178 SEMINOLE RD - PERMIT FNCE18-0049 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
FENCE WALL OR BARRIER - FENCE
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: FNCE18-0049
Description: Replace current 6'fence with 6' privacy fence.
Estimated Value: 5955
Is�sue Date: 611/2018
Expiration Date: 11/28/2018
PROPERTY ADDRESS:
Address: 178 SEMINOLE RD
RE Number. 1705940000
PROPERTYOWNER:
Name: BALKMAN BRIAN
Addrew: 178 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: C &T SERVICES OF NORTH FLORIDA, INC
Address: 7287 EAGLES PERCH DR
JACKSONVILLE, FL 32244
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 my be found in the public records of this county, and them may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal ajzencies.
* 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.
t�" City of Atlantic Beach APPLICATION NUMBER
Building Department To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
w�' E-mail: building-dept@coab.us Date routed:
Cityweb-site: htbp:/Mwv,.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: S�M;DAQ �j Department review required Yes No
("Building')
Applicant: CA-T ng&z_0@F141
T r
Project: Public Work
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review=iBy Date
of Permit
Fiords Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division at Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: []Approved. WDenied. E]Not appllc�able
(Cincle one.) Comments: Plan. e2v� .Yj de^;ed
BUILDING
PLANNING &ZONING Reviewed by: tr je, Date:
TREEADMIN. Second Review: [NrApprovecf as revised. DDenle E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:_"Ok.- Date: S'��
FIRE SERVICES Third Review: DApproved as revised. DIDemed. E]Not applicable
Comments:
Reviewed by: Date,—
Revised 0511912017
CITY OF ATLANTIC BEACH
RECEIVED 800 Seminole Road
- -*w"'') u-11 MAY 11 20 Atlantic Beach,Florida 32233
REVISION RRQUEST8(1ftkRJM§PWft§ftPLAN REVIEW COMMENTS
City of AUanitic Beach, FL
Datl-!!�/'(�, Revision to Issued Pennit Corrections to Comments 'v permit# C E 19-00-1
ProjectAddress t4t$ iV-d, , FL --bz-2- 33
Contractor/Contact Name S �� oc'u �Y-
Phone Email
Description of Proposed Revision/Corrections: Permit Fee Due$
V--f_%J %t ! � � r4e- It- A�A- , —Tt� V
L 1'y mz t�iy pf-oPA6
7
Additional Increase in Building Value$ Additional S.F.
By signing below,I affiron the Revision is inclusive of the proposed changes.
(printed n—)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved-Cy— Denied Not Applicable to Department
Revision/Plan Review Comments
"Review Required: rro=
nn,!ng &Zorun Reviewed By
Z
T'a! g 8 ��
Str tor
Tree numstrator
Public Works
Public Utilities 5- '*-20/'Lr
Public Safety Date
Fire Services
11cling Permit Application U,d.tdd 12/8/17
atir of Allantic Beach VR P � MR
IN Somirado Rood,Atlantic Beach,FL 32233
Phenol(904)247 5826 Fix;(9041347-5045
Job Address:
'D Ab Fi, 2172531ownrit Number: f_N(C�� ik nf9�:7
Legal Description `i1iHr%-4k RE#
Valuation ofWork(Replacement Costj$ f1pt6t(h) Heatod/Cooled SIF—Non-Heated/Cooled—
Re air ov. Demo Pool Window/Door
. Class of Work[Orcla ono)� Now Addition Altqrad,,4�
. Use ofoxisting/proposed itnecture(s)(Circle one): Ccxmmerclald��
. If an existing structure,is afire sprinkler system installed?(Circle one): Yes Noq"4&--)
. Submit a Tree Removal Permit Application it any trees are to be removed or Affidavit of No Tree Removal
Describe In d if the type of work to be performed
Wolf Wli (e%t XeAve W%M W, bal� U) iwu� OC\QQLLkA �en(t
Florida Product Approval#_ for multiple products use product approval form
Proodartv Owner Information
Name: —Addl as; nk senu(A
City
rate lo Pld.:.V984�.m_
E M.,I Nsrj Ito
Owner.,Age (if Agent,Power of Attorney or Agency Letter Required)
�2nr c is
Nam a of Company: 25 C& Iii- Q-10,I Agent:LN'ft'ra 9')h'k 00
11 Add city I )�Stoto�Zlp IZ 2LA!
Office Phon*IADL`I_11=_ 4491; Job 51tza/rsin�ist hicanbier9ff-
State Certification/Registration 0 LA I-& thil"IN02-W4
Architect Name&Phone#
Edell
Wor4orsCompensaton
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 ease red for ELIECITUCAL WORK,PLUMBING,SIGNS,
WELLS,POOL$,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc,NOTICE:In addition to the requirements of this
per-it,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 medicament districts,state agencies,or
federal agencies.
