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615 Aquatic Dr. FNCE19-0037 6' Fence .: FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0037 ISSUED: 4/3/2019 �� 800 SEMINOLE ROAD ir ATLANTIC BEACH. FL 32233 EXPIRES: 9/30/2019 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: 615 AQUATIC DR FENCE WALL OR BARRIER FENCE 6' FENCE $1800.00 TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: , NUMBER: GROUP: 171818 5350 AQUATIC GARDENS COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: KIRTLEY KELLY A 615 AQUATIC DR 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,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. Issued Date:4/3/2019 1 of 2 �S''p FENCE WALL OR BARRIER PERMIT PERMIT NUMBER i =3 CITY OF ATLANTIC BEACH FNCE19-0037 Jr v 800 SEMINOLE ROAD ISSUED: 4/3/2019 i'l-E) ' ATLANTIC BEACH. FL 32233 EXPIRES: 9/30/2019 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 $2.96 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 WORK WITHOUT PERMIT 455-0000-322-1000 0 $145.00 TOTAL: $227.46 Issued Date:4/3/2019 2 of 2 1.u.k. City of Atlantic Beach APPLICATION NUMBER sd Building Department , \ (To be assigned by the Building Department.) r N - 800 Seminole Road C9 FIv cc I Cl - 0037 O 0 37 �r Atlantic Beach, Florida 32233-5445 1 Phone(904)247-5826 • Fax(904)247-5845 rj E-mail: building-dept@coab.us Date routed: 3/ ( C) City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6 \ E5 r\ C o4 II C _D C De•. ment review required Yes No :uildi • Applicant: ran fling &Zonifi Tree Administrator Project: u.lic Work 'ublic Utiliti- 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. ['Denied. Not applicable (Circle one.) Comments: BUILDING 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 05/19/2017 ALL Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED •t'`'���,. HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. c, 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: � C (q 141 •O Revision to Issued Permit OR Corrections to Comments Date:3/ 4 Project Address: 1.-ARD i (C.. x)19 Contractor/Contact Name: °f*V-&L4`1 1Z 2, / Contact Phone: 92'04 6-9 /34— Email: Description of Proposed Revision/Corrections: I _JO1.-Aj0/5e 1 affirm the revision/correction to comments is in usiV6ft e se c (printed name) • Will posed revision/corrections add additional square footage to original submittal? MAR 222019 L�J'No ❑ Yes(additional s.f.to be added: Building�Depalrtment pbuildingoriginC ' � 0 o if F ' Beach, FL • yy.Sprd osed revision/corrections add additional increase in value to I su mi No ❑*Yes(additional increase in building value:$ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Age e (Office Use Only) Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments • De•artment Review Required: Building l• .nning&Zonin: Reviewed By Tr-- ,dministrator Pus lc Works 3-Z — / cr Pu• is a ety Date Fire Services Updated 10/17/18 //J Building Permit Application Updated 10/9/18 ts*- City City of Atlantic Beach Building Department **ALL INFORMATION ');94111r 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY a�rIS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address:_ / /A a:/-7 0/2.. Permit Number: t_m cc l �� C Legal Description t C' CAA-L0— Goa-80.en S L0-{- :Q 1\ RE# 1 7 ( V I E pJ.J Valuation of Work(Replacement Cost)$ / far)•00 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New DAddition ❑Alteration ❑Repair [Wove ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial R4sidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes [3No Ile Describe • Will tree(s)be removed in association with proposed project?