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68 W 10th St FNCE19-0049 6 ft FENCE WALL OR BARRIER PERMIT PERMIT NUMBER FNCE19-0049 ;01 CITY OF ATLANTIC BEACH ISSUED: 7/12/2019 800 SEMINOLE ROAD : 1/8/2020 EXPIRES ATLANTIC BEACH. FIL 32233 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 68 W 10TH ST FENCE WALL OR BARRIER FENCE install 6-ft. fence $1975.00 TYPE OF REALIESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1708120060 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: BEACHES FENCE AND DECK 1122 9th St S Jacksonville Beach FL 33250 ADDRESS: CITY: STATE: ZIP: HLADIK TINA LOUISE LYNN 68 10TH ST W ATLANTIC BEACH FIL 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. I I PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 2 PUBLIC WORKS 7_ 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: 7/12/2019 1 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department P 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 L41 tolIC7 E-mail: building-dept@coab.us L Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: DpArtment review required Y7-No 'Buir— ding Applicant: ac kt_� Ft nu- C' U �Panni�ng �onffi - Tree Ad—miffis-1-FaTo-r- Public Works_) Project: W4 1 L (s Ct _Q "!�Mic til61, 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: DApproved. KD-enied. [-]Not applicable (Circle one.) Comments: Den-,ed loy PLO. 4- (2SD:IN:G) PLANNING &ZONING Reviewed by: Date: %��2 7- TREE ADMIN. Second Review: FlApproved as revised. Wenied(./ F]Not applicable PUBLIC WORKS Comments:Fc.,11vL,-/ihS Ritri o f2.eL,;-eLL,'�. PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: RA"pproved as revised. E]DeniecK EINot applicable Comments: Reviewed by: Date7- 7 V Revised 05/19/2017 Building Permit Application Updated 1019118 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. riv C�_ 101 — C)(D,--(q Job Address: ZZ Z/—/�T— /0 Permit Number: Legal Description S-//C",-4- r fel-yl/6 X RE# Valuation of Work(Replacement Cost)$ 1`17,r 0 Heated/Cooled SIF Non-Heated/Cooled_ • ClassofWork: XNew ElAddition ElAlteration []Repair ElMove E]Demo []Pool F]Window/Door • Use of existing/proposed structure(s): ElCornmercial EIResidential �Pq • If an existing structure,is a fire sprinkler system installed?: EJYes E1No • Will tree(s)be removed in association with proposed project? ElYes(must submit separate Tree Removal Permit) LINo scribe in detail the type of work to be performed: 4/1-" 6',1 lj�4,411110 /-�-/v,4 Florida Product Approval# for multiple products use product approval form Property Owner Information Name /7 S X — 0 1 <-- Address c f /P , City r7e- State r, zip Z) -0-3 —Phone ?0 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information NameofCompany ASYVc4,5'f f Qualifyi,4Agent Address / Z i p IT I-C, .17.1 City/—��)' State /Z:- _-,&+3 Y.2 1-Cii Office Phone C/:� 22-7el Job Site Contact Number /, -- F, �e IC State Certification/Registration# C 1,e —E-M a i I A`�4' c A d-s Architect Name&Phone# LLJ Engineer's Name&Phone# 0 Workers Compensation Insurer— e,Al f?1 OR Exempt Ci Expiration Date Z Cn Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal la —i Z Z = commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reguiEnCs< 0 k 0 — construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,Sl LU p 0 in 0 WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requiremen t fwi Z permit,there may be additional restrictions applicable to this property that may be found in the public records of this coun )UaW U C there may be additional permits required from other governmental entities such as water management districts,state agenMstorCC 13 Z federal agencies. 0 0 OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance witbolk-- I.— applicable laws regulating construction and zoning. 