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1893 Sea Oats Dr FNCE19-0139 Replace 6' ,),•4!:',,,,,,, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER FNCE19-0139 1�rr CITY OF ATLANTIC BEACH ISSUED: 12/30/2019 __)r 800 SEMINOLE ROAD '�Oi;»,'" ATLANTICBEACH. FL 32233 EXPIRES: 6/27/2020 j 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: 1893 SEA OATS DR FENCE WALL OR BARRIER FENCE replace 6 ft. fence $1374.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172020 0532 SELVA MARINA UNIT 09 COMPANY: ADDRESS: CITY: STATE: ZIP: SILVERMAN FENCE 4698 DUSK CT JACKSONVILLE FL 32207 OWNER: ADDRESS: CITY: STATE: ZIP: SCHROCK ARTHUR V 1893 SEA OATS DR ATLANTIC BEACH FL 32233-4511 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. LISTOF 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: 12/30/2019 1 of 2 11• �'/%, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER � `~ S CITY OF ATLANTIC BEACH FNCE19-0139 73ISSUED: 12/30/2019 ____] iii / 800 SEMINOLE ROAD 4Ji3 t EXPIRES: 6272020 ATLANTIC BEACH. FL 32233 6/27/2020 3 PUBLIC WORKS I 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. 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: 12/30/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER (-111-m-rf,c Building Department (To be assigned by the Building Department.) 800 Seminole Road ‘) f r� Atlantic Beach, Florida 32233-5445 t" �� ( `` - �' Phone(904)247-5826 - Fax(904)247-5845 �,x"�; E-mail: buildin de t coab.us Date routed: 0 J(4- ( V Lt City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I <661 3 &4 Dat:. a • Dep tment review required Ye„S- No uit iIT ✓ Applicant: St d\)L p'-. Clfc.,>1(,Q_ anning &Z nano nano g Tree is rator Project: ( L f l Q L t B . r Q Public Works cPubTic Public Safety Fire Services Review fee $ Dept Signature Review or Receipt cyk 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: P (Vproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUIL NG---) PLANNING &ZONING /41 Reviewed by: h Date:/21049 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 - OFFICE COPYBuilding Permit Application Updated 10/9/18 ^ AtnBdDepart '" FORMATION ;/� 800City Seminoleof latic Road, AtlanticBeachuil Beacingh, FL ment 32233 HIGHLIGHALLINTED iN GRAY IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us 4J ? Job Address: `I ^-6e:,._ Q oA-s p'�st-�71L Perm• it Number. . L 1 ` - O v Legal Description R e.S Lt 3_— ( RE# ! 7 0?Q— oS3 Valuation of Work(Replacement Cost)$ 11 3 "7 `-( Heated/Cooled SF Non-Heated/Cooled • Class of Work: ONew ❑Addition OAlteration Eallepair OMove ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): C7Commercial (9Residential DEC - 5 2019 • If an existing structure,is a fire sprinkler system installed?: : Yes o / • Will tree(s)be removed in association with proposed protect?(mss Lmust submit separate Tree Removal Permit) Jp e' Describe in detail the type of work to be performd: ft 1 p i..1._I. ;�Lr u-- -}''1�'`k- w-0 fav, ;,�',ly L431 0,,,,r, .,-.,.,-., - va...1., :;11-,)r.w�.. �, t c.+ n- . f L431 Florida Product Approval# __ for multiple products use product approval form Property Owner Information Name Pk 1••(--1_ ikr ,,r S•-1\A)Lt. Address I 1 i 5 5, Oc-h ( r,4{- City ftkl‘4.-sv iS r!a,✓v- State F l Zip 3 ? L 3 3 Phone i D`1 <3`I'1 1 -17.-( E-Mail 'VA.o\•cc 1eesL,11 c.uJt- Vii' c� em ,1 • s ,. Owner or Agent(ff Agent,Power of AttorHey or Agency Letter Required) Contractor Information Name of Company `],1VCf,y,t,n F a vti.t.. l.c t..,a car. _Qualifying Agent_ I►\ l fit- i 1 V e, M41-1 Address LIU.`i q (�v 31‘.- LCole"+- 1 City Jr,L,l‘..s .-..., II;. State FL Zip 3 2 ZJ: 1 Office Phone r l `-1 7 3 u c 3 S L Job Site Contact Number State Certification/Registration# R 12.g 1 Si zi E-Mail h .