700 Amberjack Ln FNCE20-0003 FenceOWNER:ADDRESS:CITY:STATE:ZIP:
JONES ELLIOT 700 AMBERJACK LN ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171125 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
700 AMBERJACK LN FENCE WALL OR BARRIER FENCE 6' FENCE $1500.00
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.
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
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.
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.
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.
1 of 2Issued Date: 7/28/2021
PERMIT NUMBER
FNCE20-0003
ISSUED: 7/28/2021
EXPIRES: 1/24/2022
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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
4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL
Notes:
All old fencing and debris must be removed from job site by Contractor.
2 of 2Issued Date: 7/28/2021
PERMIT NUMBER
FNCE20-0003
ISSUED: 7/28/2021
EXPIRES: 1/24/2022
FENCE WALL OR BARRIER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $81.50
FNCE20-0003 Address: 700 AMBERJACK LN APN: 171125 0000 $81.50
BUILDING $35.00
FENCE 455-0000-322-1000 0 $35.00
BUILDING PLAN REVIEW $17.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R16449 $81.50
Printed: Wednesday, July 28, 2021 8:17 AM
Date Paid: Wednesday, July 28, 2021
Paid By: JONES ELLIOT
Pay Method: CREDIT CARD 488154021
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16449
City of Atlantic Beach APPLICATION NUMBER
Building Department
800 Seminole Road
/
(To be assigne d by t he Bu ilding Department.)
Atl antic Beach , Florida 32233 -544 5
Phone (904) 24 7-5 826 · Fax (904) 247-5845
E-mail : building-dept@coab .us
City web-s it e: http ://www .coab .us
... ')0()3
APPLICATION REVIEW AND TRACKING FORM
Property Address: J OO ~,&E:£..~0 \ (_ review re No
Applicant: 0 (A)_f\JE=:£2
Project:
Fi re SeNices
Review fee$ De t Sig,._n.;;;;;a .... tu .... re ......... _______ __,
Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By
Florida Dep t. of Environmental Protection
Florida Dept. of Tran spo rt at ion
St. Johns River Water Management Distri ct
Army Corps of Engin eers
Divisi on of Hote ls and Restaurants
Div ision of Alcoholic Beverages and Tobacco
Other :
APPLICATION STATUS
Reviewing Department First Review: ~pproved . 0Denied . 0Not applicable
(Circle one .) Comments:
~
PLANNING & ZO NING Reviewed by: Ji' t\...-Date : J -1-:JoU
,I I
TREE ADM IN . -
Second Review: □Approved as revised . 0 Denied . 0Not applicable
PUBLI C WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by : Date:
FIRE SERVICES Third Review : □Approved as revised. 0 Denied . 0Not applicable
Comments:
Revie w ed by : Date :
Revi se d 05 /19/2017
Building Permi t Application
' jJ City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone : (904) 247-5826 Email: Building-De pt@co ab .us
Updated 10/9/18
**ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
Valuation of Work (Replacement Cost) $ 11 5 00 , 0-0 . ] ,ated/Cooled SF _____ Non -Heated/Cooled ____ _
• Class of Work: □New □Ad dition □Alterat ion ~epair 9K1ove □D emo □Poo l □W indow/Door
• Use of existing/proposed structure(s): □Commercia l ~esidential /
• If an existin g structure, is a fire sprinkler system installed?: □Yes ~
• Will tree/s\ be removed in as soci ation wi th orooosed oroiect? □Yes /must submit seoarate Tree Removal Permit\
Describe in detail the type of work to be performed : ~¢-ft,~'p-f ~t-J c£-4tdvND f ~<f13-e:1Y
u
Florida Product Approval # ___________________ for multiple p roducts use product approva l form
Pro
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) --------.;:="',--"=c-,,:.=,,.-=, =--=---'J-T:--r--,-,,----;,-
Contractor Information ' '•
1
\ · • 1':-_.; i -~.-,,,w1..~,L-t2 ____ ~ . ,. I
Name of Company '" v1 v Qualifying Agent '------=----c----,----..,,---------,
Addres s . ......, __________________ __,. City~------~ ~--~Zip._1 ------'
Office Phone Job Site Con ta ct Nu m be-:,:r __ ==-=-=-=-===--'-'ul A:1.1N.1-.~9.,___~'.JQ;!i2:t.0f-----=-c=...
