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471 Irex Rd FNCE19-0079 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER FNCE19-0079 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 7/25/2019 9 ATLANTIC BEACH. FIL 32233 EXPIRES: 1/21/2020 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: 471 IREX RD FENCE WALL OR BARRIER FENCE 4 & 6 FENCE $2250.00 TYPE OF REALIESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: ROYAL PALMS UNIT 1714080000 02A3.00 COMPANY: ADDRESS: CITY: STATE: ZIP: DARIVIATA FENCE INC 6950 HYDE GROVE AVE JACKSONVILLE FL 32210 ADDRESS: CITY: STATE: ZIP: FORDPHILLIPS PROPERTIES 1835 3RD ST N JACKSONVILLE FIL 32250 L L C 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 CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 1 PUBLICWORKS 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. Issued Date: 7/25/2019 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER FNCE19-0079 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 7/25/2019 ATILANTIC.IBEACH. FIL 32233 EXPIRES: 1/21/2020 3 PUBLICWORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing must be removed from job site by Contractor. PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. FEES 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: 7/25/2019 2 of 2 4:05 1 al. LTE W), f Done L-17, B-10 (471 IREX ROAD).pdf 7. -77 7 ==-7 7:=::q 7 MAP SHOWING BOUNDARY SURVEY OF: LLI LOT 17, BLOCK 10, REPLAT OF PART OF ROYAL PALMS UNIT 2A, AS RECORDED IN PLAT BOOK C) 31, PAGES 16 THROUGH 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA z U) N SA8ALO DRIVE z 0 N"ppr z 0 0 ca z do 0 C3 uj P Z 0 0 CA 1111�4 (.) _3 LL cn U) cr- 4 != z 0 u- LL 11.f12' 0 uj w a. 133 w 82-43'58"E t La --1 0 w Lu L) u) w uj > w cc 0 VVVL� '.Oco P c" .00 Lol BLOCK —7 I H—b —tffy thtst thl.—y—k.tP,, t.Mk� t.darcht...1 I-h by the Ft&ido fl—d ol Land S—y�*�—t to D U R D E N S-t�472.027 F1.16.St.Wt--d M.O. 11 SURVEYING AND MAPPING. INC.t "7 Flold.A Wlk N.c 1825-8 3RO�IWEEf NORM 'ACk5ONMLLE SEA, CH.FLORIDA 3225-11 (904a 853-�6sn rAx 853-b6215 1 LI Nq-D r4O. 6696 ........................................ mw.oRma vAmmm '".7 LZ jj- B-94731 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road FN)c-c-- o(-D-7 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826- Fax(904)247-5845 Date routed: :z Lc� 9' E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Addrest: 4-71 I--,), Department review required Yes No Ldin C_ I PLaknrh_g &Zonin�j� Applicant: Tree Administrator A�®rks Pro ect: 4 �ijhljc UCi1_itie_s—> __ PublOc—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: APPL�CATION STATUS Reviewing Department First Review: L4provecl. E]Denied. EjNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 00" Date: TREE ADMIN. Second Review:, ElApproved as revised. [-]Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. E]Denied. F]Not applicable Comments: Reviewed by: Date: Revised 0511912017 Building Permit Application Updoted 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 E il: Buil ingtDePt@coa4,os IS REQUIRED. q?/ J�e�( Z -7 C) Job Address: 15d�a?'Permit Number:ri\,�Ce 00 Legal Description RE# Heated/Cooled SF Non-Heated/Cooled Valuation of Work(Replacement Cost)$ • ClassofWork: E]New ElAddition OAlteration EIRepair EIMove E]Demo []Pool E]Window/Door • Use of existing/proposed structure(s): ElCommercial CResidential • If an existing structure, is a fire sprinkler system installed?: E]Yes E]No • Will tree(s)be removed in association with proposed proiect? []Yes(must submit separate.Tree Rkaval ip.�ifl Elk"o; A�q scribe in detail tI)e type of work to be pe&rmed: -C C (Q d_A79— T4 �7_0 C/C yC, Florida Product Approval# for multiple products use product approval form PropertV Owner Information Name T;Cr(2_-C) P4 I I_J_i 19-<) PfL0V&L_TN(' Address -at C) S)a_\j I,-, N--�1,�f city P�T-)—bf-f)cr Aft State zip —Phone 9L-),4 E-Mail rel Owner or Agent(If Agent, Power of Attorney or Agency Letter�equirecl) Contractor Information Qualifying Agent Lli NameofCompany 1i A A U Address Lf /J if I- ' City State Zi 0 Office Phone JL21 52_75-90 3y Job Site Contact Number '73hr-e-ir, - rA State Certification/Registration# E-Mail do cy ci ,mq 75 TET e- Architect Name& Phone# c:. LU U Engineer's Name& Phone# P Z Workers