349 3RD ST FNCE19-0027 FENCE PERM FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
FNCE19-0027
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/14/2019
r;j 19'
ATLANTIC BEACH. FIL 32233 EXPIRES: 9/10/2019
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: DESCRIPTION: VALUE OF WORK:
349 3RD ST FENCE WALL OR BARRIER FENCE 6' FENCE GATES WITH POSTS $2800.00
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1698230000 ATLANTIC BEACH
TAT
COMPANY: ADDRESS: CITY: S E: ZIP:
FENCEPRO, INC. 3727 Spring Park Road JACKSONVILLE FL 32207
OWNER: ADDRESS: CITY: STATE: ZIP.
HOFFMAN DAVID A 349 3RD 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 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: 3/14/2019 1 of 2
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0027
800 SEMINOLE ROAD ISSUED: 3/14/2019
9 ATLANTIC BEACH. FIL 32233 EXPIRES: 9/10/2019
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 4SS-0000-322-1001 0 $17.50
FENCE 45S-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: 3/14/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
-mZ-7
Atlantic Beach, Florida 32233-5445 (9
Phone(904)247-5826 - Fax(904)247-5845 z_
E-mail: building-dept@coab.us Date routed:
City web-site: http://\wNw.coab.us
APPLICATION REVIEW AND TRACKING FORM
1:zA D9jiadnignt review required Yes -No
Property Address: -7
Applicant: iND kanning &zoning
Tree Adm�inis
Project:
1,'Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receip Date
of Permit Verified y
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: [9'Approved. E]Denied. El Not applicable
(Circle one.)
Comments:
R!�'L2.lN
PLANNING &ZONING Reviewed by.- Date:
TREE ADMIN. V
Second Review: [—]Approved as revised. OlDenied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. ElDenied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
1"U.- City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
y 800 Seminole Road -7
Atlantic Beach, Florida 32233-5445 i\,.�cc-�- 19 -ry--)z
Phone(904)247-5826 - Fax(904)247-5845 �7 -
E-mail: building-dept@coab.us Date routed: —
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
D�L��nt review required Yes No
Property Address:
LP ranning &Zoning
Applicant: _dm
Tree A --in-i-STrator-�
Project: FeADO-C-1 ubli
, Public Utilities:>
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: E]Approved. ElDenied. 10<0"t'applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING 3-,4-
Reviewed b t: Date:
TREE ADMIN.
Second Review: ElApproved as revised. nDenied. [:]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. [:]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
,- I I _-, City of Atlantic Beach
Building Department APPLICATION NUMBER
(To be assigned by the Building Department.)
800 Seminole Road -7
FEB 2 8 2019 L ca L9 Z
Atlantic Beach, Florida 32233-5445
8
Phone(904)247-5826 - Fax(904)2R45 Date routed:
1) E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Dqp�nt review required Yes No
uildi
Applicant: NDC— �P ranning &Zoning
Tree Ad-m-i—ni-sratur'
Project: T --ru—b I i LU.QLW
11"Public Utilities-)
"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: VApproved. DIDenied. [:]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed byl� Date:,A,�_�
TREE ADMIN. Second Review: [-]Approved as revised. E]Denied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]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.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 Ft�,�ua z-7
Phone(904)247-5826 - Fax(904)247-5845 "Z-/-z sit
E-mail: building-dept@coab.us Date routed:
Cityweb-site: hftp://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
D9partmQnt review required Yes No
Property Address:
uildi
' '2
Applicant: NDC- �Ening &Zoning
Tree Adffi-in-mratar'
Project: -r-r_u_bIicANbLk.-P
Public Utilitie
'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: _ZApproved. DIDenied. ONot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date-
TREE ADMIN. Second Review: DApproved as revised. FIDenied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. FIDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
