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1490 SELVA MARINA DR - FENCE (-- ,,: ‘...J.v.prjr, S„` CITY OF ATLANTIC BEACH 1 '' ' 800 SEMINOLE ROAD �v —� ATLANTIC BEACH, FL 32233 �-tr)mr.Y' INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0092 Description: replace 4-ft. aluminum fence Estimated Value: 3000 Issue Date: 9/6/2018 Expiration Date: 3/5/2019 PROPERTY ADDRESS: Address: 1490 SELVA MARINA DR RE Number: 171981 0000 PROPERTY OWNER: Name: DIAZ MICHAEL K Address: 1490 SELVA MARINA DR ATLANTIC BEACH, FL 32233-5639 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. -i�AJ yr, City of Atlantic Beach APPLICATION NUMBER (rjs .4",%\t, Building Department (To be assigned by the Building Department.) ,�� Vie) 800 SeminolecRoad 1J (-E1 — boa, �..,_ i��/ Atlantic Beach, Florida 32233-5445 Phone(904)2.47-5826 • Fax(904)247-5845 I� f F On 9• Email: building-dept@coab.us Date routed: Li ` t C6 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I `t q 6 5��(iCi farina OL. De artment review required Yes o Buildin (� Applicant: 0� n .P.-( anning &ZoninI i (,�, (�, Tree Admini'sator Project: ( Lp tLL �t—-F . (AIL{(+l.t AtAkil1 Pik_ P is Works Public Utilities 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: roved. ['Denied. ['Not applicable (Circle one.) Comments: N O<� PLANNING &ZONING Reviewed by: Date:)f'-I 0 TREE ADMIN. Second Review: ❑Approved as revised. I 'Denied. I '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 01.Avf-,,, City of Atlantic Beach APPLICATION NUMBER r� ;Afr t� Building Department (To be assigned by the Building Department.) A\- 800 Seminole Road � I / G Atlantic Beach, Florida 32233-5445 \ N Cti — t u Phone(904)247-5826 • Fax(904)247-5845 f „y,4 E-mail: building-dept@coab.us Date routed: F'13-q ` t g City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 4 41- 6 4 ,tiA Kir t Df. Department review required Yes No uilding Applicant: OW n L( ( anning &Zonin ` Tree Administrator Project: ( Lp\ (�,L t L1—'� . L�t l.(0,‘:,` '�,nt. e\ p-(Ic_k P is Works I Public Utilities 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. I 'Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ��— Date: (-2'i- (? 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 C1LQIfjr, City of Atlantic Beach APPLICATION NUMBER ' . BuildingDepartment u tl� _ (To be assigned by the Building Department.) . 800 Seminole Road • ,` l r� Atlantic Beach, Florida 32233-5445 0 LEI bOVi• °``"~"' Phone(904)247-5826 • Fax(904)247- 6 ry lj%� E-mail: building-dept@coab.us C �ut Date routed: r13 Li It g City web-site: http://www.coab.us A APPLICATION REVIEW AND TRACKING FORM Property Address: 14 q- 6 5Lt.1Ici Itkkott P{ . Department review required Yes No uildin Applicant: D\..1.) r ( annin & Zonin -{((��, Tree Admini�rator Project: (L.pV QL t '` ' 1 . 011.E M i 1\t.C,fh u. �c Pub"i" Works Public 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: LifApproved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING _ PLANNING &ZONING Reviewed by:,_{ Date: 11;1/� TREE ADMIN. �`' Second Review: I !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 City of Atlantic Beach APPLICATION NUMBER (çJ 7 , Building Department (To be assigned by the Building Department.) it - 800 Seminole Road /�� - Atlantic Beach, Florida 32233-5445 fJ _G V I t — o cy Phone(904)247-5826 • Fax(904)247-5845 if..... - E-mail: building-dept@coab.us Date routed: o '� { City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I `l q O JL tI I Ka'i(\ Of . Department review required Yes No uildin Applicant: OW n .Q_.