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67 S FORRESTAL CIR FENCE PERM FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0018 800 SEMINOLE ROAD ISSUED: 3/4/2019 EXPIRES: 8/31/2019 ATLANTIC BEACH. FL 32233 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: D-ESCRIPTION: VALUE OF-WORK: 67 S FORRESTAL CIR FENCE WALL OR BARRIER FENCE 6' FENCE $1200.00 TYPE OF REALESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1717340000 ATLANTIC BEACH VILLA #01 AD-DRESS: 11=�= Big Jerry's Fencing 12620 Beach Boulevard #3-131 Jacksonville FL 32246 OWNER: ADDRESS: STATE: ZIP: Ross Fanti 67 S Forrestal Cir 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. LIST OF CONDITIONS �Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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:3/4/2019 1 of 2 MAP SHOWING BOUNDARY SURVEY OF.- LOT 6, BLOCK 1 , ATLANTIC BEACH VILLA UNIT No. 1 , AS RECORDED IN PLAT BOOK 30, PAGE 56 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA FORRESTAL CIRCLE SOUTH 60' RIGHT—OF—WAY FOUND 112- IRON PIPE FOUND 112" IRON PIPE pp S 69*31 '25" E 80.00' NO IDENTIFICATION P.C. NO IDENTIFICATION ONE OHE—VHE—ONE A —330.00'VN.T.S. 80.00, N.T.S. 65.66' N.T.S. w oke NCRETE 0.2' QL 0 �J- Ln a_ . ,�RISBONS ,z Do C)0 Q Of 00 F-- 0 0 < 0 LLJ C) < CO' JRII Li C) 1-- 1- V) Q�) 0 -E;�s - c::) (-)V) > cl� _j CE>� Of - 26.4 Q) LLJ 0 pl� . . . Lu 16. 0 Lj [If I.0 L' Cl/ :2 0 L,Q: �ELECTRtc < ry - METER 0 nt 0 LOT 5 1 STORY - (A MASONRY -i RESIDENCE #67 Lr) LOT 7 CONCRETt;�e— n 00 37.5' 1 16 COMMUNITY DEVELO EN 'l L�C NCRETE19 I'M To4 AIC UNIT ON N CONCRETE PAD APPROVED 0.2 WJRE.'FENCE (MEANDERS ALONG LINE)::� 0.2' FOUND 112- IRON PIPE --'��FOUND 314- IRON PIPE L.8. J6 715 N 69*,31 '25" W 80.00' NO(IDENTIFICATION FOUND 112- IRON PIPE STATE ROAD DEPARTMENT L.B. J3101 45' DRAINAGE RIGHT—OF—WAY (0.26- E., 0.56' S.) OFFICIAL RECORDS VOLUME �11S5, PACE 358 SCANNED 12 - Date: NOTES: LEGEND� THIS PROPERTY LIES FLUOU LUNE"X'PER FLOUU JNSUHANCE RATE OHE OVERHEAD ELECTRtC/UTILtTY UNE(S) MAP (FIRM). CITY OF JACKSONVILLE, COMMUNITY No. 120077. MAPIPANEL P.C. POINT OF CURVATURE No. 120JIC-0408-M. REVISED JUNE 3, 2073. WPP WOOD POWER POLE BEARINGS 64SED ON THE SOUTHERLY RIGHT-OF-WAY LINE OF FORRESTAL --X-- 4' CKAIN LINK FENCE CIRCLE SOUTH AS BONO S 69'31'25-E,AS PER PLAT. 30'BUILDING RESTRICTION LINE BY PLAT. 6' WOOD FENCE N.r.S. DENOTES NOT TO SCALE. ALL LOTS SHOWN HEREON LIE WITHIN BLOCK 1. THERE MAY BE ADDITIONAL RESTRICTIONS TRAT ARE NOT SHOWN ON THIS CERTiFiED TO; SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. RANDY WILSON I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors. pursuant to Section 472.027 Florida Statutes and Chapter D U R D E N 5J17 Florida Administrative SURVEYING AND MAPPING, INC. 1825-B 3RD STREET NORTH JACKSONVILLE BEACH, FLORIDA 32250 (�io 8 904) 853-6822 Fox 853-6825 FLORIDA REGISTERED SURVEYOR No. 4701' D H. BRUCE DURDEN, Jr. LICENSED BUSINESS NO. 6696 . " 4 SIGNED APRIL 7. 2015 ME SU�hVMO�WS WDE W�T FINE BE�T OF AM�T�SC�OF nru,mo WRD�W SCALE: 1" = 20' WORK ORDER NUMBER: 15116 R�M-O`-Wy-SCT&%CX U?JM OVER�PS 80�y u-�M.%-WE='L�� - — CMER S�R WFFE0U�WY OPEAR�w Aasrwr w se�OF n M RESERVAT"S W �5 SL_ry me '0'��ESS 1�P-1 6�n�-"M W SCAL O�ME�SCWO. B-8688 MAP SHOWING BOUNDARY SURVEY OF.- LOT 6, BLOCK 1 , ATLANTIC BEACH VILLA UNIT No. 1 , AS RECORDED IN PLAT BOOK 30, PAGE 56 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA FORRESTAL CIRCLE SOUTH 60' RIGHT—OF—WAY FOUND 112- IRON PIPE FOUND 112" IRON PIPE S 69*31 '25" E 80.00' NO IDENTIFICATION CATION P.C. NO IOENTIF1 Ow OffE—G"E O"E 330.00, N.T.S. 8000. -T.S. 66.66' N.T.S. �O.2 NCRETE 009 -i- In �R ONS Ill DO 0 T Of 00 cc F-- F- < C) r- 00 -i -j CO' IRI'l fy LJ 0 0 < L'i 1-- < V) C) Q 0 C� C) V) > _j 0 Of> w w (Z) 26.4 C) LLJ-0 X :2 16:1 0 LLJ cr 3 7.5' TRtC :2 0 1.8, ELEC < —[If C3 METER 0 0 STORY (n LOT 5 OR MASONRY #67 �4 Lr) LOT 7 CONCRETF-7:;;�� 00 CID C\� M NCRET AIC UNIT ON COMMUNITY DEVELOP E I LL��Ico APPROVED CONCRETE PAD 0.1 0�2' WIRE_FENCE (MEANDERS ALONG LINE) 0.2' J6715 314 IRON PIPE FOUND 112 IRON PIPE IN 69*,31 '25" W 80 00' IDENTIFICATION FOUND 112- IRON PIPE STATE ROAD DEPARTMENT L.B. #3701 45' DRAINAGE RIGHT—OF—WAY (0.26' E., 0.56' S.) OFFICIAL RECORDS VOLUME 185, PACE 358 NOTES.