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1202 JASMINE ST FENCE/BARRIER PERM FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0009 ' �'� 800 SEMINOLE ROAD ISSUED: 2/6/2019 "� EXPIRES: 8/5/2019 ATLANTIC BEACH. FL 32233 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' i BUILDING CODE, • OF BEACH CODEOF • ' 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: 1202 JASMINE ST FENCE WALL OR BARRIER FENCE 6'WOOD FENCE $1500.00 TYPE OF ZONING: :D • CONSTRUCTION: NUMBER: GROUP: 171020 0030 ATLANTIC BEACH SEC H COMPANY: ADDRESS: BUILDING UNLIMITED ROOFING & SOLAR 12620-3 BEACH BLVD # 181 Jacksonville FL 32246 • STATE: JASMINE LAND TRUST P.O. BOX 56272 Atlantic Beach FI 32233 #1202 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. Issued Date: 2/6/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER r r,s, FNCE19-0009 CITY OF ATLANTIC BEACH J V~ 800 SEMINOLE ROAD ISSUED: 2/6/2019 9r ATLANTIC BEACH. FL 32233 EXPIRES: 8/5/2019 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 4 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 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: 2/6/2019 2 of 2 rsJ:Li,y� City of Atlantic Beach APPLICATION NUMBER •�� Building Department (To be assigned by the Building Department.) 800 Seminole Road /---'0' F 1 ��` 0 C �. Atlantic Beach, Florida 32233-5445 ` t� Phone(904)247-5826 - Fax(904)247-5845 "!ED)JII)� E-mail: building-dept@coab.us L Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z C)_Z DVSG—V� Department review required Yes No uildin Applicant: ( ' I Lb i Q Q �v! �L l IM,LIGE) annin &Zoning Tree Administrator Project: orks PGbfic i i 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: UILD PLANNING &ZONING Reviewed by: Date: 2 ' TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 4v ❑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.) 800 Seminole Road F ) 0p� j Atlantic Beach, Florida 32233-5445 ` (CJJ Phone(904)247-5826 Fax(904)247-5845 7 E-mail: building-dept@coab.us Date routed: !� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 Z C)Z RS M iNC—S� Department review required Yes No uildin Applicant: ( � (LD( QC� AJLIM � (7C arming &Zoning C Tree Administrator Project: Norks RG is i i ' 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 — Z 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 City of Atlantic Beach ECIE1 APPLICATION NUMBER �S r � Building Department a assigned by the Building Department.) r 800 Seminole Road JAN Z 4 ?0 _,,`,poi j _ s Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 �� 7 CO� g'r E-mail: building-dept@coab.us ate routed: ' G- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I Z 0 Z !As VY\11uC V_F Department review required Yes No uildin Applicant: ( `� (f,(�( (�(� ( ) ND(JM.LTC—C) annin &Zoning Tree Administrator Project: t�� �GKDcla'_ ti ir Works PG is i i 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: VIP ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING F PLANNING &ZONING Reviewed by Date: 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 Cit of Atlantic Beach APPLICATION NUMBER �,. City Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 l CJ LJ Phone(904)247-5826 Fax(904)247-5845 77 E-mail: building-dept@coab.us I L Date routed: L City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ' z�Z �Slmliv��7- Department review required Yes No ildin Applicant: ( � I�.D �(� ( ) L �L LM i7C� uannin &Zoning Tree Administrator Project: ork is i 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 �- Reviewed by- / — Date: 19-lei 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 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: N C, �� ��<<�/ '- C �✓ Permit Number: � 19 ' o00— Legal Description �ytt l i RE# t 71©ZQ— 6) c) Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled • Class of Work: XNew ❑Addition ❑Alteration ❑Repair ❑Move []Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial XIResidential • If an existing structure, is a fire sprinkler system installed?: Dyes ❑No • Will trees be removed in association with proposed ro-ect? ❑Yes must submit se arate Tree Removal Permit o Describe in detail the type of work to be p`eerrformed�:, Z Florida Product Approval# for multiple products use product approval form Property Owner Information _ Name ✓�3 fav-�,1ti1 L��ry L- �t �z')-/Address P�� � � Jz City State F,' _zip 3 Z 2 Y l Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information 1 / Name of Company �v, SLI 1w ✓ z _ 41 SC>/, Qualifying Agent &2�5 /Al Address ) 7-(r Zor3v��L'X -City .'itlt S48tate 1'Z- zip 3 ZZ,�(Zx_ Office Phone <7 J Ll Z 3 ' q 0-7 Job Site Contact Number State Certification/Registration#(^O-C O S S`)6I E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer L.7$ r ;,Sc' arc, OR Exempt❑ Expiration Date ) ' i ZO 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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORAiEY BE RECORD" O E OF COMMENCEMENT. -------- (Signature of Owner or Agent) (Signature of Contractor) Si ned and sworn to(or affirmed)before me this ZZ day of Signed and sworn to(or affirmed)before me this 2 2 day of 20 119 by by r Signature of Nota —(Signature of Notary) ' 4�P� JACOB BRADLEY `- Notary Public State of Florida � " • JACOB BRADLEY +�• 4 Notary Public State of]FloridaPersonally Known O �' Commission#GG 23077E CJ Personally Known OR �Produced Identificat n 1 ; My Comm.Expires Jun 20.2022 Produced Identification Commission k GG 2)( 1 `Type of Identification: Bonded through National Notary Assn. a n.••` My Comm.Expires Jun 2Type of Identification: nal Not 3011 MARM FNGN♦$BNG.LLC.DRAYM('S,WRRIEN M.SiEIBAL wND D®OHCOHCFASSIMMN011FI�pR@IIOOICEDNwNOlf GRRweiNANt ORfORMwI wRNWt RqP wPm@ICONSEM FPOM MARIN Ee1GR®mG.llC.p0NOi SONEDWNNfS.IEE C,IVDI Du/Bb101b OHx.f NOi 5lgvlN.VERFYCORRECT DIMBISgIE wRN IfF B1GR♦®t.DIMFi6B'JNS ARE CONSCIER®-TE;----AW-Al JOB 511E SOZ NOOle 0 4 1 0 1 l O l \ Z 1 0 l � ���`� =ti C ` r og v (0131j).coos -op o® -� NEW 6'FENCE g� NN r Sg Dm O m _ ox TlY B.Rt" Y t / to r rn Ou \ r o „ N O 1 NN o a D m Z o n m I i ' L� < \ O C/] z)o M a D '0 u_ v y n 1a'0.L r R"3 $y b f zIN'm~Dm Iq� n >2 T,8L4 �zDl� 'vm •• Suz01: R.r yy S,.gz (ltlld)EO' S F 4 & 143 Yt ® (013!).c0' -b 1N3Y1303 Ard>b 37lbkz� INN of WN,ss-E6 iN310AVd JD 3 cm �m zz iS�Z i oR; S� D x (AVM e0 1H018 1003 009) ,LamS a>\IIwisvf o MARTIN ENGINEERING,LLC. SITE PLAN REVISIONS 450 STATE ROAD 13 N.,#106-387 ”` ° °An JACKSONVILLE,FL 32259 BUILDING UNLIMITED 1 CQA6fABNBE- 1117116 m a 2 904-472-1459 1202 JASMINE STREET FL C.A#32027 ATLANTIC BEACH, FL