294 Poinsettia St fence permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NE)IT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-FNCE-3202
Job Type: FENCE PERMIT
Description: install 6 foot fence - need WC, LBTR from contractor
Estimated Value: $750.00
Issue Date: 2123/2017
Expiration Date: 8/22/2017
PROPERTY ADDRESS:
Address: 294 POINSETTIA ST
RE Number: 170567-0010
PROPERTY OWNER:
Name: Wall, John R
Address: 294 Poinsettia ST
GENERAL CONTRACrOR INFORMATION:
Name: THG GENERAL CONTRACTORS
Terrence H.Gause,CGC062653
Address: 634 S 2ND AVE TERRY GAUSE
Phone: 904-838-5925
PERMIT INFORMATION: PUBLIC WORKS:
All runoff must remain on-site during construction.
Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling,
Shapell's Inc.). Container cannot be placed on City right-of-way.
Full right-of-way restoration, including sod,is required.
All old fencing must be removed from job site by Contractor.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCXHWANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Read
Atlantic Beach,Florida 32233�5445 9 2017 l 1-1-FA)a Ca
Phone(904)247-5826 Fax(904) 247 584,�
E-mail: building-dept@coab,us Date routed: 0 )
Cityweb-site: httlp:/A�.wab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: fto",)'Stt�14 SA- , D ent review uired Yes No
Applicant: -TRa-1 aignivaA tm4u*pr� inning&Zonin
Tree Adminns rator
Project: CLIA d sp_a�zin 0
Public Utilities
Public Safety
Fire XSewices fM
Review fee $ Dept Signature 1� -W_
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
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
*Other.
APPLICATION STATUS
Reviewing Department First Review: &�Appnoved. EEI]D e n i e d.
(Circle one.) Comments;
BUILDING
PLANNING&ZONING Reviewed by: Dat,2vll
TREEADMIN. Second Review: ElApproved as revised. E] tried.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date
FIRE SERVICES Third Review: ElApproved as revised. ElDemed.
Comments:
Reviewed by: Date:
Revised 05/1Q09
City of Atlantic Beach APPLICATION NUMBER
Building Department 7F(To be:ia�signed by theBuilding Department.)
as
800 Seminole Road I J,
,L
FA)C(
Atlantic Beach,Florida 32233-54145 -1 -Sa
(9
904)
E 7
Phone(904)247-5826 - Fax
E-mail: buiIdIngAept@coab.0 Date Emuted:
City web-site: http:1Avww.00al: FEB 0 9 2017
APPLICATION REVIEW AND-TRACKING FORM
Property Address: Q61 LA Po',,)'s tt� (A :S� D ent review uIred Yes No
Applicant: 'THI nning &Zonin
Tree Admims rator
Project: Ckdd S-4-�bn oE
Co IL ublic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature_40�ml
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B ate
Florida Dept.of Environmen I xtection
Florida Dept.of Transportation
St.Johns River Water Managerne Dishict
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ZrApproved. DDenied.
(Circle one.) Comments:
BUILDING 'Ju//�
PLANNING &ZONING
vi w
(C
In
BU
r
g
c
I
e
L
D
0
D
n
p
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a
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riment F
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om
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ma
av
ntis
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ANN NG NIN
w,
Ap
to
FM
I &ZO G 2L /�7
T TREE ADMIN S
REE ADMIN. Second Review: ElApproved as revised. E]Denled.
P 0
W' RKS Comm nts:
PUBLIC UTILITIES
P U
BLIC TY
2 -? -17
UBLIC SAFETY Reviewed by: Date,
JAPPI
FIRE SERVICES Third Review: ED Approved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revased 0611"It
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Delpar�tment.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 11- f=A)C1-_---la Q�
Phone(9134)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date routed:
City web-site: hffp:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: LA ftc) ,nstt�iA Sk , ant review re ulred Yes No
Applicant: 760-) nning&Zonin
d Tee Adminus rator
Project: CLIA
Ct (\ � Public Utilities
Public Safety
Fire WSewices M
Review fee Dept Signature ——————A 44"Allil"
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B 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
FReviewing Department First Review: JZApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
�Reviewed by: Date�
ppr'v, . V"
TREE ADMIN. SeconclReview: OApproved as revised.�DDenred.����
PUBUCWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ODenred.
Comments:
Reviewed by: Date
Revised 05114tO9
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Flonda 32233-5445 FA) __�a
Phone(904)247-5826 Fax(904)247-5945
E-mail: building-dept@ccalb.us Date routed:
City mb-site: Wp:/A~v.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: --�61 Lk P L, , S ttb[A S� low required Yes No
_Tt�0--) &IU04a� 4nA4&c+v_�
Applicant: �-P�nning&Zoning)
Tree Admin-istrator
Project: Ck-d J sp_CA�)A 0 krL-Q-
OLAL 4Public Utilities
Public Safety
Fire Sewices
�Pept,Signa_tti
Rev t
Other Agency Review or Permit Required of Pe=pBy Date
Florida Dept.of Environmental Protection
Florida Dept.offransportation
StAohns River Water Management District
Amy Corps al'Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: L mne"
!lApproved. [-]Denied.
