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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 49.76' {ACT} FND 1/2- 1.P. ��� 0.00'(P) FND i/2" LP. NO I.0_ NO I.D_ L) tLL 3 P f d 'h O �/ -� 16'X3a pea 0 P O O = COV- CONC o 35-3' LOT 12 - LOT $ BLOCK 7 2 STORY BLOCK 7 FRAME RESIDENCE m CONK 321 A/C PADON � UNE O 2 3J 11.7' 9.8' co /1 -P " CONC. 14.0'o {Js b 1.�,///� jD PQ o 5.0' .coNc;. o DRIVE �/� Dep 05.0' ;% �`< N N = DRIVE I -w e*'DRIVE ` A� V v � `- � ,v 15.7 2oD.00' O 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