1980 MIPAULA CT - FENCE r1'-. 'f%, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER rJE i -; FNCE18-0105
.,-.)1v,�._ , t_ V�; CITY OF ATLANTIC BEACH ISSUED: 10/23/2018
800 SEMINOLE ROAD EXPIRES:4/21/2019
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1980 MIPAULA CT FENCE WALL OR BARRIER FENCE 6' Vinyl Fence $1250.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1018 SELVA NORTE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
Oceanside Fencing 4065 Alesbury Dr Jacksonville FL 32224
OWNER: I ADDRESS: CITY: STATE: ZIP:
JOHNSON PATRICK M 1980 MIPAULA CT ATLANTIC BEACH FL 32233-4555
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers). Container cannot be placed on City right-of-way.
Issued Date: 10/23/2018 1 of 2
(....S % FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
`� FNCE18-0105
______
� .. . s, CITY OF ATLANTIC BEACH
,�
800 SEMINOLE ROAD ISSUED: 10/23/2018
%J'j'ci" ATLANTIC BEACH. FL 32233 EXPIRES: 4/21/2019
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing must be removed from job site by Contractor.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
FENCE 455-0000-322-1000 0 $35.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$131.50
Issued Date: 10/23/2018 2 of 2
i
r-L1Jf�r, City of Atlantic Beach APPLICATION NUMBER
' ; Building Department (To be assigned by the Building Department.)
"I' Iv 800 Seminole Road p�
.- �1 ,, Atlantic Beach, Florida 32233-5445 1/V�18 OI0S
Phone(904)247-5826 • Fax(904) 247-5845 VI
ii-" s%to;;� - E-mail: building-dept@coab.us Date routed:City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1' t 'o m,(pci_ k CI' De• . tment review required Ye No
Buildin•
Applicant: P S�d
l..l' 2CTh Tanning &Zonin
/,� I 1 ree Administrator
Project: (c OA ti I P+t�1Cublic Work
lic 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: pproved. Denied. I 'Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:_//}l Date: /O- ? -/d
TREE ADMIN. Second Review: Approved as revised. ❑Denie . I INot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: I412 -- Dater/O "?-da '
FIRE SERVICES Third Review: ElApproved as revised. Denie . I INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
,e-V ropy
CITY OF ATLANTIC BEACH
4800 Seminole Road
Atlantic Beach, Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
r -I� !Permit 9-010Date z Revision to Issued PermttCorrections to Comments # F� C I
Project Address I g v 0 a Q A
Contractor/Contact Name SC 07-7-
Phone
r 7Phone 7 t B I p ci EmailCe C Ol) )Q 1•CO th
_7;2 Description of Proposed Revision/Corrections: Permit Fee Due $ 5C.2 0
62fIsPo s€ ( mmoi5
Fence ( - 4r does not hq vc. S Cert.
Additional Increase in Building Value $ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved )( Denied Not Applicable to Department
PP PP P
Revision/Plan Review Comments
Department Review Required:
Building /91)
Planning & Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities 10 — 3"02O/ '9
Public Safety Date
Fire Services
1LAi'jri
!rft--
CITY'� , OF ATLANTIC BEACH
j - _ j 800 SEMINOLE ROAD
-' ATLANTIC BEACH, FL 32233
(904) 247-5800
i'''41)1319'
BUILDING REVIEW COMMENTS
Date: 10/2/2018
Permit#: FNCE18-0105 Site Address: 1980 MIPAULA CT
Review Status: DENIED RE#: 169506 1018
Applicant: Oceanside Fencing Property Owner:JOHNSON PATRICK M
Email: oceansidefenceco@gmail.com Email:
Phone: 9049108189 Phone:
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Comments:
1. RE# was left blank on the permit application.
2. Valuation of work was left blank.
3. Qualifying Agent space was left blank.
4. State Certification/Registration # was left blank. i711 lG 3
•.se return to the Building Department to complet- -'s application.
Thanks,
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
904.247.5844
Email:mjones@coab.us
Resubmittal Notes: et-rico/el v's.e w 6.0f)1 yv1 Pr1 -I.T /c 2-- go/ Y
All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of
completely encircling the change with "clouding". The revision shall also be identified as to the sequence of revision by
indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date
and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which
S �L�f,� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
1 t 800 Seminole Road ^`/
Atlantic Beach, Florida 32233-5445 I/'.)C_E 18 0/
'iS
Phone(904)247-5826 • Fax(904) 247-5845
--1•01110- (�Z E-mail: ( //
01110- building-dept@coab.us Date routed: (/ 8.
