1496 JasmineFNCE18-0070 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-SS14
PERMIT INFORMATION:
PERMIT NO: FNCE18-0070
Description: Replacing Fence Panels
EstimatedValue: 0
Issue Date: 7/13/2018
Expiration Date: 1/9/2019
PROPERTY ADDRESS:
Addraw: 1496 JASMINE ST
RE Number. 1710809000
PROPERTYOWNER:
Name: SMITH BUCKLEY T
Addrew: 1496 JASMINE ST
ATLANTIC BEACH. FIL 32233-1820
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 them 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 RVAC work,a Notice of Commencement is only required when RVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach
Building Department
800 Seminole Road
T Atlantic Seach,Florida 32233-5445
, Phone(904)247-5826 Fax(934)247-5845
E-mail: buiIding-dept@caab.us ME
City web-site: http:/Mvm.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Iql(t De fid artment review re U re Yes No
ul 11
Applicant: __tLWh-e),r ree Administrator
Project: Vq � Axe ublic
S U .1
Public Safety
Fire Services
Review fee $_ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified B
Florida Dept of Environmental Protection
Florida Dept.of Transportation
FT
th A n Review or Permit Required 7n
De En "erenent-I Protect-n
0 of n
b 0�nent DSWt
Rl P.:nlg
Wr M
rps a My
er ge c
lodd. PC of v
Florida De Tre
St.Johns River Water Managernent District
Army Corps of Engineers
is
Division of Hotels and Restaurants
of �
Division of AlCoholia Beverages aM Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: �ZApproved. []Denied. []Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date',,/,-^2
TREEADMIN. Second Review: FlApproved as revised. []Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. E]Denied. oNot applicable
Comments:
Reviewed by: Date,
Revised 0511912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road r_—W.C— 2--wic
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826- Fax(904)247-5845 Date routed:
E-mail: building-dept@coalb.us
City web-site: hftp:/hvww.coakcuS
APPLICATION REVIEW AND TRACKING FORM
Property Address: Igi(t De artment review re ui d Yes 0
uildi
Applicant: hlek�
re,Administrator
Project: ublic
u Ic
Public Safety
wFireSewi�sl
Review fee $_ Dept Signature
MReview or Receipt
Other Agency Review or Penmit Required of Permit Verified B
Florida Dept.of Environmental Protection
Florda Dept.of Transportation
St.Johns River Water Management District
her Agency Review or Permit Required
'o.da Dept of Em"onment"'Protection
londa Dept of Tmn.po:t'-
St Johns River Water M ng-mem D'gn't
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
pp'icable
Reviewing Department First Review: 23�pproved. []Den:ied. E]Not applicable
(Circle one.) Comments:
(��D
PLANNING&ZONING Reviewed by: ev
TREEADMIN. ElDeniec17 []Not applicable
Second Review: []Approved as revised
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERMCES Third Review: DApproved as revised, []Denied. DNot applicable
Comments:
Reviewed by: Date:—
RwisedOS/1912017
City of Atlantic Beach APPLICATION NUMBER
Building Department nEcE, (ro be assigned by the Building Department.)
k �_N r�t�c'c tg-wlo
800 Seminole Road VLM
Atlantic Beach,Florida 32233-IA45 I I
Phone(904)247-5826 Fax(904)247-5841i JUN 2 7 2018 Date routed: �e 127
E-mail: building-dept@wab.us I i
City mb-site: htipJA�.coalb.us BY, a
APPLICATION REVIEW AND TRACKING FORM
Property Address: lqi(t D 0 rtment review required Yes No
5dr!' a.
Applicant: ree Administrator
Project: ublic;
u Ic
Public Safety
r"ce
Fire kSeml�s
Review fee Dept SignatUr6
Review or Receipt
Other Agency Review or Permit Required MDate
of Pennit Verified 8
Florida Dept.of Envirenme its!Protection
Florida Dept.of Transportation
hns River Water Management District
AWy Corp._.�fEngm-.
