300 Belvedere St fence permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
` --�- ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4131M FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-2400
Job Type: FENCE PERMIT
Description: Replace existing wood fence with new custom wood fence -
6' High - 6x6 w/posts - cap/trim
Estimated Value: $5,000.00
Issue Date: 11/2/2016
Expiration Date: 5/1/2017
PROPERTY ADDRESS:
Address: 300 BELVEDERE ST
RE Number: 170703-0314
PROPERTY OWNER:
Name: WARNER, CAROLYN ELLIS AND JOHN, `
Address: 300 BELVEDERE ST
GENERAL CONTRACTOR INFORMATION:
Name: SUNSET FENCE, INC.
, N/A
Address: 12341 CLEAR LAGOON TR
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
All runoff must remain on-site during construction.
Full right-of-way restoration,including sod, is required.
Contractor to remove all old fencing from site.
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
s�ssnrir City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.) ._ _
800 Seminole Road �� _ a too
Atlantic Beach,Florida 3223&5445 K7 d—Il..l-�
" V Phone(904)247-5826 - Fax(904)247-5845
,;t 9fl E-mail: building-dept@coab.us Date routed: O q�o1Cl(�
Cityweb-site: hhp:/hvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: JL.LJ ,I Q �e,.Fl- Department review required Yes No
Building
Applicant: !�i1Ytsek FC.rYP -S.nG WSewices
mn
Administrator
Project: RL4_6__W O.VxY T' Sy (\ IU2A.,� �<Q
® — Dept S�gnatltyeAM ��
Other Agency Review or Permit Required Review or Receipt Date
of Pe rmH Verified B
Florida Dept.of Environmental Protection
Florida Dept,of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaumnts
Division of Alcoholic Beverages and Tobacco
Other:
APP CATION STATUS
Reviewing Department First Review: pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING 8 ZONING Reviewed by: / — Date:
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied.
WORK Comments:
UBLI UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
860 Seminole Road l/_���, _ a 1 tfYl
Atlantic Beach, Florida 3223& 'O5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@wab.us Date routed 0 aOj�
City website: http:1Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Jco P'f-JQa&JC-F}- Department review reuired Yes No
cc Buildin
Applicant: larfnlng BZonln
(n
ree Administrator
Project: �a cic"' 0,4 '%t kk Lw) jR41c52 ublic Works
u is i i is
_PubTic Safety
Fire Services
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit VeriFled B
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
CANNING &ZONI Reviewed by:0,2!g ./ e_-,&_,,= Date: AYL,
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
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 • Fax:(904)247-5845 �(I
Job Address: ,/u'�/ z axf`1r 0� Permit Number: ( G_fw,E- oD
Legal Description RE#
Valuation of Work(Replacement Cost) Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): Op Addition Alteration Repair Move mo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commeroial stdor ti
• If an existing structure,is a fire sprinkler system installed?(Circle one): es No ® _
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit f NoTree
Describe in ndetail the type of w rk toC be�p ormed: !ll/�� $�/s✓!., t/v�'E-
N��
Florida Product Approval# for multiple products use product approval form
Property Owner Information - /(
Name DL r1 � 1z/ Address: 5,P06"Li d��/LF�
City 4 Stat LZip Phone
E-Mail L ,AtSL. Coen
Owneror Agent (uAgmt,PowerofAttomeyor Agencylmxaequmd)
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 NOT0E OF COMMENCEMENT.
Contractor Information: \ ,
Name of Com any: f _ LQualifyin Agent'. Fi ✓J
Address: w. O City �K Stat4Uip
Office Phone Job Site/Contact Number 7,-r9 s?.00-7
State Certification/Registration# E-Mail
Architect Name &Phone#
Engineer's Name&Phone#
Worker's Compensation
ExemptInsures se EmployeesExpiration Date
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
Pnor to the issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in this jurisdiction.
!'his to
becomes null and void if work is not commenced within six(6)months, or if cowmaction or work is sus a dor ab oned{or a
periodo//''sir(6)months at any time after work is commenced. I understand that separate permits must be secured pica/ r ,P/manning,
Signs, Wells,P'a ceg 'ers,Heaters,Tanks and Air Conditioners,etc.
Signature of1e caner: o .