0 Ei LL LL cc 0 W WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MIff >. a. CC RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN-art)U'i 'a 8J W (n W 3:: TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 5; X UJ NT W RE RDIN%JR NOT19%,OF C CEME (Signature of Olkp�r Age (Signature of Contractor) S1 ned and sworn to(or affirmed)before me this day of ned an s rn to(or affi d)before me t is 9 day of -rhA'r, ex�',I r-fb Dr—, 2�0 by 'Oo"?W k i ig ture 0 JO-99 tar 61 0Z,9 1.100 sal.dy a,wwoo Me9rMA*FWW7iR f 9 ]Personally Known OR TONI GINDLESPERGER 8114*14VI (Ow Q Y COMMISSION#FF 924951 Produced Identification n: Type of Identification: W FXPIRPq-(DGt9beF 6.2919 Bonded Thru Notary Pub4c Underwnters RECEIVED OFFICE COPY CITY OF ATLANTIC BEACH MAY 2 0 2019 800 Serninole Road Atlantic Beach, Florida 32233 Telephone(904)247-5800 Building Department FAX(904)247-5845 CitY of Atlantic Beach, Ft. r REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: Received by: Resubmitted:_�7 ;ZP- Pen-nit Number: FIVC E tq- 0016) Original Plans Examiner: Project Name: Project Address: dX r /'0-'4 S-r, g �e- Contracton,c,cg r, c�e g! Contact N[ame: Contact Phone : !2ell, 4T- Vr Jv Con - Trat F Revision/Plan Check/Permit Fee(s) Due: ii��0. 0 C; Description of Proposed Revision to ing Permit: Additional Increase in Building Value: Additional S.F. Site Plan Revised: Public W U Approval: By signing below.I(print narne) alfirin that the above revision is in changes. Sighi'at�ui�i3if Contractor Agent(contractor must sign if increase in valuation) Date Office I Ise Only Date: Approved: Rejected: Notified by: Plan Review Comments- V-0 do'� /'r, S rfe, A P-e Ul -e ---Department review requireq -Yes I No u in g&Z niAn .�! Plans Lxanlincr T�M�inii trator 0 12- .PUEjaGtilities:.:> -Public Safety Date CmMW 4/13116 lte�,3 Fire Services OFFICE CORY "ALL INFORMATION Revision Request/Correction to Comments HIGHLIGHTED IN GRAY IS REQUIRED. City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 '01't 9 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: FNCE19-0049 1-4 OFFICE COPY F-1 Revision to Issued Permit OR Corrections to Comments Date:—Aal e i 19 Project Address: 68 W 1 Oth St Contractor/Contact Name: Beaches Fence&Deck Contact Phone: 904-945-4318 Email: beachesfenceanddeck@gmail.com Description of Proposed Revision/Corrections: revised plan showing fence on property line I Beaches Fence&Deck affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) a Will proposed revision/corrections add additional square footage to original submittal? E]No F7Yes (additional s.f. to be added: e ill proposed revisio n/correct ions add additional increase in building value to original submittal? M' No 7*Yes (additional increase in building value: $ (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) Approved Denied Not Applicable to Department Permit Fee Due Revision/Plan Review Comments Due- aLtm�ent Review, Required: g anni Zo n i�ng Reviewed By T Tr ml st r tor re5eA minZistrator Public Works -7— k? Public Utilities Public Safety Date Fire Services Updated 10/17118 _Ai1j] City of Atlantic Beach APPLICATION NUMBER "IS Building Department (To be assigned by the Building Department.) 800 Seminole Road .0 F-�\j (E, C1—00 kq�/ Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed� City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: De�rtlment review required Yes No Applicant: ac�t3 aria- a T re e Ad—m i Mi§f—raTo—r— d PUINII—Cwo Pro ect: r� W41 L Uo finCt 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 FReviewingDepartment First Review: []Approved. enied. E]Not applicable (Circle one.) Comments: �/e-ec BUILDING PLANNING &ZONING Reviewed Date: TREE ADMIN. Second Review: ElApproved as revised. �?renied. F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed Date: FIRE SERVICES Third Review: "Fe�Pproved as revised. []Denied. F]Not