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350 6TH ST - FENCE cj' s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j 11: 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: 17-FNCE-3551 Job Type: FENCE PERMIT Description: 6' FENCE Estimated Value: $5,600.00 Issue Date: 4/7/2017 Expiration Date: 10/4/2017 PROPERTY ADDRESS: Address: 350 6TH ST RE Number: 169866-0000 PROPERTY OWNER: Name: GEORGI, KIROVALL Address: 307 BRAYDEN WAY GENERAL CONTRACTOR INFORMATION: Name: ARMSTRONG CONSTRUCTION Shannon Paul Armstrong, CBC1250627 Address: P.O. BOX 5700 QA SHANNON PAUL ARMSTRONG Phone: - - 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: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA IH 11.DING CODES. a 1.An-r.4., City of Atlantic Beach APPLICATION NUMBER �s '$ Building Department 71�Q': (To be assigned by the Building Department.) 4800 Seminole Road u �r Atlantic Beach, Florida 32233-5445 b 17 '- cc. - 355 l Phone(904)247-5826 • Fax(904)247- 5 M�ii '� art O. E-mail: building-dept@coab.us Date routed: 3/ za I 7 City web-site: http://www.coab.us BY. APPLICATION REVIEW AND TRACKING FORM Property Address: 350 `S T Department review required Yes No Buildir� Applicant: -P.,1(1r\S'('(_p�C PC S C G; ..4anning &Zoning Tree Administrator Project: �-C�cc. ublic Worcs ublic 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: LAZ,Approved. ❑Denied. aJ.13-0 (Circle one.) Comments: ie� ikG 1.0444 BUILDING PLANNING &ZONING Date. 3/3//i? 2 ?/`3///? Reviewed by: 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. ODenied. Comments: Reviewed by: Date: Revised 05/14/09 �r,,` 4., City of Atlantic Beach APPLICATION NUMBER / ~' •Si Building Department (To be assigned by the Building Department.) 800 Seminole Road I f,v Atlantic Beach, Florida 32233-5445 1 -7 —F i\Q.C. —)5 ) Phone (904)247-5826 • Fax(904)247-5845 7 '' 01119;• E-mail: building-dept@coab.us Date routed: 3 12Z l 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 c5 C) (c;41\-- ` T Department review required Yes No j� (' Buildin Applicant: (Z1(Y\ ' NC C/ZO \ 1— E/ _DCL anning &Zon,_____-- i i�> i Tree Administrator Project: FE k)CC— z .1(---p—Tc-Worcs -s tiHUtilities Public Safety _ Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required 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: r��✓+# v/ Date: .7/2J/t7 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 01-writ, City of Atlantic Beach ,� , t1 Building DepartmentAPPLICATION NUMBER rie"/7 (To be assigned by the Building Department.) 'A K: 800 Seminole Road u; �r Atlantic Beach, Florida 32233 5445I _�IV e,C - 3sPhone(904)247-5826 • Fax(904)2k 2x o;; 0 E-mail: building-dept@coab.us Z�11Date routed: 3/ Z ( 1 7 City web-site: http://www.coab.us By APPLICATION REVIEW AND ACKING FORM Property Address: ,. C) C, ( De•artment review required Yes No I� ('- 4 Buildin. Applicant: C (Z,VY\SY2C�rv� 1— &3CC= ' anning &Zoning EtE. Tree Administrator Project: CC- (__00 Kp •ublic Wor s 'ublic Utilities Public Safety Fire Services Review fee $ Dept Signature X 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: . ['Denied. (Circle one.) Comments: -/ BUILDING /`�iia- PLANNING &ZONING V. r-14*----- 3/2 Y ! 7 Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. P C WORKS Comments: PUBLIC UTILITIES (sez___ 3- �3 -17 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 C-�`i, City of Atlantic Beach :API I Building DepartmentAPPLICATION NUMBER (To be assigned by the Building Department.) A 800 Seminole Road �.� Atlantic Beach, Florida 32233 5445 _�,�CE _ 3 l Phone(904)247-5826 • Fax(904)247-5845 ;r 9? E-mail: building-dept@coab.us Date routed: 3/ 2- ( I 7 City web-site: http://www.coab.bs APPLICATION REVIEW AND TRACKING FORM Property Address: 330 S ( Department review required Ye No (`' �Buildin , Applicant: Riry\SY2arvc', 1� C�ce anning &Zoning / Tree Administrator Project: FE_:-: �oC � ublic Worcs ublic 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 �� v PLANNING &ZONING n Date: 3�a V/7Reviewed by: 1 ` TREE ADMIN. Second Review: Approved as revised. ❑Denie . 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 1 ,'., Building Permit Application t' rill ` _ f A 1. City of Atlantic Beach - 800 Seminole Road,Atlantic Beach, FL 32233 n c r ~ Phone: (904) 247-5826 Fax:(904) 247-5845 6�� s.