250 S Nautical FNCE18-0071 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACNHjFL 12233
INSPECTION pHONF LIN 247-5814
FENCE WALL OR BARRIER- FENCE
MUST CALL BY 4pM FOR NEXT DAY INSPECTION. 247-5814
PERt4rr INFORMATIONi
PERMIT NO' FNCEIB-0071
Description; Fence Replacement
Estimated ValuC 1000
issue Date, 8/jt2018
Expiration Date: 1/28/2019
PROP TY ADDRESS:
Address! 250 S NAUTICAL BLVD
RE Number: 1707030402
PROPERTY OWNERt BARBATO MICHAEL
Name:
Address.' 250 S NAUTICAL BLVD
ATLANTIC BEACH, FL 32233-4160
GENERAL CONTRACTOR INFORMATION'
Name;
Address:
Phone:
Name:
Address:
Phone:
PERM INFORMATION:
Ple n�see attached coil idalons Ot aPPI
ase_�)UR FAILURE TO RECORD A NOTICE OF
WARNING TO OWNER: Y(
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
c) YOUR PROPERTY. A NOTICE OF
IMPROVEMENTS T1 RECORDED AND POSTED ON THE JOB
COMMENCEMENT MUSTBE AIN
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBT
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
a cricill iedexal &
districts,state es,
1 required for work exceeding aim estimated value of
A notice of commencement is. 0 Commencement is only required when HVAC work
$2,500.For RVAC work, a Not e
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road EJU 00 t
Atlantic Beach, Florida 32233-5445
. r -TIZ I Is
Phone(904)247-5826- Fax(904)247-5845 Date=routed: -
E-mail: buIIding-dept@c*ab.us;
City web-site: htIp:1twwvi.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2-50 S. baa�c,f De artiment review re uired Ye No
Applicant: 6 Planning &Zonin
Tree minis nato,
rk
Project: lic Litilitie
Public Safety
Fire Services
WT
Review.fee
Review or Receipt
Other Agency Review or Permit Required of 7Pa,"lt Verified nBDate
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
is
To
lactu
Army.WCorpsofEngineem
Division of Hotels and Restaurants
Division of Alcoholic Beverages nd ToW.
Other:
APPLICATION STATUS
Reviewing Department First Review: E rApproved. E]Denied. []Not applicable
(Circle one.) Comments: Ady,
�B�UILDING All otef)&r� knell � fifff"IT
PLANNING &ZONING Reviewed by: fr5:f Date: 21
TREE ADMIN. Second Review. KApp,,ved as revised. 00;,ied. ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:— Date:
Third Review: F�Approvecl as revised.
FIRE SERVICES ]Dema�E]Not applicable
Comments:
Reviewed by: Date:-
Revised 05/1912017
Building Permit Application undated 5/5/17
city of Atlantic Beach
800 Seminole Road,Atlantic Beach, FIL 32233
0 Phone� (904)247-5826 Fax:(904)247-5845
Job Address: 26o &)Awric.AL, BIL Vb- 5;0tA-r+iPemnItNunnbe,:
Legal Description —REN
Valuation of Work(Replacement Cost)$ /I ou Heated/Cooled SF_Non-Heated/cooled_
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
esidentia
• Use of existing/proposed structure(s)(Circle one): Commercial (@iiE�
• if an existing structure,is a fire sprinkler system installed?(Circle one): Yes No <2NO
• 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:k� OF qA" -re �C�koe Apfftlk 616 s PT OPA AK-Sr-fAC"
ftet,ACe OLD Fc�M , 5�?AOD �ENCEP SEr 6 $,PC.
�10eof Hdasd- 00%r`C49 In �r 9�PILAC61P SPAOT 9(l A1�4 Z 1.ri
lismce %Nq(k ',Im' VE vmu,49- M 6�'rvt�& '5�r �O&' P"'4c" F6�ce.
Florida Product Approval It for multiple products use product approval form
Property Owner Information 71 C Al
Name: A" C I'A& -M
Z_� ;_ d C�49AAIA Address: 750 NPrtA 191-VID. 50&rr4+
city A--Q�A -State f-t- zip 3Z2.53 Phone C231) %I'7-S&t7-
E-Mail bKb C2W)
Owner or Agent(if Agent,Powch�61`Attorney or Agency Letter Required)Mte-tfA—.7— V 6AZ/Z>C-0a-
Contractor Information
Name of Company: Qualifying Agent:
Address City_State_Zip_
Office Phone Job Site/Conta5tNumber
State Certification/Registration# E-Mail "I
Architect Name&Phone It
Engineer's Name&Phone#
Workers Compensation
a t/insurer/Lea�EmplWeas/EVIration Date
Application is hereby made to obtain a permit to d he work and installations as indicated.I certify that no work or installation has
commenced prior to the issuance of a permit an that all work will be performed to meet the kandards of ail 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.
