114 JACKSON FENCE PERMITFENCE WALL OR BARRIER PERMIT
s,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
" oris�r ATLANTIC BEACH. FL 32233
PERMIT NUMBER
FNCE19-0008
ISSUED: 2/5/2019
EXPIRES: 8/4/2019
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.
fi4
FENCE WALL OR BARRIER FENCE
6' FENCE
$2000.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
LLC
V ALLISON FORSYTH
1115 S OAKS RIDGE DR
1"8MVVV7ftk'DR
Date: Aubq
JACKSONVILLE FL 32225
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
Issued Date: 2/5/2019 1 of 2
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
Phillips Containers, JDog/Dennis Junk Removal). Container cannot be placed on City right-of-way.
Services, Donovan Dumpsters,
Issued Date: 2/5/2019 1 of 2
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0008
sznn rraA Nnl F Rnnn ISSUED: 2/5/2019
I `'' �r ATLANTIC BEACH. FL 32233
EXPIRES: 8/4/2019 i
3
PUBLIC WORKS
RIGHT OF WAY RESTORATION
INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
PAID AMOUNT
4
PUBLIC WORKS
FENCING REMOVED
INFORMATIONAL
Notes:
All old fencing must be removed from job site by Contractor.
455-0000-322-1000
Issued Date: 2/5/2019 2 Of 2
DESCRIPTION
FEES
ACCOUNT
.x"
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
4S5-0000-208-0700
0
$2.00
STATE DCA SURCHARGE
455-0000-208-0600
0
$2.00
TOTAL: $81.50
Issued Date: 2/5/2019 2 Of 2
City of Atlantic Beach
Building Department
800 Seminole Road
9 Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 Fax (904) 247-5845
E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
` r\3 - 000
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 11.4
Applicant:
f
Project: (�2
--- _�
Review fee $
Department review required Ye No
Buildin
anning & Zoning
Tree Administrator
PrrtS it cV o/�rks
imT 8
Public Safety
Fire Services
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:
[1?(Approved.
❑Denied.
[—]Not applicable
(Circle one.)
Comments:
BUILDI
PLANNING & ZONING
Reviewed by:
Date: %`off
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
rSy lPi City of Atlantic Beach
Building Department Cw
` 800 Seminole Road
j =~
tlantic
Phone ( 04) 2475826 - SAN 1 5 20
Fax (904) 247-5844 19
ar E-mail: building-dept@coab.us
City web -site: http://www.coab.us'------_
APPLICATION NUMBER
be assigned by the Building Department.)
- eoo 0
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: ` �4 RLl&Ci �D
Applicant: P o C) ( LD �
f
Project:1`�C�
Review fee $
Department review required Yes No
Buildin
-PTanning &Zoning
Tree Administrator
Prrl5icl`�(7 /torr s
1cii
Public Safety
Fire Services
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
Reviewed by� Date: . Zany
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
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 - Fax (904) 247-5845
�f >� E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
Fr\:) c,.c—_.i 9 — eoo g
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: �� prCl�So Gy
Applicant:
Project: 6_2
Review fee $ b .
Department review required Yes No
;;—Building---,
anning & Zoning
Tree Administrator
is or s
is 11
Public Safety
Fire Services
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. RKot applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
te: — r
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
Building Department
800 Seminole Road
9 Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
Vst yr E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
000 0
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: ` ` lCI<,SC) Department review required Yes No
Buildin
Applicant: azc_-� Ic ,(?iLI�� anning&Zoning
/ Tree Administrator
Project:
,\-D
Public Safety
Fire Services 1
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/IHpproved.
❑Denied.
❑Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by
Date: H
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
Building Permit Application Updated 1019118
i City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road Atlantic Beach FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: i/ '? 0.c%S o� �C( Permit Number: �` �� (' , ( ( �ooc
Legal DescriptionRE#
Valuation of Work (Replacement Cost) $ a, 060 Heated/Cooled SF Non- Heated/Cooled
• Class of Work: a ew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial L�esidential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s) be removed in association with proposed proiect? ❑Yes (must submit separate Tree Removal Permit) M40
Describe in detail the type of work to be performed: Ne a) �� nG�'� 6 , too o
Florida Product Approval # for multiple products use product approval form
PropertV Owner Information /Q! /I'Sa n 1-6 J -S o f
Name 1, i9 132I1 t0i'e I -L C Address �l Ll — /��'� 'TQ C_ �0y) /'d
City f l .la c In State El zip _,3J A 35 Phone q0 4/ — 7/6
E -Mail
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information I n
Name of Company /'d ��Jr��O.AAs � `� Qualifying Agent LV1�5 KaJ�°fv
Address 1/ 10 Qk fV q e City cTa State !_ //, zip
Office Phone L -Job Site Contact Number
State Certification/Registration # E -Mail
Architect Name & Phone #
Engineer's Name & Phone #
Workers Compensation Insurer OR Exempt kellExpiration Date oZ q a
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 regulating
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 XOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER EFORE
RErV5R,9ING�YQUR N TIPEO ENCEMENT.-
// (Signature of Owner or Agen) V ( " ature of Con ractor)
Signed and sworn to
me this
and swn to affi )before thiel d y of
a by SCS c
.. TON] GINDLESPSRGER
[ ] Personally Known OR ersonally Known OR _k; += MY COMMISSION # FF 924951
J uced IdentificatiF
Y'P TONI GItyDLESPERGER (]Produced Identification = F..,..oP EXPIRES: October 6, 2019
to Seo Bonded Thru No ary Public Underwriters
Type of Identification: ia1Y COMMISSION # FF 924951 Type of Identification:
Bonded Thru Notary Public Underwriters
TOWNHOUSES
110-120 JACKSON STREET
ATLANTIC BEACH, FLORII
ABBREVIATIONS
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etBare me _
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_ V
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ne n.epw: ore�w ii: ,
luNKC cies oc LunBGaAa N0. NCNuw''LL �Paae r MwI ULLLWMa
STAK
.••r.pED TURBIDITY BARRIER
•I rawb>
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f ° e >,racE iuTalamnDnrofL.u.E alfa fnr
B �.a* ewLL Be lerLxee Af ue ew a fwa
WIND LOADS O�_Q_, Q_ 10
- — ---
i I
arc alewrralecleecemu ua r.6E BlaTi+
rn arwfMnao..4u,.a I
nrw+era rAerw I I
e4axEKrtKx w e[o i D O i r
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Ca'aamNr YO OJmfa NO Lace I I I
TaE e.eerne oo erA ro, .wwnP wm uuw, g� _ _ _ _
IOOi --
P�.wa.«aaP
lFCtCN X
an+rlw oQ•,fy..� sin L,� •�Ru
C
O
ro Q
MPERVIOUS SURFACE C L"LATIONS:
w'sA was
MAL M- �ACE AMA
"a1E,OFr�R fwK� e� V.
JACKSON STREET
INDEX OF DRAWINGS
T-1 TITLE Y T, BNE PLAN DATA
A-1 FIRST 1. ft"
,L: ELEVAi—
A-S ELEv4TICN5. VENTLLATM PLAN
AJ WALL 9ECTIM9
A -S BALL 9EC1—
A-A DE —
51 ETIBKiLw.Y PLANE
6-� NONE9. SC.EDULE DETABG
B -S CPfICN4 LmD "Y'E-I ELECTRICALPLA.B.LEGSS-
/INSITE PLAN
us. ;
til
u.!. .1 -
BUILDING
BUILDING= CODE SUMM P.Y
APPLICABLE CODES:
CM Q ATLANTIC sec. b— CODE
ILOIVDA PEa)ENTIAL CODE 1014
NATIONAL ELECTRIC FADE :OA