2280 N Fairway Villas Ln fence permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FENCE WALL OR BARRIER - FENCE
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-5814
PERMIT INFORMATION!
PERMIT NO: FNCE17-0023
Description: replacing damaged fence around property
Estimated Value: 9300
Issue Date: 7/11/2017
Expiration Date: 1/7/2018
PROPERTY ADDRESS:
Address: 2280 N FAIRWAY VILLAS LN
RE Number. 1693981102
PROPERTYOWNER:
Name: LACROSS SCOTT A ET AL
Address: C/O MICHAEL J LACROSS2280 N FAIRWAY VILLAS LA
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMA71ON:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For RVAC work,a Notice of Commencement is only required when RVAC work
exceeds and estimated value of$7,500.
CRY of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 Vtjce I 001)-'�
Phone(904)247-5826 FaX(904)247-5845
E-mail: buiIdin"ept@coa1b.ua Date muted Qz 1-4
C1y"th-site: http:N�,coab,us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Ql -c� I () N - Pa,iW&I V; tl( D entravlawre uired Yes o
Applicant: V3 NLV lanning&Zoning
T
Project: --�L��wkr� �6'ma
bli
Public Safety
Fire Services
Mtt�-a'i W& V' tl�
Fire Services
Other Agency Review,or Permit Required Review or Receipt
of Permit Verified 8 Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management Disbict
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
I"
Reviewing Department First Review: P34proved. DDenled. E]Not applicable
(Circle one.) Comments:
E��)
PLANNING&ZONING Reviewed by: Date: �-6-19
TREE ADMIN. Second Review: [-]Approved as revised. E]DeniecY. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date
FIRE SERVICES Third Review: ElApproved as revised. E]Denied, E]Not applicable
Comments:
Reviewed by: Date:
ROvIsed0511912017
City of Atlantic Beach
Building Department
&00 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab us
City web-site htm//�,coab us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ;�IA 10 N - i wo- V� J�4S(A D an review re uIred Yes No
Applicant: I
_ DON-W lanning&Zoning
Project: k(J_LA 0(YU
04 D'k'A blic Utilftie
Public S ty
Fire Services
Review fee Dept Signatd6
NOther Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Protection Of Permit Verified B Date
Flonda Dept. of Tmnspoftftm
St.Johns River Water Management District
Army corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
OtherM
APPLICATION STATUS
Reviewing Department First Review: pproved. ElDemed. E1NOt applicable
(Circle one.) Comments:
BUILDING
w
(C.
ev' U I
L
D
a
D
a
N
P
na
a
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Re
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PLANNING&ZONING
FE Relewed by Date
I Reviewed by i/—/I—A2
EJAp ovad'."v'sed E3NOt a
t
v,ew
F cl
TREE ADMIN. S *�� Date
SacondReviev,; EIAPPADVedasnevised. []Denied. Not applicable
PUBL'PUBLIC WORKS Comments:
C WORKS
PUSLICUTILITIES
PUBLIC SAFETY Reviewed by: Date,
F E S VIC S Th ve
IRE SERVICES Third Review: EIAPproved as revised. []Denied. ONot applicable
Comments:
Reviewed by: Date:—
ROVISed OW1912017
Brian Broedell
From: michael Lacross <formallawncare@gmaii.com>
Sent: Friday,June 09, 2017 6:54 PM
To: Brian Broedell
Subject: Re: 2280 Fairway Villas Fence Permit
Afternoon Brian.The height of the fence will be standard 6'privacy fence.
Sent from my Whone
On Jun 9, 2017,at 10:49 AM, Brian Broedell< >wrote:
Michael,
Can you clarify the height of the proposed fence at 2280 N. Fairway Villas Lane for me?
Thank you,
Brian Broedell
Planner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904)247-5822
bbroedell(&coab.us
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233-E PEIVEJ
Phone(904)247-5826 Fax(91OM5845
E-mail: building-dept@coab us JUN 0 5 2017
DtYweb-site hftp/A�.coalb.
APPLICATION REAWAND TRACKING FORM
Property Address: . -� A 10 N , Poaw& V� jl, D entreviewre uired Yes No
Applicant: if
D 0 N-W I nning &Zoning
Project: _!"A U(,\ 0Ma
blic Utilfti
Public Safety
Fire Services
Review fee $ D
ept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Protection of Pe it Verified B Date
Florida Dept.Of Transportation
St.Johns River Water Management Distnct
Any Corps of Engineers
Division Of Hotels and Restaurants
D"! ton of Alcoholic Bewrag—
Other.
APPLICATION STATUS
FReviewing DeparImenftF:1mt Review: dApproved. ElDenied.
Co me
(Circle one.) Comments: E]Not applicable
BUILDING
PLANNING&ZONING Rev ved bX: Date
T MI S
TREE ADMIN.
