1611 W Linkside Dr FNCE19-0043 6' %- FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0043
800 SEMINOLE ROAD ISSUED:4/18/2019EXPIRES: 10/15/2019
' ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
• ' • • ' • • • 1 • • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF
NOTICE:In addition to the requirements of this permit,there maybe 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:
1611 W LINKSIDE DR FENCE WALL OR BARRIER FENCE 6' FENCE $400.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172374 6300 SELVA LINKSIDE UNIT 02
COMPANY: rr •
KENNYBUILT WELDING 1823 E HOLLY OAKS LAKE RD JACKSONVILLE FL 32225
SERVICES
• ADDRESS:
GILLESPY SUSAN 1611 LINKSIDE DR W ATLANTIC BEACH FL 32233-7318
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 . .
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 constr
J PUBLIC WORKS ROLLOFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
L.Container cannot be placed on City right-of-way.
Issued Date:4/18/2019 1 of 2
' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-00431
800 SEMINOLE ROAD ISSUED:4/18/2019
ATLANTIC BEACH,FL 32233 EXPIRES: 10/15/2019
3 PUBLICWORKS RIGHT OF WAY RESTORATION INFORMATIONAL
storation,:
4 PUBUC WORKS FENCING REMOVED INFORMATIONAL
w.,
es:
old fencing must be removed from job site by Contractor.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
BUILDING PIAN CHECK 4550000-3221001 0 $17,50
FENCE 455 W00-3224000 0 $3500
PW REVIEW BUILDING MOD OR ROW 001-00003294004 0 $25.00
STATE DBPR SURCHARGE 455-0000 208 0200 0 $2.00
STATE DCA SURCHARGE 455-BOOP208-0600 0 $2.00
TOTAL:$81.50
Issued Date:4/18/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
n Building Department (To be assigned by the Building Department.)
n 800 Seminole Road {--N r C p I _!,x„)[.t 4-3
Atlantic Beach, Florida 32233-5445 11�- 1 I (
Phone(904)2475826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hdp://www.coab.us
APPLICATION REVIEW(�AND jTRACKING FORM
Property Address: ��l LIN tCSL fJ fZ-V V Dertment review required Yes No
f� adding
Applicant: �\C N IV IJ OI L UjCnj DJ Qd mng&Zoning
.{� Tree mi`n3tMtOT
Project: C" C.ti`1L' rc tc or _�
ublic the
Public Safety
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
Florida Dept.of Transportation
St.Johns River Water Management District
Arany Corps of Engineers �^ {�
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied. F<t applicable
(Circle one.) Comments:
BUILDING /J q
PLANNING&ZONING Reviewed by:
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 D&1912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building DepartmenO
800 Seminole Road �—N r � 1 19 _�)n4-()n4-3Atlantic Beach,Flonda 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: buildingdept@wab.us Date routed:
Cityweb-site'. hdp:PM .coab.us
APPLICATION REVIEW(�ANDI1TRACKING FORM
Property Address: Lw KSt06 QR.-VV De arim trevlewre ulred Yes No
(� wilding
Applicant: I�C—.IV IU � oll ning&Zoning
(_. Tree mim
r"
Project: G/D(✓c—_ Ic o
ubllc I I le
Public Safety
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 ,(
Florida Dept.of Transportation J\
St.Jahns River Water Management Distinct
Army Corps of Engineers ��^^ 0
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tabs=
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. ❑Denied. []Notapplicable
(Circle one.) Comments:
BUILDING ,��Q7
PLANNING &ZONING Reviewed by: //L_ 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 05/1912017
cuw City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road FN(' C 1_'1_'L-W4-3 Atlantic Beach,Florida 32233-5"5l ( A J`i
Phone(904)247-5826 Fax(904)247-5845
u;tlu'' E-mail: buildingdept@coab.us Data routed:
City web-site: h1ftp:/1www.coab.us
APPLICATION REVIEW(�ANI ,D�TRACKING FORM
Property Address: Ltti 4J(2—VV' De rtmenIt review required Ye No
j� ++ '' ,,,, wilding
Applicant: i{cz � L)I L Luc— ning &Zoning
/� Tree mins
Project: FE/�C�, is or
ublic D D ie
Public Safety
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
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers q 0CCC
Division of Hotels and Restaurants (1 V�(�
Division of Alcoholic Beverages and Tobacco �J
Other:
APPLICATION STATUS
Reviewing Department First Review: PTApiprmd. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDIN
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 0511912017
t 1 City of Atlantic Beach + y. �?�+y� APPLICATION NUMBER
Building Department �fo be assigned by the Building Department.)
