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381 3RD ST - FENCE (2) ,$ * `s. CITY OF ATLANTIC BEACH law b�..._ 800 SEMINOLE ROAD Ats ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0016 Description: replace 6-ft. fence on east side of house Estimated Value: 0 Issue Date: 2/22/2018 Expiration Date: 8/21/2018 PROPERTY ADDRESS: Address: 381 3RD ST RE Number: 169824 0020 PROPERTY OWNER: Name: BEW DAVID FITZSIMONS JR Address: 381 3RD ST ATLANTIC BEACH, FL 32233-5231 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. 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. * 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. ,0..Avist6City of Atlantic Beach APPLICATION NUMBER JSits Building Department (To be assigned by the Building Department.) J 800 Seminole Road E N ( I I- 001 (0 Atlantic Beach, Florida 32233-5445 r Phone(904)247-5826 Fax(904)247-5845 Date routed: { L ,-./.:01119:4 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ' <641 1 ' ` `i Si . t nt review required Ye No Property Address: �R a EBuildin Applicant: (' w 1\124 Planning &ZoningTj Tree Administrator Project: ( LQ 1 U- L (0 • - Au iJ c\ Q u,S+ Public Works j <;‘ 6.1Z_ � Public i ities_j 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: i proved. ❑Denied. . ❑Not applicable (Circle one.) Comments: BUILD PLANNING &ZONING Reviewed by: � Date: 2'Z2 .aell¢ TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . . ❑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 S yA.� City of Atlantic Beach APPLICATION NUMBER IS r i\ Building Department (To be assigned by the Building Department.) o. 1W 800 Seminole Road EN (& i /— 0016', Atlantic Beach, Florida 32233-5445 \s. Phone(904)247-5826 • Fax(904)247-5845I �( 01119s- E-mail: building-dept@coab.us Date routed: 3 I I LI ` Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ''- 'S( •VdSi • _Dep ttngnt review required Yes No Building 2 Applicant: (i t.•.) 1\11,-( Planning &Zonings Tree Administrator Project: '( t..p,�-k- i �` -.• . 1'n U. t�(\ t t-64- PublicVVorks Le DC kne CPub ities)is i ` 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. I 'Denied. . I INot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by;" "e* -- Date: 2— 2_67—i ' TREE ADMIN. Second Review: I '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 City of Atlantic Beach APPLICATION NUMBER JS r Building Department (To be assigned by the Building Department.) 'i,;`•• 800 Seminole Road !WOE . F� _ (.�O ,ult. • �r Atlantic Beach, Florida 32233-5445 .. Phone(904)247-5826 • Fax(904)24 84irr-8 6 2018 E-mail: building-dept@coab.us Date routed: ` D City web site: http://www.coab.us BY:_.. APPLICATION REVIEW AND TRACKING FORM red Property Address: nt review required Yes No Building Applicant: w l Planning &Zoning Tree Administrator Project: '(li`tt.L t . Lk t; CL Y1 Public Worrkss C Public `UtI Itil lei <;t' Q 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*.../ aaDate:oZ17Z/0 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 oi.AN City of Atlantic Beach APPLICATION NUMBER Js Building Department (To be assigned by the Building Department.) ! 800 Seminole Road �v �,2 Atlantic Beach, Florida 32233-5445 FEB 16 20� <<_ Phone(904)247-5826 • Fax(904)247- 5 Li J111g? E-mail: building-dept@coab.us gy; Date routed: I ( I I l U City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM t�( t�� Sin°0� Property Address: � t review required Yes No Build p Applicant: 0 1.-.) NA Planning &Zoning Tree Administrator Project: '( LQAUL J. Ck . .e(\ L ie U,S4PublicPublic ti itieWorks <;, 6t 6 t O f 11\u\-1,�Q Public Safety Fire Services Review fee $ Dept Signature w—_ 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 artment First Review: ❑Approved. ❑Denied. . /Not applicable (Circle one.) Comments: BUILDING /� PLANNING &ZONING Reviewed by: y"') Date: 2" 24" (t TREE ADMIN. Second Review: I 'Approved as revised. ElDenied. . ❑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 Joy= Building Permit Application ' Updated 12/8/17 iCity of Atlantic Beach FN C E I .