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421 SKATE RD FNCE19-0001 FENCE WALL PERM FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0001 800 SEMINOLE ROAD ISSUED: 3/8/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 9/4/2019 MUST CALL INSPECTION •NE LINE (904) 2+ + PM FOR + INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODEJ. NEC, IPMC, AND OF ATLANTIC BEACH • OF ORDINANCES . ALL • i 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: 421 SKATE RD FENCE WALL OR BARRIER FENCE install 4-ft. wood picket $0.00 fence TYPE OF ZONING: :D • • • GROUP: 171528 0000 ROYAL PALMS UNIT 02A3.00 COMPANY: ADDRESS: • ADDRESS: John Storkman 421 Skate Road 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 • • 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:3/8/2019 1 of 2 I FENCE WALL OR BARRIER PERMIT PERMIT NUMBER J � CITY OF ATLANTIC BEACH FNCE19-0001 800 SEMINOLE ROAD ISSUED: 3/8/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 9/4/2019 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:3/8/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department ��'�� (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-54 A� Phone (904)247-5826 • Fax(90 7 6119 0 209 L. u 3>r E-mail: building-dept@coab.us Date routed: I City web-site: http://www.coab.us Vy:_ APPLICATION REVIEW AND TRACKING FORM Property Address: �� K Department review required Yes No Buildin Applicant: iP annmg &Zoning Tree A minis rator Project: �A_ . � 0 ublic Utilities u is aey 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 4r 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 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) s) 800 Seminole Road r—/ C r Atlantic Beach, Florida 32233-5445 ( �� Phone(904)247-5826 • Fax(904) 247-5845 + 3 r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �� S �l Department review required Yes No Buildin Applicant: D'-J P annmg &Zoning Tree A minis rator Project: _ \ Sk7A t `-l— �t Q 01k JH )L-Q ublic Utilities Public Safety Fire Services Review fee $ _ Dept Signature Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date 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: Qpproved. ❑Denied. ❑Not applicable (Circle one.) Comments: UILDIN PLANNING &ZONING Reviewed by: Date:/_ C/ 9 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 APPLICATION NUMBER Building Department (To be assigned by the Building Department.) Y 800 Seminole Road ,J (&- I —ow Atlantic Beach, Florida 32233-5445 �� Phone (904)247-5826 • Fax(904)247-5845 3 L J3 gr E-mail: building-dept@coab.us LDate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ��c� �( Department review required Yes No Buildin Applicant: D.-3(y2cPanning &Zoning r Tree A minis gator Project: ILA_ � . L��. } /}L� u ublic Utilities Public aey 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 u q PLANNING &ZONING Reviewed by:zle 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 ECEIV : ff City of Atlantic Beach :. APPLICATION NUMBER JAN 0 4 2019 Building Department (To be assigned by the Building Department.) 