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211 Beach Ave FNCE19-0045 4' FENCE WALL OR BARRIER PERMIT PERMITNU BER CITY OF ATLANTIC BEACH FNCE19-0045 ISSUED: 5/10/2019 800 SEMINOLE ROAD EXPIRES: 11/6/2019 ATLANTIC BEACH. FIL 32233 ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORWA 131ILTIT;b 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 OT'C t t in hat may be found in the public records of this county,and there may he additional permits required from other g g .. n overnmental entities such as water management districts,state agencies,or federal agencies. CRIPTION; VALUE OF WORK: JOB ADDRESS: PERMIT TYPE: DES - - 211 BEACH AVE FENCE WALL OR BARRIER FENCE 4' FENCE $500.00 BUILDING USE TYPE OF REALESTATE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1701880000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: SIMMONS RICHARD L 211 BEACH AVE ATLANTIC BEACH FL 32233-5214 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 ORAN 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 UBUCWORKS ON SITE RUNOFF Notes: 0 ote 0 I co m r c pany U 51 e on City approvedl is nainer cannot be Placed on City IF gh -of-Wa N ORM AT'ONA' INFORMATIONAL M T'0 N' 0 All,.noff must remain on-site during construction. 2 UBLIC WORKS ROLL OFF CONTA FIER INFORMATIONAL Notes: Zjun Sh. ells'Inc 'embl Se 'ces,D ronv-a'ump�tem, Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc,Republic Services,Donovan DuMpstem, CA Was, Corpo t 0 1 , I erc ot pi 0 C e n _ma n ann be aced n ty n ght of'Y"' Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-oF.y. 3 PUBLICWCRKS RiGHT OF WAY RESTORATION I N"RMATIONAL Notest un Evil right-,if-wayestoration,including sod,is required. Issued Date:5/10/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0045 ISSUED: 5/10/2019 800 SEMINOLE ROAD EXPIRES: 11/6/2019 ATLANTIC BEACH. FL 32233 4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL All old fencing must be removed from job site by Contractor. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PIAN CHECK 455-MM-322 1001 0 $17,50 FENCE 455,1000O-322-1000 0 $35.00 PW REVIEW BUILDING MOD OR ROW DE1,0000,329-10041 0 $25.W STATE DBPR SURCHARGE 455-0000-208-D700 0 $2.00 STATEDCASURCHARGE 45�208-0600 0 $2.00 TOTAL:$81.50 ISSUed Date:5/10/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-51145 Date �,,.te'd 4 �� L E-mail: building-dept@wab.us S City�eb-site hfip:/t�.coalbus APPLICATION REVIEW AND TRACKING FORM Property Address: L�co_clk V, Department review 7required Yes No ui ding ) _ _7 Applicant: #\De;Z- Ian inn oning Tree Aciffi—In—IslWor Project: u Ic I V 1'. f ty .b Be a 1 Fire kSemces kyjqwfee Dept Signature Review or el Date Other Agency Review or Permit Required ofPerm!tV fiedlBy Florida Dept.d—E—n.,.nmentel Protecton Florida Dept.of Transportation --it.Johns RiverWater ManagenneWt—Distnat Any Corp.—.fEngn..- Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: lorpproved. ElDenled. E]Not applicable (Circle one.) Comments: OE9 PLANNING&ZONING Reviewed by: TREE ADMIN. second Review: DApproved as revised. E]DeOWd. []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:— Re�i..d 05/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233,5445 Phone(904)247-5820 Fa>r(904)247-5845 4 /sIL9 E-mail: building-dept@coab.us Date routed! Cityweb-site http://�.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Applicant: CJ ��Ian Zongg T7 ! M _ se . or Qhm M Project: N)ce Public Safety Fire Services Review fee $_ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Flonda Dept.of Environmental Protection Flonda Dept.of Transportation SL Johns River Water Management Disbidt Amy Corps of Engineers Division of Hotels and Restaurants 6 .,On�ot Alcohol,.�Be.rges and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ElApproved. []Denied. ENt applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by, TREEADMIN. Second Review: []Approved as revis6. ElDenied. EINot al�plicable PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. ElDemed. E]Not applicable Comments: Reviewed by: Date: Revised0511912017 4/51 L9 City of Atlantic Beach -=t APPLICATION NUMBER Building Department (To be assigned by the Building Depamment.