Permit Fence 1855 Hickory Ln 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001377 Date 10/03/12
Property Address . . . . . . 1855 HICKORY LN
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
6ft fence
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Owner Contractor
------------------------ ------------------------
MAIN EDNA DEWEY TRUST DARMATA FENCE INC
C/O EDNA DEWEY MAIN TRUSTEE 5144 LEXINGTON AVE
1855 HICKORY LANE ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 322334548 (904) 333-0981
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Permit . . . . . . FENCE PERMIT
Additional desc . . 6 FT REPLACEMENT FENCE
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/01/13
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Special Notes and Comments
ROLL OFF CONTAINER COMPANY MUST BE ON CITY APPROVED LIST
AND CONTAINER CANNOT BE PLACED ON CITY RIGHT-OF-WAY.
(APPROVED: ADVANCED DISPOSAL, REALCO, SHAPPELLE' S, WASTE
MANAGEMENT)
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 .
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
(Approved: Advanced Disposal, Realco, Shappelle ' s, and
Waste Mgmt) .
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
z Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 Zc� 3'17
Phone(904)247-5826 - Fax(904)247-5845 Date routed:.
OR E-mail: building-dept@?coab.us 7�
City web-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z-11 Department review required Yes No
-Buildimn�
anning&Zoning-�)
Applicant: ree .nistra or
frublic Works_.,)
Project: -Tru-b—Lic Utilitinp
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: [RrA"pproved. FIDenied.
(Circle one.) Comments:
BUILDING
Ei� Reviewed by:_ ZA&a-/e--�Date:
TREE ADMIN. Second Review: nApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
MAP SHOWING BOUNDARY SURVEY OF
LOT 16, ACCORDING To THE PLAT OF "SELVA MARINA UNIT NC. 12—c RE At ---
�JygiqOMIRDED IN
d' p
,QWPLAT BOOK 37, PAGE 29 OF THE CURRENT PUBLIC RECORDS Of DUVAI!86 vrtment
This approval verifies compliance with applicable
CERTIFIED TO: EDNA D. MAIN, zoning, subdivision and other local land
development regulations, but does not constitute
STEWART TITLE OF JACKSONVILLE, INC., approval for the issuance of permits. Compliance
WACROVIA MORTGAGE COMPANY with Florida Building Code and all other applicable
cal, State and Federal permitting requirements
AND WATSON & OSBORNE TITLE SERVICES, I ust be verified by signature of the City of Atlantic
Beach Building Official prior to the issuance of a
Building Permit
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City of Atlantic Beach APPLICATION NUMBER
Building Department 2 12012 (To be assigned by the Building Department.)
800 Seminole Road 32233-54��'�","
Atlantic Beach, Florida S '17
Phone(904)247-5826 - Fax(904)247-6846�_-_-� J Date routed:
Q) t E-mail: building-dept(gcoab.us
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Building—,
Applicant: anning&Zoning-:>
ree i r or
Project: I-),i C,L 7� ublic Work-S--)
ilities
Public SafetT
Fire Services
Review fee Dept Signature �/9�
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 Mcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:—�Ae9l_
TREE IN. Second Review: ElApproved as revised. [-]Denied.
B 0 Comments:
U ILI
Reviewed by: Date:
PUBLIC SAFETY
FIRE SERVICES Third Review: FlApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 07127110
— -J-)
I VE,
City of Atlantic Beach APPLICATION NUMBER
Building Department S-FP 2 t 2012 (To be assigned by the Building Department.)
800 Seminole Road Id -1977
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845- Date routed:
URI, E-mail: building-dept@?coab.us
Cityweb-site: hftp://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ao/v Z-71 Department review required Yes No
Buildlqg-
anning&Zoning-�>
Applicant: ree . i trator
Project: Tc,--Vla L4 7-- ublic Works_,)
f 4�iic ilitief)
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 AJcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [P(Approved. E]Denied.
(Circle one.) Comments:
BUILDING
Reviewed b Date:
PLANNING&ZONING y:
TREE ADMIN. Second Review: FlApproved as revised. ElDenied. /or
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 07127110
PUBLIC WORKS PLAN REVIEW COMMENTS -F1
pm�
Date: lnitials:f,
Project Name Address: RICA-ORZ LANK Application Permit N:
RC_
Check Box Check
Application Tracking Comments to Add Box to
Comment "Print"
Provide table of impervious surface calculations for entire lot(existing and post construction). 13 13
Provide erosion and sediment control plans with installation details and maintenance 13 0
schedule.
Provide drainage plans showing site topography(flow arrows, etc.) 0 13
Provide construction site management plan, including Right-of-Way Permit if using unpaved 0 13
right-of-way for construction parking.
