1869 BEACHSIDE CT FENCE PERM FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
FNCE19-0012
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 2/20/2019
0!19 ATLANTIC BEACH. FL 32233 EXPIRES: 8/19/2019
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:
1869 BEACHSIDE CT FENCE WALL OR BARRIER FENCE install 6-ft. wood fence $1800.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695420562 BEACHSIDE
COMPANY: ADDRESS: CITY: STATE: ZIP:
FENCEPRO, INC. 3727 Spring Park Road JACKSONVILLE FL 32207
OWNER: ADDRESS: CITY: STATE: ZIP:
BARDUSCH MARK C 1387 Rivona Dr Waterford MI 48328
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,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
Issued Date:2/20/2019 1 of 2
A'. FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
FNCE19-0012
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 2/20/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 8/19/2019
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 45S-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: 2/20/2019 2 of 2
APPLICATION NUMBER
City of Atlantic Beach
Building Department (To be assigned by the Building Department.)
y 800 Seminole Road
tlantic Beach, Florida 32233-5445 E:�)C& C1 -co I
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 80 1
City web-site.- http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
,A�i I d Fn g_:��>
Applicant: Ftm_ -07r_a7nning &�Zonin�,
-Tr-eeAdministrator
Project: CA li r\t L") U qa�
Q�ubric lj�fi �_
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: FlApproved. E]Denied. [9N' ot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed b Date: :0
TREE ADMIN. Second Review: DApproved as revis"ed. [-]Denied. ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. E]Denied. DNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
rr�urrrii I T /AUU11tZ,�: I t56Y 1:11=X�HbIDE(�UUH I ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL1 311.1159
FIELDWORK DATE:i 1/14/2o13 REVISION DATE(S):(REV.0 11116/2013)
FL1311.1159 C-I C-2 C�3
BOUNDARYSURVEY R.=G75.09(P4M) P,=G75.00`(P*M) R,=G25.0(Y(P*M)
DUVAL COUNTY L=37.337)37.28'(M) L=57z9 IV-) 57.50(M) L=2.Gb'(P)2.79*(M)
A-3*I 0'09"(P)3'09'5 1"(M) A=4-054�55"(P)4"54'23"(M) A=O*14'44"(P)0*15'.21"(M)
CH=N 2*5 1'50"W, 37.33'(P) Ch=N G*54�2 I"W,57.89'(P) CH=N 9-1420 W, 2iGW)
N 2*4654"W, 37.27'(M) N G*53'09"W. 57-79(M) N G-24-07"W, 2.73'(M)
2 5,d
N 69*1740"E 103-77'(M)
N 59'29'00" If 103.8G
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5 59'29'00"W 09.9G'(P)
89'29'00"W 100,1 U(M)
5.P. (PEP,PLAT)
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1/21 RP
NO 10
@ P.R.C.
INV
I hereby certify that thi aryj y o e on described property has
been made under my 1 ctlon vle best of knovAedge and belief,it is
/ !Of
a true and accurate r p se I "ea�tjrvey that rn ets the minimum technical
WS )'' .1 N(7r
5i fe—ss' I Surveyors&Mappers in
standards set forth b I 06A.19"
Chapter 5J-17 of the Admiri'-gi v ode. 1v
R. A
30' 20' la 0 IT 30,
SURV
Wesley B.Haas 'k AN �
Slate of Florida Professional Surveyor and Mapper GPAPHIC 5CALE
License No.3708 1 inch = 30 feet
Use ofThfs Survey for Purposes other than Intended,Without Written verification,will be at the User's Sole Risk and Without Uability to the surveyor.
Nothing hereon shall be Constmed to Give ANY Rights or Benefits to Anyone Other than those certified.
FLOOD INFORMATION:
POINTS OF INTEREST
BY PERFORMINGA SEARCH WITH THE LOCAL GOVERNING (1)6'WOOD FENCE OVER 7.5'PRrVATE DRAINAGE&UTILITY
MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE EASEMENT.
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
ATLANTIC BEACH,COMMUNITY NUMBER 120075,DATED 06/03/13.
SHIE D.L
CLIENT NUMBER:RS13-1891 DATE: 11/16/2013 L
Q QDW t
REA1 TOR A -' L,
BUYER:MARK C BARDUSCH (904) 891-6331 %%tvift R.lq CArp.RF.At"RS-
--1" 11 , V�1'�� - WWW.JANSHIELDS.COM
JANSHIELDS@WATSONREALTYCORP.COM
SELLER: FRAN�KLIN C UNDFRVJ00D�&SAIN�1—'RIAI L IUJ�NDPRW�00F)
CERTIFIED TO:MARK C BARDUSCH;THE LAW OFFICES OF ROD SCH�7OT7H,
0 A n DC01 10;If-NIATInKIA I TITI
r imci ipNjAri=
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: Build ing-Dept@ coab.us IS REQUIRED.
Job Address: V?(ack R�e_(3,ginz'16e r Permit Number:
Legal Description -kkk
�RE#
Valuation of Work(Replacement Cost)$
6 Heated/Cooled SF Non-Heated/Cooled
• ClassofWork: 21q'ew DAddition DAIteration ORepair OMove ODemo opool []Window/Door
• Use of existing/proposed structure(s): DCommercial [90eZidential
• If an existing structure,is a fire sprinkler system installed?: OYes ONo J A N 2 9 2019
• Will tree(s)be removed in association with Proposed Proiect?OY (must submit separate Tree Removal Permit) 9fT0_
Describe in detail the type of work to be performe
Xec-4, Qr's�� CIL%
IL
c es S
Florida Product Approval# Q'Ir e_5'
Property Owner Information for multiple products use product approval form
Name Ay\X1 r Address
city
—State 41- Zip Phone �13 41
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
�Cgontractor Information
Name Of Company 01
Address Qualifying Agent
di C. AZA%—k-% 1 11, 6
Office Phone 73QAKZQM�_ State Zip_
Job Si te ontact Number _1101 S-_
c LN =4_C�A .1?-1-1
State Certification/Megistration# E-Ma I sv�
Architect Name&Phone# Q1 �O 02
Eingineer's Name&Phone#
\fVorkers Compensation Insure !Z"S IS 7IN OR Exempt o Expiration Date
La-_%,v—
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
'170 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
IqIECORDINC; YOURJQTIC�OF CWMENCEMENt
(Signature of Owner or Agent)
Sig6d and sworn to(or affirmed)before me thisJ5��Aay of Signed
and sworpto(oraffirm d)beforeff, his da of
'�s
TT1r o'D T
OnLia 2 C: 9 by 4nt by
�Ll ZAeFTH N�DRTAR Y)
tafy PubliG, State of Michigan L Glass
f Oakland r
countY 0 (Signature of Notary) State of Flor(!ida (Signature of Notary)
a County of 1e__ )Ir�s 0
:0M M isfion Expires 01 1�j My Commission Upires 011110�021
Ig in th ( _ _0
I Personally Known OR �pb%W72
)(1 Produced Identification 4q Produced Identificatio
Type of Identification: brival's Licz_os,
Type of Identification:
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 FtJ C& I cl - CC) I C�'
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t4 Department review required Y No
Wi 171 n g�-
Applicant: FuNC-LO( D -_LAC_ -P a—nn i n g-CZ—o n-i n--g-_,
Tree A ministrator
Project: tL,) U_ �4 0 (5-u-b li-6�WorLs ,
(�Public UtdLbas___'�
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: EApproved. [-]Denied. [7Not applicable
(Circle one.) Comments:
G�;)
PLANNING &ZONING Reviewed by: Date:.)
01
TREE ADMIN. Second Review: ElApproved as revised. ODenied.V [-]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
.50 Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMITM FNCE19-0012
Revision to Issued Permit OR El Corrections to Comments Date:02/14/2019
Project Address: 1869 Beachside Court
Contractor/Contact Name: FencePro
Contact Phone: Email: fenceproinc@aft.net
Description of Proposed Revision/Corrections:
revocable encroachment agreement
I FencePro affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Will proposed revision/corrections add additional square footage to original submittal?
r7No M' Yes (additional s.f.to be added:
ill proposed revision/corrections add additional increase in building value to original submittal?
No E]"Yes (additional increase in building value: $ (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
Denied El Not Applicable to Department Permit Fee Due$
V/A`pproved L
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Z Rev'leae
Tree Admipistcator
C—Pu�l�iciwo—rlzs R FEB 14 20iJ
Public Utilities
Public Safety BY. Ell, l5ate
Fire Services Updated 10/17118
REVOCABLE ENCROACHMENT AGREEMENT
**ALL INFORMATION
City of Atlantic Beach
HIGHLIGHTED IN GRAY
800 Seminole Road,Atlantic Beach,Fl.32233
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation organized and
existing under the I s of the State of_Flo;ricla, hereinafter referred to as"CITY"and
of Atlantic Beach, Florida,hereinafter
referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon
the property for the purpose as described in the City of Atlantic Beach.
This work is generally described as 42 11? iQG-I e G L12-k�,� -)S—
Any facility maintained, repaired, erected, and/or installed in thevxercise ci�the pAvilege granted remains subject to
relocation or removal on thirty(30)days'notice by CITY to USER,said notice to USER shall be given by certified mail, return
receipt requested,to the following address C-
• In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described easement or property of the CITY,the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or
adding to of the utilities and facilities of the CITY or franchise utility provider.
• The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h)
which states"Driveways that cross sidewalks:City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks."
• The USER, prior to making any changes from the approved plans and/or method, must obtain written approval
from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of
completion.
• This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and
assigns.
• USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications, to include utilities locate requirements and use limitations/requirements of easements, public
right-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be
saved harmless by the USER from any of the work herein under the terms of this permit and that all of said
liabilities are hereby assumed by,The USER.
Date Z3Z I
Prop6rty Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this i 3 day of Febi tqt,/ ' 20
by �,14 A!14 who personally appeared before me and
(printed name of Signer)
ackaowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
ELIZABETH N DROTAR Department Approva.l:
Signature of Notary Public,State of Flu,ida- Uujai V P ubl ic, state of Michigan 2
"Vi I J-)I Da ) county of Oakland
Personally Known C -nmissionExpifes01-21-20211
i , county ot-',C��-
Produced Identification(Type) M) L-)r`1V'�,T,-1lfiV Scott Wi 7ham;,Pu Work-,DiFecto,
HAApplications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
City of Atlantic Beach
it p APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
t ant c each, Florida 32233-5445
El)C G 15 C 0 1*c)-
Phone(904)247-5826 - Fax(904)247-5845
oil E-mail: building-dept@coab.us L__Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
,,B�ildN:�
Applicant: -9a—nn'in g�&Z o n i�n
Tree Administrator
Project: U \'J qa�
�ublic U�fi��
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: J'Approved. ElDenied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed byA_F� Date-
TREE ADMIN. Second Review: FlApproved as revised. F]Denied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. ElDenied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017