1198 Mayport Rd FNCE19-0064 6' DumpsterV1��. FENCE WALL OR BARRIER PERMIT
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PERMIT NUMBER
FNCE19-0064
ISSUED: 6/28/2019
EXPIRES: 12/25/2019
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:
1198 MAYPORT RD FENCE WALL OR BARRIER FENCE 6' DUMPSTER FENCE $1100.00
170781 0000 ATLANTIC BEACH SEC H
•ADDRESS: CITY: STATE: ZIP:
R & R Fence Services 9083 Kentish Ct Jacksonville FL 32257
•' ■�ADDRESS: ATE: ZIP:
B B MCCORMICK AND 124 CYPRESS LAGOON CT PONTE VEDRA FL 32082
SONS INC BEACH
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 CONDIT11OINS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1
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.
2
PUBLIC WORKS
RIGHT OF WAY RESTORATION
INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
Issued Date: 6/28/2019 1 of 2
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233
3 I PUBLIC WORKS
FENCING REMOVED
PERMIT NUMBER
FNCE19-0064
ISSUED: 6/28/2019
EXPIRES: 12/25/2019
I INFORMATIONAL I
Notes:
All old fencing must be removed from job site by Contractor.
4 1 PUBLIC WORKS I ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
Issued Date: 6/28/2019 2 of 2
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
455-0000-208-0700
0
$2.00
STATE DCA SURCHARGE
455-0000-208-0600
0
$2.00
TOTAL: $81.50
Issued Date: 6/28/2019 2 of 2
�;Sayy� City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 Fax (904) 247-5845
E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
�0i - 06-2
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: i QI (� Y V \��{PO('_�~
Applicant:
Project: ca 0 O fl P ctl E
Review fee $
Department review required Yes No
uildin
,fyrainning & Zoning
reeminis ra.or
u is or
u is Uti i ie
Public Safety
Fire Services
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. ODenied.
❑Not applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by�
c,
Date: 1
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 05/19/2017
rSJ:Lyf City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
"foil E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
-0064
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: C) F
Applicant: 4` R
C
Project: CP V'v C) 0 ip
Review fee $
Department review required Yes No
uildin
anning & Zoning
ree Adminis ra,o .
u is or
u lic Uti i ie
Public Safety
Fire Services
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
Revised 05/19/2017
Reviewing Department
First Review:
roved.
❑Denied.
❑Not applicable
(Circle one.)
Comments:
QBUILDING
PLANNING &ZONING
Reviewed by:
Date: [S"�[7"/�
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 05/19/2017
City of Atlantic Beach ECEIVE
.�� Building Department JUN OS 2019r r� 800 Seminole Road
Atlantic Beach, Florida 32233-544
Phone (904) 247-5826 • Fax (904 -5845
E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
0064
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: C) V&PCV0 o el
Applicant: fC—�
Project:
Review fee $
Department review required Yes No
uildin
anning & Zoning
ree A mirns ra.or
u is or
u lic Uti i ie
Public Safety
Fire Services
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:
E/Pproved.
[]Denied.
❑Not applicable
(Circle one.)
Comments:
BUILDING
.�
PLANNING & ZONING
Reviewed by.