+ .1800 Seminole Road A. 1, (r�{ 2M
1 Atlantic Beach,Florida 32233-5445 73`f
Phone(904)247-5826 Fax(904)247-5845
.•J;iw E-mail: building-dept@coab.us Date routed:
City web-site: http'.1/www.coab us
APPLICATION 11REVIEW
(�AND
��TRACKING FORM
PI_l
Property Address: ` NlC$lpF, Qf2- V V De artment review re uired Yes No
/ fJ�� ii II uilding
Applicant: I\C N iVy/ I,� UI (. f l�C—.t �tlx� rang &Zoning
Treear`nmisrre
Project: {"" G CE '-Pubt�c or
ublic iiia
Public Safety
Fire Services
Review fee $ Dept Signature
or Receip[ Date
Other Agency Review or Permit Required Review
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation U "
St.Johns River Water Management District
Any 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 bye! ate:
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 05119/2017
Building Permit Application Updated 10,9,1E
City of Atlantic Beach Building Department '*ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
F urt"
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 1W Uok-tlJE OL.W . Permit Number: TNCE.I -1 '00(4-5
Legal Description Looio Ve 6; tC'vo n-.2 Ridt
Valuation of Work(Replacement Cost)$ 4"
Heated/Cooled SIF
o�L9iwtful ele t
• Classof Work: ONew OAddition DAlteration jAepair OMove DDemo OPool OWindow/Door
• Use ofexisting/proposedstructure(s): ❑Commercial lResidential APA - 3 2019
• If an existing structure,is afire sprinkler system installed?: Oyes $No
• Will trees be removed in association with Proposed proied7 Dyes must submit se ar
Describe in detail the type of work to be performed: ,.
Beach, F f.
>?c«.•�c � R� ptac.� apvfoF . 2o.GE lok't worJqut� tr a-„�c.. r,
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name L, \I, ebyp Address tbll L:Me.iae Vv W
Cityn Vfewa.t.. State�l�Zip 172- ?3 Phone
E-Mail Qtl rA> Aek\C,&Vt`-1
Owner or Ageyynt(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Nameof Company 1404tbv�ll• W+lr}. SUWGeS Qualifying Agent
Address 1'yo7� e JO Op''LC V t 0 V- City 1PK State_�1`Zip 322X5-
Office Phone 9U'k 66,ai $ Job Site Contact Number
State Certification/Registration# E-Mail KW EAyt C tdSO Q,_ to MM L. Lu,9
Architect Name&Phone#
Engineer's Name&Phone# d
Workers Compensation Insurer OR Exempt X Expiration Date aot9
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal lation 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 maybe additional restrictions applicable to this property that maybe found in the public records of this county,and
there maybe 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
RECORDlt4G YOUR JO { OF COMMENCEMENT.
I gnature of Owner Ag [) 1 I (Signature of Contractor)
q
Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before me this 3day of
3at61 by SIT«<, Ll , tlpV�j • NOI by kennE� uwG14 •
i�';F..;4,.,. JENNIFERe0
MYCOMMISSION#GdFNY+.Atur (Notary) aureo
,.. ., RJR 2'a#
EXPIRFS:October2].311X1 MYCOMMIS310Ne 27,- B4
'•E +;S`' ap+am TNa NotaryPugo Untl•^mllen ,.qi��t, EXPIRES:Ocwber2],20]0
p y M;f'-!9p' apam Ndary wbl'c llneemnien
I
]Personally Known OR eti,.•'
[LpPrcduced Identification [ayroduced ldentfication
Type of Identification:FL- e-D^ltUkO W "�T>Al.,(A1e TVPeofldentfiwtion: PL- roWS \•IP.J\y.
MAP SHOWING BOUNDARY SURVEY OF
LOT MW BLOCK AS SHOWN ON MAP OF
JELVA L/Et/
ECFLAT
lS/G1E U•t//T 2
AS RORDED IN FLATBOON 47 PAG6is-IINIIs OF THE CURRENT PUBLIC RECORDS OF WVAL CO., RA.
FOR: r '
NOTE: BEARINGS SHOMM HEREON ARE BASEO ON THE ABOVE MENTIONED PUT
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I HEREBY CERRIN THAT THIS SUNY l PERFORMED UNDER My RESPONSIBLE DIRECTION,MEETS THE M AAAEA LEGEND.
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(PURSUANT TO SECTION.1]OD FLORIDA STATUTESI.AND FURTHER CEAT6v THAT THERE ARE NO VISIBLE ENCROACH
MEATS UPON THE SMELT PROPERTY FMCEPT AS SHOWN ON THIS SUWEv IT—AN
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