501 CRUISER LN - UNPAID PERMITS White, Debbie
From: White, Debbie
Sent: Thursday, September 14, 2017 3:31 PM
To: 'fleischmanndavid@yahoo.com'
Subject: Unpaid Permits Atlantic Beach, Florida
Attachments: Superior Fence Unpaid Permits_job completed.pdf
Mr. Fleishmann: Attached are the two applications submitted for permits. Since your company signed as the
contractor it is your responsibility to pay the permit fee. Any agreement you had with the homeowner is
between the two parties and the City will not get involved. Please make payment for these within five (5)
days. Thank you.
501 Cruiser Lane $70.00
318 Aquatic Drive $70.00
GRAND TOTAL DUE
$140.00
Any questions,please let me know. Debbie
Debbie White
Code Enforcement
City of Atlantic Beach
(904)247-5855
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: eleOISC_2 64AIe Permit Number:
4-3 Parcel#
Legal Description k�e_SI46&fice
Floor Area of t Sq.Pt
Valuation of Work$ 2 / -1/ Proposed Work heated/cooled non-heatedVcooled
A P-9 1 e-W IA--
Class of Work(circle one): New Addition Alteration Repair Move <J]�_pool/spa window/door
ose
Use of existing/pro d structure(s)(circle one): Commercial Residen
ef -Yes �o
If an existing structure,is a fire sprinkler system installed?(Circle one): (iD
Florida Product Approval#--iid—
For multiple products use pr uct approval form r--eetod' mba
Describe in detail the type of work to be performed: ro Itle--e- 160 rO7-.4
x mo. ic A iq�ri &XV uch- —1 �
Property Owner Information: J9
ddress-
Nam 4hon ���2 W��5-
city _�_P
�ip 2
E-Mail or Fax#(Optional
Contractor Information:
Company,Name:SupeR(09 in -
Quali��,,g A nt
Address:Xq?���/6: WdOx 4 V(? _CityYZ)M --State rZ., Zip 5Za�i�_
Office Phone 130'/ f52Z—Z2z Job Site/Contact Number Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 ofa permit and that all work will be pedbrmed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null
ter
months, or ifconstruction or work is suspeitiled or abandonedfor a period ofsix 1)months at any time af
and void ffwork is not commenced within six(6 P, A
work is commenced. I understand that separate permits must be securedfor Electricar Work Piuntkng,Signs, N d1s,PaWs, urnaces,Boileis,Heaters,
Tanks and Air Conditioners,etc
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.
d th' p f laws and ordinances governing this
I here certify that I have read and examine 11s lication and know the same to be true and correct. Allprovisionso
7'l _lied with whether eci?ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
.work will be cotnp sr,
provisions ofany otherfederal,state, or local aw regulating construction or the performance ofconstruction.
Signature of Owner Signature of ContractZ4?9
Print Name Print Name MC/Y F> .......................I................................
11A,VC1. ...................................................................... ..................
Sworn to and subscribed before me Sworn to and subsc f me
thim Day of this /I Day of '20/6-
D
AVID EARL FLEISCHMANN 7_2 FLEISCHMANN
MY COMPASSION#FF157186
N6rary Pi
N V EXPIRES September 4,201 a
EXPIRES S"g!e"4
(407)3"-0153 FloridalslotaryService.com , lsedWIN.10
:9- (407)39"153 FloridaNatarKrvice.com
MAP SHOWING BOUN'DARY SURVEY OF
4�;o; BLOCK 2, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64A
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED TO:
NANCY C. DALTON
HOMESIDE LENDING, INC.
STEWART TITLE OF JACKSONVILLE, INC.
WATSON & OSBORNE, P.A.
LOT 2 LOT 1
BLOCK 2 BLOCK 2
F-
S 67*28'00* E 100.00' FOUND 1/2-IRON PIPE
FOUND 1/2- IRON PIPE NO IDENTIFICATION
NO IDENTIFICATION
ar 20' EASEMENT FOR DRAINAGE, UTILITIES AND SEWERS-
LOT 35 LOT 36
BLOCK 2 BLOCK 2 LLJ
I Z
—j
z
4.3' 0
F- 20.0'
AT4.
b -40
cc C)
0 F-
6
6 SCREEN LJ 0
C
0 PORCH Ld
0 z
z <
36.0,
C/)
m
CD
ONE STORY FRAME i� 0 Z
ci
POSTED # 501
w x
It >
0 0
0 0
4.0- cli
iq b COVERED ENTRANCE
rl) 310*
04
04
24.0'
U)
z
20' BUILDING RESTRICTION LINE A
A A
I A - 4
0)
C4
4A- A
FOUND 1/2-IRON PIPE
FOUND 1/2-IRON PIPE NO IDENTIFICATION
NO IDENTIFICATION 67*28'00" W 100.00'
CRUISER LANE
(60.0*RK*iT OF WAY)
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be ass d:bythe Bu:ildingDepartment.)
800 Seminole Road X-
Atlantic Beach, Florida 32233-5445
Ph ne(904)247-5826 - Fax(904)247-5845 [LDate Irouted:
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
"z�/ &AJI*5 -
Property Address: Department review required Yes No
76 n
Applicant:
�strator
Project: 7- I'-P- ublic Works
"P705RC-t1tititie—s-
Public Safety
Fire Services
"Wo
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: 10Approved. [:]Denied.
(Circle one.) Comments:
BUILDING
Date:W4'r7Zd
Reviewed by: '0��
TREE ADMIN. Second Review: FlApproved as revised. nDenied.
C r,
ornments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ODenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
j (To be as d by the Building Department.)
