284 Sem Rd FNCE19-0075 6' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
_ CITY OF ATLANTIC BEACH
FNCE19-0075
~) 800 SEMINOLE ROAD ISSUED: 7/10/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 1/6/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! BUILDING
CODE, ' AND CITY OF ' CH 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.
' ADDRESS: • OF • •
284 SEMINOLE RD FENCE WALL OR BARRIER FENCE 6' FENCE $650.00
TYPE OF
ZONING: : • •
• iGROUP:
1705110000 SALTAIR SEC 01
• ADDRESS:
BEST FENCE CO OF JAX INC 7380 PHILIPS HWY JACKSONVILLE FL 32256
• ADDRESS:
SEMINOLE ROAD
PROPERTIES LLC 1817 TWELVE OAKS LN W NEPTUNE BEACH FL 32266
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 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.ay.
Issued Date: 7/10/2019 1 of 2
i
City of Atlantic Beach APPLICATION NUMBER
Building Department OF' j'0i9Da
ssigned by the Building Department.)
800 Seminole Road
I _ �7S
Atlantic Beach, Florida 32233-5445
, Phone(904)247-5826 • Fax(904)247-5845 JUN 2 6i �T E-mail: building-dept@coab.usuted: Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
C'}
Property Address: ZEA SF_CV\kAj ( Department review required Yes No
in
Applicant: 13e•� l L r�C COAp4t')(/ :?a�nning &Zonin_g�
Tree Administrator
Project: ublic Works
Public 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: Approved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed bDate:
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 05/1912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
'y 800 Seminole RoadI _ _ O-7
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826- Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: C, 7—
City
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
��
S.E,(\(\JAJ ( Departrrrent review required Yes -NoProperty Address: z C�4
Applicant: Cj ��� CC�/1 �� (�C/ tanning &Zoning
Tree Administrator
Project: ublic Works
Public 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 l
Florida Dept. of Transportation v
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: Z
TREE ADMIN. Second Review: A roved as revise .
❑ pp ❑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 APPLICATION NUMBER
sr
Building Department (To be assigned by the Building Department.)
800 Seminole Road 1� E I _ 0_7E
� C
Atlantic Beach, Florida 32233-5445 1 —7
Phone(904)247-5826 • Fax(904)247-5845 l
E-mail: building-dept@coab.us Date routed: Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z �CJ `�//��
SE(\AkAj ( Department review required Yes -No
Applicant: 13C•� l �L r�C �C�/l1> (��/ anning &Zoning
Tree Administrator
Project: C-tie-r--
ublic Works
Public 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: pproved. []Denied. []Not applicable
(Circle one.) Comments:
BUILDING 1 C
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
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r800 Seminole Road (� I _ O
j ) �
Atlantic Beach, Florida 32233-5445 `
Phone(904)247-5826 - Fax(904)247-5845 �7
E-mail: building-dept@coab.us Date routed: l
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z FD4 SEMI�C�C Department review required Ye No
C� � in
Applicant: �3c.� l �C�CE c'4,'PAN) anning &Zoning
Tree Administrator
Project: n E cvC�C G(-`Z E ublic Works
Public Utilities
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 l ~
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: QApproved. []Denied. []Not applicable
(Circle one.) Comments:
BUILDI G
PLANNING &ZONING
Reviewed by: Date:
09
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie ❑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
Building Permit Application Updated 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-Dept@coab.us IS REQUIRED.
