750 AQUATIC DR - FENCE CITY OF ATLANTIC BEACH
>. it 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
`� • INSPECTION PHONE LINE 247-5814
' 4'40111S)
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-FNCE-3542
Job Type: FENCE PERMIT
Description: NEW FENCE
Estimated Value: $1,200.00
Issue Date: 5/2/2017
Expiration Date: 10/29/2017
PROPERTY ADDRESS:
Address: 750 AQUATIC DR
RE Number: 171818-5250
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
All runoff must remain on-site during construction.
Full right-of-way restoration, including sod, is required.
All old fencing must be removed from job site by Contractor.
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities.
Hand dig if necessary. If field coordination is needed,call 247-5834.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WFIII ALL CITY OF ATLANTIC BEACH ORDINANCES AND "TIF: FLORIDA
BUILDING CODES.
.1,, City of Atlantic Beach tte& APPLICATION NUMBER
Building Departmentft (To be assigned by the Building Department.)
800 Seminole Road MAR 2 2 201I _ (�CC _
Atlantic Beach, Florida 32233-54451 351
Phone(904)247-5826 • Fax(904)2445
rmoe, E-mail: building-dept@coab.us Date routed: 3/ ZZ-(i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '7 50 Alt C L iZ Department review required Yes No
�E�uildin _
Applicant:
(&)) ER Panning &Zoning
Tree Administrator
Project: w 00 t`� E— /SCC ��t'tiibTc Work
Public 1Jthiti
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:
APPLI TION STATUS
Reviewing Department First Review: Approved. ['Denied.
P1 , 1
(Circle one.) Comments: n/L� � �� IN
mete
BUILDING / E4 k Eye
t/
PLANNING &ZONING Reviewed by: r Date: 3 / Zr I� 1
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied.
P , c WORKS/ Comments:
PUBLIC UTILITIES
,3 - 23 - 17
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I /Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
I
City of Atlantic Beach APPLICATION NUMBER
i411- Building Department (To be assigned by the Building Department.)
,r'w.itis
800 Seminole Road w CC 2 C5
Atlantic Beach, Florida 32233-5445 _ _3
Phone(904)247-5826 •• Fax(904)247-5845 f /
\- I 9109,' E-mail: building-dept@coab.us Date routed: 3 Z Z-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7 S C c U t C (J iZ Department review required Yes No
�ildin
Applicant: 0 L&)KD C. R._ Planning &Zoning
Tree Administrator
Project: CSO L` F— /1�C� � 6Tic Vllorks)
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: �!i�.�� y �-�Date: .1/207
TREE ADMIN Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I lApproved as revised. (Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
'-=1,1r_. City of Atlantic Beach APPLICATION NUMBER
.. • (To be assigned bythe BuildingDepartment.)
_ •� Building Department g p
r • 2 800 Seminole Road L
Atlantic Beach, Florida 32233-5445 ` 7_ F K)CG _35 { �.
~ Phone (904) 247-5826 • Fax (904) 247-5845 3 j Z Z l
' '•t o,3s'>'' E-mail: building-dept@coab.us Date routed. 7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '7-50 [ C-AU i T t C lJ iZ Department review required Yew No
un �/
Applicant: 0 (AND E>2 "-Pl n ing &Zoning s
Tree Administrator
(� ) .
Project: 00 t F�C :. _ bTc Works
u is tilities)
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: RKPproved. Denied.
(Circle one.) Comments:
BUILDING / q
PLANNING & ZONING Reviewed by: / Date: 3! 0 Z7
TREE ADMIN. 1
Second Review: I !Approved as revised. Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I !Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
.s,;.�,�:, City of Atlantic Beach APPLICATION NUMBER
Js r Building Department (To be assigned by the Building Department.)
