857 Amberjack Ln 2014 fence % A t k
�j
N CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
...........
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000720 Date 5/15/14
Property Address . . . . . . 857 AMBERJACK 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
------------------------ ------------------------
KSN INVESTMENT CORP TRI-H CONSTRUCTION LLC
9191 SKINNER PKWY # 501 1121S ST JOHNS INDUSTRIAL PKWY
JACKSONVILLE FL 32256 UNIT 10
JACKSONVILLE FL 32246
(904) 545-9978
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Permit FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/11/14
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Special Notes and Comments
If used, roll offf 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 . )
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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 3S . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
L&A I/
Job Address: At -t 4- tq i-e V6
Permit Nu r:
Legal Description Flo-or Area of Parcel 4
Sq.Ft. q- t
Valuation of Work$ Proposed Work heated/cooled ; -T.-.-
__3 non-heated/cooled
Class of Work(circle one): New Addition (�� Repair Move Demolition pool/spa 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 No N/A
Florida Product Approval
For multiple products use product approvaFUo—rm
Describe in detail the type of work to be performed:- E e
Fil r COPY
Propertv Owner Information: 5 IN- se -WWI I
Name: I�V5� Address: s�q
city State E�Zip Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRFSS:
Company Narne: Qualifying Agent- �VA- #-4aS 7'
Address: city .?Z-1)
-State FL, zip AZ5�
Office Phone Job Site/Contact Number
State Certification/Registration
Architect Name &Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication 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�aopermit and that all work will be pe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void f rk is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a
Wperiod of six_(6) months at any time after
work is commenced. I understand that separate permits must be securedfor Electricar Work,Plunibing, Signs, ells, Pools,Furnaces,Boilers,Heaters,
Tanks andAir 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 here certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
7,work will be complied with whether sfecified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provi.si.ons of any otherfederal,state, or local aw regulating construction or the peiformance of construction.
Signature of Owner Signature of Contractor
Print Name Print N 6��11
Before me fore m
this Day of Notary Public$tat*0 ri f 20
Shift L
Notary Public blic
Revised 01.26.10
DQ41(I oozij HAUL U2/U2
MAP SHOWING BOUNDARY SURVEY OF
LOT 27 BLOCK 4, ACCORDING TO THE PLAT OF
ROYAL PALMS UNIT ONE
AS RECORDED IN PLAT BOOK 30, PACE(S) 60 AND 60A OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
KSN INVESTMENT CORP.
LOT 6
BLOCK 4 LOT 5 LOT 4
+112"R BLOCK 4 15' 5- BLOCK 4
L 7
SUR. S 8502010,i?" E 60.6-5, 0.
L 68_ S 85'14'54"E 80 65 (m)
654 8 L
EASEMENT FOR
o 0.1, DRAINAGE &UTILITIES—,
LOT 26
BLOCK 4 LOT 27 LOT 28
BLOCK 4 BLOCK 4
10.2'
covo
CONC.-
CON
13.r
2.9'
ONC. 1 STORY
Lu
FRAME & BLOCK
W11 2"EAVES
MC.'
CO NO-857 4Z
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COV'D 2V 8.R-L
2.9 CoNa
36.93-(R) R's C.
P.C. 36-99N) 4144 80,66'(m) 14.3'
0 _A
KAPJNG REFERENCE LINE
0.1 MAIL AND
I I 7.65(Al) OA'
WATER 4144 DfSK
METIERS L9 5488
Ar a4SE OF
CMNESE
TALLOW
EDGE OF PAVEMENT
N 0.5*20'02' W
IV 8501?0'01?" F 80.65' (R)
X-REF JOS NO. 34795 A ANEMIA CK L A NE(60 Rlw)
FLOW Z(NE"Y'.AWLAS OCTERIM 10 BE ajTgoC TW QZX M*IUAL QiA"CE FLOW PLAM/FLOW ZOWE-X(24MX0)"-APEAS OF Q2X NMAL 01AMX FUND,>*XAS CF 13,mm�&
CHANCE WIN AWRAOE 017TH3 Of LE"'TWAN I FOOT OR VATH DRANAGE MEAS LL733 THAN I 9WW MU'.AW AWAS pnoTUCVD gy LE%M FOW IX M04AL t�AACC nDW_
� ,j F��YO 7-
GENERAL NOTES,
1.BEARINGS ARE P.SED ON LADA
2.MUCME 40. 07 SMOM HEREON LIES WTHIN FLOOD ZONE x AS
BEST DETERMINED FROM F.E.M-k FLOOD MAPS PANEL NO. 406 ATEQ%=0--3-2O1-3.
A 330-CIATED SURVEYOFiS INC. 3.THIS IS A SURFACE SURAY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS,
LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT OETERIANED.
