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319 1st FNCE18-0102 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: 247-5814 PERMU INFORMATION: PERMIT NO: FNCE18-0102 Description: &WOOD FENCE Estimated Value: 2400 Issue Date: 9/27/2018 Expiration Date: 3/26/2019 PROPERTY ADDRESS: Address: 319 1ST ST RE Number: 169761 0050 PROPERTY-O W NER: Name: BLYTHE ROBERT D Address: 319 FIRST ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACrOR 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. City of Atlantic Beach APPLICATION NUMBER ;pl Building Department (�ECEI assigned by the Building Department.) `i 800 Seminole Road Atlantic Beach, Florida 322335445 SEP 13 h J V Phone(904)247-5826 Fax(904)247-5845 [� q E-mail: building-dept@wab.us BP routed: -1 I Cityweh-site: httpJAvvvw.wab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 31 �I ( Sf" c77 DegalEtment review required Yes No uild Applicant: BUJ i\3F4?- anning &tonin Tree Administrator r VV©old �C�I�L� cwors Project: -- u lic Utilitie Public Safety _ Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Proteclion 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. ❑Notapplicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed ti ate: 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 05119/2017 City of Atlantic Beach APPLICATION NUMBER Building DepartmentTo be assigned by the Building Department.) 800 Seminole Road ECE� _ s Atlantic Beach,Florida 322335445 j1-j�C�l�-C�IOz Phone(904)247-5826 Fax(904)247-5845 �] E-mail: building-dept@coab.us I SEP 13 201 to routed: City web-she: http://wt .coab.us 19 0 Y: APPLICATION REVIEW AND TRA�RING FORM J Property Address: I c>t ( s--F c]7 Deigbartment review required Yes No Buildi Applicant: �Lk)I\3Lc� anning &Zonin r Tree Administrator Project: `:� ' w©©Q FF�AnC-c- Icwo s ulic Utilitie Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or.Receipt Date of Permit Verified B _ Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River water Management District Army Corps of Engineers Division of Hotels and Restaurants Eivision of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [-]Approved. [-]Denied. o applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by:<_i1 Date: l 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 06/1912017 �SCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 ;? Phone(904)247-5826- Fax(904)247-5845 alj E-mail: building-dept@mab.us Date routed: ( 3 City web-site: http:/Aww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 C) ( s--F V� De ent review re uired Yes No Build, Applicant: �(.l7(`�E(L_ anning &Zonin / (� Tree Administrator Project: ePURcWor9 u lic Utilitie Public Safety _ Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Dhistan of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS fI Reviewing Department First Review: , Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:'4�_ Date:ct/— 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 061IW2017 City of Atlantic Beach APPLICATION NUMBER r)" 3� Building Department (To be assigned by the Building Department.) r 800 Seminole Road r (�CEI p -(fit QC... 7 Atlantic Beach,Florida 322338445 I' - y Phone(904)247-5826 Fax(904)247-5845 �] E-mail: building-dept@coab.us Date routed: —I ( 3 ( f City web-site: hap://v .mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Sl I C) �--� J 7 De rtm mt review re uired Ye No Buildi Applicant: 0(.o i\3 -Planning &tonin Tree Administrator Project: I W©oD ``EinCC— Icwor s u lic Utilities Public Safety Fire Services Review fee $ Dept Signature 'AM Other Agency Review or Permit Required Review or Receipt Date of Permit Verged B 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: (IL DID PLANNING&ZONING Reviewed by: 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 05/1912017 Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 p Job Address: / /r ,S��Z'4 % Permit Number. Legal Description "G C.7k_) zez2AI- t' RE# Valuation of Work(Replacement Cost)$'p Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alterati Repair a Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): ommercial esidential �yx • If an existing structure,is a fire sprinkler system installed?(Ord /A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal 7LD Describe In detail the type of work to be performed: �� Gam. //rEL� i✓ ��_.� 6 I W oo.(� ✓ Florida Product Approval# for multiple products use product approval form Proosertv Owner Information _ Name: , /JLS z-eg Address: City e- State L Zip Phone / E-Mail Owneror Agent(lf ent,Power orf Attorney br Agency Letter Required) - - Z Contractor Inform n „_' Q-0 M0.a.Qf , nF3 Name of Company: (.) r2-5core--- Qualifying Agent: Address 0I State Zip Office Phone Job Site/Contact No State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exem Insurer/Lease Employees/Expiration pate Application is hereby made to obtain a permit to dot work and installations as indicated.l 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 RECO TICE OFCOMMENCEMENT. -- TaNI GINOLESPEP:E'i. (5lgnature of Owner or Agent) 3 (includin ont c[or) 7 `'+a,'r,;t6 aonawitx RG nP+.asom !tgdan sw rgnto(or rm b forem is Cdago Signed m� s_day of J% lnJ y r-(i b (Signature b#V5nmyr (Signature m Notary) [ ]Personalty Known OR Personally Known OR Produced Identification Produced Identification n Type of Identification: O W36-74,4Tq-30 ype of Identification: MAP SHOWING BOUNDARY SURVEY OF THE EAST 1/2 OF LOT b, BLOCK 3, ACCORDING TO THE PLAT OF "PLAT NO. 1 SUBDIVISION .Al, ATLANTIC BEACH" AS RECORDED IN PLAT BOOK 5, PACE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: ROBERT D. BLYTHE, KATHLEEN B. CONVERSE, STEWART TITLE GUARANTY COMPANY, WATSON S OSBORNE TITLE SERVICES, INC. AND EDUCATIONAL COMMUNITY. CREDIT UNION. L<r/ 7 GcT !s, ZoT s J /.l L5f a+nu t 3 as if<iP also > n.s e.c'e w o ^ 15 El h gw.u�ao v° si 936 ./'tY UACF � 6cmcK 9 V�p �� }ryyN` a � O.IWoeD ,e4f iu/u6 ` p0 ��~ . p o % 4 �D- tX-j �en4 7.4' O ro k \ z: 46 q G �; i y 2 �a • 3. 1.4'� v Q 0 3 6' /� / eG'lli '3 7. 4 vi N1 m rsea)-: :. :. . ,z �F/CST,S�/Tz6ET �Y <XP[cpepTp�AFE9:p .RM1e ,tt.+u$�Fe¢-iu/S S�svRY 2.S1RUCIURE NO. 3/2 SHD11N HEAEON UES NMN FLOW ZGNE X AS REST /� T S< p pp INCETERMINED FROM F.EII.A FLOW MAPS PANEL NO-�0&5k 7 B9. o e5O 1 ED JVIIVEYO17�7 I�\r. 3.THIS ISA SURFACE SURVEY ONLY. TIE EXTENT OF UNDERGROUND FOOTINGS• u////////////e 1 [AND h FNGINEERING SURVEYS PIPES AND UMTIES. IF MY, NOT DETERMINED.