321 5TH ST FNCE19-0025 FENCE PERM FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
FNCE19-0025
CITY OF ATLANTIC BEACH
8ISSUED: 3/12/2019
00 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 9/8/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
321 5TH ST FENCE WALL OR BARRIER FENCE 6' FENCE $1963.00
TYPE OF
ZONING: :D •
• • GROUP:
169859 0010 ATLANTIC BEACH
COMPANY: ADDRESS:
HARDWICK FENCE LLC P O BOX 3043 ST.AUGUSTINE FL 32085
• � � . CITY: STATE: ZIP:
ALLEN JACKSON M 321 5TH ST 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,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
Issued Date: 3/12/2019 1 of 2
I
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
FNCE19-0025
ISSUED: 3/12/2019
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 9/8/2019
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.
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
N 1 _QO7 C_
Atlantic Beach, Florida 32233-5445 GAJ
Phone(904)247-5826 • Fax(904)247-5845 / � 1 Q
E-mail: building-dept@coab.us Date routed: ! 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: J z Sy De ent review required Yes No
Building
Applicant: l�1 Af�t�� lC��� i" ��EC arming &Zonin
Tree Administrator
Project: Cp C Fli�(y CL Public Wor s
ublic Utilities
PUbfic 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: VrApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by:'oe � 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:
I
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach .-�, - APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
ri 800 Seminole Road
,) �r Atlantic Beach, Florida 32233-5445 26 M9 �J
Phone(904)247-5826 • Fax(904)247-5845 / ,Q
E-mail: building-dept@coab.us Date routed: l 1
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
3 ��- De ent review required Yes No
(� Buildin
Applicant: �� A��w lC'_� 1" ��EC arming &Zonm
Tree Administrator
Project: �d C �r-N C� Public Wor s
u lic Utilities
c 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 b Date: i
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
YfLA�;J+Fz-
City of Atlantic Beach APPLICATION NUMBER
J3 f r11� Building Department (To be assigned by the Building Department.)
r� 800 Seminole Road �N ' _clC) 5-
Atlantic Beach, Florida 32233-5445 JL�
Phone(904)247-5826 • Fax(904)247-5845 z Q
-mail: building-dept@coab.us Date routed: l 1
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
3 5sy Depaftent review required Yes No
Buildin
Applicant: lC'_�� -PTanning &tonin
Tree Administrator
Project: C, C �l;�-N UL Public Wor s
ublic Utilities
ubtic 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: te:
TREE ADMIN. Second Review: ❑Approved as revis d. ❑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
rr .Ly;y„ City of Atlantic Beach APPLICATION NUMBER
JSBuilding Department (To be assigned by the Building Department.)
'''P 800 Seminole Road �' _O�-� C
Atlantic Beach, Florida 32233-5445 N ' G J
Phone(904)247-5826 - Fax(904)247-5845 Z/z 1Q
ti.��U;tl9' E-mail: building-dept@coab.us Date routed: [ 1
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ( Qgpartrnent review required Yes o
(` Buildin
Applicant: Aczc�1A ) lC'_�S, t' EHEC anning &Zonin
Tree Administrator
Project: Cp C �C-N cL Public Wor s
ublic Utilities
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: MAepproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDI
PLANNING &ZONING 3 Gl)0/
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 OFFICE COPY Updated 10/9/18
g pP
City 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_
C_
Job
Job Address: 3r ` .�t Permit Number: N ce- v
-
Legal Description \-t �C`.(111L. �� -� L- �`�� RE# � C��,�� C)Q
Valuation of Work(Replacement Cost)$ \CACP 5 .CO Heated/Cooled SF Non-Heated/Cooled
• Class of Work: New DAddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial esidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will trees be removed in association with proposed roiect? Clyes must submit separate Tree Removal Permit o
Describe in detail the type of work to be performed: (C `
Florida Product Approval# for multiple products use product approval form
Property Owner information c�
Name �cxc, Address
City C State Zip � �3 Phone �� LA 1�J
E-mail -\D-
Owner Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company\- �,�y� ,^�� Qualifying Agent
Address `f- CityState�_Zip3 �
Office Phone C�. e �1 Job Site tact Number
State Certification/Registration# L-1i0L .C,,09- ,LL 11L E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer %_. C�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 inst4wation has C
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,PLUMBINGc$IGOIS, t
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE:In addition to the requiremenl�phfsl M
permit,there may be additional restrictions applicable to this property that may he found in the public records of this county;arid'":
there may be additional permits required from other governmental entities such as water management districts,state a n�$,o
federal agencies. U 0 ri
U1. -�- a
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance�it�lL_ ??