ate: /
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 0 511 9/2 01 7
1
rS�yLy; City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
�' Iy CIE Iq - 006 4
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: C) F) O el
Applicant: R
Project: Cro C V'v 0 0 fl
Review fee $
Department review required Yes No
uildin
anning & Zoning
ree A mims ra or
u is or
u lic Uti i ie
Public Safety
Fire Services
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.Not
applicable
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed by:
Date:
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 05/19/2017
;S=S' Building Permit Application OFFICE COPY Updated 10/9/18
J
City of Atlantic Beach Building Department "ALL INFORMATION
/ 1800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@c3oab.us j� + (�
Job Address: // g� Dmf /fit/Q��C'a c� �2 3 2I5ermit Number: I - �1�_ 0 Dt<��
Legal Description _[� �y i7 -1-S �RE#
Valuation of Work (Replacement Cost) $ //00 . od Heated/Cooled SF Non- Heated/Cooled
• Class of Work: [INew ❑Addition ❑Alteration ❑Repair []Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential
• If an existing structure, is a fire sprinkler system installed?: Dyes ❑No
• Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit []No
Describe in detail the type of work to be performed:
:Z46I&O b' Az6/- tvao1C•, /=e4ee u.�.��I
Florida Product Approval # for multiple products use product approval form
Property Owner Information
Name 13.d /%fe,,'. _ i � 5li7S Address /l4/�i�OrBSS GA.wDDQ 614
City Alte k_ew'A State Zip 320F1 2 Phone ?oy,
E -Mail prow -P.
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Qualifying Agent
Address 9003 ken/i'>rA Cf City .% State %z- Zip 3 z -
Office Phone g& 1Y. 3 `-. 3Zs r Job Site Contact Number 'loy. G a , S'y& B
State Certification/Registration # E -Mail r424 e d.r
Architect Name & Phone #
Engineer's Name & Phone #
Workers Compensation Insurer OR Exempt Expiration Date 0y -a11,,- 2020
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, SIGNSLU
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements o(Jhis
permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, a7d N
there may be additional permits required from other governmental entities such as water management districts, state agenciet'4)cc -J
federal agencies. C U z —
S <60
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with as m H Z
applicable laws regulating construction and zoning. U U C3O
C]
U
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAYO CC c�
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTER N
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE z
R IN YOU O COMMENCEMENT. O w
n Oww
' a cc
ure Owner or Agent) - aYare of Contractor) _h w :3
W UWLU
Signed and sworn to (or affirmed) before me this 6qday of Signed and sworn to (or affirmed) before me this o6 daypf X
20! e-1?iw f /Ncu�- c ice„ t 2- 0/ S b W
(Signature of Notary) (Signature of Notary)
, u wq,�,.
?a1;" ROardo Persaud
►....0 Ri>;tlardo Persautl Commission M FF95901 t
Personal) "N Commission �� Personally Known ��. ,i =
v CommissloR # FF95901I
- - E Ires: February
[ ] Produced Iden " [ J Produced Identificat ' 4 ry 9, 2020
•, k;= Expires: FebrlJary 9, 2020
Type of Identific Type of Identification:
Bonded thru Aaron Notary
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WEST 12TH STREET
(AKA) N r PLAZA (JO' R/W)
S 69047100' E 284.80'
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BOUNDARY SURVEY OF:
PAI£NEW
LOTS I THROUGH 5, BLOCK 46, AND LOTS 1 THROUGH 5, BLOCK 47, AS
�w 'sy ion aA:r - SHOWN ON THE YAP OF SECTION 'H' A7LAN7IC BEACH AS RECORDED IN
PUT BOO'( 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS Of DUVAL
o . rc-an J COUNTY, FLORIDA
C£RT7FMD FOp: JAGUAR BUfLDERS. ANSBAGHIER AND SCHNIDER P.A.; C AND B
NA 17ONAI BANK( COII117NK£AL711 LAND 1771E INSURANCE CO,; BRACE P.
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RECEIVED
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Ewlidina and Zorlr3
ASBUXT W.O. /2002-1074, FB. 856 PG. 2z 03-04-02
LAKE ASBUILT W.O. /2001-5246, FB 833 PG 56, 11-30-01
BUILDING S/0 W.O. 2001-4755, F$. 780 PG.5J 10-18-01
I 1W PROMRrY 910W MREON APPS 10 LK W AM ROW HAZARD ZCwE'�� AS SCNfD FRO1/ ROW
IMURANC E RA 1E MAP, FOR rK ar r Or .IACNS wil, BEACH . FLMDA DA 71D <-17-E9 AA0
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