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 totting.
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent)
(including contractor)
Signed and sworn to(or afil d) befo a me I .9d y of St.gned and sw
201b ", 7
gna
My oDWMI0N 0 FF 92
EXPIRES:Ociabar 6, 9
I Personally Kno.n OR Per�onally Known OR
I Produced Identification Produced Identification
Type of Identification: 15_rp13-5SS--7 C�T�ip.of Identification:
CITY OF ATLANTIC BEACH
JUL 1 6 2018 800 Semmole Road
1 Atlantic Beach,Florida 32233
OFFICECOPY.-
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date 5 Revision to Issued Permit CoffectionstoComments -/
ProjectAddress Z,150 P4kUTICk O�L,%11 5;
Contractor/Contact Name MitWAst, fAa8Ary
Phone(26,z-) �7�6 50-37. Email 8,49 -r-490X 406.�( L- Cc,�
Description of Proposed Revision/Comections: Permit Fee Due$
4DO6�5 '��pfto" C6cTzw — Ska.�61 ot*,xRA,, ry sA.� !;�trv- YAR-0 cork�.
,+L(_ MULTS ,t, f:C-C& AP4 t.-CAT&S Ar-L61Vr 15 F'ur F�� U046 "' YTA,607-
PA,6m&--r Fa- �tf& sEo6 YA4 At)-j4c&jr � crp,&&r.
Additional Increase in Building Value$ ..C) Additional S.F. 0
By signing below,I Mtt,(ACL, &&RaAr� affim,the Revision is inclusive of the proposed changes.
(pfinw nanx)
Sign we ofContractor/Agent(Contiactor must sip Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
"i'din /71
nmg &Zonin Reviewed By
T,L.e�Idm,.. rltr
-� im rator
aPub ic Utilities 71
P$ SafeF) Date
,bM,c
Fire Services
City of Atlantic Beach APPLICATION NUMBER
Building Department (to be assigned by the Building Department.)
151 800 Seminole Road ymcrl&-06il
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-6845
E-mail: buiiding-dept@wab.us Date routed:
City web-site: hffp:/A~.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '2-5c) nt review required Yes No
Applicant: 6 Plannin grung_11
a
Tree8gMAm tor
Project: F;eAcir_ ket)/Acf_�Mcnt
Public Safety
Fire Services
R@yiew fee Dept Siqnatur��111
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By
Florida Dept.of Environmen I Protection
is P
'on
Florida Dept.of Tre sportat 1E
n ion
St.Johns River Water Management District
ot
Amy Corps of Engineers
rp re
re
mus
Division of Hotels and Restau a7 To,..
VDIvision of AlcclholicB�e:rage.and T�h
Other
APPLICATION STATUS
Reviewing Department First Review: [JApproved. Denied. E]Not applicable
(Cincle one.) Comments;
BUILDING Need _1�ao�
PLANNING &ZONING Reviewedby: /�z '0_1' Date: 7-9-150—
TREE ADMIN. Second Review: PA'pproved as revised. ODenied. [-]Not applicable
PUBLICINORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: dif== Date:7- It/,- 19
FIRESERVICES Third Review: [-]Approved as revised. ODenled. E]Not applicable
Comments:
Reviewed by: Date:-
Revised OW1912017
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WSU�CECDMP�--�EM.D C 1'�t
Land Surveyors, Inc
CITY OF ATLANTIC BEACH
JUL 6 2018 800 Seminole Road
Atlantic Beach,Florida 32233
OR
REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS
Date -411bli 0 Revision to Issued Permit CorrectionstoconammtsY
ProjectAddress Z,50 OkUVC& &LAO 5;
Contractor/Contact Name Mjgj4AC-L, jgARZA�v
Pbonc,ZZ6�g 0�3Z � Email
Description of Proposed Revision/Corrections: Permit Fee Due$
'��Ufto" C6CT7� — 5,MV6-1 &40LRA�j -ry 5'AO— SIUV YN�-o C0(V-6CTZevj-
At(- MiLTS ,� r&wag, A(ZA- f,-CAT!St� AT-L4%-r 15 fecr F� 5p4s � s-,A-"r
l,A,ICAA6"� FP- TH6 Sine yAeO AD:ItC6�7 TC) Sr7EE6r-.
Additional Increase in Building Value$___Q_ Additional S.F. 0
By signing below,I MLC4(AfEA&g&!9-rd affirm the Revision is inclusive of the Proposed changes.
(prjn�..)
--;t/l 611
Signature of Contractor/Agent(Contactor most sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
gDertm.etnt Review Required:
n
I din 40K AE=
Planning &Zonin Reviewed By
Tree mini ator
ub ic Utilities 7- 1-6 — loo
u ic Safety Date
Fire SerVices
00*4
9. 8
& R
2
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3
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City of Atlantic Beach APPLICATION NUMBER
Building Department (Fo be assigned by the Building Department.)