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1' to ( C± De tment review required Yes No
� f pcZL.lJtZ Buildin
�_
Applicant: e siU e Fe/iCm tanning &Zonin
1 ree Administrator
Project: Lo 011111 reiice, CrUblic Work
tic 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. ['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: "0.-- Date:Cr—/ I - o
TREE ADMIN. Second Review: Approved as revised. I 'Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ['Denied. I INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
tty Building Permit Application Updated 12/8/17
y a N City of Atlantic Beach
q�b• 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: MO r'11 p44,4144 CO4rt Permit Nu ber:
Legal Description 31 41-0 s-Z'c Se(v4_Wk. L) i* ( L6 RE#
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• 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
• 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: c t •
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: fgt1r1 ck Joitv150•1 Address: (i%o W11/04(414? C
City (, State FL Zip 32233 Phone 901. 735. (co 077
E-Mailt'ri4rioj,tS.N ( re- e.ft7('fi,t %• Ca.
Owner o Agent(If Agent,Power of Attot ey or Agency Letter Required)
Contractor Information �
Name of Company: Celt) ! )c K i
s)6 iv‘'
QualiyJng Agent:
Address LA 6 6 i ,111 "s Of2,y r city `i C State 151— Zip g-2,2 2 L
Office Phone qD4— 1C 6.1 cB q Job Site/Contact Number
State Certification/Registration# E-Mail OCtA N 51.0 f fV-Ncg CO e) 5 VT) COnn
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation { Vt1 C, 01 S O I L 0 l q—. j Z i
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 P'OPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A •RNE :EFORE
RECORDING YOUR NOTI• • OMMENCEMENT.
A..
(Signature.IZ'Agent) •(Signature o Con .r)
(including contractor)
Si ned and sworn to(or affirmed)before me this day of Signed and sworn to(of affirmed)befor- me this 21 day of i
.D41 W,by Rev( c.J D h D n Sip 6 , • l3 by . �.lAt. C' 0?:(6
�►-� r . IFSC4:'
ir (Signature of Nota )
M*"•'' JONIA BONNELL r' — JAMIE D,SMITH
ersonally Knownbit [ ]PersonallyKn. s• . T1 MY COMMISSION GG 159951 € = ,..t MY COMMISSION#GG 255331
[ ]Produced Identific n \ ram; EXPIRES Hoduced Identificati. �• ..�: EXPIRES 5.2022
EXPIRES:November 28,2821
Type of Identification "-Z1.-.•••,g> : Type of Identification: a ''
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5;5--- City of Atlantic Beach APPLICATION NUMBER
}S - Building Department (To be assigned by the Building Department.)
" `- 800 Seminole Road
j..,_ �� Atlantic Beach, Florida 32233-5445
cEivER cei g—0165
lPhone(904)247-5826 . Fax(904) 24yzr
/J;11qr Email: building dept@coab.us ' �P z 1 7t}1Q Date routed: / 86
City web-site: http://www.coab.us 2O
Dir
APPLICATION REVIEW A ACKING FORM
Property Address: 1/Fo in( bQ“,let Cin
De artment review required Yes No
Building
Applicant: c1 J ji Side FeI)CT fanning &Zonin
/,, i /� 1 ree Administrator
Project: (o UM t / /-'efice, criblic Work
lic Utilitie�
a -
Public Safety
Fire Services
Review fee $ A5r Dept Signature 6
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:
BUILD NG -' i
PLANNING &ZONING Reviewed by: e" (,.--- —'4"-----mate: 9—Zc /
TREE ADMIN.
Second Review: J lApproved as revis . J Denied. J INot applicable
PUBLIC WORKS Comments: .
PUBLIC UTILITIES '
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. I 'Denied. I 'Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
tL�l� City of Atlantic Beach APPLICATION NUMBER
, Building Department C (To be assigned by the Building Department.)
� ` 800 Seminole Road E a W E �`n
Atlantic Beach, Florida 32233-5445 �'"/Vce--1 0/65
tilr `, Phone(904)247-5826 • Fax(904) 24 45SEP j 1 2018
'�t�;a1.0% Date routed: 12.1118.-' E-mail: building-dept@coab.us
City web-site: http://www.coab.us BY
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1' ( o tYlipczAdez Cf Department review required Yes No
Building
Applicant: COettA si e relic( tanning &Zonin
//-- ree Administrator
Project: £ UM / P'eiiCC, ublic Work
tic 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: I Approved. ['Denied. nNot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: f;;;,41—",
TREE ADMIN. Second Review: Approved as revised. Denied.
INot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. nDenied. [Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017