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570 E SAILFISH DR FNCE19-0026 FENCE PERM rSrL"f�, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER r, CITY OF ATLANTIC BEACH FNCE19-0026 800 SEMINOLE ROAD ISSUED: 3/14/2019 's�>r ATLANTIC BEACH. FL 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: 570 E SAILFISH DR FENCE WALL OR BARRIER FENCE FENCE $3900.00 TYPE OF BUILDING • • GROUP: 171274 0000 ROYAL PALMS UNIT 02 COMPANY: ADDRESS: BULLARD FENCE INC. 9647 E WATERSHED DR JACKSONVILLE FL 32220 • ADDRESS: ADAMS MARCUS N 570 SAILFISH DR E 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. 1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL Notes: Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed,call 247-5878. 2 PUBLIC UTILITIES UTILITY MAP INFORMATIONAL Notes: See attached Utility Map. Issued Date: 3/14/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0026 ISSUED: 3/14/2019 800 SEMINOLE ROAD EXPIRES: 9/10/2019 ATLANTIC BEACH. FL 32233 3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. -1 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. 5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 6 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing must be removed from job site by Contractor. 7 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Line of site cannot be blocked or hindered by new fence. 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: 3/14/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: zz 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 0 S (Nil.F(5(4 0 Q E Department review required Yes No uildi Applicant: ' L L ARD C& Planning &Zoning 3 Tree Administrator Project: ublic Works 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: APPLI ION STATUS Reviewing Department First Review: Approved. []Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: �A ` Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑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.) 800 Seminole Road . Atlantic Beach, Florida 32233-5445 l— l\1C1 — [�n Phone(904)247-5826 - Fax(904)247-5845 4'-o;s 9r E-mail: building-dept@coab.us Date routed: Z ZP, 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S-7 Os- p i up(S(A Q,� Department review required Yes No uildi Applicant: I (� l�t--A RQ EPEC L Planning_LZoning_ Tree Administrator Project: Ct,>c) ublic Works 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: D-pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: 7- 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 Broedell, Brian From: noahsmada@aol.com Sent: Thursday, March 07, 2019 10:36 AM To: Broedell, Brian Cc: info@bullardfence.com Subject: Re: Fence Permit for 570 Sailfish Dr Mr. Broedell, Per our conversation this morning I am sending this email to confirm that the fence to be installed will be at least 15 feet from the pavement on Redfin Drive. Thank you for your help with this permit. Noah Adams On Mar 7, 2019 9:23 AM, "Broedell, Brian" <bbroedell@coab.us>wrote: Good morning, Regarding the fence permit for 570 Sailfish Dr, can I get confirmation that the fence will be located at least 15 feet from the street pavement(Redfin Drive)? Thank you, Brian Broedell Phinner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 (904)247-5822 bbroedell@coab.us i City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) j800 Seminole Road F I\- - Phone Atlantic Beach, Florida 32233-5445 I— � l Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Z f City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 5'70 J\lLFtS k 0 Q ,E Department review required Yes No uiIdi Applicant: (� l,�-ARS ��t�L Planning &Zoning Tree Administrator Project: ����(� �, ( Public Works 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 v Other: APPLICATION STATUS Reviewing Department First Review: [�[pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUtLDI 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 ate:Revised 0511912017 s riJ:Ll1��J \ City of Atlantic Beach APPLICATION NUMBER J Building Department FEB (To be assigned by the Building Department.) 00 Seminole Road 1' D 2 8 2019 Atlantic Beach, Florida 32233-5445 1 Eh)c i& [�f7Z Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Z z City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6_7 Aoup(S E-1 Q .