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1720 ATLANTIC BEACH DR - FENCE PERMIT r5' f Q\� FENCE WALL OR BARRIER PERMIT PERMIT NUMBER .� '�: '�"' FNCE18-0117�. ",. CITY OF ATLANTIC BEACH \`r ,c.,;? ISSUED: 11/7/2018 . 800 SEMINOLE ROAD ` �'i"� ATLANTIC BEACH. FL 32233 EXPIRES: 5/6/2019 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: i VALUE OF WORK: 1720 ATLANTIC BEACH DR FENCE WALL OR BARRIER FENCE 4' Fence $3600.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169505 1685 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: Howard and Terri 1720 Atlantic Beach Drive Atlantic Beach FL 32233 Katzenstein 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: 11/7/2018 1 of 2 -- FENCE WALL OR BARRIER PERMIT PERMIT NUMBER t� . �,� FNCE18-0117 .. ,'Fr,,u s, CITY OF ATLANTIC BEACH \YISSUED: 11/7/2018 `,�� 800 SEMINOLE ROAD �`d';',-)f/ ATLANTIC BEACH. FL 32233 EXPIRES: 5/6/2019 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 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: 11/7/2018 2 of 2 01.. .rr, City of Atlantic Beach APPLICATION NUMBER \jS #74,1*,),, Building Department (To be assigned by the Building Department.) 800 Seminole Road r _ 0Atlantic Beach, Florida 32233-5445 1 ( CE I' Ci l l 7 , :�: r Phone (904)247-5826• Fax(904)247-5845 � -"!o;i � E-mail: building-dept@coab.us Date routed: 1 1 311 pi City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: [ 1D,..o At -v4ic t'i'6partment review required Yes o Idin _ Applicant: �bYY1e6 Wn�- 9j r ) � Tannin &Zoninree Administrator Project: i4 encC- Public Wor 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: fpproved. UDenied. ❑Not applicable (Circle one.) Comments: // '. DI c ill OC.� PLANNING & ZONING Reviewed by: /11).— Date: iie:;'P/ D TREE ADMIN. Second Review: A roved as revised. ❑ 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 I �i1,..-L�i;-,r, City of Atlantic Beach APPLICATION NUMBER CJs S, Building Department (To be assigned by the Building Department.) . 800 Seminole Road �j 7 73,,.., �� Atlantic Beach, Florida 32233-5445 �N U ( � �� Phone (904)247-5826• Fax(904)247-5845 j LJitis.) E-mail: building-dept@coab.us Date routed: 1 (D 2 3' ! S" City web-site: http://www.coab.us I APPLICATION REVIEW AND TRACKING FORM Property Address: [ 1 .10Pk-k-- 6Lii\.4-1-c V t Department review required Yes No Buildin.• Applicant: 146 me6 w nom- - annin. &Zonin. L) Tree Administrator Project: renc_e— Public Wor blic 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. I 'Denied. ['Not applicable (Circle one.) Comments: BUILDING /' PLANNING &ZONING Reviewed by:� eg--- Date: IC//Z5/i? TREE ADMIN. Second Review: ['Approved as revised. Denied. I 'Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. EDenied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ,... . ( '4.0..1 Building P:eterlit ApplietiOn- Crty-of Atlantic Beach 800'Semlnple Road,Atlantic Beach,FL1223') Vpdated12/8/1.1 Phortev(904)247-S86Fa :(904)-247=5845 Job Address:.1720Allpa4 Beach DliVe . Perrhit N:umber; FO(.. I g- 0 1 i 7 Legal(,)eStriptiOn:1.0t7aAtionuo,aeoch Country Club•yna.z'ParciAll67-52•10-.28498 -REft.:40504.qof Valuation etWork(Replacement Cost)$3600 NeatecijCiaoldii SF iì/a _ Non-Heateci/COoliatfn4i: • Class of Work(circle one); NeW Addition M.Effati9liRepair Move. Demo Pool 'WhiPlOw/bpor, • Use of existing/proposed structure( )(eir0e.ene):: Commercial fie&identialE i if an existing stRtettire,is a fire sprinkler system Installed?(circle pile): Yes .N:e .Nfik . Submit a Tree Removal Permit Application II any tteas.atOtO-berremOVO:pr-AffldaVit of NoTreeRetro* Describe in detail.the type ofworkto be performed:. . • ' Install 4' high fence. Florida Product Approval II lei-multiple producausaproduct approval form PropertvOwnerinformatIon Name;irk 0,--/Tv., --tir_iv? kut-r7 a•i*--5'--( ••'-'" Address: 1 2"C") Al LA`-----7`''c- B E7-4_,C‘4.D&v--- City ,0._—I LA ,----ic. . cLA State., r(-- Zip. 3 'LI.V. *Phone 9'q-t- '70 ...1:44 -,.