319 19th FNCE17-0088 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 NEU DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: FNCE17-0088
Description: 4' FENCE
Estimated Value: 2142
Issue Date: 6/25/2018
Expiration Date: 12/22/2018
PROPERTY ADDRESS:
Address: 319 19TH ST
RE Number: 1720200920
PROPERTY OWNER-'
Name: SIROIS STEPHEN N
Address: 319 19TH ST
ATLANTIC BEACH, FL 322334501
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Nam: ARMSTRONG FENCE CO
Addiness: 3226 TALLEYRAND AVE DON MILLER
JACKSONVILLE, FL 32206
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 requarenuents 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 RVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 00B(5
Atlantic Beach,Florida 32233,5445 00
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coalb.us Date muted: JZ17
City welb-sRe: htp:/Avwv,.coa1b.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: De�artment review required Yes No
'116i ino
Applicant: 17�lf
P��NDCC_ :�ranning&Zoniqq
I ree Administrator
Project: 4 S Co ic vvorkg--�
ublic Utllities�>
1'-D 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
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Wpproved. E<eniecl. [-]Not applicable
(Circle one.) Comments: 11
fl, _S aeliel
PLANNING &ZONING Reviewed by:— clo� Date:
TREE ADMIN. Second Review: OAPproved as revised. E]Denied. E]Not applicable
PLJBUCWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. DDenied. E]Not applicable
Comments:
Reviewed by: Date:—
Revised 05/19/2017
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
-d- pv(e 1-?- 00�pk
1W
Date /j-//f- Revision to issued Permit Corrections to Comments— Permit#-42=aa,�9—
T7' -
ProjectArldress 719
Contractor/Contact NannAl, r4l of A-s;, 2a V
Phone_225�-��. Email
Description of Proposed Revision/Corrections: Permit Fee Due$-�o--
9 , cc�kre
Additional Increase in Building Value$ .....:76t__ Additional S.F. e�
By signing below,1 6 4.12 )/(P,!j4(j_affirm the Revision is inclusive of the proposed changes.
r. usi
Signal, ag-4twvzo<
ore rFk30fitrrlm1AgCm(Contractor must sign if increase in valuation)
(Office Use Only)
Approved 2r— Denied— Not Applicable to Department
Revision/Plan Review Comments(foA lo c k-
--powtirrient Review Required:
�'� ng 8,�onm
�atnZonin R,�i,,.d B�y
Public Works
Public Utilities
Public Safety Date
Fire Services
Building Permit Application OFFICE COPY
City of Atlantic Beach
SOO Seminole Road,Atlantic Beach,FIL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: —Permit Number: FM e-e,17- 0 068
Legal Description —RJE#
Valuation of Work(Replacement Cost)$ 2)12,u2Q Heated/Cooled SIP Non-Heated/Cooled_
Class of Wor�k lCircle one):CNe. Mo Poo in ow Door
�)Additllcn Alteration Repair I W d
Use of existing/proposed structure(s)(Circle one): Commercial =
If an existing structure,is afire 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: tyo 1 .p C t 4�� 'V iAk 0"'Y'/ ak'(
6311'aiF q' Vt,,,t- c,"o
qk -&— UZZ Y '44, xc"t 1 /- 44
Florida Product Approval If for multiple products use product approval form
Property Owner I formation
Name:-rP,'i q 7-;,;-, —Address: 3)9 /P-4,
city A ;la,4;c 1?ra, :JL State TL- zip 702-7� Phone A�11&.
E-Mail Al 14&
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Inforrmation
Name of Company: ehl-A'�A 13 4�-.' rt'. Qualifying Agent:
Address 97 ,74 -r&'!I,I e e,,j'4 .4 12 r-- City_Z5-�p State-Fj . Zip �7 Z:t-6a
Office Phone-i7p3-3 ri;'- '2-7= —Job Site/Contact Number
State Certification/Registration If E-Mail r�H A a A et�-dzomg- F�,ec�- c
Architect Name&Phone# A14
Engineer's Name&Phone#
workers compensation
Exempt/ln�rex/Lea5�E.p�� l 1�xpnut2bbatc
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 CONCH nONERS,etc.
OWNER'S AFFIDAVIT:I ceftify 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 IMPROVEMENT URPROPER IFYOUINTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LE ERORA ATTORNEYBEFORE
RECORDING YOUR NOTI EOFCOMMENCEMENI
-�`4ature of Owner or Agent including Contractor) (Signature of Contractor)
Signed a nd sworn to(or affirmed)before me this d ay of Signed and sworn to(or affirmed)before me this__y day of
10xc, 2,0/7 byW.r -jr1r§;, orc- Z61'7 by j3pv M,tf,�
(;��(Sature of Notary) �itwe.flNota,)
ROBERT G.HALL ROBERT G HALL
A—
Notary Public-State of Florida s. Notary Public-State of Florid,
i4personally My Comm.Expires Oct 24.2018 [-T15'e'rx.rally K
I ]Produced I MY COMM Expires Oct 24,2018
P u d I Commisslon#FF 136580 C-Mmlaak.#FF 136580
Type of I M11111 a Type of Identi m ii,,,,aa N.,-
City of Atlantic Beach APPLICATION NU�MBER
(To be assigned by the=lBuilding Depa;rtme;nt.)
Building Department 'g
00S8too Seminole Road
Atlantic Beach, Flond.32233-5445
Phone(904)247-5826 Fax(904)247-5845
Date routed:
E-mail: building-dept@coab.us
City web-site: httP:/Pwww.coab.Us
APPLICATION REVIEW AND TRACKING FORM
Property Address: c) De rtment review re uired 7Yes No
uildin
Applicant: P��3(2_c- arming&Zonin
Tree Administrator
Project: 4 U lcWo s
ruvitu Utilifie�_>
Public Safety
Fire VSewices
Review fee Dept Signature lim
Other Agency Review o Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Fl 01ida Dept.of Transportation
St John.River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
er.
APPLICATION STATUS
Reviewing Department First Review: E]Approved. 4Denied. E]Not applicable
(CITCle one.) Comments Un.,f IAJ 0 1,1�(,e
BUILDING
PLANNING&ZONING Reviewed by: OF— Date:
TREEADMIN. second Review: E]Approved as revised. E]Denied. E]Not applicable
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. DIDeried. oNotapplicable
Comments:
Reviewed by: Date:—
Revised 0511912017
1,VV, SHOWMG
BOUiDlid SMftY OF
MY 0 5 2MV
QMCTAi:'mcoR3)s voLum.4920 PKGE L06
LWEighf� (8), Block Three (3 SELVA MARINA, UNIT ED. 11, d d In Officiaf.;.:
Be Back 4466, Page 769 of the current jubi.it, recorda of
I.Al c rd d In Plat Book 36 Page�62 of the current public rec-La of Dueal County, Florida.)
7
4-
cD-
%
4
V'�a-
w I I
we -0�97. / le� , �-A- .
t%
owe -317w/yl
//r: Bm
tr
f
M!
�K
A, be
-rLe�4fll
Tge pfd�arty hoi� human lies in Zone X. (outs'ide the 500 year. flood plain) as.d.teralvedfron �j
the Fl.txi auto map, city of Atl—Ci�. Beach. Florida, ;nimmunity Panel N--
1WW
VIA
�eyo-,5 ifiPHEN N. j4APIS, INES J-SIMIC �TACKSONVILLE FE ERAL CREDIT UN ION, ITS
V d --FIR6T - � I t * - . 1 - I :�
c Bssdke"D/6i�.A�EI�G".r BMRRICAX TIT R
INSUR�CF. C0KPA9Y
TBAT:733M. MMETS m*MUDIENmrs Or�lrlm xftm: 41MOG), UWATION � ON SAVA 192b
ZIM-6.F�C. cox� magummmm
DEGROVE
SURVEYORS.M.
(X.P ORIN PIPS x DROSS OUT
V� vmm vrrN summaRT san� 1= NOOK �M PAUNKS) Or 13al
r
SkOWNG
BOMARY SURVZY OF
Q.FFICXAJ, UFOUS VPLBK�.A?�O ME 206,
LWE,igh.t�. (8)� Black Three (3�. SELVA:�RARINA, MIT XOs 11, accor�in, to map recorded in 6fficla
�e &Book 4466p pag. 769 of the current public record. of Dev 1 County, Florida.
