Permit Fence 74 W 5th St 2011 tit ',.. CITY OF ATLANTIC BEACH
�: 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
, ! r)i31 x'
Application Number 11- 00001966 Date 4/29/11
Property Address 74 W 5TH ST
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
new fence
Owner Contractor
FRY LOWES HOME CENTERS INC
4948 TELSON PLACE
ATLANTIC BEACH FL 32233 ORLANDO FL 32812
(904) 486 -4701
Permit FENCE PERMIT
Additional desc . FENCE
Permit Fee . • • 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 10/26/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 39.00 39.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
AEg A Ori90 t' 7:212d,„S„,_,
5 --L'r City of Atlantic Beach APPLICATION NUMBER
65 7i Department (To be assigned blithe Building Department )
9 S SS to Fr ::.. ' ` ,,_ , - I F t
�,,� � � � 800 Seminole Road Efi r ,,,,,
,
� �,� " g Atlantic Beach, Florida 32233 -5445
r Phone (904) 247 5826 • Fax (904) 247 -5845 1 F, V ,_
roF t 1 F ` ' •F _
'...-1:31i la ,r E -mail: building - dept @coab.us `.rr Date uted s i 7 ;
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address 77 . 711 S47- Department review required Yes No
, Buildi
Applicant: /0 £ S L i anning & Zoni
Tree Administrator
Project: 1 $44t. el ( i lr .,{,i• (!i ubli ANciats
lic Utilitie
Public Safety
Fire Services
......,...57- rT'����it -r.Kfi as�+'.°y�; �rr �'�?9$�r�d"4 , 'q(' ';'`�, � ` . n�;tfa�3a •✓ s•'a �`r�`sri r1�' =e�� �'.p MI-31
R. ;evievffee $ _ ....: ilit rt i W , DRD1 atlJi re i z' • .w B
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: DApproved. ❑Denied. IJ /
Circle one.) ' yy^� `�"'�
( ) Comment , _ , •
BUILDING ,, / � / �� �-
f y
PLANNING &ZONING v - eview: f`' by: 3.14... y� 'y r. Date: �2f %
TREE ADMIN. Second Review: n1Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
R 1 ED elf
PUBLIC UTILITIES Ei `ilia
PUBLIC SAFETY Reviewed by: Date: `1"Z 5V1
FIRE SERVICES Third Review: (Approved as revised. (Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
Duti,DIJNG PERMIT APPLICATION
> CITY OF ATLANTIC BEACH
., ' 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 7r L� 14' -57- ,
Permit Number:
Legal Description `A - -3 - -7 -5. / j
4'7t' t /sc.__ C � 5' c . , � /77 Parcel # 7� £ 71�- -' 17
Valuation of Work $4."2---)
Class of Work (circle one): New Addition Alteration fie a ir Mov Demolition pool/spa window /door
Use of existing/proposed structures) (circle one): Commerc
If an existing structure, is a fire sp ' er — dtesiden
Florida Product Approval # system installed? . (Circle one): s N /A
For multiple products use pro uct approval form
Describe in detail the type of work to be performed: ( 7-'r "5
Property Owner Information:
Name: , >3 C Address: S --.7.2 1 ..�
City AT i) c- ,3c. --, State IL Zip Yz - Phone 9
E -Mail or Fax # (Optional) p Y �` 6 s S-
Contractor Information:
Company Name: _, gest mi. 4,...... f l
Address: O .: � .0. .. 3 �' Qua�yin. Agent: --7-7:65. ...._ ..����,
Office Phone X07 3 3 — City AO . = Zi
6/ Job Site/ Contact Numbe - � - CSC 7'7 Fax # �� � Zip
State Certification/Registration # /,f`U 7
Architect Name & Phone # 0
Engineer's Name & Phone # ��/0'.. C _
Fee Simple Title Holder Name and Address ,,1/ t " 14--
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 I certify that no work or installation has commenced prior to the
t void �w work permit o� t e ed within six performed o f constr�ucc� work laws suspended or construction i t nod O 6) months at time null
vork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, � e (( permit becomes ers,
!ranks and Air Conditioners, etc SYgns Wells, Pools, Ff�rnaces, Boilers, Healers
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
T() YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereby certify that l have read and examined this cgoplication and know the same to be true and correct. All provisions of laws and ordinances governing this
ape of work will be complied with whether specified herein or not. The grant of a permit does not presume to give aut to vzoiate or cancel the
rovisions of any other federal, state, or local law regulating construct or the performance of construction
ignature of Owner Signature of Contractor
. 0.... ,
CD .r r
riot Name .. . 7
worn to and subscrib efore me ,..b40 G� P 2, a . 3 `� -5,e /- Print Name
Lis to Day l' , 20 . ' � fr/ '� ° Sworn to _aaad scrib= d before me
this t► ay of ,4 IS - �_ , 20 1
/
of Public No ^ ``�
tart' Public DEBRA L. CARTER
t7 k OVISetf l9P
KENNETH H. KITCHENS
MY COMMISSION 4 03979942 y'�,� _ Expires 3/18/2813
EXPIRES: APR 07, 2014 g' Florida Notary Ana. Inc
• ,am
4 Bonded through 1st State Insurance
167,55 904 -486 -4702 »» 3524733167 - P_21,4
SHOWING BOUNDARY SURVEY OF
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AS RECORDED IN PLAT BOOK 473 PAGES 34- OF THE PUSLIC RECORDS OF DUVAL COUNTY, FLORIDA
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AS RECORDED IN PLAT BOOK /8 PAGES 34- OF 7NE PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA
CFR 77F/ED To: .. - • ,�G - • :4,44 . E A 4 -
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THE PROPERTY SH0 N HEREON APPEARS TO LIE W177-/IN FLOOD HAZARD ZONE /1 - AS -, S� FROM FLOOD
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THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD
I N S U R A N C E RATE MAPQOO/ F O R 47'4.4,477C 8 4 C IN, FLORIDA, DATED 4 .'/7" ei-9 .
