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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..