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2233 Seminole FNCE18-0069 �c y CITY OF ATLANTIC BEACH s> 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER- POOL BARRIER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FMCE18-0069 Description: 5' Pool Fence Estimated Value: 11681 Issue Date: 7/11/2018 Expiration Date: 1/7/2019 PROPERTY ADDRESS: Address: 2233 SEMINOLE RD RE Number: 169519 0144 PROPERTY OW NER: Name: SHORSTEIN MARK ET AL Address: 8265 BAYBERRY RD JACKSONVILLE, FL 32256-7432 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: SUPERIOR FENCE AND RAIL OF NFL Address: 5470 HIGHWAY AVE JACKSONVILLE, FL 32217 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. Gs-a,r City of Atlantic Beach UMBER '+ Building Department EM ing Depagdment.) 0 in ���O /800 Seminole Road Atlantic Beach,Florida 3223&5445 Phone(904)247-5826�Fax(904)2475845 4 E-mail: building-dept@wab.us City web-site: hsp:/hwnv.coab.us APPLICATION` REVIEW AND TRACKING FORM Property Address: 71�3 cJeM(n(5l Pi I`-� rtment review re uired Yes o B " Applicant: (� Planning &Zo g for 1 L� orks Project: litie Public Safety Fire Services 4eview fee Review or Receipt Date WRverWaterManagment gency Review or Permit Required of Permit Verified B ept.of Environmental Protection ept.of Transportation River Water Management Districtrps of Engineersf Hotels and Restaurantsf Alcoholic Bevereges and Tobacco APPLICATION STATUS Reviewing Department First Review: 19Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: "7G/ 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 0511912077 sam, City of Atlantic Beach APPLICATION NUMBER ps Building Department (To be assigned by the Building Depagrtment.) 800 Seminole Road Atlantic Beach, Florida 322335445 Phone(904)247-5828- Fax(904)247-5845 Date routed: Z 4 =on v? E-mail: building-dept@coab.us Cityweb-site: http://v .coab.us APPLI/C�2ATIO�N` REVIEW AND TRACKING FORM Property Address: ZL33 SeM I A61C I'-c-r B rtment review re uired Yes No Planning &Zo ' g Applicant: �' or 1 � Project: L L� Ilitie ublic Safety Fire Services Review fee $ Dept Signature ;-S-t—Johns ;River eview or Permit Required Review or Receipt Date of Permit Verified B vironmental Protection ansportation ater Management District gineers and Restaurants lic Beverages and Tobacco APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING C PLANNING&ZONING Reviewed by: "-f— Date: v 27) R 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. ❑Notapplicable Comments: Reviewed by: Date: Revised 0e1`119/2917 5 �Ly City of Atlantic Beach M ER Building Department (To be /e-paprtment.) 800 Seminole Road ECEIVE- (0 / Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 -Fax(904)247 s JUN 2 7 2018 Date E-mail: building-dept0coab.us Cilyweb-site: http://wwmcoab.us APPLICATION REVIEWANS/ R7CCKING FORM Property Address: 7Z CMI1161C I`-� rim ant aired Yes No B " Ce Planning &Zo ' g Applicant: for I L� rks Project: c Ilitie Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date W gency Review or Permit Required of Permit Verified B Floridaept.of Environmental Protection ept.of Transportation River Water Management Districtrps of Engineersof Hotels and Restaurantsof Alcoholic Bevemges and Tobago APPLICATION STATUS Reviewing Department First Review: [Approved. ❑Denied. []Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by Dale: 12 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 0511 V2017 • City of Atlantic Beach APPLICATION NUMBER 31 Building Department �/�..�•�? � .