Compensation Insurer Q iJ OR Exempt ii Expiration Date C 0 0 J-6 U Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal IA9ojMd% t3 commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reg ti cc Z 14� 0 .4 construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,Slo�� U. WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requiremerit 0�4 permit,there may be additional restrictions applicable to this property that may be found in the public records of this courQ Z ,aQd2 UJ i6005 2 there may be additional permits required from other governmental entities such as water management districts,state age t LU federal agencies. UJ >_ CL CC M �_ UJ =) a OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance w a5 W 0 UJ U) W applicable laws regulating construction and zoning. > CC III I > WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M w RESULT IN YOUR PAYING TWICE FOR IMPROVEME PERTY. IF YOU I END )I TO OBTAIN FINANCING, CONSULT WITH Y( UR LE DER OR N ATT NEY BEFORE RPGQRDI�_G YOUR NOTICE OF COMMENCEMEN (Signature of Owner or Agent) re Contractor) S�iecl and sworn to(or a irm d)before me t s /'��day of 'igne and sworn to a firm d efore me is day of 30 y S' nat i �,atu ry "t �ot F_ __11—Personally Known OR ersonally Known OR 'INDLESPERGER TONI G R MY com�,4! SSIO!q#FF 024951 Ljj,�, Produced Identification Produced Identification E, Type of Identification: ",:)49 Type of Identification: FAPIR-S:Oclobei 6,2Q�,q T PUblic Und"jr; .tl.lb City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road tlantic Beach, Florida 32233-5445 Fm c-ip, I q - 0 cD-7 Phone(904)247-5826 - Fax(904)247-5845 -71 E-mail: building-dept@coab.us Date routed: City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 4`7 I i-,), Department review required Yes ,No i din __E[aot�hg &Zoning— Applicant: _Dl-_� K(nATA FUQQ� Tree Adminigtrat.or Pro ect: uric wor�D Fla T �Pu b I k Utii_h t_ie—s—> Pub—E Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date Florida Dept, of Environmental Protection of Permit Verified By 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: MA*'p�p r o v e d. []Denied. E]Not applicable (Circle one.) Comments: (ED:IN5 PLANNING &ZONING Reviewed by: Date:_7' TREE ADMIN. Second Review: E]Approved as revised. ElDenied. U ONot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. DDenied. E]Not applicable Comments: Reviewed by: Date: Revised 05/1912017 City of Atlantic Beach APPLICATION NUMBER Building Department EGEIV (To be assigned by the Building Department.) 800 Seminole Road -79 Atlantic Beach, Florida 32233-5445 Fij a- I c) - o o it E-mail: building-dept@coab.us IL 9 Phone(904)247-5826 - Fax(904)247-5 JUL 0 2 201 1 Date routed: :z City web-site: http://www.coab.us ft– APPLICATION REVIEW AND TRACKING FORM Property Address: 4"7 i Department review required Yes No A -T A F�_-_ K) Applicant: PIapfTrn_g &Z&ning___) Tree Administrator Project: ic Works 4 ublic Utilities PuTri—CS—afety Fire Services Review fee Dept Signature Other Agency Review or Permit Required Review or Receipt Date Florida Dept. of Environmental Protection of Permit Verified By 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: [2rApproved. ElDenied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by'. ,4e gog� Date: TREE ADMIN. Second Review: FlApproved as revised. DDenied. ONot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. DDenied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 REVOCABLE ENCROACHMENT PERMIT REVOCABLE ENCROACHMENT PERMIT by the City of Atlantic Beach,Florida,a municipal corporation o�ronized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and of Atlantic Beach,Florida,hereinafter referred to as"USER". 