',62 of the c��rr.at ubli Jrd. of Du,.1 County, Florida)
(Al.. r...rded-L. Plat Book 36 Page
7
Qk 0 7,
I; Ilk
4AW
At
ma
Aw
A
T9. rA-p.ety*ah6" hereto lice in Zone X (.ute�d. the 5QO year load plain na A.t.rudi..d fee.
the Flood Insuranci Rat, Rap, City of Atlentir. Be�ch, Florida agannity Panel No.
09.1�-QOM red 411LI
_4a
Z�!I iP R E N. 14RQlS, IW J SIWI§- sAC*SONVILLE FE,IERAL CREDIT UNION, ITS
mccEsjdkSFAND/6k�AJSIMS1-FIR9T AKERICAN TME
INSMARCE, CMPAgY: Im
TaAr 111tr . BASAD ON N.mVD-
C.
YRNM
C". Um PIPE x CaDmi'm
_�Off VAIO MUIXIS =WVW'VCTR OMMBRT VA. �1' . P"Im at 1,5
CITY OF ATLANTIC BEACH
goo Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMAMNTS
Date i;�,e Revision to Issued Permit Corrections to Comments— Permit#—Z7=9aZP—
Project Address 719 1,94, %--/
Contractor/Contact Name 4,M1!7L1VA j,;. 2a A r, 04W —
Phone-70�- Email &k a — T:ctcc .C 4,14
Description of Proposed Revision/Corrections: Permit Fee Due
Additional Increase in Building Value $ Additional S.F.—,�
By signing below,I r. 4 02 y(PAM flirm the Revision is inclusive of the proposed cbanges.
'ib&Manc)
Signature 4of5Q�,fit*,eb,/A<gcnt(Contractor must sign if increase in valuation)
(Office Use Only)
Approved Denied Not Applicable to Department
RevisionfPlan Review Comments
Department Review Required:
24ning�&Zonm Reviewed By
Tree
Public Works
Public Utilities is
Public Safety Date
Fire Services
'Me SHOMG
BOVND"Y S.URM OF
W05209
QFFJCIA�:*Osl�s VIILMN:4?ZO PACK 106.
LVA MRUA, MIT NO;I
L.t'Eight (8). Block Three 3 SE 11, accorlin, to Pnp, recordied in Offlizih
Re�brdaft.k 4466, t.,. 769 of the e.tr..r p.bl I it r..rd. of D.� I C...ty, Florid..
B�cok 36 Page 62 uf,the c�u,rrent public-re Ida of Dove a
(Al.. r.r.�ded-,. c I county, Florid
s
fit
4.
owe �-rPly
u
J..
4zp
r
COMMUNITY DEVELOPPM N.,
A7'�07A�a' .
Ap.PRO,VF,D
I Ax
..74. pea ettj�.sh;" hereon lie& in Zone X. (mtg�de, the 5QO yeAr, flood plain) as,detardl�W.d Er :�918
the R.�d I..ot.tce name ma" city of Axientie B�.oh, Florida, �.wAu.itj panel No.
02.7;;6— Ig. dtLo, 41111!1,�,
.q�00
WS4�-o lTeFREH N. ins J-,SIROIS. jAq"MnLM FE)ERAL CREDIT UNION, ITS
9T APURRICAN TITLE
INSURANCE CMPAgY'4�!—
� I .. . I TEEA XN,,, (MM). JINVAT10f RASED ON N.MV.D. $00
ccom=ff MONUNEW
MGROVE VERcs
,61 (1., COX pm x cRosi im
MIS
lhcmmwv=�
:6ATS 7,
—Nm.VAUD tBUSS MEMOSE11,7M PURVIS ORT SIA1,1 FMD �of PACKS) Oz 1,3
City of Atlantic Beach APPLICATION NU:MBER
as y
p:
Building Department
(To be 7assigned bY the Building=Department.)
