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805 PLAZA - FENCE PERMIT . , \J , CITY OF ATLANTIC BEACH � ' 800 SEMINOLE ROAD ,�iiit xZv~ ATLANTIC BEACH, FL 32233 ,';; c% INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0076 Description: 6' FENCE Estimated Value: 6500 Issue Date: 11/16/2017 Expiration Date: 5/15/2018 PROPERTY ADDRESS: Address: 805 PLAZA RE Number: 171115 0000 PROPERTY OWNER: Name: AUGUSTINE MI YOUNG LEE Address: 805 PLAZA ATLANTIC BEACH, FL 32233-3809 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: SUPERIOR FENCE AND RAIL OF NFL Address: 5470 HIGHWAY AVE JACKSONVILLE, FL 32217 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. X4X\I \IC3;?‘ gate -\.-/! City of Atlantic Beach APPLICATION NUMBER E/ r� : �5�� Building Department (To be assigned by the Building Department.) 800 Seminole Road _ *1_ siAtlantic Beach, Florida 32233 5445FwCE 1-7 - Qd7 ,'� Phone (904)247-5826 • Fax(904)247-5845 / ,,.,,,:- E-mail: building-dept@coab.us Date routed: I ( CI / t City web-site: http://www.coab.us 111 APPLICATION REVIEW AND TRACKING FORM Property Address: cO rj PLIzAD partuiaent review required Yes No Buildig% ✓ Applicant: UPC-2( O t2 FE)C e ._._Planning &Zonin Tree Administrator Project: CO ' --E,N0__ (..--FicrIlc Wart 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: t Approved. ['Denied. ❑Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING ��°-75---/-7 Reviewed by: �� Date: TREE ADMIN. Second Review: Approved as revised. ❑Denied. 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 01.-An . City of Atlantic Beach APPLICATION NUMBER ,3 P_ ' f, Building Department (To be assigned by the Building Department.) 800 Seminole Road FN.) CE I� _ �d-� �v Atlantic Beach, Florida 32233-5445 1_ Phone(904)247-5826 • Fax(904)247-5845 '"�o;31�r Email: building-dept@coab.us Date routed: I ( ' CI 17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '®� it-rt-ZADe.p-arttint review required Yes No (... BJL J Applicant: S U P G 12 i O R- FE.D c e _ Planning &Zonin j Tree Administrator ( �FProject: lir �C1a1 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: pproved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING/ Reviewed by:. :7"----- Date: /1 I V / -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: I 'Approved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 i�:Lvr; City of Atlantic Beach '� "` APPLICATION NUMBER J Building Department .. . (To be assigned by the Building Department.) v 800 Seminole Road NOV U 9 2017 I�1`,CC 17 - 00-7 c , Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 I �• 0100. E-mail: building-dept@coab.us Date routed: 1 l G I City web-site: http://www.coab.us I( APPLICATION REVIEW AND TRACKING FORM Property Address: ©O.5 p��- A D-par 1 ent review required Yes No I :uildin. Applicant: U P C12-( c)(2_ rEpo cc- tanning &Zoning _- Tree Administrator Project: ( ---gNCG- ... ,. . 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. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b : • ,� 17 , ./, , . Date: ' TREE ADMIN. 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 j1:Lvrjr, City of Atlantic Beach APPLICATION NUMBER 6s�P• �� Building Department (To be assigned by the Building Department.) ',, 800 Seminole Road NOV _ Atlantic Beach, Florida 32233-5445 NOV b 2017 APPV C-E N - 00-2 �� V Phone(904)247-5826 • Fax(904)247-5845 �'�fjJ1 �� E-mail: building-dept@coab.us Date routed: I i ( c1 li 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �J t7---)(—�} A sle � partn ent review required Yes No Buildina Applicant: S U P c-12-I O Ce- T-Ei .D CE , Planning &Zonii Tree Administrator Project: (a ( ----Ef\D( .Public World (..Z PD b i lc CJtfitie�� Public Safety Fire Services Review fee $ Y Dept Signature ` -,..1^ 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: MApproved. ['Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONINGReviewed by: A✓% � _ Date: Ik7-1 TREE ADMIN. Second Review: Approved as revised. ['Denied. ['Not applicable 74r6 WORKS Comments: UBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 TsIA'''!%. Building Permit Application Updated5/5/17 4.31 Pe "'"ii OFFICE C r• '� �, City of Atlantic Beach � OPY 800 Seminole Road, Atlantic Beach, FL 32233 �``.)i Phone: (904) 247-5826 Fax: (904) 247-5845 • Job Address: 'S `•/ -/-% •4/— .)4r ,`k."=%c,i, Ft- Permit Number: N3 C E � ' OC 7 Legal Description RE# Valuation of Work(Replacement Cost)$ ' • Heated/Cooled SF _..-- Non-Heated/Cooled t. • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial .ResidentiT • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes Iv 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: e p/a-( C24 ).Clk; , )i7 r,(C w)c)j-4 0e iA✓ 14)C7/1 Z'e 6.7 t Florida Product Approval# for multiple products use product approval form Property Owner Information p Name: TVVi"'�9/k) e 5 / . •n e Address: O•S I Z / City Ci/�IU U�1y,li -/hz1-,V. eOM State �L Zip 3 2 Z33 Phone 50 I1 7/s 5-77V E-Mail •g}"J fiG _ ,,,:e2_LA a-A V 9y g h f+ff( -i1 .