586 N Nautical Blvd FNCE19-0061 Replacement FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0061
800 SEMINOLE ROAD ISSUED: 6/10/2019
19' ATLANTIC BEACH. FIL 32233 EXPIRES: 12/7/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
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
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
586 N NAUTICAL BLVD FENCE WALL OR BARRIER FENCE replace fence $4100.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1707030350 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
BEARD DENNIS 586 NAUTICAL BLVD N 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 Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod, is required.
Issued Date: 6/10/2019 1 of 2
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE19-0061
800 SEMINOLE ROAD ISSUED: 6/10/2019
cl ATLANTIC BEACH. FL 32233 EXPIRES: 12/7/2019
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
A 1101
ll Lold fencing must be removed from job site by Contractor.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
FENCE 455-0000-322-1000 0 $35.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
TOTAL: $81.50
Issued Date:6/10/2019 2 of 2
NOTICE OF COMMENCEMENT
Stateof County of 0(-) Vf A Tax Folio No.
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMY-T�T.
Legal Description of property being improved: r,-C,i�e--,o(�P-- 3!�--/,-�f— 17
P
Address of property being improved: Xj d/
General description of improvements: zws--e-
Owner: Tr)i Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: e-,0m+A f("", L4,
Address: I a�O //0�/-I e- -";—, 9� P o Au"Ife Ff 33-3-0-7
Telephone No.:�O� 3 6,0 0 Fax No:
. S4,
Surety(if any) �Ij
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name: 1
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida$tptues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:
Before me thk 61 day of L) in County of Duval,State
Doc#2019119565,OR EIK 18801 Page 26, f Florida,has personally appeared
Number Pages:I -rsonally Known: or
Recorded 05122/2019 10:33 AM, -oduced Identification:
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL :)tary Public:
COUNTY y commission expires::�t
RECORDING $10-00
JENNIFER JOHNSTON
MY COMMISSION#GG 042984
EXPIRES:October 27,2020
Banded Thru Notary Public Undermiterms
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
V -5445 F tJ c E t 47 7:io cfo
Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed'. 's
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (0 Department review required Yes No
OuTiding
Applicant: OW AG�(
re Adminill trator
Project: LO�Ac �-flck_ 54J_�Ib �
(_PuMc�Utiliti�es
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 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
!F Reviewing Department First Review: ,��Pproved. []Denied. []Not applicable
(Circle one.) Comments:
BUILDING
Reviewed Date.
TREE ADMIN. Second Review: DApproved as revised: []Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ElDenied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application Updated 101.9118
City of Atlantic Beach Building Department
"ALL INFORMATION
HIGHLIGHTED IN GRAY
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Build ing-Dept@coab.us F C IS REQUIRED.
Job Address: A) Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost) % 0 0 Heated/Cooled SF 0
• ClassofWork: ONew DAddition DAIteration ORepair DMove ODemo I OWinclow/Door
• Use of existing/proposed structure(s): DCommercial XResidential MAY 2 2 2019
• If an existing structure,is a fire sprinkler system installed?: ElYes �<No
• Will tree(s)be removed in association with oroposed Proiect? ElYes(mus ree emoval Permit) ONo
Describe in detail the type of work to be performed:
A t t%"J6,V' (,k __T1()"f_
ck&C,_ () 1 y C--- rd�)(J k1*,1-6,k_ _,�f _�e , -
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Naml e To 1.( & -- Address fv,14A(Irld 61411
C I ity d t(,,A Le. State Zip 2 -3 V!;2Ae
Phone
E-Mail
Owner or A ent(If Agent.Pc� r of Attorney or AgenZy�,;�te�f�equirecl)
Contractor Information
Name of C ompany )��'141ui��If�ing Agent
Address (4 i) A,d A 0 A city "e,nu State Zip
lo,
.Qcflce Phone��)2 1 Job Site Contact Number ',0 -3 �A 3
State CertiLcation Registra -i 3�
tiOr�# Q E-Mail
h
Architect Name&Phon 4
P 0
Engineer's Name&Phone
Workers Compensation In urer_ 1�=,8 W&� 3�3q9 11 --Q&Exempto ExpirationDate
Application is hereby made to obtain a permit to do the work and installations as in7ic_at_e?1-.-t�ikthat no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the stanclard-s1rf-alLtte laws regulating
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUN-TBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. 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 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 B
RECORDITJOUR 1,40-TICE COMMENCEMENT.
