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292 16th St FNCE19-0137 Repair 6 ft c''lJrFENCE WALL OR BARRIER PERMITPERMIT NUMBER sCITY OF ATLANTIC BEACHFNCE19-0137 "` �° ISSUED: 12/20/2019 800 SEMINOLE ROAD . ;___, EXPIRES: 6/17/2020 ATLANTIC BEACH. FL 32233 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: • 292 16TH ST FENCE WALL OR BARRIER FENCE repair 6-ft. fence $525.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170385 0000 ATLANTIC BEACH PRKWY #02 COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: DAY JEFFREY E 292 16TH ST ATLANTIC BEACH FL 32233 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. 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: 12/20/2019 1 of 2 ..0...m.,..r 0... `'`r' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER ;s :r___i . 5 CITY OF ATLANTIC BEACH FNCE19-0137 ISSUED: 12/20/2019 �`' �� 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 6/17/2020 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. FEESft DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50 FENCE 455-0000-322-1000 0 $35.00 1 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: 12/20/2019 2 of 2 rst,," City of Atlantic Beach APPLICATION NUMBER .,06 Building Department (To be assigned by the Building Department.) 800 Seminole Road �_/"/�G r ,j._ �� Atlantic Beach, Florida 32233-5445 C— 13 Phone(904)247-5826 • Fax(904)247-5845 f G, i! ' E-mail: building-dept@coab.us Date routed: 11 )a-S- I / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1ga l(Q S4 • Department review required Yes No i ding Applicant: OL,) v1 anning &Zoning) Tree Administrator Project: (QQGL\( - - (e1=CublicWorlcs` CPublicUtilities 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. enied. Not applicable (Circle one.) Comments: BUILDING Needs or- crit s;dewy ik PLANNING & ZONING (1- —L_ 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 Updated 10/9/18 r City of Atlantic Beach Building Department "ALL INFOR INFORMATION 6141.,;, 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. 29Z /4+1% r f 312.13 A)(�(1 _bi 3-�- Job Address: r« �{IgN�I�C <s.G�./F` Permit Number: F Legal DescriptionRe . el tin 4.;41 14o wn-( RE# - Valuation of Work(Replacement Cost)$ 4tZ Heated/Cooled SF • Non-Heated/Cooled • Class of Work: ONew ❑Addition ❑Alteration XRepair ❑Move ❑Demo OPool ❑Window/Door • Use of existing/proposed structure(s): OCommercial Residential Nov 2 2 2019 • If an existing structure,is a fire sprinkler system installed?: ❑Yes NNo • Will tree(s)be removed in association with proposed Project?Oyes(must submit separate Tree Removal Permit) kNo Describe In detail the type of work to be performed: <' A;r- O� ; ♦ n 5 1r a"C< Ll S:n g n/e ti) PcvNe � S O- 0.vv c� :M-f1,0k; rS . Artas 'R �Qtred ShoWv, on0. 4.�ed u�ut•� . Florida Product Approval# for multiple products use product approval form Property Owner Information Name )1.12 . --/C) Address Address 2.9Zl(i+'` S fr-,T4t- City A+ $e&h State FC Zip 32Z 3 3 Phone 9o9 9Z y 75 E-Mail TY,cky e_ "N.G7.9Z g ►rVvail•Cow\ Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) 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 Insurer OR Exempt o 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 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 agencie j or federal agencies. U cn OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with alt J Z applicable laws regulating construction and zoning. Q 0 aZ WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY2 woo RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTER o o TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE LU a o REC