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950 Main St FNCE18-0015 Fence Submittal S.ALyf��, City of Atlantic Beach APPLICATION NUMBER �s r s� Building Department (To be assigned by the Building Department.) „: 800 Seminole Road FNC e I co ! (-- Atlantic Beach, Florida 32233-5445 ;,4 ' lv Phone(904)247-5826 Fax(904)247-5845 z - I f tart gr E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 SD S-1 - Department review required Yes No Buil Applicant: 6(-1-2( VII+` �, � n tt ffl i\A �� ,n� Planning &Zoning tw. Tr dministrator Project: (.4 I t- )V knuzP orks Public 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 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 / r-2--716-1 Reviewed by: Date: TREE ADMIN. Second Review: I '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 S)-m:.,, City of Atlantic Beach APPLICATION NUMBER .4' Building DepartmentECEI (To be assigned by the Building Department.) '" `� 800 Seminole Road �% �.. FN C E I 006.-- ;. Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904) -5Ff9 1 6 2018 1 JF3 �r E-mail: building-dept@coab.us Date routed: D 1 i II i Cityweb-site: http://wvvw.coab.us �' P �•'r APPLICATION REVIEW AND TRACKING FORM Property Address: q SCD gat' i 1) 51 - Department review required Yes No banninguiidinq _ Applicant: 6 LL vitt A G V n`t An i vtx,c;„, &Zoning-73 pp acv Tr dministrator Project: Vi SAC(/ 1 tO )*- -.' nC P ....-a_ rks Pub _ lic 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 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: I/Approved. I (Denied. . ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b Date: c2-02t-/(00 -/(00 TREE ADMIN. Second Review: I '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 r..L��;\ City of Atlantic Beach APPLICATION NUMBER t� Building Department , (Tobeassigned by the Building Department.) :1 800 Seminole Road Fi f e I �( co ks— ;j. Atlantic Beach, Florida 32233-5445 FEB 1 M ! v Phone(904)247-5826 • Fax(904)247-5845 6 206 Ost yf E-mail: building-dept@coab.us Date routed: 3 I I I I City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRACKING FORM Property Address: 1 p� A�.SO 1"`t.t i Si - Department review required Yes No r ui i1a q�j _ 6 LL i 1ttt .ft..) U l.t iYl t 12_00C;(1.u0G;(1 Planning &Zonin Bj Applicant: �� (` Tr dministrator Project: i C41 L TPDk- 1M� Pu orks Public Utilities Public Safety Fire Services Review fee $ Dept Signature )c_ 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. . of applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: O Date: (r 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 41 '• } Building Permit Application Updated 12/8/17 City of Atlantic Beach FEB 1 _„-07/ 800 Seminole Road,Atlantic Beach,FL 32233 2 2018 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: /5-12 /^-111/4,',\-) S))t • A-4-/-1Q e/4-ett Permit Number: F!"�-�, 0 0 Legal Description t ( B4 - 1 4°Z. RE# /7Oy6,/--me, Valuation of Work(Replacement Cost)$ /f OO • — Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercia Residentla) • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed:ed6 `&.4/ J jA- J/ Wet,i el-v1 50,4-1 Nom` t Sc4a % / v Florida Product Approval# for multiple products use product approval form Property Owner Information / Name: /g 6 1^-f1-AN 5j-• v`�t /5:1Address: p725 � nti-e City ,,g--zijSnN,J,/Ze' State P2 Zip 3 207 Phone qaq-fit K tXp7 3 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information I�,� Name of Company: a 1 U/I/41\1,t, )k -f �GL Qualifying Agent: ;NJ A-t,LTi vv Address 1-26/7-0-- 3 (l{i,o.,,� J3/� d : -/9/ City '� *4/v.%4Q State {z Zip 32z y(' Office Phone 't 274 a 5-1A/ Job Site/Contact Number 9 L( Z3 431)7 State Certification/Registration# GG-C ©SS�I6( E-Mair ti tr 9/ -,i e-eP5r-/-jg c... co-- Architect Name&Phone# Engineer's Name&Phone Workers Compensation iv A,S ,u5 UV*V{ '---/-I`1 Exempt/Insurer/Lease Employees/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 regulationg 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 ATTORNE : •RE RECORDING YOUR NO CE OF COMMENCEMENT. /11111111111111111111. (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this IZ day of Signed and sworn to(or affirmed)before me this /2 day of e612t/c.t4 \ ?bit by A. 1 2. s. �G�% iC /ll/G.r . ZCt ,by itltiv (.-L✓✓k-7"C,N-1 p'‘..A"J-/e-7M/L-0-e (Signature of Notary) (Signature of No ary,) . �hfl$ A.Kusch81 ,Personally Known OR �," Christi A.Kustf I Personally Known OR i f NOTARY PUBLIC[ ]Produced Identification NOTARY pUgL� [ ]Produced Identification ' ,. STATE OF FLORIDA Type of Identification: _ � ;STATE OF FLORIDA Type of Identification: • '9.• Corm*FF242988 Canal FF242986 EXp]res 6/26/2019 Expires 6/26/2019 MAP SHOWING SURVEY OF LOT 1, BLOCK 162, SECTION H, ATLANTIC BEACH, ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. FOR: KEVIN MARTIN ib n FO.1/2"IRON (NOLO.) " 0 g _i g BENCHMARK NAIL k DSIK m IN WOOD POWER ui ELEVPot(1F0.26) "AVD((1808.) o LOT 6, @LOCK 184 g D.e'�.f/2'IRON 102.39'(F.M.) .1/2'IRON D0 I.D.) - WOOD FENCE 102.00(PUT) CH'/GP) MAEIER IIIMANHOLE —"i Qo, ELEv(8.30) es.37 t2, c o �.N +I 113 Iy In ,. , ed I, a m so.gq' 1 o o. w 20.2' 1�-y-I "0----i-, 0 I Ow �1 �`4'Oy EA D I I� III a''..1..' n cr :I cm cm 5 CB y N in O ti^ ^I d If , dy6 L 60.00' 80.7' < L'J R s`t.9. O Iv M 0.5 ' 1.2 FD.r IRON 102.00'(PLAT) SET 1/2'RESNt D.5' / (NO I.O.) 102.65'(F.M.) (LB 7292) 1.2• EV 0 LOT 2 w In r)0 o zq !, 9th STREETZt (50.0 FOOT RIGHT—OF—WAY) I) LEGEND' _< CONCRETE MONUMENT ECK LAND SURVEYORS. INC. 0 r__,T O IRON PIPE OR ROO ItTOP tune 1660 EMERSON STREET o c CUTTER En JACKSONVILLE, FLORIDAIDA32207 CA CENTER LINE OF ROAD (904) 396-6334 %—x FENCE FAX (904) 396-9997 \\ \ r` (F.M.) FIELD MEASURE <.--�1\ O P EDGE OF PAVEMENTGENERAL NOTES' 0 m ED As beat determined from on 1.)This is e: Building stake out. Certificate No.3267 'nepection (Flood Insurance Rote 2. No abstract of Title lumlehed. LOUIS J.EVERETT Map: 12 075 0406 H 3. Not ab.tnocted for aeeementa. Not y Ild u lees Su r* Certifoote No.0099 dated 6/3/13 the land./house 4. BOMB of Bearings: N/A 01110101 Seol ie embossed Prole..lonol Sonoyore.,Mappers .urveyed II.in Zone 'x'. hereon. Stole of Florida SCALE 1'=20' DATE. 10/27/17 FIELD 8001(741 PAGE 126 DRAFTSMAN. J A B ORDER # 17-367 - A