Second Review; E31APPMVed as revised. LJDenied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.*
FIRE SERVICES Third Review: []Approved as revised. ElDenied. ON.t applicable
Comments:
Reviewed by:�Date
Revi.edOW912017
CITY OF ATLANTIC BEACH
"'N 800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
REVISION REQUEST SHEET OR FAX(904)247-5845
CORRECTIONS TO REVIEW COMMENT
Date: �0 Received by: Resubmitted:
P_
Permit Number: PZ&I'l -oo�.3
P Original Plans Ex�ner` Project Name-
roject Address: �1&10 (virAkI V�k�ft�,(-,)
Contractor: C EL ) Contact Na'm�
�onmctrnone : Contact e-mail:
Revision/Plan Check/'Permit Fee(a)Due: $
Desmip-t—io i of Proposed Revision to Existing Permit,
IM )CCt W-L t-r1C"Ct(Af% mjnt 9L(rn,
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised:
Public W U Approval:
By signing below.I(PAnt nme)
is inclusive of the proposed cW---� alfimn that the above revision
anges.
S,gnalu-of Contractor I Agent(c..�._ Date
D.. �— "- 7 APP�0.d RejecW-
T_T7_ NofifiM by.
Plan Review Comments-
V Department review re uired Yes No
I Building
I NanLog Mrflunq
nistm or Plans Examiner
ub Ic Works
Public sa fety
Fire Services
Date
City of Atlantic Beach
Building Department P�'EC EIVE
800 Seminole Road
Atlantic Beach, Florida 32233-544b JUN 0 5 2017
Phone(904)247-5826 Fax(904)247-5845
E-mail buildingAOpt@wab us
City web-site: blip//wwwcoalbo�
APPLICATION REVIEW AND TRACKING FORM
Property Address: :� A 10 N - i wit. V; I� D it " entreviewre uired Yel No
Applicant: - DWIV-41 fanning&Zoning
Project: ( � r) r
046,k.AA blic Utilitle
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Protection Of Permit Verified B Date
Florida Dept Of Tmmplrt,tin
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION ST kTUS
4
Reviewing Department First Review: ElApproved. ElDenled. Vat applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by: f?
-Z
TREE ADMIN. a e::: = f?
.ppl,ce
Second Review: ElApproved as revised. E]Denied. E1NOt applicable
P W RKS Comments;
P IIC
C�
L
�UBL UTILITIES
PUBLIC SAFETY Reviewed by:�Date.-
FIRE SERVICES Third Review: ElApproved as revised, E]Denled. EJNOt applicable
Comments:
Reviewed by-�Date:_
RavisedOM912017
Building Permit Application Updated 5/5/17
City of Atlantic Beach OFFICE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 308 Q 'Pau'w, - IyJX Jay 1 11 , A 6. —Permit Number:_FA)C01-()0c1-3
Legal Description RE#
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
epair Move Demo Pool Window/Door
• Class of Work(Circle one): New Addition Alteration(E�
• Use of existing/proposed structure(s)(Circle one): Commercial, s,�de n I,
• If an existing structure,is a fire sprinkler system installed?(Circl'e n-.T- 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:
_'0o:&A%a RE ni It- ;g�qzj,�,k 4-V� li"cbg�
Florida Product Approval# for m ple products use product approval form
Property Owner Information
Name: MC�Aa A-\ t cc Address- FJgtb 'L:`iul AL
city O-W. U" -7..f, e_ Statez&—Zip Phone QJ r a
E-Mail Q� DE,, � Oq�cej . �
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Qualifying Agent:
Address City State Zip
Office Phone Job Site/Contact Numbe [_-� —,
State Certification/Registration#_E-Man P L�_�
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
Exempt/ln�rer/Wa5a Epnployee�ft%tti in Date - e 701 j'//
if
Application is hereby made to obtain a permitto dothework and installations as indic ertify thafRI'l-ta'PoXtallation has
'ret t st�m 11
commenced prior to the issuance of a permit and that all work will be performedto meet the stan 11 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.
WARNINGTO WNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
' Y
RESULTINY R PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAINYO LANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIN Y UR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me thlsaNA�Lyday of Signed and sworn to(or affirmed)before me this_day of
A. 4lak"t- by by
(Signature of Notary)
]ENNIFERJOHNST314
OM
I ]Persomally Kno RES.Octax,27.210 I Personally Known OR
VNVYroduced Iden I Produced Identification
Type of Iderni fro r: ar J Type of Identification
CITY OF ATLANTIC BEACH
OWNER/ BUMDER AFFIDAVIT
1. FLORIDA STATUTES- CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION
CONTRACTING'REQUIR�S OWNER I BUILDER TO ACKNOWLEDGE THE LAW.