applicable laws regulating construction and toning. O < 0 S
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M
RESULT IN YOUR PAYI G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
r
TO OBTAI FINANCIN , CONSULT WITH YOUR LENDER R AN ATTOR EY BEFORE w >-
RECO OUR TICE OFC CEMENT. ~ u; o W
UJI C.? Ww
tr ltl
c_ W
(Signature of Owner or Agent) (SignatiAe of Contractor) W
C1:
6.LSi ned and sworn to or affir d)before me this ay of
rs'gned,and sworn to r a r d)bcf re me this y of g
�'��'°•"�%� fa
TONI GINDLESPERGER
f a (Signature of Notary)
?� MY COMMISSION w F
EXPIRES:October 6,2019
Bonded Tnm Nota p s Unde wr::ers [ Personally Known OR �_"v Notary Pubk State of Florida
( ]Produced Identification I I Produced Identification Jordane Branaum
/`S (-Cl Type of Identification: MY Commission FF 992639
Type of identification: /fid-�33 ��.i -�� � YP ---
OLUL N , i N 89'37'11"E
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END 1/2- I.P. (ASSUMED FND 1/2" I.P_
No I.D. BEARING BASE) NO 1_0.
S89*14'37"W 49.75 (ACT)
NOTE: ALL TIES TO FOUNDATION 50`00'(P)
FIFTH STREET
BENCHMARK
(40' RIGHT—OF--WAY) USED 600 NAIL IN POWER
POLE A SHERRY DRIVE
AND FIFTH STREET
ELEVATION (9.74)
FINAL: W.O406-1193-5; 2-9-07 (FIELD)
FOUNDATION. F.F.E•; W.Q.#06-1193-4; 9-28-06 (FIELD) ELEVATIONS SHOWN THUS (9-74)
LOT & HOUSE STAKE OUT (GOOD); W.O. f06-1193-3; 09-01-06 (FIELD) dt REFER TO N.G.V.D. OF 1929
PLOT PLAN OVERLAY ON BOUNDARY & TREE SURVEY; W.0- # 06-1193-2
THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN ASSUMED BEARINGS
ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS ON THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED
t THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE 'X" AS SHOWN
ON FLOOD INSURANCE RATE YAP 0001 D FOR ATLANTIC BEACH. FLORIDA, F.I_R_M, INDEX DATE 4-17-69.
ALL AMERICAN SURVEYORS OF FLORIDA, INC.
L 1YD SURVErVW - OM SOJU 30W P.IRKWAY, SUITE 1 - .JACKSWMLLE FLORILIA M16 - 904/279-OOM - LCUISED BVVNESS IVO, 3857
LegendTHE ABOVE LANDS WERE SURVEYED UNDER MY RESPONSIBLE S
TND_ _ r0VN0 F.F.E. = FP16NE0 FLOOR ELEVADON SUPERVISION AND DIRECTION. THAT THERE ARE NO ENCROACHMENTS =4
ESM7 . EASEMENt ACOS - ~COAM OF 09C61 K EXCEPT AS SuOWN AND THAT THE SURVEY SHOWN HEREON MEETS
GONG .= CONCRETE PQM PERMnNENT REFEROSE UhF THE MINIMUM TECHNICAL_ STANDARDS SET FORTH BY THE FLORIDA
MON ' MONUMENT "ONUMENT BOARD OF PROFESSIONAL SURVEYOPS AND MAPPERS PURSUANT TO ALL
LP. IRON ROD,PIPE P_T_ — P(MNT OF TANGENCY
LR_ = I^NG ROD PyF = PERMANENT CONTROL PCONT CHAPTER 472.027 / CHAPTER 67617-b, FLORIDA STATUTES. AAlFR1CAN
Ton .. TANGEM INSTANCE .SURVEYORS
p . O&TA ANGLE r.C. - Poen OF CURVE
CH = C"m PR.C. . POINT Of REVERSE CURVE SURVEY NOT VAUD UNLESS EMBOSSED BY SEAL OF FLORIDA,
A ' AIS LENGTH P_C.C.= PONT OF COMPOWO CuRvE
R PAD" B_R.L SUBJW RfSTR7C11ON JAMES D. HARRISON, JR.. No_ 2647 INC.�
T.) .ACTuk F.P.&L: FLORICA POWER t UGW CARL S. COURSON, No. 3129
R)) + RADIAL UK U.D.E EASEMENT
Ruc,EO oRANu E SCALE /
I'=30'
q CENTER UNE NIND WLUX41-GEDOEM VEl[TM _
R/W - RICHT--wAY OATLm u os 9
-- _ P'% - PONT OF QITERSECRON -
EOw = EDGE OF TATER DATE 6-24-06
(W IrTNESi TOB TOP OF MMK FLORIDA REGISTERED SURVEYOR AND MAPPER —�
-
FB. PRINT OR Br RDGER DpZ Server\DWgs\2DO5 F&E 06-1193 ORDER NO. 05-1193-5