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 Fb-,�C� Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30) days' notice by CITY to USER, said notice to USER shall be given by certified mail, return receipt requested,to the following address 4-11 Q=c� 42��, T�—3 1 • 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 ternis 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. Date:S�>OA,l Poerty OwneWent(signed in presence of Notary Public) U 0 STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this day of '20 by NcL-�-c who personilly appeared before me and inted name of Signer) ac owl dged th s signed t e instrument voluntarily for the purpose expressed in it. OWIC Signature of Notary Public, State of FI(6da Personally Known,_---- Approved Public Works Department: Produced Identific TotilGIISS, # F9 4951 01 Tco- Mlia"m's,-Pub]�cVMortstTi;�ctor tt EXPI ?ublicUndon6te�s Bonded RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION "ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY IS 800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED. PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address � Permit Number Contractor Information Company Qualifying Agent Address A,-H� L".-,- Moo city Stater4—L, zip -7 22- t---3 �/- 5 7 5- V Phone E m a i 1 State Certification/Registration# Architect Phone Email Engineer Phone Email Workers Compensation Insurer olv OR Exempt o Expiration Date • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities,both aerial and underground and the accurate locations are shown on the sketches. • Whenever necessary for the construction, repair,improvement,maintenance,safe and efficient operation,alteration or relocation of all,or any portion of said street or easement as determined by the Public Works Director,any or all said poles, wires, pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet CV of Atlantic Bear Fl rida De a ent of Transportation Standards and be performed under the supervision of f (Project Superintendent) with(Company Name) I'Cl r Kv1 4� IJVC Phone • All materials and equipment shall be subject to inspection by the Public Works Director. • All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the manner satisfactory to the City. • A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with this application. • The permittee shall commence actual construction in good faith within_Z�C days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder,and the holder will,at all times,assume all risk of and indemnify,defend and save harmless the City of Atlantic Beach from and against any and all loss,damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Public Works Director shall be notified 24 hours prior to starting work and again immediately upon completion. sw,��:-�. CS Pe"ittee(signYd in p-re-sence- of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this day of 20 by 3�e, �-,Jvho personally appeared before me and (printed name of Permittee) ac no I ged tha�le),s signed the ristrument voluntarily for the purpose expressed in it. TONI GINDLESPERGER MY CONMSSION#FF 924951 EXPIRES:October 6,2019 B,-�P.asd Thru Nctary Pubk Undewiters --r<Pe'rsonally Known Signature of Notary Public,State of Flori [ I Produced Identification(Type) H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 5\j Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http-://www.coab.us 11 APPLICATION REVIEW AND TRACKING FORM Property Address: 4"7 Department review required Yes No C— Pla�t�ng &Zo7iTn�g Applicant: _Dr\ R'rn8_( A Fu_- P'Jc� _ Tree Administrator Project: -Fauric'yyor�� _<'-Public Utilitie—s 7�7 Pu�ic Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date Florida Dept. of Environmental Protection of Permit Verified By 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: L]Appfoved' ElDenied. �4 applicable (Circle one.) Comments: BUILDING PLANNING &ZONING 'z' --'�"t._'ate: Reviewed by. 7_1141- 4 TREE ADMIN. Second Review: EApproved as revised F]Denied. []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. [:]Denied. F]Not applicable Comments: Reviewed by: Date: Revised 06119/2017 4i, - 10 4:05 1 al" LTE =0 , Done L-17, B-10 (471 IREX ROAD).pdf MAP SHOWING BOUNDARY SURVEY OF. LOT 17, BLOCK 10, REPLAT OF PART OF ROYAL PALMS UNIT 2A. AS RECORDED IN PLAT BOOK 31. PAGES 16 THROUGH 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA SASALO DRIVE N prf A "%jv Ek' '43'58"E 82 T-0 . .... ...... of 9. CA 0 Lot ory 1 0 -cp CA. 93,00 .4 5 Vi I Lot I B u 'aLoc'K camrim IQ rm i h.*y—tv,thm W. —U th. ..................... ............... kA—Uchnhw ltt-d�ft. M 1.1h by tft Fke4cl 6�4.1 W.4 S.—y,^p—t t. D U R D E N S�-Om 471027 nwl&Statut�md Chapfw SURVEYING AND MAPPING. I N JC. C 1825-B MD S WC f U40R rH JACKSONVILLE BEACK FLORiDA 32250 .(W4)853-6622 rAx 853-06.25 U(ENSED BW�1<55 NO. 6696 SCALE. E B-9473 r1l