1732 Atlantic Beach Dr. FNCE19-0038 Alum. fencing FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0038
'1f ' ISSUED: 4/4/2019
800 SEMINOLE ROAD
401319r ATLANTIC BEACH. FL 32233 EXPIRES: 10/1/2019
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:
1732 ATLANTIC BEACH DR FENCE WALL OR BARRIER FENCE 4' ALUMINUN FENCE $2183.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1675 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
SUPERIOR FENCE AND RAIL 5470 HIGHWAY AVE JACKSONVILLE FL 32217
OF NFL
OWNER: ADDRESS: CITY: STATE: ZIP:
TOLL FL VI LIMITED 250 GIBRALTAR RD HORSHAM PA 19044
PARTNERSHIP
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.
Issued Date:4/4/2019 1 of 2
Yf`"''le FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
0 CITY OF ATLANTIC BEACH FNCE19-0038
filr800 SEMINOLE ROAD ISSUED: 4/4/2019
it 9. ATLANTIC BEACH, FL 32233 EXPIRES: 10/1/2019
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.
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.
IiiidEES _Y. ; : ._,
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:4/4/2019 2 of 2
--.1 -'iI City of Atlantic Beach APPLICATION NUMBER
} Building Department (To be assigned by the Building Department.)
J �9 , - Seminole Road 1 P L `c Li Q _ R 3 Q
7 _- Atlantic Beach, Florida 32233-5445 'v ] V
Phone(904)247-5826 • Fax(904)247-5845 s
`��s1>` E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1732 k*(Qc\`I Cr @ Department review required Ye No
. Cauildin k—)
Applicant: v Pere-10 k_ E,vCC� tanning &Zoningl)
Tree Administrator
Project: 4 (� L u m (1 i- —P-A__-) C(--- �u6Iic works
_ u is iii
Public Sa et
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: pproved. ❑Denied. Not applicable
(Circle one.) Comments:
BUILD
PLANNING &ZONING
Reviewed by: Date: V712-40/9
_
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
ri_.mf,> City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
. - 800 Seminole Road h ;�
o
•73,„. s.,1 Atlantic Beach, Florida 32233-5445 1 ��C�/ ` .•38
Phone(904)247-5826 • Fax(904)247-5845 411
ro;t r E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 73Z. k*(Q Q 3 c r 1 Department review required Yes No
uildirig )
Applicant: 1, Perat0tanning &Zoning
Tree Administrator
Project: Lu m Fr-&) C_ - � u lic`5 c Works
("��Pu6Gc Otilitii?D
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: pproved. I IDenied. I 'Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:�� _ Date: 51— f— ci
TREE ADMIN. Second Review: ['Approved as revised. I 'Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. fINot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
01..fu; City of Atlantic Beach o APPLICATION NUMBER
J3 r Building Department MAR 2 8 2019 (To be assigned by the Building Department.)
ats�
'
800 Seminole Road h )C (9 _ 100 Q
s
,,., Atlantic Beach, Flori
vda 32233 -5445 D�yy 1 V
Phone(904)247-5826 • Fax(904)247/5045
o E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 73Z A*(C.t 4tc1La03\ Department review required Yes No
Applicant: perat0 r3c - $tanning &Zoning ,
Tree Administrator
Project: - `� Lu 1 i \ ck:- u tic Work j
drC OtIIItI�S`�,
----Public
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 byjeata6l +"„e Date:1/j7"/1�
TREE ADMIN. Second Review: Approved as revised. Denied. Not applicable /
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. nDenied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
rir..Ly;., City of Atlantic Beach APPLICATION NUMBER
^s #0-_ i\ Building Department (To be assigned by the Building Department.)
"`` 800 Seminole Road \_ h ;CE(( �
5, �� Atlantic Beach, Florida 32233-5445 t / ` COl./t / V
Phone(904)247-5826• Fax(904)247-5845 AC)
Fv J;; Email: building dept@coab.usDate routed: 3/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 73 Z t\*(Q,-$cc 3C Department review required Yes No
- i -: ,.I•L. )
Applicant: v ee2L0,� rejOC6. nning &Zonings'
Tree Administrator
Project: ( L.L 1 y \ FGA..j C_,c , u lic Works-)
is iii
-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: Approved. Denied. I fTlot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING �� 3 Z1��9
Reviewed by: ate:
TREE ADMIN.
Second Review: ['Approved as revised. I '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 Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 t„ M
Phone:(904)247-5826 Fax:(904)247-5845 p
• `-� , �", vasa t-
Job Address: /732 j17(,(i,✓/7(., i I1' !�/�/lk Permit Number: _ )
—
Legal Description RE# � I v - I9 _0038
Valuation of Work(Replacement Cost)$ 2/. 3 Heated/Cooled SF Non-Heater 8'p olZ r '9
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
(1 °j`
• Use of existing/proposed structure(s)(Circle one): Commercial Residential 41,
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/W1t `C
• 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 wgrk toile pQ m
ored:
jst/ `�"`': fW .t/ r"�k� ep i lel ti''aw444.2'
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: iieeniT Tinri Address: /72 e76' C- ZS (Iy , ;ryli/
City if7L /f!GiiCI( State /c-6 Zip 32:23._ Phone 567 .5-23 732
E-Mail Aµ &2W/7/-6�2 jt<i cc.'7
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information / �/j
Name ofCompany;��UX�'/' J .:''•f !/ fV' £/`cc�c.tualifyingAgent: ti ' `277
Address .5-4(70 Ili GllO/ /�C City 50 (//' etate Zip 32 Zs
Office Phone 9Q'? 6g3 Job Site/Contact Number Z22-j
State Certification/Registration# E-Mail
Architect Name&Phone# /V/t9
Engineer's Name&Phone# /�/d
Workers Compensation � �Q /-fordif'_ O 8"(5-• ``Cd'
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
Sj/1.744/
(Signature of Owner or Agent) (Sig urractor)
(including contractor)
Signed an sworn to(or affirmed)before. i: s�,y^'7,,�� p A� f Signed and�� sworn to(or(oaffirmed))bef. - • •y of
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Jyyyyyy--- . Cash Register Receipt Receipt Number
.
City of Atlantic Beach R8667
st )
DESCRIPTION ACCOUNT QTY I PAID
PermitTRAK $81.50
FNCE19-0038 Address: 1732 ATLANTIC BEACH DR APN: 169505 1675 $81.50
BUILDING $35.00
FENCE 455-0000-322-1000 0 $35.00
BUILDING PLAN REVIEW $17.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8667 $81.50
Date Paid:Thursday, April 04, 2019
Paid By: SUPERIOR FENCE AND RAIL OF NFL
Cashier: CT
Pay Method: CHECK 231
Printed:Thursday,April 04,2019 12:24 PM 1 of 1 of
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