1742 SEA OATS DR FNCE19-0019 FENCE PERM FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
FNCE19-0019
ISSUED: 3/12/2019
800 SEMINOLE ROAD
s ATLANTIC BEACH. FL 32233 EXPIRES: 9/8/2019
CODE,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
OF BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF . . PLEASE .
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1742 SEA OATS DR FENCE WALL OR BARRIER FENCE 6' FENCE $2000.00
TYPE OF
ZONING: : . •
• • GROUP:
172020 0432 SELVA MARINA UNIT 08
COMPANY: ADDRESS:
PRO-BUILDERS OF
FLORIDA LLC 1115 S OAKS RIDGE DR JACKSONVILLE FL 32225
• ADDRESS:
FORSYTH VIRGINIA
ALLISON W 1738 SELVA MARINA DR 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.
CONDITIONSLIST OF
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
1 PUBLIC WORKS POST CONSTRUCTION TOPO SURVEY INFORMATIONAL
Notes:
If on-site storage is required,a post construction topographic survey documenting proper construction will be required. All water runoff must go to
retention area and retention overflow must run to street.
Issued Date:3/12/2019 1 of 2
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
800 SEMINOLE ROAD CITY OF ATLANTIC BEACH
\\ FNCE19-0019
1-)74P� ISSUED: 3/12/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 9/8/2019
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.
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.
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:3/12/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 1 IV� p r o n � C
Atlantic Beach, Florida 32233-5445 6 t ]
Phone(904)247-5826 - Fax(904)247-5845 c�
E-mail: building-dept@coab.us Date routed: �� 1 IL
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 -74 Z SEA 0 Department review required Yes No
V
Rzo Applicant: -- u t 1��C{ZS ng &Zoni
� Tree Administrator
Project: �"' ����E �
is tilitie
-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:X "� Date: 2`Z — ICA--
TREE
9TREE 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 0 511 9/201 7
City of Atlantic Beach APPLICATION NUMBER
�S )� Building Department (To be assigned by the Building Department.)
r 800 Seminole Road l �V C E p r n o Atlantic Beach, Florida 32233-5445 1 t
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 -74 Z SEA 0 �_Department review required Yes No
i in
Applicant: Rzo l>t L'i:_-)GQanning &Zoni
t Tree Administrator
Project:
L,,-) ���E
rHire
tilitie
Safety
rvices
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. PlIotapplicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revi ed. ❑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 0 5/1 912 01 7
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r 800 Seminole Road f V g y n n ( q
Atlantic Beach, Florida 32233-5445 1 /
Phone(904)247-5826 Fax(904)247-5845 / q
E-mail: building-dept@coab.us Date routed: ! 1 lu G�
1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 174Z, SEP, C) ASS I� Department review required Yes No
-Buil m
Applicant: �(Z� U( i✓i���S Planning &Zorn
t (�- Tree Administrator
Project: C' 1-� ��CE Public 1Nari -
ic tilities ?
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
BUILDIN
PLANNING &ZONING Reviewed by: Date: )042_ 201
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 05/1912017
rS�"JIT City of Atlantic Beach APPLICATION NUMBER
Building Department Clk o: .;'�' (To be assigned by the Building Department.)
800 Seminole Road ` IV� q r C
Atlantic Beach, Florida 32233-5445 FEB fn19 6 l J
Phone(904)247-5826 • Fax(904)247-5 5
OR E-mail: building-dept@coab.us Date routed: 9
City web-site: http://www.coab.us tsy, .
APPLICATION REVIEW AND TRACKING FORM
Property Address: 17 M Z SEA 0 f Department review required Yes No
j� i in
Rzo Applicant: " 4J U (1'C-->Grc- arming &Zoni
Tree Administrator
Project: L� EN CE
is tilities
-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:
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
J iP
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (9044) 247- IS REQUIRED.
//5826 Email: Building-Dept@coab.us
Job Address: � e61 U Pe�r(mit Number
Legal Description C'�UG� !4/L( 0_ CJy11� (� L.Q 1v h7k RE# / �Z
Valuation of Work(Replacem t Cost)$ �, o b Q. 4b ;Hea�trd/CooledSF Non-Heated/Cooled
• Class of Work: I]�1Vew ❑Addition ❑Alteration Upa=esidential
❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): []Commercial
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will trees be removed in association with proposedproject? ❑Yes must submit separate Tree Removal Permit o
Describe in detail the type of work to be performed: a a E ! /a o !-elQ w- g F�X/"5 /-J;-)
LU004 &/ ' -(;12 ---e
Florida Product Approval# for multiple products use product approval form
Property Owner InformationJ 1� t
Name V"✓' .,^rte 69 d),:56,n U/ ./ �� 7//�Address l l� /.)o f"'laJ1/G�Q
City State Zip ' Phone
E-Mail DT 3- �d ,
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Informati -
Name of Company 0110 P J ICLJ� 0-(L-1c, QualifyinLA ent ,---
Address l , rf City X State Zip
Office Phone d — 3 8 Llo "aD Job Site Con�qct Number qd /
State Certification/Registration# G. -Mail / I,D Q(» GG e y�Ql l
Architect Name&Phone# oo )
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt Expiration Date 9 (' D
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or nstalla on 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 ORA ATTO N EFORE
RECQRDING YOUR NOTICE OF Com MENT.
V • ;
(Signature of Owner or Agent) (Signatu contractor)
ne and sworn to ffir e before me this Ltay of�Si d sworn to affirm d) efore m day of
by f �r1 by 7S
(S' ature a
TONI Gir SPERGER
'` Y'?f'*: MY 00"4MISSICN#FF 92 1
Personally Known OR PIKES:October 6,2 9 Personally Known OR
[ )Produced Identification EX
[ ]Produced Identification
=a,=
t c Bono Thm Notary Public Unde e
rs
Type of Identification: Type of Identification:
i
MAP SHOWING SURVEY OF
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IN PLA T BOOK 34, PAGE 85, OF THE CURRENT PUBLIC
RECORDS OF DU VAL COUNTY, FLORIDA.
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