'g
800 Seminole Road nr
2017 '7 00S8
X Atlantic Beach,Florida 32233-5445 E&�cr�7 - (10�'
Phone(904)247-5826 Fax(904)247 5845 Date routed: 12 /:7 It 7
E-mail: building-dept@coab.us
City web-site: 1mp://www.coab.uS
APPLICATION REVIEW AND TRACKING FORM
Property Address: C) Department review re MuiredYes No
uildino
(2C— anning &Zonin
Applicant: Tree Administrator
lic Works
Project: 4 '� C, ' Public Ublltit�
e-GLA(i'� K- Public Safety
Fire XSewices
Review fee
Review or eipt Date
Other Agency Review 0 PermitRequired of Permit Verified By
Florida Dept.of Envimnmen I tection
Florida Dept.of Transportation
ohns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
ivision of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [JApproved. [-]Denied Not applicable
(Circle one.) Comments:
BUILDING �J' 941_� r7
PLANNING &ZONING Reviewed by -Date:
TREEADMIN. Second Review: DApproved as revised. Denied. [-]Not applicable
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: ElApproved as revised. [:]Denied. ONotapplicable
Comments:
Reviewed by: Date:—
Revised 0511912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road M7 (r`
Atlantic Beach, Florida 32233-5445 3
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: _tZ 17 11
City web-site: h1tp:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Applicant:
,C) C
,
AD _7P1annmg&Zonm�
Tree Administrator
Project: 4 ILI C-45-- -
A-3 Public Safety
Fire Services
Review fee $ Dept Signature _311111111
Other Agency Review or Permit Required Review It Date
of Pe"it=By
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: J
APPLICATION STATUS
Reviewing Department First Review: gApproved. []Denied. E]Notapplicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed lby--442404�Date:la_�&�_
TREEADMIN. Second Review: E]Approved as revised. ODenied. E]Notapplicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date*
FIRE SERVICES Third Review: E]Aipproved as revised. E]Denied. ONO applicable
Comments:
Reviewed by: Date:
Revised 0511912017
Doc#20181 A8862,OR BK 18432 Page 2167,
Number Pages:1
Recorded 06/25/2018 02:59 PM,
After Recording return to: RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
APMSTRONG FENCE CO COUNTY
RECORDING $10.00
3226 TALLEYRANO AVENUE
JACKSONVILLE,FLORIDA 32206
Permit No.
Tax Folio # NOTICE OF COMMENCEMENT
FS 713.13
State of Florida
County of V,
_g P coc
THE UNDEPSIGNEE)hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement.
1. Legal description of property and street address if available: 1, V1-6 LA'L 'd'ei '?r"
(&A
General description of improvement: INSTALLATION OF FENCE
2. Owner Information:
a. Name& Address: Xtf�,r -5-;;,f,;s _7/91 9*A C4-. 7 z-Z-V
b Interest in property: a Li Ji E-1
c., Name and address of fee simple titleholder (if other than Owner) NIA
3. Contractor: Name and address ARMSTRONG FENCE CO, 3226 TALLEYRAND AVENUE,JACKSONVILLE,FL 32206
Phone number 904 356-2333 Fax number (optional, if service by fax is acceptable)_204 356-2332
14. Surety: Name and address N/A
Phone number N/A —Fax number (optional, if service by fax is acceptable) N/A
Amount of Bond $ N/A
5. Lender: Name and address N 1A
Phone number N/A —Fax number(optional,if service by fax is acceptable) N/A
6. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(l)(a)7., Florida Statutes: (name and address): N/A
Phone numbers of designated persons - NIA
Fax number (optional, if service by fax is acceptable) N/A
7. In addition to himself or herself, Owner designates NIA of N/A to receive a
copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes.
Phone number of person or entity designated by owner N/A Fax number (optional, if service by fax is
acceptable) N/A
8. Expiration date of Noticeof Commencement (the expiration date is one (1)year from the date of recording unless a
dif f erent date is specif ied)
State of Florida Signature of Owner
COUNTY OF _DUVAL
Sworn to (or af firmed)and subscribed before me this day of 20 1,P, by
_.�7rLr X"k-D5 who is pers ally known to me or who has produced
grL_
as identif ication and who did 'ard-id-n—ot— take an oath.
Driver License#
VtaDQP-ub1lic (Signature)
ROBERT G.HALL
Notary Public-State of Florida
018
MY COMM. Expires Oct 24,2018
i8
Commission# FF 136580
Revised 10/2002 Bonded Through National Notary Assn..