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Date outed: Phone(904)247-5826 Fax(904)247-5845 IM E mail; building-deptilitc0ab.tis Ctywelb-site: http1Avvw,Coab.Us APPLICATION REVIEW AND TRACKING FORM -�mc,k V, De artment rev Property Address: IL i din law re uIred Yes No lanning Zoning Applicant: CAD KDG12== Tree mini or Project: U I c I ublic Sa ety Fire Services Review fee Dept Signature other Agency Review or Permit Required Re law It Date Of Pvermit=pBy Flonda Dept.of-E,,,nmental Protection Florida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants ivision of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department FirstReview: ._�pprtavad. ElDenled. E]Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviews d by: Date: TREEADMIN. SecondReviiew: []Approvedas revised. E]Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:- FIRE SERVICES Third Review: E]Approved as revised. ElDenied. E]Not applicable Comments: Reviewed by: Date:- Revised 0611912017 City of Atlantic Beach APPLICATION NUMBER Building Department " Jo be assigned by the Building Department.) 800 Seminole Road �7E G -.i Atlantic Beach,Florida 32233-5445 hF&Qar��-Co4s Phone(904)247-5826 Fax(904)247-5fiis APR 0 8 2019 E-mail: building-dept@coab.us 'i � �' Daterouted: 41518— City welb�sfte: hftp:1hvmv.coab.us Ly-.� I APPLICATION REVIEW AND TRACKING FORM Property Address: Department review requir Yes No Eruliding Applicant: Q CAD NDLL?== TI2nnm,.1,I Zonngr A M T Project: ici c'& Public Safety Services Review fee $_ Dept Signature Other Agency Review or Permit Required Review or Recelpt Date of permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns Riverwater managannew District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco F—Other: APPLICATION STATUS Reviewing Department First Review: RfApproved. E]Denied. EJNot applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by.,_4&2XJ ��-4,,-Date: TREEADMIN. ..nd Reenesv []Approved as revised. E]Denied. DNot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Revieived by: Dater— FIRE SERVICES Third Review: DApproved as revised. E]Denied. E]Not applicable Comments: Reviewed by: Date:— Revised 0511912017 updated 1019118 Building Permit Application OFFICE COPY 11ALA City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Del2t@coab.us IS REQUIRED. Job Address:-11( li A,-/,F--P.rrnit N..lder: FNC1—, Legal Description R14 k(Replacement Cast)ZE 0 0� -Heated/Cooled_ Head N lid/Coddlipd SF on Valuation of War • ClassofWork: aev, OAddition OAlteration ORepair OMme ODemo OPOOI E]Window/Door • Use of existmg/proposed structure(s): ClOornmendal OResidential • If an existing structure,is a fire sprinkler system installed?: Dyes ONO • Will tree(s)be removed in association with proposed pro ect?Dyes(must submit separate Tnee Removal Per Describe in detail the type of work to be performed L for multiple products use product approval form Florida Product Approval UJI Q Property Owner Information U Name le k n C-Cl S I M 38n,()"S Address —0 Zip Phone city State E-Mail — x1 n Owner—or Ag or(if Agent,Po er of Attorney or Agency Letter Required) W La 0 to Z Contractor information I a 0 Name of Company Qualifying Agent 0 a Address city State T CI Office Phone Job Site Con t Number W State Certification/Registratican 0_U-Mait cc Architect Name&Phone# Engineei's Name&Phone# W W Workers Compensation Insurer OR Exempt L) Expiration Date — — Application is hereby made to obtain a permit to do e work and installations as indicated.I certify that noworli instw4rlit M0 S'larw C commenced prior to the issuance of a permit and that all Work will be performed to meet the standards of all the laws of s construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING41GNS, M put WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc NOTICE:In addition to the requirenrdrits of this ul permit,there may be additional restrictions applicable to this property that may be found in the public records of this c(Wnty,and IX 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 RECOR .1fIN YOUR NPTICE OF COMMENCEMENT. jl� 12,r7'd (Signature of ntr.ctor) (Sigxrture or uwner or gent) cmd) sworn to(0,affir it) mto(oraffir d)before methisday of to K 1)r �dll fore met i �d �af Signed and swo day. ge .W, 7 Y L a, X f (Signature of Notary) I nato of R Pord.rally Known OR 'I hop I Produced Identification MlYMCP01RE ','Kp1',o Type of Identification: WS6 ka A%1� -Ike v '573- cc' os 5q," 'ab, rP DD Vi QD 9 V, 's I lyl a 13-EvoA -Ra '4 mn APPR`- Ftgzol wis ?nvg--�Zz 4:. ccv4lkF-,'l-- mm BEANNGS a4-'ZD CW LINE AS -VIOM V P-00D HAZWD ZONE Y-' AS SC4LM FROM FLOW �—� FLONDA, DATEV 5u�- 0 SURVEYORS, INC W-1�fWMIF 97nPlnd T9917R fQnAl