applicable Comments: LReviewed by Date:-7-2- Revised 05/19/2017 '7* j4hz I- F' f 7, 5 ------------- - uv < 0 0 - t 04 Q3 C4 Lij 0 C 0 co 0 LO 0 LL) C j C'4 eq n - C 0 X c N U V A� I T q LOT 4 LO �' LOT L 0 -;7.40' 22.60' -4- Z- - - i 4 44.80' s;� 1/2 1;6 PIPE, CAP N-c- - CAP No. LB367-4 9' FIELD) LB3672 LOT 4 0 6 7 LOT 3 L 0 T /2 MUNITY DEVEL OPMENT DEN/ED 20 40 NOTES; THIS IS A BOUNDARY SUR.'EY.. BEARINGS BASED ON THE SOdUTHERLY RIGHT OF WAY OF S rlAS MADE FOR THE BENEFIT 10th STREET WEST AS BEING S59'48'00"E AS PER '%F "; 9E/-:DiES HABITAT FOR NO BUILDING RESTRICTION LINES AS PER PLAT. �-1 -K L-bQ 0. 1 H j- F f-.!l)A'jiQ0-qNG FINANCL 7 "WOOD11A, 9-ALL, P.A.; OLD THE PROPERtY SHOWN HEREON APPEARS TO LIE co IN -LOOD ZONJE -X" (AREA OUTSIDE 0.2% ANNUAL -- T-ONA TITLE—Ifi-s' URANCE -�PL CH�`N`�--'IFLO GL -IN' TH E CGIMPA�Y.j "FLOOD INSURANCE RATE MAP" NUMBER 12031CO408H EFFE'riVE JUNE 3, 2013 FOR DUVAL COUNTY, F�ORIDA. ADDITIONAL LOCATION— AUGUST 2014 FINAL SURVEY— JULY 15, 201.4 DONN IN. BOATVARIGHT, P.S.M. "NOT VAUD m-rHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED FLA- LIC. SURVEYOR AND MAPPER No. LS 3295 SURVEYOR AND MAPPER.' FLA- LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY- BOATWRIGHT LAND- SURVEYORS, INC. DATE: MAY 23, 2014 DRAWN BY: — CL 1500 ROBERTS DRIVE — FILE #: 2014-0782 SHEET—! OF JACKSON ViUll BEACH, FLORIDA 241-85500 RECEIVED MAY 2 0 2019 CITY OF ATLANTIC BEACH 800 Serninole Road Atlantic Beach,Florida 32233 Telephone(904)247-5800 Building Department FAX(904)247-5845 City of Atlantic Beach, Ft. REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: Received by: Resubmitted: -57 Permit Number: Fk,F fq-- 00-101 Original Plans Examiner: Project Name: Project Address: df -Li'& Contractor�dW,o 6,4j,--s F Contact Name: ��11411J Contact Phone :9e)&- 94�r- Vr/F Contact e-mail: &c*Cor'AP4?Vzl0ee e'AA.')L,0-1— Revision/Plan Check/Permit Fee (s) Due: $ Description of Proposed Revision to Existing Permit: 1r-'o-dog Additional Increase in Building Value: $ Additional SY, Site Plan Revised: Public W U Approval: By signing below. I (print narnc)___._ affirm that the above revision is inclusiv5p�he propo changes. Sigt'iat�ure if Contractor/A-ent(contractor must sign ir increase in valuation) Date office Use Only Date: Approved:— Rejected: Nolil'ied by:__ Plan Review,Coni mcnts: rs Department review required Yes No C"'�anning &Zonirt Plans Examiner ministrator ]�Workj�-----—-- T Pubric utilities-:-'> Public Safety Date Outed 4/13116 Rw.3 Fire Services Revision Request/Correction to Comments "ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: FNCE1 9-0049 E]Revision to Issued Permit OR F-71 Corrections to Comments Date: 0 la- Project Address: 68 W 10th St Contractor/Contact Name: Beaches Fence& Deck Contact Phone: 904-945-4318 Enmil: beachesfenceanddeck@gmail.com Description of Proposed Revision/Corrections: revised plan showing fence on property line I Beaches Fence&Deck affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) 9 Will proposed revision/corrections add additional square footage to original submittal? E]No F--1 Yes (additional s.f.to be added: ill proposed revision/corrections add additional increase in building value to original submittal? V ]*Yes (additional increase in building value: $ (contractor must sign if increase in valuation) F�No F *Signature of Contractor/Agent: (Office Use Only) .12 Approved Ll Denied 1 Not Applicable to Department Permit Fee Due Revision/Plan Review Comments Di e2 Iment Review Required: B n anni Zoning— Reviewed By Zo I T Tr ml r t or ree A ministrator Public Works Public Utilities Public Safety Date Fire Services Updated 10/17118 J7 v ........... oth STRFET WEST, QFF WAY C A 0 2019 SET 1/2- SET 1/�' IRON PIPE. IRON PIF� (S594500-E �4.827 F z' CAP No- CAP No. C E 0 VE tR3672 S69*48'00"E 44.80 