(Cil-cle oTt� Comments:
PLANNING &ZONING Reviewed by: Date:
TREEADMIN. Second Review; [JApproved as revised. [-]Denieif
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: []Approved as revised. [-]Denied.
Comments:
Reviewed by: —Date:-
4109
BuILDING PERMIT APPLIC)
CITY OF ATLANTIc BEACH 'E
FEB"- 7 2017
UIN 1 800 Seminole Road,Atlantic Beach Fl,3223 1
Office:(904)247-5826 . Fax:(904)247-5E,5
X Job Address: PPIIIJ64e, SY' PermitNurnber:
'A v 23�I�Fy,
Legal Description4-6i/-S-3f 10:/k 4 RE#
Valuation of Work(Replacement Cost)$_Z6�D Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition 6� Repair Move Demo Pool Window/Door
Residentut
• Use of existing/proposed structure(s)(Cimle one): Commercial
• If an existing structure,is afine spritilder system installed?(Circle one): Yes No
• Submit a Tree Removal Permit Application if my trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
& �A
ADlw Palitzl . Pimp" x,j Lck
Florida�rmlmt Approval I# for I mulffp�products use product approval loan
Property Owner Information
Narne: A, Address:
te jVil 3z;—'-3-3 Phone
Stn"L_ezip
city
E-Mail A,�
OwnerorAgent (IfAgo�Po�ofAn�DeyorAgm�L�rRequi
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 NOTI�t OF COMMENCEMENT.
Contractor Information:
Name of Cornpan�:_V�da.,-d L,4 �� Q"I!i�qng Agent:
Address: 63 .2^!f A� #,J City %�J, State Zip _F7 39 Z_<sos
Office Phone 9b4- FS9. S`92S Job Site/Contact Number
State Certification/Registration# CU 04,9"_� E-MailrP4 tgjaail. ��
Architect Name&Phone #
Engineer's Name &Phone#
Worker's Compensation 11111111 if! leiz , 1!:: [an are
Application is hereby made to obtain a permit to do the work and installations co indicated I certify that no work or installation has commenced
jr,or to the issuance ofa permit and that.11 work will be peftwoted to meet the standards ofall laws reahating construction in thisjurisdiction,
t,
his person becomes null and void if work is nor commenced within six 3( months, or if construction or work is sounded or ab.ndoneWr a
grV 4sx arn tz imategokiscommenced. Iunderna that separatep,runits,most be,ec.redjar 1ecniodWatPh, ing,
,g bA= V
, =tB.4, zes Tanks andAir qondkianerv,dc.
Signature of Praperry Owner: Signature of Contractor- �Lr
Bef, a
tbis7nwDay of Before me this
,k,ay of DIN 1-
C7
EO
Notary publi Rittimb"FF149W Notary Public:
I hereby certi y that) "Ift 11 k the 6 1 o lines and
c.1; 1, action or the
ordinances governing this type of work will be co i t er sp not does not
presume to give authority to vilawoorr cancel the v i ns of any otherfeke' ��,Oh "ineow
perjormance olfconstruction.
ORDERED BY
The Law Offices of Rod Schloth
2187 IS Third St
Jacksonville Bch, FL 32250
904-372-9351
beach@rod-law.com
PROPERTY ADDRESS: 294 POINSETTIA STREET ATLANTIC BEACH,FLORIDA 32233 UMBER: FL16102005
FIELDWORK DATE: maomiA REVISION DATE(Sh FEV.0 R=2016)
F1 1610.2005
BOUNDARYSURVEY
DUVAL COUNTY
LOT 52G
NOWRIERLY 25.10
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LOT539 .0 IIE
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LOT 528
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L 1 50.00(P)
5 29-53-22-W 49.95'(M)
L2 24.90'(P)
5 30-04-40-W 25.15'(M)
L3 24.90'(P)
N 29-1922-E 25.19'(M)
_OT AEPIMAS TO M 5EIRMUD By��IG WATURAle)SEWER
TRCE OWREE5"IP NOT DEVRWINED
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my al'10 .4y offt harsoo deaffbedMpeq has Lese ad,We,
-*ofprx��etfOhbyftFkffda8mrdofPmfembW GRAPHIC SCALE (In Feet)
I inch 30' It
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FLOOD INFORMATION:
E VP LREEREST
IS
S�
By PERFORMING A SEARCH WITH THE LOCAL GOVERNING IB E
UNI
M r CIP I AUTY OR WWW.FEMA GOV THE PROPERTY APPEARS TO BE
LOC'ATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06M1 3,
KEITH KENNEDY RYO—NIX
REALTI�R-! REALTOR'
CLEIENT NUMBER:RS164303 DATE: 10/20/2016 - la
1-11. W� FWm
BUYER:JOHN RWALL&BRENDA S WALL &
SELLER CARLA FRY
ENNI Y(OWABOIREALRERP Com
HUR
CERTIFIED TO:JOHN R WALL&BRENDA S WALL THE LAW OFFICES OF ROD
-FACTA
SCELOTR P A,;OUO REPUBLIC NATIONAL TITLE INSURANCE
COMPANY,UNNERSALAMERICAN MORTGAGE COMPANY I-, DYE
Land Surveyors, Inc.
2
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