� (To be assigned by the Building Department.) •i BOO Seminole Roadb Atlantic Beach, Flodda 32233-Phone(904)2475828 -Fax(904)2 - 841UN 2 ] 2018 Date routed: •Z E-mail: building-dept@wab.us City website: http:/Avww.coab.us By. APPLICATION � REVIEW AND TRACKING FORM Property Address• 1Z33 SPIVtlIlCS�e /`-t-r rttnantreviewr uired Yes No B " cc Planning &Zo ' g Applicant: for IN ber— arks Project: — c ditie Public Safety Fire Services Review fee $�� Dept Signature WReview or Receipt . Date Reviewgency Review or Permit Required ofPermit Verified B ept.of Environmental Protectionept.of Transpodatim River Water Management l)rstriclrps of Engineersf Hotels and Restaurantsf Alcoholic Beverages and Tobago APPLICATION STATUS / Reviewing Department First Review: ❑Approved. ❑Denied. [JNot applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: �'�`"� Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PU WORK Comments: BLIC UTI IES G^Zy PUBLIC SA T4r - Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 0511912017 OFFICE COPY Building Permit Application BpdNrd 1ZMW City of atlantic Beach ". add SMInole Road,Atj ay is Beath,FL 32233 Phaor(9aa)26]3826 Far(904) lebAddrass: �3 fe/YIOM � �P I ���/stCJPermNumher: l� I✓ � llJ �bo9 bear• 26 fE OGPaq v" �e LunL�dminlum RFn valuYdue ofWark(RePkcemmt Cast)SAv6Y! Heaved/cooled$F NarFNeated/Cooled Dassofvvork(Orrleone):®Addition Alteration Repair Move Demo Pon] v dow/Docr Use Weaudngtpmpmmwutture(s)(CIrdeone): Cnmmerdal edden ' If an odning structrae.hafoe sprinkler system irssmII.O(Cbdeonel: Yes Na N/A Sut,,d,Tree Rlnaral Pe ft APP'kzbon Hartytre lmtoberemovedor Affldwftof NOTree Removal DescribeindebR thetype arwarkm be park"ned' lZEINIGVGnI of o1G1 Few anal ins LJW.Ln Gf nPm S' 411 Fence Aroavd j&&/ Florida Product Approval Y form ftiple Products use product appttwa//l conn ProaenvOw er ltformatlon '1 J T _ r 3/d ��rEPT .. A. _.. /! ffSfBL IQ f'rpA YCtL. Address: — my Doti Tanta a ratlf��.2m 7J D phone •) ?- EMan Owner or Agent(If Ages°R',Power d Attorney or Agency Letter Required) f— W P/ ' p P+2tlr/ Int. drq . �1ms9nA�- NameaF pant AddR33ii_.�fAw.DA1 _ e••• _ af'ICe PIIBAe 5tgeect Nau bnfitegtstratlonY L�7/L°F' -- ArddtectName B Ptarre Y r\kms E,,pruets Ram-is Phone a workers COmprnsetion Fmrot/lmww/lase FnpbA-a/FiDaadon Dsh ApOkatiOn 1,hereby made to cain a pami[to do the work and Inst Itrdmss as Indicated.I testify that m work Or has commenced prior to the isedettceof a pemrit and that all work will be pefmmedto meet the ssanderds Of Oil the laws regJadmtg m,micdBon In l undersand that a separate permit must be secured For ELECTRICAL WRK.OPWM01NG,SIGNS, Z WELLS PWLS,FURNACES,BaLFBS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requiremerits drtlt� O permit.there may be additional restdttlons appacabia to this property that may be found le the public rcmrds of this aunty eat F there may be additional permits required from other gpvemmental entities such as water management districts,state aOmWS, 12 f� p federal agencies. n O 6 OWNERS AFFIDAVIT:I cert4that slideforegOing lnionradon is accurate and that all work will be done in mmpiiance with all U applicable laws regulating cmnbacdon and mn]M- WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY m RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTM& w LL 2 TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 10 ' W a 0 m RECORDI YOUR NOTICE OF COMMENCEMENT, w �_ W S o 'W V m ¢ w ( tune ofOwrer or st �} ( °af""""' >if j (ydWirymmams V' m