Befo�re��Jggyy p: ewauN T t*HULAND
Ca
this�.`L'Day of OC10 ,`Zapl(d N�)a Z16 FF tnftm _Day f
E CrNmmhMon a FF 2265
r I ,1.11MY Comm.Expires Au` p Y2,
Notary Public' GY W.ANiw.�w. `.
,gips CAYtMN
I hereby 1 1 1 V
/Aat 1 I his application and know the same tobetrue and correct. All provisions of laws and
ordinane ryryg tL§XpNIWF'A ifW2df9'1, complied with whether sped ted herein.or not. The granting of a permit does not
presume t g3nti;' lheurikgda Macquwafe he provisions of any otherfe eral, state,or local law regulating construction or the
Performa ,.
Rev.3/14/16
MAP SHOWING SURVEY OF :
LOT 2/, BLOCK 2, S6A.9P�QAY 300 BEL!/EDERE .ST. � _
according to plat recorded in Plat Book 35 , Page S4fG4A of the current public
records of 2✓;4L Counly,Florida. Examination of Flood Hazard Boundary Map, Community
No---/2- , Panel oo0/C_r datedAPQ/L iB /sBs Indicates
that the property shown and described hereon lies within a Zone_ C-_ area.
��NCE= lS .bLl.� L/r✓�
G / �r(!6N 5/ZL"�ifGDE i
V ISO LOT 20 1
i OT 23
W Al- 22"32 '00 • E /00. 00 '
3
SN60 S-, rN.
7"46
�r.
.'.P, r'. .. 0 'V
LOT i2
12 I
!C.
•i
1 00
h 0 a Q
/ STY. STUCCO
tQ I(v � - c
W Ip N
N:
2
OCT 24P16 2'3? ; whect
I V E W I CRc e
u.wu„k yA..l I
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be_assigned by the Building Department.)
860 Seminole Road «(T-�Nce_ g J,D
s Atlantic Beall, Florida 322335445 y
Phone(904)247-5826 Fax(904)247-5845 ^^``
1 pP E-mail: building-dept@wab.us Date routed:
City web-site: http://w .mab.us
APPLICATION REVIEW AND TRACKING FORM
�,M B
Property Address: a q J ve. - De artment review aired Yes No
Buildin
Applicant: !�)L,rS62{-F:�-ry'p ZnCla ning BZomn
pp Tree mmistrator
Project: Re &(O, o,4 T---Sh.t� Uew Rity-Q ubiicwodcs
ubic Ufillle
Public Safety
Fire Services
Review fee-$,. Dept S�natuSe -. s
Other Agency Review or Perma
lVerifled
Date
Florida Dept.of Environmental Prot
Florida Dept.of Transportation
St.Johns River Water ManagementArmy Corps of Engineers
Division of Hotels and RestaurantsDivision of Alcoholic Beverages and
Other:
APPLICATION STATUS
r(Circle
ent First Review: QJ Approved. ❑Denied.
Comments:NG Reviewed by: Date:Second Review:
❑Approved as revised. ❑DeWd.
PUBLIC WO Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
Permit Attachment of for
Permit# 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 Z9 day of�_� 20�1b
by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of
Florida, hereinafter referred to as "CITY" and r e\.l W c r ,of Atlantic Beach, Florida,
hereinafter referred to as"USER".
WITNESSETH:
That the CITY does hereby gent the USER permission on a revocable basis as described herein the right to
cuter 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 notedd\above(copies attached).
This work is generally described as: JJ U dP f 1
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:
3 n r� �e 1 J ni P R 4 I <L
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 fianchised 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."
Pagel of 2
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 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 an Wlb day of G C 20 1�,
By.
Proper U er
(to be sf in presence of the Notary)
STATE OF FLORIDA
COUNTSLQFtDUV
On thi /_ day o I nally appeared before me, a Notary Public in
ail _torn saidCounty, anfl State, the property owner of
Atlantic Beach,Florida,known to me to be the person(s)described in
and who executed the foregoing instrument; who acknowledged to me a or she ted same ly
and voluntarily and for the uses and purposes therein mentioned.
Notary Public in for said County and State .
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation: TOM 01MESPEFGER
MV CCA'Mi55!ON P FF 924951
=i. %P!PES.OeWbe16,2]19
Approved: ra :. aon�rnN rala+Pekum...�en
uo stor
a'rccodeuiri P,
For Permits where city sidelk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
Page 2 of 2