750 Plaza - Permit FNCE18-0041 NJ
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: FNCE18-0041
Description: install 6-ft. fence, remove fence on north side
Estimated Value: 4583
Issue Date: 4/25/2018
Expiration Date: 10/22/2018
PROPERTY ADDRESS:
Address: 750 PLAZA
RE Number: 1712880000
PROPERTY OWNER:
Name: SHORE KRISTIN M
Address: 750 PLAZA
ATLANTIC BEACH, FL 32233-3932
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.
"A N�
Vi City of Atlantic Beach APPLICATION NUMBER
1.It Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 FN (_6
Phone(904)247-5826 - Fax(904)247-5845 APR 16 201r, '-f ( I �) I I z
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Applicant: �J�an6fmg &ZoqLpa_j
Tree Administrator
Project: 44a t q'-A oit- <
(—P Nicgt7i�ifie�.�
dC L_
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: OApproved. E]Denied. [:]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed b Date:
TREE ADMIN. Second Review: ElApproved as revised. F]Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied. ONot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
1279n
Building Permit Application 7Up 1—a t71-1 2-Mg
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 APR 13 2018
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 0 121 Vy!,�), ,rL �)ZZ�3 Permit Number::
A�CL
Legal Description RE# --------
Valuation of Work(Replacement Cost)$ Heatecl/CoolecISF Non-Heated/Cooled
• Class of Work(Circle one): New Addition(A=1terat-ioh Repair Move Demo Pool Window/Door
• Use of existi ng/p ro posed structure(s) (Circle one): Commercial (R:eEsiidj��n=tial
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes=Ng 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:
Z
Florida Product Approval# for multiple products use product approval form
Propertv Owne Information
Name: ,4�r-� Address:
city !Leck,1,,�2LVI , State r—L, zip '6 Ph one
E-Mail (�\)VCA\ =rr-
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: 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/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 COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirme before me this_�3 day of Signed and sworn to(or affirmed)before me this day of
A -<Ain S�XOIFL by
JENNIFER JOHNST
N
MISSION*GG 042
my COM
PIRES:October 27,2
EX
ervyn (Signature of Notary)
Public Und ters (�Witure of Notary)
sonded Thru Notary
L11 I*
Personally Known OR Personally Known OR
[)I,Produced Identification Produced Identification
Type of Identification: q, "e- Type of Identification:
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
Y,6�*ir'N 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 k-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,
1%Q
return receipt requested,to the following address
• 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.
0
V,z� " , 4v�� Date Alvbh6
Property Owner/Agent(siined in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of &p 120
by V- t-":SA't n s V1 of who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
- `�� Or��� -
Sign4ju ofNarary Public,State of Florida
Department Approval:
Personally Known
Produced Identification(Type) Vcerv�z .do
-§cott-)WiA',Public'Porrs"Ir-ec
S ctor
JENNIFER JOHNSTON
MY COMMISSION#GG 042W Kayle Moore,Public Utilities Director
ible Encroachment Agreement 2.5.18.docx
t -,4" 2M\k('V
. ..... /&kcW Thru Notary Pubk Under**ers
City of Atlantic Beach APPLICATION NUMBER
I.It Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 FN C& 12 —oc)
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://vmw.coab.us APR 16 2W
APPLICATION REVIEW AND TRACKING FORM
Property Address: -A-S-b 9vtr�uei Department review required Yes No
I in
Applicant: 0 L'3 (��n6�ing &Zoqlpg.-j
Tree Administrator
Project: ,01\ SXA�� �4A --p-na , 0_4V1uJt_ (
(LP 1-!b-1—ic T F i Fie_��
di- Public Safety
Fire Services
Review fee Dept Signature CY--
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. FIDenied. [j2/Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: )_k�sx Date: Ww/t
TREE ADMIN. Second Review: FlApproved as revised. ElDenied. F]Not applicable
PL121�%�WOR Comments:
/�PUBL UTILITI
C
PZLI(C SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 F;',J C&
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
6A City web-site: http-://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: I- Eb �V[A-2Lei Department review required Y No
Applicant: D L.3 �an6�ing &ZoQLU9__)
Tree Administrator
Project: 1'\ (D4-A -�4u k Moot
(__F.Q_b_1ic_LTt7M_fie_,�
.�tALA_ L) a 0 rtvA 5 Public Safety
Fire Services
Reyi�eyvfee�,_ 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
I--,'
Reviewing Department First Review: [PApproved. [:]Denied. [:]Not applicable
(Circle one.) Comments:
PLANNING & ZONING Reviewed by: Yin Date:_41-17-d"I )
TREE ADMIN. Second Review: []Approved as revised. E]Denied(/ ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 FN C& I
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: Department review required Yes No
Applicant: D L'3 (4�a_nri�ing &Zo��
Tree Administrator
Project:
b-1—ic_9t M Fie_�_�
r\, o o ttvA 5 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: EZApproved. [:]Denied. [:]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING R e v i e w e d b y: Date:
TREE ADMIN. Second Review: FlApproved as revised. []Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. F]Denied. [:]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
LrE
Building Permit Application Updated 12
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 APR 13 2018
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 21 k)C
Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost)$ Heated/CooledSF Non-Heated/Cooled
• Class of Work(Circle one): New Addition=Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial (R=esidenti:a
• 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:
vr�,�\, 0 ) '2-
Florida Product Approval# for multiple products use product approval form
Property owner Information
Name: ,�Lc�r) K, b Address: -1;60 �\CAZq
city A-'A' State V�L� Zi p P h one Ci Ii –Z)9/911�_
E-Mail '�A-�OCC)iL-e (�Ovc&\ -,-)r k_C�, OT=C
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: 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/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 h as
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 COMMENCEMENTMAY
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.
