631 Beach Ave FNCE19-0041 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
HUDSON MICHAEL A 319 12TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
SUPERIOR FENCE AND RAIL
OF NFL 5470 HIGHWAY AVE JACKSONVILLE FL 32217
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170113 0000 BROOMES R/P LOTS 1,2
BK15
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
631 BEACH AVE FENCE WALL OR BARRIER FENCE 4' FENCE - Renewed $2166.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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, All American Roll Off, WCA Waste Corporation). 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 2Issued Date: 4/22/2019
PERMIT NUMBER
FNCE19-0041
ISSUED: 4/22/2019
EXPIRES: 4/1/2024
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $81.50
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: $163.00
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.
2 of 2Issued Date: 4/22/2019
PERMIT NUMBER
FNCE19-0041
ISSUED: 4/22/2019
EXPIRES: 4/1/2024
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
s-.urs City of Atlantic Beach APPLICATION NUMBER
Building Department To be assigned by the Building Department.)
800 Seminole Road I N C 9 _O 1
Atlantic Beach,Florida 3Fax(
9045
1
Phone(9 04)ing-de 26 Fax(g04)247-5845 I 14. tLE-mail: building-0ept@coab.us Date routed: Y
City web-site: http/Iwww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: .J QcftC.L-1 ,yVC De artment review re ulred Yes FNo
Zo
Tree Administrator
Project:
rks
Utilhi
Public Safety
Fire Services
Review fee $ Dept Signature
r—
Other Agency Review or Permit Required Review or Receipt Date
L
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. Denied. NXt applicable
Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: s^-'
TREE ADMIN. Second Review: 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 0511912017
Q
City of Atlantic Beach APPLICATION NUMBER
Building Department To be assigned by the Building Department.)
800 Seminole Road I t CAtlanticBeach, Florida 322335445 1 l
Phone(904)2475828- Fax(904)247-5945 f tom.
i,.. E-mail: building-dept@coab.m Date routed: `7-
Cityweb-site'. hitp'.//www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (r>3 I (E^RePt \VC-Department review required Yes T No
Applicant: S uP&zI c2
Tree Administrator
Project: 1' E/C—E s
Utili i
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: loved. Denied. Not applicable
Circle one.) Comments:
BUILDING
r Jf
PLANNING&ZONING Reviewed by. "_ Date:
TREEADMIN. Second Review: 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:
Revlsed o519re017
T
City of Atlantic Beach APPLICATION NUMBER
Building Department To be assigned by the Building Department.)
800 Seminole Road CN Ce
11
9AtlanticBeach, Florida 32233-5445 I l
Phone(904)247-5826x(904)247-5845
E-mail: building-dept@coab.us Date muted:
City web-sitehftp://w .coalb.us
t l
APPLICATION REVIEW AND TRACKING FORM
Property Address: lo ) (E"^A0-hl ,'IVC De artment review re aired Ye No
Applicant: SOP&ef((_ r CpJCC in &Zon'
Tree Administrator
Project: C/V rks
Utili'
Public Safety
Fire Services
Review fee $
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By J
Florida Dept.of Environmental Protection Q/v r
C
Flonda 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: LWpproved. Denied. Not applicable
Circle one.) Comments:
UIL
pPLANNING&ZONING Reviewed by:Date:y.
TREEADMIN. Second Review: approved as revised. Denied. Notapplicable
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 OW 912017
i
City of Atlantic Beach U
APPLICATION NUMBER
Building Department APR 05 2019 To be assigned by the Building Department.)
S 000 Seminole Road Ftv cc 9 —C)cJ4AtlanticBeach,Florida 32233-54450247-Phone(904)247-5826Fax(904) Y5BA--I
tE-mail: buildingdept(ojcoab.us Dale routed: Y
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: C 3 - Q Rei UC Department review required Yes No
Applicant: SUPt>/2.i02 Y C—ADCC in &Zon
xr
Tree Administrator
Project:1 ( P-c.fvcErks
U[iliti
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt DateL `
of Permit Verified By fJ
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: O Approved. Denied. Not applicable
Circle one.) Comments:
BUILDING
r
PLANNING&ZONING Reviewed a[e:
TREE ADMIN. Second Review: Approved as revised. Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:Daie:
FIRE SERVICES Third Review: Approved as revised. Denied. Not applicable
Comments:
Reviewed by:Date:
Revleetl ON19/201]
Building Permit Application Updawd3019118
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
lob Address: O/ f3 NCiYAU rtK b Permit Number. 6NCF IqL-- -4 (
Legal Description RE# % 70 j/.5 06CV
Valuation of Work(Replacement Cost)$Cnlq Heated/Cooled SF IVq`jl- fd: pEq
Classof Work: OlNew OAddition OAlteration ORepair OMove ODemo OPoul OWindow/Dolor
E
Use of existing/proposedstructure(s): OCommercial )Oesidential
APR - 4 2019
If an existing structure,is a fire sprinkler system installed?: Oyes ONo
Will treefsl betreeremoved in association with or000sed ro' c '+Dyes fmust submits rate Tree Removal Permit) ONo
Describe In detail the type of work to be performed: !,i%TjQ L 6r_i, -T1T1WQWifl8tl
i:y of ki a tG Beach, FL
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 42nN tS/NK/,NS Address 63/ Boneef,// /f6k__ X`1__
City YLl9lVT/C ZYC CZY State FL, Zip 3ZZ3Z PhV 56/S" ff{9Z
E-Mai
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company,SCl/ /O,P L°/X'C t/ti'/ /NC Qualifying Agent
Address Y /fi/GURY /lUcrt/UE City.-t7k"ifUe(..t State Ir— Zip
Office Phone 47eig 625aJob Site Contact Number - de/ -39-222-22 )
State Certification/Registration# E-Mail
Architect Name&Phone# /
ill
Engineer's Name&Phone# /W/V
Workers Compensation Insurer 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 W the requirements of this
permit,there maybe additional restrictions applicable to this property that maybe found in the public records of this county,and
there maybe 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 YOUR NOTICE OF COMMENCEMENT.
Signature of Owner or Agent)IWrature of Contractor)
S/i Pn ejdda dd mo rn tyo'ora rme his 3 day of Signed and sworn to(.___ ffIt ^ r^`i+ ethis-day of
E'=DIdM c fl )N 4y M P
ary)V EXPIRE5 Se le otary
Personally Known OR Personally Known OR
Produced Identification r I I Produced Identification
Tnaeof Identification: P<- Typeofldentifiation:
MAP SHOWING BOUNDARY SURVEY OF
LOCAL PROVEED BY CLENi:
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