{ annm &Zonin ` Tree Adminis rator Project: ( LpV Ca.t Lt- . 6{1 4(n,11�.Lvh P-ikk Pu i�c Works 1 Public Utilities Public Safety Fire Services Review fee $ � Dept Signature e&L) , 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. of applicable (Circle one.) Comments: /a 730 • BUILDING PLANNING &ZONING Reviewed by: - (�� _ Date: 0 2 /8 TREE ADMIN. Second Review: Approved as revis . I '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 RECEIVED t""„). BuildingPermit Application Updated 12/8/17 �� pp City of Atlantic Beach AUG800 Seminole Road,Atlantic Beach,FL 32233 G 23 Phone:(904)247-5826 Fax:(904)247-5845 f- 1 l�,s^ / ` b 1 c „ Wei ;.Job Address: /1fiQ Se1 vc m lel /1�DY- Permit Number: G Legal Description FL ccs Valuation of Work(Replacement Cost)$ 3 OQQ Heated/Cooled SF- Non-Heated/Cooled • Class of Work(Circle one): New Addition tteratiogi Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esidentiaJJ • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No • 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 ork to be performed:, ?em ova.1 0.4 n`d alum,nurn -Cel ce and rel ace me w' `f-ho . . l urn dl u er�ce i o -the "Arn-e place \! • /at ( new a m -� Florida Product Approval# for multiple products use product approval form Property Owner Information q , [dame: e,l j (Q )Lf Address: )Sel(/CC 1�talVl {rte Dr•, a s.l-.----,1 3 (� / City ea 11 ■ G ,�/� State�Zip -j Phone (� Ib" E-Mail 'el \/a 1C.(� I V(. (o � � Owner or Agent(If Agent, Pdwer of Attorney or Age cy Letter Required) owner Contract•r Information Name of Com any: ��_�=- e fy g9 �l�\ ,p, �._� _' --=..� .�� Quali in ent _. _, Address 7-f-i-CO a i ' {^Q . .-...:• ��TQICL 'IV((LCState EL Zip 3J `�- Office Phone (9c 4) 0 ;3-60 - 1 lob Site/Contact Numb r 4 Q 4) 3 R,�,� - (' 6-4 ncr�x{__lac -SCn lac I Ise,ex)on State Certification/Registration# E-Mail ��( .J✓ Architect Name&Phone# Engineer's 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. 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. 2 e V .4 :_, , ,l, „,_ . ., e k...,, ,.„ N,,,-- (S: ature of Owner or Agen ,) (Signature of Contractor) `/ (including contractor) ►� Si:ned and sworn to(or affirmed)before me this a3 day of Signed and sworn to(or affirmed)before me this day of - • ,a. '•s MY COMMISSION#GG 042984 -�' -- •: EXPIRES:October 27,2020 — -�'.:o _ots Bonded Thru Notary Public Underwriters a - I. . . - (Signature of Notary) [ ]Personally Known OR [ ]Personally Known OR [I.Koduced Identification [ ]Produced Identification Type of Identification: F 1- 6-iiv v scS \,LQ-'1 S-. Type of Identification: Meow sCtid aet_tt(BsS h uS 9oat t� � • CID VNOm ‘11--0 S.e rte' &fz_ \toad C1 )1\ \ 1-1-1V,OL(.) tO k ctc S ava (&1 1\& Or . (d} v(l�M lkt CHANGE F ADDRESS NOTIFICATION t nc� b✓.� C cut f(fin Date: August 28,2007 Please be advised that the following address(s)have been changed and adjust your records accordingly. XX Residential Commercial OLD ADDRESS NEW ADDRESS 1. 1495 Selva Marina Dr 1490 Selva Marina Dr 2. 3. 4. 5 Sincerely, Dave Hufstetler Building Official Cc: Jacksonville Electric Authority Attn: Jack Davis,Pre-Service Dept. 21 W.Church St.