303 ATLANTIC BLVD - 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 NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: FNCE17-0086
Description: NEW FENCING AND RETAINING WALL
Estimated Value: 1500
Issue Date: 2/16/2018
Expiration Date: 8/15/2018
PROPERTY ADDRESS:
Address: 303 ATLANTIC BLVD
RE Number: 169729 0000
PROPERTY OWNER:
Name: JUNKSHIRLEY
Address: 915 13TH ST N
JACKSONVILLE BEACH, FL 32250-3653
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: River City Contractors Inc
Address: 3915 Hendricks AVE
JACKSONVILLE, FL 32207
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.
Permit Conditions
"
City of Atlantic Beach
411116
Permit Number: FNCE17-0086 Description: NEW FENCING AND RETAINING WALL
Applied: 12/1/2017 Approved: 1/3/2018 Site Address: 303 ATLANTIC BLVD
Issued: 2/16/2018 Finaled: City, State Zip Code: ATLANTIC BEACH, FL 32233
Status: ISSUED Applicant: <NONE>
Parent Permit: Owner:JUNKSHIRLEY
Parent Project: Contractor: <NONE>
Details:
WAITED FOR 2 EXTRA SETS OF DRAWINGS
12/4/17
LIST OF CONDITIONS
SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS
DEPARTMENT CONTACT REMARKS
1 12/6/2017 EROSION CONTROL INSTALLATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(247-
5814)to request an Erosion and Sediment Control Inspection prior to start of construction.
2 12/6/2017 ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
3 12/6/2017 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,Donovan
Dumpsters). Container cannot be placed on City right-of-way.
4 12/6/2017 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full right-of-way restoration,including sod,is required.
5 12/6/2017 RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
Printed: Friday, 16 February, 2018 1 of 1
1
-0.Jvl fiJ�- City of Atlantic Beach APPLICATION NUMBER
4' Building Department (To be assigned by the Building Department.)
800 SeminolecRoad ', l CC i 7 1 _/_
�; -� Atlantic Beach, Florida 32233-5445 ( LJU 50
Phone (904)247-5826 • Fax(904)247-5845
4Z01119r E-mail: building-dept@coab.us Date routed: I Z- ( l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 30.3 1-1--1.-A rte epLVL-) Department review required Yes No
1Buildin•
,— nrng
Applicant: kV — • � 2 , �• : anning &Zo
I ree Administra 51-
Project: R€ A-(1..-DC- LOA( FcroC E iblicwoft
is Utilities
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
j...„'
Florida Dept. of Transportation . ;1 y
St. Johns River Water Management District ‘\P
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other: DEC - ' -'
APPLICATION STATUS
Reviewing Department First Review: Approved. Denied ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: 141 .n Date: /Z-
TREE ADMIN. Second Review: A roved as revised. Denied! Notapplicable
❑ pp ❑ ❑
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
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 303 ATLANTIC BLVD.ATLANTIC BEACH, FL Permit Number: Fijc c 1 '7 - 008(o
Legal Description SEE ATTACHED OR REFER TO BUILDING PERMIT FOR THIS LOCATION RE#
Valuation of Work(Replacement Cost)$4 ("Y)c9b Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door FENCE AND RETAINING
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
WALL
• 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:
EXISTING FENCE BETWEEN ON WEST OF PROPERTY TO BE REMOVED AND REPLACED WITH NEW FENCE.
EXISTING RETAINING WALL ON NORTH SIDE OF PROPERTY TO BE EXTENDED TO WEST(SEE DRAWINGS).
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: ALS PIZZA INC. Address: 303 ATLANTIC BLVD.
City ATLANTIC BEACH State FL Zip 32233 Phone 9045376969
E-Mail al@alspizza.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: River City Contractors Qualifying Agent: Alan Cottrill
Address 1510 Montana Ave City Jacksonville State FL Zip 32207
Office Phone 4042498894 8S4CD Job Site/Contact Number 9043999886
State Certification/Registration# CGC060512 E-Mail alan@rivercity-contractors.com
Architect Name&Phone# Julianne Overby 904 7048628
Engineer's Name&Phone# Lou Pontigo 9042420908
Workers Compensation BUILDERS MUTUAL INSURANCE COMPANY BMO_POLICY NO.1858230272_EXP 9/6/2018 _
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 P: • 'ERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0: • A ' e ' NEY BEFORE
RECORDING YOU; NOTICE OF COMMENCEMENT.
t.n/ C4rpti U
(Signature of Owner or Agent including Contr c or) (Signature of Contractor)
Si ned and sworn to(or affirm:•)before me th. I day of Siigred an s orn to(or affirmed)before me thi ay of
DYP al ,by / rt l�t v ca017 ,by'W18fl &iY r'i 11 tia 1 ,
'eolvvt-L ‘5,,J—,
(Signature of Notary) (Signature of Notary)
' a te a a a a S ass a s
'V 4.,, KENDRA N ROBERTSON i a'"r�`4ri ELAINE M,SILVER
tt,ct Notary Public-Stale of Florida l : •• �•, _, MY COMMISSION fl GG 072501
,t„� Commission#GG 056117 / 141,"46:–..:,` EXPIRES:February 13,2021
ersonally Known 01 ,y MyComm.Expire;Dec 19,2020 i t�',Personally Known OR 'e,-` �qg Nu Notary Poi*Undervxtten
[ 1 Produced Identifical�n",,„,:,,p p- Bonded through National Notary Assn. [ ]Produced Identification
Type of Identification: — — Type of Identification:
,- 1,Alyr City of Atlantic Beach APPLICATION NUMBER
03 t ' ' Building Department (To be assigned by the Building Department.)
