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1826 Tierra Verde Dr FNCE19-0140 Fence FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE19-0140 Ur ° �" ISSUED: 12/18/2019 800 SEMINOLE ROAD ~1-oi&19` ATLANTIC BEACH. FL 32233 EXPIRES: 6/15/2020 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: 1826 TIERRA VERDE DR FENCE WALL OR BARRIER FENCE FENCE $850.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169542 5054 SELVA TIERRA COMPANY: I ADDRESS: CITY: STATE: ZIP: COAST TO COAST FENCE 1221 GALAPAGOS AVE S JACKSONVILLE FL 32233 CO OWNER: ADDRESS: CITY: STATE: ZIP: FREEMAN WILLIAM 1826 TIERRA VERDE DR JACKSONVILLE FL 32233-4527 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 a r 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: 12/18/2019 1 of 2 E___;;o..AJJ:r,oFENCE WALL OR BARRIER PERMITPERMIT NUMBER CITY OF ATLANTIC BEACHFNCE19-0140 800 SEMINOLE ROAD ISSUED: 12/18/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 6/15/2020 3 PUBLIC WORKS RIGHT OF WAY RESTORATION 1 INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. j I 4 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: 12/18/2019 2 of 2 Y5wvt �i City of Atlantic Beach APPLICATION NUMBER #- �� Building Department (To be assigned by the Building Department.) ;) 800 Seminole Road L" to o (- o j v Atlantic Beach, Florida 32233-5445 T ' Phone(904)247-5826 • Fax(904)247-5845 f I --Ent � E-mail: building-dept@coab.us Date routed: f City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 Z t GR.(ZA v CiaE Department review required Ye _ No (iDc udi.Applicant: QST4 � Zoning__ • Tree Administrator • Project: uublic or s Public Utiliti 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: 4 Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: UILDIN PLANNING &ZONING Reviewed by: m Date: /1-10-17 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 Si:L`r, City of Atlantic Beach APPLICATION NUMBER 4, ,- �,a Building Department (To be assigned by the Building Department.) 800 Seminole Road. J �` i /� r' Atlantic Beach, Florda 32233-5445 Fi cE t� v 1`�t w Phone(904)247-5826• Fax(904)247-5845 on = y E-mail: building-dept@coab.us Date routed: I Z-[ 1 ( C) City web-site: http://www.coab.us i APPLICATION REVIEW AND TRACKING FORM Property Address: 1 Z G2 h GR.2A VeZDG Department review required Yes No ("Tad jag Applicant: Cc QST C©flc i Erlanning &Zoning Tree Administrator Project: FE.10C� -P • c 'Tor s C'.ublic Utiliti- 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 by: Date: 1 Z — C— I 1 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 owu.t., City of Atlantic Beach APPLICATION NUMBER �S9 Building Department (To be assigned by the Building Department.) _ ` t7800 Seminole Road DEC 0 6I Atlantic Beach, Florida 32233-5445 2019 �IvC'�,l� d I Phone(904)247-5826 Fax(904)247-5846I �/ E-mail: building-dept@coab.us Date routed: I 1/ / 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z G t ( & RJ\ vVeZDG. Department review required Yes No CPlannin.Cc, p„.s.-r- CD41-5 Ir &Zonin. Tree Administrator Project: FEND - • c ',or s public Utiliti- 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 byjthele Date,. f7 ' 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 �ot.m;., City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) �'if 800 Seminole Road. n /► 1;`, Y r� Atlantic Beach, Florda 32233-5445 �'IvC€ [—1 �t j\ r ' Phone(904)247-5826 • Fax(904)247-5845 / J � E-mail: building-dept@coab.us Date routed: I z[ / 1 9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I Z Co i i Gp.,(Z Vue_OG- Department review required Yes No ,tuile.i Applicant: _ �jr Ps-S. ' v C So i L `_ Planning &Zoning Tree Administrator Project: FEIO ub c ores C..___ ublic Utiliti 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. I 'Denied. of applicable (Circle one.) Comments: BUILDING / PLANNING &ZONING Reviewed by. e-- / Date: / 2-Q4 q TREE ADMIN. Second Review: A roved as revi ed. ['Not applicable ❑ pp ❑Denied. 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 `'t'-`u1`4= Building Permit Application OFFICE COPY Updated 10/9/18 '' fa vi City of Atlantic Beach Building Department **ALL INFORMATION ~ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY �__. IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us l f 0 Job Address: WZ-e, //t---e-r-04 116.'EbC_ Permit Number: EN CEP `C' r� Legal Description /)T2,-1 '56-1-V4-1-'56-1-V4-1-1 C ✓4-'56-1-V4-1- EQ, i 2A- RE# • ILA 542 - 5-0-51/ Valuation of Work(Replacement Cost)$ gS) Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑Residential • 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) ❑No Describe in detail the type of work to be performed: /7 >� G( b m'4-, 7'u-C/� {eel Ce w,`44' '1 9 a%C� Florida Product Approval# for multiple products use product approval form Property Owner Information Name `1/,PA....••. -4- r/C11-4(J:/LAstr" FPie..