354 MAGNOLIA ST FENCE/BARR PERM PERMIT NUMBER
FENCE WALL OR BARRIER PERMIT
FNCE19-0013
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 2/7/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 8/6/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA 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:
354 MAGNOLIA ST FENCE WALL OR BARRIER FENCE 6' FENCE $4238.00
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
1704430000 SALTAIR SEC 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
DAVIS RONELLE L 354 MAGNOLIA ST ATLANTIC BEACH FL 32233-4028
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 PUBLICWORKS 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: 2/7/2019 1 of 2
PERMIT NUMBER
FENCE WALL OR BARRIER PERMIT
FNCE19-0013
CITY OF ATLANTIC BEACH
ISSUED: 2/7/2019
800 SEMINOLE ROAD
EXPIRES: 8/6/2019
ATLANTIC BEACH. FL 32233
4 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing must be removed from job site by Contractor.
FEES
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:2/7/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 R) t
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address: ��) c Building
Applicant: D ,Planning &Zc�
Tree Adm-Rn—isrramr
Project: �Public -orRs)
M___
_P_GbRc—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: L-4APproved. [-]Denied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by./_��:_ Date: 1-3
TREE ADMIN. Second Review: FlApproved as revised. FIDenied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved 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
Atlantic Beach, Florida 32233-5445 FA)m E)
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us LDate routed: z'
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
I Department review required Yes ,No
Property Address: M-Aamou'q_�� --Buildin
Applicant: 0 (—Planning-&Z—on—Tng—,
I ree Ad—m—i—ni—strMar—
Project: P-G-K)ck�__ �LPublic
U Ic i ie
—Pbb Cic—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: [OA/pproved. FIDenied. ONot applicable
(Circle one.) Comments:
(I 7�D
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: V
]Approved as revised. nDenied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. F]Denied. E]Not applicabie
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach ECEIVE,
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road FEB 01 2019
Atlantic Beach, Florida 32233-54
Phone(904)247-5826 - Fax(904)
9-5845
t E-mail: building-dept@coab.us Date routed:
City web-site: hftp://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
Department review required Yes No
Builcling::�
Applicant: (-Planning &Z-6-n-inzi-,
Jree ATm-i-ni-strJrdr-_
Project: y�LPu b 1 i c 5o:r��!)
,<--Fu_bIic Utili ie
rObl-ic-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. ElDenied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:s.����� Date:&Z:�/,-
TREE ADMIN. Second Review: ElApproved as revised. [-]Denied. ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. FIDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
I—V City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 R)OG
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
-�21 C1_4
Property Address: MAaMC)U)q Department review required Yes No
C___J�uilcling__-�)
Applicant: D (—Plannin-g'-&g��En�
Tree Adm--in--isffnT6r—
Project: C-C,- '��LPUFIic��®r
ublic tilm
—POblFc—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: FlApproved. ElDenied. [Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: �46—�_ate:
TREE ADMIN. Second Review: DApproved as revise'd. FIDenied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. FIDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
PC r ry)I � r--fv( E / Q - 00 �3
NOTICE OF COMMENCEMENT
State of ICY.j,� OFFICE COPY io No. 1 -70445-oc)oo
Co u nty of A t.-,,C,
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEN1ENT.,
Legal Description of property being improved: Lot' -2Q�T
Address of property being improved: 3511 beo-o4, FL- 3a-q 3 3
General description of improvements: (:C0[6LA-Y- Lj,-6,1 a*d V&x--pe r-A4, e,,,-d w rs i- wtiv 6"1
Owner: 4�OKVOL�L, '1*-tCW%% Address: SCL*1041
Owner's interest in site of the improvement:—r-,e It'd,
Fee Simple Titleholder(if other than owner): Aj/
Name: ttj
Contractor: 9 0
Address:
U
Telephone No.: (PS*a-(10 3 q Fax No: CIL z
< 0
UJI — in
Surety(if any) 0 La z
L) C,
Address: Amount of Bond$
0 q: z
Telephone No: Fax No: 0 0 <
() LL U)
Name and address of any person making a loan for the construction of the improvements - Cn
It- z
Name: Pr H
0
Address: M
Phone No: Fax No: F- a
Lj z)- LLJ C3 Uj
U) LLJ
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other docuriints maylZ LU
LJ >
be served: Name: /U W
cc
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name: Aj
Address:
Telephone No:
TONI GINDL
f ;0ing uqft INUFfr6rent date i�
Expiration date of Notice of Commencement(the expirati )p @TgQ,*t6,
MYCOMM
specified): EXPIRES:October 6,2019
'ublic Unde
THIS SPACE FOR RECORDER'S USE ONLY OWNE
Doc#2019023110,OR BK 18674 Page 454,
Number Pages:1 Date:
�Signed:
Recorded 01/30/2019 09:09 AM, Before me thi S of C�L(-\ in the CouV�y of Duval,State
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Of Florida,has personally api ared &-s
COUNTY flo
RECORDING $10.00 Notary Public at rge f Florida,C o�buv�l.
