318 S Oceanwalk FNCE20-0001 6' ri'�Lv FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
o ' t '
Jk ` ,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD FNCE20-0001
t ii ISSUED: 1/14/2020
-1.01-119'r ATLANTIC BEACH. FL 32233 EXPIRES: 7/12/2020
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:
318 S OCEANWALK DR FENCE WALL OR BARRIER FENCE 6' FENCE $600.00
TYPE OF REAL ESTATE ZONING' BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0514 OCEANWALK UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
CAYMAN HOMES INC 1653 WINDWARD LN NEPTUNE BEACH FL 32266
OWNER: ADDRESS: CITY: STATE: t ZIP:
GIRARDOT ROBERT J 318 OCEANWALK DR S ATLANTIC BEACH FL 32233-4570
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. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
Issued Date: 1/14/2020 1 of 2
Jms,� � �s "'.. `� FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
'
CITY OF ATLANTIC BEACH FNCE20-0001
\'514 / 800 SEMINOLE ROAD ISSUED: 1/14/2020
\'''''',_'—.011 !._: ATLANTIC BEACH. FL 32233 EXPIRES: 7/12/2020
3 PUBLIC WORKS l 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: 1/14/2020 2 of 2
0M ; City of Atlantic Beach APPLICATION NUMBER
AI Building Department (To be assigned by the Building Department.)
A'i 800 Seminole Road
1ij-..010...,
Atlantic Beach, Florida 32233-5445 �� C�ZC�' v//��
��
Phone(904)247-5826 • Fax(904)247-5845 /l� (,�
Jon9!;' E-mail: building-dept@coab.us Date routed: I /
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l e" , ( �eapaA k, Department review required CYes No
kO(Y.lE
ildinq" ✓Applicant: TAL(�� flN nning &Zoning )
Tree Administrator
t f� - b'1ic Words
Project: �� 1� ��C� �
Y iblictilitie-sem .
Pubic
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: PI/Approved. I 'Denied. Not applicable
(Circle one.) Comments: 1 �p
BUILDING -- — l�0 c dL'\ 'f env
S
PLANNING &ZONING Reviewed by: ///1///111 • Date: t' 6 'd 0
TREE ADMIN. Second Review: A roved as revised.
❑ pp I JDe ied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES'
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: flApproved as revised. Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
. l'-'ilk, Building Permit Application OFFICE COPY
Updated 10/9/18
`� Cit of Atlantic Beach Building Department **ALL INFORMATION
Kz
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
a IP- IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us /�
Job Address: 31 d OC�f}�6v�}L44 0Q S 0T4 ,r1C a E4trN/ Permit Number: � L� �� b 0 00
Legal Description 1Z-01J O -2 S- 29L pcgww,H..r 14Ntr2 477 & RE# /6903- Or,47
Valuation of Work(Replacement Cost)$ 600.,,. Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New DAddition DAlteration DRepair DMove ❑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) l Vo 0
Describe in detail the type of work to be performed: Z
r r N
re,„ch - M r A 94 3' 44,000 P4(41414...iTHvCO cvvt lLo Q I J
J0 O
Florida Product Approval# _ for multiple products use product approi fgrrO -
Property Owner Information 0 m Z tai
Name Bog Ura 0o r Address 3/9 OC4A.k 4cJ i0/l. i'_ U 0 A n U C
City Q-r yrrC,34/jrpi- State rt. Zip 72277 Phone ❑
E-Mail Qo?/�jtrtAAlDel e 664 Y'C.cera. 0 < Q
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) U) Fes-
Contractor Information CC Q h z
Name of Company c fy o u *..P-( Qualifying Agent 4 MGL y O LL CL 2
Ouw 15
A-
ivy-/A7r0 ay-qe 6
(do City a 44So..,yrf.r.,� State k Zip 3?t3�Jc y a_ ae a
Office Phone 904 i 1112.416 Job Site Contact Number g o4 PG voi4 , F— w p C
LIL
State Certification/Registration# E-Mail C.fy.,. .w//4j,+
o •GJ 0,3af
f[ dc.�y/L. .L-r t11 C,) cn w 5
Architect Name&Phone# 5 cc ur.
Engineer's Name&Phone# Le Lu a
Workers Compensation Insurer OR Exempt[a'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: Ir rticl*iun lertti(9=1
permit,there may be additional restrictions applicable to this property that may be found in the p tzlic re or
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 donejiANompana th all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COI " 1cIfirI�e' ?�I rlt
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER4TYi.r �l�V LAIN 1Ett
TO •BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR EY BEFORE
R Co R6, 41' +1 0 R NO ICE OF COMMENCEMENT ,,,r7 , -
A'
nature of Owner or Agent) (Si a of Contractor)
Si ned and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before me this`r._ day of
200 , by a► .i et/ L. " , 2.oLo . r+,e. (t2t t)
WI1111. OF Airr- 41Wir
(Signat I of Not Hendty (Signature offNNotar�r) _
Notary Public ,6,.NY••a.;; DACODAH PARRISH
` � State of Florida =_' :‘ .,:Commission#GG009947
[ ]Personally Known OR � i> My Commission Expires 11/30/2021[ ]Personally Known OR �a'
;�._ =Expires July 10,2020
(-}l�oducedldentificatio �No.GG155172 [iroducedIdentification _L� %F;:i,W Bonded ThruTroy Fain lnaurance8003t5-
Type of Identification: li� Type of Identification:
( irJ City of Atlantic Beach APPLICATION NUMBER
``1� Building Department (To be assigned by the Building Department.)
800Seminole Road
/�,
Atlantic Beach, Florida 32233-5445 F-N CE ZC - 000
\} / Phone(904)247-5826 • Fax(904)247-5845
. / E-mail: buildin de t coab.us Date routed: I /7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ( C" ) J C C_eQnLtajI Department review required Yes No
wilding
Applicant: RL(AA pi N ko not,
arming__ &Zoning >
Tree Administrator
Project: Cc, (-----ec__E.
bTic Wor s
is ilities -
Pub is
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 NDp�%./Qc-
, .ons S
PLANNING &ZONING Reviewed by.,"1---- Date: I_6 Zoic
TREE ADMIN. Second Review: Approved as revised. Denied.
pp ❑ ❑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
, City of Atlantic Beach �.. . .,,�,,. APPLICATION NUMBER
JG'
6 Building Department (To be assigned by the Building Department.)
A ) 800 Seminole Road ^\ 7
-. Atlantic Beach, Florida 32233-544 �AN 06 2 'v CC ZC,' 000
Phone(904)247-5826 • Fax(904) 5 `4NN''NN 7
E-mail: building-dept@coab.us Date routed: / � /7(,
City web-site: http://www.coab.us BY: {{{
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
i � uildin j
Applicant: -_— aLi(}1 annin9 &Zonin-`g -
Tree Administrator
��� f �� C Pilblic Wor s
Project:
icVtilities���
Pu—b_it c 5�fety__
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: L, Approved. Denied. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed b : Date:-•-
TREE ADMIN. Second Review: nApproved 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
it,:Ly;-k City of Atlantic Beach APPLICATION NUMBER
a Building Department (To be assigned by the Building Department.)
�' 800 Seminole Road /-,/
�_. Atlantic Beach, Florida 32233-5445 b
CL 7O' Oc2(
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t ��ra�l,`ycaDepartment review required Yes No
uildin._ _
Applicant: C.— 'ALMAQ( \E. ` anning &Zoning
Tree Administrator
Project: �j t �� CC t3bli Wor�cs�
- u is-til�ites�
Pu—b�Tid-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. Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: 1-10-eo
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. I 'Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
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