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1864 Beachside Ct FNCE18-0050 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 NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0050 Description: & FENCE Estimated Value: 1000 Issue Date: 6/26/2018 Expiration Date: 12/23/2018 PROPERTY ADDRESS: Address: 1864 BEACHSIDE CT RE Number: 169542 0550 PROPERTY OW NER: Name: GREENBERG GLEN Address: 1864 BEiACHSIDE CT ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: 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 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 HVAC 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 Fw C�I F _fin C 0 rr Atlantic Beach, Florida 322335445 l O _(.(JJ l.J Phone(904)247-5826 Fax(904)247-5845 oa y E-mail: building-dept@mab.us Date routed: City web-site: http://w .mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t 0&4 "<, (,DC_ C( De ant review re uired Yes No /� uildin Applicant: � J(AD oflanning&Zoning / Tree Administrator Project: (� �� w 44, iscUtlei u is 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 Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. [-]Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING - Reviewed by: Date: S'7'a0/ TREEADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Notapplicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 866 Seminole Road CF I p n Atlantic Beach,Florida 32233-5445 I—F'N O -60,SS D u Phone(904)247-5826 Fax(964)247-5645 Ua p'T E-mail: building-dept@wab.us Date routed: City web-site: http://www.coab.us APPLICA//TIIO(N� REVIEW AND TRACKING FORM Property Address: 8(fJ"S' [�bp(�(-}S(DG C( DtUaftent review required Yes No uildin Applicant: (�A �F,E? annin &Toning / Tree Administrator Project: (� ��A�� Ic Wor s Ic Utilities P-011c,Safety Fire Services ,Review fee$ Dept Signature Other Agency Review or Permit Required Review of Permit VeriFled or ReceiptB Date Flodda Dept.of Environmental Protection Flodda 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: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: / BUILDING �J PLANNING &ZONING Reviewed by:�/�^ Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05119/2017 rfar City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) Atlant c Beach, Floririda 32233-5445 - I—� C.E 8 USS Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us APR 3 O 2011L Date routed: City web-site: h1tp:/1www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: f %4 ",&(I)G C( Depadtlyient review required Yes No //i�� uildin Applicant: L /(AD )F k: T-Tanning&Zoning Tree Administra or Project: /7 ( �'EA�C� %Ic Wo s is Utilities u is Safety Fire Services ;Review fee $� Dept Signature 2,fw� Other Agency Review or Permit Required Reviewor Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.ofTrensportation 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: ❑Approved. ❑Denied. EgNot applicable (Circle one.) Comments: BUILDING q PLANNING &ZONING - kik .�/ �1� S- 2 �8 Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. Denied. ❑ pp ❑ ❑Not applicable PU WORKS Comments: BLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 r1�•L City of Atlantic Beach APPLICATION NUMBER } _'•9� Building Department - (To be assigned by the Building Department.) 800 Seminole Road - FN cc-_I S -6bS O Atlantic Beach,Florida 32233-5445 Phone(904)247-5826- Fax(904)247-5645 APR 3 0 2018 Date routed: on pY E-mail: building-dept@coab.us Cilyweb-site: http://v~.wab.us -- APPLICATION REVIEW AND TRACKING FORM Property Address: ` S(¢f U�flQIe{-S (4pG C( De ent review required Yes No uildin Applicant: ()(AD }F annin &Zoning Tree Administra or Project: O F=— A % c Wo s is Utilities u lic Safety Fire Services ;Review fee $ Dept Signature Other Agency Review or Permit Required Review of Permit Verified or ReceipBt Date 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: ❑Approved. Denied. []Not applicable (Circle one.) Comments: BUILDING 7 PLANNING&ZONING - Reviewed by: /► -Date: 1 —49 TREE ADMIN. Second Review: pproved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:�� FIRE SERVICES Third Review: ❑Approved as revi ed. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 0511912017 CITY OF ATLANTIC BEACH Department of Public Works n 1200 Sandpiper Lane U Atlantic Beach, FL 32233 A �? (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 5/2/18 Applicant: Glen Greenberg Permit N: FNCE18-0050 Email: Not Provided Review Status: -BENtED-��1'�5�� Mailing Address: 1864 Beachside Court Site Address: 1864 Beachside Court Atlantic Beach, FL 32233 THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS Correction Items must be submitted to the Building Department at 800 Seminole Road. Submittals that respond to only one or a few correction items will not be accepted. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions must be submitted to the Building Department and must respond to EACH department review. PUBLIC WORKS CORRECTION ITEMS: ✓• A Revocable Encroachment Agreement must be submitted. PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) • All runoff must remain on-site during construction. • Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling, Shapell's, Inc., Republic Services, Donovan Dumpsters). Container cannot be placed on City right-of-way. • Full right-of-way restoration, including sod, is required. • All old fencing must be removed from job site by Contractor. Scott Williams, Public Works Director swilliams@coab.us/904247-5834 Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with"clouding". The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud. The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending,all sheets with revisions shall be inserted into each set of drawings. The original sheets must be clearly marked "VOID" but are to be left within the set of drawings Complete new sets of drawings will not be accepted ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. Page 1 of 1 0:\PubliCworks\ADMIN\PIAN REVIEW COMMENTS\FNCE18-0050lOwner-Greenbergl.doa -.. _ CITY OF ATLANTIC BEACH 800 Seminole Road MAY 15 2013 Atlantic Beach,Florida 32233 L REVISIpON REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS DateIg lS I l 0 Revision t t'o Issued �P�er'm1itt Corrections to Comments Permit# FN -I R—Ws(] Project Address � O� �'1 ! t k()A$1 � " Contractor/Contact Name O W nR� Phone Email Description of Proposed Revision/Corrections: Permit Fee Due$ (�voc_u �\.� enuoa�tnw�-�t� atiyaew.wt-� Additional Increase in Building Value $ Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed name) Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: Building •^' Planning &Zoning R 1med By Tree Administrator ublic or FUD11C Safety Date Fire Services uVC Building Permit APPlicationUpdated 12 1 City of Atlantic Beach II 4� APA 2 6 2018 { Seminole 800 Road,Atlantic Beach,FL 32233 i 1! It51�`_ Job Address: V ISL/ ',{J trytG�hone.C4)2n71 Fax.(904)247 Permit Number:. _ ----y Legal Description l RE# Valuation of Work(Replacement Cost)$�.�� Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail thg[ p gfjyprl�tsormed: O� G��vD� r 11474 ) q r - —X 1191�� k/~ Florida Product Approval# for multiple products use product approval form Prorpern,Owner Information Name: Add 11101 �rK•��'y, Ory rC r�.1.. State >� Zip ` Phone 7174 S L 5ft� Owner ent(f Agent,Power of Attorneyor Agency Letter Required) ntractar Information 1-' 9 , r' Name of Company: ✓"n- r$rfy ng Agent: Address QtyState Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineers Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/Expiration Date 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 CONDITIONERS,etc.NOTICE:In addition to the requirements 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. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. }rf..... NING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 0 1tfi,� LT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND ` BTAIN FINANC CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RDING R OF COMMEN ENT. (Sign caner or Agent) (Signature of contractor) a (including contractor) ;F d dsworn to(oraffirmed)before me this o day of Signed and sworn to(or affirmed before me this_day of 9 ti 210l by II!