4.JVRISUCTIONAL=,OR ENIARONMENTALLY SENSITIVE AREAS IF ANY, NOT
3846 QLANDING BOULEVARD LOCATED DY THIS
JACKSONVILLE, FLORIDA 32210 5,THIS SURVEY BASED ON LEGAL DESCRIPT"S FURNISH91). THE PUBuC
ERTIFKATE OF LE 0005488
904-771-6468 RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, TITLF-
AUTHORLZATION NO, COVENANTS, D,R.LS PCSTI14CTIONS, CL09JRM TAKINGS OR ORDINANCES, ETC
L.� THERE Cj0UUD BE OTHER MATTERS OF RECORD THAT AFrECT THIS PARCEL
6.UNLESS 07HERVASE STATED ALL IRON PIPES FOUND HAVE NO IDFNTInCAT10H.
I HEREBY CERTIFY THIS SURVEY YVAS DONE UNDER MY LEGIEND/AIIIIIIIIIIIIIIIIIEVIATION8 AIR CONO"X)NER )M- OFlFClA4
DIRECT SUPERVISION &NO MEM THE MINIMUM TECHNICAL o - wT IRON PIPE oFt skESAR swTm UNE RECOlti)
STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER 5J-17.050 "ASSOC SUR%0EY' OR LB.5488 :ON%% W �R�-- ofnciAL
.9ETWM RECORD VOLUME
ou i LORIDA ADM NI CODE, CHAPTER 472, F.S. 0 FOUNO IRON rim OR p E p - C �WT&t -c.pOlmT or OJRW
Ip (I It
a FOUND CONCRElt MONUMENT(C.M TI ED=Pam
R TN
R
CROSS CUT OR DRILL HOLE rl=CHORD
—Dl=;ll X—X CHAN LINK FENCE CAN NOT READ 'C
EQUIPMENT PA[
CHARLES 8� HATCHER FLORIDA CERTIFI�A�NO. 3�771 W—W%V?E FENCE CONCRETE SOZAN WJAIA
YD co%%mm L-�
WDOC FENCE a.ECMC Box =PONT OF
CHARLES L. STARUNG FLORIDA CERTIF: NO.4579 -1-1-RON FENCE FIRE ELECTRIC TRAP,'Tr REVERSE LVRW
.ZER RE
RAYMOND J. SCHAEFER F-LC)fRIDA CERTIFIVE NO. 6132 4i-PHONE lasER HYDRANT ET)-E&W,TIE RN - =%IAT1
JOB NO. 51976 UATE 04-29-2014 FOLE ;" &W
�saipl I UcRfTy T-POINT OF TANG0*M
— r =RADWS
SCALF: 1" DRAFTER�. KINS�MANCLS AD UTTLITIES -MEASURED 1607-CF-WA)
ARC LENGTH RECORD
NOT VALID WITHOUT THE SiCNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
L -, T
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City of Atlantic Beach APPLICATION NUMBER
Building Department Wj�CFTVED (To be assigned by the Building Department.)
800 Seminole Road
* xz el
Atlantic Beach, Florida 32233-5445 A 0 7 2 014
Phone(904)247-5826 - Fa &
E-mail: building-dept@coab.us Date routed: -4--le /1,41
Cityweb-site: http://www.coab.u.BY:-------------------, — Of -'Of / Of -
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address: f46-7 /V —
B
Planning &Zon-ff�j
Applicant: Tfie��Fi�inistrator
Project: i�Lublic Wo_r_j_s>
Public batety
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: �YA pproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: =04 Date:
TREE ADMIN.
Second Review: [—]Approved as revised. E]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
APPLICATION NUMBER
City of Atlantic Beach
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Planning &Zon-i'M3
Applicant: 4fo�& n (:�
7Z _7—reG-TTm i—ni strator
Cf6blic Wor
Project: i_s>
,grUMTUr1n*e&,
Public 6atety
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: kApproved. DDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: S171 il
TREE ADMIN. Second Review: []Approved as revised. [—]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
City of Atlantic Beach APPLICATION NUMBER
Building Department EIVED1 (To be assigned by the Building Department.)
800 Seminole Road /I/- tlzz)
Atlantic Beach, Florida 32233-5445 MAY07 2014
Phone(904)247-5826 - Fax(904) -57845
Date routeLd
E-mail: building-dept@coab.us 1BY:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Departmen luired Yes No
-pudding,
Applicant: Planning &Zoni
-T-F(FTA-d-ministrator
Project: IlTu-blic Worii�->
'gru- -Ur 'es'�,
Flc IM
Public 6atety
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
LEiviiion of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:_ Date:��-9-1/y
TREE ADMIN. Second Review: nApproved as revised. FIDenied.
I CAN Comments:
'1W
BLIC UTILITI
P PU - - Reviewed by. Date:
UBLI SZF TY
FIRE SERVICES Third Review: [:]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09