�i - T 7
-d -jg�� I — — — , _
(SignatuYe ner or Agent) (Signature of Co-nfractor)
Si n affirmedLbefore me Wis c ay of
,1n,ed and swor to(or - --- V,"L igned and sworn to(or affirmed)before me this day of
L
by
JENNllrtK JU111WH3
MycoMMISSION#
EXPIRES:October 27,2020 (S i r Notary) (Signature of Notary)
Banded Thru Notary Public Underwriters
]-Personally Known OR Personally Known OR
[U�Proclucecl Identification Produced Identification
Type of Identification: I Type of Identification:
City of Atlantic Beach ECEIV APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road MAY 3 12019
I Atlantic Beach, Florida 32233-5445 EINJ
Phone(904)247-5826- Fax(904) 845 Le
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
('2�_u�id i ri-g D
Applicant: 6FIan"7�ing &Zo�in_6_�)
Tree ministrator
4mQ
Project: am - -K
QPublic UtMlities
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 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: VApproved. ElDenied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by.-. Date:_,f--
n7
TREE ADMIN. Second Review: [:]Approved as revised. []Denied. []Not applicable
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [JApproved as revised. ODenied. DNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
REVOCA13LE ENCROACHMENT PERMIT
REVOCABLE ENCROACHMENT PERMIT by the City of Atlantic Beach,Florida,a municipal corporation
organized and existing under the laws o the St t f Florida,hereinafter referred to as"CITY"and
Z) I..L ,=�o of Atlantic Beach,Florida,hereinafter
referred to as"USER". I
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the
property for the purpose as described in the City of Atlantic Beach.
This work is generally described as u2—
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirt (30) days' notice by CITY to USER, id ti t USER shall b mail,
y sai no ic ,o e given by c
return receipt requested,to the following address A —k7
• In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described property of the CITY, the USER shall replace at the USER's sole expense, any and all
material necessarily displaced during the action of maintaining, repairing, operating, replacing or adding to of the
utilities and facilities of the CITY or franchise utility provider.
• The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY,including City Code Section 19-7(h)
which states"Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks."
• The USER,prior to making any changes from the approved plans and/or method,must obtain written approval from
the City of Atlantic Beach Public Works Department,for said change within 30 days after the day of completion.
• This permit shall inure to the benefit of,and be binding upon,the USER and their respective successors and assigns.
• USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications,to include utilities locate requirements and use limitations/requirements of public right-of-ways and
other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by
the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby
assumed by the USER.
Uf� Date—
Property Owne//Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this (pe� dayof_ kro-, —,20
I
by LX Vt lblk� who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
— (:� AIV�;�--
Signature o�ja�!Yjblic, State of Florida Approved/Public Works Department:
Personally Known
Produced Identification(Type)
JENNIFER JOHNSTON Scott Williams,Public Works Director
M 0 ISS #
y COMMISSION#GG 042984
I S Oct. r 0 0
76.2 2
EXPIRES:October 27,2020
t.,�P. 1. d., t,.
,e Bonded Tlhvr.Notarf=Public Underwiters
I _� APPLICATION NUMBER
< City of Atlantic Beach
<;,, Building Department (To be assigned by the Building Department.)
�16
800 Seminole Road
-5445
Atlantic Beach, Florida 32233 F'IJ c E,I Iq
Phone(904)247-5826 - Fax(904)247-5845 - (a t,I
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Y No
�=11 --7!57 —7
Applicant: (Pli-n—ning &Zoning
e minis rator
Project: C 5.0
(Lublic Utilities_)
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 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: ElApproved. ElDenied. E]Not applicable
(Circle one.) Comments: /t/0 C,-
000_�_
PLANNING &ZONING Reviewed by: Date: 6-z/-dom
TREE ADMIN. Second Review: FlApproved as revised. DIDenied.V ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [:]Approved as revised. [:]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05119/2017
'.0 VJ-11 City of Atlantic Beach APPLICATION NUMBER
1.ON Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 FtJ Elt iq cto
Phone(904)247-5826 - Fax(904)247-5845 Wfh
Date routed: s
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address: IJ 0 dili—din-9 _�)
CPI'anning &Zonin6 )
Applicant:
Tre Administrator
&�Es
Project:
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 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: FlApproved. []Denied. applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN.
Second Review: []Approved as revised. ElDenied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
MAP SHOWING SURVEY OF
LOT-z!�-B LOCK AS SHOWN ON MAP OF
AS RECORDED IN PLAT BOOK 4��a"�OF PUBLIC RECORDS OF DUVAL CO.. FLA.
FOR
�gINEER'S ;ZIWE
This is to certlX mat I hnve examined the F. I.A. official flood ha7ard map
and found the sub ect property is, not in an area having special flood
ha2ards.
L
AIX ZI 7-/ C,4 Z VO. //0,4? 7-/-/
COMMUNITY DEVELOPMENT
APPROVED
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