225 Sherry Dr - Permit FNCE18-0034 3 `f CITY OF ATLANTIC BEACH
=' 800 SEMINOLE ROAD
J �r
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: FNCE18-0034
Description: INSTALL&WOOD FENCE TO MATCH EXISTING
Estimated Value: 300
Issue Date: 4/18/2018
Expiration Date: 10/15/2018
PROPERTY ADDRESS:
Address: 225 SHERRY DR
RE Number: 169804 0000
PROPERTY OWNER:
Name: MORTENSON MARIE
Address: 225 SHERRY DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Quick Construction, LLC
Address: 4312 Pablo Professional CT
JACKSONVILLE, FL 32224
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.
�r
2�1 Conditions
7
City
r�
of
Permit Number: FNCE18-0034 Description: INSTALL 6'WOOD FENCE TO MATCH EXISTING
Applied:4/4/2018 Approved:4/18/2018 Site Address:225 SHERRY DR
Issued:4/18/2018 Finaled: City,State Zip Code:Atlantic Beach, FI 32233
Status: ISSUED Applicant: <NONE>
Parent Permit: Owner: MORTENSON MARIE
Parent Project: Contractor:<NONE>
Details:
LIST OF • •
SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS
DEPARTMENT CONTACT REMARKS
1 4/5/2018 ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
2 4/5/2018 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.
3 4/5/2018 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full right-of-way restoration,including sod,is required.
4 4/5/2018 FENCING REMOVED INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All old fencing must be removed from job site by Contractor.
/%
Printed: Wednesday, 18 April, 2018 1 of 1 �;;
riya,�;y� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road j _ n()5-41 Atlantic Beach, Florida 32233-5445 OR 0 q
Phone(904)247-5826 - Fax(904)247-5845 4 ?018 - -
`� E-mail: building-dept@coab.us L Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address De __ _ ent review required Yes No
_ ___--
Applicant: ���'� �?(1 Q,� l c7✓l oL��J Tanning & Zo " g
ree Administrator
Project: 3�{ n�7a 1 (0ubiic.-
P _
POVIic Utilitie
is afety
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 l y
PLANNING &ZONING Reviewed by: �' �— Date:
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUB WORKS Comments:
P7
UTI ATI
PUB IC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
rst a,� ye-1 City of Atlantic Beach APPLICATION NUMBER
Building Department -- (To be assigned by the Building Department.)
` 800 Seminole Road j _
�r Atlantic Beach, Florida 32233-5445 CL
Phone(904)247-5826 - Fax(904)247-5845 P
`
—to;;IF9? E-mail: building-dept@coab.us R 44 2013 Date routed:-
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address' `7 ( D ent review required Yes No
Applicant: ��,�' IC o (1�`�11 e,�'rl c7,/L oL�� [tannin & g
ree A inistrator
Project: �7�f l (z? ( En-nr P - I.Public k�
Poblic Utilitie
is afety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or ReceiptDate
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 : D ate:
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
rSvf�� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road -41
-41
Atlantic Beach, Florida 32233-5445 ��-� — boI
Phone(904)247-5826 • Fax(904)247-5845
Email: building-dept@coab.us Date routed:-—
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address'� ( D ent review required Yes No
151ngApplicant: r&67A & 9
inistrator
Project:— <_ Public l
Disk Utilitio
is afety
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: ZApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date: ^q'
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
1 , %. � City of Atlantic Beach APPLICATION NUMBER
JSN Building Department (To be assigned by the Building Department.)