State Ce rtification /Regi stration# _ __ __ E-Mail, ______________________ -'
Architect Name & Phone# __________________________________ _
Engineer's Name & Phon e# --,------------------,------,----+n-'-,b''+;il./,-,.1'-'-; ..,H ±='''°'f--r .--',~-..:.,~c=-· ~~ ::,.:· '-,-'-''""~._,,____
Workers Compensation Insurer~=~------------OR Exempt o Expir1:1ti n.0ate . ·
...I I L • , ~ •
Application is hereby mad e to obtain a permit to do the work and in stallations as in dicated. I certify'that no work or insta ll at ion has
comme nced prior t o the iss uan ce of a permit and that all work will be performed to meet the standards of al l the la ws regulating
construction in this jurisdic tion . I understand that a se parate permi t must be sec ured for ELECTRICAL WORK , PLUM BING , SIGNS,
WELLS, POOLS , FURNA CES, BOILERS, HEATER S, TAN KS , and AIR CO NDIT IO NER S, etc . NOTICE : In addition to th e requirements of this
permit, there may be additional restrictions applicable to this property that may be found in the public recor ds of this county, and
there may be addit ional permits required from othe r governmental entities suc h as wa t er management districts, state agencies, or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing i nfor mation is accurate and that all work wil l be done in compliance with all
applicable laws regulating construct ion 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 ATTORNEY BEFORE
RECO O OT E OF COMMENCEMENT.
(Signat ure of Contractor)
Signed and swo rn to (or affirmed) before me th is __ day of
----~----' by ___________ _
(Signature of Notary)
.f/1 Personally Know n OR [ ] Personally Known OR
[ ] Produced Ident ification [ ] Produc ed Ident ific ation
Type of Identification : ----1~~~;;.ir;;:,~7,;,,~Aio;;;.io;;,a;;;;....,_;;,,;;;;~ Type of Identification : _____________ _
Owner Builder Affidavit
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Be ach, FL 32233
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ______ _
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/ BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489 .103(7), FLORIDA STATUTES :
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS . YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW . THE EXEMPTION ALLOWS YOU, AS THE OWNER
OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROV E A COMMERCIAL BU ILDING AT A COST OF $25,000 .00 OR LESS .
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE .
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH
IS IN VIOLATION OF THIS EXEMPT ION .
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULAT IONS .
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURAN CE BE PURCHASED ..
Ill . IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES .
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES . OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE NO . 455-228(1). AN "OCCUPATIONAL LICENSE " IS NOT ADEQUATE . THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY "CE RTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT (904-
247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT .
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER -BUILDER PERMIT .
Job Address: /t)('.) Ml?egJACk UJ
Owner Name : ELU OT Jo/\j Es Phone Number: 9o4-q '? 7-'J'to57
Ma;l;ogAddress : 1'.>0 A-M/'38£..JA-l/.c ~'f/C /3fy,O/state: /=-L np: 52233
Notarized Signature of Owner_et!e'=-~~ .... ==r----,-~"------,,,...,c.._---------------------
The towing instrument was acknowledged before me this Il_day of De_(_ 2001 in the State of Florida , County
of ~ ,-..,,_\l CW
Sigfure of Notary Publk ~
~ersonally Known OR [ ] Produced Identification
Type of Identification: ____________________ _
Updated 10/24/18
City of Atlantic Beach
Building Department
800 Se mi nole Road
Atlantic Beach , Florida 32233 -5445
Ph one (904) 247-5826 · Fax (904) 247-5845
E-mail : building-dept@coab .us
City web -site : http ://www .coab.us
APPLICATION NUMBER
(To be assigned by the Bu il d ing Department.)
