1988 BRISTA DE MAR CIR FNCE18-0056 FENCE PERM e,, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
FNCE18-0056
CITY OF ATLANTIC BEACH
~) 800 SEMINOLE ROAD ISSUED: 3/26/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 9/22/2019
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 • OF • '
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:
1988 BRISTA DE MAR CIR FENCE WALL OR BARRIER FENCE replace 6-foot fence in back $5200.00
of property
TYPE OF
• • GROUP:
169506 1686 SELVA NORTE UNIT 02
COMPANY: DD.
• ADDRESS:
QUILL JEANNE M 1988 BRISTA DE MAR CIR 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 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,Shapell's,Inc.,Republic Services,Donovan
Dumpsters). Container cannot be placed on City right-of-way.
Issued Date: 3/26/2019 1 of 2
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
FNCE18-0056
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/26/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 9/22/2019
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 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL: $81.50
Issued Date:3/26/2019 2 of 2
+ City of Atlantic Beach APPLICATION NUMBER
2 Building Department (To be assigned by the Building Department.)
800 Seminole Road �) 0 ^ O0S_1 Cl) I Atlantic Beach, Florida 32233-5445 1" o
V Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: A
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: O �i 5�� 1'� G�-r ent review required Yes o
ui
Applicant: tanning &Zonin
r ` , Tree Ad �nistrator
Project: �f i��Q C.� Lo ^-� �n� �
C �� �r Public Utilities
t— f Op O^f P_uB is a e y
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 V
Florida Dept. of Transportation ` Q
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?p roved. ❑Denied. ❑Not applicable
(Circle one.) Comments: IV6
ILDI
U
PLANNING &ZONING -130
Reviewed by: Date: X20
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
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r ` 800 Seminole Road �J r_
„r fo
Atlantic Beach, Florida 32233-5445 1 f- �� 0��
Phone (904)247-5826 - Fax(904)247-5845
j�
lilt E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I 0 � P� �4 ent review required Yes No
Buil
Applicant: 1.,)/LQ.�/ /arming & Zonin s
(( ,�, Tree Administrator
Project: �Q pV4 C to �_' �,act 1 61
Public Utilities
Puis S a e
y
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: /,,I'Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING: Reviewed by: ?i G/? Date: J
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
11%Aili. City of Atlantic Beach APPLICATION NUMBER
n� 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: J Id I I A
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � -0— -pajaallLnent review required Yes No
Bujidinn
Applicant: (Ztanning &Zonin
Tree Ad istrator
Project:
Public Utilities
0
r ��aVt\_f Pu is a e y
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-.4,4::41e
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
Yi_\Jlj City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r 800 Seminole Road CL.-1 l Q v O�
Atlantic Beach, Florida 32233-5445 I !i �1-, u (y 116Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us MAY i ��t? Date routed: J Id I I A
q
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: D � YAC ent review required Yes No
Bui
Applicant: (; /arming &Zonin
Tree Administrator
Project: Lo —au I ) _
� Public Utilities
+� IL �� ���Olt\,{ Pu is aey
Fire Services
Review fee $ Dept Signature _ wo
~�
Other Agency Review or Permit Required Review or Receipt
of_Pe_rm_ it Verified By Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation Q
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 Gl/ h-t- -5-12-75111F
Reviewed by: Date:
TREE ADMIN. Second Review: []Approved as revised. []Denied. [-]Not applicable
P kL ORKS Comments:
P IC UTILITIES
s-z3-Ifs
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
RECEIVED
Building Permit Application Updated 12/8/17
City of Atlantic Beach M AY 21 2018
800 Seminole Road,Atlantic Beach,FL 32233
Ph me:
(904)247-5826 Fax:(904)247-5845 F-ti1C� 1 (Ips
Job Address: LQ �l S '�P. � TUU �jll� Permit Number: Building oepaftent
Legal Description .PL
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work.to be performed:
c3e, f a(ed, Z�c E/ yb/e�7d u�f 1 /s i Sh
Florida Product Approval# for multiple products use product approval form
Property Owner Information � /5���� �Q�� ��
Name: %fir'/ Address:
City C� eX14 State Zip Phone C1
E-Mail i
Owner or Agent(If Agent, Power of Attorn or Agency Letter Required)
Contractor Information
Name of Company:- Qualifying Agent:
Address City State Zip
Office Phone Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone# .