Building Permit Application Updated 1019118
City of Atlantic Beach Building Department "ALL INFORMATION
oft 9' 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 3LIJ (3,f A-"a,,Q, 0eqck Permit Number: F m cz 9 - oo z-7
Legal Description C-- 3L 5 - ILI E AAeta Rr, B-etrrk io�;10 F_ i/I L,-E RE# I �, q 2 A 3-
Valuation of Work(Replacement Cost)$ 2 2 00. 0 0 Heated/Cooled SF b Non-Heated/Cooled
ClassofWork: ONew ElAddition DAlteration Xepair E]Move DDemo ElPool E]Window/Door
Use of existi ng/p ro posed structure(s): ElCommercial ElResidential
If an existing structure,is a fire sprinkler system installed?: Dyes E]No
Will tree(s) be removed in association with Proposed Proffiect? ElYes(must submit separate Tree Removal Permit) E]No
EZtribe in detail the type of work to be performed:
�y fetA te o" ez, et L,J .oe% pto e v We,0 k �e ii-eplocod w'�,
I- ly- d
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name bctu t ck iA^--CIC&A-ta v�j Address 3 4ti I 1_6 S IN
City 4(Akc P'e'zc" State FL Zip I-a-Zk3_4 —Phone— Ife't , 11a-A A-3--y 1Z
E-Mail- A.1 Q .J. C4 0 tu. 0(�:C-"4 Ct" P a Jj:A C'Z I . 00 V-%
Owner or Agent(If Agent, Power of Attorney or Agency Ater Required)
Contractor Information X Z
0
L) Z
Name of Company e-" EL
Qu a I ifVi n g Age n t ka:i%
Address City-M
T,_ _CL.C_v"-_ State if I Zip 3.1 :7
Office Phone Job Site Contact Number a e__ 0 0
04.—
State Certification/Registration#
�A E-Mail
Architect Name& Phone# C3 U. Z e_�IZZ
1!!% n -
Engineer's Name&Phone#
LL
Workers Compensation lnsureru�zr'ASN LA 21k 14 -OR Exempt ii Expiration Date kct
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal@iZ W
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reg6at9gui LU
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,94 CL = M
, NO: Lu :3 in
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requiremehis bf this;') Lu
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and W
there may be additional permits required from other governmental entities such as water management districts,state age=ies,or >
federal agencies. LC W
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
RECO�DING YOU
.�"TICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
SX' ,ned and sworn to(9r affirmed) before me thi4Aay of Sig d d sworl)to(or affirmfe�)before me this
c -A day of
" y z�yc,\, by C-S CA, U Je/1/M0v;-\
A=. 20"rov�"A -
a tyU y.*pJW Tsinature of Nota r" ...
NOTARY PUBLIC "Puft
Personally Known OR STATE OF FLOMDA 1.1,nr-t!rsonally Known OR My ftft of FWft
Produced Identification Ccmrri#FF246329 kyI 00"mion Expm 01M=3
Type of Identification: 112019 ;_41rr_07Uced Identification CWVA"NCL Go 27"
Type of Identification:
NOTICE OF COMMENCEMENT
State of F to ckc4 Tax Folio No. 6 0 0 0
County of took\
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
'5-- 6" - I(e -�S - m E A44",t K L, Ke.,[A 0 L"o� )L 0 F- V),
Address of property being improved:. 3qq 3rc) s-� A4r,, Kc F=L,
General description of improvements: vt�r 14- Fle-tt u Vc-ed s m \r-
Owner: lb CA\3 Address: 3 '-( SA -11)-4s +T1uA,h, P,,A
Owners interest in site of the improvement: 0 64tL*0 W LkJ2 V'
Fee Simple Titleholder(if other than owner):
Name:
Contractor: TL,,
Address: Pf\ A q PO V fie EL 3 J14,0-7-
q0j
Telephone No. O(PT Fax No-
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc#2019044893,OR BK 18701 Page 2499, Signed: e:
In A A Ael A ZI)I I
Number Pages: 1 Befor e this Ihd. day of in State
Recorded 02/27/2019 11:34 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Of Florida,has personally appeared rd, X
COUNTY Notary Public at Large,State of Florida,County 41MISTATE OF FLORIDA
RECORDING $10.00 My commission e p Urwe—
Personally Known: E* —or
Produced Identification:
MAP SHOVONG BOUNDARY SURVEY OF
LOT 20 AND THE EAST ft)`2� RALF OF LOT 22. EILOCY 5. PLAT No- 1 SUO—niViSiON W. ATLAWTIC 8EkCH.
AS RECORDED 04 PLAT WjK 5. PAGE 69- OF -,HE �-)CRENT PUSUC RECORDS Cr Er,,,vAL C04_,NTy. FLMDA.
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