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