- ( --.. Address /8-2-(0 T 2 e2,4 Ve A-?c City 47-1-11-A/T IC- &c CW State FL Zip .SZ 33 Phone cloy Z q q 7_723 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information //�^ Name ofCompany4S7` 76CCJlsr- FC 'CC 7) Qualifying Agent `•.k),•./ 3I,LQLie .' Address /eZ/ *- -A'PA-Cvd City47z_ (jc.ft. State FL Zip 32 Z33 Office Phone Q1 '70k ` 77C5-- Job Site Contact Number State Certification/Registration# E-Mail c27Z7C,.PE '(-t_ GMA /C- • G3 M Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exemp'Expiration Date i/i,/Z Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installn has v commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regtting N construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIt3b15x J z , WELLS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requiremenWoLtihil 0 permit,there may be additional restrictions applicable to this property that may be found in the public records of this coup 1 p there may be additional permits required from other governmental entities such as water management districts,state ager0eup Q O QC federal agencies. V U Q 8 OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance witglg < 2 applicable laws regulating construction and zoning. 0 < 0 a c to WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Mme' Q � w RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER Y. IF YOU INfirtyce " TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY :EFO: " a 5 m w REfe4IQ1G YOUTICE OF COMMENCEMENT. _-i/� W 0 N W W �` — / / - Gu (Signature of Owner or Agent) (Signatu•--•ei Contractor) gj CC CC Signed and sworn to(or affirmed)before me this day of j ed and sworn to ed)before me this day of - : - bEC r. 6,____ .-. 1..a or i (Signature of Notary) OF ( - tur-o otary)ralilli �d'"oa Notary Public State of Florida � / v► TONI GIRDLE •rGER ;Q . Roberta D Carlisle .J p� `1 % ISSION#GG 353176 /Personal) Known OR . ersonally Known 0 , ,., ;.i IAYCOMM 6 2023 [7 Y My Commission GG 251658 [ ]Produced Identificati o►no Expires 09/15/2022 [ ]Produced Identificat tP.� c�: EXPIRES:October Type of Identification �� Type of Identification: ''FZ3.P.g'' Bonded Ny rLAVA, REVOCABLE ENCROACHMENT AGREEMENT J'' /Or' 'fin\ City of Atlantic Beach **ALL INFORMATION • 0 HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach, FL 32233 Y IS REQUIRED. REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as"CITY"and (104-5'I` TO CC-j(I re—•s—)G— Ci) of Atlantic Beach, Florida, hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as 2=E^/C (, " t 1,..,,411 11 l9 eka . Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days' notice by CITY to USER,said notice to USER shall be given by certified mail,return receipt requested,to the following address /02.40, ii E 2'.4–J521). • . • In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or adding to of the utilities and facilities of the CITY or franchise utility provider. • The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." • The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of completion. • This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. • USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of easements, public right-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the SER from any of the work herein under the terms of this permit and that all of said liabilities are hereby ass ed by he USER. Date /Z/y /9 Property Owner/Age -,411:117d in presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL The foregoing instrument was acknowledged this -4 day of (C),'(� , 20 , by .Jt,9ncc,Aa.. / U,'s-f— ,who personally appeared before me and (, -d name of Sign 11 ac o • e• - she sign the instrument voluntarily for the purpose expressed in it. or Department A.prpval: Signature of Notary Public,Stat- of lorida Personally Known r'b — — "N._ /,_i Ad _ _ . . :` +•! .; COMMISSION ISSIO SPERGE3 Scott WI hams Public Works Director [ ) Produced Identification (Type) c•� ;,; MY COMMISSION#GG 353178 • di;a v; . EXPIRES:October 6,2023 /d- 71 H:\Applications&Forms\Word&Excel Document Origip9:,. ._9r�lr t+L':+'d'•l:r..d.;�=;u l_:el. ent.docx Revision Date:8/31/18 MAP SHOWING BOUNDARY SURVEY OF LOT 27 BLOCK AS SHOWN ON MAP OF -E- LVA TtE12gA AS RECORDED IN PLAT BOOK 38 PAGES 28--ze AOF 71-IE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR: UJ/GUM// .t-1iik2C, ,€/7 ) F12E7 ?, J ' JO Se-P2-1 leYx143.em?A PR� �L, /4770re JB-YS T17LC IJ�JSuR_/��GG F-un.>fjl I/VC'.) S4eow�f 0E3,eI/J&&-'• .,i �- PE,42T.7SLEy y be-GptiL)10 i. 1 ) � /S'?- (7,7c/-( • _ : ; ' 4'53" L 8032' D2AJ6, L!r L'-/ SEGtiJ ere ES'Alf 0, \ (A.., UO1> (?SULK(-JEpQ \ I'l v c.,D 1 N I I\ -7 Zi- ' i Ro,eGfl r tO.9' o , 8 IZI cK 1 LJoo rr , ea i4` / 6 7.-CP N W �. Q z g) 26ON 0.0e` ISI N ' (._,,i/ N175 ---�� �" dd, 6.7' (II ,. � Q` fi ►7Q 6, N _ Z 1.4' 7' 1Y N N nat.- t vx i° J E. .a LSA : i f 1 ? 40.7i' Q L. -a . Cb°07' Z! " Ej 3. GU' 24' 53" E. 68. 2,' cf-= 11..71 ' ,e_ !/18.S6'