871 Sherry Dr FNCE19-0058 6' rt '' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0058
n ISSUED: 5/15/2019
800 SEMINOLE ROAD EXPIRES: 11/11/2019
1 o ATLANTIC BEACH. FL 32233
ALL • , • • • . I • I fit
• • • t • • • r . r
K MUST
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 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.
8715HERRY DR FENCE WALL OR BARRIER FENCE 6' FENCE $2400.00
SUBDIVISION:TYPE OF REALESTATE ZONING: BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
169982 0000 ATLANTIC BEACH
Big Jerry's Fencing 12620 Beach Boulevard 43-131 Jacksonville FL 32246
OWNER: ADDRESS:
HOFF TERRI L 871 SHERRY DR ATLANTIC BEACH FL 32233-5449
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
7containerntainer company must be on City approved list. Container cannot be placed on City right-of-way.
PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
st remain on-site during construction.
PUBLICWORKS ROLL OFF CONTAINER INFORMATIONAL
ainer company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
ainers,lDog/Dennis Junk Removal,All American Roll Off,W CA waste Corporationl. Container cannot be placed on City right-of-way.
Issued Date:5/15/2019 102
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0058
SOO SEMINOLE ROAD ISSUED: 5/15/2019
r EXPIRES: 11/11/2019
ATLANTIC BEACH.FL 32233
3 PUBUC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right o W Y'. s a 0 , -d,is requ
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
loldfenging ustbe remond from job site by Contractor.
" pig I ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000.322-1001 0 $1].50
FENCE 455-0000-322-1000 0 $35.00
PW REVIEW BUILDING OR ROW Wo-DOW-3291004 0 $25'00
STATE DBPR SURCHARGE 455-0000208-0100 0 $2'00
2.00
STATE DCA SURCHARGE 455-0000208-0600 0 $.50
TOTAL:$81.50
10 Issued Date: 5/15/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road FtvCE \
/1/1 Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845cz
-7_;�ui`�• E-mail: buildingdept@coah.us Date muted: 1
- - City web-site: Mir//wwv coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (F� I SKe �( De artmerH review re uired Yes o
pp p uildi
Applicant: Planning RZonin
/` ff ^� Tree Administrator
Project: G9 ce m o
Ut"'
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
Anny Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: XP—Proved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
(!FED
PLANNING&ZONING Reviewed by—ni Date: S*�y la'I
TREEADMIN. 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
Building Permit Application OFFICE COPYupdated 10 118
City of Atlantic Beach Building Department "ALL INFORMATION
i
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (j904) 242t7-5826,fEmail:
tBuild
r ina-Deptft�]c�oa�b.us �- I p
Job Address:it SAomf ho, A`TIA+-1+ &oci-, F `;P- err ft Number. l (VC` 7 -0dCP
Legal Description RE# v
Valuation of Work(Replacement Cost)$ Yub Heated/Cooled SIP Non-Heated/Cooled
• Classof Work: ONew OAddition DAlteration []Repair OMove []Demo OPool []Window/Door
• Use of existing/proposed structure(s): OCommercial OResidential
• If an existing structure,is afire sprinkler system installed7: []yes [IN.
• Willtreets, a removed in association with proposed prolect?Oyes(must mit separate Tree Removal Per ❑No
Describe in detail the type of work to be performed:
Florida Product Approval# formultipleproducts use product approval form
Property Owner Information
Name Address n 4n.