[ii TALI - STATE .LAND SURVEYORS, INC.
8411 BA YMEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731 - -7235
L.f.G.two 1 HEREBY CER77FY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY
A CONG MoN RESPONSIBLE SUPERVWSIDN AND DIRECTION, THAT THERE ARE' NO
4 RON cot ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN
AseT wri c.P / Ls 4144) -1,•. ••:.i•il..:.� , '
HEREON MEET 77-E MINIMUM TECHNICAL STANDARDS SET FORTH BY a'�u•
FD " THE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SECTION
a won rdL (rowa) ` 4. f '
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w. a ':, 4 pr 4.7.4_ ORDER NO. -94 3.../2A
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Alle1711- 74ACIV/C 74/(11 //1
/Vcrr M25(z-- 4/161-r-z__ ,t)
r t...m. City of Atlantic Beach C IVY, �LI'CATION NUMBER
be ssigne the Building Department
. Building Department (To a
800 Seminole Road
APR 2 2 2011 t a s .
� Atlantic Beach, Florida 32233 -5445 �lx ° F €� *•
Ehmae: ng -d pt @coab.us904) 247 -� R`M__.__ __� ���Date bated YEY , • 774 iT4 2 i
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address 72 .5 -77/ j Department review required Yes No
Building.
Applicant: W E 5 / / _ arming & Zoni
Tree Administrator
Project: 94-'t ett ell el
ubli iaThts
C "" 1Jc wird)
Public Safety
Fire Services
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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date: _,
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
/vt . lwa - JP
City of Atlantic Beach RECEIVED A LICATION NUIVLBEEt
� Department F '
J p (To be ass ned 6 the Bwl
Buildin De artment
800 Seminole Road APR 2 2 2011 l +; �9 µ? t y 9 � 1
. Atlantic Beach, Florida 32233 -5445 1
447.C. Phone (904) 247 -5826 • Fax (904) 2 r. 45 `tr ;�
( ) ( ) ' 7 Y. ,V44-7
mot, f
... F.; �,�1- tT`'L+�
^. ,� �r E -mail: b - d @coa "° Date routed ,, rMf4�
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address 7 l,() c�� Department review required Yes No
`�. Buildi
Applicant: w E 5 h OA,/ _ arming & Zoni
Tree Administrator
x (iir Project: 94- A �' n ublig wo ,tts
J
lic Utilitie
Public Safety
Fire Services
AO
Ya '� tyi 3"+aP� - ' ? f
L" _ ,�
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:
APP ICATION STATUS
Reviewing Department First Review: 'a Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING ,/
Reviewed by: / Date: ' /(
TREE ADMIN. Second Review: DApproved as revised. ❑Denied.
P j _ : • 4. Comments:
•-�� UTILI IES
2
PU c A FETY Reviewed by: Date:
FIRE SERVICES Third Review: OApproved as revised. ODenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Public Utilities Plan Review Comments
Date: l ( yL ( (t Initials:
Project Name /Address: r i q W ,/ • S � Application Permit #: ' f - / 9�
: Check Box
Application Tracking Comments to Add
Comment
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call ❑
247 -5834.
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and ❑
visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered ❑
with an RT1 concrete box with metal lid. Cleanout to be set to ade and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be ❑
tested by a certified tester and a copy of the results sent to Public Utilities.
Plans note the building will be nnsprinlcled. If plans change, any fire line installed
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 -5839 for
backflow requirements. At a minimum, will require double check backflow ❑
preventer.
Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" ❑
must be installed in a vault as noted in JEA specifications.
0
0
0
0
❑
0