2015 Selva Madera Ct FNCE20-0007 6' '''''''''''/%;-, FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
`' # •_' FNCE20-0007
CITY OF ATLANTIC BEACH
uv ` `" `` X" ISSUED: 2/25/2020
800 SEMROAD EXPIRES: 8/23/2020
Dit1" 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: i PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
2015 SELVA MADERA CT FENCE WALL OR BARRIER FENCE 6' FENCE $6600.00
TYPE OF I REAL ESTATE i
I ZONING: ; SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: ! GROUP:
169506 1652 SELVA NORTE UNIT 02
COMPANY: I ADDRESS: I CITY: I STATE: I ZIP:
CONSTRUCTION 1309 Clements RD JACKSONVILLE FL 32211
SPECIALTIES OF N FL
OWNER: I ADDRESS: { CITY: I STATE: I ZIP:
STERE GARY S 2015 SELVA MADERA CT ATLANTIC BEACH FL 32233-4531
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. I
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: 2/25/2020 1 of 2
d i- , � FENCE WALL OR BARRIER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FNCE20-0007
Jl -~ 800 SEMINOLE ROAD ISSUED: 2/25/2020
"`1119 ATLANTIC BEACH. FL 32233 EXPIRES: 8/23/2020
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.
FEES
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:2/25/2020 2 of 2
` ECEIVE
43-E-„.:57,,,,,„, City of Atlantic Beach APPLICATION NUMBER
,:} r ::' t Building Department JAN 3 1 2020 (To be assigned by the Building Department,)
-�7.*•::::;::::�-. 800 Seminole Road ,\
�'• Atlantic Beach, Florida 32233 ;t . FN C c ZQ O CO7
\ Phone(904)247-5826 • Fax(9:';
•= 109 : E-mail: building-dept@coab.us Date routed: . f ' 3 0/ Z 0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZO`! Sew; RI A QCILADgpartment review required Yes No
Buildin
Applicant: 06 N c2-01Tl OiL. , Specvm, L anning &Zoning
Tree Administrator
Project: 1— vC,e 05-61-311-6 Worms a
ff6u l Utilities
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 t
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. TADenied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: r404v6 ,v, Date: 2--/.k^70
TREE ADMIN. Second Review: Approved as revised. E]Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES _
PUBLIC SAFETY Reviewed byq/ ate:_,?, �2'O
y
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable •
Comments:
Reviewed by: Date:
Revised 05/19/2017
„ :'-' 47.%,.. , Building Permit Application Updated 10/9/18
- City of Atlantic Beach Building Department **ALL INFORMATION
J1,. j 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
hLJintfi' IS REQUIRED.
Phone: (904) 247-5826/ Email: Building-Dept@coab.us
Job Address: Z /5 S� /
vg I acie z' t 64-. Permit Number: IQ�C.,Z.Q -- CDca 7
Legal Description G U'7' c (, 5 e(frc., 4J r/e/(hi(%”"7l,'o RE#
Valuation of Work(Replacement Cost) ' '6.-0-0 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool DWindow/Door c
• Use of existing/proposed structure(s): ❑Commercial rii�-sidential I'l
• If an existing structure,is a fire sprinkler system installed?: ❑Yes pNo.NI k
JAN 3 0 2020
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit)po
Describe in detail the type of work to be perfor ed:
CI IA-1)6 peo Pr( 1
�/� o�CGI /Pfr µ G✓L Svr� �(P�(/y/
Florida Product Approval tt for multiple products use product approval form
Property Owner Informat' n n
Name 'sl 71:eeefR Address 70(-)/ $$(`-"a adeict (4
City A ; , __ State Zip 'TZ 7 3 ) Phone �T`/�—/G ify.