- 00110 ". 800 Seminole Road,Atlantic Beach,FL 32233 L Q L. [' t\ Phone:(904)247-5826 Fax:(904)247-5845 '/j i Z 0 1',L tr,7 1'"e Job Address: ..3g'I + L 3 R l .5t Ais FL :2,2 3, Permit Numbed,' A u P biq AP �'�UA t C-1 Legal Description 2 b •-P oi- 1 )--Lg/T �w r, .25o Fr RE# Valuation of Work(Replacement Cost)$ aQ3R Heated Cooled SF Non-Heated/Cooled ipet • Class of Work(Circle one): New Addition Alteratio Repair ov o Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residenti .\ FEB 1 3 • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A 2018 • 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: f,, titr .V Kke 11 ` \Q- f\C,6--e-- 40'0 .- - Floridac-kc "i- G�0'l" C.�€t f e y,ic:.e_ e tv Fct,Ci S i G�L Yc%r'� 1'1 t�Lcs>a:1 Product Approval# for multiple products use product approval form Property Owner Information (j 7 -t Name: bet IJ �i F, !3t t° •-.11-- Address: 3 t .3 RI) ..S ` l� City State IFS Zip 3.?�3 Phone gh if .3i 2.99a. a. E-Mail ltV l)bt''j*,W td3 + NC "-- Owner or Agent If Agent, Power of Attorney or Agency Letter Required) n AI)i 0 f-,, Oe 6.1 Contractor Information •Name of Company: _.. . . • !,�� r� • • - •i - - Address _`:�mm: wci. L. City State Zip Office Phone '.;__. sem _ o• Site/Contact Number State Certificatio /Registraii. • ______........111111 g -' ail 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 COMM• C.' ENT. . � RkIL4' rlr. � Signatu '•of Owner or Ag-IF (Signature of C.• actor) (including contractor) 4.3220 fY'ed)befo a me this /3 day of Signed and sworn to(or a r• med)before me this iay of 4H7.:7-Jr".. FERJO ,cry i , J is ib Q-� , =s�.w.'�'•,�Q MYCU`I$ f a y I,f by cu, a Slum ` �\-- :''''.-.,,,:f,F;•-•,T.-r,?7,',.'? ; )�'o EXPIRES:October 27,202!' Ni,, / _ _ Bonded Thru Notary Public L'c:r.,,,�I _t :' 'wow— i____22,.. ..____, ........... --7,---- w� _----- -�. (S gn.'re of Notary) (Signature of Notary) 44.eersonally Known OR [ ]Personally Known OR [ ]Produced Identification [ ]Produced Identification Type of Identification: Type of Identification: BEARINGS BASED ON THE NORTH I () of w RIGHT-OF-WAY LINE OF THIRD `I 0 W, STREET AS PER MILBERT `` Q HOMES AS RECORDED IN PLAT ' G w to „ N BOOK 21, PAGE 38_ w — N ALL FENCES SHOWN ARE 6'WOOD. 4 i- "� Qto ve w nj W 3 VI w z crt I- I I- � \ r la ,-0.4' u J f q) w w O I- �+ -1-4? „ w In I 6.0 3rd LEVEL l W a0 LOT 32 . . I- o BALCONY N Xi '” 9.3 - �6_7' 0) o LOT 26 0 W _ J o .�. w 1,. w m Q' � 0 to wz I- a 12 IL F- J J;II ID w 0 OJ J not I- O U m 9.I' — 1 N to 3 w c3 (r°0 "- Zf a = I IL ai - M I a . o w `� O d Q ' ~ �' O J z I 00 t x � , 5.3 � W1.2 II >X !. M N V V I W • W mx Zr, —co.D : a 13 _ o 3 73 - `co 0 O D 073 _7D I QMMMMUNITYDEVELOPME -- F- n I - - 20Y.4' "7'a.ROVED oieac :rn _x ::'CONCRETE : K •: DRIVE AND -� • l 1 WALK m _ m 0.7' 'I2?.75' 200 0' 2750' a2 5.00'. SET 1/2~IRON PIPE I 27.50' i-FOUND I/2`IRON PIPE L.B. 3672 NO CAP S.83°421001'W. (27.47'FIELD) psi THIRD Viva STREET THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X” (AREA OUTSIDE 500 YEAR FLODD PLAIN) AS WELL AS CAN 13E DETERMINED FROM THE "FLOOD INSURANCE RATE MAP" FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO DAVID F'. AND ANGELA W. BEW, ST. JOHNS MORTGAGE AND INVESTMENT CORP- ORATION, TITLE INSURANCE. OF MINNESOTA THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM TECHNICAL. STANDARDS OF THE FLORIDA ADMINISTRATIVE CODE CHAPTER 21-HH-6 AND THE FLORIDA LAND ' TLE ASSOCIATION. 0 >O.d IHSS SURVEY NOT VALID UNLESS DONN W. BOATWRIGHT, L.S. " SEALED WITH AN EMBOSSED SEAL FLORIDA REG. LAND SURVEYOR No. 3295 I )F SURVEYOR SIGNED HEREON SCALE: I" = 20' BOATWRIGHT LAND SURVEYORS, INC. DATE: NOVEMBER 15, 1991 DRAWN BY Swc 1711 5th STREET SOUTH FILE: 91-678 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET...____OF 1