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309 Royal Palms Dr - Permit FNCE18-0040 ` t 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: FNCE18-0040 Description: 4' AND 6' FENCE Estimated Value: 700 Issue Date: 4/19/2018 Expiration Date: 10/16/2018 PROPERTY ADDRESS: Address: 309 ROYAL PALMS DR RE Number: 171351 0000 PROPERTY OWNER: Name: PERRY JESSICA Address: 309 ROYAL PALMS DR 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. 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. City of Atlantic Beach APPLICATION NUMBER Js �a Building Department (To be assigned by the Building Department.) 800 Seminole Road Fn ,C� _ / 040 VV �� Atlantic Beach, Florida 32233-5445 'V l O (J Phone(904)247-5826 • Fax(904) 247-5845 E-mail: building-dept@coab.us Date routed: / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '309 RC) cZl 4Ll MSDr-11poiki"ent review required Yes No B " Applicant: NE2- fanning &Zoning Tree A minis ra or Project: �(yr u ks Public Utilities Public Safety i es 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: roved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDIN 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 j 800 Seminole Road,Atlantic Beach,FL 32233 Pre^ Phone:(904)247-5826 Fax:(904)247-5845 Job Address: "l ��U�l G� ��l Yh5 11i VPermit Number:F_C CJIJ�v Legal Description RE# Valuation of Work(Replacement Cost)$ -100- Ud Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): ew Addition Alterationepair Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial Residenti • If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No • 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: �z pIct C in /9'Y_',r%rS 6�-4 (re n fkt to— tvt-14, (� ' w00cA VYtyc,cy J<ehcQ C?� s�� f P�vf" h S1Xjo, 4c,r%s lz"r,% (IOVKS) (2wrAc.t"5 \ow CE,vtC2 ,vt t-h LA w:�J� ice. .�'�l. :SC'r+h Std PVvPP-**y C,4tCtrtS CAval[4 ). Florida Product Approval# for multiple products use product approval form Property Owner Information Name: s�tS5r CIL Perry Address: 30't 2Oyc1 huI vns `7rtVt✓ (� 322 5-DPhone4S,-[ 3S'-- '{`f`t`I City (.�►-1Ur��tG 62C� c h State t' Zip 5 E-Mail JCo �LiZy 5r+-t4,11 cLvv. Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: VA A 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/Insur /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 ATTORNEYBEFOR RECORDING YOUR NOTICE OF COMMENCEMENT. K--) - (Signat e f Owner or Agent) (Signature of ntractor) (R o Ai ned ar�d sw n to rem thi day of Signed and sworn to(or affir d)before me this_day of f 1 0� b re o ota ) (Signature of Notary) ,o...........:Te TONI GINDLESPERGER =Z' Y C M SSION#FF 924951 Personally Known OR �� n® �� 2p19 Produced Identification s [r�glyitsimeteodervrrters Type of Identification: C! si�:Lyjy� City of Atlantic Beach APPLICATION NUMBER Building Department APR 10 2018 (To be assigned by the Building Department.) r 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904) 247-5845 - — �� r E-mail: buildin de t coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 30 ! O ci Q m-& 'DepaftiRent review required Yes No B ' • Applicant: w NDE2 Planning &Zoning Tree A minis ra or Project: `—T C_ ub ks Cop Public Utilities Public Safety i es 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: �� vDate: Z TREE ADMIN. Second Review: ❑Approved as revised. Denied. ❑Not applicable PUB ORK� Comments: PiUTILITIES Wil-) 8 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Vii.L�fyCity of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the Building Department.) 