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information ;
Name of Company,C /(1, �, 5f3tC lel/1 " p.1 Qualifying Agent Pa-'/d /-G_aC-
Address X546 7/j �n 6c-It) K. (J City j--ii, Ch Ca,1 o//6PState 0.L Zip 3220 1
C/
Office Phone_ dc ),55 2 _ _Job Site Contact Number 7,,Ori6(2'.i `Cz iaL% •
State Certification/Registration# tf..- rG- / 3035 ' E-Mail Brun cie n Cus.;n i L' a ti-aa,c o,i,
Architect Name& Phone It A)/4 9.0Lf .. L/65--�g 5. / __—
Engineer's
Engineer's Name& Phone# ?V/4 J l5 J (7 __
Workers Compensation Insurer tnf#-I'4r t�IrS _1 - C a. OR Exempt❑ Expiration Date—/-7/.1ZcJ Z 1
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 COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTeel '„srNEY BEFORE
RECORD,N' YO ICE OF COMMENCEMENT.
Signature of Owner or Agent) ev. _........., _
igna . Contractor)
Signed and sworn to(or affirmed)before me this 30 day of Signed and swor o(or affirmed)before me this 31 day of
_a . b ad'k. S -L( Q 14,,ii .s . 1_►il • _w • .,I �G1i v. t
... � ��� t
PaY?z JENNIFER�•.����, o:rR•P , JENNIFER JOHAjt��-i
�° °? ,}, MY COMMISSION#eti��
,A, %.,:::, MY COMMISSION d Get 2 .�igr ture of Notary) _* re .f Notary)
w '" EXPIRES:October 27,2020 ;, EXPIRES:October 2 '120
' oYFZ0 ` Bonded Thru Notary Public Underwriters ;?a f "' Bonded Thru Notary Public Underwriters
' on: y 'nown •''-• [ ]Personally Known OR
[ oduced Identification { [ oduced Identification
Type of Identification: US q.n\J,c M.PAIn Jv CS. Type of Identification: F� A-.6.1/4),94`,S k\(..,NI
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
t I! City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
`int VI-
N
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT FCEZO XXD
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: -Zi( 7Z-0
Project Address: a 0 ( S e_1 / O- CI,u erQ_ f
Contractor/Contact Name: C>CLi'(/ fl
Contact Phone: 34 - 1 c)4(-4, EmaiL •
Description of Propo evision/Corrections: /
e ki. E y__) 0_,r-0
cvn 0,-...2-
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?
[i No ❑*Yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
ikpproved I I Denied I 1 Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
I
Department Review Required:
Building �..., ,, �%� - - .
Planning&Zoning �G�N V ��Reviewe•By ��
Tree Administrators
Ic Worcs , FEB 21 2020
Public Utilities 2'2 -QQ,2n
Public Safety BY: Da v"V
Fire Services Updated 10/17/18
.- ,�--r , REVOCABLE ENCROACHMENT AGREEMENT
City of Atlantic Beach **ALL INFORMATION
-.i r `.� HIGHLIGHTED IN GRAY
/a 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
exist �g under the laws._of t, State of Florida, hereinafter referred to as "CITY" and
(:5 yc�� / Cv` S S e t= 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.
This work is generally described as h CL
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 2 d( S SQ Ivo, Made re, Ct"
• 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
liabilit re hereb sumed by the USER.
Date (g
2-C 2-0
Property Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this ( ( day of P , 20
by -ThQN(, 200-1*- S -10, ,who personally appeared before me and
nted name of Sig er)
ack edged that :/s,i signed the instrument voluntarily for the purpose expressed in it.
P
— •� Department Approval:
Signature of Notary Public, Sta - of F orida :�i?:►' .,a \
TONIGINDLESPERGER ,
[ ] Personally Known *i :*• MY COMMISSION#GG 353178 �, f.� _
[ ] Produced Identification (Type) ) L� -.„o t,P�.BondenvumofaryP October Willis s, Public Wo s Director
r ,r►.- . . .r r III - 2'7-4-20 2- 1'20
H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
•
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- - _ // IEREBY CERTIFY THAT THIS SURVEY MEETS THE \\
MINIMUMTECHNICAL STANDARDS AS SET FORTH BY
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//
f�",ji ; City of Atlantic Beach APPLICATION NUMBER
/'f-'-'' :•a Building Department (To be assigned by the Building Department.)