r - 'i "1+\tom',
�� �� 800 Seminole Road 9 �a 1 7_ ��CG _2 5 n Z
� 5
r Atlantic Beach, Florida coab.u5445 MAR [ F JJ-"f
Phone(904)247-5826 • Fax(904 7-5845 3 Z
�oi3 c? E-mail: building-dept@coab.us Date routed: / Z
/i 7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: \-7 5 0 L c u FZ I C (J iZ Department review required Yes No
fB i i ildin
Applicant: Cl) w 1\_D --Planning &Zonings
Tree Administrator
Project:
10 O i F- -AD c Piibli Works
��P`ublic Ufiliti�
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. genied. ig
(Circle one.) Comments: lee
/�,J�,,�,/,� 441,iid�r�' K�U`�
BUILDING /
!'V
PLANNING &ZONING Reviewed by,,J/! _ Date:_ S-2 V4
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by �G ?g dat,i 6 Date:x ./7
T
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
0!._,LNr , CITY OF ATLANTIC BEACH
iiir /�� DEPARTMENT OF PUBLIC WORKS
r., iii; 1200 Sandpiper Lane
tt� Atlantic Beach,FL 32233-4318
TELEwww.coab.us PHONE:(904)247-5834
-� -I, FAX:(904)247-5843
M
\1/4'
<-1-Jii t 1
OWNER: DATE: 3-24-17
Rosina Aguirre PERMIT# 17-FNCE-3542
2530 SW 3rd Avenue#405 ADDRESS: 750 Aquatic Drive
Miami,FL 33129 Atlantic Beach, FL 32233
PERMIT APPLICATION FOR 6' WOOD FENCE 61Y017
Your permit application has been&lied by the Public Works Department for the reasons listed below. Please submit this
information at your earliest convenience in order that we may approve your application. If you have any questions,please
contact Scott Williams,Deputy Public Works Director at 904-247-5834 or email swilliams(a),coab.us.
PUBLIC WORKS CORRECTION ITEMS:
(Submit the following information to the Public Works Department)
• A Revocable Encroachment Permit must be obtained.
PUBLIC WORKS CONDITIONS OF APPROVAL:
(The following comments will be printed on your permit as Conditions of Approval)
• All runoff must remain on-site during construction.
• Full right-of-way restoration, including sod, is required.
• All old fencing must be removed from job site by Contractor.
cc: Toni Gindlesperger,Building Department
Jennifer Johnston,Building Department
MAP SHOWING BOUNDARY SURVEY OF
LOT 19A, AQUATIC GARDENS, AS RECORDED IN PLAT BOOK 38, PAGES 71 AND 71A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
AQUATIC DRIVE
CERTIFIED TO: (5o.o'RIGHT of WqY)
Y_ STEPHEN C. I<IELLEY 28g N z-�'0s•35.,E
NOR WEST MORTGAGE CORPORATION 6 cHoR0
STEWART TITLE GUARANTY COMPANY . 28.86, N 2,¢27.PLA„
RICHARD T. MOREHEAD, P.A. sr44,^'tic (CN 54 E
°� 4,ate, '�roacRD) MEASURED
L 2896,
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LEGEND: _,��No_..Me03 ",rN
GEW /E
APR 2 7 2017 17- FtQCE-354` .
R.O.W.Permit Attachment f for
R.O.W.Permit# sued ,20 Atlantic Beach,FL 32233
Owner's Name: L 0 A ,U U t 7@ tQ - r£f V
/ /�� 3 X33
Property Address: 75 0 �. . !/,, �G�� ��/.,�.�� ��
Subdivision: R.E. #:
V6i/CAroJi R 9g 0 A0A„6-044
REVOCABLE ENCROACHMENT PERMIT
S VOCABLE ENCROACHMENT PERMIT, issued on th•is L—j day of
20L , by Atlantic Beach, Florida, a municipal corporatio xisting
and the laws of the State of Florida,hereinafter referred to as"CITY"and
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: 4 ,1/V S
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:
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."
APR 2 6 2017
Page 1 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 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 a 4 day of LINA.J/ , 20 / 7
If
By'.%i ., At
" •perty I $ner
(to be sig -. in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this Z- day of ��r, , , 2017, personally appeared before me, a Notary
Public in and for said Cdunty and State, F( cam , the property owner of
%is O -A V n-4 , Atlantic Beach, Florida, known to me to be the person(s)
desc -d in and who executed the foregoing instrument; who acknowledged to me that he or she
exe• •. the sa jeli and v• untarily and for the uses and purposes therein mentioned.
