347 Skate Rd FNCE19-0055 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0055
ISSUED: 5/14/2019
800 SEMINOLE ROAD EXPIRES: 11/10/2019
ATLANTIC BEACH. FL 32233
ALL WORK MUST CONFORM TO TAh L. 'jw�-�-Am�lvvj 1006
111���§Y_ws �@Vvj
CODE, NEC, IPIMC, 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
r ma
that may be fouri the public records of this county,and there may be addritional permits required from other
Y
age des
g.v mind tl t. es C ter did gend t , trcts,�tat agencies,orfederal agencies.
Fge en entities such aswater management districts,statey
overnmental �_s �s
1113MINIIIIIIII
347 SKATE RD FENCE WALL OR BARRIER FENCE FENCE $500.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ROYAL PALMS UNIT
1716750000 02A3.00
- ZIP:
COMPANY- ADDRESS: CITY: STATE:
OWNER: ADDRESS: CITY: STATE: ZIP:
BRADSHAW JOHN DAVID 347 SKATE RD 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.
LISTOF CONDITIONS
9 Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
I UBLIC
Notes:
All runoff must remain on-site during construction.
2
;; JBILIC WORKS ROLL OFF CONTAINER INFORMATIONAL
�Not.,:
Rol�,off container compary must be or city approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phi ips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste CuIP01ati0n) Container cannot be placed on City righI
Issued Date:5/14/2019 1of2
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0055
ISSUED: 5/14/2019
800 SEMINOLE ROAD EXPIRES: 11/10/2019
ATLANTIC BEACH.FL 32233
RIGHT OF WAY RESTO ION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,Is required. IN
4 PUBLIC WORKS FENCING REMOVED
Notes:
All old fencing must be removed from job site by Contractor.
FEES
DESCRIPTION PAID AMOUNT
BUILDING P�N CHECK 45S 0000 322 1001 0 $17.50
FENCE 455 COOR-322-1000 0 S35.00
PW RNIEW=BUIWING MOD OR ROW OIDB�329-1(104 0 $25.00
STATEDBPRSUROHARI 455�208-0700 0 $2,W
STATE EGA SURCHARGE 455-0000-101'-0600 0 $2.001
TOTAL:$81.501
issued Date:5/14/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road — CSLS
Atlantic Beach, Florida 32233�5445
Phone(904)247-5626 Fax(904)247-5845 Date rouled: t
E-mail: building-dept@coalbus
cityweb-site: http://�.coab.us
APPLICATION REVIEW AND TRACKING FORM
De artment review re tilted Ye NO
Property Address: 2AJ S V �� I
nnin onin
Applicant: Tree Administrator
ublic 0
Project: u ic i itie
Public Safety
Fire Services
WT
Review fee Dept Signature
0 �m
ther Agency Review or Permit Required Review or Receipt Date
of Permit Verified 8
Florida Dept.of Environmen I tection
Florida Dept of Transportaflon
St.Johns Riverwater Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
APPLICATION STATUS
rReviewing Department First Review: N6piprovecl. E]Denied. E]Notapplicable
ev'
(Circle one.) Comments:
(E��
PLANNING&ZONING Reviewed by; Data:
TREE ADMIN. Second Review:. E]Approved as revised. E]Denied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PU13LIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: E]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:—
Revised OSIIW2017
Building Permit Application OFFICE COPY Urdl 10/9/18
City of Atlantic Beach Building Department '*ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-DeptiOcciab-Lis IS REQUIRED.