❑Yes(must submit separate Tree Removal Permit) Ile Describe in detail the type of work to be performed: Resift L3old 7,'')CA % / 3 C/o fir) Florida Product Approval# for multiple products use product approval form Property ner Informa i.n �j Name Adi1•V/ r/ /-E' Address //6- A G!a- L �p City Aj(r/ i /`�'I- ac '� State -'lam Zip (?Z2 3o PhoA 9 04- f�t / — )/31' E-Mail "Ir/r r'y /O)CLLL.. COrY1 Owner or Agenta Agent,Power4QVA orney or Agency Letter Required) Contractor Information Name of Company Qualifying A t Address City - State Zip Office Phone Job Site Co ct Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ Expiration Date Application is hereby made to obtain a permit to d 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 I YOUR PAYIN 'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO GB IN FINA CI G, NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE E JAI G YO ' ' e ' E OF COMMENCEMENT. Sig X ct (Signature of Ow Agent) (Signature of Contractor) Z I Si �j{l ands y�orn to(or affir ed ,bbefore thi (d y of Signed and sworn to(or affirmed)before me this day of by ' _ 1 ture o o a (Signature of Notary) r'.'eyY TONI GINDLESPERGER R �^ `''' TO e. ,IGER MY COMMISSION#FF 924951 ,�,,, Aa EXPIRES:October 6 2019 f i:= C t t-925951 RFF•41PgS� Qa�I ArAf�YRPRderwriters [ ]Personal)� yn( • • >.r6,2019 ,y;,, ],PgpylII� 'itp 4 _�O / J ProduC tif' fon . c Underwriters Type of Identification: 'K. ��' ( "�7 pe of Id ritifkalforr��': _ a Owner Builder Affidavit **ALL INFORMATION ail HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. ';1,1011r.1 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1"CONSTRUCTION CONTRACTING" REQUIRES OWNER/ BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . III. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE !7 REQUIREMENTS/ FOR THE ISSUANCE OF AN 0 NER-BUILDER PERMIT. Job Address: TT u G V e_ CLI7 a &CLC �L Owner Name: /( /k /rig- Phone Number: 955 (a/3i1 / nxX32-23 3 Mailing Address: Lf� a/ U� City: /f/ • SCState:_ Zip: IP*Notarized Signature of Owner rA U> V The fdregoing instrurkent was acknowledged befo+ e this ,( day o (..1,v 20 ( n the.State of Florida, County of (3UCL, Signature of Notary Public _ CA& [ ] Personally Known OR [ [ Produced Identification Type of Identification: K(03 4- `_-� _) -` - ( 4 _ ,.,.,,�, or___-.., Updated 10/24/18 :° 4DLSPE;E-Rli i'+rYCOMMISSION#F2 951EPRS;Otober20195,nddThruN 'endern e_- �,tz.=� r� City of Atlantic Beach \lJ APPLICATION NUMBER Building Department • (To be assigned by the Building Department.) r 800 Seminole Road J FIv cE (Q _ O 037 Atlantic Beach, Florida 32233-5445 r Phone(904)247-5826 • Fax(904)247-5845 / I E-mail: building-dept@coab.us Date routed: / 1 City web-site: http://www.coab.us !!! ttt APPLICATION REVIEW AND TRACKING FORM j� De. . �ment review required Yes No Property Address: L-7I �_� t 1 ��UL�(( C' ( Q :uildi • Applicant: CEJ (� �`� �(? ' anning &Zonin �' Tree Administrator Project: t- ��1= (443171.6Iic Works" ublic Utility 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: proved. ❑Denied. ['Not applicable (Circle one.) Comments: CUILDIN PLANNING &ZONING Reviewed by: Date:J/)7/)0/7 TREE ADMIN. Second Review: Approved as revised. Denie . ❑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 -,r Revision Request/Correction to Comments **ALL INFORMATION cropittp,,4HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. \ / 800 Seminole Rd, Atlantic Beach, FL 32233N-011 ,, ) / GJ" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I C E fi City of Atlantic Beach APPLICATION NUMBER A Building Department (To be assigned by the Building Department.) 4 800 Seminole Road i=ivCC (9 - 0037 O037 �. . . Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 ' Fax(904)247-5845 3/ .Z i E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 62 \ 3 1A0 I n i? De.. ment review required Yes No uildi Applicant: ( (�} �`} ( ,r? ' anning &Zonin• Tree Administrator Project: C (' lic Works] ublic Utiliti�,s� 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. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: C--" 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 ALL Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED j:�t�'�''%. HIGHLIGHTED IN City of Atlantic Beach Building Department jGRAY IS REQUIRED. Y 800 Seminole Rd, Atlantic Beach, FL 32233 ,.'.0;, lr Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: SIJ C b(q--(3a3 - ,,47 iii Revision to Issued Permit OR Corrections to Comments Date:312-2- 1 i� I V I.`� - r Project Address: � � lam. �� Contractor/Contact Name: Z,C-1� g / le y Contact Phone: �/�� �6? 11. 4— [ '7l/Email: Description of Proposed Revision/Corrections: I .—/vi,-,! A '/I ` affirm the revision/correction to comments is inau\16g sec (printed name() • Will posed revision/corrections add additional square footage to original submittal? MAR 2 2 2019 o ❑ Yes(additional s.f.to be added: ) Building Department • Will rc posed revision/corrections add additional increase in building value to origiin'lsu mif T?}`" each FL eNo ❑*yes(additional increase in building value:$ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Age ,,� (Office Use Only) ❑ Approved ❑ Denied 11+6O1Applicable to Department Permit Fee Due$ Revision/Plan Review Comments De•artment Review Required: Building ' .nning&Zonin:'. Reviewed By Tr—- £dministrator Pu. is Works ligalgilami Pus is a ety Date Fire Services Updated 10/17/18 City of Atlantic Beach APPLICATION NUMBER A Building Department ''04C) (To be assigned by the Building Department.) A h800 Seminole Road t..-0 j� Atlantic Beach, Florida 32233-5445 I w CC- 19 - 0037 Phone(904)247-5826 • Fax(904)247-5845, . I E-mail: building-dept@coab.us Date routed: 3] I C) City web-site: http://www.coab.us 111 APPLICATION REVIEW AND TRACKING FORM Property Address: 6 \ 1 1 Q4- I (' D Q De•artment review required Yes No ':uildi • Applicant: ___CD_ �� ° anning &Zonin• Tree Administrator Project: c (l u lic Works] ublic Utiliti 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. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b 1144"..w._Date:3� 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 Revision Request/Correction to Comments **ALL INFORMATION , ..1,5c,-/,-,,, HIGHLIGHTED IN } ♦4 City of Atlantic Beach Building Department GRAY IS REQUIRED. 7:).4'' } 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: F-W C E(q fxz3—4- Al 44 Revision to Issued Permit OR Corrections to Comments Date:312-2- i i. I Y Project Address: L 1. -.). 1 lcL. Y2)oe Contractor/Contact Name: ..1- 4Z-4.1 -11(47' / it. .. y Contact Phone: Cf!7 ' 6-7 I.//34- Email: Description of Proposed Revision/Corrections: /J,, n I ?,A r� 12ePL�1<--e- M v 1. I Jo�.�! �-��5�'`'� affirm the revision/correction to comments is in us o t'"e •-•�:se. c': . (printed name') • Will posed revision/corrections add additional square footage to original submittal? MAR 2 2 2019 o ❑ Yes(additional s.f.to be added: ) Building Department C.- i fOb ap}ic Beach. FL Wil— o • posed revision/corrections add additional increase in building value to origin su mi No ❑*Yes(additional increase in building value:$ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Age .--�� (Office Use Only) /Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments De•artment Review Required:, / ,�j Building 1)C.CEIVI jee � GZonin Review� l lannmg& g MAR OlTr-- Administrator 2 5 2 P • lc Works iJie/ /f Pu. lc a ety Date Fire Services Updated 10/17/18 71.1..vvvre/ \ ...L. e X ,0.01 /el 941 ei. pv240"-P) )1.1 #n / V-0€, k.,e) T-117vp .3)113:4 COQ AI X X .10c flrith )0'6 • • AQUATIC GARDENS PLAT •BOOK 3g PAGE7IA --A-RESUBDIVISION OF PORTIONS-OF ROYAL PALMS ACRES,P.B.34,PG.92,AND PORTIONS OF THE REPLAT OF PART OF ROYAL PALMS UNIT TWO A, SHEET 2 OF 2 SHEETS P.B.-31',-PGS.16-160,CURRENT PUBLIC RECORDS,TOGETHER,WITH A PART OF THE CASTRO Y FERRER GRANT SEC.38,T,2 S.,R.24 E.,DUVAL CO.,FLORIDA . 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