381 Sargo Rd FNCE19-0098 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
a FNCE19-0098
CITY OF ATLANTIC BEACH
8
ISSUED: 8/20/2019
00 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 2/16/2020
MUST CALL INSPECTION • • • PM FOR + INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' t + 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.
JOBADDRES_S_:____ PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
381 SARGO RD FENCE WALL OR BARRIER FENCE FENCE $775.00
TYPE OF
ZONING: :D •i • • '
171694 0000 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS:
LOWES HOME CENTERS 4948 TELSON PL ORLANDO FL 32812
INC
• ® ADDRESS:
CHARLOTTE H SHEPHERD ATLANTIC BEACH FL 32233
LIVING TRUST
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.
CONDITIONSLIST 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.
Issued Date: 8/20/2019 1 of 2
J'
rs `'~J" FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
FNCE19-0098
V� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 8/20/2019
�Oi;»r ATLANTIC BEACH. FL 32233 EXPIRES: 2/16/2020
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.
3 PUBLIC WORKS 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 and debris must be removed from job site by Contractor.
S PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired 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:$81.50
Issued Date:8/20/2019 2 of 2
r1,;Ly;y� City of Atlantic Beach APPLICATION NUMBER
7s Building Department (To be assigned by the Building Department.)
'i 800 Seminole Road _ �- �C�
Atlantic Beach, Florida 32233-5445 �� C-C- ` 0 1
Phone(904)247-5826 • Fax(904)247-5845
�v.�;� E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
~ Ment De review re e
Property Address: 36l �R26 (� ��h �- required YNo q
I ry it
Applicant: L—V(A)C—S (4Q M C ��1�`TP nning &Zornn
(--- Tree or
Project: _ t— �I�L� u icWorrks
u is i Mies3
Pu is a 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: P)('P*'P_roved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDflqD
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
OFFICE COPY
%'; Building Permit Application UPdatedl0/9/18
.,...rl City of Atlantic Beach Building Department "ALL INFORMATION
J 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email; Building-Dept@coah.us IS REQUIRED.
.Job Address: 381 SARGO ROAD Permit Number: a�- �c'- UgiJ
Legal Description31-16 17-2S-29E R/P OF PT ROYAL PALMS UNIT 2 A LOT 2 BLK 25 RF11 171694_0000
Valuation of Work(Replacement Cost)$ 775.00 ` _Heated/Cooled SF Non-Heated/Cooled_ _.
• ClassofWork: f94ew DAddition ClAlteration ❑Repair f7Move DDemo L]Pool L-IWindow/Door (FENCE)
• Use of existing/proposed structure(s): iJCommercial Q,esidential
• If an existing structure,is a fire sprinkler system installed?: OYes Q-1/No
• Will trees be removed in association with proposed project?f ]Yes must submit separate Tree Removal Permit o
Describe in detail the type of work to be performed: LLf
INSTALLING 43' OF 6' STOCKADE PRIVACY FENCE WITH ONE 10' DRIVE G9TE3E Z
N j.
Florida Product Approval qr ____ for multiple products use product approvadr(O Z O
Q 0 1= a0
Property Owner Information LU G
� C1 t, r 'iQ 0 ED ~ Z F
Nam '� Address [ i p - <
City / State F; I Zip �)r,?Y)1 ?r`) Pho e C ) Q U o
E-Mail p Z
Owner or Agent (if Agent,Power of Attorney or Agency Letter Required) N/A _ _ U.
O Q
Contractor Information FN
Name of Company Lowes Home Centers LLC Qualifying Agent Pete Cafaro Q W
Address PO BOX 781993 _ city--Orlando State FlDrida zii) 3287�— R 2
Office Phone 904 570-0989 Job Site Contact Number v W W
( ) _MM-570-0989 a CC in
State Certification/Registration a _CGC1508417 E-Mail_ ywood063088CCD amail.com _ W 5 p
Architect Name&Phone q N/A _ _ _ _ __ W U W
Engineer's Name&Phone It N/A _ _ v _ _ — � N Q W
Workers Compensation Insurer XWC 5565602 OR Exempt ci Expiration Date 04/01/2020 W W
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or instal latio ids
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:f 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 XAEY
CEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANBEFORE
REC I N g&9 FC ME CEMENT.
X NAM��
SiFnatu f Owner or Agent) (Signature f Contractor)
Signed a d sworn to(or affirmed efore me this Nday of Signed and sworn to(or affirmed)before me this_�day of
�'�}
2DIf ,by— _U-1 -- 201°! by
+Brk�I
I ]
Si na' r
ooSNn tKiNATHAN
ROOKSRfDER
;=[i AUG 16. Notary Public State of Florida
da
+rtst Statr Insu+ztePersonally Known ersonally
Known OR '�� = commission 9 GG 094838
(„]�Foduced Identifi�atios! ( ] 021
Produced Identification -`'� Bor6eiMycousl, res alNitApr u Assr
`:'t'a e.;•' Bey tPtCugF ha[icnar hatzry Assr.