-n by ignat otary) (Signature of Notary) ( J Personally Known OR ( ]Personally Known OR Produced Identification L A -J� �` _O I ]Produced Identification Type of Identification: lYi` Ong Type of identification: t✓v> CITY OF ATLANTIC BEACH OWNER/ BUILDER AFFIDAVIT fl Dy 3 I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACL AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST' BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. IL INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. N. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPETENCY" OR THE FLORIDA 'CONTRACTORS ERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(2475826)IF IN DOUBT. IV.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 1531 y ADDRESS PHONE NUMBER I j ✓k CT nr�n bP� PRI AME y a -2 !ted SIG URE ^,— �,�� (' DATE Before me ihls� day of I_.�/ t��3g111 i.1 iharadfaMl Duval.State ot RunEa,has personally ppearetl M1enn W M1im i/herself anB aFrms tM1N ml statement ane detlatsthns am t,.ana S-ureb. Notary P.tmc at large,State of_ ,Goumd IbvW 51 JENNIFERJDHNBtON ❑Perspnety Rnwn l 'tlps; MYCOMMIS910NtlC,G M2g91 �[pmeumalasnlincoum- iT)[x ?i� E%PIREN:OjpawWU303U A 9¢ntleg}MNNgtary WNk UrMnMats Notary SignaWre: PRLCfdOxnceiNUA '.REVISED-.<IINlW9 -- - ' �� MMNRYSU Gl = G3 MAL COIA'N R=625.CYJYL'6M) G2 p- K= R=25.00yPdbO L= 14.51T) 14.36YM) L=20.38yP)20.56YM) a = l°l • ' ° 2245'36/ B -5-00.W1 /72 'W, 39497P) / M46°42247x)470735-W) 4.66pP1 52°l6'4l'F, 14.5/YP) 52/442T W, 19.62" 5223T23'W,35.05W)53°19'47'E, /436ytif1 5223734"W, 19.35YAV C-t R=625.00VW) L=61.2OV7 61.44" A =53T057P)5377/W) LOT 4 N 5 45W'W. 6/.2M o BIK I N 53711'W- 61.41 V. o _ o N 8734'42'E 104.13M LOT BB rim N 89°283 E 104.24' �! 13LK I 0.1'M wt.ln'ra C S_ 4 263' F 8.9 293' _ ..�. LOT 5 R T_0ktl,.roY 's _ NN 9:T N BLK I 22.Y -""}'"'r�• ��'; ,' < 33 N2.5 w Im na W �nI 'NO.T n F6f 064 ]3', LOT 9A BLK I zz I _r '^ Li 45.5' - I 5 99'29 'W 83.46 C.'. xo a I I J g B R(PER PIAT) � LOT 6 J OMMUNITTMVELOPMENT„�„ APPROVED aaaT ].9 RJVAIE G5B.IPN(9XfMN Nplf RlE efAR�SU&IEGT IDi 15 6 A 1p�, lCR5fOFM OFPINPGE.SVIRPATS[Y/OH.WAIFA PNn UIYf@S RA �yr33 Qy IpR 911LNTI GN PIAT. R lherebY ..d IrdwTySurveY I ehereoadeV d. prapaM nnrade ruNer bMe beslo/my ba yft ' " able aMhoaold Survey Mat Me StandaNs $tasd Ne Florida Board O/P alSund ' as descdbedin JO o is Chapters!-17 Adrtliry Cade. \� �4r"3"R°tea GRAPHIC SCALE (In Feet) E Ma(cAbAnson 1 3nah = 30' M N 5¢M MrkimvNmsfw:MeNreKaa I�pi65i2 aaev.-:>-,-.-�_ — •-erae'wmx K:.c�>.,.rye:<: =a a>�c+r..v s+n--ev -_ . 0 REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation or ani2�d'apd existingur the laws*f_the State of Florida,hereinafter referred to as"CITY"and gse (l (� YJ - of Atlantic Beach,Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as k , Any facility maintained, repaired, erected, and/or installed in the ex&zise of the privilege granted remains subject to relocation or removal on thirty(30)days' notice by C{TY to U$^�gR, mid r,notice 'tt�o USER s 11 be rven by certified mail, return receipt requested,to the following address J( y YC4C•�S 1YX— X� � • 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 easement or 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." • 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 within 30 days after the day of completion. • This permit shall inure to the benefit of,and be binding upon,the USER and their respective successors and assigns. • USER shall meet the terns 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 limitations/requirements of easements, public right- of-ways and other pub ' R further agrees that the CITY and its officers and employees shall be saved harmless by t R fro ork herein under the terms of this permit and that all of said liabilities are hereby med SER. / / C� Date t `7 11 U Prope ner/Agent(sign presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL + M,, The foregoing instrument was acknowledged this ` day of 1 r`'s� ,20 FL, by L')U Q n O1A IQL4 A ,who personally appeared before me and (printed name of Signer) acknowled ed that he/she signed the instrument voluntarily for the purpose expressed in it. Signa(4 otary Public,State of Florida Department Appval: Personally Known {'",r',„"�.,, JENNIFERJOHNSTON Mme' %� MY rAMMI8SI0NN GG MlBB< colt Williams,Public Works Director/ p; FxPlaas'°`m°•Zr'mz° Ka le Moore,Public Utilities Director .; o�;;e.• amemrrm waanRwMum•,.dl.. Y 0: reementdov Revision Dale:2/5/18