of Environmental Protection t..aI
Florida Dept. of Transportation1.03 !
St. Johns River Water Management District l_
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: I lApproved. I (Denied. - Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: '/ ) Date: / / Cr
.
TREE ADMIN. Second Review: ❑ ❑Not applicable
Approved as revised. Denied.
P r(g WORK6 C.n ents:
'UBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. I Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
't ��„lrJr'', Permit Reviews
�'� V" City of Atlantic Beach
40;11 aw } L� .„...-t,, !'
Permit Number: FNCE18-0003 Description: install wood picket fence in back yard
Applied: 1/9/2018 Approved: Site Address:400 LEVY RD
Issued: Finaled: City,State Zip Code:Atlantic Beach,Fl 32233
Status: RECEIVED Applicant:<NONE>
Parent Permit: Owner:C QUEST PROPERTIES LLC
Parent Project: Contractor:<NONE>
Details:
LIST OF REVIEWS
SENT DATE RETURNED DUE DATE TYPE CONTACT STATUS REMARKS
DATE
Review Group:AUTO
1/9/2018 1/9/2018 SUBMITTAL Jennifer Johnston APPROVED
COMPLETENESS W/CONDITIONS
Notes:
updated contractor documentation required prior to permit issuance
1/9/2018 1/19/2018 1/19/2018 ZONING Brian Broedell DENIED
Notes:
Height:Please clarify the height of the fence.Section 24-157 limits maximum fence heights to 4 feet in front yards and 6 feet in side and rear yards.
Setbacks:Please clarify the setbacks of the fence from the side property lines.The front setback is provided,but not the side setbacks.
Stabilized Surface:Section(e)of the Mayport Overlay Business District requires commercial vehicles to be parked within the confines of the property on
a stabilized surface such as concrete,asphalt,or pavers.Please show that this requirement is being met or revise plans accordingly.
Outside Storage Landscaping:Section(f)(4)of the MBOD requires a continuous line of shrubs no taller than 3 feet and at least one tree found on the
City's Recommended Tree List for every 25 linear feet of street frontage excluding driveways between property lines and fencing in side yards which
adjoin a street on corner lots.Fifty percent of these trees are required to be shade trees.The submitted landscape plan does not meet these
requirements.
Irrigation Permit:Please submit a separate irrigation permit for the proposed landscaping.
1/9/2018 1/10/2018 1/19/2018 BUILDING Building APPROVED
Notes:
1/9/2018 1/11/2018 1/19/2018 PUBLIC WORKS Public Works APPROVED Received at PW
W/CONDITIONS 1/10/18
Notes:
See Conditions of Approval that will be printed on Permit.
1/9/2018 1/16/2018 1/19/2018 PUBLIC UTILITIES Public Utilities NOT APPLICABLE Received at PW
TO DEPARTMENT 1/10/18
Notes:
Printed:Tuesday,07 January,2020 1 of 1 i
TRAM T