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215 Plaza - Permit FNCE18-0025 •i ly'�Jf'� � 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: FNCE18-0025 Description: 4' FENCE Estimated Value: 2400 Issue Date: 4/18/2018 Expiration Date: 10/15/2018 PROPERTY ADDRESS: Address: 215 PLAZA RE Number: 170347 0000 PROPERTY OWNER: Name: OLISER TAMAS Address: 215 PLAZA ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: DARMATA FENCE INC Address: 6950 HYDE GROVE AVE DANIEL L DARMATA & JAMES RICH JACKSONVILLE, FL 32210 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. '.fl I v. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) i 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 ( V E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2— �) (��- L Department review required Yes No Di din Applicant: (Y-,A L A CIS) la �ig oninj _ . Trdministrator Project: is ti i ies u is 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 i Florida Dept. of Transportation C 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: /!G?`Li— Date: 3 I c1— TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑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 Building Permit Application Updated 12/8/17 City of Atlantic Beach v 800 Seminole Road,Atlantic Beach,FL 32233 6-2-a Phone:(9044)247-5826 Fax:(904)247-5845Job Address: � ,� &��4�(�_ l�f/nn ZZ 3Permit Number: F ' v �7 Legal Description i54.1 j�S -a5 E U_ 3 A44-,, e�.'a `<v'T 21- LO-T 4 RE# J 7 6 3 t! 00yU Valuation of Work(Replacement Cost)$ `7��J Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one)( Ne Addition Alteration Lpa' Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercialesidential • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes 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: Florida Product Approval# •'U/fel for multiple products use product approval form Property Owner Information D Name:- _l r•,-5 5� Address: 2!� 6 �� . City Af-L�,4y-L )3e,c�, State_ F-i- Zip Phone �LO7— 1t 77-171 E-Mail 4v,r (J_ ()-c— sU✓re',I , , 'b/t-, Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Dar r.,�G./Zl (24 CP Qualifying Agent: Address 9�} !�^�hu,r 1l4r,,rq- 7r� City (Cs('C�1n�x �y State F Zip ZG91 Office Phone ���G/ '3'3'3 CU5 j}� lob Site/Contact Number y- " - State Certification/Registration# ?03O00L E-Mail Grain G�12 I�U -fin eV Architect Name&Phone# Engineer's Name& Phone# Workers Compensation /4 P6- 3 el 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 instal lation 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 O AN O EY BEFORE RECORDING YOUR-NQTI E OF COMMENCEMENT. ature of Owner or A __ (Signature of Contractor) (including contractor) i Signed and sworn to(or affirmed) before me this (3y-day of S' ed and orn to(ora irm #pre me this IJ day of J , by 1 c�,mu� OI Ste(- yJfl Q�M 1Y'4 ir'• GRACE MACKEY MY COMMISSION#GG 042989 ignatureofNotary) o; EXPIRES:October 27,2020 <�;'° ;�; ilF 4951 •'��°q:°." ru Nota 0MMISSION Bonded Th ry public Underwriters .' MY C EXPIRES:October 2019 [ ]Personally Known O :4 gip; Bondad7hruNotaryFublicUn ers [ oduced Identification ^ [ ]Produced Identificati A„,�, Type of Identification: R_�)6\rn�-Q (-Q4� Type of Identification: ri�.:bvrJJCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road J s) Atlantic Beach, Florida 32233-5445 r)C ; 1 F' (XD7'_S Phone(904)247-5826 • Fax(904)247-5845 C� �i jj�tq? E-mail: building-dept@coab.us L Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2— �) IJl_�` Department review required Yes No i� ui din Applicant: `� i��(Y`A L A � E,\C C- �i g oriingr Tree Administrator Project: r C is Wor s isti i ies u is 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 i Florida Dept. of Transportation St.Johns River Water Management District c— 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: BUILDING PLANNING & ZONING Reviewed by: Date: 3 9 ac TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑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 - r , �3 s� Building Department ;� � �� �.. (To be assigned by the Building Department.) 800 Seminole Road ('�CC_I P, _oo Atlantic Beach, Florida 32233-5445 MAR 19 2018 � ( Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: (p City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z 1 �) PL-gl pi, Department review required Yes No ui in ,� Applicant: C� Ing &Zoning Tree—Administrator Project: is Wor is ti i ie u i Fire Services Review fee $ Dept Signature w-r� 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 v\J C, Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. []Denied. MNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING "ate: Reviewed by: 3 20 l TREE ADMIN. Second Review: A roved as revised. Denied. ❑ pp ❑ ❑Not applicable PUB WORKS Comments: BLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 1P City City of Atlantic Beach APPLICATION NUMBER `mss S� Building Department (To be assigned by the Building Department.) 800 Seminole Road _ U Atlantic Beach, Florida 32233-5445 BAR 19 d1� r K)c -1p, Phone(904)247-5826 • Fax(904)247-5845 jA E-mail: building-dept@coab.us Date routed: 3/1W City web-site: http://viww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �� ��l (� Department review required Yes No �\ eing Applicant: `� ���rY�,A �A {- E��� � Zoninginistrator Project: is Wor s u is 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 —gyp Florida Dept. of Transportation r (� 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: TREE ADMIN. Second Review: A roved as revised. Denied. pp ❑ [—]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES r PUBLIC SAFETY Reviewed by: te: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 f •L!lr �= REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation organized and existing under the laws of the S to of Florida,hereinafter referred to as"CITY"and (�M12-k e- - 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 Ale,— Any le,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 21 SJ24,2.,_ "+v— BCSf_ IFS. 2Z-2 • 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 easement or 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 easements,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 ass th USER. Date 3 Property Owner gent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this aK day of Aa rc�, ,20 te_, by Ol'%Ser ,who personally appeared before me and (printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. ............. GRACE MACKEY `"$: MY COMMISSION#GG 042989 :N +_ :;i EXPIRES:October 27,2020 Si ure of Notary Public,State of Florida FOF Bonded Thru Notary Public Underwriters Departmen pprova : _ Personally Known Produced Identification(Type) f DA zr">Q crr k Scott ill am , ublic orks irector/ Kayle Moore,Public Utilities Director H:\Master Forms\Public-Utilities Works Forms\Revocable Encroachment Agreement 2.5.18.docx Revision Date:2/5/18 858 Ocean Blvd - Google Maps Page 1 of 1 Go gle Maps 858 Ocean Blvd y L h+s ,s"..sc`�a S�rvFPel..74 µ Y '.+ .. Image capture:Dec 2014 ©2018 Google Atlantic Beach,Florida Google,Inc. 4 Street View-Dec 2014 dQ�/�V-4 row 4eo Atlantic Beach rvte 0 Atlanti 4c P0 13th S: g Ab n 0 APPROVED https://Www.google.com/maps/@30.3336331,-81.3976509,3 a,75y,316.74h,67.62t/data=!3m... 4/4/2018