DISCLOSURE STATEMENT FOR SECTION 489-103(7),FLORIDA STATUTES:
(7ONTRA STATE LAW REQUIRES CONSTRUCTION TO 13E DONE BY LICENSED
CTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
ME
'0
LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE YOU MUS
Y-U—T
SLIPERVISE THE CONSTRUCTION YOURSELF. YOUMAYBUILDORIMPROVPAONE-OR
Y ALSO 13UILD OR
'�y HESHOINCE OR A FIRM OUTBUILDING. YOU MA 7
NIPROVE A COMMERCIAL BUILDING AT A COST OF$25 000�00 OR LESS. THE BUILDING
MgILBE -0�YUSEAND OCCUPANCY. IT MAY NOf BE 13UILT FOR SALE OR LEASE
IF YOU SELL OR LEASE A 13UMDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION
IT FOR SALE OR LEASE WIRS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
CH IS IN VIOLATION OF TIRE EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED hR SON AS YOUR CONTRACTOR' YOUR CONSTRUCTION MUST
-� DONIS ACCORDING TO TFIE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKR SURE THAT PEOPLE
Li BE REQUMED BY ST�ATE LAW lff� YOU HAVE
AM By cQlWly9n IICR Rl
S TO WORKERS THEY HIRE 0
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIE IL
PURCHASED. -c;E�s ZMrs COMPENSATION INSURANCE BE Q
THE BUILDING DEPARTMENT mG
Lu
Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO 2
OBSERVE IRS VOTHHOLDING TAX ANDIOR FORM 1099 REQUIREMENTS On THE WORKERS THEY LL
EMPLOY ON THEIR IMPROVEMENT TRADES, U.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY 0
CIRCI MSTANCES OWNERS BEING SUBJECT T ' :1 1 1 DER FLORIDA STATUTE NO.
4b5 226(l). AN"OCCUPATIONAL LICENSE'IS N T A E TE THE NER SHOULD PHYSICALLY
SEE — _uilir CtKii�iuAJL Ul- COM TENC " R THE FLORIDA *CONT CTORS
CERTIFICATE' TO ASCERTAIN IF A PERSON I LICENSED C NT CTOR. TE PHONE THE
BUILDING DEPARTMENT(247-5826)IFIN DOUBT. Lu
V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOS I f) -
STATEMENT AND THAT I COMPLY WTH ALL THE REQU UREZ
OWNER-BUILDER PERMIT. IREMENTS FOR THE ISSUANCE OF AN< U)
X � z
() < 0
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0 —
&( LIJ a
PHONE NUMBER o m
C.) a 0
UJI <ou
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C.n1,0 w a w
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..........
10*11.v- JENNIFER JOHNSTON,
MY WMM
EXPiRUfSSiON#SSoMjr
&O�n.ma
N.�,Sll mtu�. P�UN:�
FAIRWAY VILLAS
STOKES & COMPANY
BUILDERS & LAND DEVELOPERS
y
'08
C13
JUN !---6 20'17
R.O.W.Permit Attachment of— I
R-0-W-Pem1it#F_NC(_–d-_00A3 issued�' _20_ �AtlanticBcacl ,FL 32233
Owner's Name
Property Address:
Subdivision:
R-E.#:
REVOCABLE ENCROACmaNT pFRrMT
REVOCABLE FNCROACHMNT PERM[T, issued 0. this (,A day of
20_Q, by Atlantic Beach, Florida, a municipal corporation organFw—dwd exis g
under the laws of the State of Florida,hereinafter referred to 11"CITY"and tin
of Atlantic Beach Florida,hereinafter referred to as"USEW'.
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-Wayfflasement permit numbers noted above(copies attached).
– '�A SJ=
This work is generally described as:
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 CrI'Y to the USK said notice to
given by cortified mail receipt requested, to the following address:
XIA\� C;Mc
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 CrFY informed of USER's proper address.
The USER shall promptly make my and all necessary repairs to my 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, my and all material necessarily displaced during the action of maintaining, repairing,
operating,replacing,or adding to of the utilities and facilities of the CITY orf7suchise 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 I of 2
The USM 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 dra gs showing e ch c
within thirty(30)days after the day of completion. win th ang
This permit shall inure to the benefit of, and be binding upon, the USER and their respective
successors and assigns.
USER shall meet the term 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 harenless by the USER m my of the work herein under the te of this
permit and that all of said liabilities we hereby assu fro mis
med by the USER.
DATED SIGNED this day If 20�1.
By.
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTYOFDUVAL
On this 0"I" day Of 7Lkrl)—
nd State, VctL L�f'lor,& the property mvnu of
Public Cn--and for said County a� 20 [A Personally appeared before me, a Notary
-4A-- -L
R�iWN Atlantic Beach, Florida, known to me to be the parson(s)
described m and who executed the foregoing instrument; who acknowledged to me that he or she
executed the same fmely.andvoluntadly and for the uses andpurposes thereinmentioned.
1'40tey Publiclib for�fid County and State
@227
CITY OF ATLANTIC BEACH,FLORIDA,
a municipal corporation:
Approved:
Public Works Director
File:12/1M6
Page 2 of 2