V, �(' �O�s�p � Sig an z toloram be meth of Signed end sworn m(w'alRmtedl before Mb? of 8 r L by hoe of NWry) / ry) f l urkd tlemY�o (IrmO,atlnn perenelN gnown OR - 1�DAVID OEMAMRISL SFIDLEN ISkCFFH1M5]A1N88N Typed Type Ofp}8m _/ I Sepner FXpatES n s,20t8 amelpaw IaftWmtmWmQI"= (cartaaaa® OFFICE COPY TREE&VEGETATION AFFIDAVIT FORBWERNACOFFICEUSEOXY toCity of Atlantic Beach PERMR li Community Development Department 80OSeminole Road Atlantic Beach,FL32233 (P)904247-5800 SITE INFORMATION ADDRESS ZZ q33 [S-orM �no e �of hl� ah ;c Rein �i 37 2 3 SUBDIVISIONG OCPA17 V/ i P C(/hf�f{7J6L�o�� LOT IVI RE! IV//I 8�RESIDENTIAL 0 COMMERCIAL OTHER APPLICANTINFOWAT /N NAME VPh Vf /l PHONE# qVY. 77-U SS ADDRESS CE# CITY / STATE ooE �Z �C�Q EMAIL Wk J OWNER ❑ LEGAL AVfHONZED AGENT I affirm that I have reviewed the provisions of Chapter 23, "Protection Of Trees and Native Vegetation",of the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre- application meeting with the Administratorofthose regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above-described property and/or adjacent properties including right-cf-way. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT.Signature of PropertyOwner(s)or Authorized Aflent Sr APPLICANT "f' PRINTOR TYPE NAME PATE SIGNATURE OF APPLICANT) PRINTORTYPE NAME Yid DAff 1{,t/� Signed and sworn before me onthis�& Y-F J A IL �g p), State of � fioo` cl-m T. -C County of _ IdentiRation verified: F L-V-Y! oeollol2o Z0 Oath Sworn CRY" 0N �i hof Ronda M NotarySig ,e Nf Commksion Expires ol"OROYMy Commk&ion e*m_'D( 1 I DI2cn Commasion No.GG 61272 a1 TREE AND YEGFfAnIXJ AfFRJAVIi'83.81.3018 i r ■■■■■■�Jljili■l/SEM■NONE ■■■■ MSN■■■■■�■■�■■■■�■■■■ iii■N■■■■■■■■■■■■Mrs■M■ r ■►���■■■■■MEN■■■■■■■■ONE EVEN■ — ■■■■■■■■■�UPIe ■as ■■ U.1■■■■■■■■■■ ■■■■■■■■■■■■■■■■■NONE ©7■■■■■■■■■■■■■■ M■■ ■■■■■■■■■■■■■■■■■■MEN ■■NM■■■■■■■■■■■■■■MEN No SEMEN ONE = ■SSSS■■■M■■M■ ■M■ ■ ■■■N■■■■a■■■■■■ mom PI'■■■■■■■■■ mom■■M■r ? ■N■■■■■■■■■ ■N■■N■M■■■M■■■■OEM ■■■ ■■■■■■■■■■■mom■mom■■■ M : r M SUPERIOR 0 AFA MEMBER T FENCE&RAEL,mer Proposal for Fencing Installation �In American Fence Asseclatlan.ina xmrlad.Ralmr. Where Quality Mattersf Apprwimate lnstalletlon Lead TIM Flm.e rcz:BeI Tama&Her is not mono-VeI,noWram dears nookee mom m.m 01 moor mnmol mdumna"rant umlream,clr.naa Oram,M6 dnanm,emammared ecLwa,menNamulineaelnys oreanwgem nveMrvap®mer e,'ulm mrtlrm.oneo NIMs/un,¢r.tour CreENMrq ayrn.loonm,atM You praise.anan nnamormon,on Ywrompam,Ywr amanp'a nxmnromu--I,—o rnoulremen6 o"z"ingcEa nminmmi6.MMeNmlm,mep meareymamNoneo'nalllors(Indu on,MIImandIaXWn—mmreaml, uoK ea rano,u50aWf ano laaE I . 5--� eKs Ma rvlrnaWr v antra rapt s mNb premm wOang GN rs SEHrmm,merenp"a-a-re-ore-ceemaAxM/orrtpAn Inardamen F,alwrolmm wmmMYe lrewlNWn awn me or me mande ng on crams. Darodana:•1N•/1bYr Masted Ne rammer KemmM a[Ore.•namadlallon•means me lnerallzmn eenlces Scecond In me asmona2'SEF meaas SuF nor Farrce&Rail and Wa am(Ayem,agi%ant Submmadmm'Aameaem-mmn5 Nk Special aaH icySFR Are dmeM Caned en You ant SFA.which mtlutm Mi.Doge.Ne GMa2l T.ant CoMMor6 mllowmg me Mo.the Smre SUpDlemmt Ma Imdce ar Sam"IMmrn and are perm w domente normal made,a and dVcRy MI Reade sea mk a4man'I haled Tema and COMrtbreM numeral defindions ancemance andN mmddbo :W draningdebµYou euMOme SFR rn m perrwIndelladdn and/or(D)Oman mal amngeMme"I dspand order meachandee,atlWlresomal ocher mertnandhemat me/tememm made,meaeraned In the Asmannane You undem Wmle AeamreMomamudsme dole undemmnding between YOU