800 Seminole Road APR i 0 2018 �-�CE b �r Atlantic Beach, Florida 32233-5445 "� — o'40 Phone (904)247-5826 - Fax(904)247-5845T /! E-mail: building-dept@coab.us Date routed: L� / Pp City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3o ! R,, 4,I ' mS D ent review required Yes No B " Applicant: Planning &Zoning Tree A minis ra or Project: Z+ FENDQ ub ks Public Utilities Public Safety i es 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 C�4 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: [—]Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Vin\ r fl / REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT 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 Je s.5 I (& 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 "C e 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 'j0 A lova I P.410,f LXNZ • 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 assumed by the USER. Date H ct/ g Property Owner/Ag (signed in presence of No Public) STATE OF FLORIDA,COUNTY OF DUVAL / 0 The foregoing instrument was acknowledged this day of Q r, 2 , by Q �' ,who personally appeared before me and (pri ted n e o Si er) ackn wl ged t the/s s gned the nstrument voluntarily for the purpose expressed in it. Signature of Notary Public, Sta of Fl ida Department Approval: Personally Known Produced Identification(Type) tOA,-atm F �t Scott irlh ms,Public or s Director/ co�M�cg�3r 6 pis ^:�••••.<:�� tity pctoaer . Kayle Moore,Public Utilities Director H:\Mast {.? Pc is-1 QiI a Encroachment Agreement 2.5.18.docx Revision go� dS� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ��C� Atlantic Beach, Florida 32233-5445 (P) — 04� Phone(904)247-5826 • Fax(904)247-5845 /I E-mail: building-dept@coab.us Date routed: n City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3o 1 O ent review required Yes No B " Applicant: (,D IyPlanning &Zoning Tree A d minis ra or Project: FEQCC u ks Public Utilities Public Safety i es 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: �Die= 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: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 _ 1 u7 LL FOUND 1/ " BLOCK 15 IRON PIP SET 1/2" IRON ROD LOT 13 30.0 0.3_ S 85. M LB #7893 27 E 109.16' BLOCK 15 I 0- 00 5' U.E./D.E. 25' * 0.6 -A/Cv QA/C o N �I •O _ n I 1 o D .:: • tib' jr 33.0' 70 0 D •..' CONCRETE j o• 5 �p'i1, 6 :,. ...I; ..9 DRIVE y SHED CA o o I 43.9 •a::.,• a >?S �6� WOOD I w LOT 10 BLOCK 15 to mI io m I Cn I. ty! `� _ I w I to L4 (n mW` 0 � S; 0 S. I 30.0 0.2' _ �� N w FOUND 1/2" _ 0.1' IRON PIPE FOUND 1/2° IRON PIPE N 85'37'27" w 90.008F NC-F- ' 'o I w 0 _CAVALLA ROAD >.. ." ".• ..::•..• :.: 60 RAW (IMPROVED) _ SURVEY NOTES COMMUNITY DEVELOPMENT CONCRETE DRIVE CROSSES THE PROPERTY LINE ON THE WESTERLY SIDE OF THE LOT. THERE ARE FENCES NEAR THE BOUNDARY P ®V E D OF THE PROPERTY AND CROSS INTO THE 5' U.E./D.E. PAGE 2 OF 2 PAGES 0E � MSM BOUNDARY SURVEY LB#7893 A jI FI C Pq No.2M TA R G,ET SURVEYORS CERTIFICATE o a I HEREBY CER77FY THA T THIS BOUNDARY SURVEY SURVEYING, LLC IS A TRUE AND CORRECT REPRESENTATION OFA s = SURVEY PREPARED UNDER MYD/RECTION. STATE OF „ NOT VALID WITHOUTANAUTHENTICATED ELECTRONIC SERVING ALL FLORIDA COUNTIES ep oL O R I ID P pQ• SIGNATUREANDAUTHENTICATED ELEC7RON/CSEAL, L S U R V E v ORA RAISED EMBOSSED SEAL,Digitally signed Clyde 6250 N.MILITARY TRAIL,SUITE 102 Cld e McNeal WEST PALM BEACH,FL 33407 Y DN:CN=Clyde McNeal,C= PHONE (561)640-4800 M C N e a I U$,: =Target Surveying,Inc. FACSIMILE 561 640-0576 (SIGNED) DQE 2013.07.1910:01:25 STATEWIDE PHONE (800)2264807 CLYDE0.McNEAL,PROFESSIONAL SURVEYOR AND MAPPER#2883 STATEWIDE FACSIMILE (800)741-0576