City {�l�M _stateFIL Zip .3]-11L3J PhoneCl ,1-)9 26
E-Mail r._.P_e _6Cr e .,..,...: 1 C
Owner or Agent(if Agent,Power of A orney or Agency Letter Required) Nr
Contractor Information
Name of Company 0141 3,ez_,e Qualifying Agent
Address 11� 2: / I City SSA,- State F<-- ZIP_,??2_!t4
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail Or Low 1'slL X22/rl lxorUYr� cn.r`
Architect Name&Phone#
Engineefs Name&Phone#
Workers Compensation Insurer OR Exemptr'Expiration Data 2 t,
Application is hereby made to obtain a permit to do the work and installations as indicated.l certify that no work or installatio as r
commenced prior to the Issuance of a permit and that all work will be performed to meet the standards of all the laws regulaCx$ J Z J"
construction in this jurisdiction.l understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGN�V Z O
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements hl 0
permit,there maybe additional restrictions applicable to this property that maybe found in the public records of this county,O'b FW-
there maybe additional permits required from other governmental entities such as water management districts,state agencies,or.. 0 0 q
federal agencies. q O
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all (j Q
applicable laws regulating construction and zoning. W
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY w
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IFYOU INTEN , ii W`'
ij } c. Eq m
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE t- cu o
RECOR G YO R N TIE C MC3 W
ENCEMEN � V ' w
w
(Signature of er or Agent (Signa eof Cantrac[or) S 2
d and sworn to a d)bef re me his(9 day of Y µ`Teryo1edsand sworn to a r ed of is day of
VLt��� a
re o _ ig 0
TONI GIMESPERGER
W COMMIGSI ON 9 FF 920.951
8ge p EXPIRES:OcKber6,201970Ni GIND1ESPEflGER
•j*"( naapJ6apwla49#Puerc unaammea ./I�f Personally Known OR ?+` MY COMMISSION tFF 924951
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Type? / '�J.71/ro(l���Ayp�of Identification: d` ecraxarnm xolarcpuaB6^aer.•:mn
ORDERED W.
The Law Offices of Rod Schtoth
2187 S Third St _.
Jacksonville Bch, FL 32250
904-372-9351 t a, Z 1 S
beach@rod-law com
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PflOPErtry ADDRESS.B71 SHERRY DRIVE ATUNFIC 961CH,FLOPo)A U231 y SU2 Y NU V E< L1 v 3.2
REM WORK DATE:7/ a REV14-4 ,e,
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t• >;,., City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
BOO Seminole Road I NCE \ _0009
Atlantic Beach, Florida 32233-5"5
� u_ Phone(904ding-d 826 pt@waz(g04)247-5845
�.�i,�; E-mail: building-dept@coab.us Date routed: S
-- Cityweb-site: hftp://w coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � I'�E�t-( De artmetd review re uired Yes No
((�� ( n n uildi
Applicant: RE us� l El�l�� anning ;Zonin%
//`` Tree m
Project: Ca � r�.I� ' is t UiPublic SaFire Servi
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified 13
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobago
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by:!/�'
//��
':m'_=r — Dale: cf
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 091912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
i 800 Seminole Road �NCEI _oOss
Atlantic Beach, Florida 322335445
Phone(904)247-5826 Fax(904)247-5845
E-mail: buildingdept@coab.us Date routed:
City web-site: run//w xoab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: SKEIR-p—tif De artment review re uired Yes No
uildi
Applicant: l � E2R.� anning&Zonin
mimstra
tor
�',�^ Tree
Project: C rVvC�E is Wo
Uti
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
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied. of applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: �✓�—Date: 6-/_O-M�
TREE ADMIN. Second Review: [:]Approved as revise . ❑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. City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
n 800 Seminole Road FNCEI "c�os�
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Far(904)247-5845
_on yF E-mail: building-deptlillicoab.us Date routed: S
Cityweb-site- hftp://www.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I� 1 SKGk2� kLrr` De rtmem review re uired Yes No
uildi
Applicant:
i� Planning &Zonin
Tree . mlmstning
�F/ c o
rator
Project: yC Uti(
Public Safety
Fire Services
JkJ%w fee $
Receipt
Other Agency Review or Permit Required Review or Dateof Permit VerifleciB
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:
APP ICATION STATUS
Reviewing Department First Review: pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONINGDale: i
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. []Nat applicable
Comments:
Reviewed by: Date:
Revised 0511912017