Job Address: -2,9 j SLII/ttI__'I I/✓O go,, h Permit Number: NC �1 U (D-75
Legal Description "T "f10 ] �LAr� O� r7Ga �1�:1 � �j/}Lf"A i RE#
Valuation of Work(Replacement Cost)$ (1-T0.06 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: XNew ❑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
• Wiii trees be removed in association with proposed ro ect? L]Yes must submit se arae Tree Removal Permit o
Describe in detail the type of work to be performed:
Florida Product Approval# for multiple products use product approval form
Property Owner Information p
Name sc'rn,, J<_ O AD \��o� � �'l j LLC- Address j j 5 4
City J-144 V_4,6 A V 1 I I G State V�i Zip 9'1-2- S Ls Phone qU 2 '_ 7
E-Mail _ &W si$ L Ca M (II A:�T, N u f _ �� �,V
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information rr
Name of Company Q t-PX► V1'N lh1_)ar1W Qualifying Agent Ki erna, &,r v-)
Address-3 O h uk C." kOld City Za-A State_ Zip 322�j,6_
Office Phone 404 -,-)Crg - llet 8 Job Site Contact Number
State Certification/Registration# X E-Mail_jv��-'o VJ2S P,nce�0.>< V12
Architect Name&Phone# y�
Engineer's Name&Phone# ?c
Workers Compensation Insurer X OR Exempt❑ Expiration Date >41
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,SIGNS,UJ
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements o Is
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,a = J Z
there may be additional permits required from other governmental entities such as water management districts,state agencies3r Q O
federal agencies. d U Z — rs
`. W C3
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all( m Z I
applicable laws regulating construction and zoning. () O
U.1 Q
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY I
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEL J1 O y
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 1= Z
RE�JRDIN �O OTICE OF COMMENCEMENT. _Zu' O � w
a
(Signature of Owner or Agent) (Signature of Contractor) VLU W U
5
$ igned and sworn to( r affirmed)before me this day of Signed and sworn to(or affirmed)before me this; days U
y un 2019 b K� n n (jarv. W LL
n la n - a
e"is
°" Nota PU IC
otP Notary (Signat re of N ry) U
111,i f Notar
State of Florida _ ''�'"!�; TISH A PEACOCK
fres 1010512020 MY COMMISSIOL GG000708
NOF rti° [M�eTSd Ktibwn CJ ( j Personally Known OR + .
a EXPIRES Ju ,2020
�kProdrisA91B11�(Q� Q•3( ( ]Produced Identification 407 isa F •rywm
C ion Type of Identification:
7380 Philips Hwy,Suite 103B............Office(904)268-1638
1 Jacksonville,FL 32256.............................Fax(904)230-2780
3 Year Labor Warranty-Lifetime Manufacture's Warranty on Materials
PROPOSAL/CONTRACT Customer: Greg Willims
FENCE HEIGHT: []3' ❑4' ❑4.5' ❑5' Z6' ❑8' ❑T Address: 284 Seminole Rd
TERRAIN: ❑Eve n ®Slight ❑Steep ❑ N/A Atlantic Beach H 32233
CLEARING: ❑Best Fence ❑Customer ® N/A
_ Community: N/A
OLD FENCE: ®Best Fence ❑Customer ❑ N/A
GRADE: ❑Top Level ® Follow Grade ElN/A Phone: 904472-4647
HOA/ARB: ❑Best Fence ®Customer ❑N/A Email: gw58@comcast.net
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Furnish and install 8' of 6' tall white tongue and groove vinyl privacy fence with (1)
4 ' walk gate. Gate to have a keyed latch and self-closing hinges. All posts to be set
in concrete. Price includes take down and haul away of old fence.
Note: Price good if done with 278 Seminole Rd.
Customer must assume responsibility for placement of fence unless all 81 *bbu.uo
appropriate survey pins(metal pipes)or concrete monuments are uncovered Total Feet Total Price
prior to installation.Best Fence Co.,Inc will assist owner in locating pins if $650.00
provided copy of survey.All materials will remaim property of Best Fence Co., Sub Total Deposit
Inc.until paid in full.
By signing,customer agrees to proposal including materials,prices,terms&limitations as Balance due
outlined above.Any alteration or deviation from above specifications involving extra costs
will be executed only upon written order,and will become an extra charge over and above Proposal is good for 30 days
the estimate.Ail agreements contingent upon strikes,accidents,or delays beyond our 1/2 down, balance due at completion
control.Best Fence Co,Inc.is not responsible for damage to underground obstructions Payment Terms
such as utilities,sprinkler lines,pipes,etc.Returned checks are subject to a$25.00 service / /
fee.Cancelled orders will be subject to a 50%restocking fee. Best Fence: GM Date: 0624 2019
job# 1906119 Cutomer: Z J 'Zoi
y
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40
C'APM - A I�
SCALE 1'+20'
NOTES; City of Atlantic each
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. pFtOVED I f
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I BUILVNG OFFICE
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