� Department review required Yes No uiIdi Applicant: I U LLAR© �E�CC— _Planning &Zoning Tree Administrator Project: �C��(�_�, ublic Works 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 0 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco v Other. APPLICATION STATUS Reviewing Department First Review: proved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed Date: TREE ADMIN. Second Review: ❑Approved as revised. [—]Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date.- FIRE ate:FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 - Building Permit Application updored7019118 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY �t}� Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: &+0 5o;W',sK Eag{ Permit Number: �]V C� t 9 — o o Z Legal Description()) -50-94 P�Iw. Lj,4 n k3) Lb+1 6Lk$ RE# I:J►a-44 -0000 Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑Residential • If an existing structure,is a fire sprinkler system installed?: Dyes ❑No • Will trees be removed in association with proposed roiect? ❑Yes must submit separate Tree Removal Per it ❑No Ecribe in detail the type of work to be performed: In LC< Ff'v�C I�1S <S`fio ' wvU �C" /Co' Doubl4 /Dn r&7'e Florida Product Approval# for multiple products use product approval form Property Owner Information Name MArws grlar,s Address 540 !:S0'1F City State -r(_ Zip 3A33 Phone -?>Pu - 535- E-Mail v1bc.V,Sm;)clr 0 Ac.I It, Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 7 2e!9 Contractor Information Name of Company ( cto Qualifying AgentffWict ' Address )ZCI( Q i(1P City JQCY,3MucState l dip �[ZbLD Office Phone 9Dq 2 1 23 ClD Job Site Cont ct Number State Certification/Registration# E-Mail 1(1 ) 0 bu r "_ • cowl Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ Expiration Date 0 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, CONSULT WITH YOUR LENDER OR AN ATTORNEY 7BERE RECORDING R NOTICE OMMENCEMENT. (Signature of Owner or Agent) (Signature of ontractor) Signed and sworn to(or affirmed)before me this 2 3 day of Signed and sworn to or affirmed)before me this day of r ( o�n ,b r /Notary c State of Florof My Commission Expires OUl/2021(Signature of Notary) (Signature Notary) Cornmiscion No.GG 68711 [ ]P rsonally Known OR ]Personally Known OR ` Notary Public Stow or FWk1a [ roduced Identification [ ]Produced Identification Lisa Bullard / 11 Commisaon 270956 Type of Identification: FLaL Type of Identification: FX 161741202222 REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized and exis in der the laws of the State of Florida,hereinafter referred to as"CITY"and ��• of Atlantic Beach, Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days' notice by CITY to USER,said notice to USER shall be given by certified mail, return receipt requested,to the following address T"7D .! ,azz- .ate ,::�- AZZAn s/i{� _?2�3,?- • In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above described easement or property of the CITY,the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining,repairing,operating,replacing or adding to of the utilities and facilities of the CITY or franchise utility provider. • The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code and all other land use and code requirements of the CITY,including City Code Section 19-7(h) which states"Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." • The USER,prior to making any changes from the approved plans and/or method,must obtain written approval from the City of Atlantic Beach Public Works Department,for said change within 30 days after the day of completion. • This permit shall inure to the benefit of,and be binding upon,the USER and their respective successors and assigns. • USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications,to include utilities locate requirements and use limitations/requirements of easements,public right- of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by th S R. 2 •j�i� Date � —� ?