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1969 Beach Ave FNCE19-0119 4' •,:s' tr/p, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER ���' FNCE19-0119 CITY OF ATLANTIC BEACH \fit 800 SEMINOLE ROAD ISSUED: 10/10/2019 4,3 119% ATLANTIC BEACH. FL 32233 EXPIRES: 4/7/2020 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: 1969 BEACH AVE FENCE WALL OR BARRIER FENCE 4' FENCE $500.00 TYPE OFREAL ESTATE I BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: I GROUP: 169698 0000 NORTH ATLANTIC BCH UNIT 2 COMPANY: I ADDRESS: CITY: STATE: ZIP: SUNSHINE COAST 513 VIKINGS LN ATLANTIC BEACH FL 32233 CONSTRUCTION OWNER: ADDRESS: `'1iIii IE IN GREIDER JACK L JR 1969 BEACH AVE ATLANTIC BEACH FL 32233-5936 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. Issued Date: 10/10/2019 1 of 2 r 1-:-Ci,y City of Atlantic Beach APPLICATION NUMBER > Building Department (To be assigned by the Building Department.) � ' ' 800antiSeminolecBeachRoad — q I Florida 32233-5445 L c&(ci -O I �, . Atl , Phone(904)247-5826• Fax(904)247-5845 4�;1 �r E-mail: building-dept@coab.us Date routed: I 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I { • - t ti li • Deortuoten&review required Yes No BGildi Applicant: t>0(uS H IT,. e OAS •toS' fanning &Zoni Tree Administrator Project: l V—E C , blic Work Public Utilities . Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation /3L V St. Johns River Water Management District Army Corps of Engineers As. . Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. Denied. I Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: r Date: AO— 7� 9 TREE ADMIN. Second Review: I 'Approved as revi ed. I 'Denied. Not applicable . . . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. I 'Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 EiC ..0..4,9--;.-s, City of Atlantic Beach APPLICATION NUMBER JS �' ril Building Department . I OCT 0 3 2019 (To be assigned by the Building Department.) . f800 Seminole Road _ .617 F.! Atlantic Beach, Florida 32233-5445 I i )CC( Dl, l c) Phone(904)247-5826• Fax(904)247-6845 i fm gr E-mail: building-dept@coab.us Date routed: 0/31 i 9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: i I • . ;; Ai, De t review required Yes No ildin _ Applicant: U(vS( (I OC)f)t. T. OpS7 tannin &Zoni _ag..� ( Tree Administrator Project: 1 FEK)C. _• • • 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 J -• St. Johns River Water Management District Army Corps of Engineers v ' 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 PLANNING &ZONING Reviewed_ Date:4—# TREE ADMIN. �� Second Review: I ]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 r- City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.)' 800 Seminole Road �_ CG - o 15 It -e Atlantic Beach, Florida 32233-5445 l Phone(904)247-5826 Fax(904)247-5845 / _!o,t q. E-mail: building-dept@coab.us Date routed: 1 0 / 3 i City web-site: http://www.coab.us / APPLICATION REVIEW AND TRACKING FORM Property Address: E I (C,q % E-Pt0 61, 4 C-. De t review required YrNo Applicant: NS L([ l�� EI OAS ' 0_,,,,,,,,7„g.„- M Tree Administrator Project: { l FEiC-Eublic Work '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 /3‘ 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: v1Approved. I (Denied. ❑Not applicable (Circle one.) Comments: UILDI PLANNING &ZONING �C,. Reviewed by: P1 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 r0yA1,y;•;� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) t 800 Seminole Road I rvCc—(`� –0 I `) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 / A.,on 0- E-mail: building-dept@coab.us Date routed: ( ( / 3 City web-site: http://www.coab.us JJJ APPLICATION REVIEW AND TRACKING FORM Property Address: E 1 lO• � • Dep - it review required Yes No BCldie• Applicant: 0 IVS�((1 ST e.O � � 'tannin• &Zoni • Tree Administrator Project: l FEK)Q-E _ ublic Work (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: pproved. I 'Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONINGQ r Reviewed by: Date: ` a–? TREE ADMIN. Second Review: Approved as revised. Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES • PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. ❑Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ' 0:1-L4%,-, Building Permit Application Updated 10/9/18; tet,r City of Atlantic Beach Building Department **ALL INFORMATION v 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY -wow- ,_ IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us 9-0i � Job Address: 1I 41 6CAc NA1/�^'t' Permit Number: 1-1\ C-6 C l5 O Legal Description IS- 059 ti -z -Zyit IV, A rtAtiric. IYAh U•"1f Ma 2. RE# /6y41 g — 0000 U �a n ci, 4 o Valuation of Work(Replacement Cost)$ 5—° / Heated/CooleSF f'//] Non-Heated/Cooled Aja¢ mow♦ • Class of Work: DNew Addition ❑Alteration L➢IRepairr EMove ❑Demo ❑Pool DWindow/Door v • Use of existing/proposed structure(s): ❑Commercial tNResidential-- // • If an existing structure,is a fire sprinkler system installed?: ❑Yes L f o 0 • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) OC Describe in detail the type of work to be performed: Aai /Z i /N O L-t N6 r N "F F mch,"6 Lii lh/ rfEl6 Nf TO lc;;t,NEG1 To EX/5J,^'6 At(ticfr"t ra t , ( fA5r. LU L) Florida Product Approval# /1'/4 for multiple products use product appy Uo< cn Property Owner Information O. cc" Z P. Name J/ t K (,At-fat JA . Address //6/ /5M(1i AvfA-"f a. w O a W City ATI/4/4'0C 151/ICN State fl... Zip 32 2I Phone 90y. Tog'. cJ-Soo m 6 p` Q E-Mail 4//R Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 0 w 1f't CIt 1 00 Zi Cf Contractor Information a Name of Company Subs H/'/'C. C°/15/ CovSy'C"�.74"-(Qualifying Agent ` Oif fN /f��.9 i4?ce' cn z Address 5/3 V1ki4/4f City Afc4417, r•f9"/ State fc. Zip 2ep36M w Office Phone goy. 20 8. /a ill Job Site Contact Number /CV. Z G p. /o et/ `" v0. i. } State Certification/Registration# C 6C /2.V" s't1' E-Mail !oe�' Sty 456;l t'coo s);4 C. Co M''t W EL IX m Architect Name&Phone# .4-//1 ' l 3 w W Engineer's Name&Phone# NSA W w Workers Compensation Insurer C 4rti£'E cfN( E OR Exempt❑ Expiration Date /0///Z02.0 > Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instaLition has CC W 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 forRi IN: L S, WELLS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NO C I . 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. OCT 3 2019 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. @FB gldi, 1 - e rtrt nnl� WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE ' „EhNf Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR I' e ' RTY. I -C I ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A. • rd" Y BEFORE RECORDINGY'o NOTIEE,,OF C 41 MEIgCEMENT. / ignature of Owner or Agent) ,. / of Contractor) r Signed and sworn to(or affirmed) before me thi Nay of ' ne and sworn o r : ed) .0A• his r day of OCV13�c>( 9.0V1 ,by T C-k., Cl to i c ikr —,r �,(--0 , • J 0c t,LI 1 - - . iA1 (Signature of tary) — Sig‘lir.. - of 'otary) [ ]Personally Known R. ;;'r:F�ii.z: KAYLA ANN BAKER Personally Known OR 1 .,..: P;,;,. TONI GINDLESPERGER [Produced Identifi t�.' ,•, h}`�commissioniGG251974 [ ]Produced Identification _ MYCOMMISSIONgEF924951 Type of Identification �. � dy'kxpiresAugust23,2022 Type of Identification: _ EXPIRES:October 6,2019 .,.Edi d°? Bonded Thu Troy Fain Insurance 600.3857019 Drrca n,r Notary Public unde venters t—nil - ,v...,7.7 ,-.... ,9.7 A TLANTIC 0CEAN gar, terms �..6 — 50' t C a :ERTIFICATION: This survey meets the '', 2� 4, minimum technical standards for a '' boundary survey as set forth by the i /3 loci: Wal/ 2.4 Florida Board of ,..and Surveyors, pursuant to Section 472.027, Florida Statutes._,,--) >• SIGNED: !, .� �.�.e„ . - --,,,:. ^ t 9 • 3 0 00 K O F Iljil t. J ......, i()( ,, ,s, : , • t•__ 1,.. r... 1., •:,$). 'Q. 1:1 433 i vn t^ 3 N i� b LUl Z ., u) i i •/°a.fio :"4 - a u' n W %),_ ! Lii 32.1' Ou .QZ I- 2 j 3 STORY 04. 0 D CoNC. BLOCK • - W H a o FRAME o <X o.< • • No. /969 U —i u- U)�0.s /0.3' I- N I- -1 f ---- CC Q II-- Z Apo 12 1 Lo.tic 0.2' .. ° U. � ' cr a 4> v•, 4.\ L. Ml o 1/4 3 N Q © w a. c 7, ( /./NU � ' . ,---os �°'0 L—i/_3_J o ` � W V � \-$ ~ w 1 g H 16 II I To L. u. f To �o.e' .n.3f. �.7' W U N ¢ E Fk,v11 TO T“ - CC c x1570✓ a •Cont. APron•. tat .4 • } .- �• 50.06 ' GARAGE APPROACH ROADWAY 25 ?/td Jab No 37050-540 72.59006