ka�t,l
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirme before me this day of Signed and sworn to(or affirmed)before me this day of
Q If L by
...... JENNIFER JOHNSTOe
M My 9M
MISSION GG 042
E
y com
EXPIRES:October 27,2
Publ Underwnters (�Wlture of Notary) (Signature of Notary)
Bond
Bonded Thru Notary Public Unde
FTF—ersbr Ily-Known OR Personally Known OR
[)QProduced Identification Produced Identification
Type of Identification: Ft— q L, Type of Identification:
MAP SHOWING BOUNDARY SURVEY OF
LOT 15, BLOCK 8, ROYAL PALMS UNIT TWO, AS RECORDED IN PLAT BOOK 30, PAGES 94 AND 94A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
KRISTINE SHORE
WACHOVIA MORTGAGE CORPORATION
SUNSHINE TITLE CORPORATION
FIDELITY NATIONAL TITLE INSURANCE COMPANY DEVEI
COMMUNITY L
PLAZA APPROVEL'
(60.0' RIGHT OF WAY)
S 85*37'27" E 80.65' (PLAT)
S 85*19'22" E 80.59' (MEASURED)
FOUND 1/2- IRON Pl� 'S'l W.A-L K': - .-.: . . - . ". '. ----
NO IDENTIFICATIO 4 IRON PIPE
F UND 1/2
NO IDENTIFICATION
0).
0
LA
25' BUILDING RESTRICTION LINE
af
FC
(f) OVE�Eq D
I-- < 29.2' 24.7' 26.8' V)
< Lj <
-j LLI <
a_ ..SCREENED. -j
PATIO a-
-X- v
0.2', X
L0 X
0 0 _0
LOT 14 r-: c�
n LOT 16
BLOCK 8 0) C-4 PO
ONE STORY 0) 0) BLOCK 8
MASONRY
Ld POSTED # 750 X —i 0 X 3-
(N L0 I-)
cli C14 -U) �N
z 0 0 0
z 29.2' 24 7' 26.8' V) cn
LOT 15
BLOCK 8
0.5" 0.2' ES EASEMENT
10' DRAJNAGE AND UTILITI_ 0.5'
FOUND 1/2; IRON PIPE
NO IDENTIFICATION MASONRY�WALL FOUND 1/2- IRON PIPE
NO IDENTIFICATION
LOT 9 N 85*30'32" W 80.77' (MEASURED) LOT 7
BLOCK 8 N 85*37'27" W 80.65' (PLAT) BLOCK 8
LOT 8
BLOCK 8
NOTES: ACCEPTED BY:
LEGEND:
R = RADIUS —X— = FENCE
L = LENGTH = CONCRETE
NOTES:
PLAT N 04*22'33" E REVISIONS
1. BEARINGS ARE BASED ON THE --- ----- BEARING OF --------------- ALONG THE
WESTERLY BOUNDARY LINE OF SUBJECT PARCEL.
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE ----X ---. AS SHOWN ON THE DATE DESCRIPTION
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 1989, COMMUNITY NUMBER 1206T�, PANEL
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED.
4. THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB # 20697 DATE OF FIELD SURVEY: 05-15-03 DATE OF ISSUE: 05-2-� LE: 1" = 20'
CERTIFICATE
2522 Oak Street I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
Jacksonville, Florida 32204 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
(Phone) 904-389-5989 BOARD OF PROFE-SONAL SURVEYORS AND MAPPERS IN CHAPTER 6IG17-6. FLORIDA
D
Fox) 904 ADMINISTRAIJ�E�'
.0 SUANT TO SECTION 472.07 NDA'jjATUTES.
m -389-6175 2�11
MICHAEL J. AIELL
LICENSED BUSINESS # 6702 REGISTERED SURVEYOR AND MAPPER /4879 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS