182 Sylvan Dr FNCE20-0014 rT'--''''r); FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
'jFNCE20-0014
. CITY OF ATLANTIC BEACH\4 800 SEMINOLE ROAD ISSUED: 2/14/2020
: ATLANTIC BEACH. FL 32233 EXPIRES: 8/12/2020
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:
182 SYLVAN DR FENCE WALL OR BARRIER FENCE FENCE $1026.00
TYPE OF 1 REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
170644 0010 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: : ZIP:
COAST TO COAST FENCE 1221 GALAPAGOS AVE S JACKSONVILLE FL 32233
CO
OWNER: I ADDRESS: CITY: MIIMIEOIIII
STEEG CYNTHIA J 182 SYLVAN DR ATLANTIC BEACH FL 32233-4044
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: 2/14/2020 1 of 2
?, a FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
Js ,a f FNCE20-0014 1
.) CITY OF ATLANTIC BEACH ISSUED:SEMINOLE ROAD 2/14/2020
E)' EXPIRES: 8/12/2020
ATLANTIC BEACH. FL 32233
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing and debris must be removed from job site by Contractor.
FEES Iiiiiii
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:2/14/2020 2 of 2
i::: N- City of Atlantic Beach APPLICATION NUMBER
',4411.. Building Department (To be assigned by the Building Department.)
r
800 Seminole Road
..., r Atlantic Beach, Florida 32233-5445 1� NCEZ( - )Q(4
Phone(904)247-5826• Fax(904)247-5845 �CD
E-mail: building-dept@coab.us Date routed: Z-/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I e z �, L(LVAILS i fZ Department review required Yes No
Applicant: _CLe G(�S j Planning &Zoni
Tree Anistrator
Project: ( PublicoW s'-"
u is ifitie�
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 /1e 4--
PLANNING
rPLANNING &ZONING
Reviewed by "r"--_ _Date: +(Z-')—L
TREE ADMIN. Second Review: IT/Approved as revised. Denied. f Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES �f
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
1'l'r%. Building Permit Application Updated10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
• 0;0) IS REQUIRED.
Phone:� (904) 247-5826 Email: Building-Dept@coab.us
Job Address: I$o'-.3\U.1/ tu 32,2-"• Permit Number: 1— M 2.r.)—co t 4-
Legal Description 10.,it Zi-Is-296 1125 C3 8 )/L -()--7(7 I RE# 0060 -coo
Valuation of Work(Replacement Cost)$ /D z.,6 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ONew ❑Addition ❑Alteration ❑Repair :Wove ❑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: /L`'t/,-'0/460 P- 00 Pty^'Gc --p-(a/I_l' Nem 6! t,ix i N-
Z Fowr) a LA-Try'C d,)" )p
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 5TECI:- C)(4/71//4" Address /0Z $`/ (/'4 ') 17e
City /1-7-ZAa'7'C- c ' State Ft- Zip 3z,233 Phone 99/ 699 900.2-
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information _
Name of Company Cp9-ST-70 C129-.9— re" -C Qualifying Agent SON P'Lt at s7—
Address
7Address /a2/Cr�$�ACr0S City 472 . &C-H State / — Zip 3Z-z-33
Office Phone 9 ' 55_700 7 75Job Site Contact Number
State Certification/Registration# E-Mail C77,C FLtiGC &AI/4/c-. - Ce7-1
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt<Expiration Date 1/1#/ZO 4
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 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 COMMENCE ENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. YOU INTEND
TO OBTAIN FINANCING, C SULT WITH YOUR LENDER OR AN ATTORNEY,:
RECO DIN p • - • \1•TI E COI, ENCEMENT. `J���
(S g . ure Own:r or Ageil
(Sign.o Contractor)
--h i�t Ce _ y Z s, �fe,r A--rtf,Q-"l ('d v s� C.A.
Signed and sworn to .r affirmed)before me this ID day of Signed and sworn to(or affirmed)before me this ( 17 day of
FEB. , oZbo'2a, b 1.-S ► . FE6. ,. ,1Q by or N ' 16,•>J ot..• �T
Pt. Notary Public State of Flon.a
aPit,: Roberta D Carlisle (Signature of Notary) !If Po, Notary Public Stated FIaiQAign. ure of Notary)
�S A. My Commission GG 251658 < My Commission Roberta D rlGG 251658
�+ja,, isle
�' Expires 09/15/2022 V..�o�A E pires09/15/2022
. We son-II • . al• .
[ I •roduced Identification [ 1 Produced Identification
Type of Identification: Vest)1_,tFk_-t Y K-O W1..) Type of Identification: se,e(250 Iprt_l_s- KtJ0I,,00
iLA,v-rj, City of Atlantic Beach APPLICATION NUMBER
s r't Building Department (To be assigned by the Building Department.)
s 800 Seminole Road FK)c,aZO -
0014
-6ag -,- Atlantic Beach,Florida 32233-5445 L
Phone(904)247-5826• Fax(904)247-5845
X0111>� E-mail: building-dept@coab.us Date routed: Z/I L Z 0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I E52 S 1 LV f\k) D 2_ Department review required Yes No
DuincL.
Applicant: EIoc 'c -o C____0 -&-r- Planning &Zo
Tr—e dministrator
Project: F—EN_DCE, -u. is or s
u is i i ie
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. ' �G.-'4------ Date: 2-/I— W
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
,i.ay;i City of Atlantic Beach APPLICATION NUMBER
�s � Building Department (To be assigned by the Building Department.)
•ipir
800 Seminole Road _ //��,, /�
�.. r Atlantic Beach, Florida 32233-5445 ' N CE ZC� ' V �`-1-
Phone(904)247-5826 • Fax(904)247-5845 1
sT E-mail: building-dept@coab.us Date routed: 1 L Z °
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 EZ S L(LVf\(.) 02_ Department review required Y171!-- No
Dui crlir---i
Applicant: �OS L 4-C, �G -S T Planning &Zon'
Tree Administrator
Project: 'II—EA.) Eu is orc ___
u isiOfTifiep _
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. t INot applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: v Date:c)-/) 2./202-0
TREE ADMIN. Second Review: Approved as revised. Denied. 'Mot 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
olAN.y City of Atlantic Beach APPLICATION NUMBER
6, # Building Department (To be assigned by the Building Department.)
r i4c\
. 800 Seminole Road i °O14
0 Atlantic Beach, Florida 32233-5445 1^ N Ce.ZC)
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: Z/ I. C Z L./
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 E52 S L(LV Rim Df2_ Department review required Yes No
.idin•
Applicant: C _0 �_C�(�Sj" Planning &Zon'.,
Tree A.ministrator _=
Project: �(v C � =u. ic or s
"u. ic U i iiTi�
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: pproved. Denied. I 'Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING /� j/
Reviewed b l�' _ Date: 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
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