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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 -O� q/ y V v ,N. V; WSW BLOCK OMER Poo "go STORY It f78 LO T010 Q TOD! LOTM xv COMMUNITY DEVELOPMENT APPROVED XZ$UN�N HEREON ARE LESS OTHERWISE NOTED ------ --- - SHFffJ0F2(Sj0CHDE8M55 WET -FTq HE N5�E ALI�Sfl�, 1973 PGA 13LVO SUITE G KORTH PALM BEACH.FL 33408 TH� WT N WAP W Noc90nSUNeyjing.Wffi aft M L FICK:561.508.6209 20