800 Seminole Road
AtIantic Beach, Florida 32233-5445
Phone(904)247-5826- Fax(904)247-584� JUL 02 2W Date muted:
I t 0""',4711 E-mail: building-dept@coab.us ; -7"7- 18
City web-site: hItp:/A~.coa1b.us Isy:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2-50 3. baa:Rced Del rtment review required I Yes —No I
rEFUREE1121—
Applicant: 6 anmn, I lorgn
PL_
Tra.
s
Project: [�'eAr f R? I
'p1,1CeMCnt Lg
,,c�ork
Ub�
'd'�ea
Public Safety
Fire Services
Review fee $ Dept E�igr)atur���
Other Agency Review or Pennit Required Review or Receipt Data
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water ManaT.m.,A_D1._t=t
hrmy Corps of Engineers
Division of Hotels and Restaurants
Division of Al�bolc—Bevemg"and Tobacco
1 Other:
APPLICATION STATUS
Reviewing Department First Review: [/Appmved. [-]Denied. ONot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed bX Date:
TREEADMIN. Second Review: [jApproved as revised. [-]Denied. []Not applicable
PUBLIGWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: DApproved as revised. DDemed. E]Not applicable
Comments:
Reviewed by: Date:—
Revised 009121117
CITY OF ATLANTIC BEACH
rj'UL'16 2M8 JUL 1 6 2018 800 Seminole Road
BYL� Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Daa:!Z��/,t Revision to Issued Permit Corrections to Comments permit# REjo-0011
Project Address Z,�O N kWICAL, 64,Y6 5
Contractor/Contact Name MjcWAC-L- jfA9ZArw
Phone
_(�O 0�3Z Email &49M ReX
Description of Proposed Revision/Corrections: Permit Fee Due
4bl,e�) c6c-rzo� — Swxu6-1 Do�� ro s*�— gtory YAP4 cor4z6eTzp�.
Au- Wrs ,� cc--c-g, Alto-: (,-CAT6"' Ar-LCAS-r 15 f'607' M� U04PS � 57TA,60r
Foa- "a swe TA4 Ac,7�+c&-r � smes;r%
Additional Increase in Building Value$ C) Additional S.F. 0
By signing below,I MLC4(ACt- AAtitaAr� affirm the Revision is inclusive of the proposed changes.
(p.tod name)
--7-11
Signature of Contractor/Agent(Contractor most sign if increase in valuation) Date
(Office Use Only)
Approved--14-1 Denied Not Applicable to Department
Revision/Plan Review Comments
De Zartment Review Required:
'Ifeviewed 7i�'
Tree num, rator
Pu 11c fety Date'
Fire Services
Ji
REVOCABLE ENCROACHMENT AGREEMENT
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation
organized and existing under the laws of the State of Florida,hereirafter referred to as"CITY"and
/KtC,WAVL BARLSAIZ) 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 FC-A/C& COOVST/-CA�TjoaJ
Any facility maintained, repaired, erected, andlor installed in the excmise of the privilege granted remains subject to
relocation or removal on thirty(30)days' notice by CITY to USER,add notice to USER shall be given by certified mail,
retam receipt requested,to the following address 2,5,p NOTICAL, &L-IJD AnA114
!,-lJ1C- 964tH P1
1 53
• 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 casement or property of the CITY,the USER shall replace at the USER's sole expense,
my and all material necessarily displaced dining 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 my 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,prim to making my 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 successons and assigns.
• USER"I meet the term and conditions of this penrdt and to all of the applicable State and CITY laws andlor
specifications,to include utilities locate requirements and we firraitationalrequirements of casements,public right-
of-wuys and other public land. USER further agrees that the CITY and its officers and employees shall he saved
harmle&s by the USER from my of the work herein under the terms of this pennit and that all of said liabilities me
hereby warmed by the USER.
&� &W*w Date
Property Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL ;70 day of
The foregoing instrument was acknowledged this -2018,
by ftl CkCLe, ( &r 6L4(=1 who personally appeared before me and
med name of Signer)
g
t instrum
7!Jedged 171signed th T ent voluntarily for the purpose expressed in it.
