Loading...
1918 Oak Circle 16-FNCE-2523 City of Atlantic Beach APPLICATION NUMBER (pV.I:/- ILBuilding p Department (To be assigned by the Building Department.) Q 800 Seminole Road / i- s) Atlantic Beach, Florida 32233-5445 I0 I NC&' z 5Z-3 -r . Phone(904)247-5826 • Fax(904)247-5845 oRi.9' C�E-mail: building-dept@coab.us Date routed: 1 / r ii (p City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 191 3 Oa_ 0t i - De•artment review required Yes No �cuildin• Applicant: 0 GO � � , arming &Zoning Tree Administrator Project: Rep cptcc(= t e� efrublick Worublic Utilities Public Safety Fire Services ,Review fee $ Dept Signature P g iiu = 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: rq proved. Denied. (Circle one.) Comments: o c_____ BUILDING PLANNING &ZONING Reviewed by: 141 Date: l—1 k-17 TREE ADMIN. Second Review: roved as revised. I (App ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I (Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 { BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 j Office(904)247-5826 Fax(904)247-5845 Job Address: '91 g Cc rU l E Permit Number: p -Fill£ a sal Legal Description Late 10 , v e— MA,('i tiv,, Parcel# U a b (Z-- Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 2.6,00 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration ep ' Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial es If an existing structure,is a fire sprinkler system installed?(Circle onep No N/A Florida Product Approval# For multiple products use product approval form 1 Describe in det ' the type of work be perfoi ed: Lr i C ©c tt ') I# tQ )9 4 t V} t- 44 n Property Owne Informatio,: Name: AL.if - b 17X1, r,, tl7 Address: J d Gam-k C 4-c,- City ! %,1, Mali en e Statip 3 lM� 3 Phone 3�i�i��i HLr E-Mail or Fax#(Optional) - i 37 0' n,G Contractor Information: • t Company Name: t"/A Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration it Architect Name&Phone it Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 cert)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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced I understand that separate permits must be secured for Electrical- Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. 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. I hereby certify that I have read a a fiid ' a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied w.h wh' tt red herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,s te,o l i regulating construction or the performance of construction. Signature of Owne'C / .I Signature of Contractor 1" A Print Name 16;6-l.... 1i,, . , \&..i 0........................................... Print Name Swo t. .. . ubscribed be ft me Sworn to and subscribed before me tin Day of I .20 /7 this Day of ,20 I, , .‘-i-ikat.X.,„ Notary Public //, Notary Public ar r `42 4 /T�►����3 0 Zf&6 Revised 01.26.10 . ; .rr ~SCc1 A-tv , . Print https://mg.mail.yahoo.com/neo/launch?.rand=4m86r80gs1k90#234... Subject: FW: Fence Ordinance From: Emma Amos (emmaa7jm©gmail.com) OFFICE COPY To: kmk32233©yahoo.com; Date: Thursday, December 8, 2016 5:56 PM Hi Karl I asked Jess a couple of times and finally here is the fence ordinance info. Cheers Emma From:Jess [ma ilto:jcla ncey@gmail.com] Sent: Friday, 9 December 2016 6:47 AM To:emmaa7jm@gmail.com Subject: Fwd: Fence Ordinance From Barry for your father-in-law From: "Sodini, Barry M Maj USAF 125 FW(US)" <barry.m.sodini.mil@mail.mil> Date: December 8, 2016 at 2:16:40 PM EST To: Jess<iclancey a@gmail.com> Subject: Fence Ordinance From the City of Atlantic Beach Code of Ordinances Part II Sec. 24-157: "(4) For nonoceanfront lots with uneven topography along a side lot line,the minimum necessary rake of the fence, which is the ability for a fence to adjust to a slope, shall be allowed for the purpose of maintaining a consistent horizontal line along the side of the lot,provided that the height closest to the front of the lot does not exceed six (6) feet." https://www.municode.com/library/fl/atlantic beach/codes /code of ordinances?nodeId=PTIICOOR )f 2 1/6/2017 8:12 AM doLA+yl. i':.: , '' CITY OF ATLANTIC BEACH ' ' ~ IJ:WNER / BUILDER AFFIDAVIT --fm Lify 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 $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. eig ,o4 e/fie_ -7,44 - wcz ADDR S ` PHONE NUMBER P INTN�r, �1 , /-44- 20/7 �SIGNAT ' DATE .. Before me this /et of A-yaikr ,20/7 the county of Duval,State of Florida,has prlly appear i herin by himself/herself and affirms that all statements and declaratio e r e and Sr urate. Notary Public at Large,State of ,County of ,❑PP educe ly Known llli7�/ �'Ild-7v s'73 //a O 1�*'Foduced Identification- / '''�✓�+ DEBORAH A WHITE Notary Signature. _$' ��:°': MY COMMISSION#FF 191515 + ‘=4: e EXPIRES:May 21,2019 F./BLDG/Owner-Builder Affadavit;REVISED: 4/16/2009 ""100.- Bonded Th Notary Public Underwriters su CITY OF ATLANTIC BEACH '�V.(..---- j�r '0%WNER / BUILDER AFFIDAVIT • 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 ----- I -- SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR 9 i,` TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR � F. 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. .` ) I°"'r :', IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR " :..as AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT f�`` E � ) IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT Tq• HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST - _ a BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE < rn z LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING • ORDINANCES. �. („ fi ..-1)II. INJURY LIABILITY, SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, 0 THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BEEP 2 ' ' L PURCHASED. F` ; 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. TELEPHONE THE 8 BUILDING DEPARTMENT(247-5826) IF IN DOUBT. Z V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE Q = .J Z STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN a Q Z 2 OWNER-BUILDER PERMIT. Wto- 2C .. /Jig' e)f, 7 ,,k_ -7,44 - 9pci . AD&/ ' PHONE NUMBER WOCC P./I� O Zoa P INTN•y Cl)I ae cc �SIGNAT' , DATE /'/� �/7 0 CC 2 .• •. W a o. : Before me this /� •of �. - — 2�'nthe county of W 3— 0 Duval,State of Florida,has p:�rr ly appearI herin by himself I herself and affirms that V UI V W all statements and declaratio e e and 17 urate. Notary Public at Large,State of ,County of ILIi cc ❑ ovally Known �(((((((/�h/// /�^ �. cc E used Idenffication- Z – "' `�"� " • `4 0 S'73 '/ 2 C6 Notary Signature. iti �rpr;-74;.:% 7' DEBDRAH A#WHITE 1 �£',�, •• MY COMMISSION#FF 191513 _* �: ;rr EXPIRES:May 21,2019 F:/BLDG/Owner-Builder Affadavit;REVISED:4/16/2009 �'•;��o o? Banded ThN NOtary PUbIIC tJnd6tyAfterS i k -r, .^-7Nr4 '44 x]� - ismer a • tr. s .4t-e. -w. i .,may ,. a x F f • • .' q- : 7°i •Q'••4 ',. -may t .,„ ..,•• !'