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335 Garden Ln FNCE19-0090 Replace FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE17-0090 800 SEMINOLE ROAD ISSUED: 10/10/2019 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: i DESCRIPTION: VALUE OF WORK: 335 GARDEN LN FENCE WALL OR BARRIER FENCE replace 6 ft. fence $6000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172020 5054 SELVA MARINA GARDEN COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: LACHICOTTE ALTHEA M 335 GARDEN LN ATLANTIC BEACH FL 32233-4523 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,Shapell's,Inc.,Republic Services,Donovan Dumpsters). 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: 10/10/2019 1 of 2 =_47".1v, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER FNCE17-0090 CITY OF ATLANTIC BEACHISSUED: 10/10/2019 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 EXPIRES: 4/7/2020 4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing must be removed from job site by Contractor. 5 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Fence cannot be placed in City right-of-way. FEES 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 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL:$81.50 v Issued Date: 10/10/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER t; 1)1 Building Department (To be assigned by the Building Department.) 800 Seminole Road + Atlantic Beach, Florida 32233-5445N t Phone(904)247-5826 • Fax(904)247-5845 \` i G f t E-mail: building-dept@coab.us Date routed: 1 - l 4 11 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 33S L1 6 1 L i De artment review required Yes/No Building Applicant: () ,•)n,Qf( Planning &Zonin- rr,^ (� Tree ra or Project: ( Q 1)V(LL W � i�Ll 4 . 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: proved. ❑Denied. ❑Not applicable (Circle one.) Comments: n 7 0 ILDI e PLANNING &ZONING Reviewed by: 1 Date: /2.• /2-/-7 TREE ADMIN. Second Review: EI 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 lAn-r City of Atlantic Beach APPLICATION NUMBER ` Building Department (To be assigned by the Building Department.) r . 800 Seminole Road 0F-14611 -- _ 00c�0 Atlantic Beach, Florida 32233-5445 �JV Phone(904)247-5826 • Fax(904)247-5845 ii I ,;119r E-mail: building-dept@coab.us Date routed: 0- l�ill City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 335 £Ckf'(RA L-0 . Department review required Yes No C Building Applicant: O nSX ,Planning &Zoning Tree 1 raator Project: ( t Q\i L L W C1 ilLk CgiklieLWe 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: 6cde �fBUILDING Se(VG / 'Gr. 4 V VD 5-/ a-n-c ,�c tht, )► 1— PLANNING &ZONING Reviewed by:� ,./ ..--- Date:1 2- /v' i 7 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 riLv;yJ„ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ++ Atlantic Beach, Florida 32233-5445 �N(L- l - O O c)C Phone(904)247-5826 Fax(904) 247-5845 DEC 1 1 2017 i E-mail: building-dept@coab.us Date routed: I 11 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 335Ctf' hn L-0 Department review required Yes No (Building Applicant: Planning &Zoning rr,� (� Tree �c� mlr1lstra or Project: ( t.QLOiL O.__ (D k t'1 Ne-Wecks� 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 b Date: /X-/e2 i7 TREE ADMIN. Second Review: Approved as revised. I '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 t1�,�if�J�, City of Atlantic Beach APPLICATION NUMBER rjS r id Building Department (To be assigned by the Building Department.) V 800 Seminole Road t ;� Atlantic Beach, Florida 32233-5445 �1" ( - I Phone(904)247-5826 • Fax(904) 247-5845 D' 2017Date routed: ��I ii \J;i1>r E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 33S ckirjhti LI) . Department review required Yes No C Building Applicant: C)u1/4)1\LA _Planning &Zoning (,� Tree-ar?i liTigtra or Project: ( Q,.