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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. 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