Engineer's Name&Phone
Workers Compensation
Exempt/Insurer/Lease Employees/Expiration Date
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 regulationg
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 BEFORE
-\
RECORDINTYOU NOTICE OF COMMENCEMENT.
ignature of Owner or Agent (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed) before me this day of Signed and sworn to(or affirmed)before me this day of
1kall IN Q by
JENNIFER JOHNSTO
' MY COMMISSION#GG 042984
* EXPIRES:October 27,2
:~ i nature of Nota (Signature of Notary)
Bonded Thru Notary Public Underwriter g
s na y nown OR [ ]Personally Known OR
�duced Identification [ ]Produced Identification
Type of Identification: �L1J �I ��( k�/� Type of Identification:
MAP SHOWING BOUNDARY SURVEY OF
LOT 98, SELVA NORTE UNIT TWO, AS RECORDED IN PLAT BOOK 40,
PAGES 37 AND 37-A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO.
LOT 107 LOT 100
S 00'51'14 E 90.00' (PLAT)
S 00'41'33" E 90.12' (MEASURED)
r I ^
w
LOT 98 i
^ w
/3.4 •
a
Y
tt ' / 07 -CO
W sus
—j J
wow
LOT 99
26.1' PAX
PAD
LOT 97 120 0.6 3 3
Li W PAD ONE STORY
FRAME %1 0
03' POSTED #1988 o m
w°DD_4 00
M OD DECK 1.0< GO Ln
CD GO 0.2' 6.9'
r 0'e
Z PAD Y 5.2'
Z TRY
i3 13.4 4.4'
8 20 2'
Ta
!. S
6
28.37(CHORD) -
(PLAT)
28.31'(CHORD) 4'
PC (MEASURED) .
UB 6065
L-90.23'
R.107&W
No37''3OR W �r
ss.sl' (CHORD) iMUNITYDEV LOPMENT
(MEASURED) �`
N 02'57' W P P R Q E D
LEGEND: 90.20' (CHORD) �l
—0-- LATTICE FENCE (PLAT)
—x— CHMNUNK FENCE
0- CONCRETE
Q-SET 1/2'REBAR STAMPED PSM/8146 BRISTA DE MAR CIRCLE
0-FOUND 1/Y IRON PIPE NO IDENTIFICATION (50'RIGHT OF WAY)
(UNLESS OTHERMSE NOTED)
0-4'z4'CONCRETE MONUMENT PC - POINT OF CURVATURE PRC PONT OF REVERSE CURVATURE
A/C - AIR CONDITIONER PT - PCINT OF TANGENCY POC POINT OF COMPOUND CURVATURE
NOTES:
1. BEARINGS ARE BASED ON THE PLAT BEARING OF 5 89'08'46" W ALONG THE REVISIONS
SOUTHERLY BOUNDARY UNE OF SUBJECT PARCEL DATE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS UE WITHIN FLOOD ZONE "x. AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED JUNE 3.2013,COMMUNITY NUMBER 120075, PANEL 0407 H _
3. THIS SURVEY REFLECTS ALL EASEMENTS&RIGHTS OF WAY AS PER RECORDED PLAT&/OR TITLE COMMITMENT
IF SUPPUED.UNLESS OTHERWISE STATED. NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4: THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL
JOB # 33423 DATE OF FIELD SURVEY: 08-04-17 1 SCALE: 1" = 20'
Ray Thompson CERTIFICATE
I HEREBY CERTIFY THAT THIS E UNDER MY RESPONSIBLE CHARGE
SURVEYING, Inc. AND MEETS THE STANDARD I T FORTH BY THE FLORIDA
BOARD OF PROFESSIO S AN SI CHAPTER SJ-17,FLORIDA
-:1ng the DISTANCE for t ADMINISTRATIVE ANTo. )WON 4 ORIDA STATUTES.
1825 University Boulevard West
Jacksonville,Florida 32217 4 RAYMOND THOMPS
(Phone)9044485125 REGISTERED SUR (OR ANfA1MgpPER a 145 STATE OF FLORIDA
(Fax) 904}148-5178 F�BUSINE s 7469
LAND SURVEYS 0 CONSTRUCTION SURVEYS LB BDIVISIONS