\4Li- ;,r 4-e nt.it- 7 ,=kw.,.,1 • r U•w Architect Name&Phone# « v a Engineer's Name& Phone# el 0. LU Workers Compensation Insurer -j 1��rt Qrrtfi (-1ru la G_OR Exempt❑ Expiration Date 1Q/I 1 2_071 Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation 14 ' 2 commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating) = _Q _O N construction in this Jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, GL 1 O i= \ WELLS,POOLS,FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:in addition to the requirements of this ii - I- 2 W perm't,there may be additional restrictions applicable to this property that may be found in the public records of this county,ar 6 a G there may be additional permits required from other governmental entities such as water management districts,state agencies,, V d U G federal agencies. 1 Z OC Z OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all V O applicable laws regulating construction and zoning. I.- Fes- 1 a WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY U- , L RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN ® a sac m TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE _ 5 N w w RECORDING YOUR�'NOTICE OF COMMENCEMENT. (' 11111L � LC w ' .i tcc il of Owner or Agent) (Signature o • actor) CZ Signed and sworn to(or affirmed)before me this L' day of Signed and sworn to(or affirmed)before me this 14 day of PcCr.M\] a011 by 11-1a,. - 2.iAct e by Lynf Ilief rYNCL CA i . o o . Notary Pubbc State of Florida �,e« Notary Pyblio St•tr d Rondo Sharon P Smith pew Csertia ( Personally Known OR MY Commission GG 321446 (74,Personally Known OR S " My Commission GG 294446 j,,,,, Expires 05/31/2023 Produced Identification awn/ &ores0912s/2o21 ( ]Produced Identification - I 1 Type of Identificat1tr: Type of Identification: _ . . ........- MAP SHOWING SURVEY OF LOT 16/ BLOCK L_AS SHOWN ON MAP OF ..., .._ AS RECORDED IN FLAT ISOOK-14--_PAGE_ W OF rUBLIC RECORDS OF DUVAL CO.. FLA. F 0 R_ .., APP ID BY SPECIAL ADV BOARD BOARD ..... SEA OATS PRIVE A .4 (j-‘,0. Kiw) . . 0 . "if irliglEeff tr li -1.. DATE:_.--------- q 1.0 , ____<-. 4............:7.-_, _7_0.... -/ 57 t3 I• IP: 1 1 • • 1 . . . . . !''r:Ducl , I.Vote. 0 c..1 . .'• \ . o • 0 , 0 rc. o I.• .. . ',..;\ 1.. • : -./___. .... , 30 f5R.L 14--- --,G .-`_.---:›1 I ; :: .;12. 1 .-''. .•..' Ili:. 10'. • - ' . is. ir7i. / (BY PLAT) II 3o' •Q - . ,s; ( .1 41. IP L 2•6TY 6TUCCOi FRAME o 17 e• --' 1 LOT i n N 12WELLI1J6 • , is-. r i• di L.0.1- I fp — ''L •. 4..., Vi0 iii me •iclr 7'..I\ Lli ..., GA ,... .4,,,r'-' It?' • in J---i.o* 4 23. . 13 9• : _r)_. 1 Ale PAP Lis 70. . _ J A..•• - 0 COVERECj0 I's- ' t ,914.l. 0 0 PATIO (5 _ 1..1\ 15.P ---, 11.g) a\ [, 0:, .-.:1..4% o OVERUEAQ -----..-j'...::'.6.8" 0 1 ta .•., 47:•:! Cr . eALCOU'f kri..• •.'• • -'•'•I C(.0 Cale --it.1.7..r;11.11 -I Q.' PATIO -1r I r I . 00° 0 ' 4-1 " E-. 4'Year, FtliCE 07' L 0 T 12 L. 0 T 13 02 LOT 14 r. PPROVED ,'.iiiNTIC BEACH .....D7-4G OFFICE .). ... 4A; 1982 / • f -1..4... i 1. 0 r0-AP.j r City of Atlantic Beach APPLICATION NUMBER ,js :41 Building Department (To be assigned by the Building Department.) 800 Seminole Road. Fro _ 1 ` l _D ,�y ) Atlantic Beach, Florda 32233-5445 ((��cc((�� (v G Phone(904)247-5826 • Fax(904)247-98 + 0 �n� �� ( F'4 rigE-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I %61 3 StGt, Dat.s- • Department review required Yes No (Bui iltn� Applicant: Sk\V Li ri CL FC.,nL1_ anning &Z nlno g Tree is rator Project: ( L f l t C- U k 4.(1(k Public ork u is Iii Public Safety __ Fire Services Review fee $ Dept Signature Review or Receipt 0 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. nied. El Not applicable (Circle one.) Comments: BUILDING • PLANNING &ZONING Reviewed b Dater�/49-f TREE ADMIN. Second Review: VApproved 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 0-A1 City of Atlantic Beach APPLICATION NUMBER �S 00-44*, Building Department (To be assigned by the Building Department.) 