�- I 1 -ESC -355 3 Job Address: SO Permit Number: Legal Description RE# Valuation of Work(Replacement Cost)$ t 0 0•(s Q Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one):4J Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial CResidentia • 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: 10 L Li, 6' 1-6...4 $ o ar.f, il N $o4/0t .ci,c . a-A Florida Product Approval# for multiple products use product approval form Property Owner Information Name: t'-c-A/q 'I y p v Address: J- p 6 'f ' A. City A4-1 a..,4; , V7 c c,Lt State FL. Zip 7 ZL3? Phone gp[- g'p8 •23tJ E-Mail /1/4- Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: A,'M s-I.e'oi1J 1i.,cc. e,. Qualifying Agent: Too U ivy J/- _- Address 3 Z no -`G I(•ey r 4.1,4C . 41,,_ City Ttiari,owrit State 1=i.. Zip ?22 B6 Office Phone 96 Y-3-31,-23J3 Job Site/Contact Number 94'/- 19 Y- y 9,_i State Certification/Registration# E-Mail Architect Name&Phone# Aim Engineer's Name&Phone# i(/fl/ Workers Compensation Exempt/Insurer/Lease Employees/Expiration 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 prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS,POOLS, FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 FINANCE'` G, CONSULT WITH YOUR LENDE: . ' AN ,TTORNEY BEFORE RECORDING YOUR NOTI OF COMMENCEMENT. ( attire of Owner or Agent including Contractor) �' (Signa ire of Contractor) Signed and sworn to(or affirmed)before me this /7 day of Signed and sworn to(or affirmed)before me this /C, day of tvi A.,cL ,tori ,by QZv41,4- r /int( Ma,,,c ,Zoll ,by Rs6:r-f 6p/1y //41/ a'A aturreof Notary _I, t yi (Signature of Notary) .�.,,,,,, ROBERT G. HALL e ��1naY P`Bl��i =o �«�; NotaryPublic-State of Florida „,��,,,, � ( ,.ar P:, ROBERT G.HALL E.%** ,a, + My Comm.Expires Oct 24,2018 =o+ t`�: Notary Public-State of Florida Personally Known Oi %,,;,. Commission # FF 136580 ' Personally Known MH.* ,.,‘* ' [ ]Produced Identifica >n��<OFF.o��' � :iii �r' My Comm.Expires Oct 24,2018 ;,�,�„P• Bonded Through National Notary Assn. I ]Produced Identifickii'of� �� o Commission#FF 136580 Type of Identification: Type of Identification) '%�0;;;°P`,, Bonded Through National Notary Assn. P 05.0884 -.. j N 89°55'52"E 5 19.02'(M) BOUNDARY SURVEY 1/2•Ft' V p^f`— A 9 �'°' DUVAL COUNTY :--@ B , ,, M.DCOR. Ik. C �"• -ii: + c5 6th 5T. (40` ,,,,4 7, liJ bb --F-- - - =0.00'(P) b 5 69'5028"E a 500'00'00"W 40.00(M) ci Dft9.94'(M ) frau, 5Q.00•(F • 1-4 S 1 Z e- 7 5 0 s y 112•FIP f I/2•FIP NO ID - NOID N aeIve+�/ /lYsq l s (, ) 07G��L y w 24.2 Willewil y iooS1 ) WI Self d+j�o.a'OFF WoOtily,pN l NTti Yr 4/ I o°$o o t2.6' Cc 41, Ly 5-,If Eli IST' S� a 7 2� oo s.a —t.aoN ZI Ji Proroje.d- P..cJ, i,"' ly WWF LOT 2; z ler. / / o 1/4/4 itil /yf/t/ of! ylysy os,,, /Af /fCO 2.a 2srr. O O m RES 035 0 v s Q v Z Z ai Nr 4 O w r . 0ih 2.0' AcN : -0 5.1' +— O r b- I 30.3' : 8•LCC`NY Is_ i � • _. - -:- :70 vt e,:;•t:eo c =rte:,_ ....• y�1 Ai irr ". C.r �4 Iti. 61 o I«e� r A) I 6130.44 pp" I hereby certify that this Sketch of Survey of the I.,1 • _ I ON ' y hereon described • - - hos been made under I/2'FIP 0 •I/2•FIP . my direction, • -e e: t of my know/edge and NO ID 5,89°53'42 50.00(M) NO ID belief, it is • +, -•and •r, ':.to representation of a-, . - survey that eets ttse9mini •• technical standards •- f• t• b the 'da Board Of 30 0 15 30 Profession• r: •' •*- • ••escribed in Chapter . — J ` ■■ sr . GRAPHIC SCALE (In Feet) State of Fla rofess�onot Surve = and Mapper s FwIKn7. 1 inch = 30' ft. • .'%C11.,SURVEtO� Use of This Survey for Purposes other than Intended,Without Written Verification,will be at the User's Sole Risk and Without Liability to the Surveyor. Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified. FLOOD INFORMATION: POINTS OF INTEREST By performing a search with the local governing municipality or www. NONE VISIBLE fema.gov,the property appears to be located in zone X.This Property was found in CITY OF ATLANTIC BEACH,community number 120075,dated 04/17/89. — - CUENTNUMBER:R512-636 i DATE: 5/14/2012 Florida Land AFFILIATE BUYER:GEORGE KIROU It FL'-TA Title Association MEMBERS SELLER: RANDALL RUTLEDGE -- --- --- -- ---•J CERTIFIED TO:GEORGE KIROU;ORT;JPMORGAG CHASE BANK,N.A. ie A t I www.surveystars.com Land Surveyors, Inc. P 866-735.1916• F 866-744-2882 —_ _ This is page 1 of 2 and is not valid without all pages. -! LBu 7337 12220 Towne Lake Drive,Suite 55•Ft.Myers,FL 33913' '