:m
Division of Hotels landRestaumnits
Division of Alcoholic Severagge.and—Tob.—
APPLICATION STATUS
Reviewing Department First Review: VApproved. E]Denied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed b
TREEADMIN. Second Review. ElApproved as revised. FIDenied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: DApproved as revised. [-]Denied. ONot applicable
Comments:
Reviewed by: Date:
Revised 0611912017
City of Atlantic Beach APPLICATiON NUMBER
Building Department (To be assigned by the Building Department.)
Boo Seminole Road
Atlantic Beach,Florida 32233-5445 LnEFC
C)
Phone(904)247-5826 Fax(904)"247-51145 J $te routed: 2711k
E-mail: building-dept@coalous 11 JUN 27 20
City web-site: htp:/Avww.cosb.us
APPLICATION REVIEW NG PFORM
Property Address: (glice Ja3ml-ric De artmentreviewre JuiredYels Aq
uildii
Applicant: __bLuj t\-er ree Administrator
Re
tkal .q_Ce F!?
ublic
Project: u ..
Public Safety
Fire WSermims
Review fee $ Dept Signature
NOtherAgency Review or effnitlRequlmd Review or Receipt Date
P of Permit Verified MB
Florida Dept.of Environmental Protection
Florida Dept.at Transportation
-St-Johns Rlver%NlateManlagment District
S ":t. r L
Army Corps of Engineers
on
Divisi of Hotels and Restaurants
a
Division of Alcoholic Beverages and Tobacco
APPLICATION STATUS
Reviewing Department First Review: E]Approved. E]Denied. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREEADMIN. Second teview: E]Approved as revised. ODenied. EINotapplicable
PUV WORK Comments:
LI UTILITIES
Date:-
PUBLIC SAFE Reviewed by:
FIRE SERVICES Third Review: FlAppraved as revised. OlDenled. FJNot applicable
Comments:
Reviewed by: Date:-
Re�i�ed 0511912017
Building Permit Application Updated 12/8/17
City of Atlantic Beach
80D Seminole Road,Atlantic Beach,FL 32233
Phone:(9D4)247-5826 Fax:(904)247-5845
Job Address: 9'o -75'SM'A��4 Permit Number: Fwx IkNo�o
Legal Description '�Y�po Heated/Cooled SF RE#
Valuation of Walk(Replacement Cost)$ _No..H..t.d/Coled_
. 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 I
. Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Remova
FD�eserlbe In deloul the type of work to be pefforn ed: 1,
k'vt &�X I I T—'..'C a Lf Y's, J!,
Fiodda Product Approval lt_�for multiple products use product approval form
property Owner l9fornmetign
Narn 1 117- Address:
tL Phone q 0,11- -7 7- 10 7 7
,tate�
_5 L Zip
state 5:IL __3L2LZ
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Qualifying Agent:
Addres city—state_ZIp
Office Phone tact Number
State Certificartlon/Registration#_E-Mal
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Wn Date
Application is hereby made to obtal n a permit to do the work and installations as indicated.I card Ify that no work or instal fallen 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,FU RNACES,BOILERS,H EATERS,TAN KS,a nd AIR CON DITIO HERS,etc.NOTICE:In addition to the requirements of this
penmit,there in BY 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 law regulating construction and zoning.
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
RECORDIN7 Y!7 CE OF COMMENCEMENT.