L83572 JUN 2 8 2019 om (30 tft 44 0 0 - Cj 0 0 - X j r- 0 z a! 0 1 c", 0 �:f z 0 0 W� if) 0 0 �N ED Z C4 p 3g:La 24.6' (n V) 40 El A _4��f ..x:s 4z L C-- 2 LOT 4 LOT 3 B 22.60 ZL 1z"t 3`44 4-4.80 S—i 1/2' 1RCN PIPE. CAP No. CAF 44J9' FIELD) LB3672 LB.3672 LOT 4 L 0 6 7 LOT 3 L 0 T 2 YDE App VE�OPRE� 40 2 S C A L-E: 1 2 0' NOTES; THIS IS A BOUNDARY SURVEY BENEFIT BEARINGS BASED ON THE SOUTHERLY RIGHT OF WAt OF THIS SURVEY WAS MADE FOR 7 Es HAPETAT FOR F UIA HLADIK; E3EA;,,>f:: 10th STREET WEST AS BEING S69'48'00"E AS PER 0 'ING FiNANCE NO BUILDING RESTRICTION LINES AS PER PLAT. HUMANITY, INC; FC0Pn:A-,liQ_CllS -ALL, P.A.; OLD CORP ORfA,Til ON; RAYWOOD -9 THE PROPERTY SHOWN HEREON APPEARS TO LIE C TITLE7,16SURANCE I R EP U:Blf N A Tl-0 A nnn -7f)MG- "Y" (ARFA I)HTSIDE 0.2% ANNUAL APPLICATION NUMBER City of Atlantic Beach Building Department (To be assigned by the Building Department App V 800 Seminole Road f 10 Atlantic Beach, Florida 32233-544 7 2019 Fj\j ce 9-WI-0 Phone(904)247-5826 - Fax(904) tl��5 E-mail: building-dept@coab.us Date routed: t 0 Cityweb-site: http://www.coab.LIS APPLICATION REVIEW AND TRACKING FORM Property Address: Djq��rtlment review required Yes No (-Bui ing �T ra-n_n_'inj&7o_n Applicant: ekc`4� Ftrlcp-- otc T r e e A d m-i n-i-sT-ra fo-r- QZu Eic W=orks Pro ect: t� 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. Mbenied. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed bA Date: TREE ADMIN. Second Review: VrApproved as revised:. DIDenied. ONot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b 6""Sg* Date:, lei FIRE SERVICES Third Review: []Approved as revised. []Denied. []Not applicable Comments: Reviewed by: Date: Revised 05/1912017 CITY OF ATLANTIC BEACH Department of Public Works 1200 Sandpiper Lane Atlantic Beach, FL 32233 (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 4/18/19 Applicant: Beaches Fence & Deck Permit #: FNCE19-0049 Email: beachesfenceanddeck@gmail.com Review Status: DENIED Property Owner: Bobby Graham & Tina Hlaclik Site Address: 68 W. 101h Street Email: Not Provided THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS Correction Items must be submitted to the Building Department at 800 Seminole Road. Submittals that respond to only one or a few correction items will not be accepted. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions must be submitted to the Building Department and must respond to EACH department review. PUBLIC WORKS CORRECTION ITEMS: Provide updated survey. Submitted survey shows fence is on neighbor's property. , i I i k PUBLIC WORKS CONDITIONS OF APPROVAL: 401 (The following comments will be printed on your permit as Conditions of Approval) • All runoff must remain on-site during construction. • 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. • Full right-of-way restoration, including sod, is required. • All old fencing must be removed from job site by Contractor. Scott Williams, Public Works Director swilliams@coab.us/904-247-5834 Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding". The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud. The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings. The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. Page 1 of 1 0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\FNCE19-0049(Beaches Fence&Deck).docx RECEIVED CITY OF AT Ll lllq� MAY 2 0 2019 11110! 800 Seii e oaf Atlanti eag&141M 01 Tel 01 Building Department X(904)147-5845 City of Atlantic Beach, FL REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: Received by: Resubmitted: Permit Number:----EA1L -- 00-19 �E fq- Original Plans Examiner: Project Name: Project Address: df &&r /'0-4— r'r- Contractor-&,44r,gr.s F ,<we f Contact Name:22g�"� ,'-f Contact Phone :!2- dll- 94T- 4111#v Contact Revision/Plan Check/Pen-nit Fee (s) Due: $ Description of Proposed Revision to Existing Permit: Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: Public W U Approval: By signing below. I(print name) affinn that the above revisioil is inclut�he propo —4 changes. 