<n •^i Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) •J Contractor Information �^ Name of Company:_3U er/'r F,t^cc Ap-i/ Qualifying Agent: / ,/' Address 6' SCO /-� 1-44.41 / &IC. City CdfJ�c ,t t)1 JA'State r"C Zip 2—c Office Phone Cr Zr 4-1 -2 ) Job Site/Contact Number- I4 v// t State Certification/Registration# E-Mail 0 b . I 9itc.0iD(RI OL. PCfl ?d I4 q Architect Name& Phone if Engineer's Name& Phone# Workers Compensation 1 -7-5 0 3 S C1 — I S —I p, Exempt/Insurer/Lease Employees/Expirati n 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature .f Owner dr Agent) (Signature of Contractor) (incl ontractor) Q� Signed ar)d sworn to or affr ed) before me this v day of Signed and sworn to(or affi, . •, befor- - e this day of NOv l , �y • : A- ._ II_ _ rJ2 �C)V,_70(7by�Ph • V i — e_csek IIIWA M6 , WirelW (Si nature of 9124) — ,gnature so,. . L ___ .-�.:aaaria.�e�ba. fa__ ,yy� -.riTONIGINDLESFEC E,iMY COMMISSION e rF 924951 I EXPIRES:October E,20196.'nd^"n•rh u u ro Public Uneer i?er[ ]Personally Known OR _________...__ [ ]Personally Known OR [ ]Produced Identificationq [ ]Produced Identification Type of Identification: IN ZZ-3' 45 (73 —Z 620 Type of Identification: r " REVOCABLE ENCROACHMENT PERMIT REVOCABLE ENCROACHMENT PERMIT by the City of Atlantic Beach,Florida,a municipal corporation o anized and existing under the ws of the S to of Florida,hereinafter referred to as"CITY"and M e s. V ,evt n tj& et-Q-- 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 for the purpose as described in thity of Atlantic Beach. This work isenerall described as ! enc e . g Y 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 t USER, said notice to USER shall be given by certified mail, return receipt requested,to the following address 5 0 "ia.,0,a__ . • 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." • 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 within 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 right-of-ways 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. 4110 Date ( tl0 it 7 Prope 0. er/Agent(sign f in pre - ce of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL /�� Q� \si The foregoing instrument was acknowledged this (L7 day of '�/p ✓ ,20 I , by---\GZM eS k . Pro CxS`h [1 ,who personally appeared before me and .rinted name of Signer) ac,I� edged t . -/s le signed t e instrument voluntarily for the purpose expressed in it. • of 41114 C.---4-- 4 Signature of Notary Public, State of F16-'da Approved/Public Works Department: Personally Known Produced Identification(Type) 1J :=.''''4,.."'''-s , rif1411 -4 ,',y TONT GINDLESPERGER MY COMMISSION#"rF 924951 Scott Williams,Public orks Director ,,;17\ ;e EXPIRES:October 6,2019 1 ',..-,,Q-$ Bonded Thru Notary Public Undervrrters r 'rt r,:1T1 j i u. :), RIGHT-OF-WAY/ EASEMENT PERMIT r ..„, J. Permit#Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address 'O c et ft 2# Mien t (cC Ph 30 7/1 S 7 7 V Permittee c%')e,S �(/ v',S r1 e Email JA ' G G,� h^i� 4'�' "m1 Requesting Permission to Construct Pen c C Location(Reference to Cross-Street) • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. • Whenever necessary for the construction,repair,improvement,maintenance,safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works,any or all said poles,wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Project Superintendent) with Company Name Phone • All materials and equipment shall be subject to inspection by the Director of Public Works. • All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the manner satisfactory to the City. • A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with this application. • The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,title and interest in the land to be entered upon and used by the holder,and the holder will,at all times, assume all risk of and indemnify,defend and save harmless the City of Atlantic Beach from and against any and all loss,damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again immediately upon co tion. 1 --\,.,/l Date It IS /t 7 Permittee 1•ed in presence of Notary ic) STATE 8• LORIDA,COUNTY OF DUVAL I ...7The foregoing instrument was acknowledged t 's n day of KD O V ,20 L byQ p S k t.V i A L2�Sh fk `� ,who personally appeared before me and J m 5 (printed name of Permittee) ackn.'ged that h- ..e signed the instrument voluntarily for the purpose expressed in it. / Personally Known D / 11: . tire of Notary . of .rida Produced Identification(Type) v TONIGI' GER If;I�; ` .. MY COMMISSIO' F 924951 Y.., •A., EXPIRES:October 6,2019 , ;t;PBcnded Thru Notary Public Underwriters