! , ,i,.,,,... I ilgo4,,,r/r,-,,,,,:prommv-liarsestltslA,'':' -,.' .0 ,,.. , +fiIt u,. I 1w d iyFf r xae. aIIIIII.atA/'" u* N. a♦ d - # 1 404, r 'I.:. i f .n.. il, S5• ite T t rY �.s * :x.a .:i ` j j Y; ' Y . t ...,. / 1. r, s 10 1-' , i MAP' SHOWING SURVEY OF•. LOT i►O, SELVA MACIUA UNIT AMD.12-A 1191R OAL GIZc.-E 1 accordleg to plat recorded In Plot Book 34,,, , Page Laof the current public records Of DLNAL_ County,Flc'do. Examination of Flood Hazard Boundary Map, Community No. !t2o07"5 , Panel cx-rl p , doted 9.17'e9 , Indicates. that the property shownand described hereon lies within a Zone—i----. area. 1 ZZolr-. L c,o.•T ler z Sec 9, T 2 r'• E. 7.9 E Fur" /: IP a. rW PO i I o i 0 gs • i .LAT II • \r T, 4• relo y.._ eL'y��.1••,. �.I. 4P1'T LOT I 4 wi Aqr 'j- ...,.O IW4SEc.9,-r z-- ,R•29-E Aura ,,t. . \,• 383'1 .P 1.q•� e ,:ea-•,Q '•.-.• .1 c Juwore: \ ' • .'. 3 ,i,l. PLAT DIMEwSIoM . ALAwC, \FFF Z•4T•/ FRAME cot F. ' CaSTHI.S43, LINE AGE Iwc.4 VT EC,t., iMOwIM A0e wE1.I ca..PUTEO.;r 4 191aDISTA..IC G+ . 1 lea• F.F.s1 eJ.• 11 rlo.t">os1w ` .. ser.• 413 Pile �' r IIeS'OI'4o" "'•r 'r 0 �-- MwT.--- . Sex ' Z4.2' p.• lePce.4'/0 2'3.7• (TI[7 OAK. -12CL€ . — \\..w• (AK 3� 2 ' ► ,no= M� 5.1,4 24'ES W- LM.42.4c.' �- A ...A l •1 t r.• 5 4...s.1i-1•I r 0 t,«: .. ,ii:wuO 5 ' 3'4 ` 3', E I IS.P,z .r.1.•vo.... 1.. e 1 • 3 j J L_cJr At . Ir I rleEFEesuce t3Ewc404gtld: 30 5. 1-VW. OF INTstSE4T101J OF 4. wry T. AMD 4. SEMIwot.E ED SM E1..51.(10.40 IZEJISEC. FLOOD o rTIF IGAT IOI4 6.10'eq cii!!!'i DAVID CLARK & ASSOCIATES LAND SURVEYORS 2711-2 ST. JOHNS BLUFF RD.-JACKSONVILLE,FLORIDA-(904)641-6700 A - EARL IA41.1LY JC.i DOSOTI-I'e 6 ILL E,IJ, LEGENDtaCN" Ac.F T1TLe IwSutANCe CQIpALve• I 4M[M THIS IS TO CERTIFY .J v. EO6oAL .950017 0010.4 ty, • KTAL$TAKt ICT. this maple a tote rspresenlatIon of on ocluat sou.,oAc survey roods UAW/My O NtDILtfJ►xtMHO supervision in accordance with the minTmum technical-etandorde.os out' • OROSSctT lined In Chapter 21HH-6, P.A.C. pursuant to Section 472.027, P.8.$ 'shot '•X—FDCt then ore no encrocchmenls except as may be shown hersont and'that,to the best Of my knowledge and belief, sold survey Is correct. WV .100 Nat Basis of beoringel Pe 3. Pc, c,4 5-9 69 5.� ,Z TCALb /Ma I.NGt f�/J A . • 3z.3L. Signed MAY 12 19...ea. ^,2,,...--1 .8. A . )� Wilt CNLCl(LO 1'6 limashat stir., Is t wall/vale's It IA FL Registered-Surveyor ►1Q-44Z4 .E ,4 T.e.t. eases./ vlth it. Ivy/else' seal. TNUQHALI B. r1..,4 0. No nECEIVE 01-App;. City of Atlantic Beach APPLICATION NUMBER :, Building Department JAN 18 2017 (To be assigned by the Building Department.) 4 `% 800 Seminole Road I Co — ("=ive,G,— z 5 z3 j._ _ F, Atlantic Beach, Florida 32233-5445 Eby. Phone(904)247-5826 • Fax(904)2475$45 / ft I E-mail: building-dept@coab.us Date routed: �J City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: IC) ( s CoLk C ( r Mtment review required Yes No Applicant: CD GILD p.C. _ anning &Zonin Tree Administrator Project: E.-,p L�� R ���C Public Works Public Utilities Public Safety Fire Services Review fee $ 1 Dept Signature --v--- 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: APPyCATION STATUS Reviewing Department First Review: I VrApproved. I 'Denied. (Circle one.) Comments: BUILDING AJIA- PLANNING &ZONING Reviewed by: ?� 7`--- V"'YLADate: ( )? I '7 TREE ADMIN. Second Review: IApproved as revised. IDenied. OR�gdip <mments: P0BLIC UTILITIES /—/ 9-77 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 PUBLIC UTILITIES PLAN REVIEW COMMENTS • Date: /"� b'i 7 Application#: Project Address: / i /..