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6 Forrestal Cir FNCE19-0123 6' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0123 ISSUED: 11/1/2019 800 SEMINOLE ROAD �``'.;o9%- ATLANTIC BEACH. FL 32233 EXPIRES: 4/29/2020 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: 6 FORRESTAL CIR FENCE WALL OR BARRIER FENCE 6' FENCE $4225.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171764 0000 ATLANTIC BEACH VILLA# 01 COMPANY: ADDRESS: CITY: STATE: ZIP: Ponte Vedra Fence Company LLC 822 Highway A1A North Ponte Vedra FL 32082 OWNER: ADDRESS: CITY: STATE: ZIP: BAGGETT DANIEL L 1120 WYTHE CT FREDERICKSBURG VA 22405 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: 11/1/2019 1 of 2 - FENCE WALL OR BARRIER PERMIT PERMIT NUMBER ut FNCE19-0123 CITY OF ATLANTIC BEACHISSUED: 11/1/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 4/29/2020 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 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. 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 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$81.50 Issued Date: 11/1/2019 2 of 2 � LAPP y, City of Atlantic Beach APPLICATION NUMBER js' 4 Building Department (To be assigned by the Building Department.) l i, 800 Seminole Road _ 11 i•- ;. Atlantic Beach, Florida 32233-5445 FK)C E I 9 -01 7_ 3 Phone(904)247-5826 • Fax(904)247-5845 r n sO. E-mail: building-dept@coab.us Date routed: ` d ! i I. 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (.0 I—ORRES i AL et,... Department review required Yes No � i Applicant: FONTC Vc- (J RA P-E-__ADCC- Planning &Z Ino Tree Administrator Project: ,M , c sm is tilities Public-Safety Fire Services 1 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: roved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: lO"/7.1 TREE ADMIN. Second Review: Approved as revised. ❑Denied. I '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 J %...A1 j. _ City of Atlantic Beach APPLICATION NUMBER � illviel Building Department (To be assigned by the Building Department) 800 Seminole Road FNCE _Of IJ Atlantic Beach, Florida 32233 5445 9 Z5 JPhone(904)247-5826 - Fax(904)247-5845' E-mail: building-dept@coab.us Date routed: 1 0) /< ( I ! _ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6 `_O RRES l \L et R. Department review required Yes No uildin Applicant: ��©(v�F VC E RA F----E..,oc...,-_-_ ___________Planning Zonin Tree Administrator Project: ' C,C. is tilities 2 • Public Sa ei•t 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. Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: —�1---- bate: (a/I (-f 1 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. I 'Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 rS Ail City of Atlantic Beach APPLICATION NUMBER ) i\ Building Department (To be assigned by the Building Department.) 800 Seminole Road OCT 4 �� Fiv C l 9 _d 17 5 ,�., Atlantic Beach, Florida 32233-5445 Phone(904)247-5826- Fax(904)247-5845 $xi.;i �r V E-mail: building-dept@coab.us Date routed: I d !I 1 j i _ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6 FO S-i \L et p__ Department review required Yes No ing ) Applicant: RÔf\3 -± VC !J RP �i=_�C(' Planning &Zonin `_ Tree Administrator 1 Project: " C� is tilities 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: t4pproved. ❑Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING �c i// `9 ✓/ �f0 Reviewed b �� Date: / / J TREE ADMIN. Second Review: Approved as revised. I IDenied. I INot 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 C'`4i-,- City of Atlantic Beach APPLICATION NUMBER t \ Building Department (To be assigned by the Building Department.) i 800 Seminole Road (=NcE "DI 7 .7!),, r' Atlantic Beach, Florida 32233-5445 W/r Phone(904)247-5826 • Fax(904)247-5845 • �;; �/ E-mail: building-dept@coab.us Date routed: 1 O /< < t City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6 FoRRES i{\L etre_ Department review required Yes No ding) Applicant: (, OND E. VC (J RA r--.„_ Planning &Zoning _ Tree Administrator Project: C17 -M C—C-::-, is Utilities . Public Sa 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. ODenied. of applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date://D-/,'-/9 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 Updated 10/9/18 .�,, ; City of Atlantic Beach Building Department **ALL INFORMATION N%,• / 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY vs» IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us ZZ Job Address: 6 Forrestal Circle North,Atlantic Beach Fl 32233 Permit Number: F N CE I — 1 Z J Legal Description Fence Installation RE# n/a Valuation of Work(Replacement Cost)$ 4,225.00 Heated/Cooled SF Non-Heated/Cooled • Class of Work: VNew ❑Addition ❑Alteration DRepair ❑Move [Memo ❑Pool r]Window/Door • Use of existing/proposed structure(s): ❑Commercial ViResidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No • Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) g �. Describe in detail the type of work to beperformed: 6 High Board on Board Wood Fence to be installed to rear of properiy° < � �tco r Florida Product Approval# for multiple products use product approv fonts 6 N Property Owner Information (j Ili �- n 6 Name Dan Baggett Address 6 Forrestal Cir N O 0 0 CI City Atlantic Beach State FL Zip 32233 Phone 954-290-7599 LU N p‹.. n E-Mail dkssmb@hotmail.com O O 4 Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) CI 111- N Contractor Information • F-- Z Name of Company Ponte Vedra Fence Company Qualifying Agent LL r' ttJ Address 822 Hwy A1A North City Ponte Vedra State FL Zip 32082 ® 0 w ui Office Phone 904735-0709 Job Site Contact Number 904-607-8885 n } a Ca L18000063273 > F 0 Ui State Certification/Registration# E-Mail pontevedrafenceC�gmail.cortt t j 0 to w w Architect Name&Phone# Kenneth Hart 904-735-0709 CC W Engineer's Name&Phone# Kenneth Hart 904-735-0709 Workers Compensation Insu rer OR Exempt g1 Expiration CC Date 9/30/19 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 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 ATTO•NEY BEFORE RECORDING YOUR 1 `Huuururrignature NOTICEorJOF COMMENCEMENT. �_�� fSOwner or Agent) ( ignature of acto Sig Q jr o '•�4�Qbf*ffirmed)before me this o day of j_ed�nd sworn to( affir .-• ••efore me ,. da o tF/40.. ' , 7 >'• 13Y /)6);,t/4 A(1�5c�, ( � — ZO -1b - - • day :2 C7 `)ce hr(el ‘._/Xis ! Ci -')L eelvlb`-7A 7 1 / '"4-- p': = (Signature of Notary) (Signature of Notary) ". •%.13 ��0 Q';':�E7-n,r4•fieii . 1- 31-3 G3) %O G#2o- ( ) te I ]Personally Known OR (I,ivroditAtirklantilibtion [ ]Produced Identification Z • 7 //_� Type of Identification: VfI. 'f)1c prrJz►,'s �1LcyriS t T lCi3C) -.CC J CoJ- Z `o `O i.".., TONI GNIDLESPERGER =.• ¢t :.i 6fY COMMISSION#GG 353178 Op'`rBonded Thni Notary Pubik Undenwrit.