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1835 SELVA GRANDE - FENCE •s!-+�i;T, City of Atlantic Beach �► t; r �Il*.c Building Department ''� - APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Department.) %� Atlantic Beach, Florida 32233 5445 OFr / Q Phone(904)247-5826 • Fax(904)2,47-5845 6 2015 / !V o lQ�p ••0;t p%- E-mail: building-dept @coab.us City web-site: http://www.coab.us Date routed: /2//a APPLICATION REVIEW AND TRACKING FORM Property Addre s: /4,5-jai/CI / At- Department review required En No Applicant: /li ET f Building _- 4d�arming &Zornn. _� Project: re" - or -- r' . _ / _ blic Works —� Public Safety �� Review fee $ Dept Signature ME Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date 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 IIIIIIIIIIIIIINEEMIIIIIIII Other: IIIIIIIIII APP ICATI.. STATUS " Reviewing Department First Review: i� (Circle one.) f1•Appr• -d. 'Jj% Hied. Comments: BUILDING AO PLANNING &ZONING ,, Reviewed by: �i � TREE ADMIN. _ Date: Second Review: P., •pproved as revised. PUBLIC WORKS Comments: ['Denied. PUBLIC UTILITIES . F 'c-iea9 C'� ' PUBLIC SAFETY ' / 1 Reviewed by: �� FIRE SERVICES Third Review: e�� Date: /2"-- 4./• Approved as revised. Denied. Comments: Reviewed by: Date: vised 07/27/10 &a 1-Z -'/G -4✓,r— k sLA ii,,T City of Atlantic Beach s r �,.. j � Building Department APPLICATION NUMBER ��rJ {` 800 Seminole Road (To be assigned by the Building Department.) 'a� Atlantic Beach, Florida 32233-5445 / ��� 2�� Phone(904)24,7-5826 • Fax(904)247-5845 J;t gr E-mail: building-dept @coab.us Date routed: /�/Q/�� City web-site: httpa/www.coab.us 7 APPLICATION REVIEW AND TRACKING FORM Property Addre s: /I J5 rJ ./ifL) r niOE Department review required q ed Building Applicant: ,S ET Fin a 11 &Zonin• Ire or Project: 6ir 6t__---)idE _ ublic Works _ ■■ vuonc i i if e's Public Safety Fire Services Review fee $ Dept Signature • Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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. I (Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING �� Reviewed by:i ��`"'�v Date: /2/i V if TREE ADMIN. —_—_ Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 • BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 3 4! , Office (904)247-5826 Fax (904)247-5 1.7.� Ell �/ . , , Job Address: 4 sZZ - /(/' f qumbi A' Per { . 't er: 1e Legal Description oor • ea o q. Parc Valuation of Work$ ��C� t. --«•+� Proposed Work heated/cooled non-heated/coole• Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/do Use of existing/proposed structure(s)(circle one): Commercial or Han existing structure,is a fire sprinkler system installed? (Circle one):Residential tiallo al Florida Product Approval# For multiple products use product approva orm Describe in detail th- type of wo , tube performed:. �' • 11/ A J / s�('E. L.��/ 4 oN `P/1- 4 Pro a Owner Information: �/' Name: . 4 ?�/ /E 8"3, ‘e, ' A City �� Address: ,A Stat• _ Zip Phone . �„"` !0 .C„ E-Mai or Fax#(optional) r • Contractor Information: CONTRACTOR EMAIL ADDRESS: jfLD Company Na •e: S 4f' I s. _ �� Address: / �i��� �T O/>r_ Q y in_4 Agent: 1.404E— e ��_ Office • one . 47/461.M. 17 Jo. Site/Contact Number .► State Z ..,?z-2-2.0 State Certifica i. •egistratio # �°?