� UL �/ � 1'\C �ublie Wor—tc Public Utilities Public Safety Fire Services Review fee $ Dept Signature ,c_ 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 �i✓" �L/ t 7 Reviewed by: Date: TREE ADMIN. Second Review: I jApproved as revised. I 'Denied. ❑Not applicable P tC WC") KS Comments: PUBLIC UTILITIES FUBLI -F UBLSAFE Y Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 biD/1''t e Ow ii r (Ail 1 I 10-f h 'k',,""`corn)w 'k' p zc` .1) pelr►m.ti ti- $ St/A-444'14 -P;P- ,I ,-Y, TiVealEnt- 1/1 Y/r)_cl-L7 r e i' 0}„, Building Permit Application Updated5/5/17 t DEC2011 it City of Atlantic Beach DEC i ti PEKE COPX ` 0 Seminole Road,Atlantic Beach, FL 32233 • • ___j P°it v' Phone: (904) 247-5826 Fax: (904) 247-5845 39$ �N La.,VG ---AFC-611 -0-0-97-0- — Job Address: Permit Number: Legal Description i,//pi .1d a RE# Valuation of Work(Replacement Cost)$ ', 6©O • a” Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door Ataaah.+r�� • Use of existing/proposed structure(s)(Circle one): Commercial sidi.e • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: dIr,rw. t hht tefit.,,s +• 4-A4.441. Florida Product App ovfi for multiple products use product approval form Property Owner Information Name: R.l iike,fr pi . L Aae Address: 3JS—GliMa w-- 1-101.00._ City Pin a.. leadsA State FL Zip I siav Phone (ac) a4(c- 12_6? E-Mail # & 4 i40, .ds- Own- or Agent(If Agent, Powe f Attorney or Agency Letter Required).1 die A- ,G . h*!_4:C . 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 Exempt/Insurer/Lease Employees/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 regulationg 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. 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 NOTICE OF COMMENCEMENT. & rke--ill leei�- (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed) before me this lc day of Signed and sworn to(or affirmed) before me this day of Ael,iA'I ( , i;t\ , b A IA VW A_ LAC 11 L I Q- , , by tiL__ (Signat to €17 otary) (Signature of Notary) e . ,,�' JENNIFER JOHNSTON ,•� MY COMMISSION#GG 042984 1N1i'I �`£ EXPIRES;October 27,2020 [ ]Personally Known �R�,�i'Pc dondedThruNotaryPublicUndenvriters [ ]Personally Known OR po_i o [Produced Identific. I. ,. ` __- [ J Produced Identification Type of Identification: - f I 0I (r : ,LQ se Type of Identification: i 1 r1 �i tib 11--•=1 J N! (.t= i( \ '•'try''.`' Building Permit Application {II Updated 5/5/11 ° DEC 8 2011 tl City of Atlantic Beach 1 \ ! - 800 Seminole Road,Atlantic Beach, FL 32233 I;, L. �`nii Phone: (904) 247-5826 Fax: (904) 247-5845 ,__.--______-._-- z-�=_ Job Address: 335' 6-i/rya/LAI JQ,,Ve. Permit Number: rN LC I1 -009(� Legal Description g,piaae.. " s jG _ RE# Valuation of Work(Replacement Cost)$ 6/ 600' • 0'3 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door .Fr.ed ,..� � • Use of existing/proposed structure(s)(Circle one): Commercial esiden • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No lo • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: (6' i`C) Florida Product Approvfitii for multiple products use product approval form Property Owner Information tt N.. Name: R-L#k .# . JA-40e4ife,. Address: 3,3� ,w,ut.R.i . g._ .. City Peri* �ia- ',8e..ak State )L Zip-32 ,, Phone eicii) _746- 1`2_47 E-Mail ` & 4;ty /ll ,d/N— Own-• or Agent(If Agent, Powe of Attorney or Agency Letter Required) -,hA' in . hae-a4 ca. 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 Exempt/Insurer/Lease Employees/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 regulationg 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. 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 NOTICE OF COMMENCEMENT. arm-fl). 4.4.4,1t (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed) before me this ' day of Signed and sworn to(or affirmed)before me this day of 1)&4)til4 , 2;t1 , by A (-t hw.A_ LK L ..1-27-7--d , , by J2 Awe./ .I i (Signat e ( 'otary) (Signature of Notary) "�4,7,vr',ac+ JENNIFERJOHNSTON at MY COMMISSION 4 GG 042984 -�: �' k EXPIRES;October 27,2020 [ ] Personally Known ►R:�;�c [ ] Personally Known OR eoo,(o: 6onded Thru NotaryPublic Underwriters [ ]Produced Identific,jjor' "_ [ ] Produced Identification Type of Identification: I t ' (r j9-r,S iL o(1SQ Type of Identification: tGARDEN LANE • le ...,:i . • s1 N'N i i 3 S e i e • i 0 ,„..L._1. t• As • J 7 ° :R Q I{ q- J Z v r -r 0 I Z D7 Z ,I __ • 171L --,LINE ft o'9'14'W Im- m' • • tab' '...-. = m Sa a—o -e e W4, 4s'.e, . 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