DING Y e • ` E OF COMMENCEMENT. O < O a U fn (Signature of Owner or Ads) (Signature of Contractor) o Q y W oLI. Signed and sworn to(or affirmed)before me this aAlay of Signed and sworn to(or affirmed)before me this daAofO w N1�J Q M a c�l�l,by �0. � by W Lu 5 W• otary) (Signature of Notary) W JENNIFER JOHNSTON W iZr: �•+ _ MY COMMISSION#GG 042984 n�� CC * TiEXPIRES:October 27,2020 L U W F 4P` Bonded Thru Notary Public Und• vriters CC Lr [ )Personally Known OR [produced Identification • e [ )Produced Identification Type of Identification: Fl.. c-( `,�-r,� `<L Q(� -Q Type of Identification: . L`J� ," _s Permit Reviews s) v City of Atlantic Beach Permit Number: FNCE19-0137 Description: repair 6-ft.fence Applied: 11/25/2019 Approved: Site Address: 292 16TH ST Issued: Finaled: City, State Zip Code:Atlantic Beach, Fl 32233 Status: RECEIVED Applicant:<NONE> Parent Permit: Owner: DAY JEFFREY E Parent Project: Contractor:<NONE> Details: OWNER BUILDER LIST OF REVIEWS SENT DATE RETURNED DUE DATE TYPE CONTACT STATUS REMARKS DATE Review Group:AUTO SUBMITTAL 11/25/2019 11/25/2019 COMPLETENESS Jennifer Johnston APPROVED Notes: 11/25/2019 12/2/2019 12/7/2019 ZONING Zoning DENIED Notes: Setback:For corner lots,fences must be 5 feet from any sidewalks.Please show that the fence will be 5 feet from the sidewalk or revise accordingly. 11/25/2019 12/11/2019 12/7/2019 BUILDING Building APPROVED Notes: Pending the eventual approval of Plan.and Zon. APPROVED 11/25/2019 11/26/2019 12/7/2019 PUBLIC WORKS Public Works W/CONDITIONS Received 11/26/19 Notes: See Conditions of Approval that will be printed on Permit. NOT APPLICABLE 11/25/2019 12/2/2019 12/7/2019 PUBLIC UTILITIES Public Utilities TO DEPARTMENT Notes: 1 of 1 1 Printed:Wednesday, 11 December, 2019 Revision Request/Correction to Comments **ALL INFORMATION ,;. HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. VIP 800 Seminole Rd, Atlantic Beach, FL 32233 j`SA' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: FI3 C e 9-0131 ❑ Revision to Issued Permit OR IX1 Corrections to Comments Date: 1,211 3lemic( Project Address: 02.1 . I (o±h S1'r-ZP - Contractor/Contact Name: Ow cw h e r �I a r.2.- Da_ ! v e-?-ri cy L.�c.� ' Contact Phone: 9'O`{ 5 S 9 lq Email: e- 1G2.f'Ne_C c..y09'2.0q Description of Proposed Revision/Corrections: r n5e_CLlnce A kr, S --Cs-11- S cdewk I I r affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? KNo ❑ Yes (additional s.f.to be added: • Will proposed revision/corrections add additional increase in building value to original submittal? to ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) Approved ❑ Denied P1 Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building Planning oni Reviewed By Tree Administrator Public Works Public Utilities 12 r2-- Public Safety Date Fire Services Updated 10/17/18 TRI-STATE LAND SINE Fax Aar 20 2006 95:Inii PQ•02/002, -rte teCAO 026 -S. •L =3[VO * .•e OW$4.04ow or y>• araaum 1 • _ :mss .ar=I= ;w 101* ST.1 �OO7 .-ANY) .r 11il/01Y3 JAL, V 3.7.rnu..•t a a.•vfi• TIM Lt,SaAO• (.tu)VCO Poe O r...n 0M Ma,LX) K111 WCC■ dMMIAV R9 3NOIlli.9t3i9 I:10 1037i3a ION S30O A31 'I' SIH.( 131130 71 srez-l£'L (*05) 9SLLC vii 7j 377NNOS)10Vr "Llf 311OS AVM SMOOV3PYdvs 11Y8 0NI `S10IJA2LI1S UNY7 ZLVIS—IIL ' i 3/115X 1vOl11'0lllli3J V(31l1L1sM530 Ja ION 0 ONY ATNO AS1121100 V SY WOKS SI A; "��++ii" ONY ' be- -1.---b YO 031YOIM02I i'- "o ' f JO Aar) 3111 afar /cxta dvn .?J L'llt 31 Ky NY,Y SAY �'''''.71/1/1:11073/1a 1�1J `O ®�� 0003 O3ihJS SY HM)Z O?IYZYH 000V N1NINM 371 01 S11V_iddY M73X1H NMOHS A.A 3c ?tel 3H1 `V VN 73�Jcity NDS830lin 3kl JV 710.35 Hai 0355D8M3 553AVfI 017Y�i 10N 0� I .1/A//� L IO- 2-Z./ Q OSS-1O 0'M ..1-7(-773--a,ill��00 --1' r r''z, u `1-i_ f,c S 1 wv -- -)k,,,?