'��NO
12). — (Signature of Contracto
(Signature of Owne�Agvftu
(includi contraotor)
d and swign to affill befor I a f Signed and sworn to(or affirmed) one me this_day of
igne
o�t b by
MIG! ignature of rY (Signature of Noury)
My MSSIONIFF
IRES. r 6.019
4W wi� [ )Pasonally Kn n OR
Produced Id tification
Type of identification: Typeofldenti cation:
511C MAP SHOMG A BOUNDARY SURVEY OF
A LOTS 1 & 2 , BLOCK 250, AS SHOWN ON MAP OF
SECTION "H* ATLANTIC BEACH
AS RECORDED IN PLAT BOOK 18, PAGE 34, OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED AS BEING CORRECT TO:
Buckley I. Smith
PrImet-onding, A PlainsCapital Compony N
Ponte Vedra Title, LLC GRAPHIC SCALE
COMMUNITY DEVELOPMENT D 11 ZID
APPROVED E
( IN FEET
I inch = 30 ft. W+
S
(F) S86'05'00'E 102M'
(p) SZ6P5*0O'E IQ."" LEVY ROAD
BEAAWG ,X ISO'RIGHT G, ,r)
I'ROAD'�
FOUND (p C) S86U5'00'E 102.44- E]
1/2-)RON PIPE 112- IRON PIPE
NO 0 NO 10
SET
* : ... 112-MON PIPE
LOT I US 5226
LOT I jl� k., GRASS
r — — 9.
'41
(P) 102' MOO
IX
k
LOT 2 N I STORY RESIDENCE
LOT 2
Mo.
F1102PORON PIPE (F) N86131ii IOZ52' rri
FOUND ---1
NO ID P) NWZ6.00T 1020' )A-IRON PIPE
NO 0
LOT 3 �QVT 3
0�4.p
Co
ASBREWANON DEnNUION
EILDR BUILDNG
GO SAMTMY CLEAN OUT
CONG. CONCRETE
SURVEYOR'S REPORT & NOTES. MG. PENCE
GA GUY ANCHOR
1. NIS IS A BOUNDARY WR�. PROP. PROPERTY
2. ALL BOUNDARY WFORMATON PERTAINS TO PLAT OF SUBDIVISION w WATER METER
NOTED IN WPM. w ROW POST
vp po� POUE
2 SU&JECT SURWY WAS DOME M�T BENMT OF PRE ABSTRACT;
WER"E, NERE WAY BE EASEUENTS AFFECTING 7HE PROPOTTY
THAT ARE NOT SHOW HEREON.
ATLANTIC - GULF SURVE)"ING CO. FLOOD NOTE ABBREVIATIONS:
PROPERTY SHOWN HEREON LIES WIPHIN FLOOD 3�R�
LAND & ENGINEERING SURYEYS ZONE AS BEST DCPDRMINED FROM FE.MA RODTI
UGENSED BUSINESS NUMBER (1-B.) BUS P-001) MAPS RANn NO.1�6 DRI D MTED��17 IRD E_EA11
.T
rj—PLAI
5736 TIMMU" ROAD LEGEND 0
,ACKSOWLI-E, FLORIDA JUIO
D.-771-6412
0 SET RON PIN OR PIPE �=pp'
UND PRIN PIN OR POE �O
HEREBY CERTIFY THAT MAIS SURVEY WAS MADE UNDER MY 0 SET IINIRgE ..U01 RADUD
mj CON. ..,D
RESPONSIBLE CHARGE AND MEETS THE MINIMUM TECHNICAL NO MO.U.E IIIA�
STANDARDS FOR LAND SURVEYING AS SET FORTH BY THE TRAVERSE OR CONTROL POINT
. . .FENCE AS NOTED RT— POINT OF
FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS TANGENOY
I 1-T.1
CHAPTER 5�17.051. RORIDA ADMINISTRATIVE CODE, PURSUANT O-11�1
TO SECTION 472.027. FLORIDA STATUTES. JOB NO. SUM ME 1c-S-2.. I.— I T.1
- DO
ODD 7DRO
DKTUSURVEfID-4-2010 DROOTER CDJ/QP c�_CDNODETE
A�U-ENT
CHARLES P. DEILCAMBRE, P.S.M., � REG, # 5100 IPOUD 8� 396 SCALE IM_RID,ROD