1760 SELVA MARINA DR - FENCE j ' ''rt= FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
` ' CITY OF ATLANTIC BEACH FNCE18-0116
o _ ISSUED: 11/5/2018
.it 9%.' 800 SEMINOLE ROAD EXPIRES: 5/4/2019
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:
1760 SELVA MARINA DR FENCE WALL OR BARRIER FENCE 4' FENCE $2900.00
TYPE OF j REAL ESTATE : BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
172009 0000 SELVA MARINA UNIT 05
COMPANY: ADDRESS: CITY: STATE: ZIP:
BEST FENCE CO OF JAX INC 5404 RACE TRACK RD JACKSONVILLE FL 32259
OWNER: ADDRESS: CITY: STATE: ZIP:
LAURA L FERRANTE LIVING 1760 SELVA MARINA DR ATLANTIC BEACH FL 32233-5618
TRUST
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.
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
1
Notes:
All runoff must remain on-site during construction.
i
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: 11/5/2018 1 of 2
;�i ...tv„,, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER 4v.` ''
800 SEMINOLE ROAD CITY OF ATLANTIC BEACH FNCE18-0116
75 ISSUED: 11/5/2018
0'; 9" ATLANTIC BEACH. FL 32233 EXPIRES: 5/4/2019
3 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
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:$81.50
Issued Date: 11/5/2018 2 of 2
s City of Atlantic Beach APPLICATION NUMBER
,I . ' Building Department (To be assigned by the Building Department.)
• 800 Seminole Road
u-: 0Atlantic Beach, Florida 32233-5445 (' tg-• (0 I I
°` ' ' Phone(904)247-5826• Fax(904)247-5845
•""to ile' E-mail: building-dept@coab.us Date routed: 1 0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 176, 0 5 ..vl\. N( iN* De ent review required Ye No
Ullrlin
Applicant: 1-6l��� !Planning &Zoning
Lam_ Tree Administrator
Project: u' E (—Public or
ublic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept. of Environmental Protection Q (')( )
o( )
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. EIDenied. I 1Not applicable
(Circle one.) Comments:
ILDI i •
PLANNING &ZONING
Reviewed by: n'it / Date: /C)-(9 9'a0/8'
TREE ADMIN. Second Review: A roved as revised. (f
❑ pp ❑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
\ rs1,-'1wfj City of Atlantic Beach Il
APPLICATION NUMBER
es „ Building Department (To be assigned by the Building Department.)
800 Seminole Roaday)
d
r + �� AtlanticPhone(904)Beach247-5826, Florida 32233Fax 5445(904)247-pcEIVEJ
F-1le lad o i (,
ii
0,419- E-mail: building-dept@coab.us Date routed: 1 01z3 t e
City web-site: http://www.coab.us OCT 2 3 2018
APPLICATION REVIEW-AN-ID-TRACKING FORM
Property Address: 1767 0 SEL-Vick- f\i\N2.1}*- De ent review required Yes No
Applicant: 166ST ,P.30._.G 'tannin. &Zonin
( Tree Administrator
Project: ( ) L j public or
Ar.ublic 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 QP N
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:
•
APP I t,A ION STATUS
le
Reviewing Department First Review: EApproved. ❑Denied. of applicable
(Circle one.) Comments: e /e
BUILDING
PLANNING &ZONING
Reviewed by: --1–`—Date: /0– ./d.------
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied. UNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. I (Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
symf,�s City of Atlantic Beach APPLICATION NUMBER
� ` Building Department (To be assigned by the Building Department.)
`` u` i 800 Seminole Road
-- -0 Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-584
--1010' E-mail: building-dept@coab.usOCT 2 3 2015 Date routed: I 0 /Z-24 l
City web-site: http://www.coab.us l•
APPLICATION REVIEVIY' AGOING FORM
Property Address: (76, O � �(� I Y ` N i.,,* De! . 'lent review required Yes No
Applicant: {ZGT -tannins &Zonin
Tree Administrator
Project: Public or
,i 'ublic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit RequiredDate
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: IKApproved. ❑Denied. Not applicable
(Circle one.) Comments:
BUILDING
•
PLANNING &ZONING Reviewed by:� ate: A ��
1
TREE ADMIN.
Second Review: Approved as revised. F !Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. I INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
i� A, City of Atlantic Beach
� vfy
��, APPLICATION NUMBER
76s , `,A Building Department (To be assigned by the Building Department.)
800 Seminole Road a
r • �� Atlantic Beach, Florida 32233 5445 �) '( `g— 01 1
Phone(904)247-5826 • Fax(904)247-5845
-'11.0.219%-= E-mail: building-dept@coab.us Date routed: , r
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 67(0 SELVA. 1 \ 1
De ent review required Yes No
u i Itli .. �
Applicant: -6 es-r p���G •/Planning &Zoning%
Tree Administrator
Project: 4 F eQ (I 1`""15ublic or
ublic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature i ,
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By .
Florida Dept.of Environmental Protection Q°w
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. I !Denied. I 1Not applicable
(Circle one.) Comments:
BUILDING /
PLANNING &ZONING Reviewed by:(/� - Date: I o`Z3'ie
TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. I jNot 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
fatikBuilding Permit Application Updated 12/8/17
a °'� City of Atlantic Beach
s .� /7 800 Seminole Road,Atlantic Beach,FL 32233
�`' ( Phone:(904)247-5826 Fax:(904)247-5845 p J
Job Address: / -) 't � h NW LI I� t'V Permit Number: Fr V CE 1.0— V t I
Legal Description 30 'Z-1 O' 'Z S --ZgE i'lu0.1 la.: 4-1tkL)nit5 RE# j79-0Ur? -000()
Z 16Gi J.ctq gloc�9
Valuation of Work(Replacement Cost)$ i Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): - ddition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed struct-ure(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 l2e performed: II '
I\(JcO 11 (.w --E--t r`li_ ( `,6� v 1 'G- f "j.1\ 1 tr.(.-t- y�� .
