390 3RD ST - FENCE S r1J`f 1 i.
J f
S=� CITY OF ATLANTIC BEACH
r—v..,,, -:: . e,—)
800 SEMINOLE ROAD
i
�� ATLANTIC BEACH,FL 32233
! .i� 1 INSPECTION PHONE LINE 247-5814
FENCE WALL OR BARRIER - FENCE
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: FNCE18-0074
Description: 4'Wood Shadowbox Fence
Estimated Value: 3500
Issue Date: 8/2/2018
Expiration Date: 1/29/2019
PROPERTY ADDRESS:
Address: 390 3RD ST
RE Number: 169801 0000
PROPERTY OWNER:
Name: STEVENS ELIZABETH HALLIE
Address: 390 3RD ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LOWES HOME CENTERS INC
Address: 4948 TELSON PL QA PETER ANTHONY CAFARO III
ORLANDO, FL 32812
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.
' s,, Permit Conditions
r
,,-')V, } ,.
City of Atlantic Beach
Permit Number: FNCE18-0074 Description:4'Wood Shadowbox Fence
Applied: 7/3/2018 Approved: 8/2/2018 Site Address: 390 3RD ST
Issued: 8/2/2018 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233
Status: ISSUED Applicant: <NONE>
Parent Permit: Owner:STEVENS ELIZABETH HALLIE
Parent Project: Contractor: <NONE>
Details:
LIST OF CONDITIONS
SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS
DEPARTMENT CONTACT REMARKS
1 7/13/2018 ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
2 7/13/2018 ROLL OFF CONTAINER INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
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.
3 7/13/2018 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full right-of-way restoration,including sod,is required.
4 7/13/2018 FENCING REMOVED INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All old fencing must be removed from job site by Contractor.
5 7/13/2018 ADDITIONAL COMMENTS PUBLIC INFORMATIONAL
WORKS
PUBLIC WORKS Scott Williams
Notes:
New fence cannot block the line of sight triangle.
Printed:Thursday,02 August, 2018 1 of 1 •
01,Ak.„, City of Atlantic Beach APPLICATION NUMBER
Js Building Department (To be assigned by the Building Department.)
m )
i 800 Seminole Road rt
1 C. f 0 O 67
(1
j Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-5845 2 p
f art �' E-mail: building-dept@coab.us Date routed: 7/3f1 D
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
2STDepartment review required Yes No
: • .•... V
Property Address: 3�0 ord p .
Applicant: LO We S Planning &Zoning
r -e ' 'minis ra or
Project: F�C� Public
ublic Utilitie
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
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments: iJ o&I, a /s p peAaI,hc 4,1,_e. air/vet I d F
BUILDING plan. it Ed r,
PLANNING &ZONING Reviewed by: % Date: 7'10 2�3
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 05/19/2017
�5.A1J-, , City of Atlantic Beach APPLICATION NUMBER
Js ±1'' t, Building Department (To be assigned by the Building Department.)
�•r rNCE I 8- 067 800 Seminole Road
� Atlantic Beach, Florida 32233-5445
\ Phone(904)247-5826 • Fax(904) 247-5845 -fir/ / p
\\,;is.),;i E-mail: building-dept@coab.us Date routed: / 3/�0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
�
Property Address: 3qo4 ST' p
Applicant: LO We S Planning &Zop
r mtnis
Project: C' 'en,C
u is
Public Safety
Fire Services
Review fee $ '"`° V` z =ept S griature0'-
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. J7t�enied. ❑Not applicable
(Circle one.) Comments:
red5 -/-&BUILDING e 2 S iU c-- (i/,%� i i<
PLANNING &ZONING Reviewed by: " / Dater0-1g
TREE ADMIN. Second Review: ]Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments: V• 41 So,fres
ecet,ie d Vc.r<mit« `� Efte>( � .-1 . 14 k..�y
PUBLIC UTILITIES �� w
PUBLIC SAFETY Reviewed by: Date: e--1 - I
FIRE SERVICES Third Review: ❑Approved as revised. nDenied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
S±a,y;.�� City of Atlantic Beach APPLICATION NUMBER
Building Department __IL (To be assigned by the Building Department.)