- 800 Seminole Road \— wca I'7 , 0C-)8 .
Atlantic Beach, Florida 32233-5445 7 yC
X11 yr Phone(904)247-5826 • Fax(904)247-5845 �'-'-* .. • 2Wf/
P�0;319? E-mail: building-dept@coab.us Date routed: I Z ( 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 300.3 l -cuAti'TiC &LvjD Department review required Yes No
uildin•
Applicant: lV ' 1 (v` 2 p O' ..• anning &Zoning
ree Administrator
� �( ECbiic Wo��Project: Rc cptDG � u.....
u is Utilities
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 Q.,
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: DEC - 4 2017
APPLICATION STATUS
Reviewing Department First Review: VfApproved. Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
v
PLANNING &ZONING Reviewed by Date:AZ/6 17
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 )( Plass -j-bO \ctV Q, +6 LOtserr-Rche,
0!,a,vt;ye., City of Atlantic Beach APPLICATION NUMBER
Js ,.. Building Department (To be assigned by the Building Department.)
>; 800 Seminole Road ';wCC l-1 , �U
7 Q
�r Atlantic Beach, Florida 32233-5445 / l:
Phone(904)247-5826 • Fax(904)247-5845
"�j ii9e E-mail: building-dept@coab.us DE;, 3 2017 Date routed: I Z /i i 1 7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 303 F cTL iV'Cie IL-Vi) Department review required Yes No
I:. ui din.
Applicant: IVC i Er i\ 2 n 'TO' . anning & Zoning
ree Administrator
Project: Rc rpc,c),--c i.,,4c.� � C _Eriaablic(ROM's,
-rdl iTc Utilitiel>
Public Safety
Fire Services
Review fee $ )9 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:
DEC - , 2017
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied. 14apPlicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONINGy�� 12/7) 1 7
Reviewed b Date:
TREE 'MIN. Second Review: ❑Approved as revised. ['Denied. nNot applicable
:1 ORKS Comments:
lf /
PUBLIC UTILITIES
7---4. —/7
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I /Approved as revised. ❑Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017 AE PlDAs -foo lave. Lm- CIA
01.j-VP;y, City of Atlantic Beach APPLICATION NUMBER
JstBuilding Department (To be assigned by the Building Department.)
800 Seminole Road — I' cE 11 ! - !l._�-�8
�r Atlantic Beach, Florida 32233-5445 1 1
Phone (904)247-5826 • Fax(904) 247-5845
'4.-0f310' E-mail: building-dept@coab.us Date routed: I Z ( l
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3O I ZA4�--[(L' & LV ) Department review required Yes No
(Eft-iildins
Applicant: t\I i N' 2 't cD' ` anning &Zoning j
(--- ree •dministrator"
Project: c (. L&)4:r(� G�C- ?( � blic W
u is Utilities>
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 j
;
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: DEC - 4 2017
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. /Ft15-enied. nNot applicable
(Circle one.) Comments: er-
C
BUILDING �ret5
PLANNING &ZONING Reviewed by:" .-- ..0------ Date: 13^ I -1 7
TREE ADMIN. Second Review: /Approved as revised. ❑Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES , ed I`ee nT-(:dQV' ( 17-C/4Dp 32.
1 Q
PUBLIC SAFETY Reviewed by: .�� Date: I 3-
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
„ ✓f TREE & VEGETATION AFFIDAVIT
- *` City of Atlantic Beach
A II
s) Department of Community Development
D Planning&Zoning Division
800 Seminole Road Atlantic Beach,FL 32233
'3 (P) 904 247-5800 (F) 904 247-5845 PERMIT# II' -(-ADD--32-1D
SECTION I-APPLICANT INFORMATION r Owner(s) r Legal Authorized Agent*
NAME OF APPLICANT Al Mansur
NAME OF COMPANY Al's Pizza Inc.
ADDRESS OF COMPANY 303 Atlantic Boulevard
PHONE (904)241-9194 CELL (904)537-6969 EMAIL al@alspizza.com
CONTRACTOR CERTIFICATION NUMBER CGC 060512
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II-SITE INFORMATION
STREET ADDRESS OF PROPERTY 303 Atlantic Boulevard,Atlantic Beach,FL 32233
If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
LEGAL DESCRIPTION OFFICIAL RECORDS BOOK 661 0,PAGE 1725
LOT 2,4 and 6 BLOCK One SUBDIVISION Atlantic Beach
REAL ESTATE NUMBER 169729-0000 LOT OR PARCEL SIZE: APPROX 150 x 125 SQ Fr 6,100 AC
RESIDENTIAL COMMERCIAL x OTHER(SPECIFY)
I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation”of the Municipal Code of
Ordinances for the City of Atlantic Beach,FL and/or I have participated in a pre-application meeting with the Administrator of those
regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed
from the above-described or jacent properties in conjunction with this project.
SIG ATURE OF OWNER SIGNATURE OF OWNER
Signed and sworn before me on thisa0 day of ,rit , , 0.0 i 1,by State of -I OY l
01 0..1151)r County of k.v
Identification verified:-VLp45 o il\eA'y \LV\ 0 w n 1--b rw-Q,
Oath sworn: r Yes r No ` ermsitt,....' EWNE M.SILVER072501 MY COMMISSION#GG
�JL/� . . icE£rebniar 8 2i
Notary Signature �RI;f. ' Bonded Thru NOtey PublIc Underwrilers
REV-TVA-v10.12 My Commission expires: &,`' POa_\