Building Department T
800 Seminole Road
Atlantic Beach, Florida 32233-5445 'AN 2 2 2016 S7�-
Phone(904)247-5826 - Fax(904) 5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes -No
B
Applicant: C A'—i-h e Piganj[Ig &Zoning
Project: r Tr ministrator
TyWic Utilities
Public Safety
Fire Services
hb I�L
eview or Recei t Date
Permit Verified By
TATUS
Reviewing Department First Review: Approved. RDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: 0���� Date:
TREE ADMIN. Second Review: RApproved as revised. ElDenied.
:�omments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 07127/10
ATLANTIC BEACH
PERMIT RECEIPT
PERMIT DESCRIPTION: 6FT FENCE
PERMIT NUMBER: 16-FNCE-92
ADDRESS: 501 CRUISER LN
OWNER:
DATE ISSUED:
FEES DUE:
Fence/ROW $35.00
Totals: $35.00
CA
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PERMIT#
PLEASE SUBMIT(2) COMPLETE SETS OF PLANS WITH APPLICATION.
ISSUES BY THE CITY
Date Fe -b
Job Address S C) C�( QLSe-c- E-mail
Permitee: a L! LA E)Qkl Telephone#
Permitee Address:
Requesting Permission to Construct:
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both
aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/ Municipalities:
Jacksonville Electric Authority Yes No ( ) Date:
Bell South Telephone Company Yes No ( ) Date:
Ferrell Gas Yes( No( Date:
Comcast Yes ( No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder,
shall be immediately removed from said street or easement or reset or relocated hereon as required by the
Director of Public Works, and at the expense of the Permitee unless reimbursement is authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of (Contractor's Project Superintendent)
located at Telephone#:
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and
the manner satisfactory to the city.
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of
this permit. Calculations showinc - ht of
i any increase in impervious area on owner's lot or in the city Rig
Way are to be included with this application.
7. This permittee shall commence actual construction in good faith with days. If the beginning date is more
than 60 days from date of permit approval, then permittee must review the permit with the Director of Public
Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's
right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times,
assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and
all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder
of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-four(24) hours prior to starting work and again immediately
upon completion.
OWNER
01V __4 '00 Date: 4,!_1 Before me this Z—day
of Duval, State Of Florida, has personally appeared
=0"MIMly o tt, Notary Public—at Large, State of Flor o
�14�, ounty o uval. My
i unty—dN
rsonally own:
1 —7 CD
to
icatio
Fu d Identif,�a
Prod Revised 7/29/15
Permit Attachment of for
Permit# issued 20_Atlantic Beach,FL 32233
Owner's Name: Property Address:
R.E.
Subdivision: Lot#/Block#:
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT,issued on this_;2__ day of 2Q-16
by Atlantic Beach, Florida, a municipal corporation organized d e istmig under the laws of the State of
Florida, hereinafter referred to as "CITY" and
hereinafter referred to as "USER". of Atlantic Beach4 Florida,
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to
enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic
Beach Right-of-Way/Easement permit numbers noted above(copies attached).
This work is generally described as:_7&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 the USER, said notice to USER shall be
given by certified mail, retam.,receipt t requested, to the following address:
0
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the
exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition.
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 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."
Pagel of2
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. The USER shall,at the
discretion of the CITY, be requested to submit as-built drawings showing the change within thirty (30) days
after the day of completion.
This permit shall insure to the benefit of, and be binding upon, the USER and their respective successors a.nd
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 lin-litations/requirements of public
rights-of-way 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.
DATED and SIGNED this__z2-- day of
20—
By:
�0�er�0
Property 0 er
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY-OF DUVAL
On this day of s
F; 20 onally appeared before me, a Notary Public in
and for said County and State, r_--f-
E; ) the property owner of
OLS P_ Atlantic Beach,Fl4rida,known to me to be the person(s)described in
and�ho executed the foregoing instrument; who acknowledged e that he or she executed the same freely
and voluntarily and for the uses and purposes therein mentioLned.
Notary Public in for said County and State
TONI GIN
6
CITY OF ATLANTIC BEACH, FLORIDA, a M&
municipal corporation: Thm NMAMY wwftm
Approved:
D�o �Layt��P
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere, City Manager
Page 2 of 2
MAP- SHOWING BOUNDARY SURVEY OF
L.��O'; BLOCK 2, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64A
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CER11FIED TO:
NANCY C. DALTON
HOMESIDE LENDING, INC.
STEWART TITLE OF JACKSONNALLE, INC.
WATSON & OSBORNE, P.A.
LOT 2 LOT 1
BLOCK 2 BLOCK 2
F-
-S 67*28'00"--E 100.00' FOUND 1/2- IRON PIPE
FOUND IIV IRON PIPE NO IDENTIFICATION
NO IDENTIFICATION
0.2* 20' EASEMENT FOR DRAINAGE, UTILITIES AND SEWERS
LOT 3�-- LOT 36— — — I
BLOCK 2 BLOCK 2 Ld
4.S
20.0'
3.
0
U) d
6 SCREEN 0
0 Ld
PORCH
—4
i. 0
ONE STORY FRAME 04 6
-:A POSTED # 501
4
LLJ X
>
0
C:)
0 L x 4�0' '04
L-4 32ff b CONERED ENTRANCE V)
r) 9) �4
04 cm� 04
1. 24.0'
z U)
20' BUILDING RESTRICTION LINE A
4'
cla C4
4A-
m4 k
FOUND 1/2-IRON PIPE
FOUND 1/2-IRON PIPE .00' NO IDENTIFICATION
NO IDENTIFICATION IN 67*28'00" W 100
CRUISER LANE
(60.0!RIGHT OF WAY)