800 Seminole Road � �V�-_" C!
-. 4Atlantic Beach, Florida 32233-5445 7
490)
Phone(904)247-5826 • Fax(904)247 5845 JUL 0 2018 p
��,3 �? Email: building-dept@coab.us ' Date routed: 7/31/ Q
City web-site: http://www.coab.usf
APPLICATION REVIEW AND TRACKING FORM
3rd De artment uired Yes Noreview reProperty Address: ��� ST'
q
Applicant: Lo W e s Planning &Zoning
r' `Tree A minis ralor
Project: rC e- Public
ublic Utilitie
Public Safety
Fire Services
Rev eWffee $ .p .. *SD pt Signaf" e .. :_
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: FO7Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
c
PLANNING &ZONING Reviewed by w 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 05/19/2017
�SyUv; r, City of Atlantic Beach APPLICATION NUMBER
d . Building Department • (To be assigned by the Building Department.)
r ` 800 Seminole Road rN cE 18 O 0
7
Atlantic Beach, Florida 32233-5445 �IUL O 2018 $ U
Phone(904)247-5826 • Fax(904)24 -184
E-mail: building-dept@coab.us Date routed: 7/3/I 0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 31 o � 4Department review required Yes No
�� : • .•..
Applicant: LO v\.)e s Planning &Zoning
r-e minis ra or
Project: f enC e Public
ublic Utilitie
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
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:*6- Date:• 7/10/1
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PU: o ORKS Comments:
:. : I U I S
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. nNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
T'?`,t, Building Permit Application
hia
a".; ..4 City of Atlantic Beach
".i.--, 800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax:(904)247-5845
loo Address: ,-'' Cfi:' /)//r',:/ .'7 %• Permit Number: r '\k-rEi Otn (
Legal Description 21-38 16-2S-29E MILBERT HOMES S/D LOT 2 REq 169801-0000 ll
Valuation of Work(Replacement Cost)$ 3500.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle oneNew iddition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed s ructure(s)(Circle one): Commercial Residential
• if an existing structure,is a tire 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: _
i, , i i;i r .,/,.., (Z' ./ I- (♦--t`-- 1/'.,-.. /" /< 7.--z--,--,) ' L1 ' / / A ., !
`-' 68' OF LEFT SIDE (SHERRY DR) /
40' ON RIGHT SIDE
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: 1-I t- I) 1 C-2„ "mJC V e_' ) 1..3 Address: lr' 1' -')f -i <- i—
City A:'-I , I1' , -I--.'e'...;ems ' /- Zip_ , Phone 'yl '' • i'•i-`) _ . --
State �. . r/
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Lowes Home Centers LLC Qualifying Agent: Pete Ca faro
Address PO BOX 781993 City Orlando State FL
Zip 32878
Office Phone 044)535-M3 lob Site/Contact Number Dan Smith(904)535-3793
State Certification/Registration# CGC1508417 E-IVtail dspennlainyppAnwl.mni
Architect Name&Phone# NIA
Engineer's Name&Phone it N/A
Workers Compensation WCO23102416 EXP:04'01/2019
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.
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.
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 ATT• ' ' BEFORE
Air
RECORDING 911R NOT CE OF COMMENCEMENT.
..._
r (Signator Owner or Agent including Contract:0 (Sign e of Contractor)
Signed and sworn to(Qr affirmed) before me this r)day of Signed and sworn to(or affirmed) before me this 8 day of
_MAI i2 -lIi ,by -,J` -iii'-,! _c.A.34, t; MAY r 2018 •by PFTF r;A, O
r.
-- rs -a ox_-_
-- . . / (Signature of Notary) (Sia gntu
are of Notary)— —
• JAMES S BARD
t1 —
e:•:;.:'-'.7 i ,', ':; n�'pr' NATHAN BROOKS RYDER
":0t11MiSSK)N aGG135259
FRES AUG 16 2021 +° .E;\ Notary Public-Stated Florida II
4. Commission r00094838
LI Personally Known•ORratd:r!Lnncr Personal Known OR I a-
21 f
I 1 Produced Id6Yltiftcattorr — - (� .r'T Ror di m.EhNaesAp claryA s,
•,. ov a.�,`
[ J Produced Identification ' Ror$lthrouSh AaUorzl Acury Atv
Type of Identification: Type of Identification:
MAP SHOWING BOUNDARY SURVEY OF f
LOT 2, ACCORDING TO THE PLAT OF "HILBERT HONES SUBDIVISION" AS RECORDED
IN PLAT BOOK 21, PAGE 38, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,
FLORIDA.
CERTIFIED TO: MARY ELIZABETH STEVENS TTEE AND JOHN H. STEVENS TTEE U/W MARY ELIZABETH
STEVENS REVOCABLE TRUST DATED 5/28/1997
CHICAGO TITLE INSURANCE COMPANY AND JOHN MCE.MILLER, P.A.
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