~~~-->._..L-=.oo3
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Applicant:
Property Address : JOO ~P:)E£..~(\ \ <.._
0 uv _LlE:fZ -
Deoartment review reauired Yes No
I ..,..Buildinn ""';,
c Planning & Zoninn~
· Tree Administrator
Project: Wub li c Work-s::1.
( Public Util1t1e~
Public Safety
Fire Services
Review fee:_,;,:_$ ________ -D __ ept 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 Rev iew: □Approved. ~ 0Not app li cab le
(Circle o ne.) Comments:
BUILDING fJ e ed +-0, 5e-e 5 -e f-/:,c-c. k
PLANNING & ZONING Reviewed by : Date : f -1.. t-I :1
TREE ADMIN. Second Review: □Approved as revi sed . □Denied . 0Not appli cable
PUBLIC WORKS Comments :
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by : Date:
FIRE SERVICES Third Review: □Approved as revised . 0Denied . 0Not applicab le
Comments:
Reviewed by : ___________ Date : _____ _
Revi se d 05/19/2017
City of Atlantic Beach
Bu il ding Department
800 Seminole Road
APPLICATION NUMBER
(To be assigned by t he Building Department.)
Atl anti c Beach, F lorid a 32233-5445
Ph one (904) 24 7-5826 · Fax (904) 2
E-mail: bui lding -d ept@coab.us
City web-site : http://www.coab.u s
·-. ·10 03
APPLICATION REVIEW AND TRACKING FORM
Property Address: J OO 6n.&E£..~0 \ <._ Department review reQuired Yes No
Applicant: 0 (A.)_f'0Efl
I i...-Bui ldinn "-")
Planning & Zoninn~
· Tree A d m inistrator
Project: vP'""ub lic W ork~
( Publi c Utiht 1es:;.
Public Safety
Fire Services
__ R_e_v_ie_w_fe_e__.
0
_________ D_e_pt Signat_u_r_e ________ ____,
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By
Florida Dept. of Environ menta l Protection
Florida Dept. of Trans po rtati on
St. J ohns River Water Manag e me nt Di stri ct
Army Corps of Engineers
Division of Hotels and Resta urants
Divisio n of Alcoho lic Beve rages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review :
(Circl e one .) Comments:
BUILD ING
PLANNING & ZONING
TREE ADMIN.
PUBLIC WORKS
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES
Second Review:
Comments:
Third Review:
Comments:
□Approved. is21'ben ied .
Approved as revi sed . 0Denied.
Reviewed by:
□Approved as revi sed . 0Denied.
Date
0 Not applicable
0 N ot applica ble
Date :, 7 .. ;g,;,; ZO
0 Not applicable
Reviewed by: ___________ Date : _____ _
Revised 05/19/2017
Revision Request/Correction to Comments
City of Atlantic Beach Building Department
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
800 Seminole Rd , Atlantic Beach , FL 32233
Phone: (904) 247 -5826 Email: Building-Dept@coab.us PERMIT#: Fiuc.cZ0 -0003
D Revision to Issued Permit OR ~rection s to Comments Date, 3 h O /z o
Project Address : _/....:....._0=-----cO=---_ _;___(W_B--=--E/Z..::.......;_--=--~-=-'-B_._c..f"'""""-~-4-------------
Contractor/Contact Name : _ _,,,o""""-c.._co=---::.::::........,_f\_o,.),_L:,...E:[2.___.LL...=~-----"=E=='---'l'----'lL.:1~0=+---=-------=~0~(\!....:e_=--=..S,=-----~
Contact Phone: -~_,___/-'----3~5~S=---J,__ __ Emai l:----~~-----------
Description of Proposed Revision/ Correct ion s:
t0 / S e T 6 AC.l<~
_____________ affirm the revi sio n/co rrect ion to comments is inclusive of the proposed changes .
(printed name)
• ~ proposed revision/corrections add additional square footage to original subm ittal?
J..6r'1b--D Yes (additional s.f. to be added : ____________ )
ill proposed revision/corrections add additional increa se in building value to original submittal?
