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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