Provide a pre-construction topographic survey prepared by a Florida Licensed Professional 13 0
Land Surveyor,showing V contours.
Section 24-66(b)of the Land Development Regulations requires on-site storage for increased
run-off if adding 400 SF or more impervious surface. Provide Delta volume calculations and 13 0
on-site retention required per Section 24-66(b). (See attached information sheet.) I
if on-site storage is required,a post construction topographic survey documenting proper 13 13
construction will be required.
A Right-of-Way Permit must be obtained for use 13 0
A Revocable Encroachment Permit must be obtained. E3 13
Pool—Wellpoint(if used)must discharge into vegetated area 10'minimum from street or 0 0
drainage feature(swale,structure or lagoon).
All conc te driveway aprons must be S"thick,4000 psi,with fibermesh from the edge of the
pavement to the property line. Reinforcing rods or mesh are not allowed in the ROW 13 0
(Commercial driveways—6"thick). I I
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be
overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the [3 0
plans.
F Full right-of-way restoration, including sod, is required.
ul'ri ht-of
Roll off container company must be on City approved list and container cannot be placed on
City right-of-way. (Approved:Advanced Disposal, Realco,Shappelle's and Waste
Management)
r
Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control 0 0
inspection prior to start of construction.
Recommend Owner/Contractor meet with Public Works Director to discuss proposed 0 [3
construction. Call 247-5834 to make an appointment.
13 [3
C3 C3
BUILDING ]PERMIT APPLICATION
(CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904) 247-5845
Job Address: C rC L�2 , Permit Number:
Legal Description Parcel 9
Floor Area of Sq.Ft. ---------Sq.Ft
Valuation of Work Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial c:jZ::�identia
4�esidentia_
s
If an existing structure,is a fire spriler system installed? (Circle one): es No N/A
Florida Product Approval #
For multiple products use product approval Morin
Describe in detail the type of work to be performed:Z.;�o&-, _eida, ce eyc(--5-4,)A(7 -Penc-a,
>clone-= M-ko�j . I'll otA)04 vvwo &
Property Owner Information:
Name: T I Address: M� Akckol'y
uop— mn, y) I --
City Ll s:-(PC
�,4 1- 1 cli 4 i' C L-5 e-61 C11- Statei-�_Zip 3 22 3 Phone . n �41L
E-Mail or Fax 4 (Optional)
Contractor Information:
Company Name: V1 i 1P_ CA C Ok a4 Qualif�ing Agent:
Address:' Citv Mlix State PC, Zip 3 ZZI jo
14Y dt 6re-vt five I
OfficePhone :L3 02d/ Job Site/ContaqtNumber Fax# -4'5-30
State Certification/Registration 9 ovlc,,1 0 OL,,Aj+y
Architect Name& Phone#
Engineer's Narne& Phone#
Fee Simple Title Holder Narne and Address
Bonding Company Narne and Address
Mortgage Lender Name and Address
.1pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuance ofa permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurhvdiction. This perinit becolnes null
and void i(workiS1701commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of sixpo)months at any time qfter
work is commenced. I understand that separate permits must be securedfor Electricar Work,Plumbing,Si,6ns, Wells, Pools, urnaces, Boileis, Heaters,
Tanks andA!r Conilitioners,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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this application and know the same to be true and correct. Allprovisionso s and ordinances govejhinz this
ope p�work;vill be complied with whether specified herein or not. The granting of a permit does not pre to ve thority to violate or anc�l the
provisions qfanv�othe;rfedera te, or local law regulating construction or the pe�fbrmance ofconstructi0q.
Signature of Own nr!77�� Signature of Contrac
Print Narne ct-Ai 07 Print Narne
.............................. ......................................................................... ............
Swon bscr' ed before Yle swol
this ay f 1 120 /2- this Dayof- 2 0 1727
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MYC �'��7 J9
Notary P-Mic Not Public OMMISSION#EE 057349
1 015
DIT,
EXPIRES:May 21,2015
ftided Thru q4tefigeubc6+026 0
01 IS
j
A-1�51 2�7;7
4 2 4e Z)6-S'3/ 7 2_&11,72 0
MAP SHOWING BOUNDARY SURVEY OF
LOT 16, ACCORDING To THE PLAT OF "SELVA MARINA UNIT NO. 12-C REPLAT", AS RECORDED IN
PLAT BOOK 37, PAGE 29 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: EDNA D. MAIN,
STEWART TITLE OF JACKSONVILLE, INC.,
WACROVIA MORTGAGE coMpANy
AND WATSON OSBORNE TITLE SERVICES, INC.
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1.BEARINGS ARE BASED ON— 7�7 AkWe Z-51D.