OWNER'5 AFFIDAVIT:I certify that all the foregoing Information 11 accurate and that atl 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 PAYfNGTWIC—FOR PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
'gi
P k
TO OBTAIN FINANCII 0 'ON" H YOUR LENDER OR AN ATTORNEY BEFORE
I N
"C , CEMENT.
aA
filemumarig9rairis, ant) (Sh�
Pounds of on doctor)
(Including,:.nusa
Ignod nd a t �roffi bef t I _d f 51 nod and sworn to or affirms before m his 13 day of
by
jj
a r (Skinture Of Notary)
0 f�o)k_
I Personally crown OR BRANDISTEVENS
niffica as I Poduwdld no 0 N
--,kj Produced Identifflo. Exploas �,,Iwlfi in"i n ComorthakisHOFF9 40
Typo of Fd#rdfic.t'.r 2 Type of Identification: 1 .4 '
ZZI:
F
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826- Fax(904)247-5845
E-mail: building-dept@wab. APR 2 6 20 Date muted:
City web-site: http://�.maubsus
APPLICATION REVIEW-ANaTR4bKING FORM
Property Address: 1-4�( De artment review required Yes No
uil Ing
Applicant: ng&Zo
T r
Prciject: z4arx.GjfeA� Public Work
u C I ies
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Rev
I Pelew Date
0 rit=PBIY
Fl.nd.Dept of Envmn..ntal Protection
Florida Dept.afTransportation
St.Johns River Water Manag
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: V(Approved. []Denied. UNot applicable
(Cincle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed lby.���ate:
TREEADMIN. Second Review: LIAPproved as revised. DDenied. 4K�_
jNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. E]Denied. [-]Not applicable
Comments:
Reviewed by: Date*
Revised OW1912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (ro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 oot'(_
Phone(9G4)247-5826- Fax(904)247-584sAPR 2 6 2013 .� .7
E-mail: building-dept@coaId.us Date routed:
City web-site: http.,//�.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: &M;"4e De artment review required Yes No
uil ing
Applicant: GNI: se"K,--s ng &Zo
T r
Project: (1crAll, 06' Public Work
U ic I lea
Public Safety
vFireSeNlces
Review fee $ DeptSignature
Other Agency Review or Permit Required Review r�Rmeipt
of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
_Ar-_YC.1p..fE.gin.er.
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: []Approved. E]Denied. of applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREEADMIN. Second Review: ElApproved as revised. ElDeried. EINotapplicable
PU.QLO WORKS Comments:
,4131_1� Ut�TIITE
PUBLIC SAF Reviewed by: Date:—
FIRE SERVICES Third Review: [—]Approved as revised. ElDenied. [-]Not applicable
Comments:
Reviewed by: Date
Revised 06/1912DI7
City of Atlantic Beach APPLICATION NUMBER
Building Department To be assigned by the Building Department.)
8110 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-6826 Fax(904)247-5845
on 'r, E-mail: building-dept@mab.us Date routed: Z ZS//
Gftyweb�site: http://�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: rq�r &M,"je R� - arimentrevievire uIred Yes No
�1!11 I Ing
Applicant: Q-T Se"Acg-_s -V�g&zaft
- -__ 'a
T r
1� —
Project: W13Ce P
PubHeWorkt,,
�20 Fic Uliffifiles
-Public Safety
Fire Services
Peview fee $ Dept Signature
Other Agency Review or Permit Required Review Date
Of PemnIt=pty
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: []Approved. VDenied. EJNot applicable
(Cincle one.) Comments: Fece
BUILDING -.5 01q dlrr&4�
PLANNING&ZONING Reviewed by: Date:q_1,_10_
TREEADMIN. Second Review: VIApproved as revised. E]Denled. E]Not applicable
PUBLICWORKS Comments:
l*V'rt'l- e1A ep
PUBLIC UTILITIES 1 40 b _"ep r'e C�,/y
PUBLIC SAFETY Reviewed by: Date: �--wloq
.405i�� 49!9= —
FIRE SERVICES Third Review: ElApproved as revised, ElDenied. ONotapplicable
Comments:
Reviewed by: Date
R.vi..d 0511912017
CITY OF ATLANTIC REACH
RECEIVED 800 Seminole Read
Atlantic Beach,Florida 32233
--D" 9 MAY 111 2N
REVISION REQUEST8WWkRJV4P@fVAWPLAN REVIEW COMMENTS
City of Atantic Beach, FL
Date Revision to Issued Permit Corrections to Comments ')� permit# F�J C-E Ila b-jq
Project Address (45 F E 2-2- 3 3
Contractor/Contact Name 4?-
Phone '�O'/- 10 C/ ' Email
Description of Proposed Revision/Corrections: Permit Fee Due S
9 �.�' � � r'ie- c- � � /->�- - —n� V�I-) �-
loy prcppiA6
7
Additional Increase in Building Value$ Additional S.F.
By signing below,I affinn the Revision is inclusive of the pmpowd changes.
(p.ted
Signature of Cononctor/Agent(Contractor must sign if inc.ase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
'!D1@jq!rtrnent Review Required:
AOL=
anning &Zo Reviewed By
Tee �,�,ns*traor
Public Works
Public Utilities
Public Safety Date
Fire Services
178 9NINOLE ROAD,ATLANTIC BENCH, �LWM 32233
Boundary Survey
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COMMUNITY DEVELOPMENT
APPROVED
XZ$UN�N HEREON ARE
LESS OTHERWISE
NOTED
------ --- -
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