D*Yes (add ition al in crease in building value:$ ________ ) (Cont ractor m ust sig n if inc rease i n va luation)
*Sig nature of Co ntractor/ Agent: ______________________ _
(Office Use Only)
~pproved D Denied D Not Applicable to Department Permit Fee Due$ _____ _
Revision/Plan Review Comments ------------------------------
'::J:!.!,I.LJ,JL..Ll..!r..!..!.'nt Review Required:
nni ni
Tree
Public Utilities
Public Safety
Fire Services
[Tl. Jc Rev;ewed By
5/17) 2o
Date
Up dated 10/1 7/18
Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
D Revi sion to Issued Pe rmit OR ~rections to Comments
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT #: Fi\j c.cZ0-0003
Date 3 /t O /z.o
Project Addres s: _/---=----0_0=--___ (Y\,',_b----'---Ef-Z __ ~.=.....t4s_.C..f-=-->-K---+-------------
Contractor/Contact Na me : _....,,O....c......::e:LOc...=._._~_:,,......),__,,f:£?___._,__,-=-------'E'=-=-..!.l_,lL.1_,,o=+-'---~-='----OO=-:___(\--'-=e_=-S,=-------
Contact Phone: ~L\~~_/_-_3~cS~S~J~--Email: ________________ _
De sc ription of Propo se d Revision/ Correc tion s:
5~~~0or w/ Ser6AC l-CS.
_____________ affirm the revi sion/correction to commen t s is inclusive of the propose d change s.
(printed name)
• ~ proposed re vision/corre ction s add additional square footage to original subm ittal?
J6Nb--D Yes (additional s.f. to be added : ____________ )
i;«ill propose~ revision~c_orrec:ions add_ add i_ti~na l in crea se in building va lue t o original submitta l?
~ D Yes (add1t1onal increa se 1n building valu e:$ ________ ) (C ontracto r must sign if in crease in va l uat ion )
*S ignature of Contractor/ Agent : ______________________ _
(Office Use Only)
yC-oved D Denied D Not Applicable to Department Permit Fee Due $
Revi sion/P lan Review Comments
De nt Review Required:
Buildi
nnin
Tree · ·
ubli
Public Utilities
Public Safety
Fire Services
--
------
------------------------------
Date
Updated 10/17/18
MAP SHOWIN G SURVEY OF
LOT 1, B LOCK 2 , ROY AL P ALM S UN IT ONE AS RECOR DED IN PLAT BOO K 3 0 , PAGE S
60 and 60 A OF TH E CURRENT P UBLI C RECORDS OF DUVAL COUNT Y, FLOR IDA .
( sa5•4a ·o a "E_ 3 1. ~ 7' FIELD )
FOU ND 1/2" IR ON 31:5'4 -p--'-"~ NOC sa5·2 0·02 "E
LOT 2
NOTE S
1. THI S IS A BOUN DARY SURVE Y.
2. BEARING S AR E BASED ON THE WES T LI NE
FOUND 1 /2" IRON
PIPE. NO CAP
\
OF LOT 1, BLOC K 2 BEI NG NOR TH 0 4"39 '58" -· ~ ~ -·• r"' ~~ • •·· f ::-~
EAST, AS PER PL A T. ~-, r,-t: ~ ,.;_·_ l_i r.-02;-i.,-3 . BUILDING RE STRr®LI NE SHOWN AS ; _), · _,... ·• c• -~ ti
PER PLAT. U,,/
4 EA S<ME" SHO ll'/t1/(f/7y I~ MAR 1 0
A.Pp1/(/tLopMfNr ev,._--+_
THIS PROPERTY SHOWN HER EO N APPEAR S
TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE
THE 500 YE AR FLOOD PLAIN ) A S WELL AS
CAN BE DETERM INED FROM THE FLOOD
INSURANCE RATE MAP COMMUNIT Y PANEL
No. 12 0075 0001 D, REVI SED AP RIL 17,
1989 FOR THE CITY OF ATL ANTIC BEACH,
DUVAL COUNTY, FLOR IDA.