— Property Owner/Age t(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL ELIE The foregoing instrument was acknowledged this day of20 c !! �� aedgthat ' l�7 L/.e ,who personally appeared before me and gner) signed th instrument voluntarily for the purpose expressed in it. � " TONT GINDLESPERGER _ W COMMISSION#FF 924951 .v: i, '°'c 3€ EXPIRES:October 6,2019 Signature of Notary 1'ubllc,State of Flo d �?a;;t d Bonded Thru Notary Public unde wrte s Personally Known / Produced Identification n�(Type) 111 Z62 b—S4 Scott Willis s, lie or erector O:\PubIIcWorks\ADM1N\RevocabIe Encroachment Agreement.docx Revision Date:8/31/18 s RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION "ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY IS 800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED. PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address 0 Say s Permit Number Fkf I(�`- M w2 6 Contractor Information Company_ ��i41'���1=i`10E ,�/'tC • Qualifying Agent Address fv�cy� ///���1�5 5 City T �,Ut II<y�; ,p State F-2- zip Phone f107 ��7� �� ��71 Email mlgeo� CSG. JJCI11-1%PaFiJ'>�� r Cc�F1 State Certification/Registration# —� Architect Phone Email Engineer Phone Email Workers Compensation Insurer OR Exempt❑ Expiration Date • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities,both aerial and underground and the accurate locations are shown on the sketches. • Whenever necessary for the construction, repair,improvement,maintenance,safe and efficient operation,alteration or relocation of all,or any portion of said street or easement as determined by the Public Works Director,any or all said poles, wires, pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Project Superintendent) with(Company Name) Phone • All materials and equipment shall be subject to inspection by the Public Works Director. • All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the manner satisfactory to the City. • A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with this application. • The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder,and the holder will,at all times,assume all risk of and indemnify,defend and save harmless the City of Atlantic Beach from and against any and all loss,damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Public WorksPtf9ctor shall be notified 24 hours prior to starting work and again immediately upon completion. Date 7-� / Permittee(signed in esence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL 1 The foregoing instrument was acknowledged this_Z7 day of EQ� 6 20 r by lP�L who personally appeared before me and (printed name of Permittee) ac noYd ged th hes gned th instrument volun rl q •; a purer t it. ' `" MY COMMISSION#FF 924951 mit •�. a` EXPIRES:October 6,2019 Bonded Thru Nctary Public Underwriters in f l L Signature of Notary Public,State of Florid [ ] Produced Identification(Type) Zsl -� H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 ffAP SHOWINC BOUNDARY SURVEY OF LOT 1, BLOCK 8, ROYAL PALMS UNIT TWO, AS RECORDED IN PLAT BOOK 30, PAGES 94 AND 94A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED To.- ERIC O:ERIC SHIMER WELLS FARGO HANK MGM TITLE & ESCROW, INC. STEWART TITLE GUARANTY COMPANY LOT 2 LOT 21 BLOCK 8 I BLOCK 8 N 04.22.33" E 93.00• (PLAT) x FOUN0 In•WON PIPE FOUND I/2'WON PIPE N 04"12'45" L 92.91' (MEASURED) lo T a>4MPEo•Anoc Ma 10EMP"CAnoN 09 .1' Rv.V SAW X u I 27 n 0.71 4.7 Y " n I LOT 1 I BLOCK 8 I i w EL IW ^ x PIPE J I W W �e 27.6, i L ti I F I c=n STI_ x _ H (r 21.2' I } V. S W d D ` a I Q I I Z d d r v I o-� ONE STORY m LLJ I MASONRY 6c FRAME 0' aI CD O LOT 22 (� >i co o I POSTED N 570 ¢ BLOCK 8 W w N Z x 00 Zm CO Z m U C % •ti' 7�, S pp7tD 7. ..R � 1�1 1�J CORNEA OF)NTERscrna. z S' PLAZA FOUNO011 2 o"to" .''-zi'- 07y7N'Z'3� ga.95 s E EASE S p7-X6'02• E O Rtwl F VIAG7 JOB 0 06-1053 DATE OF FIELD SURVEY: 10-18-06 DATE OF ISSUE: 10-19-06 SCALE, 1" 1 NOTES: N 05'39'27' W ALONG THE 1. BEARINGS ARE BASED ON TME PLAT BEARING OF �ATg/;tr SOUTHERLY BOUNDARY UNE OF SUB.ECY PARCEL s- �v'CC// 2 SHO GRAPHIC ON THE NATIONAL FLOOD RANCE MAP DATED APRIL 77,FLOOD69 NCOMMUNITY NUMBER 120075,PANEL 0001 D - 3. THIS SURVEY REFLECTS ALL EASEMENTS k RIGHTS OF WAY AS PER RECORDED PLAT. UNLESS OTHERWISE STATED. NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNEO. 4. THIS SURVEY IS NOT VALID INTMOUT THE ORIGINAL SIGNATURE AN EMB059E0 SEAL OF THE CERTIFYING SURVEYOR. CERTIFICATE LEGEND: I PFAEeY CER TVY TMAr 1lIIS 9URVEl'IFAS MADE UNOLA M'I9iBIL CNMOf R - RADIUS AND MEE-M TI(WNMUY TECJINCwL SIAYQWD9 AS SET FORM YY M FLOMDA $DARO 'f PAOF[59p/AL 91AVF,'OAS AND MAPPERS N CHAPTER 61617-8,FXJMIDA L = LENCTH ADMINISTRATIVE CYrDE,PUMANT To SECTIM 472x77,FLOWA 4TATUTES FENCE 1521 Smil(St. V — > O" ' CONCRETE .ile 102 Orange Porti• FL 32073 CHARGES K. MCINTO (Phone) 904-215-0900 (Fox) 995-215-0910 REGISTERED SURVEYOR AND MAPPER Y 5502 STATE OF FLORIDA L—orn d Bueinesv Y 7361