1714 ATLANTIC BEACH DR - FENCE FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE18-0122
800 SEMINOLE ROAD ISSUED: 11/20/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 5/19/2019
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:
1714 ATLANTIC BEACH DR FENCE WALL OR BARRIER FENCE 4' Fence $3600.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1690 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
KEITH HIGGINBOTHAM 1714 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233
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: 11/20/2018 1 of 2
sLly-rir� FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
:psi
�� �' CITY LTFNCE18-0122
s,
.-)iv!, ISSUED: 11/20/2018
800OF SEMINOLEATANROAD IC BEACH
`'S �N ATLANTIC BEACH. FL 32233 EXPIRES: 5/19/2019
i
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
I
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing must be removed from job site by Contractor.
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: 11/20/2018 2 of 2
I I
}il--'\,vriJ, City of Atlantic Beach APPLICATION NUMBER
as Building Department (To be assigned by the Building Department.)
800 Seminole Road k �j )
iti:, n�r Atlantic Beach, Florida 32233-5445 F ci. I O -0f 2'Z_
1 `' Phone(904)247-5826 • Fax(904)247-5845 u j 7 //il
��fi;3l�r E-mail: building-dept@coab.us Date routed: / /(
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 011 At(ai1.l-iC. Beeth Department review required Yes No
CBuildin
Applicant: HO Inc 0 i n Planning Zoni
Tree Administrator
Project: i4 1 rely e. or
ublic_tJtilities
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
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. [1Denied. Not applicable
(Circle one.) Comments:
BUILDING •PLANNING &ZONING Reviewed by: is'- /! //Date: ( / /2/ lb"
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
0'f!,,,ifgBuilding Permit Application Updated 12/8/17
City of Atlantic Beach
J_t „.
,�� 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 ` �� I � J�'
Job Address: 1714 Atlantic Beach Drive Permit Number:
22-
Legal Description Lot 79 AUantic Beach Country Club Unit 2 Parcel#67-52 16-25-29E RE# 169505-1690
Valuation of Work(Replacement Cost)$3600 Heated/Cooled SF Na Non-Heated/Cooled n/a
• 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:
Install 4' high fence
Florida Product Approval If for multiple products use product approval form
Property Owner Information Vain
Name: _, n ,rte ( U I( Address: 171 \ I. l is It r
City /-.\-t-1 Q -T Q C- /StateZip _ Phone l Q M– ` •
E-Mail 3l)t! /4 1 , t(1114 '�i��,q &1711111--010 •
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) OW NF R
Contractor Information
Name of Company: Qualifying Agent:
Address City State Zip
Office Phone Job Site/Contact Number
State Certification/Registration d E-Mail,
Architect Name&Phone#
Engineer's Name&Phone R
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 NOTI E •F COMMENCEMENT.
(Signature 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 affirmed)before me this—day of
br,,�oer'' , 3I ,by �,Jc�..ti /0 4- ec�vit er, • , ,by
AL.6.--_..—ast1 A
(Sign.ure of Notary) (Signature of Notary)
[ ]Personally Known OR [ j Personally Known OR
4Produced Identification [
II — 1(11S---0 [ ]Produced Identification
Type of Identification: ''ri„ict r �u J•— Type of Identification:
1 R; I:;, • AUDREY N REGNIER
MY COMMISSION:FF946491
I :�.} • EXPIRES DOCernber 2G.201
41.
9
1 u,n ivtx:,o3 ,&ref&egon
MAP SHOWING BOUNDARY SURVEY OF
LOT 79 AS SHOWN ON MAP OF
•
ATLANTIC BEACH COUNTRY CLUB UNIT 2
AS RECORDED IN PLAT BOOK 67 PAGES 132-137 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA.
CERTIFIED TO: WARREN KEITH HIGGINBOTHAM & SUSAN RENEE HIGGINBOTHAM
WELLS FARGO BANK, N.A., ISAOA
WESTMINSTER TITLE AGENCY, INC.
CHICAGO TITLE INSURANCE COMPANY
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-DENOTES FND 1/2"I P RFNCHMARK:
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LB 3848
UNLESS OTHERWISE NOTED LOCATED AT THE INTERSECTION
®-DENOTES TELECOM HAND HOLE OF ATLANTIC BEACH DRIVE &
TR-DENOTES TELECOM RISER ATLANTIC BEACH COURT
❑ ELEVATION:(9.05)
®-DENOTES GAS UNE MARKER
Q-DENOTES UNDERGROUND ELECTRIC VAULT ELEVATIONS SHOWN HEREON
0-DENOTES CONCRETE REFER TO NAVD OF 1988
0-DENOTES BRICK PAVERS
WM-DENOTES WATER METER
RC-DENOTES RECLAIM WATER METER
FINAL;10.0.!156671;06-19-17(FIELD) WV-DENOTES WATER VALVE
FOUNDATION;W.O.#153011; 12-OB-16(FIELD) NOTF'
LOT&HOUSE S-O(GOOD SET F.F.E.):W.0.1152697:11/17/16(FIELD) SIDE/FRONT TIES ARE TO THE FOUNDATION.
THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A TITLE COMMITMENT.
THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN
ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED
THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE'X'AS SHOWN
ON FLOOD INSURANCE RATE MAP 0406 H FOR THE CITY OF JACKSONVILLE.FLORIDA.DATED 06-03-13
ALL AMERICAN SURVEYORS OF FLORIDA, INC.
LAND SURVEYORS-3751 SAN JOSE PLACE, SUITE 15-JACKSONNLLE,FLORIDA, 32257-904/279-0088-LICENSED LAND BUSINESS NO.3857
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COY. EASEMENTID. IDENTIFICATION SUPERVISION AND DIRECTION,THAT THERE ARE NO ENCROACHMENTS EXCEPT AS SHOWN —4
GorvI CONCRETE PATI. 0ER4.W101 REFERENCE AND THAT THE SURVEY SHOWN HEREON MEETS THE MINIMUM TECHNICAL STANDARDS
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P.T. NT OP TANGENCY ALL
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(W) .WITNESS -
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F.B. NOTES DR. BY MS DTR. \ . ORDER NO.
City of Atlantic BeachAPPLICATION NUMBER
(p,m-fir,
,t.'' ,, Building Department (To be assigned by the Building Department.)
800 Seminole Road 7
Atlantic Beach, Florida 32233-5445 F�L�I O p—Q/2-
Phone(904)247-5826 ' Fax(904)247-5845
"�D;;if.)%- E-mail: building-dept@coab.us Date routed: I 7/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 '1 I frtla/1.7'JC. B1- De artment review required Yes/ No
Buildin V
Applicant: tome- Coiner Planning &Zon••..
Tree Administrator
Project: Fence P L or'e
'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
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: proved. J JDenied. I INot applicable
(Circle one.) Comments: f C�
BUIL.* 6.
/ v O
PLANNING &ZONING ,^,, Q/
Reviewed by: / `� Date: f�'7—/
TREE ADMIN. Second Review: Approved as revised. I 'Not applicable
pp ❑Denied.
PUBLIC WORKS Comments: •
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. ❑Denied. ['Not applicable
Comments:
•
Reviewed by: Date:
Revised 05/19/2017
I I
�S•=-��`f City of Atlantic Beach APPLICATION NUMBER
�S � Building Department , ... (ro be assigned by the Building Department.)
N
r 800 Seminole Road 1kk ,,CL —0/ZZ
j.: ,- Atlantic Beach, Florida 32233-5445 + /v
Phone(904)247-5826 • Fax(904)247-584R •''s
~`�� E-mail: buildin de t coab.us Date routed: r( 7 /g
--taalrrg p @
City web-site: http://www.coab.us BY:....
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 111 Aft ai f i . Beet4h Department review required Yes No
c &zonip.i
Applicant: Flome ovjyr Plnning
Tree Administrator
Project: "'1 , Fence. Pehli�Wor
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: I Approved. Denied. ofapplicab
(Circle one.) Comments:
BUILDING -' -�/
. PLANNING &ZONING Reviewed by: 4i-----"/g---A-----Date: //-r/y----
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. I 'Denied. Not applicable
Comments: .
Reviewed by: Date:
Revised 05/19/2017
I 1
City of Atlantic Beach APPLICATION NUMBER
( Lj;) Building DepartmentIE1 o be assigned by the Building Department.)
J'`-i 800 Seminole Road
`� Atlantic Beach, Florida 32233-5445 I Iuc - 16 —QI Z
'f,' . NOV
�r
Phone(904)247-5826 • Fax(904)247-5845 7 2 1, ( .7
10.1.11 E-mail: building-dept@coab.us late routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
•
Property Address: Oil l A TIf aaim C &etc h Department review required Yes No
CBuildin
Applicant: HO m e OLAi ney Planning &Zonii..
r Tree Administrator
Project: , rei e P . o`
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
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: Ipproved. Denied. I Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by' , /,/,J „, Date:/17P
TREE ADMIN. Second Review: ['Approved as revised. I IDenied. I Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I !Approved as revised. I 'Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017