-_4 `Y. •�.0k . x % x � Us+n r+K.> y -kO 1U 1 1• 7l// ,,,,,,: 1 1 VIII v 02 " • J. 01 oo£ 3LI 0 . • U 9r a N875 ,� 7 ti) i t1 el �� N• � .z �l .0 11 h t, 2 0� n • S 01 P P7 / • w A / , • N • 10y'o p0 a O 27o • /' 1...0_ — , t--; •gam r /_L -2 .4,4-7)) -Nd Gel ter-- 'L•,-tr - ..i qI. r. I3"4 .77 Sr .t77 9140t-t JC/irn,k eLJ t-77 A w7ur' r1 3ltiV '7F s.9-1 I1'7-17 'OT. as Iax.ufa3 'x.INI>OJ 7VAnci 30 SQMOJ2M JI'IHld INBM aitx Sail. 30 CO 80Vd 'ST 2009 121dO74 NI O80M0:>3M SV doasa,LL .LV'Id 0.t ONIQMOJJV 'OMT, 'ON IINfi 'I.Y%IIMVd HOVHS DUNN/ S 'L >IJ01H 'VOIMO'id '71N410J 'IYAAO 'ffDV5N 3I1,NV21.2 NI I.VM-d0-.LHOIM JI'Ii3nS V 'IIAIHO LSYOJ LSVS NI anima.' 1.71179SSNd IAN SI HJIHM 'S IA'I dO ,I.MVd ^.VNOLLJVMd .tVRI H 78JMYd 'VQINO^.d 'xI.Nf>OJ 'IVAAO 40 50740255 JI'Hfld LN33"M413 5111. 40 re 9aYd 'ST NOOU Ind NI O8ds'Ooss SV dOSNANL Ind cu. ONI(TNOJJV 'OM/ -ON Ilan. 'AVM>iVVd 1-02331JILNV'I1V '1. Y2:100e '9 .10'I 10 r 2L11S A2fQM11011 ONL 0HS dThr 'IL--ni;;, City of Atlantic Beach APPLICATION NUMBER r i'. Building Department (To be assigned by the Building Department.) 1 800 Seminole Road �,/! f G O, 1 r� Atlantic Beach, Florida 32233-5445 /" C�ffi_( C� T Phone(904)247-5826 Fax(904)247-5845 Date routed: t' l�J f / J;; 1r E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ' 1 t(.14-- ---- S-1- •. Department review required Yesr-No i ding Applicant: Owl) e-( ' anning &Zoning' Tree . •ministrator Project: (# Y A\( Le — _ -k(,,f,< 03-ublic Works 'uTic`Utilities 'u• is 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: rKpproved. ❑Denied. ❑Not applicable (Circle one.) Comments: Rom vol.-KS Pun. t7 . eve.'vIv. t1Fpm / PLANNING &ZONING Reviewed by: r-1 7Y‘' Date:/2'/1'1, 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. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 �S�..Uyr� City of Atlantic Beach APPLICATION NUMBER ` �'- f�� Building Department (To be assigned by the Building Department.) 800 Seminole Road `a,- - r .j,. IVr- /'L(Q —0133- �� Atlantic Beach, Florida 32233 5445 sr; U /"!�-vt_( E-maPhonil:(904)b building-dept@coab.us 247-5845 Date routed: le I&S-/l el 011 NOV 26 2019 City web-site: http://www.coab.us Y APPLICATION REVIEW AND TRACKING FORM Property Address: iq ' . Uj S4 • Department review required Yes No I ding Applicant: On nning &Zoning-)Tree Administrator • Project: f jQ G,( ( - - le_n Public Works �l u is Utilities —Pi:0c 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: ViApproved. nDenied. nNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING .. by. Date:A-26 If TREE ADMIN. Second Review: Approved as revised. ❑Denied. 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 ,s>;J , City of Atlantic Beach APPLICATION NUMBER } • Building Department (To be assigned by the Building Department.) ri 800 Seminole Road �_/� r 75 , Atlantic Beach, Florida 32233-5445 /"�—�t l �� \ Phone(904)247-5826 • Fax(904)247-5845 r G, \cis �? E-mail: building-dept@coab.us Date routed: t 144-5- / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: .g a L(Q S-E- . Department review required Yes No I ding Applicant: OWn . nning &Zoning Tree ministrator ( l.�L _ .t'e Public Works % Project: 9 Gt, (1 cuIic 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 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. I Not applicable (Circle one.) Comments: BUILDING ,/ PLANNING &ZONING Reviewed b . ' �Z�`' Date: /l— Z7—/9 TREE ADMIN. Second Review: Approved as revi ed. [ 'Denied. I '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