1277 BEACH AVE FENCE WALL PERM I
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
rr FNCE19-0006
CITY OF ATLANTIC BEACH
ISSUED: 2/1/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 7/31/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF • !
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:
1277 BEACH AVE FENCE WALL OR BARRIER FENCE install 6-ft. fence &4-ft. gate $3009.00
TYPE OF BUILDING
—CONSTRUCTION: NUMBER: GROUP:
170294 0000 ATLANTIC BEACH
COMPANY: ADDRESS: '
LOWES HOME CENTERS 4948 TELSON PL ORLANDO FL 32812
INC
• ADDRESS:
YAZGI ABDO 1277 BEACH AVE ATLANTIC BEACH FL 32233-5729
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.
L LIST OF • •
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.
Issued Date: 2/1/2019 1 of 2
sS=ML"fi,. FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
r CITY OF ATLANTIC BEACH FNCE19-0006
800 SEMINOLE ROAD ISSUED: 2/1/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/31/2019
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.
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:2/1/2019 2 of 2
S ri.:Ly; City of Atlantic Beach APPLICATION NUMBER
.�� Building Department (To be assigned by the Building Department.)
800 Seminole Road
[=N LL t CL—i)O 0 t
Atlantic Beach, Florida 32233-5445 JAN 16 2019 yJ
Phone(904)247-5826- Fax(904)2 845 Ir
E-mail: building-dept@coab.us BY, L Date routed: ` lSt–tic
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: AN)t • Department review required Yes No
Buildln
Applicant: �o W l l s (J'D M_t_ N� tannin &Zonin
Tree Administrator
Project: \ SVA t`( ,0— �61 tI CA_ L{- P c orks
oat Public Utilities
T Public Sa ety
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: PfApproved. []Denied. [–]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by� Date:
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�,y; City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road p7 A ► �L 19 p 0 O(
¢ Atlantic Beach, Florida 32233-5445 Jv yJ
Phone(904)247-5826 - Fax(904)247-5845 I
E-mail: building-dept@coab.us L Date routed: �� -
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: &_AO) Department review required Ye
hNo
f Buildiri
Applicant: L W 1.5 � mt— �P-' tannin &Zonin
Tree Administrator
Project: \ C�S�M tl( �A . tit OP orks
0 aT Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: Q pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
UILDIN
PLANNING &ZONING
Reviewed by: Date:
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
rS% ,L��i;. City of Atlantic Beach APPLICATION NUMBER
} �s� Building Department (To be assigned by the Building Department.)
ci 800 Seminole Road �� ��
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 I
E-mail: building-dept@coab.us Date routed: ` i's
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I Zk-)-I- &CAQ l Department review required Yes No
Buildin
Applicant: �o W Ll s ti;O M.0 e 'a u_( tannin &tonin
(�,, r (�� Tree Administrator
Project: \ n ��Sy �Q` 1 rt , IQ (I(� `{—t't , P c orks
o ar e_ 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 &ZONINGReviewed by: /_A0
TREE ADMIN. Second Review: A roved as revised.
❑ pp []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
,11-Vjr., City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road t=,�1 c ct—p o 0
�� Atlantic Beach, Florida 32233-5445 ,v
Phone(904)247-5826 Fax(904)247-5845 I
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Buildin
Applicant: �fl�� lS tAID!'wk- n i n
'nr Tree Administrator
Project: \ S �� W— f(I(� —t— P orks
Public Utilities
T Public Sa ety
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:
BUILDING
PLANNING &ZONING Reviewed by:�/ Date:
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
r
Building Permit; Application
City of Atlantic Beach
r r r 0S, 800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 1277 BEACH AVE ATLANTIC BEACH , FL 32233 _ � Zy �_
Permit Number: l� C7d�
Legai Description 6-1 ATLANTIC BEACH LOTS 9,10 BLK 51 REfi 170294-0000
Valuation of work(Replacement Cost S 3009.00 _ __
j Heated/Cooled SF I+tOn-Heated/Cooled _
• -- - -t- , 1FNA
Class of Work(Circle one); New ddition Alteration Repair Move oo{ Windoittr/per
• Use taf exist(ng/proposed structure(s)(Circle one): Commercial Residential 'I'
• If an existing structure,is.a fire sprinkler system installed?(Circle one ; Yes No f•1/A JAN 1 4 2019
• 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:
R`&A0 ' AQ rCPC 1101.1' old -C:V=. V%xrr-t4" r Intl IMLX7 t4cw Lot woad)
4hCIE, w �
Florida Product Approval#
- for multiple products use product approval form
Property!P Tyner Information
Name
city1 ' Address:
E Marl —.^ Zlp <: y' Phone �(f. �i4(• - '''
c'
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) --"--�--
Contractor lrtfprrnatfon
Name of Company: Lowes Homo Centers LLC
Address PO 66X 731993 Qualifying Agent: Feta Cafaro
City Orlando State FL
Office Phone (904)53-3793 Zip_ 32878
Job Site/Contact Number Dan Smith(Saar)535 3793 I
State Certification/Registration itCGct2t�at7 E-Mail d -•--
APormittir�il.com
Architect Name&Phone# NtA
Engineer's Name&Phone
Workers Compensation wco23to2at6 OCP:04rotn01e
Exempt/Insurer/l eaze Employers/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.
OWNER'S AFFIDAVIT; 1 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 NOTICE OF COMMENCEMENT.
(Signature of Owner ar Agen includil g Contractor)
Signed and sworn to(or affirmed) before me this day of Si ted and sworn to(oSr a}fftrmed)beforeature ofiorme this day of
( - '- _by _ATE CAI=
'a�'ny (Signature o Notary)
15ARCErI YrCri.}liC$,G y NATHAN BROOKSRYDR
,.�; N�"GGf35259 •
FPthr: '6.202j
,,� Notary Public-State of Florida
(� rrsonally finown OR ".-'` .F,u,.,r i ;,.,.,. ` Commission I GG 094838
I Produced Identification fsf Sate lrK;r„�,_ tv7rersOf{alfy Known C)fi '
`-- ? My Comm.Expiress Apr 16,2021
Type of Identification: E 1 Produced identification f�YR..' eordrJcr ooyt•na onai hnrary Assn
Type of Identification:
Page 1 of 1
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Let's Build Something Together'
PSE Drawing Worksheet - Fencing
(Complete and Fax to Installer)
1
� F
Customer Store:
Phone (home): 994 Phone (cell): Phone (other):
Install Address: �' f t' ;. AVE
Directions:
1. Walk the fence line after discussing property boundaries with the customer—indicate any obstructions as
you measure
2. Imagine what the fence looks like from a "bird's eye" view
3. Sketch the fence with these details:
• Mark where the fence abuts, attaches to or is built around any structure or obstacle
• Mark where gates will be located as well as gate type (drive or walk gate)
• Mark best access route from material drop-off point to construction area
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