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670 PLAZA - FENCE j yv yrl�, `'$ '� s� CITY OF ATLANTIC BEACH iii ,,. ? 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 '4.40.;.119 INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0001 Description: install 6-ft wood fence Estimated Value: 4900 Issue Date: 1/10/2018 Expiration Date: 7/9/2018 PROPERTY ADDRESS: Address: 670 PLAZA RE Number: 171294 0000 PROPERTY OWNER: Name: JACKSON TREASA ANNE Address: 670 PLAZA ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: 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 HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. rS,.��.1;,, City of Atlantic Beach APPLICATION NUMBER Js. toe Building Department (To be assigned by the Building Department.) 800 Seminole Road ! irs' 1 .. Atlantic Beach, Florida 32233-5445 G —000 Phone(904)247-5826 • Fax(904)247-5845 ,011 1.)4 E-mail: building-dept@coab.us Date routed: r l y I r City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (. t v Pl4-- 6/1 De•artment review required ling No Applicant: OW af . Planning &Zonin. == ' e �^ ree£.ministrator Project: '\ n SkaR 16 - r f k-ock dIric.—�=- ,limmommili moi 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: NO C.' LDIN PLANNING &ZONING Reviewed by: /� Date: /- d� CI 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 01.:11yr� City of Atlantic Beach APPLICATION NUMBER Js iikrAlreo Building Department (To be assigned by the Building Department.) 800 Seminole Roado IF V / Atlantic Beach, Florida 32233-5445 G —000 Phone (904)247-5826 • Fax(904)247-5845 �J, !P E-mail: building-dept@coab.us Date routed: 1I L{ I ( r City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: UrTO P1U Department review required Yes No Applicant: OW (\Li Planning &Zonis I, r I ree Administrator Project: _.— \ (� s-\--a a to 1 f cJ ' e-W€r. s Pu• is Utilities `ub11c 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 by: Date: 1 / 9i 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 -rSrA,vf,J• City of Atlantic Beach APPLICATION NUMBER . Building Department (To be assigned by the Building Department.) ` 800 Seminole Road //__ Atlantic Beach, Florida 32233-5445 r Yui c C'�;L-� Phone (904)247-5826 • Fax(904)247-5845 , , -"Lo;t19� E-mail: building-dept@coab.us Jr►94 0 5 2013 Date routed: IHII City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ( • 1'`e 61 Department review required Yes No ;'"• •I• S Applicant: U (\tc Planning &Zonin. Ft- —free A-F inistrator Project: , n S- t. 8 10 1 ± p ie-mor. s Pu is Utilitie,) -Publidy 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: IvApproved. ❑Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by�J 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: UApproved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 rS!�1F�� City of Atlantic Beach APPLICATION NUMBER n, Building Department (To be assigned by the Building Department.) -� 800 Seminole Road C ,�1 / ;:'A;.•'a • s) Atlantic Beach, Florida 32233-5445 JAN 21�IU f NC I — cool Phone (904)247-5826 • Fax(904)247-5845 �;3�� E-mail: building-dept@coab.us Date routed: I HI I / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: U P\-4'1-0 Department review required Yes No Applicant: 0W ice( Planning &Zonin I+ �'�`.i- , 1 ree Administrator Project: '\ n Sk-a. Ll 10 1 f t(� _Ra ,, Pu is Utilitie,__ —PUi31ic Fire Services Review fee $ , Dept Signature - c..."`-- • 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. I (Denied. Not applicable (Circle one.) Comments: BUILDING 1 PLANNING &ZONING Reviewed by: L.K. r'-"" Date: //CAP TREE ADMIN. Second Review: RApproved 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 '"',',, ildinPermit Alication Updated 12/8/17 ri1:. OFFICE COPS' g pp s City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 JAN — 4 2018 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: 670 1"n/GZ LCL Permit Number: rN Lt1 do —no cpf Legal Description RE# Valuation of Work(Replacement Cost)$ q do Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New 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 : es o 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 / c. (wood_) Florida Product Approval# for multiple products use product approval form Property Owner Information Name: 7F-e-0.5CA_ jCLC Cz5h-v` Address: 6.70 PICc LCx A' City (a -t�C— e,,,A.A_ State FL ? 7 Zip , 3 3 Phone 9 o / /?—(pY�o� E-Mail )CSoAxil 010376 ci 13004 I , Cc1Yfrl Owner or Agent(If Agent, Power ofAttorney or Agency Letter Required) Contractor Information Name of Company: Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name& Phone# Engineer's Name&Phone# 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. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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. ' ytY Okirik )(Signature of Ownegent) (Signature of Contractor) (including contr) S'•,n-d and sworn to(or affirmed) before me this 2 day of Signed and sworn to(or affirmed) before me this day of Fir., N j, ,A , •,' J¢t SOL C LSW ,by i.'4,•;/1•.`:--- 66tary Public- OVUM' i /'.. •tM 4;' Commission,':a!---r'�' I/ I •;�„„!p;::• (S i• ature of Notary) (Signature of Notary) ,,,, My Comm.Expires Dec 19,2(F£1' ,)Personally Known OR [ ]Personally Known OR [ ]Produced Identification [ ]Produced Identification Type of Identification: Type of Identification: Yt%.,1,Jr/_ •- r • i.- s RIGHT-OF-WAY / EASEMENT PERMIT 'J A�JiS1J. Permit#Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address 6,-7o P(a-m_ Phone ?Oct- N3-6q4 2 Permittee T-easc4_ J ox._C.,gV.n Email .J c5 -1ic,-V087 a q(►1.:;.. \ . C-6M.- Requesting Permission to Construct .-/A,C e J Location(Reference to Cross-Street) ( 7o Pk 0...-2,_ VA. • 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 yeas& 3 p,,Cksa�� (Project Superintendent) with Company Name ( ,i( Phone ?o' -Q)j - 4((‘D - • 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 1 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 completion. �tll1CU, G1' Date ' H 1 Permittee(signed in oprese e Notary Public) STATE OF FLORIDA, LINTY OF DUVAL �.} The foregoing instrument was acknowledged this 1 day of 1 Q.(\ LC(11 ,20 I 1 , by 7(Mot r Q J'i clj.. s 0 n ,who personally appeared before me and (printed name of Permittee) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. •` . _ � r _Aril f --. Personally Known Sig re of Not. 7. ic,,F.to of Florida - 4494---, ntification(Type) p(i Q1-1 S `u L Q(1, ;,.2:,:;!4••, JENNIFER JOHNSTON r� �•= MY COMMISSION#GG 042984 `*; ii Hi :+_V. EXPIRES:October 27,2020 %;op F,$'. Bonded Thru Notary Public Undervwriters { t 1 r a, ii * REVOCABLE ENCROACHMENT PERMIT liiiiipREVOCABLE ENCROACHMENT PERMIT by the City of Atlantic Beach,Florida,a municipal corporation organized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and T� '6-3a J axics c.,,, L 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 the City of Atlantic Beach. This work is generally described as -F Ce__ . 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 USER, said notice to USER shall be given by certified mail, return receipt requested,to the following address (e'1 r Pk-Lc, ea . . • 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. i Vr � ( 7 Date Lt ' 1-q Prope I er/Agent, igned in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL 1, The foregoing instrument was acknowledged this —1 day of 3a.nacv y ,20 1 t , by rIA LCt&di N n 3 Q.`.„s- 1 ,who personally appeared before me and (printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Signat of Notary Pu ' ,State of Florida Approved/Public Works Department: Personally Known \ Produced Identification(Type) d t ,� ;tAN S 1,L e.ALQ._ �� M��Z� eoliI.. — r•Pio•- JENNIFER JOHNSTON Scott ilhams,Public Works Director � • . MY COMMISSION#GG 042984 ti•o EXPIRES:October 27,2020 oo. Bonded Thru Notary Public Underwriters -_—-—_ PLAZA S85'37'27"E i -- 111.63' \\I 80' R/W (IMPROVED) 0 o I N85°37'27"W 80.65' ( � N85'37'27"W P 89.24' (p) I FOUND 1/2 V- , IRON PIPE _ • (n FOUND 1 - 0 25' BLDG. IRON PIPE 1x11 I ao SETBACK LINE %DRIVECONC.': CJ Nom:::. 7 ICC �, `• FOUND 1/2" D_ ^ IRON PIPE _ BLOCK Q IO C.L.F. 48.8' .�'^ '12.7 i a CORNER 18.7•ri , z LOT 20 0. j 10.1' o o (n BLOCK 8 I W STONE lam) U.. \ O W • BUILDING 3 o #670 I 10 LOT 22Q I WDDD a 9.2' t— BLOCK N SHED N M ° 0.5' 3� �I 4.8• CREENED 0cNi N `�,c (NJ 24.7' O.6' N ILOT 21 STONi.E. POOL COMMUNITY DEVELOPMENT 0.5y _ __BLOCK E. DECOK ®[� VIEPM 5' D.E. -CUTE. • - 1 • I�1.3' APL 6 \� FOUND 1/2 c5-_. � .:•-• .1. 1�I IRON PIPE 6' W.F. -C\/ o' ,_ PROPERTY CORNER N c:;' N FALLS IN FENCE N85°37'27"W 80.65' (P) LOT 3 BLOCK 8 LOT 2 BLOCK 8 LOT 1 SURVEY NOTES BLOCK 8 CONCRETE DRIVE CROSSING INTO 25' BUILDING SETBACK LINE ON NORTHERLY SIDE OF LOT. 0 THERE ARE FENCES, WOOD SHED, STONE POOL DECK II NEAR THE BOUNDARY OF THE PROPERTY AND CROSS ., INTO THE 5' UE & DE AT THE REAR OF PROPERTY. • PAGE 2 OF 2 PAGES o ° M N BOUNDARY SURVEY LB#6135 I F I L f No.2883 TARGET SURVEYORS CERTIFICATEIHEREBYCERTIFYTHATTHISBOUNDARYSURVEY �� Ek SURVEYING, INC, a lS A TRUE AND CORRECT REPRESENTATION OF A s - i SURVEY PREPARED UNDER MY DIRECTION. - - - s, F STATE OF r NOT VALID WITHOUTANAUTHENTIcA TED ELECTRON/C SERVING ALL FLORIDA COUNTIES 0,, LORI 10'09- SIGNATURE AND AUTHENTICA DErTRONC SEAL, A t S U R v t4 OR A RATS IM S E SE AL A �'9la)Be INt. fL!I l^11e CDfNdeCNM=N Clyde 5601 CORPORATE WAY SUITE 210 McNeal,C=US WEST PALM BEACH,FL 33407 McNeal Dale:2010.04.14 PHONE (561)640-4800 16:17:35-04'00' FACSIMILE (561)640-0576 (SIGNED) f...----------P. STATEWIDE PHONE (800)226-4807 CLYDE O.McNEAL,PROFESSIONAL SURVEYOR AND MAPPER#2883 STATEWIDE FACSIMILE (800)741-0576