r ` 800 Seminole Road y v �S _ Lo a�
�r Atlantic Beach, Florida 32233-5445 l. � 1� J
Phone(904)247-5826 • Fax(904)247-5845 41 /Q
� It�? E-mail: building-dept@coab.us LDate routed: 7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address• `7 �� pepa#jnent review required Yes No
Applicant: ��1�' (l �,r'rlc7✓L ���, tannin 8�-o; 9
ree A inistrator
Project:` -
64c Utilitie
is afety
Fire Services
Review fee $ Dept Signature
g �w
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: proved. ❑Denied. [-]Not applicable
(Circle one.) Comments:
(BU�DIG
PLANNING & ZONING
Reviewed by: Date:
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
Building Permit Application Updated 12/8/17
City of Atlantic Beach
-. 800 Seminole Road,Atlantic Beach,FL 32233
/Phone:(9044)247--5826 Fax:(904)247.5845
Job Address: �s S"n-le �r� QHjh�i t /3��4 Z273 Permit Number:- 1 c—,a-60 J1
Legal Description Al-3y 14-.25 -21C IH.led &%!ftei SeP L.W S RE# 14980!V- 0000
Valuation of Work(Replacement Cost)$ '30`0 Heated/Cooled SF O Non-Heated/Cooled
• Class of Work(Circle one): New ddition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esident'
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No d
• 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:
'Tri S �l 6 �-a L'I 04 Pir;v �c.�« IV kn a�c4 ¢x/`S
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: 'f /•1,u
g _____Address:- S S����- D,
City ,'C State fes_zip 1.2273 Phone_ /gypyZT_� - 9 ro L_
E-Mail —
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information 11
Name of C mpany: U �- Quali�fy�i,n,g,Agent:IV e,1 n1 f UC-- _
%
Address ' 312 1ta_ r2�s � 1�� ' ACity� � u�1 l�State_ �Zip_y3a
Office Phone_QAtp (e to b Site/Contact Number IDOL Unff to_�-�
State Certification/Registration# C-6lf1 L��( -Mail 1'Y\iIli Ue.CrLoi z—
Architect Name&Phone#
__.�--------_-__ _ ---------_
Engineer's Name&Phone#
Workers Compensation - — --- —�
Exempt/Insure(/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.
(Signature of Owner or gent) ignature of o,,tracto,)
(including contractor)
Sip,ne�d and sworn to(oraffirmeW before me this day of Signed and sworn to(or affirmed)before me this Q day of
by by MBCA k Qi,-�iCAer
--(Signatu e f Notary) _ (Signatoe of Notary)
�, STACEY scliWAM
[
]Personally Known OR ��:y�%, TIMOTHY KELL Personally own OR
�x_ NogryfIS
�i d
*-)'Produced Identification j r_ Commission#FfF 8g6ged i ntification , 0 FF MM
Type of Identification: C� Ex�ireS FebruaT]►17(�Qpientif ation: 01�
F ''•P,•^' e«mw Dry rmy r.w k.r.K.it aaapon New � �Iw�l Agl1
FM:XGUI
P!CiYas{ETf�
r
5t;RtF�NCTES
G<'�f.NET�i)F2NF WLiSSlKiINltlPihQN
THF
IHF P H FR ANL-W SfERLYSff€S
r i�ry
1 tJERE ARE FENCES NEAN THC
1 Ki."Py GF rK PR,)FFRT/
I.OT,;
hh\
1v
!G se er
87,631 :w7elo
•i cD
3orLOT
CR
BUILDING ea
#225 LOT 6
' • '� 1�0 707 ;-i_.
OMMUNITY DEV
APPROVED
+ 76.18'
oeFWri- ° N83°4 00 r ,
. 1
SEcpND STREET
PAGE.2 OF 2 PAGES
BOUNDARY SURVEY
Nc iW I_H#7N)3
l ! SURVEYORS CERTIFICATE
a� lWRF8vfXRrjFr7mArrm.gpjUMvARvsUFvE'r Jole TARGET
BA TRUE 4IVG AmEv v o RE'PRfS Ecrxw. (?F A S V RVR 1 I \G�LLC
i�• 3(1RYEl'fWEPAKEUU9WOfRAfv:flhlECf/ON.
s*�rv� Yy
`$AW"rUREAhOA(frHElVTkCATF0EEI..C?RRow,sFAf SERVING ALL OF FLORIDA. ORA RAISED EAVUSSEU SEAL AND SIGNA fUlit
62n>0 N Wil—I'TARY TRAIL.SUITE 17.'
WEST PALM BEACH,FL 33107
PHONE (561)640.45J0
FACSIMILE (561)540.0676
STATEWIDE PHONE (600)226-1807
CtYDf D AANE'N PROFE-SSID-L SLARWYORANO A41PPERWW3 STATEWIDE FACSIMILE ISM)741-0576