800 Seminole Road Er) co l q -0(D( -� Atlantic Beach, Florida 32233-5445Vigr Phone(904)247-5826 • Fax(904)247-5845 1 ` � ' �� A".4011 q:' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I ISS 3 Sit Daft. Department review required Yes No CBuil id n Applicant: S \ -1cC O (.n(j. arming &Zoning, Tree Adrmlnisraf Project: i t•(� V tt C.t ,Q A tk Public Work t (Plib-170ITT.si Public Safety Fire Services Review fee $ Dept Signature 01'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 by' L%� • - Date: r Z—�~ 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 ALL Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED ON * HIGHLIGHTED IN `d City of Atlantic Beach Building Department GRAY IS REQUIRED.C Way 800 Seminole Rd, Atlantic Beach, FL 32233 i-NC''fi• 1 =1 - (T 13c) .0— Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:_ Revision to Issued Permit OR Corrections to Comments Date: Z-11 o/) 9 t Project Address: 1 6(::: `) cL�- �" Contractor/Contact Name: -� t 4r/Y` 4� V—e-exe- (Y\ G� t,/ Contact Phone: 694 - 6 9 7Email - t Description of Proposed Revision/Corrections: \iQDc4.-ble Qzv I 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? ❑No ❑ Yes (additional s.f.to be added: • Will proposed revision/corrections add additional increase in building value to original submittal? ❑No ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) Zpproved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building t 40 1`-1 Z4s-j"` 'e Planning&Zoning Reviewed By Tree A ' ' tor DEC 19 2019 r ublic Works $ 9 Public Utilities Public Safety Date Fire Services Updated 10/17/18 REVOCABLE ENCROACHMENT AGREEMENT City of Atlantic Beach `ALL INFORMATION • �,. HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach, FL 32233 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 ')- r' V; S'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. j This work is generally described as -I- ( X fe I , C�' 0L`- 1_'CT C k L/f 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 IQ�) S 4. C [J-5 V");'' . • 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 USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. 7 / ��1/4L_71i -�, Date / L. ( ( /�t Property Owner/ gtt�ned in presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL The foregoing instrument was acknowledged this �l7 day of V'.0 Arl;te , 20 ``-1 , by (11A.c- Cx 4-. cr-)t f--- ,who personally appeared before me and (printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. ,� j� 910;r ..m emsy urei Awl lull P,IPPII ,: i z,>- LLZ 7- L Department Approval: •11 �� T� col'61sn6nys149 r' , "+�,'.:. ' ignature of Notary Public, State of Florida 'JlItPZOJ6�Issiwwo' ;`4, �) i_` [ ] Personally Known IZOW9v3s HJvf •'•, 'w f ,, "" / I produced Identification(Type L�L Scott Williams, Public Works Director H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 /02 ✓��i/y i.��.T, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) '`ji ) 800 Seminole Road `-0 Atlantic Beach, Florida 32233-5445 r� C6 1 q —D( 3 Phone(904)247-5826 • Fax(904)247-5845 '' ` r•r,J;i1> R� r E-mail: building-dept@coab.us Date routed: Cr City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I V( It Dc-t-S ai • Denartment review required Yes No Buil id nip 5 Applicant: i\� L.01 Ct 1>7 F1,,n( tanning &Z vinog Tree—AdTtTtnisratof r Project: i Ls() Via 0 k - nLQ_ Public Works • -u• lc 1iIA.- Public Safety Fire Services Review fee $ Dept Signature Review or Receipt 01-- 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. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: _ Date: /2 —1/—77 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