Type of Identification: Type of Identification: "'
i
Lot# 24 Lot# 25
W0 O
0 Z O
O
✓ nJ O v `"
C � O
N
U V EASEMENT —FENCE ENDS AT S07'16'Oz5E 80.65' (P1 •7'_ 1.2' ON) —
TALLOW TREE 506'58 a5 E 80.85 (M
OMETAL
(0.2' ON) STORAGE
BUILDING
'0 (MOVABLE) 15 71 (3.0')
N
V) 24.6'
(34.2')
N
O
O 1 STORY
to 10.6' DWELIING o
- Lot# 1 a� 3s1 0 �� Lot# 3
N Mcn 0) in
3W
inco 00
to .n Q
Pit,) C R- M In
aC4o4 /PORT
o N --
V1C-4 (V
Z 17 2' (22.4') N
— —25' BRIL — — — — — i — — — — — — — — — — — —
C
NC
C r
U
O
O RBL (0.5' ON
V) ) ` (0.2' ON
`507'03'01'E 105.00' M) N07'16'02"W 80.65'M�P)
507'16'02"E 105.13' (SP) r N07'08'33"W 80.57' (
_N
7
O
O
N
.N Sargo Boulevard
24' Curbed Asphalt 60' R/W
POINT OF INTEREST: O METAL STORAGE BUILDING IN EASEMENT
(NOT ON SLAB — MOVABLE)
�k
CONCRETE MEASURED BEARINGS HEREON ARE BASED ON A FLORIDA DEPARTMENT OF
h TRANSPORTATION BENCHMARK "BART" AND "KREG", WHICH WERE DERIVED FROM A
c GLOBAL POSITIONING SYSTEM (GPS) REAL-TIME KINEMATIC (RTK) SURVEY. A SOKKIA
v
GRX2 GPS RECEIVER WAS USED AS A ROVER, RTK CORRECTIONS WERE OBTAINED= YARO/LOT FROM THE FLORIDA PERMANENT REFERENCE NETWORK (FPRN), COORDINATES
O OBTAINED FROM THE GPS SURVEY ARE REFERENCE TO NORTH AMERICAN DATUM OF
COVERED OR ENCLOSED 1983 (NAD83)-(2011)-(EPOCH 2010.0000).
=
PLEASE SEE SHEET 1 OF 2 FOR LEGAL DESCRIPTION, CERTIFICATIONS,
Page 1 of 1 191n
Leta Build Something Together-
PSE Drawing Worksheet - Fencing
(Complete and Fax to Installer)
Customer: l "TNT IWAV&del Store: 16�; 9
Phone(home): 90V 463-all Phone(cell): Pthonne,(other):
Install Address: 3o ��a
Directions:
1. Walk the fence line after discussing property boundaries with the customer-indicate any obstructions as
you measure
2. Imagine what the fence looks like from a "bird's eye"view
3. Sketch the fence with these details:
• Mark where the fence abuts,attaches to or is built around any structure or obstacle
• Mark where gates will be located as well as gate type(drive or walk gate)
• Mark best access route from material drop-off point to construction area
Id
2j
01; b , ciz
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road `_ 'v CC _ !
o Atlantic Beach, Florida 32233-5445 J lJ C
Phone(904)247-5826 • Fax(904)247-5845 y�
�D;S 9" E-mail: building-dept@coab.us Date routed: v
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -`-� ' Sp,(ze (n i�� Department review required Yes No
I `,�
Applicant: LQL'k)(� !_-' �'�O M Gz_ 1�-IE4,_
Pl�riing &Zonin�j
Tree Admlffttrato`r
Project: END CAPublic Works
Pu15-1-F ltilities
Pu iE ii�ety
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 by: v �Gi� Date: ?—,$?— C1
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
L� 1 APPLICATION NUMBER
rs-- r%, City of Atlantic Beach
Building Department �� (To be assigned by the Building Department.)
800 Seminole Road G G g ?G� ` / 0 Q
Atlantic Beach, Florida 32233-5 J 1 l.� l D
Phone(904)247-5826 - Fax(9 X47-5845
E-mail: building-dept@coab.us "'�_ Date routed:
4LC4-
City web-site: http://www.coab.us '
APPLICATION REVIEW AND TRACKING FORM
Property Address: _3E) 1S'P,(Z& O J�L Department review required Yes No
`` � it
Applicant: �—C��j(=� �—��~ ;-n
C'IC_�E�4_ PI nning &Zorim
Tree Adm n strator
Project: -PublicVVorRs
PubTic Utilities
PubTic9_aTe_ty
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 byt3 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 05119/2017
rsy�w;y City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
-` 800 Seminole Road
Atlantic Beach, Florida 32233-5445 - /O >
Phone(904)247-5826 • Fax(904)247-5845
9 E-mail: building-dept@coab.us Date routed: Com'
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
zQ Property Address: �C�� SAte C) IF� Department review required Yes No
uil
� C�-'-�C42 Applicant: PI nning &W lt)�� '�O M
(— Tree Aa—ml- 'stTator
Project: PublicllVorKs
��lic Ufiliti'ea
Pubic a ety
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 l
PLANNING &ZONING Reviewed by: ✓✓ Date:
TREE ADMIN. Second Review: []Approved as revise/ ❑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