(a4 Q , Check Box Check Application Tracking Comments to Add Box to Comment "Print" Avoid damage to underground water and sewer utilities. Verify vertical and UWSU horizontal location of utilities. Hand dig if necessary. If field coordination is needed, 0 0 call 247-5834. MBSC Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. 0 0 A sewer cleanout must be installed at the property line. Cleanout must be covered ❑ ❑ RTIC with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be RPZB provided or if there is a private well on the property. Backflow preventer must be 0 0 tested by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed STRM must be metered with a Sensus touch-read meter in a properly sized vault and an ❑ ❑ appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5834 for FSBR backflow requirements. At a minimum, will require a double check backflow ❑ 0 preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" FLMmust be installed in a vault as noted in JEA specifications. ❑ ❑ UMAP See attached Utility Map. 0 ❑ ❑ 0 ❑ 0 ❑ 0 ❑ 0 ❑ 0 ❑ 0 Print https://mg.mail.yahoo.com/neo/launch?.rand=4m86r80qs1k90#234... Subject: FW: Fence Ordinance From: Emma Amos (emmaa7jm@gmail.com) To: kmk32233@yahoo.com; Date: Thursday, December 8, 2016 5:56 PM Hi Karl I asked Jess a couple of times and finally here is the fence ordinance info. Cheers Emma From:Jess [mailto:jclancey@gmail.com] Sent: Friday, 9 December 2016 6:47 AM To:emmaa7jm@gmail.com Subject: Fwd: Fence Ordinance From Barry for your father-in-law From: "Sodini, Barry M Maj USAF 125 FW (US)" <barry.m.sodini.mil@,mail.mil> Date: December 8, 2016 at 2:16:40 PM EST To: Jess<jclancey@,gmail.com> Subject: Fence Ordinance From the City of Atlantic Beach Code of Ordinances Part II Sec. 24-157: "(4) For nonoceanfront lots with uneven topography along a side lot line,the minimum necessary rake of the fence, which is the ability for a fence to adjust to a slope, shall be allowed for the purpose of maintaining a consistent horizontal line along the side of the lot, provided that the height closest to the front of the lot does not exceed six (6) feet." https://www.municode.comflibrary/fl/atlantic beach/codes /code of ordinances?nodeld=PTIICOOR 1 of 2 1/6/2017 8:12 AM ?i-uif r, City of Atlantic Beach APPLICATION NUMBER rd _A-itil Building Department EG E -,,.,..e 7frope assigned by the Building Department.) (i 800 Seminole Road fj 3 _ �'v��' z szs ,�:.,... _,_.•�� Atlantic Beach, Florida 32233-5445 , I `� ' ' Phone(904)247-5826 •• Fax(904) 247-5845 JAN 18 ZQ s E mail: buildin de t coab.us ioJte routed: I ( I r ii _ J,'3l0 9 p @ City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRACKING FORM Property Address: IC) I B QTR t (-- Department review required Yes No uildin Applicant: CD anning &Zonin Tree Administrator Project: R;C..P cik_ �,L R 0:.L.7"-; blic~ Work (Public 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/ A Reviewing Department First Review: Iproved. Denied. /--/f.-4 (Circle one.) Comments: see fitiC `pa/4C ' BUILDING ."�` �'/ PLANNING &ZONING /� Reviewed by: LiDate/ /7/ 7 / TREE ADMIN. Second Review: Approved as revised. Deni:, . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. Denied. Comments: Reviewed by: Date: Revised 05/14/09 1918 Oak Circle 17-FNCE-2523 CONDITIONS OF APPROVAL TO PRINT ON PERMIT: All runoff must remain on-site during construction. Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Shapell's, Inc.). Container cannot be placed on City right-of-way. Full right-of-way restoration, including sod, is required. All old fencing must be removed from job site by Contractor.