- LE6END. THIS PROPERTY LIES IN FLUVO ZLINE "X'PLR FLQUU INSUNANCE RATE OHE OVERHEAD ELECTRICIUTILIrY UNE(S) iAAP (FIRM), CITY OF JACKSONVILLE. COL(A4UNITY NO. 120077. AiAP/PANEL P.C. POINT OF CURVATURE NO. 120JIC-0408_H. REVISED JUNE J. 2073. WPP WOOD POWER POLE BEARINGS BASED ON THE SOUTHERLY RIGHT-OF-WAY LINE OF FORRESTAL --X-- 4'C"N LINK FENCE CIRCLE SOUTH AS eEWC S 69'31'25"E,AS PER PLAT. 30'BUILDING RESTRICTION LINE BY PLAT. 6' WOOD FENCE N.TS. DENOTES NOT TO SCALE. ALL LOTS SHOWN HEREON LIE WITHIN BLOCK 1. THERE AAAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT SHOWN ON THIS CERTIFIED TO: SURVEY Th4T MAY BE FOUND IN THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. RANDY WILSON I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant to Section 472.027 Florida Statutes and Chapter D U R D E N SJ17 Florida Administrative C S RV U EYING AND MAPPING, INC. 1825-B 3RD STREET NORTH /VJACKSONVILLE BEACH, FLORIDA 32250 (go -- (904) 853-6822 Fax 853-6825 FLORIDA REGISTERED SUI 41 L'( LICENSED BUSINESS NO. 6696 H. BRUCE DURDEN, J, st"Eyms Nam SIGNED APRIL 7. 20 5 S�NMO�WS WDE Wft�F rW 8EN"OF Aft$rkcr Or�-0 SCALE: 1" = 20' mo Mac.SLWYEV.0-0—0. w U.M.�n�.G �N w wr—�pm�"0 W�Ts.C�0'&�M. WORK ORDER NUMBER: 15116 OM M-Or—'SM<K-M OVEkAPS.W�� 1111MA. E,,S. TIM..,_W-w " OF Iu: -S S��0" "—in 1w;W.,-=21.W SrA.OF ME ANK&Q�rO B-8688 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 F N)CE 19 -0018 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: L 4 Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Dep�!rtment review required No Luilding Applicant: P1�njng Tr—ec�-Adrmnistrator Project: —00 CC= —�u b I ic Wo r-ks---� 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 an-d Tobacco Other: APPLICATION STATUS 'Reviewing Department First Review: MA"'pproved. DIDenied, []Not applicable (Circle one.) Comments: (ED:IN3 PLANNING &ZONING Reviewed by.- 011 Date: -2/2 712^1* 4 TREEADMIN. SecondReview: []Approved as revised. FIDenied. V []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. nDenied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 .1, Vjr- City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) P 800 Seminole Road flantic Beach, Florida 32233-5445 n -oots Phone(904)247-5826 - Fax(904)247-5845 'z E-mail: building-dept@coab.us Date routed: Cityweb-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Q P—R—C—SD A QQV2_5� Dep�!,rtment review required- Yes No 11 &uilding,.2 Applicant: ,Pljff n i—ng & Project: _C_0 c-c-- (�_`Public Wor_ks_,-'� 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: Iva�Pprovecl. [:]Denied. [:]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date-01— TREE ADMIN. Second Review: []Approved as revised. [:]Denied. []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. E]Denied. DNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 QLv�7j City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road I- 1-\.) L Atlantic Beach, Florida 32233-5445 B 15 2019 ce Phone(904)247-5826 - Fax(904)247-594f E-mail: building-dept@coab.us Date routed- Z _;�_) L Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: DepArtment review required Yes No *ilding_-"' ',P�anning�Zork�g Applicant: _rr6e Aclrni�nistrator Project: PZZ Wori�s­ 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 by: at TREE ADMIN. Second Review: DApproved as revised. [—]Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. F]Denied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 '-0_VJJ-" City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) y 800 Seminole Road C-J Atlantic Beach, Florida 32233-5445 n -oo,L