185 8th St FNCE19-0092 6' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
� FNCE19-0092
CITY OF ATLANTIC BEACH
r' 800 SEMINOLE ROAD ISSUED: 8/14/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 2/10/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' i BUILDING
CODE, ' OF • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, 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:
185 8TH ST FENCE WALL OR BARRIER FENCE 6' FENCE $120.00
TYPE OF
• • GROUP:
170325 0000 CLUB MANOR
COMPANY: ADDRESS:
• ADDRESS:
ROOD CHRISTOPHER 1 185 8TH ST 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 •
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,1Dog/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:8/14/2019 1 of 2
FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
r FNCE19-0092
CITY OF ATLANTIC BEACH
"
ISSUED: 8/14/2019 '
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 2/10/2020
4 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
5 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing and debris 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 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $81.501
Issued Date:8/14/2019 2 of 2
\S rt�Lyr;, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
' 800 Seminole Road rN�
Atlantic Beach, Florida 32233-5445 //
Phone(904)247-5826 • Fax(904)247-5845 {� i
E-mail: building-dept@coab.us Date routed: C�
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ( � ��
J De artment review required Yes No
(� uildin _
Applicant: `D CKDKti � tanning &Zones
Tree Administrator.
Project: ��� Est_ Public
_ ublic 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. enied. []Not applicable
(Circle one.) Comments: s^ AiET/BUILDING A(rl7e'e �ctS� ,JC G ��� 1�40C
PLANNING &ZONING Reviewed by. Date: 4�—s Ct
TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments: P
PUBLIC UTILITIES �Pn�e /47-eetf C'e;'Cle
��PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
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
7-7,0 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ' ?"VIC IC-1
i`
❑ Revision to Issued Permit OR Corrections to Comments Date:
7 'r --
y-
Project Address:
Contractor/Contact Name: Ali E- 2019 s
Contact Phone: y 22 Email:
Description of Proposed Revision/Corrections: R /
I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
U-No ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
9No ❑*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
Department Review Required:
Building
Planning& ZonR� Reviewed By
Tree Adminis rator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
BOUNDARY SURVEY
1 LOT 2 LOT
SET 1/2" PAVER
IRONROD N85°3215"E 83.88' DECK — .9"
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SURVEY NOTES ;'.c -pp OF
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PROPERTY LINE ON SET 1/2' ~' 25 B.R.L. " POINT OF
SOUTHERLY AND WESTERLY ``' IRON ROO :<�, FOUND 112CURVATURE
SIDE OF LOT. rt' IRON PIPE.__
4270.097)
THERE ARE FENCES NEAR THE CV /J ,y, POINTOF 8 32 5
BOUNDARY OF THE PROPERTY. "- "'`.,p /A 15"W 59.50 (P)
gypp' CURVATURE S85 32 U
PROPERTY
PAVER DECK CROSSING INTO 5' C= CORNER4 '
UE ON NORTHERLYSIDEOFUNDER _ r•::• '°`•`. `;`::.:
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BUILDING CROSS!
B.R.L.ON SOUTHERLY AND t`s
WESTERLY SIDE OF LOT. : :`i a.�_: = "''- " 8th STRE
(IMPROVED) CURVE TABLE
RADIUS I LENGTH I DELTA
Cl(C)l 20.00' 1 30.50 1 87°21'45"
Cl(P)l 20.00' 1 27.65 1 87-21-45-
'A o s
No.6415 SURVEYORS CERTIFICATE ARGET
IHEREBY CERTIFY THAT THIS BOUNDARYSIItVEY - - - - - -
o ISA TRUE AND CORRECT REPRESENTATION
n R OOFA
SURVEY PREPARED UNDER MY DIRECTION. S RV G. rTC
NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC LB#7893
u �
STATE OF SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, /
1 o R 1 o OR A RAISED EMBOSSED SEAL AND SIGNATURE
9 u R v SERVING FLORIDA
6250 N.MILITARY TRAIL,SUITE 102
WEST PALM BEACH,FL 33407
PHONE(561)6404M
(SAGNED) STATEWIDE PHONE(800)226-0807
KENNETH J OSBORNE pp�;F 7 np pp�F.� STATEWIDE FACSIMILE(800)741-0576
PROFESSIONAL.SURVEYOR AND VAPP92f6415 1) WEBSITE:h :kb U net
Building Permit Application Updated 1019/18
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: 105 Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost)$ 1 2C) Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair Wove ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial [,residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No /tel
• Will trees be removed in association with proposed ro'ect? ❑Yes must submit se arate Tree Removal Permit F140
Describe in detail the type of work to be performed: �p F2n Q-
e��
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Qt^
Name CG�ro� �o c f "T 00d Address Address � 9 S t'
City At 1c,r, 6<o.0 State_V-: L_ Zip � _2 �'Z Phone
E-Mail i_dD 0 C el/i-f!l
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt❑ Expiration Date
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,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. 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.
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 BEFORE
RECORDING YOUR OTICE OF COMMENCEMENT.
(Si ature of Owner or Agent)
(Signature of Contractor)
Signed and sworn to(or affi ed) befo me is 3 ay of Signed and sworn to(or affirmed)before me this day of
V%
r 5 0 by
a of N (Signature of Notary)
Personally Known OR [ ]Personally Known OR
��. .
[ ]Produced Identification. —: ---- [ J Produced Identification
7 '':c?�':•. TONI(iltdULESPERGER
Type of Identification: �, _°"�' �: Type of Identification:
` `� EXPIRES:October 6,2019
Bonded Thr:votary Public Urderw tors
1.•�i��.naar�vw.ww.vup.pM..,yrxs�:ssv�a.-Z f
Of', City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road �n00q7Atlantic Beach, Florida 32233-5445 `JGl��Phone(904)247-5826 - Fax(904)247-5845E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us �—
APPLICATION REVIEW AND TRACKING FORM
Pro ert Address: ( _t y� Department review required Ye No
p Y
uilding
Applicant: \1(,A7tj 4ftanning &ZonbP
Tree Administrator.
Project: Public
_ ublic Utilities
Public Sa ety
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
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: proved. ❑Denied. []Not applicable
(Circle one.) Comments:
BUILDIN
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 05/19/20W
City of Atlantic Beach APPLICATION NUMBER
'r
Building Department (To be assigned by the Building Department.)
800 Seminole Road
�. Atlantic Beach, Florida 32233
Phone(904)247-5826 • Fax(9 2450 , '}O19�(1 Date routed: C� t
E-mail: building-dept@coab.u� y
City web-site: http://www.coab�iS.;
APPLICATION REVIEW AND TRACKING FORM
Property Address: � , De artment review required Yes No
uildin .
Applicant: _ � lanning &Zones
Tree Administrator,
Project: (0 �=` /�� Public
ublic 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 Date: i
TREE ADMIN. Second Review: A roved as revised.
❑ 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
s y\Ji ; City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
f i 800 Seminole Road r�3
-" 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://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I ��`�
p Y Department review required Yes No
� uildin _
Applicant: 4pfanning &zones
Tree Administrator.
Project: lei Public
_ ublic Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date
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. MNot applicable
(Circle one.) Comments:
BUILDING / A
PLANNING &ZONING Reviewed by: /c✓� Date: 8r g
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