My commission expires: rQ
Personally Known: or
Produced Identification: 1--!d-2-CD- -7,-3- -3�
Updated 1019118
Building Permit Application
Citv of Atlantic Beach Building Department
"ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 351WL4_�.A 0 1�--- :S f N 4-1 A P_/i,e Q�-e" Permit Number: C,ic--, t 9-- 00 L3
Legal Description Lo i-agT Sr,4_+,,e,)i A S c.-I+o.t' RE# 1'7044 :3 -00aD
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• ClassofWork: RNew ElAddition ElAlteration ORepair EIMove ODemo E]Pool E]Window/Door
• Use of existing/proposed structure(s): ECommercial gResidential
• If an existing structure, is a fire sprinkler system installed?: OYes Ao
• Will tree(s)be removed in association with proposed promect?Dyes(must submit separate Tree Removal Permit) Ao
Describe in detail the type of work to be performed:
RqA at Y_ �e�e r -- LO t 5+ Ovt"L�
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Narne R0Ve,1(_L-04jZ> Address :3 Sq rka� y,0 U4. 2 T_
9F_3 C)
Cit La."k Z r C,4� State zip 34a-3 3 %3Phone__T6
E-Mail d_,ro*11&C-.6t-It SOL�,Vx,,-t
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 'S44.;�C--C'01r d- fZZ4,; 1_Qualifying Agent
Address -5q'10 I+,- kw-1 AVLr City It-t State T-- L_ zip
OfficePhone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt ci 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 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 ATTORNEY BEFORE
RECORDING YOO NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Skned and sworn to or affir bef e is,,�3 ^yof Signed and sworn to(or affirmed)before me this day of
by by
0
% TONI GINDLESPERGER(Sign, ur o otary) (Signature of Notary)
MY COMMISSION#FF 924951
EXPIRES:October 6,2019
,Bqg�d d:�ru Npfary Pubfic Underwdters
Personally Known OR
Produced Identification rL)Produced Identification
Type of Identification: 20-73Z —SC,—�_>�3--Upe of identification:
MAP SHOWING BOUNDARY SURVEY OF
LOT 288, ACCORDING TO THE PLAT OF
SECTEOPI , PCO, 42 SA&TAER
AS RECORDED IN PLAT BOOK 10 , PAGE(S) 15 OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: -RONELLE T- DAVIS,'
STEWARI TIT T E OF JACKSONVILLE, INC
FIRST AUIANCE MORTGAGE
AND WATSON & OSBORNE, P.A,
LOT
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�q E Y oi I-BEARINGS ARE BASED ON QVOER"Out, 1% PAGE 15
ISTRUCTURENO. AM SWWN HEREON LES WIlHIN FLOOD ZONE-.&- AS BUT
A SOCIATED SURVEYORS INC. DETERMR$-b FROM F.E.M.A. FLOOD MAPS PANEL NO. I DATED2t�1_7-1989.
LAND & ENGINEERING SURVEYS 3.THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDEROROUND FOOTINGS�
PIPES AND UTILITIE% IF ANY. NOT DETERMINED.
S 3846 BLANDING BOULEVARD 4-URISIDICTIONAL AND/OR ENVIRONMENTALLY SVN�h*t AREAS IF ANY, NOT
JACKSONVII i F. FLORIDA .32210 LOCATED BY THS SURVEY,
^nA TWIC (ZflDWVV WA4t 6A4tCn r0d JCO�Al A&Fn