1950-1952 Beach Ave FNCE19-0048 Install e
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0048
u
800 SEMINOLE ROAD ISSUED:4/26/2019
pf1�� ATLANTIC BEACH. FL 32233 EXPIRES: 10/23/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONt OF • • • • BUILDING
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF
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.
JOBADDRESS: PERMITTYPE: k • OF • •
1950-52 BEACH AVE FENCE WALL OR BARRIER FENCE install 6-ft.wood fence $1650.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169526 0000 SECTION LAND
COMPANY: ADDRESS:
SUNSET FENCE, INC. 10418 NEW BERLIN ROAD,#106 JACKSONVILLE FL 32226
• ADDRESS: CITY: STATE: ZIP:
CLARK KARIN H 1656 SEA OATS 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 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 Rall Off,WCA Waste Corporation). Container cannot be placed on City dght-of-way.
Issued Date:4/26/2019 1 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445L_ "I
Phone(904) 28 Fax(904))247-5845 I �I
E-mail: building-deingdepl�coab.us Date routed: Ll l5
City web-site: hdpa/www coati.us
APPLICATION REVIEW AND TRACKING FORM oC
Property Address: e(50 ftQ1 AS DeUI Irtment review required Ye o
n
c
Applicant: SLtAut i QfkQ annin &tonin
ry� ,p iAk_,, Tree Administrator
Project: l NS�Ct 11 10 l•— T Z 04 W
211�tic Utilitie
Public Safety
Fire Services
Review fee $ sWr' 'Dept ftflatldl; ' _
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
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: W<PLI�proved. ❑Denied. [—]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: G -It ��za
TREEADMIN. 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 0 91 912 01 7
`t FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
y CITY OF ATLANTIC BEACH FNCE19-0048
.. n 8ISSUED:4/26/2019
005EMINOLE ROAD
urL v' EXPIRES: 10/23/2019
ATLANTIC BEACH. FL 32233
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way reon,Including sod,is required.
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing must be removed fromjob site by Contractor.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
BUILDING PLAN CHECK 455-0000.3221001 0 $17.50
FENCE 455 0000322-1000 0 $35.00
PW REVIEW BUILDING MOD OR ROW 001-000032A1004 0 $35'00
SPATE DBPRSURCHARGE 455-OOOR208-0700 D $2m
STATE DCA SURCHARGE 455-0000200-0600 0 $2'00
TOTAL:$61.50
Issued Date'.4/26/2019 2 oft
City of Atlantic Beach APPLICATION NUMBER
3 Building Department (To be assigned by the Building Department.)
V
8005Be Road
Atlantic ic Beach,Florida 322335445 Y I -1 l
Phone(904)247-5826 Fax(904)247-5845
E-mail: buildingdept@wab.us Data routed:
Chymb-site: httpJAvvnv.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: L IRSa 8ea�h kSewices
nt review re uired Yes No
< c
Applicant: JU„f e r i pma= Treannie
Zonit
ry� 'F
_,, istrator
Project: t o c�G ll (�— 1 t WODA 'G/v
e
y
s
Dept Signature,:
Other Agency Review or Permh RequiredReview or Raceipt Date
of Permit Vedfied B
Florida Dept.of Environmental Protection
Fronds Dept.of Transportation
St.Johns River Water Management Distnct
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ppmved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: 00-r, Date: I I 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 0511912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
801 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 �, -7&2
E-mail: building-depl@coab.us Dale routed:
City vveb-site: http:lhnrvrvi.coab.us
APPLICATION
O.REVIEW AND TRACKING FORM
Property Address: � a90 &rto, AP- Department review required Yes No
nl In
Applicant: c it i enu_ annin &Zonin
fes. ,p i _,,4a Tree Administrator
Project: 1 n,Skca 1( 10- T l L-A)DA
c UtaRi
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Data
of Permit Verified
Florida Dept of Environmental Protection
Florida Dept.of Transportafion
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: ❑Approved. ❑Denied. otapplicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: _ Date:Y_—/
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 0 511 912 01 7
_t.AAr City of Atlantic Beach -I�-�. APPLICATION NUMBER
Building Department {" (To be assigned by the Building Department.)
n 800 Seminole Road �' Lir
s Atlantic Beach, Florida 32233-5445 >. ��
Phone(904)2475826� Fax(904)247-5845 I ? 10 2013
tit pY E-mail: buildingdept@mab.us Date routed'.
City website: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM tK.
Property Address: I ISO ft.0 1 AA Department review re uired Yes No
r ui in
Applicant: annin &tonin
Tree Administrator
Project: l Nsca l� IO- T l LJt�7LC /�
tic Utilitie
Public Safety
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.ofTmnsportadon -
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [4Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by Date: 944=
,. 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 0919/2019
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Building Permit Application
IL OPdotrd 10,9,18
City of Atlantic Beach Building Department "ALL INFORMATION
V 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-58826 Eoab.us 15 REQUIRED.
Job Address: ,/9"50 g.'7 off (7� Permit Number: f /� �9—CD
Legal Description RE#
Valuation of Work(Replacement Cost)$ //,50 Heated/Cooled SF Non-Heated/Cooled
• Classof Work: fXNew OAddition OAiteration ❑Repair OMove ODemo []Pool OWindow/Door
• Use of existing/proposed structure(s): OCommercial 15Residential
%019
• If an existing structure,is a fire sprinkler system installed?: Oyes J$No
• Will tr s removed in association with or000sed orolect? V submit senaraPTr Re valPerm t N
Describe in detail the tvye of work to be performed: N AP-teei 00:7ea lee
/ab�`111�J-
Florida Product Approval# l for multiple products use product approval form
Property O er Inforotation
Name L 2.0 S/o Address
City f iL.. A'c-°L State Zip Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information �n
Nameof Comany /Vzc JCv • Qualifying Agent /
_ ` / 5•'£,
Address S City -�A.�_StateZip_32 Z2 n
Office Phone 2S206,X Job Site Conta«Number
State Certification/Registration# E-Mail /ry40,U 907G tv I D
Architect Name&Phone#
Engineer's Name&Phone# •„
Workers Compensation Insurer I dl OR Exempt D Expiration Date `V
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or insta ion has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws re ating
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING, ti
WELLS, POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirem
permit,there may be additional restrictions applicable to this property that may be found In the public records of this co rX
there may be additional permits required from other governmental entities such as water management districts,state a c ,pL
federal agencleL V U O
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance v*J i 2
applicable laws regulating construction and zoning. 0 0 i
U
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Intl► w i
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU II&BI W
i
TO OBTAIN N CO L H YOUR LENDER OR N AT7 NEY BEFORE W n
RECOR
(signator Owner or ml (Slg tureof Cont ctor) if
ill V
1
Signed and swom to(or affirmed) a oreme this, day of igned nd sworn to Ior affirmed)before me this day of
r� J:I IG by all ROSS j 4 by
reof NIIOR IOHNSTI (Sitatureaf Notary)
fit" "R M1COMMISSI0N#GGe2941
EXPIRES'.Onaber 27,2020 NaUry POEN[SWe W FIanW
I1Personally Known OR ^'.:,'dtlya aondea Tnm NmaN PuEle unEenMcen Known OR JSvbr Davila
My commi GG 130669
ly'Produced ldentificat—, I Producedldentificadon �•,••/ Epir••oOXWO21
Type ofldentifiration: FL Atk,uaType of Identification: