171 Club Dr FNCE19-0053 Replace 6' FENCE WALL OR BARRIER PERMIIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0053
ISSUED: 516/2019
800 SEMINOLE ROAD EXPIRES: 11/2/2019
ATLANTIC BEACH, FIE 32233
ALL WORK MUST CONFORM TO TAF
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
a ble to this roperty
from 0
st"ctoms a Ppc�dthperqper
NOTICE: in additi In to the requirements of this permit,there may be additional restrictions applicab a to thi p
onto
0 a to red from other
t t may I, i I bl' d I this county and there may be additional permits requir
that may be found in t e pu k:recor s o I
BUT er.1 agencies
g g, trimil t'tes
overnmental entities such as water manage ment districts,state agencies,or federal agencies.
agiam
$2000.00
171 CLUB DR FENCE WALL OR BARRIER FENCE replace 6-ft. fence
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1702460020 ATLANTIC BEACH
COMPANY: - ADDRESS: CITY: STATE ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
HUGHES BRIAN P ET AL C/O HEEDE DAG 0 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
Notes:
All runoff must remain on-site during construction.
2 UBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
pull off cimtoine,company must be on city approved list(Advanced Disposal,Realco Recycling,Shapalls,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers,)Dog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation), Container cannot be placed on City right-cf-my,
3 UBLICWORIKS RIG ITT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
issued Date:5/6/2019 1 of 2
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0053
ISSUED: 5/6/2019
800 SEMINOLE ROAD EXPIRES: 11/2/2019
ATLANTIC BEACH. FIL 32233
4 PUBLICWORKS FENCING REMOVED INFORMATIONAL
poved from job site by contractor.
FEES
DESCRIPTI �11..- ---...
BUILDING Pl.AN CHECK 455 0000 322 1001 0
FENCE 455- C-322-100) 0
PW REVIEW BUILDING MOD OR ROW Col-0000-329-1004 0
STATE DBPR SURCHARGE 455-(CCG20&-0700 a
STATE DCA SURCHARGE 455�208—
issued Date: 5/6/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Allardic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@ooab.us Date routed �fbr'
City eb-site h9p/Avvm coato us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Lk Z%,,Iment review reguired Yes No
Applicant: I>J _E=Tgizonin4)
Tree Administrator
Project: _ If 14up- Pu_brcWo_rk`s�5
Public Utilitie_s .)
Public Safety
Fire Services
Review fee $ Dept�S_WoLufe
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: �<pprovecl. ElDenied. E]Not applicable
(Circle one.) Comments:
Gi��
PLANNING &ZONING Reviewed by: /"J!!:: Date: 5:y-C?01?
TREEADMIN.
Second Review: EJApproved as revised. E313enied. [:]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:-
FIRE SERVICES Third Review: E]Approved as revised, E]Denied. E]Not applicable
Comments:
Reviewed by: Date
Revised 0511912017
- - ilding Permit Application Updated 1019118
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Build i ng-Dept2coab.us IS REQUIRED.
Job Address: k-(ZA9DL1f92kA PermitNumber: V'OC-C—Iq -0 os�3
t?AC RE# 1-702-46 -WZZ
Legal Description 141-2-'�-211540"PE l" ble "lft-53r'
Valuation of Work(Replacement Cost)$ 15000 Heated/Cooled SF---47-� -,.T-Non-Heated/Cooled_
. ClassofWork: CINew ClAddition ElAfteratmn pd-par ElMove 13Dem �&ol [:]Window/Door
. Use of exisfing/proposed strudure(s): [TCommercial olikesidential APR 2 1 2019
. If an existing structure,is afire sprinkler system installed?: 11Yes [IN. k4
i be remoUed in association wit i o ect7 QYes(must subUtt s�,at?Tree Removal Permit 0
i .."T"
"�6�J
to `
d. Kcrwej-3 ;;e�, 0r F670�C - A-MXT
ibe in detail the type of work to be performe
ST-jr4& F&V C6-, pot,,,< F� X Rinz
,,nap F&VCC 6 Or' T LL-
for multiple products use productapproval form
Florida Product Approval
Property Owner Information
Name,�.l Iftl-'%'11 Address I L46 Pltl(04-
State �,p Phone
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Kequired)
Contractor information
Name of Company Qualifying Agent
Addres City_State Zip-
Office Phone Job Site Contact Number
State Certification/Reglistration 4_E-Mail
Architect Name&Phone#
Engineer's Name&Phone# ORExempto ExpirationDate-
Workers Compensation Insurer
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 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 IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
I EMENT.