Phone(904)247-5826 - Fax(904)247-5845 1119' E-mail: building-dept@coab.us Date routed: 4 Cityweb-site: http://www.coab.us I APPLICATION REVIEW AND TRACKING FORM Property Address: C—S�J-(,4(�QVZ_ S Dep�!rtment review required Yes No uilding rPhfi n i_ng & Applicant: Tr—ek-Adm—inistfator Project: Co Public Works-,'N 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. OlDenied. PKIO't"applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b Date: TREE ADMIN. Second Review: []Approved as revised. FIDenied. [-]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. E]Denied. DNot applicable Comments: Reviewed by: Date: Revised 05119/2017 Building Permit Application Updated 1019118 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY -rift Phone: (904) 247-5826 Email: Building-Dept@coab.us 15 REQUIRED. Job Address: (a Taq- 07�q-14 L_ C((L S. Permit Number: N�QE_ (9 - Q Q ( 6 Legal Description RE# Y71734 -Oo(Dc) Valuation of Work(Replacement Cost)$ _Heated/CooledSF Non-Heated/Cooled • ClassofWork: C�New ElAddition DAIteration DRepair DMove E]Demo E]Pool ElWindow/Door • Use of existing/proposed structure(s): ElCommercial JResidential • If an existing structure,is a fire sprinkler system installed?: E]Yes KNo • Will tree(s)be removed in association with proposed proeect? E]Yes(must submit separate Tree Removal Permit) -4 0 cribe in detail the type of work to be performed: ' c,-p (, ' T 4-L-L S;To c_4�A ri F_�r-ccc-ci Ar_P­r->� 60C&L P4__,retLrLr Florida Product Approval tt —for multiple products use product approval form PropertV Owner Information Name 11--s-s -1:Pr4T% Address (.-7 -t:oR_U�S11&-L- c t City KT-Lr"­T�C_ '6 e ftc(A State F-L_ Zip —Phone 901-231�-'�79t E-Mail 6,kM1\kL -(�0g\ Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company 5IIL-43�-Aa-(� T�,,J DAVA-% f-e�rr_j�.h�.L(_Qualifying Agent Address 12-02-o &ct� e"M S Tl�- 3- 13, city :SA" State Zip 312 e-116 Office Phone 3c)4f-4176-2_�;7-9' Job Site Contact Number L,- Lf'7 G-2_ State Certification/Registration# E-Mail. :5or-s(Z3 Ft-.,j C1 rJ(4 �L- Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exemptv( Expiration Date 2 1-f/?_oa o 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 YOUR NOTICEAIJ�COMM ENCEM ENT, (Signature of Owner/or Agent) (Signature of Contractor) �*ecl pnd sworn to(9ra ir e before day,of SiMnf�worn to((?Naffi d)b ore me LS day of T- PJC� ,ec?I�1, y , r I �t)l I b ture ture of TONI GINDLESPERGE 2^rk My COMMISSION EXPIRES:October 6,2019 TONI GINDLESPERGER 11h�rl 0' Public Undemriters Personally Known MY COMMISSION#FF 924 DP 0-dauced MIdentifiction Produced I r dentific S EXPIRES:Octnber 6,2019 1 F Type of Identification: E ZS -_7 3 1 Type of Identification: Bon P Th-K-- 7 REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and - (n'7 T--oqgr,1ML- -,P. 4 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 �-MA-gAoc:- 'FO—q i,111 Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days' notice by�ITY to USER,said notice to USER shall be given by certified mail, return receipt requested,to the following address to r-5g rx- e • 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 rneet the current requirements of the City Code, Building Codes, Land Development Code and a]I 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 respecti ve 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-wiys 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 7 Date— Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this day of 20 b -%�� -7"q"v 7-1 who personally appeared before me and (�rinted naftms* ner) th e/s signed the instrument voluntarily for the purpose expressed in it. Signature of Notary Public,State of Florida Department Approval: Personally Known Produced Identification(Type) Sco il�iams, Pub 'Worl� t I ic s i5irec or TC )NI GINDLESPERGER 0:\Public Works\ADMIN\Revocable Encroa #me MISSION#FF 924951 Revision Date:8/31/18 WS:October 6,2019 Bonded Thru Wary Public Underwriters