"NOT VALID WllllOUT THE SIGNATURE AN D THE
ORIGINAL RAISED SEAL Of A FLOR IDA UC' "D
SU RVEYOR AND MAP PER .•
lt €" D ~~~~,i;.P;;;;;;.iiii.120~~~~~4e
SCA LE: 1" = 20'
TH IS SURVEY WA S MADE FOR THE BE NEFI T
OF FR AN IS GAR NETT HARRI SO N FOR E.
DONN W. BOATWRIGHT, P.S.M.
FLA. UC . SURVEYOR AND MAPPER No. LS 3295
FLA. UC . SURVEYING & MAP PI NG BUSINESS No. LB 36 72
CHECKED BY: ___ _
DRAWN BY: swc
flLE #: 201 2-0931
BOATWRIGHT LAND SURVEYORS, INC.
1500 ROBERTS DRIVE
JACKSONVILLE BEACH, FLORIDA 241-8550
DATE: NOVEMBER 15, 201 2
SHEET _1_ 0F _1 _
·'",.---=
l
l
~ ; i 1 ll · ,, < •
·--~:
------------------------------------,
( sa5·4a·oa"E_ 3 1.~7 ' FIELD )
FOUND 1/2" IRON 31.-5'4
-~~ NOC S8 5"2 0 '0 2"E FOUND 1/4" IRON
PIPE, NO CAP
LOT 2
NOTE S
1. THI S IS A BOUNDARY SURVE Y.
2 . BEARINGS ARE BASED ON THE WE ST LINE
OF LOT 1, BLOC K 2 BEING NOR TH 04"39'58"
EAST, AS PER PLAT.
3 . BU ILDING RE STR ICTI ON LI NE SHOWN AS
PER PLAT.
4 . EA SEMENT SHOWN AS PER PLAT.
THIS PROPERTY SHOWN HEREON APPEAR S
TO LIE IN FLOOD ZO NE ''X" (AREA OUTSIDE
THE 500 YEAR FLOOD PLAIN) A S WELL A S
CAN BE DETERMINED FROM THE FLOOD
IN SUR AN CE RATE MAP CO MMUN ITY PANE L
No. 1200 75 0001 D, REVI SED APRIL 17,
1989 FOR THE CITY OF ATLANTIC BEACH,
DUVAL COUNTY, FLOR IDA .
"NOT VALID V.,TliOUT THE SIGN A l\JRE ANO 11-lf.
ORIGINAL RAI SED SEAL OF A FLORID A Ut'' .. 0
SUR\IEYOR ANO MAPPER."
1p 20
SCA LE : 1" = 20 '
FOUND I /2" IRON
PIPE. NO CAP
. \
THIS SURVEY WA S MAD E FOR THE BENEFIT
OF FR AN IS GARNETT HARRI SO N FO RE.
DONN W. BOATWRI GHT, P.S.M.
FLA. UC. SURVEYOR AND MAPPER No. LS 3295
FLA. UC. SURVEYING & MAPPING BUSINESS No. LB 3672
CHECKED BY: ___ _
DRAWN BY: SWC
FILE IJ: 2012-0931
BOATWRIGHT LAND SURVEYORS, INC.
1500 ROBERTS DRIVE
JACKSONVILLE BEACH , FLORIDA 2 41 -8 5 50
DATE: NOVEMBER 15, 2012
SHEET _l _ OF _1_
Revision Request/Correction to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247 -5826 Email: Building-Dept@coab.us
D Revi si on to Issued Permit OR ~rection s to Comments
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT#: Fi c.e:.Z0-0003
Project Addre ss: _ ____._-=---==---....:....__(\l\,b_---==-ER,=-:..--=:....::,,,,,__,__8_,C:,~.fL-'K\----------------
Contracto r/Contact Na me: -~o--~=:.....L:f\:~)..L...!:...fd?.___.<.L-=--~==-==L..!.l_.llL.'.\~0~'---==0::::..:(\___!._!e_=-=..S,:=..._ _____ __c
Conta ct .Phone : _4__,__f __ -_3~8~S~J_,__ __ Email :--------------------'
De sc ription of Propo se d Revision/ Corrections :
_____________ affirm th e r ev ision/correction to comments is inclu sive of the propose d changes.
(printed name)
• ~ proposed revi sion/corrections add additional square footage to original submittal?