\' 800 Seminole Road �Y `
x+"s �� Atlantic Beach, Florida 32233-5445 �� ZO U W 7
Phone(904)247-5826 • Fax(904)247-5845,alY%' E-mail: building-dept@coab.us Date routed: 1
' 3 0/ z U
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZO l E 2ELVA (V'\ ,q o2part
ADghent review required Yes No
Buildin
Applicant: 0 fVS oc_TI o FEC(AL7( anning &Zoning
Tree Administrator
Project: P—@_,\__-)Ce- public Work
(Public UtiTiitiejD
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 t/
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 '�j �J
PLANNING &ZONING Reviewed by:��� `-- i�'` - Dater 3-1G
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
1 s': ;-„ City of Atlantic Beach APPLICATION NUMBER
�' 4r_. .s• _`\••�\ Building Department (To be assigned by the Building Department.)
' , O• 800 Seminole Road (�
v, " Atlantic Beach, Florida 32233-5445 CG �� ..-O r��
-"r f` V Phone(904)247-5826 • Fax(904)247-5845 2
``�' `" E-mail: buildin de t coab.us Date routed: 1 ' J 0 ZV
��fil> ' 9 P
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZO k---J ¶ ELVp V1 p O AD_epartment review required Yes No
_ S Buildin
Applicant: ea
f�S ( '1��T1 o,� �eQ(A�l� anning &Zoning
Tree Administrator
Project: 1— `.:V aL. (Publc Wor
a brit Utilities._)
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 v
Florida Dept.of Transportation
St.Johns River Water Management District '2—
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. te: 2 — �- 2-0
TREE ADMIN. Second Review: ['Approved as revised. ['Denied. 111 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
ski;:. City of Atlantic Beach APPLICATION NUMBER
- r s\ Building Department (To be assigned by the Building Department.)
' '�,a 800 Seminole Road (�� }
tet , `' Atlantic Beach, Florida 32233-5445 CG � Y_ `✓ /
Eil(9 04)ing24dept • Fax(9us 247-5845 I ' J O/Z
`, '' ;___ E-mail:mbuilding-dept@coab.us Date routed: r l/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZO t SeILVP 1M A 0 ADgpartment review required Ye No
Buildin
pp
A licant: C6 re3 �
( OTI o, Spee(Acii
( anning &Zoning
Tree Administrator
Project: .. t blic Worker
u is Utilities
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 , i
Florida Dept.of Transportation
St.Johns River Water Management District ki\*
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: nApproved. (Denied. ( INot applicable
(Circle one.) Comments: p
DBUILDIN c........
PLANNING &ZONING Reviewed by: 7'1 Date:c9/9720
TREE ADMIN. Second Review: Approved as revised. ❑Denie . 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
e t t, Permit Inspections
City of Atlantic Beach
Jif)-
Permit Number: FNCE20-0007 Description:6'FENCE
Applied: 1/30/2020 Approved:2/24/2020 Site Address:2015 SELVA MADERA CT
Issued:2/25/2020 Finaled:2/27/2020 City,State Zip Code:Atlantic Beach,Fl 32233
Status:FINALED Applicant:<NONE>
Parent Permit: Owner:STERE GARY S
Parent Project: Contractor:<NONE>
Details:
LIST OF INSPECTIONS
SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
ID
2/27/2020 2/27/2020 CC BUILDING Brian Broedell PASSED
Notes:
Gary:534-1048
2/27/2020 2/27/2020 CC ZONING Brian Broedell PASSED
Notes:
Gary:534-1048
Printed: Friday,28 February,2020 1 of 1 I
1
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