4f+ .ttiuP
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: (. '-4a,..4_. i....___ (- -r % v c.r AL _ Address: i -7 C:,6 ('-c\ j L L.:1, b ''
City t-k�O-'V % r'?, A/--. State4-f I Zip 3 Z.Z 3 Phone 96`( -'—3 - _59`( Y
E-Mail LLT,,v•,, e r v`, ,- (c" f{o L. G-c,^-
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) p�� 1.
Contractor Information _ of T i-“--, IcC L c c L.
Name of Compan 4 -t••t i"(......4.--- Qualifying Agent:
ddress -2 i. ..> ,i.() \ 'e74-"C LL t j City .� , clo%Yv...L((„k State Y t Zip 3 21...-.-G.
ffice Phone <�C q �-�,• �)(p 3 Job Site/Contact N bei • _
State Certification/Registration# E-Mail -1 h s '.[t lir !'1Lk. , ,•C+,6-'!'1^
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation `,/\,dt nfi in c, 1
Exsel/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
RECDING YOU , OTICE OF COMMENCEMENT.
, A,,,,,,,,..
7.
igna ure of Owner or Agent) (Signature of Contractor)
(including contractor) --
Signed and sworn to(or affirmed)before me this ` day of Signed and sworn to(or affirm before m this 212.-day of
OC.-ti*t(, Sul IS ,by k-&tui ct F d rant 2 OJvh4X' ,Z 12 ,by 1 (5n A iiPorrrk
.....%•c_,. ____-) c)00,;_j. ( qlc,LA,vt____
1::.:;?i•., JENNIFER JOHNSTON
';:'r',• F; (Sig • re of Notary) lure of
. , x= MYCOMMISSION*000021i84 riC7111aMMISSION
A PEACOCK
: •. .ExPIS 220 MY *GG000708
R: �"`+F 1 gyl �I� [ ]Personally Known OR ��
/� p [ ]Produced Identification EXPIRES June 09,2020
Type of Identification: (... al;J 4-t S `•C Q.'1 J` Type of Identification: Fa-0 0153 flam.N a.7swaoe car
14
N» k ?..
REVOCABLE ENCROACHMENT AGREEMENT
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation
organized and existing ander the laws the State of Florida, hereinafter referred to as"CITY"and
' iV\
—(U (A �'fi({C�\T' 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. I/ �� �,� /
This work is generally described as t,'•-( C/k �. �C v"u t (�(. `fit- 6�
Any facility maintained, repaired, erected, and/or instal in the exercise of the privilege ranted remains subject to
P g g J
relocation or removal on thirty(30) days' notice by CITY to U R, said noti
ce USER hall be given b certified mail,
return receipt requested,to the following address 1-2 b D V0& Y Y� l i.VV ( V 1t -SZ Z-
• 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 pu•lic land. USER further agrees that the CITY and its officers and employees shall be saved
rmless by the U ' from any of the work herein under the terms of this permit and that all of said liabilities are
I
e eby assumes .y he USER.
/I r I, 1 Date F/ 3//E
P op•rty Owne Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this Z5 day of ,20 18 ,
by Q.(,)re,.. w .rra n4 e ,who personally appeared before me and
printed name of Signer)
acledged that -h- signed the instrument voluntarily for the purpose expressed in it.
IP,
• 4 .4 A mi i
, . ire of Notary • u s 'c, State of Flo
Department Approval:
Personally Known ,
Pr x,53-S3Z--G Z-59 3 -0
;:>`�.>y'%, TONI GINDLESPEROER / /��
:1.71. '` MY COMMISSION#FF 925951
r•• ,.„7.4,-.5 EXPIRES:Octobers,2019 Scott -1 lams, Pub ', t 7 it trector
%:�o�nRP' Bonded Thru Notary Public Underwriters
O:\ ..411.rdt,r k� t
\nurvruv�Kevocaoie tncroad►ment Agreement.docx
Revision Date:8/31/18
COMMUNITY DEVELOPME NT
- APP
__ --R-OVE6
- Ferran 4-e- ----
- •• ••••=••••••• •••••••••••••111.•••••••••••0•••■••••...e... ..nr..r,
MAP SHOWING SURVEY OF
LOT 9, BLOCK 9 , SELVA MARINA UNIT NO. 5, AS RECORDED IN PLAT BOOK 30, PAGES
29 AND 29A OF• THE CURRENT PUBLIC RECORDS OF DUVAL COUNT?, FLORIDA.
F 2,'P: 0.-&-/C„4-c' ,/-4.44? 7.4/•/
J
c.SFLV4 M4R/N.4 OR/VE
J� `� ,r,, ,,,� ft),. /arm f}.51D' -►-7510 ao' ,r,, __
14
11
Sr / / ::.7
/1/' \\ % h
,ki, - - • 8
i .,. , 8 li
N .7.2...i M. 4
o /-srv�r�- �r.�k • ?• trl
/O 0 /"�. ,ten. 'et .5sea.Fjn 1 s— g- ` O
,:bCP, �< LCr'RT/Gv./7 a•
' i .( _ j .2000 zovE•;q
G-..f'2'.. .- I
1114 .
Jf' ` 4______
i
`� -Is p� . Imo; I\
utcj
iki
-.'t-.-'`-`'- -••-, 'etN.
C7..- 7
-___ UNGi..-.1T7-E2:, AREA Z_..... .
SECT/C"/ g