and SFA and mss era be amended b/a Change Omer Waned by SFR and mu.maAgrmrrreMeprevryaupersedmall Durwmmn paypel agemenb or moraeentamons made Ie SFA,'Rau..aemmmaee. Cand,mammM Immo Pgttmml(Tcu aSree mere ere rc oral wwmmn reDreeenptlwvY or IMucemeMa,Dyrem wmldad,In cry mvmndmonirlg anis Ayttmem,eaq YW mprary OeGalm mBIrmLErrc2 N ndw�,Xdank rcmmmpkm.pMblletlm Prolmzorul'e/Ixmlmialglnkmbllm nlgreu mbe gOAded m Vou ander.Sy algning you aclaloMedaemet Ydu Ax rand,uMeMnd.and avaplmYlyttmerM1 In b mYred.YauNMaraCMravledee reoeMnBa mmpbm COq.Naep tt m pWtttpm hexed na,1.5. it as Very Wlpa4m to rad the Tema and fmnftW mdutlsd on tee rarepe aid*ofto*Sad fil91rBptlKit"POP"NW Paltltn8a depaaATWlaha WadeldeCanbaetaaMaentia Pedlei Nr Neaaacbd protlbda sed yarepesto mo Tenor eM lxadooea an cps rareew cher delve Nut Pap.. "am Schedule:You agree ma mommans will be due as mdlcamd bemw.d You am adding by aedx w dam card.me accauM may he charged m debilu(m aD ileal )al the same me mettt h accepted by me THE SEA // apm/smeentade. Deposit Peyment"OdUnt $Oaw_WE IN FULL IMMEDIATELY Final Payment Amoum: _Due upon final approval of completed wank Tole)Amoum MShce $III Accepted of. Superior Fence&Rail,Inc.. 5470 Hlpway Ave. Cusmmera Sigaamre pate Jacksoellle,R.32154 Customer's In'Itials: BY INITIALING,YOU AUTHORIZE DELIVERY (eo4)awl OF MERCHANDISE TO SERVICE ADDRESS PROVIDED ABOVE WITHOUT /IY/J / OBTAINING DELIVERY AGENTS SIGNATURE AND AGREE TO INDEMNIFY SL <Fl AND HOLD SFR HARM FROM ANY RESULTING CLAIMS. Aawvaa mD 'a Fu°slp'°r°'°°eu QRepr FLE/SC!lHfINN yy �� PrdwlomVAMMdmd ReDrnenmlhaon SFR'&feMM:PRINT Year Full Poreonel Nemo SFS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Primary Payment Method: ❑Check ❑AMEX ❑Discover ❑Maatancend ❑VISA Ameard,16,400 PdmaryAccountN.lFar(Credit mtl 0*4 UplrattnI Wiling ZIP Ocl Secondary Payment Method: ❑Check []AMEX 11 Discover ❑Mastercard ❑VISA Amount$.Semntlay Accred Number(Credit Cada onto Ezplmu0n:� Wiling Mo Code CM= wma¢mmtl' o,ondema,adol«aparmm)pmmeane�ilelu MIWofted"m�urmoeSu Summer Fence an`dmRdmadJSMIl� amrme made rmdeckemMMan d`ad1 eamdatramfer(SEP wOP l/ComumerA unt OBuamem/Corpandshacount Drivers tlreneed II nth pgmlmh rammed urlmle.l aumoriu SupMwFMa ant Aell,mcdbdml DeAneM m0 pale's lame M,aaetmM baba.by6e(s)ddmAa)1mm my aOmunt uma laea. prise eau tt lr makeme a�utl�wlitaM nxw.znnmAhvrl mrPdwm�e�mWre�nSinFhn'IYe��mu�ie emmu�MeM year tletVlbaa errtldx�bembauM MmemN/AlAoxrWani�iadnllwm/<aDwaa CEEMQxu UPm350.00-3'15.00 FEE, %X`E-3300.00.OF r FEE3300.01E GYE)GERO $25,0RR % pRA&OFTHEAMOUHEOFTNf p1ECM:M-Tnf GHFAIER OF SSn.nn rift 5%CFTiE FMGIMi of TXE CHECK;IA-THE GflFITER OF fD5 W OR5%OFAIEAIMMINTOi AIE CHEM over SFR rePnenlative must destroy this portion of the daeumeld within JD days of the Install Completion Date unless otherwise approved by SFR. Cudomers Slgratum Date SFRReplesemffiIae'sSFR Si&WWM Date Superior Fenu 8 Rall,1115470 Highway Avenue Jacksonville,FL 32264 DISTRIBUTION:White-Superior Fence&Rea Copy Yellow-Customer Copy $ Ad Lk, � \ ] i ) � • . � -----» '���--- � � �— OVON __ ] SMITH APPRAISAL SERVICES INC. PROJECTLAYOUT )FLAAMO OC[/Y ' 'AL'R@OOROS t 1*I l �,• liml 1 � y'; _ 1 1 -. .., . rA htA 0 (pp �t •�' l 1 P• '- • t 1n�eV•Y>11 V ��• 'ata :.},.. .•J� I,ni 9 i SMITH APPRAISAL SERVICES INC. BUILDING LAYOUT li,i�"ati � 4 ,•�1jI;aI13 'ljj�!'i``t(Is " i� ._` Arewwrie eci„v •�� i 1 � j I . i.w.r�. w.•I PP.I � r Fsv 1,.. � � F , i ••F I .a� !.e•.!'E. La' t A/ O L E /2 O A C' rxin= "A” 8 i�� fpy V - 7 Y _ 5