�© Fax# Architect Name&Phone# 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. I certifir 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-Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF f COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WIH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 7 hereby cert fy that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this .ype of work will be complied with wh- er s.eci led herein or not. The granting of a permit does not presume to give auth,- to ', 2rovisions of any other federal,state,or , regulating construction or the performance of construction. / n' r or cancel the signature of Owner _ /"of Signature of Contracto r • 'r/`", 'rint Name I A.)�?'/ G. �j��� Print Name 1�' �/ ,� tefo e •pis 4,f �, 20 . Be`i ''e " ,`p TONI QINDIESP this `� Da . ER Mikteill Y� �`. := ;r MY COMMISSION 2� 1�� t¢;1 :XRIRES;octo5er is rotar ' i�r��__. t a.A rnN No1�P. und.rs tars y ubhc ,.yarn. N.ary Pu•icStateof FI -.4 y4 Notary ,u.lic ' • S . e rahae //�� G . N • ' My Commission FF '12' —/ i/ 30 o,�.d' Expires 02/14/2018 / Re iced 01.26.10 R.O.W.Permit Attachment of for R.O.W.Permit# issued , 200_ Atlantic Beach,FL 32233 Owner's Name: Property Address: Subdivision: Lot#/Block#: R.E.#: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of Dila cth�(' , 20eby Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and Kenneth Mann of Atlantic Beach,Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: 6'High Privacy Fence Replacement Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested,to the following address: 1835 Selva Grande Drive. The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code,and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this L, day of ,20g c By: 0 rty Owner (to be signed in presence of the Notary) Vx nor ' STATE OF FLORIDA COUNTY Off,662rdTS 1� On this vc I 't day of -r`n , 20d_, personally appeared before me, a Notary Public in and for said County akd State, LIn � ny , the property owner of 1 g 3 55 .-L t1I G A,, )�- Y'Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. ' Ili Notryy Public in for said County and State GroJNDQ. VcsON. (Qvc,ties +®ruoxy 10} ac)(9 CITY OF ATLANTIC BEACH,FLORIDA, a municipal corporation: Appro ed: IQ C Doug 40,yton,Public W• s Director For Permits where city sidewalk is impacted,City Manager approval required: MAP SHOWING SURVEY_OF T 17, SELVA TIERRA, AS RECORDED IN PLAT BOOK 38, PAGES 28 AND 28A, OF THE CURRENT F'UE;:,c ECORDS OF DUVAL COUNTY, FLORIDA. �/. C7 F Al N�7 /c 7? '/ / �©. I •. ¢9 -e 3 I `o� a L . y- ° ' 4-00 24 5.3 . /ot2 oo' r,�F Y2-7,40,,r E4y�McN. 4 o,7ORa/�!,</Ti�/T/ESFjScwcRSfayPe..IT� ' �I i % I m t\w /5.5 �/�77!��� 9 ��n_ 24.B' ill N � 3 9.J• 1 0 7' N F6• in /-�iTor¢�FRQME l o '� e l�N� 5jo/�/E �v dos/6> - Rc /0.0 /CE o` q.� Ni /5.5 tl V•/4..l 17/.•..• /�1 f �; ILT�� E t✓. 1 `t .1 (9.20) i tn'.0°��.C. 22.4' (� j N ■ xww` 4 � .-; t••• :.":'.:../ ____-=......../.f: �• __ 402.89-l- •��o,-•I ! IGam. 93•/O. `,�.....0/2..� f ,'-i9. /"YY•Q•j4•'* 33. / ` f /°*!. q3'/ / o C,4,Ijoe- O' A- RE✓/ScO,-64/ze.✓2, /9a>re,c/,./o,-, ■ oO,T/o,✓,ac/•FO, ,.gorio,✓ -7-...-4/5 riQaPER7��L,E5/r,, c'z 'e i4-r✓.•s/c-�./ /5/ //G Mc.YC<iT Pi_o00.4-TE.: .345c •k-ooa G4a'%/5 a F.EET4.3o✓c MEf+v'•,,,.•,,a.c✓cG •jN/<i /5 a 4-‘2,•/12*A/R✓c'r• •EcE✓d7,0.✓5✓or.•T�v*(9.20)RE- •'-•r.✓vror/.°c. l.•OOeriC ✓cRT,C44 04T"4 •A 1540!./?.'a7 /C7 D,✓L„✓c r3rF<.ttr I hereby certify that this survey meets the minimum technical standards as set forth by r i the Florida Board of Land Surveyors,pursuant 1r H A. OUtti�,rii ai to Section 472.07 Florida Statutes. iii & ASSOCIATES ,N�. ('/(�,JJ(//� LAND • NC IST01m NIRYR►OR H0.3Q!/j/L., J SURVEYORS _ Post Moo&o,,50570 SIGNED /`c`r3RL/.o1 ,� /�-/ t o B4 830&oath&outwYard J.ck.omi1.&..ch.Plaids 32250 SCALE: /.. ”. 30' THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. /24.52