- EIVIal A.4,-..2.- . 4.4-1. e,-.15. -e,fr...5os"Ac.e S, . . .r. R ... . . Owner el-Agent(flAgentPowerof Attorney or Agency tetterketiutred) Contractor Information. Name of Company); Qualifying Agent: Address. tity :state, bp Office Phone :Job 8Ite/Contact Number . State Certification/Registration II E-MU Architect Name'&Phone II . . Engineer's Warne&Phone li Workers Compensation . ekompthioareoleara . Er410Yees/ExpIretteebate Appildationls,hereWMade to obtain a,permitto,do the work and Instaltations.as indicated;I certify that no work or Instalration has commenced prior to the issuance Of a permit and that all work will performed to meet tht standards of all the laws regulationg constructlorrin thisjurisdittion.I understandthata separatepermltmasf be secured for ELECTRICAL WORK.PaiNril NG,SIGNS, WELLS,POOLS,FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc:NOTICE:In addition to the requirements of this permit,there may he additional.restrictions applicable to this property that may be found in the public records of this county,and there'rel4.4o'additional permits requtradtroM other governmental entities such as water management districts,state agencies,or (0400.1pgeiicleA. OWNER'S AFFIDAVIT I certify that all the foregoing information IS.ecorateanctthat,eliwerk will be done in compliance with au applicable lawsregulating construAtOn.anti:z0hing. WARNING TO OWNER; YOUR•PAILURE'TO:RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.PAYING TWICE FOR IMPROVEMENTS,.TO YOUR:P.ROI$ERTY..V YOU INTEND TO OBTAIN F * NCI , CO LT WITH YOUR LENDER R ANAT ORNEY BEFORE RECORD, YO . *.i:N i TICE I) .COMMENCEMENT. (Vgnat: -o..•-,• tier or Ager'W----- (SignaterediContractpr) (Ine1001Ps contractor) .. Signed end sworn to(or a f firmed):befol me his 3 day of Signed and SWPM;to(or affirmed)before Me this day of SD Orniflir, , 'lot"( ,4y 7)6/JO& ,...-- , ,by (Signature of NoterNA Malature of Notary) • • filsPersona.11y ithown.01 ,1„, t r Personally Known CO f )Prodticedidentificatictiew.i*,-, KAREN L LANIER t I Produced identification Type of Identification: ;:::.0_.*7.:: MY COMMISSION#FF926059 Type of identification; EXPIRES November 08,2019 .(407)39%0153 FiondanotarySorvice.com �sym-,,, City of Atlantic Beach APPLICATION NUMBER `JS ..• , Building Department ECEI I gned by the Building Department.) • 800 Seminole Road _ r At Atlantic Beach, Florida 32233-5445 �? ? 4 2018 D I Phone(904)247-5826• Fax(904)247-5845 "i_J;31s' E-mail: building-dept@coab.us Date ed: 01 2 3( t' City web-site: http://www.coab.us gY�— APPLICATION REVIEW AND TRACKING FORM Property Address: t 1 ,..c), Ast 6..i'\ --c '_k De_partment review required Yes No uildin Applicant: 146 mV`-' Jeb 1 Janninq &Zoninq) p ) � Tree Administrator Project: L4 i, C _ _ Tree WOd 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: +/Approved. I 'Denied. I INot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by;...4 Date: A7f#,# TREE ADMIN. Second Review: ❑Approved as revised. I f 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 4 1,m-rjr, City of Atlantic Beach (� APPLICATION NUMBER 6S ,; �?, Building Department �+��V (To be assigned by the Building Department.) 7 • .h Y a 800 Seminole Road _ u ., . ;r Atlantic Beach, Florida 32233-5445 OC Ir 2 j) 218 1------NCE C_� ( � Phone(904)247-5826• Fax(904)247-58 U —./..01.09 E-mail: building-dept@coab.usEjY: Date routed: 1 °( Z 3 O City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: L 1�0 '��C��1-t1L J l 'epartment review required Yes No 4 Buildin:• Applicant: {Ab me6 n•erJ -Jarininq &Zoning) � Tree Administrator Project: � Public Wor. -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: ❑Approved. I (Denied. I of applicable (Circle one.) Comments: /v-.3/`44 BUILDING PLANNING &ZONING Reviewed by: Date: /0 TREE ADMIN. Second Review: ['Approved as revised. I f 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