~ D Ye s (additional s.f. to be added : ____________ )
ill proposed revi sion/correc tion s add additi o nal in c rea se in bu i lding v a lue to ori gi nal submittal ?
D *Yes (additional in cr ease in building valu e :$ ________ ) (Contractor must sign if increase i n va l uat ion)
*Sig nature of Contractor/Age nt : ______________________ _
(Office Use Onl y )
~pproved D Denied D Not Applicable to Department Permit Fee Due $ _____ _
Rev is ion/Plan Review Comments _____________________________ _
Public Utilities
Publi c Sa fety
Fir e Se rvi ces
--V
MAR 11 202)
BY:-·--------
Reviewed y
Updated 10/1 7/18
REVOCABLE ENCROACHMENT AGREEMENT
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
**ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Flor ida , a municipal corporation organized and
existing under the laws of the State of Florida, hereinafter referred to as "C ITY" and
Elliot Daniel Jones of Atlantic Beach, Florida , hereinafter
referred to as "USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable ba si s 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 _F_en_ce_Re_p_la_ce_m_et __________________________ _
Any facility maintained, repaired, erected , and/or installed in t he exercise of t he privilege granted rema ins subject to
relocation or removal on thirty (30) days' notice by CITY to USER, said notice to USER sha ll be given by certified mail , return
receipt requested, to the following address _1_oo_A_m_b_er_ia_ck_,_A1_1a_nt_ic_B_ea_c_h_, F_L_3_22_3_3 ______________ _
• 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 mainta ining, 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, prio r to making any changes from t he approved plans and/or method, must obtain written approval
from the City of Atlantic Beach Public Works Department, for sa id 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 easement s, publ ic
right-of-ways and other public land . USER further agrees that t he CITY and its officers and employees shall be
saved harmless by the USER from any of the work he rein under the terms of this permit and that all of said
e y urned by the USER .
Date_~~t _7.....,a...0_~_d _2-0 __
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this as-" day of C6["\AC~ , 20 ;) c) ,
Signature of Notary P
W ersonally Known
he signed the instrume
[ I Produced Identification (Type) _____ _
sed in it.
,.-j;'if-.~~t/i{;;-._ RUSSELL E. GRIMES f/-~°\.1 MYCOMMISSION#GG 172929
½"~'.~~: EXPIRES: January 7, 2022 D t t A I ··?.r,R,;~?~---BondtdThN Publk:Und-11ers epar men {>Prova : .....
~ Scott W illiams, Pubic Works Director
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H:\App l icat ions & Forms\W ord Documents\20180831 Revocable Enc roachmen t Agreement.docx Revision Date: 8/31/18
City of Atlantic Beach
Building Department
800 Seminole Road
/
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 · Fax (904) 247-5845
E-mail : building-dept@coab .us
City web-site: http ://www.coab .us
APPLICATION NUMBER
(To be assigned by the Building Department.)
.i.......µ..µ..---"""=-'--~~00,3
APPLICATION REVIEW AND TRACKING FORM
Applicant:
Property Address: JOO t?m .~E£...~0 \ <._
Q U0 _f\)E=f2
Department review required Yes No
t .--Buildinn --;,
C Planning & Zonina~
· Tree Administrator
Project: t15ublic WorkS;::?.
( Publ ic Util1t1 es-:::.-
Public Safety
Fire Services
Review fee $ ________ Dept Signatur_e _________ ~
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: □Approv e d . □Denied . ~t applicable
(Circle one .) Comments:
BUILDING
Reviewed b// ,_,_/ J---Date : / -/ P -zo PLANNING & ZONING
,,
TREE ADMIN.
,
Second Review: □Approved as revised . ODenied . ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by : Date :
FIRE SERVICES Third Review: □Approved as revised . ODenied . ONot appl ic able
Comments:
Reviewed by : Date :
Revised 05/19/2017