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351 SEMINOLE RD FNCE19-0003 FENCE PERMIT , r FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0003 x ISSUED: 1/11/2019 800 SEMINOLE ROAD s ATLANTIC BEACH. FL 32233 EXPIRES: 7/10/2019 MUST CALL INSPECTION • • • 1 + BY + PM FOR + INSPECTION. ALL •RK MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ 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- 351 SEMINOLE RD FENCE WALL OR BARRIER FENCE 4-ft. fence $300.00 TYPE OF • • GROUP: 170434 0005 SALTAIR ACRES SEC 02 COMPANY: ADDRESS: CITY: STATE: ZIP: • ADDRESS: PETERSON HELEN M 351 SEMINOLE RD ATLANTIC BEACH FL 32233-4144 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,JDog/Dennis Junk Removal). Container cannot be placed on City right-of-way. 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. Issued Date: 1/11/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER FNCE19-0003 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 1/11/2019 �U;3}9" ATLANTIC BEACH. FL 32233 EXPIRES: 7/10/2019 4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing must be removed from job site by Contractor. 5 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Fencing cannot be installed in City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CHECK 4S5-0000-322-1001 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: 1/11/2019 2 of 2 S,ay; City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road r� Atlantic Beach, Florida 32233-5445N Phone(904)247-5826 • Fax(904)247-5845 f r E-mail: building-dept@coab.us Date routed: { 1 ( y City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: De artment review required Ye No Buildin Applicant: tannin &Zoni Tree Administrator Project: 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: [<pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: UILDI G PLANNING &ZONING Reviewed by: Date: 1- 2-19 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 City of Atlantic Beach APPLICATION NUMBER �i •. � Building Department (To be assigned by the Building Department.) v 800 Seminole Road j �r Atlantic Beach, Florida 32233-5445 G l Phone(904)247-5826 • Fax(904)247-5845 I vs E-mail: building-dept@coab.us Date routed: I { 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3S \ SUn J1 kt- De artment review required Yes No uildin Applicant: DW fv_4 rennin Zoni Tree Administrator Project: n 5 �I �1- - -t l Public W s 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: Approved. [:]Denied. []Not applicable (Circle one.) Comments: / BUILDING PLANNING &ZONING � �_ Date:�Y— f Reviewed by: 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 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r r� 800 Seminole Road Atlantic Beach, Florida 32233-5445 JV I Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: De artment review required Yes No B�uildin Applicant: ���-r tannin &Zoni `t {,, Tree Administrator A f 1 Project: (1� �� nuL Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date 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: BUILDING PLANNING &ZONING Reviewed by: � Date: *7—( 7 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 fyLJj>� City of Atlantic Beach APPLICATION NUMBER �s r � Building Department �CE'v�, (To be assigned by the Building Department.) v 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 JAN 0 7 2019N Phone (904)247-5826 • Fax(904)247 15 .oil E-mail: building-dept@coab.us Date routed: i1 City web-site: http://www.coab.us By.__ -----______ APPLICATION REVIEW AND TRACKING FORM Property Address: 3,S I SQ-M k rl0 Department review required Yes No uildin Applicant: DW(\" tannin &Zoni Tree Administrator Project: n 5 �I IA-A - "0' Public Wo ks 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: QZApproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. F1 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 Building Permit Application Updated 1019118 J City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 2019 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: ,w11 3s j S���4vb(_��/� Permit Number. F!v Legal Description SGG Z Sn, Cl,.!' L-0-i / o e 6K 36 wt€ Valuation of Work(Replacement Cost)$ 06 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑WinWICE Y COP• Use of existing/proposed structure(s): ❑Commercial ❑Residential COPY • If an existing structure,is a fire sprinkler system installed?: Dyes ❑No • Will trees be removed in association with proposed ro'ect? Dyes must submit separate Tree Removal Permit ❑No Describe in detail the type of work to be performed: Florida Product Approval# for multiple products use product approval fort I Property Owner Information a V g 0 l Name - \ /l/ Address S / /Yf/n6/ - /�'/✓] 0; -" City State Y-Zip ? 2d9 Phone ��/��� 3- .. /CQ]F�s_Z LU E-Mail 6U � CorN �� U 0 Owner or A ent(If Agent, Power of Attorney or Agency Letter Required) US Contractor Information C) 1 Name of Company ualifying Agent U _J Address City State Zip Q F" Z Office Phone Job Site Contact NumberU_ State State Certification/Registration# E-Mail W Architect Name&Phone# L 1 - m Engineer's Name&Phone# a ;* UJ 0 w Workers Compensation Insurer OR Exempt o Expiration Date X w Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or ins lation has �j commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating cc 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 IND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE '� RECORDING YOUR NOTICE OF COMMENCEMENT. (Signat re oO�wner or Agent) (Signature of ntractor) igned and sworn to(or affirmed)before me Vbis day of. Signed and sworn to(or affirmed) before me this day of Q ,GQC�l by U n c n by �,. TONIullmuLF ( t r F� : * MY CCMk"iSSION#rr Nf ; tur of Notary) EXPIRES:October 6,2019 Bended Thru NctaryPublic Underw ter, i [ ]Personally Known OR [ ]frersonaTryR [ ]Produced Identification c p [ 1 Produced Identification Type of Identification: S` �p- 7 e of Identification: MAP SHOWING BOUNDARY SURVEY OF. LOT 277, SECTION NO. 2 SALTAIR, AS RECORDED IN PLAT BOOK 10, PAGE 15 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA PALM AVENUE 50' RIGHT-OF-WAY vi ' z a LOT 275 LOT 276 �^ FOUND 1/2IPIPE L.B. 15321 LOT 288 0- 276 o M FOUND 1/2" , raoFOUND 1/2�IRON PIPE NO IDENTiFICO,OO p.2•pal veru o NOfDENTIFlCATiON Q .r• ro r,NE 2.6•TIE d 516D J.p'TIE e' NML J� CDNCIFETE DRNE r.o• �]'xmti wvr./LNCE _ sMn O LL W°a o O ase sao F— I I q J d ,f 1 STORY STUCCO AND FRAME LOT 289 Q :Ea RESIDENCE x'351 I �tO _� e J O b R Lv " ®j '/— w ,,a,a- E — � ar �• � ,� r as• a FOUND 1/2'IRON PIPE 100.00, al FOUND 1/2'IRON PIPE LL i NO IDENTIFICATION NO IDENTIFICATION LOT 290 LOT 278 ANGLE TABLE A = 90'19'00" B = 89'41'00" NOTES: THIS PROPERTY LIES IN FLOOD ZONE 'X'BY FLOOD MAP REVISED APRIL 17, 1989, COMMUNITY PANEL N0. 120075 0001 0 ANGLES SHOWN HEREON ARE AS FILED MEASURED AND POSSESSED CERTIFIED T0: NO BUILDING RL-STRIC71ON UNE BY PLAT D/L DENOTES OVER UNE HELEN PETERSON —X—DENOTES 4'CHAIN LINK FENCE EXCEPT AS NOTED —//—DENOTES 6'WOOD FENCE EXCEPT AS NOTED THERE MAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. I hereby certify that this survey meets the minimum technlca�4RNA, set forth by the Florida Board:of Xpursuant to D U R D E N Sectlon 472.027 Fi tlu d�a� a ter 61917 Fl d e�eflC �' SURVEYING AND MAPPING, INC. 8150 Lon estor Road Jacksonville, Florida 32211 (904) 724-5588 Fax 721-7845 rLomDA Rta .No'not LICENSED BUSINESS NO. 6696 •14 WIDEN, 11t4t'rT SIGNED FEBRUARY SAw.r.V 2004 SCALE: 1' - 20'' THIS SURVEY NOT VAUD UNLESS THIS PRINT IS EMBOSSED WTH THE SEAL OF THE ABOVE SIGNM. B-3840 351 �eMIno(e 2oQ