'T 800 Seminole Road 141 G `0 19 Atlantic Beach, Florida 32233-5445 BY Phone(904)247-5826 • Fax(904)247-5845 3 G E-mail: building-dept@coab.us LDate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ��c� S tL� _ �(� • Department review required Yes No Buildin Applicant: Dk jc( -�' P annmg &Zoning Tree A minis rator Project: t!15��1 `� Ll_ , ublic Utilities Public aey 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 byi Date: 096 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 ated10/9/18 City of Atlantic Beach Building Department **ALLINFORMATION J 800 Seminole Road Atlantic Beach, FL 32233 ,A�� _ 3 2019 HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (19.04) 247-58`226�Email: Building-Dept@COAk .Us -- Job Address: la t� '-'TLJ� 'c,1. "� Permit Number: Fr{ C E i si �coul Legal Description t D_ J- 9 ' .C<Je I% St\&, ),X MS 01U.+ RE# 0a) Valuation of Work(Replacement Cost)$ ?y'LY3 Heated/Cooled SF Non-Heated/Cooledr • Class of Work: "XNew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial b9.Residential • 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 separate Tree Removal Permit No Describe in detail the type of work to be performed: -J'o �e_vUcc �- ;ter,}� '>` Grow `�;c is t—i �'(�C � K.C. p Sc�'''�- Florida Product Approval# for multiple products use product approval form Property Owner Information Name Address -'ZI 544rc City A State Zip 3?233 Phone 3pl //2 O E-Mail �C w"-q9..-.__Q W T-'Lank Cow" Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company --k3W [_�' Qualifying Agent Address City State Zip Office Phone Job Site Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ 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, O UWf TH YOUR LENDER OR AN ATTORNEY BEFORE RECPfON NOTIC ENCEMENT. (Signature of 0 ner or A t) :�( (Signature of Contractor) rdl Signed and sworn to or affirmed before me this da of S�gn.sd�a`n�sworn Wu(or affirmed)before me this,3 day of g ( ) y 11I ork-ma.n by for"�a�• JENNIFER JO MY COMMISSION err-04298 (Signature of Notary) =* 4Sig ture of Notary) ra EXPIRES:October 27,2020 ';For i�QP` Bonded Thru Notary Public Underwriters [ ]Pgrsonally Known OR [ ]Personally Known OR [ roduced Identification [ ]Produced Identification Type of Identification:FL QL S� 2- 3 -�3-/3r;" D Type of Identification: FL-- �'-` LOT 4, BLOCK f8. REPL_RT Gr FART Cf EtOYAL_PALMS UNIF -'10 A, AS RECMM N ?Z-AY ByaK 31, F ,1 5 .S, 15AA T R,'Xl GH 16t?, Ct !HE CLAA£NT PUBLIC RECORDS Cf DUVAL COIJ TY• iL 74yCtt., 0JAWIFlED 210: ADA4 J40=011L.lE Nin H?A7fiER BRANCH UANKING h 77WSTI MGM TifL= & cSCACV?„ M. mow.+FZ -.trZ 01JAI'MlY 4AiPAN1r LOT 16 LOT f7 OIL= 49 5 07'16'02' E 80-ta, (FLAT) S 07'3t'26'i E W-16' (IC"LSUR-W) +ra_o tit c8a.cr•= � ♦7-� -i=t'et;(i''aav rsr 1aYCDlfA^w11• Z+' !.• —•�• / Rlti a"3S=b?!•7 F� atf� r,�t¢•;pnea�Y,hl:V:L'3—�.4!altt`•f—�%�— e2' i N �t en L07 a C W f� BL.Cf•,.tt 1$ z !v LA c G+ y LOT 8 + L:JI'IO E310 `® I ya cc p% ?LCCK 18 u o rp fitiE STORY � � o �? n? k1A50NR1' � 4 t POSTED lZ1 -050YD'LM rt tL!k4,t.•!y �t _ J F r' t .47.1c6E1-I'A:6 dl rG'1'~ "�"`•�...t`_ 1V 80,2f' (MF—ASlJRELD) my 4�tiJ4._ tw.r�lr I L* "it fit w __A!� (r_AT) sur SKATE ROAD (o.rt R:sn cc aa:� 1.f? ]5-1,"40 1 VAIE OF FIELO SUR1:Y: 1L-21-C"t Ck'= cf iSSiJE. c-20-f7a 4C SL& i' - 2G .,A— ( n:. 95 73'it c6 ryr 4>r r.11r stwr. ;� K.«:iti�crf-C N•cNr,�•. 04,z�vlr &OWCA.5Y Un►C'."SLMOD%T?/N^" 2 ;'t c3JF :FLc 3�tML1:`:'C[�fAz.-ry Vifn:•at,reef MCIL0 IvVEUjgjtA.4'^k4*DA= .`.'Ltt'i7, 19M VNJUIM%WSE: Q�TIS s.E[+2Y kvN a rC�Fz:t>'' '1��tZ+l�!'sr�i Ci•!:{'t A:PES wl"Cr*�J KA?. lam'11-4 VA70 li-4 OEM R7Y.ti197:7:JelYN V{ti:I�f 7•"P+'J C R't'ri_'•(S�tr vAL y'R.TI+.CJTt•etrtmiAL Anl&7A iE Alry ctrls.'ir.�kr WIlEv w 7-MGL 'TUC C-rftMr CArz. 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