Job Address! 34:1 $j<A/jf, LW,j,6- '57,7,33' Permit hlumber: Flf,,�c-&-j cjN - 00 Z�S
Legal Description re+1Ze RE# 171 &7s�- 0 00 6
Valuation of Work(Replacement Cost)$ 1�00 -01�, Heated/Cooled SF_Non-Heated/Cooled_
• ClassofWork: EINew OAddition DAlteration EIRepar OMove CJDemo OPool 0WIndow/Door
• Use of existing/proposed structures): OCommercial OResidential
• If an existing structure,is a fire sprinkler system installed?: OYes ONo
• Will treefs)be removed in association with proposed prolect?1TYes(must submit separate Tree Remov. Penn,It 0
Del be In detail the type of work to be performed- S vi 0 - rV",V-:e-
Len&, rqla��M&q-� OA&I op� — L,)�ate- ��V_ I
Florida Product Approval if,for multiple products use product approval form
Property Owner Information
Nam r �, lrl��) Address ILI 5-7 Sil
city kkn5t tate-FL-Zip Phone
st
E-Maill ri 61"D
Owner or Agent(if Agent,Power of Attorne or Agency Letter Required)
ContraCtor Information
NameofCompany QualifyingAgent il,'r
Address city 1�- tfi
r-1
Office &1-/u Job Site Contact Number,
State CerVification?Registration# j5jQQ61 5 E-Mail il r
Architect Name&Phone A,
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt IL Expiration Date 0-
Application is hereby madeto obtain a permit to dothework and installations as indicated.I certify that no work or mstMan has
I the laws r,
9.ta,ng
commenced prior to the issuance of a permit and that all work will be performed to meet the standards ofall trw F � I
construction in this Jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
TO
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements. t is Ll
permit,there may be additional restrictions applimbleto this properrythat maybefound in the public records ofthis county, and
there may be additional permits required from other governmental entities such as water management districts,state a.gencles,or W
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 ORAN ATTORNEY BE RE
RECORD�NG YOU OT CE OF COMMENCEMEN
,-6 (Signature of Owner or Agent) Signature of Contractor)
nedandswornto ra r I befor I a of Signed and sworn to(or affir d)before me this '�� day of
b T\�S24 -L-Vc, by
1 atu N I #FF 925374
ExpliesFabrunry7,2020
N� TONI GNELESPERGER
A MyCOMMMION#FFQ495I Personally Known OR
mig
-7-'7 -Q 52 --7^cZType of Identification:
61ftffkanuw� [4 Produced Identification
ype of]dent! on.
'*AUL INFORMATION
Owner Builder Affidavit HIGHLIGHTED IN
City of Atlantic Beach Building Department CRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:-
1. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART I"CONISTRUCTION CONTRACTING"REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
big:-:LISLIRE5110EM-111 jDit i s_i,,n3r. �189 !C_[ �), FL_1RIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE RY LICENSED CONTRACTORS. YOUHAVEAPPLIED
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.
YOUNIUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU 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 WI I HIN UNL YM Ar I ER 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 D I nimr rnnFS AND ZONING REGULATIONS.
PLOYED BY YOU HAVE LICENSES
unrn ny qTATF I AW AND BYCOUNTY OR MUNILIVALLKEKMMMM�_!
It. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
Ill. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULDALSO OBSERVE IRSWITHHOLDING
TAXAND/OR FORM 1099 REQUIREMENTSON THEWORKERSTHEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY;UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDERANY CIRCUMSTANCES.OWNERS BEING SUBJECT
TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(l). AN-OCCUPATIONAL LICENSE"IS NOTADEQUATE. 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-DEPTIRCOAB,US) IF IN DOUBT.
V. ACKNOWLEDGEMENT,I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: vel qx�l &!�&a � p4l."k;t� %,Acl" Ft. san'k
OwnerName I;l1ydS\I3A0 Phone Number: I k 9- R01 - q191
Mailing Address:_W %kAtl to, City: Fq�&A', State: zip: 'IR2,91
Notarized Signature ofOwner /,,/
The nt was acknowledged before ell —4�,d ��a 20a in the State of Florida, County
an 's
Signature of N Lary Public
Personally Known OR Produced Identification
Type of Identification:
updMd10124118
a E71
951
�T� 019
TE"
FOUND 1/2-
IRON PIPE
NO. I.D. 4,�pro—
LOT 6
BLOCK 24
PENCE CMER SET 1/2-
PENCE CORNER .0-2', IRON R
0.7. t482.43,58-E s- LB#78903D LOT 19
OF PROPER, 93.06(p) BLOCK 24
FOUND 1/2 UNE
IRON PIPE
306 FeNQ —
'4' LOT 7 25
BLOCK 24 -1
C�a
LOT 18
(D BLOCK 24
RESIDONCE
#347
0
0 2�6
0 PENCE CORNER
�o
-0 is.d M
SET 1/2-
RON ROD
N82-43'WE 0#7893
30.6 SET 1/27 93.0d(f)
]RON ROD
PENCE LB#7893
LOT B
D.w: BLOCK 24
CROSSING OVER THE PROPERTY
UNE ON THE WESTERLY SIDE OF LOT
THERE ARE FENCES NEAR THE BOUNDARY
Of THE PROPERTY AND MOSS INTO THE
5- EASEMENT AT REAR OF PROPERTY.