7- -r- Si6at'ur—e if Con't'ra-etor/Agent(Contrac(or must sign ifincrease in valuation) Date office Use Only Date: Approved: Rejected: Noti fied by:__ Plan Review Comments: -Department review required Yes No a! i; n; nZn I n g�aZ o r Plans Examiner minist,ator iagwor Put�Utilities-:D Public Safety Date Cmied 4113116 Rm 3 Fire Services '\j1j City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department >, 800 Seminole Road tlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Lf C/ E-mail: building-dept@coab.us Date routed City web-site: http://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Dgpgrtment review required Yes No (Buirdin 9 -fTa-n-n-in Applicant: atict a T r e e A d-m-i-n-isfr-afo—r u ic Works Pro ect: 1� 11 ILL U Ii tes-> %5cc 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. DDenied. PNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: lr'�,"��Date: TREE ADMIN. Second Review: ..F]Approved as revised. DIDenied. F]Not applicable- PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by.- Date: FIRE SERVICES Third Review: []Approved as revised. F]Denied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 RECEIVED CITY OF ATLANTIC BEACH MAY 2 0 2019 800 Serninole Road Atlantic Beach, Florida 32233 Telephone(904)247-5800 Building Department FAX(904)247-5845 City of Atlantic Beach, Ft. REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: 0- 9 Received by: Resubmitted:-57 Z') Pen-nit Number: FAICER- 0019 — Original Plans Examiner: Project Name: Project Address:__"--._IJ-xs r /,0-4 9-7-, 91 '9f. -- Contractor.,&1c;0 r,.4 r-s FkWel t! Contact Name:224!v�"4f 196ellvC N et- Contact Phone 9 41-r- el'r Contact rll,,fs Fx-,On P XW Pe c i�le Revision/Plan Check/Permit Fee (s) Due: $ Description of Proposed Revision to Existing Permit: &1e,Z-z,,0,erx7 J-4-ff�ld 6&r-0 Ar1^AA!Lr2JJ-!f X1146W A"IZ Z' 4L'(�C Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: Public W U Approval: By signing below. I (print naine) aff Inn that the above revision is in ianges. Si6atu�r—e if Contractor/Agent(Contractor inust sign irincrease in valuation) Date Office I Ise Only Date: Approved: Rejected: Notified by:_ Plan Review Comments: De artmentreview required Yes No 4+ C u I n� 77a'nn I n g&z o i-_n- Plans Examiner :T�:11— �MFstrator------------ W0511t e 5-Z3 PU Jr,Utilities Safe Public Safety Date Crwed 443116 Rm.3 vic . FJ I J!Fire Services r 2! 0- 4c, U, 2 1 < 0 CD C14 04 L,j Lij b a 0 0 C C) L0 w C,I clq - 7_ Z_ cl� ro- c " In in ov LOT 4 LOT LOT L 0 _f.7.40' 1 22.60' SET ir lRC - IRON 44.80' sEj '/2 N PIPE, CAP No. W3672 79' FIELD) CAP No. L83672 LOT 4 7,_ 0 6 7 LOT 3 LOT 2' 2; 20 40 210, NOTES; THIS IS A BOUNDARY SUR\E*,,' BEARINGS BASED ON THE SOUTHERLY RIGHT OF WAY _3 F ',AS MADE, FOR THE BENEFIT 10th STREET WEST AS BEING S69*48'00"E AS PER P, -O!TAT FOR N� BUILDING RESTRICTION'LINES AS PER PLAT. 9-E A ES HA H ki FLolplD�VIKJOSSING FINANCE THE PROPER TY SHOWN HEREON APPEARS TO LIE CO=:� �7',A\'WGOD"PA P.A.; OLD IN �'LOCD ZOINE "X" (AREA OUTSIDE 0.2% ANNUAL REIF_E-� TIT�Z_41SURANCE MPAI "FLOOD INSURANCE RATE MAP" NUMBER 12031CO408H EFFECTIVE JUNE 3, 2013 FOR DUVAL COUNTY, FLORIDA. ADDITIONAL LOCATION- AUGUST 15. 2014 HNAL SURVEY- JULY 15, 2014 DONN' X BOATWIRIGHT, P.S.M. 'NOT VAUD VATHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED FL_A_ LIC. SURVEYOR AND MAPPER No. LS 3295 rDRAWSURVEYOR AND MAPPER." F'-4- JC. SURVEYING & IMAPPING BUSINESS No. LB 3672 CHECKED BY- BOATWRIGHT LAND SURVEYORS, INC. n N BY- CIL 1'500 ROBERTS -DRIVE DATE: . mAY 23, 2014 1 . SHEET—! OF FILE #: 2014-0782 JACKSONVILLE BEACH, FLORIDA 241-8550 ppp ?nlA_f)c;7)