—Tower 4 Jacksonville,FL 32202 Property Appraisers Office Attn: wady-Carvcr - 25 231 E.Forsyth Street Room.360 Jacksonville,FL 32202 911 Emergency Coordinator Attn: Pat Welte 501 E.Bay Street Room 312 Jacksonville,FL 32202 United States Postal Service Attn: Wayne Holt 1001 Mayport Road Atlantic Beach,FL 32233 City of Atlantic Beach—City Hall Atlantic Beach City Clerk Atlantic Beach Police Department Atlantic Beach Water Department MHS 3nuvvIINi.2 ovuriui-\ \ i 3L)R VC I '...n- LOT iLOT 4, BLOCK 8, SELVA MARINA, UNIT 4, AS RECORDED IN PLAT BOOK 30, PAGE 26 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: ACCELERATED TITLE COMPANY NATIONWIDE MORTGAGE AMERICAN PIONEER MICHAEL K. DIAZ AND KELLY A. DIAZ SEMINOLE ROAD (100.0' RIGHT OF WAY) S 07'01'22" E N 09'08'58" W 147.64' (PLAT)(CHORD) 16.42' (MEASURED) N 09'33'34' W S 08'07'31" E 147.59' (MEASURED)(CHORD) 16.70' (PLAT) FOUND 1/2' IRON PIPE FOUND 1/2'REBAR NO IDENTIFICATIONo L-147.65' R-4535.85' ,. IDENTIFICATION FOUND 1/2' IRON PIPE • • • NO IDENTIFICATION END OF PLAT i: F : ul 1` m o, 50'BUILDING RESTRICTION UNE ^ 0^ t:.--Ir cc w ,•`%.t=•.t. '-; COVERED PORCH M y..;• -,,::i -7 31.3' o vl'n Fes-- N r•;'.. . ,+ m 2.5' Q J N {. .J w LOT 3 LOT 5 a :;;:';;;;'_y:. _' cl „ _ BLOCK 8 BLOCK 8 -` • 7.1 37.3' '^ re) cV 03 TWO STORYN N N. A FRAME Servs N � N POSTED # 1170 n w C1 0;3' 36.3'-. 32.4' 3.3; Z p1In O/UJ� O 3-if/ .4• Ir �. �'-,.° BUILDING RESTRICTION UNE • 'n .- •POOL �. s `G �A �y 01 • Z 0 C71 3 rs. )- li)0 °,% N re < LOT 4 I /� FSI' BLOCK 8 J .0 FOUND 1/2'IRON PIPE MEASURED) ...... • NO IDENTIFICATION FOUND 1/2' IRON PIPE N 16'15_07_ W__---97 (__- NO IDENTIFICATION ---- .. - ----------------ED OF WA 'I'' LEGEND: CANAL R = RADIUS L = LENGTH —X— = FENCE S 11'36'29" E 138.80' (PLAT) O = CONCRETE NOTES: REVISIONS 1. BEARINGS ARE BASED ON THE PLAT BEARING OF S 79'55'05" W ALONG THE NORTHERLY BOUNDARY UNE OF SUBJECT PARCEL DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE X AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL 0001 0, 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT IF SUPPLED. UNLESS OTHERWISE STATED, NO OTHER 1111E VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. nn • • •n n I n A rr^ n.r r.r, r. ri in.w-.. 4 4, nn I I nn•/ r_ . .n 1 -if'P 1 # • ";:, 4 :+ REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation organized and existing upder the laws of the State of Florida,hereinafter referred to as"CITY"and / glJia - 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 4V1C€ c e l rep(acernerc+ . Any facility maintained, repaired, erected, and/or installed in t exercise of the privilege granted remains subject to relocation or removal on thirty(30) days' notice by CITY to USER, said notice to USER shall be given by certified mail, return receipt requested,to the following address 14qo .t VGZ Atai Ina b c t (Qri fic B a.ct i, 3aa33 • 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 terms 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 public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereb assumed by the USER. �+/ / / ' / .5G/C/4 Date d ?.� i Property 1 wner/A, t(signed in preotary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this a day of 7t''t 566\ ,20 I % , by IC Q,1,ty Ai, b act , who personally appeared before me and (printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Sign.- 11 4tary Public,State of Florida Department Approval: Personally Known < Produced Identification(Type) I'L ( ,) Qii.3 k —AK, r..• _Air , ..,,,';:'.:' ,;% Sco f it iams, 'u. is ' or s Director/ JENNIFER JOHNSTON Kayle Moore,Public Utilities Director i 'rk:`. MY COMMISSION#GG 29 i ;Hf Forrr� kl 46p�j{of orm. Revocable Encroachment Agreement 2.5.18.docx 1 -, , ba aiVli Notary Public Underwriters