Signature of Notary Public,Slat.�Dridai Department Approval:
Personally Known_
Produced Identification Crype) C—
Scott Williams,Publie-Works Director
Kayle Moore,Public Utilities Director
TONI GIRI
-utilit
a,
HWaster Forms\pi bk r\aimawal
�x 1 �� , 'J�sa
Rtmision Date:2/5/
RIGHT-OF-WAY/EASEMENT PERMTr
Permit#Issued by the City of Atlantic Reach
PERMITI`EE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
jobAddres, '25- MAIA11CAL- 9L-,4b 5 Ph .. 162 t7b 003Z
Permittce—M 1 CM 6 1. GARRwr. Email M94rA-rog�K&6J64tL-C"
Requesting Permission to Constract—F6N CC
Location(ReferencetoCross-Stmet) N&L4nCA1- FILMI) S A dowy
• Pennittee declares that prim to filing this application they have ascertained the location of all existing utilities,
both amial and underground and the accurate locations are shown on the sketches.
• Whenever necessary for the construction,repair,improvement,maintenance,safe and efficient operation,
aberration or relocation of all,or my portion of said street or easement as determined by the Director of Public
Works,my or all said poles,wares,pipes,cables or other flacilities and appurtenances authorized hereunder,shall
be immediately removed from said street or easement or rex�t or relocated hereon as required by the Director of
Public Works and at the expense of the Permittee unless reimbursement is authorized.
• All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of (Project Superintendent)
with Company Name Phone
• All materials and equipment shall be subject to inspection by the Director of Public Works.
• All city property shall be restated to its original condition as far as practical,in keeping with City specifications
and the inanner satisfactory to the City.
• A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part
of this permit. Calculations showing any increase in impervious area on owner's lot or in the City
right-of-way are to be included with this application.
• The pernittee shall commence actual construction in good faith within 6 0 days. If the beginning date is name
than 60 days from date of permit approval then pernrittee most review the permit with the Director of Public
Works to make sure no changes have occurred in the area that would affect the permitted construction.
• It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's
right,title and interest in the land to be entered upon and used by the holder,and the holder will,at all times,
assume all risk of and indemnify,defend and save harmless the City of Atlantic Beach from and against my and
all loss,damage and cost of expernes arising in my mama of the exercise or attempted exercises by the holder of
the aforesaid rights and privileges.
• The Director of Public Weds shall be notified twenty-four(24)hours prim to starting work and again
immediately upon completion.
-/yl,wt &Rao,�, .a 61Z?118
Permittee(signed in pircsence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing inatrinnerawai; kno dged this day of 20
by % —zz
i�N-CLe-( t��' —who personally appeared before me and
(pnnta�ofpemattee)
ZZthe inartirn I voluntarily for the purpose expressed in it.
-t- Personally Known
Signature of Notary Public,State of Flo Produced Identification(Type)
TOM ER
924951
.r, MY consssi
EXPIRES W01`8 6,019
t4l P""6
City of Atlantic Beach APPLICATION NUMBER
Building Department CFo be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 JUL 0 2 2 13 Date routed:
E-mail: building-dept@mab.us
Cityweb-site: http:/hwm.coab.uS
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2-50 nt review required Yes No
Applicant: 6 wner (-Planning &Zonin
rator
Tree _Fffl�$
Project:
,!ep 1.1��®rk
ZMlic Utilitiea�o
Public Safety
Fire Services
Review fee $
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified BY
Florida Dept.of Envaronmental Protection
__Floridawt.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: ElApproved. E]Cenied. �Nct applicable
(Circle one.) Comments:
BUILDING 47f"JW
PLANNING&ZONING Reviewed by:_ Date:
TREEADMIN. Second Review: [-]Approved as revised. ElDenied. []Not applicable
&ORKS Comments:
C ILITIES
;UiU ruclu�T
PL76JJ�kW" Reviewed by: Date:—
FIRE SERVICES Third Review: ElApproved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:—
Revised 1619f"17
E 0�
ECEIVEj CITY OF ATLANTIC BEACH
JUL 1 6 2018 800 Seminole Road
jP BY: JUL 16 20 Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Dltl-:!z Revision to EssuedPermit Cor-rectionstoCommentsy Pemit# R-'CE193-0011
ProjectAddress Z.CA' 0kU71C1q- kvo
Contractor/Contact Name M,tWAE-(, j&AR.9A�v
Phone(24 V �7�0 60 3 z Email
Description of Proposed Revision/Corrections: Pemmt Fee Due$
J0061� C&,77v� � SUXV6�1 J%Ais,� -7c, 511-� Stu? YAR-0 CORV�.
&C, WTS o� C6wC-P A96 &-CAIIS�� Ar-L6%-7- 15 Far lz�,t c#4�s � sr�
PA'flr��-C Fc� H& SEoC yAg-o Ao-54c6-r , srgc6r.
Additional Increase in Building Value S r) Additional S.F. 0
By signing below,I Mtel(AEL, RARtSA7r� affirm the Revision is inclusive of the proposed changes.
(printed narne)
Signal=of Contractor/Agent(Contractor most sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
De rtment Review Required: k\--,
I S--
i n
e e rn Reviewed By
an I 7/ok
u I Date
r ;
I �,fety
e Ces