615 Amberjack Ln 2014 Fence CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
tit
Application Number . . 14-00000466 Date 4/01/14
Property Address . . . . . . 615 AMBERJACK LN
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------------------------------------
Application desc
6 ft fence
-------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
DENNIS, JAMES R OWNER
4641 WHITES POINT
GENEVA NY 14456
----------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . . . 00
Permit Fee . . . . 35 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/28/14
-----------------------------------------------------
Fee summary Charged Paid Credited Due
----- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION `" '
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
MAR2 72014
Office (904)247-5826 Fax (904) 247-5845
1
Job Address: (o /S Arj8er2 r9 e>< LA me Permit Number:
Legal Description Lor 1 R I o CK $ Rum. PA crn s uNjr oA)8 Parcel # /7/18'6-OODd
'boor ea o a. t. u/A q
Valuation of Work$ Proposed Work heated/cooled — non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial esidentia
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: p m oy4 EK/aT/n/G WOdp �Q eve 4 - 3t4c��/i4R,6
k)c t
Property Owner Information:
Name:f rn r eAne L„ 2)£Al N t-r Address: (!S IVM AFk T_A-c r- 1 -, It
City 4��Anq e 'Ac-ff State) t.,Zip dOftlP Phone -Swe a f5 --5,z/-7 7,4 d
E-Mail or Fax#(Optional) 3 2 133
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Qualifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Applicati�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 a permit and that all work willbe perfomed to meet the sandardsfall lawsthisjurisdiction. This permit becomes null
and void ork isnotcommenced withinsix(6months, orifconstruction orwork issaperrod of six 6)months at any time after
rkiscmenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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 RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether spec,red herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name n [___ Print Name
.........1...a..�Q............................ .! ...N......1.... ......................... ........................................................................................................................................
Bef Before me
thi y of 20 this Day of ,20
1C iAr 0 Notary Public State of Florida Notary Public
Shirley L Graham
My Commission FF 086990 Revised 01.26.10
Oft n Expires 02/14/2018
KELLER t,
ve.aua
L � �NGr O: �WILLIAMS�, -
R E rif L T Y
e _
K NF A, NITIC BEACH, FLORIDA 32233 SURVEY NUMBER: 1309.0994
DAT E(S):,'--:-i 91
_
1-0-T 2 0
F3t�5 oa
100- M o- zw
29'( zns
X1. _�t �,-. _" - _= N 82°3 3 S 00 LOT 3 2
82°�3'5 '• :. ON SLK 5
_- crs•. =GONG 2 UNe
ON
p 70
e e g 26.d. ;
—713
0.6
'y o0a _ ' ti^ u ` �a `6L
,1 O00
v
r
4'C.L.F.(7ypNp.� —I/2"FIR
{
Q
-��
��.�iv ism •..��-�.� .31
-za cribed property has
NOTE
_---ti_ _- c- _ _ -_----_.rr,icnoMedge and belief,it is 5ETBAC< _-
-�-__- -= Yom-_;'ma meetstheminimumtechnical Loralarsr:== _ _ _
FENCE ON/NERS•- _
^r• F. : al Land Surveyors as - --
w - iminis a Code.
Q-OF
a
'3 s
30 20' 1 O' O 15, 3d .
�-SURVfi�O
IN
Wesley B.Haas
�s�aPo«ssianaTsuveywand Lbpper
6RAPt11C SCALE I
LixnseNo.3708 1 inch = 30 feet
-—-` n's Survey for Purposes other than lnt=—== v:ll beat the Users Sole Risk and Without Liability to the Survevnr l
s'-��`ar, City of Atlantic Beach
AP�]
ATION NUMBER
Building Department
<<� (To be asby the Building Department.
J � 800 Seminole Road � )
Atlantic Beach, Florida 32233-54456Phone(904)247-5826 . Fax(904)247-5845
E-mail: building-dept@coab.us Date routeZ 7 1
City web-site: http://www.coab.us _
APPLICATION REVIEW AND TRACKING FORM
Property Address: l!c �� FJ�� ^�C,� 17'1 Department review required Yes N
0
��� Buinni
Applicant: �J annin &Zo
Tree Administrator
Project: ublic Work
tilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Date
Florida Dept. of Environmental Protection of Permit Verified E`,
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:
APPLICA ON STATUS
Reviewing DepartmentFirst Review: pproved. []Deniec
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: �c
TREE ADMIN. Second Review: []Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: []Approved as revised. []Denied.
Comments:
Reviewed by: Date:
!vised 05/14/09
s�a,ar� City of Atlantic Beach
Building Department1 � APPLICATION NUMBER
800 Seminole Road 1 MAR 3 (To be assigned by the Building Department.)
!a �� Atlantic Beach, Florida 32233-5445 ' 1 2014
Phone(904)247-5826 • Fax(904) ErV845
E-mail: building-dept@coab.us Date routed: Z 7 f
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: LCA 1 V6_;4Lkwt ^d(C� 1� De artmenit r
p evrew required Yes No
Q O
Applicant: /�+ Buildinannin &Zo
Tree Administrator
Project:
ublic Work
tilities
u lic Safety
Fire Services
Review fee $
Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified e > Date
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.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
TREE ADMIN. Reviewed by: Date:
Second Review: [Approved as revised. []Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
__. Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
>ed 05/14/09
i
BP250U01 CITY OF ATLANTIC BEACH 4/01/14
Application Tracking Step Selection by Revision 14:38: 13
Application number . . . . 14 00000466
Address 615 AMBERJACK LN
RE number : 171186-0000
Application type . . . . . : FENCE PERMIT
NCR OLD ACCOUNT NUMBERS : AB13079
Tenant name, number . . . . .
Type options, press Enter .
6=Fast log 8=Action log maintenance
2=Change 4--Delete 5=View
9=In/out maint __
Path ---- Key Dates - - Review Summary -
Opt Agency description Rev Step Req In Est Cmpl Resulted Stat By
PLANNING & ZONING A 01 Y 03/31/14 04/07/14 03/31/14 AP SLG
PUBLIC UTILITIES 01 Y 03/31/14 04/07/14 03/31/14 AP DK
PUBLIC WORKS A 01 Y 03/31/14 04/07/14 03/31/14 AP CK
Bottom
F3=Exit F5=Land inquirFlO-V6 wd2 F11RSortlbysagen$ Misc info inquiry
keys
F9--,Corrections report -