_ r eye TONI GINDLESPERGER
Notary Public in • ai• County . •Mate• A a, . ~ *= MY COMMISSION#FF 924951
� ,o EXPIRES:October 6,2019
IP ! -' ;(`� 6cndad Thru Notary Pubic Underwriters
CITY OF ATLANTIC BEACH, FLORIDA,
a municipal corporation:
Approved:
PublicWorks Director
so-7 u%vj,4(
File: 12/12/16
Page 2 of 2
I
I
I r'r'- q
,p Building Permit Application , ; �'
i..' - City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
uri o'' Phone: (904) 247-5826 Fax: (904)247-5845 17-
7_ I NCC _ 3 Szt z 1
1
Job Address: V
750 r% ,le/ Permit Number:
Legal Description RE# 1-71 Site "s 2S
Valuation of Work(Replacement Cost)$ i Z-C)
Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteratio Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• 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:
6 ' (Vi ; 1 c i , '// -(7/,
for multiple products use product approval form
Florida Product Approval#
Property Owner Information �5 30 5�'3 v�� 9®,�
A
SC57/1/1/ �I.UIr oat:-
Name: Address:
City / fi /"1/ State PL Zip 33/9_q. Phone 786 -7'- 9l0
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Requir:i)
Contractor Information
Qualifying Agen
Name Company: I- City State Zip
Address
Office Phone -- Jot Site/Contact Nu •
State Certification/Registration#
-Mail AIME Name&Phone# �--
Engineer's Name&Phone# _rmillI
Workers Compensation ifflailliffir
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit • do the work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit .nd 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.
NT MAY
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICEOF CPROPERTY.OMMENC IF E YOU INTENDRESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RE i ' =I.NG YOUR NOTICE OF COMMENCEMENT.
ONk,
(Signat7//Ar)
gnature of Owner or Ag: ncluding Contractor)ined a • sworn to(or affirme• •- ore •- this day of Signed and sworn to(or afbfief•re me his day of
,by 4114
a�. I
_�-� arvArti
(Signat e of Notary)
'�*�'°it, TO—NI GINDLES ittO 0 otary)
c�'.a 44,s
. .. MY COMMISSION#FF 924951 e
,. ,'a EXPIRES:October 6,2019 ]
;or„,,P Bonded Thru Wary Pubic Underwr;?ers J
[ ]Personally Known OR [ ]Personally Known OR
[ 1 Produced Identification 7 ]Produced Identification
Type of Identification: 25--6, — Ty e of Identification:
i
.tui;r
`L....,,Zis .•-.TCITY OF ATLANTIC BEACH
v'� I�%'WNER/ BUILDER AFFIDAVIT
s____)
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW:
I)ISCI.OSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. '1FIE EXEMPTION ALLOWS YOU,AS'I-I-lli OWNER OF YOUR PROPERTY.TO ACT AS
YOUR OWN CONTRACTOR I:ACI'OR EVEN 'I'11011G1I YOU 1)0 NOT HAVE A LICENSE. YOU MUST
SUPERVISE TIIIs CONS1•RLICj ION YOURSELF. YOU MAY BUILT)OR IMPROVE A ONE–OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUB
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR/.EASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME TI IAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. 1'OII MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS, IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
I,dCENSISIXQUIRED BY STA7T LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
• PURCHASED.
•
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE TI-IE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA `CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
V.ACKNOWLEDGEMENT; I I-IEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE •
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
7500:tda6 ,61" ' -;e-7��•- /&7
_
ADDRESS PHONE NUMBER
`ivh ;LG (I ir
i9s/ XR,,
PRI T •E K
65—() 7— 0)''40 /7
SIt•ATLIi !1 D E
Before me this Z( day of Y1 ,,Q4, 4.Lin the county of
Duval,State of Florida,has personally appeared Iletin by hlms If I herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large.State of I ( .County of O 104 ;: :.
❑Personalty Known ' R
5 —(0
s --- 9 s C
-, I Proiuced tdent,hcati• I coL J
. TONI GINDLESPERGER
Notary Signature: _Aril( c ,.i ;',.. ,. MY COMMISSION#FF 924951
1 "'r. :of EXPIRES:October 6,2019
'a' °' 6unded Thru Nota Pubr,c Urder i iers
C1f1Lt)G'Uancr-UuitJ.y An'aJ.mt,illi\'141:1) 4)102009fl, +y