REC(ADINGY IrNli TICEOFCOMMENC
(Signature of Contractor)
(signaturV at ownerar�L) d of
Signed and sworn to(or affirmed)before methis a4day of Signed and sworn to(or affirmed)before me this_ aY
mfil, �,C`ktl by 6ric4\ tA'AL-AV, by
JENNIFERJOH ure of Notary) JSIgnature of Notaryl
F,pjRES Ottox,27,N20
Personally Known OR
I Produced Identification
K,]PProdured Identificat, n Type of Identification:
Typ�cifldenttficatitn: R� 1�4,JL�s Vunsil`
City of Atlantic Beach r- APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
.ts'
800 Seminole Road 01 Z)
Atlantic Beach, Florida 32233-5445 _ELJ_�_0(�E
P hone(904)247-5826 Fax(904)247-',845 Date routed: q lc)�-
E-mail: building-dept@coab.us
Cityweb-sito: httip1t�coala.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1-�iI C'k Lt De artment review required Yes No
Applicant: DLJ INL_�/ plan D
Tree Administrator
Project: PU blic rks
PU Utilities
Public Safety
cFireSeNices
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.�f-Envimnmental Protection
Florida Dept.of Transportation -
St.Johns RiverWater Management District
M.y Corp.-.fEngn--
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: EO(pproved. E]Denied. DNot applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed b Date:
TREEADMiN. Second Review. E]Approved as revised. E]Denied. Ohlot applicable
PUBUCWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:-
FIRE SERVICES Third Review: _]N
]Approved as revised. E]Denied. F of applicable
Comments:
Reviewed by: Date:-
Revised 06111912017
"J, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 FPLL(cl S
Phone(904)247-5826 Fax(904)247-5845
-mail: building dept@coab.us
E Date routed:
City web-site: httir/Neetv,.coath us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1�:h CALkici 04 D tment review required Yes No
(ZMnr�g
Applicant: 0iJ NL-4 :P.1annng-9-2onin�>
Tree Administrator
Project: Puthl
Public_Wtifit_ies.�
Public Safety
Fire Services
Review fee $ Dept Signature
Rev's
Other Agency Review or Permit Required 0 , v! ty Date
If Pe emi
Florida Dept.of Environmental Protection
Flonda Dei of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tabs=
Other:
APPLICATION STATUS
Reviewing Department First Review: d. DDenied. E]Not applicable
(Circle one.) Comments: �Ppr
BUILDING
PLANNING&ZONING Reviewed by:,,t�_'111�_ Date:
E—(—
TREE ADMI.N. Second Review: E]Approved as revised. E]Denied E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 0611912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building[)apartment.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 F/J(Lfcl -00�3
Phone(904)247-5826 Fax(904)247-5845
J OF E-mail: building-dept@coab.us Date routed:
City web-site: http//www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 't DErment review required Yes No
Applicant: DLJ N__1 Plarmirti
Tree Administrator
Project: ioc� Public�W.rks
Public Utilifiel-.7
Public Safety
Fire SeNices
LL.
cz Review fee $ Dept Signature
E
V Revi.ew
Other Agency Review or Permit Required ii
of Pe B Date
W Florida Dept.of Environmental Protection
0 Florida Dept.of Transportation
St Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division ofAlcolholic Beverages and Tobacco
Other:
APPLICAMN STATUS
Reviewing Department First Review: E�4pnoved. ElDenied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by —Date: r-40-17
TREEADMIN.
Second Review: ElApproved as revise ElDented. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date
FIRE SERVICES Third Review: E]Approved as revised. DDenied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 0511912017
1 .1 - I CURRENT PUtILIL KLQUKI" ` '--- TO TW�
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