71 19TH ST - FENCE ,,
.cs ' '' v „ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
40;3 s) INSPECTION PHONE LINE 247-5814
FENCE WALL OR BARRIER - FENCE
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: FNCE17-0039
Description: install Tremron stonegate block retaining wall with cap
Estimated Value: 12200
Issue Date: 8/11/2017
Expiration Date: 2/7/2018
PROPERTY ADDRESS:
Address: 71 19TH ST
RE Number: 169723 1035
PROPERTY OWNER:
Name: CLANCY SEAN
Address: 71 19TH ST
ATLANTIC BEACH, FL 32233-5983
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Beautiful Blooms
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 HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
v
r• r
r
'' Permit Conditions
City of Atlantic Beach
J
Permit Number: FNCE17-0039 Description: install Tremron stonegate block retaining wall with cap
Applied: 7/24/2017 Approved: 8/2/2017 Site Address: 71 19TH ST
Issued: 8/11/2017 Finaled: City,State Zip Code: Atlantic Beach, Fl 32233
Status: ISSUED Applicant: <NONE>
Parent Permit: Owner: CLANCY SEAN
Parent Project: Contractor: <NONE>
Details:
LIST OF CONDITIONS
SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS
DEPARTMENT CONTACT REMARKS
1 7/28/2017 ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
2 7/28/2017 ROLL OFF CONTAINER INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell's,Inc.,Republic Services). Container cannot
be placed on City right-of-way.
3 7/28/2017 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full right-of-way restoration,including sod,is required.
4 7/28/2017 FENCING REMOVED INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All old fencing must be removed from job site by Contractor.
111
Printed: Friday, 11 August, 2017 1 of 1 •
a
S�, i City of Atlantic Beach APPLICATION NUMBER
.' Building Department (To be assigned by the Building Department.)
— /
r 800 Seminole Road 'FAX& I1 - 0°
j „ Atlantic Beach, Florida 32233-5445
f
Phone(904)247-5826 • Fax (904)247-5845
\ oil j, E-mail: building-dept@coab.us Date routed: 0 I 1 (1'
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 I Ici �� Si- . Department review required Ye ! No
r Q (Buifdin
Applicant: eta. .(,-ki--LAA e (001' anning &Zoning
Tree A ministrator
Project: in St'4kt T Lrr(DA bIloct_ (t a1r t Pubic ores
Public Utilities
w C41 I w t-k-vt C a P
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: [l pproved. Denied. ['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: . -' 2 V
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. ['Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
,,:o-up,../A. City of Atlantic Beach APPLICATION NUMBER
,,•j
Building Department
,�� (To be assigned by the Building Department.)
800 Seminole Road
-6I<' Atlantic Beach, Florida 32233-5445f1�C� ^ d�3
rPhone(904)247-5826 • Fax(904)247-5845
,v.2) E-mail: building-dept@coab.us Date routed: r)9- `aq 'n
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -9- ' la*--- - Si- • Department review required Yes No
Q Bui din.
Applicant: e.calkii-RA..1 u lfo f • arming &Zoning
Tree Administrator
Project:
'in 5k ci t' Ti trn(0 n 13 to!✓t._ (Q tPutSlic Works
W 1 I W%-k-V1, Ck Public Utilities
P 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. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed b y/ii -- Date.7— l - 1 7
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
,;0..A`f City of Atlantic Beach APPLICATION NUMBER
�� Building Department (To be assigned by the Building Department.)
. s..- 1`� 800 Seminole Road
5 •I=mo Atlantic Beach, Florida 32233-5445 •�� (�(�3�j
Phone(904)247-5826 • Fax(904) 247-5845
\:,_ Date routed: o 9- f calf '/9-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 V1 S .• Department review required Yes No
r (Buifding-
Applicant: Q Q.L(,l,(, -tom.1 8 tooanning &Zoning
Tree AcTstrator
Project: in Stet1t TTtri1(On bIDCL (dif4fVt Puncwor<s
W 6t t W ca u lic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature )'---ill
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. [Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING / / '
Reviewed by: �� rl� Date:
TRE ADMIN.RKS Second Review: Approved as revised. @Denied. Not applicable
P. ::41, WOCom nts:
'UBLIC UTILITIES
77t7
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ['Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
(I'5
City of Atlantic Beach
APPLICATION NUMBER
\ Building Department (To be assigned by the Building Department.)
f,1 800 Seminole Road
, Atlantic Beach, Florida 32233-5445 -FIJ C6 11 - 0039
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: r)9" PA-1 (l9-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 ' 161*� S-- • Department review required Yes No
(� ui Bdin
Applicant: Q tCl l,(, -�l,t`.� (cofV1,S anning &Zonmg
Tree Administrator
Project: 1ASkG( t, Tit1 (p!\ klaLL (QWors
Public Utilities(�
P 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: [r pproved. ❑Denied. []Not applicable
(Circle one.) Comments: Je. **ad
4,„,,,d
BUILDING
PLANNING & ZONING
Reviewed by,,i�e ti//` Date: ' '',2209•17
TREE ADMIN. Ci�
Second Review: ❑Approved as revised. ['Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
_. v P Building Permit Application Updated 5/5/17
kit OFFICE COP City of Atlantic Beach
.,,,tir,L---„: 800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904)247-5845 juL 1 9 2017
Job Address: 41 ' I TI Sr. flZ A11C pEAi t4 Permit Number: f l%)Ce1 - mac,
Legal Description RE#
Valuation of Work(Replacement Cost)$_12 1 2.0 0 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): 411,Addition Alteration 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:
12.ErrttIv1A.&, wm.t. t,S INk ,.,.a+/4 sto r*TE 6c,dGI(-(4 t of b) 1.r►nr G'itP. GEST TSN
3' JNCI fA(4/6 fd e. Admit is two et delc.s
Florida Product Approval# for multiple products use product approval form
Property Owner Information ����ft��
Name: . Pt1V CGP'7 / Address: 1 /1 rH- $r fz- pp
ne f /
City State PC- Zip 377 33 Phone &7-b— yds— O42.5-
E-Mail
G'25E-Mail of G'Arley 0 y4 100e. Lir"
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: : 'SAN li L : .•)il Qualifying Agent: /JO 5l(-M_(-4-
Address /ow 8 # IF.ov :Etl[cw it #/7 , city ,74-ik State n.. Zip 3222 CO
Office Phone 104 TN 067 6 (, Job Site/Contact Number qoi/ Soy 5/35
State Certification/Registration# E-Mail Il14N51# ITIS 4... A-r7, over
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 1 Efts 1EI
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 FINANCING, CONSULT WITH YOUR LENDER OR ATTORNEY BEFORE
RECOR ING YOUR NOTICE OF COMMENCEMENT.
C.L----------
(Signature
.oA— —
of Owner or Agent) (Signature of Contractor)
(including contractor) ,q
Signed and sworn to(or affirmed)before m this day of Sig ed and sworn to(or affirmed)before me this (/ day of
11 Stiky , 20 (4 by Qnh1 C(Vl(y ,�0/7 ,by �0. • v &
(Signature of Notary) /r •n. - of Not ry) —11
-- -ALD(N.POWERS
` MY COMMISSION N FF 897944 '"s BRITTANY C TURNER
11� ;,a, EXPIRES:July 12,2019 ; ▪ ••: MY COMMISSION#GG076020
[ ]Personally Known OR I,iie:�' Bonded rnru NotatyPubic Unde�wIters 't [ rsonally Known OR :• �:t, EXPIRES February 22.2021
[Produced Identification [ ]Produced Identification
Type of Identification: rt.:,
( )L Type of Identification:
6#
MAP SHOWING BOUNDARY SURVEY OF
Lot 3, except the East 10 feet thereof, together with the East 7
feet of Lot 2, as shown on the REPLAT OF TRACT "A ", NORTH
ATLANTIC BEACH, UNIT NUMBER 3, as recorded in Plat Book 15,
page 93 of the Current Public Records of Duval County, Florida.
Certified to:STEPHANIE L. HARDEMAN; AMSOUTH BANK; STEWART
TITLE GUARANTY COMPANY, INC.; RICHARD T. MOREHEAD, P.A.;
N
lit 1
T
,,r,
SEMINOLE DUNES
,),
( as per O.R. Vol. 5793, page 776 )
coy?
,° I/ FND 1/2' I.P.
FMD. 1/2' \f),REBAR r (R. MILLER)
F nd C 0.3' (L8. 5188) r
q
ra!N LIMC raver 4552 N89� ' "i 57.00' �.1
4•a4A/N u .rover 60.00' 60.00' i. iai¢e'` �+ r Found a
MAILBOX
0.2'0.4' 0 AA:PAD
li PLS 490
�'`MAILBOX 0.2 �SI� 2-STY WOOD SIDING
IL: (#71) Cn
2 F.F.E.=(12.5)P
0 40,0' '
~` • --CONE UNDER 8.50
7-1
W oO~ O I 1ST STORY/ I 4,..
O CO
N !
Ni
4-
s" V
i M S W
,444 vl
i
i •w� :J
I
J I
1 N pawl =. •
, r
y
i
i.:
- ly� a, i
— 1...., Ii
i
F i
L+"...J .
i`-•• ia. i
I�� L-,
k.
l yl" i
'
I
, ki ; 1
ii_ i
rI1
v
i
1
i