579 CRUISER LN - FENCE CITY OF ATLANTIC BEACH
•
-41:; . 800 SEMINOLE ROAD
\tom ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-1409
Job Type: FENCE PERMIT
Description: REPLACE FENCE
Estimated Value: $6,340.00
Issue Date: 7/13/2016
Expiration Date: 1/9/2017
PROPERTY ADDRESS:
Address: 579 CRUISER LN
RE Number: 170.703-0. 336
PROPERTY OWNER:
Name: FLETCHER, SCOTT D
Address: 579 CRUISER LN
PERMIT INFORMATION: PUBLIC WORKS:
All silt must remain on-site during construction.
Full right-of-way restoration, including sod, is required.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
- - -e t Building Department (To be assigned by the Building Department.)
j800 Seminole Road
1 5v z
Atlantic Beach, Florida 32233-5445 t l0 FN CE- (407
Phone(904)247-5826 • Fax(904)247-5845 •
�1;slr'' E-mail: building-dept@coab.us Date routed: Co/ZCO/I (47
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: S-7 1 CRo L S G(Z L Iv :e: • ent review required Yes No
Applicant: C)( °1 -.)e —Sccyrc RLfl( an 4�' - g &Zoning
II� Tree i---- 9111r111111'Project: Public Works
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
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:/� , Date: /?24(
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 05/14/09
•
s=Aiir,,, City of Atlantic Beach _ APPLICATION NUMBER __
-_- -L Building Department- - - �E� - - (To be assigned by the Building Department.) ._
800 Seminole Road +� + /'
�� Atlantic Beach, Florida 32233-5445 JUN Z [�18 (p - �- f C 1/1/'��
Phone(904)247-5826 • Fax(904)247- l-t \J
J'',0111.9%.- E-mail: building-dept@coab.us BY: Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: S-7 9 C Ru l S ER. Iv e epa- ent review required Yes No
•4110
Applicant: C(�rv� -SCO RL.A L QCP 1'Y�1 ,- & n7111111111111
Project: (Y ��Q , Public Worlt.441111111111111
Public Utilitiesy
Safety
af
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. ❑Denied.
(Circle one.) Comments:
BUILDING -7/7 C
›e(-4 KL\ft
iewed by:e"4., 1i—/ Date: 02./);
TREE ADMIN. C �
S:- V
- evised. ❑Denied.
PUBLIC WORK
• U
PUBLIC U
PUBLIC SA .
Date:
FIRE SERVIC. ❑Denied.
•
Date:
evised 05/14/09
•
•
mss•.►'
ri1y,'1r'" BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 • Fax: (904)247-5845
Job Address: 571 C 'iScj I-11 4, 66,4F-�/32.333 Permit Number:
Legal Description // RE#_
Valuation of Work(Replacement Cost)$ 6/3'/(.),OC) Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): 1e4 Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial esidential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
k p/tc.e ofd T` ce w� 1�►e w OV►85
Florida Product Approval#_ for multiple products use product approval form
Property Owner Information
Name: ico Pc Ih y Address: 571 C frv/ _A j
City , , , State /-(.Zip 333 Phone (l0 - , ; --
E-Mail
E-Mail 4Ir-IL so 1,m A9h1Gj/, cam — m o p leo n e •— e n1-. c
Owner or Agent (If Agent,Pow r of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company: Qua ' •• g Agent:
Address: "ity State Zip
Office Phone Job • ontact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name & Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
Application is hereby made . 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 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,H:aters, Tan • d Air Conditioners,etc.
//
B gnaar�tu�rege f Prope� Owner: l t � f vGji� Signature of Contractor:
this G VDay of 11., CV\Q ( _Befj t 19Lg$RERGER P- of
• .r ._ MY COMMISSION#FF 924951
1i s-•_;_a EXPIRES:October 6,201
Notary Public: - ` v ` 0,2 tat, Nftilivptitwu,
I hereby cer•tO,that I have read and examined •application and know the sam to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the
performance of construction.
Rev. 3/14/16
-I
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- -- -- -- - - -- -- --
-- ---- -
Penmit Attachment of forPermit# issued ,20 Atlantic Beach,FL 32233
Owner's Name: Property Address:
R.E.#:
Subdivision: Lot#/Block#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this 27 day of C' n ,20L 2
by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of
Florida, hereinafter referred to as "CITY" and
hereinafter referred to as"USER". of Atlantic Beach, Florida,
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: re /\C e
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 ertified mail, , return receipt requested, to the following address:
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."
Page 1 of 2
1
- - - - - The USER, prior to malting any ann.-es- from the a,6(e -e e . . i e e ., i Adm-mustn - - - - -
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 insure 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 Z 7 day of Jvy,,e 2014.
By: ,�%`i/��%
.It
- =
rope S wne r
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this a-7 day of Uh,p__ , 2014_, personally appeared before me, a Notary Public in
and for said County and State, 5",01 f Fie. the property owner of
579 r yuisey- 414 ,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.
/
Notary Public in for said County and State
CITY OF ATLANTIC BEACH, FLORIDA, a �1
municipal corporation: ;24tii+'sTONIGINDLESPERGER
,.1%i:. MY COMMISSION t FF 924951
� EXPIRES:October 6.2019
Approved: Bonded Thru Notary Public Undeiwnters
Deere,Pu is Works Director
Pano.(aI%Tacoef,v,-rt
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere, City Manager
Page 2 of 2
1
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AS RECORDED IN PLAT BOOK 31 PACES hit 44 44A OF THE PUAL/C RECORDS OF DUVAL COUNTY, FLORIDA
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I HEREBY CERTIFY THAT THE LO? SHOWN HEREON IS IN THE SPECIAL FL DOD HAZARD ZONE II
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ON FLOOD INSURANCE RATE MAP paol „FOR Armiur,G zI'EAe//, FLORIDA, DATED