BLOCK 25' D.R,L— 25' BUILDING RESTRICTION UNE
CORNER
PAGE 2 OF 2 PAGES
BOUNDARYSURVEY LB#7893
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FACSIMILE (561)�76
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STATENDEFACSIMILE (M)741�78
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building[)apartment.)
800 Seminole Road
F (9 SS
Aflantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date muted:
G'tyweb-site: htm:[M�Ccaous
APPLICATION REVIEW AND TRACKING FORM
Property Addre
as: A-7 De rtment review re uIre YesTNo]
Applicant: (:EEn_�mnom
IL
Tree Administrator
Project: rc=QC�'C-- -Rub�icilitieL>
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or eceipt Date
of Permit Verified By
Flodda Dept of Environmental Protection
Florida Dept.offransportation
St.Johns RiverWater Management District
Any Corps of Engineers
Division of H Dials and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ',�Approved. ElDenied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:A�'000�0 Date:
TREE ADMIN. Second Review: E]Appmved as revised. E]Den�ied. F]Not applicable
PUB LICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:__ Date:-
FIRE SERVICES Third Review: DApproved as revised. E]Denied. E]Not appli�ble
Comments:
Reviewed by: Date:
ReAsed W1912017
Broedell, Brian
From: s.bradshaw6574@gmail.com
Sent: Monday, May 06,2019 11:15 AM
To: Broedell, Brian
Cc: quality-constructionl4@yahoo.com
Subject: Re: Fence Permit-347 Skate Rd
Good morning Brian,
That is correct.The fence will taper down to 4 feet before getting 20 feet from front lot line.
Thank you,
Sarah
Sent from my!Phone
On May 6,2019,at 10:35 AM, Broedell, Brian<to��wrote:
Good morning,
Regarding the fence permit at 347 Skate Road,can you confirm that the fence will be no taller than 4
feet within 20 feet of the front lot line(the front yard)?
Thank you,
Brian Broedell
Planner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904)247-5822
tibroedell(Eicciab,us
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road F_IN�ay= (9 Ss
Atlantic Beach, Florida 32233-5445
Phone(9D4)247-5826 Fax(934)247-5B45 Dat ited:
E-mail: building-dept@wab.us
cityweb-site hip:/N�Wcoalb,us
APPLICATION REVIEW AND TRACKING FORM
SS: '7N K �,T eparument review
Property Addre N D uIr Yes 0]
ublic o
-PuFicThXitiej�)
Public Safety
Fire Services
Applicant: (:Pra�nnin
q onin
Tree Administrator
Project: r_C_:7tSpC�_C_.
Review or ecei Date
Other Agency Review or Permit Required of Permit Verifiedi'By
Florida Dept.of Environmental Protection
Florida DepL of Transportation
St.Johns River water Management District
_�_.y Corp.of-Engm...
Division of Hotels and Restaurants
!vision of Alcoholic Beverages and Tobacco
APPLICATION STATUS
Reviewing Department First Review: ElApproved. ElDenied.. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by % Date: -f-- 7-17
TREEADMIN.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:-
FIRE SERVICES Third Review: E]Approved as revised. ElDenied. []Ncrt applicable
Comments:
Reviewed by: Date:-
Revised 0511912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlanfic Beach,Florid.32233Z445 Ss
Phone(904)247-5826 Fu(904)247-584 6 2019 Da muted: 1z
CJP'!"")_1 E-mail: building-dept@wab.usus
City web-site: hits 1/www.coalb. L
BY:
APPLICATION REVIEW AND TR CKING FORM
Property Address:S4-7 !Z� De artmerkrevIewre uIred Yes No
Applicant: uL &rc� nrun 051
Tree Administrator
Project: rC_'rSD(�_C__ ublic o
u C I is
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 Protecbon
Florida Dept.of Transportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Bewrages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: &�(Pproved. E]Demed. E]Not applicable
(Circle one.) Comments:
W7T
BUILDING
PLANNING&ZONING Reviewed by Date:
TREEADMIN. Second Review: DApproved as revised. ElDenied. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:-
FIRE SERVICES Third Review: E]Approved as revised. _]N pplicable
]Denied. F ota
Comments:
Reviewed by: Date:-
R.Ased 0&1W2017