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Permit 465 Aquatic Dr CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00002011 Date 12/29/09 Property Address . . . . . . 465 AQUATIC DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace back fence 6ft ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FALCON OWNER 465 AQUATIC DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/27/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. Roll off containter company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- 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. Home lmprovcment Agreement: Proposal for Fencing Installatio n Customers Last Name,First N-911" Store No. Order No. Dat e Service Address &I PRICE ISVALID FOR 30 DAYS FROM DATE OF PROPOSAL city, State Zip Custorridi's Daytime Phone No. Customers Evening Phone No. Customers E-mail Address F Nearest Cross Street PERMITANSPECTION INFORMATION Permit required? (20;Hom No (Instaeowner to obtain permit Installation professional Plot p an orp6rvey available? Illation Professional requires copy of permit before installationl to obtain permit Qfts Q No Selection $ APPRO)aMATE LAYOUT FENCE FOOTAGE CONTAINED IN THIS PROPOSAL Is APPROXIMATE BASED ON FIELD MEASUREMENT.FiNTL PRICE WILL BE ADJUSTED BASED ON ACTUAL FENCE FOOTAGE USED,AS SET FORTH IN TERMS AND CONDrrIONS,L) ADDITIONAL COST OPTIONS ADD THE PRICES IN THIS COLUMN TO THE SELECTION TAKE DOWN AND HAUL AWAY OLD FENCE _44 �2 A _4 _z� e"A f FENWNSTALLATION RELATED TO GRADE:PLEASE INITIAL ONE SUB TOTAL $ P�EASING TO THE EYE FOLLOWING FLOW STEPPED INSTALLATION DEPOSIT $ BALANCE DUE PON COMPLETION) $ FENCE TO BE LEVEL WITH HIGHEST GRADE SLIGHTLY UNEVEN GRADE WITH FENCE STEEP SLOPE WHERE FE14CE CANNOT'RACK' (CUSTOMER TO FILL IN GAPS) r LLOWING FLOW OF GROUND ENOUGH To FOLLOWGR EANDMUSTaE FO AD FENCE WILL BE UNEVEN AT TOP STEPPED.RESULTING IN LARGE GAPS UNDER LIU FENCE-(CUSTOMER TO FILL IN GAPS) Product Product Product Style: Height: Style: Height: Style: Height: Footage: —if Gates: Footage: I f Gates: Footage: I f Gates: Post Cap: Color: Post Cap: Color: Post Cap. Color. xl� -4F_17z\__� --i � City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 4�- 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Uty web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: . QgWrtment review rejuired Yes No -Buil Applicant: &Zonin -TresAzlmirri r Project: bl- 17 14. --P-u ic WorkO (�,:-P_ubTi?-, Utilities Public Safety Fire Services I'll '4� 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: APPLIC��TJON STATUS Reviewing Department First Review: 94-Pro'ved. E]Denied. (Circle one.) Comments: BUILDING (j�A�NING�&ZONIN Reviewed by: Date:/z -15--'0 TREE ADMIN. Second Review: E]Approved as revised. FlDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. F]Denied. Comments: Reviewed by: Date: Revised 05/14109 CITY OF ATLANTIC BEACH 8W SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-_L_LJ_J_J OFFICE:(904)247-5826 e FAX NO_:(WK)247_sM BUILDING-DEPTGCOAB.US 408,ADQR 77-77777777777777-7:��:: BUILDING PERMIT APPLICATION DUVAL COUNTY 2 ISQ�FMUNDERRO 11,FT.LIND OF ,2 4-1 IPTI�w CLAQQ'Oi� 61- US UC E,1OF S7 T, LOT 75iUCTUR BLOCK SUB DIVISION 13 NEW BUILDING 11731 DEMOLITION U RESIDENTIAL m0tbN 11 ADDITION 13 CONVERTING USE 0 COMMERCIAL .......... 13 ALTERATION 13 ACCESSORY BLOG. "RE aW6 &1f7- 0 REPAIR 13 POOL I SPA 0 YES U ACCESSORY BLDG` 13 N/A E3 POOL'SPA 0 MOVE 2 0 R PROPERTY.0V 0 OTHER CONTRACTO ONO R.NAME., ARCHITECT/ENGINEE 15.COMPANY NAME: nrCT' 23.COMPANY NAME, 16.NAME LIC N M 121 LlUENbEE-NAME: 10.ADDRESS: &17d 60A2, 17.STATE OF FLORIDA LICENSE NO.: 25,STATE OF FLORIDA LIC NSE i70_.. 18.ADDRESS., 26.ADDRESS, ?Z-2,?3 J��D_ 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 2G.FAX NO- 27.OFFICE PHONE: 28.FAX NO-: .............. ................................................................... 131.CEI L PHONE: 21.CELL PHONE: 29.CELL PHONE" ,V5_-75T'Z/ 14.E URESS: 22.EMAIL ADDRESS: 30.EMAIL AD RESS: leallkie I C' WIAOD 6CAPI FEE SIM PLETITLEMEDER-.�.: BONDING CQIVIPANY:� 31. ME: 6, r 7. 69 1 9 96 r,1 1, r 9 9%.: r _. " : . : ,.MORTGAdE LENDER. 33.IN"M E: 32.A )RESS: 34.ADDRESS: 35.NAME: 36.AD =66: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or install Tbon has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six (6)months at any time after work is commenced. I understand that separate permits must be secure Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks. Air Condifloners,eti:. d for OWNEWS AFFIDAVIT-I cerfify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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 LE,NDE.R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER r A G o ENT.� (if Agent,Power of Attorney.or Agency Letter Require(9 'CON9 TRACTM. Signed: .(Qualifier only) ate: Signed: Date: Before me this��day of - ,2009 in the county of Before me this day of 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared hedn by himself I herself and affiffris that all statements rations are - of jclara�ons aL herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at L e,,*Sf PtCol nty of Notary Public at Large,State of Ily own County of 11 Personally own El Produce 0 Personally Known 13 Pmduoed Identification- Notary Sign ure: Notary Signature-, BLOGG1 Permit Applim-tion Bldg�REVISED:12t18/2008 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904) E-mail: building-dept@coab.us L__Late routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM 1,0 D rt Property Address: _qapa_ment review required Yes No r-Buil Applicant: (—Planning &zonino� T,uz Adrnirri�a or Project: Ct&r 417- 10n6f- &ru�bficWorkO ��ITU-bft Utilitfe�s> 'Fu-bricSafety Fire Services "AIN 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. RDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: FlApproved as revised. FIDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. RDenied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLA"C BEACH,FL=33 09 OFFICE:(904)247-5826 0 FAX NO,:(904)247-5845 BUILDING-DEPT@COAB.US RESS: BUILDING PERMIT APPLICATION DUVAL COUNTY 2.V A 0 OF WORK 3.SO.F7.UNDER ROOF 4�LEGAL DESCRIPTION- US S 5.CLASS OF WORK; 2UCTUI, 6.USE OF STRUCTURE* LOT BLOCK-SUB DIVISION 13 NEW 0 DEMOLITION E3 RESIDENTIAL DESOR PTION 0 ADDITION 13 CONVERTING USE 0 COMMERCIAL 13 ALTERATION 13 ACCESSORY BLDGL 8.FIRE SPRINKLER� PIZA?C W6 &,---7- le-lVel=- 13 REPAIR E3 POOL/SPA U YES 0 N/A PROPERTY OVWER-, CON" 13 MOVE 0 OTHER 13 NO 9.NAME: RCTOR: ARC ITEC Til ENGINEER--. at-ela lfele4w IS.COMPANY NAME: 23.COMPANY NAME- 16.NAME 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25 57: [1 A ICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20 FAX NO-, 27.OFFICE PHONE 28.FAX NO,: LL PHONE 21.CELL PHONE V-,V5�-75YV 29.CELL PHONE 14.EM611.ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS. -Ir'51r-a FEE SIMP E TITLE HOLDER- (IF OTHER THAN OVmERj BONDING COMPANY. MORTGAGE LENDER: 31.NAME: 33.NAME: 35.N I AME,. 32.ADDRESS: 34.ADDRESS: 36.ADDRESS- Application is hereby made to obtain a permit to do the work and installations as indicated. I cer* 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 laws regulating construcrion in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of sbc(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEMS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construclion and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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. OWNER or AGENT (if Agent;Power of Attorney or Agency Letter Required) CONTRACTOR (Quell"er Only) Signed: ate: Signed: Date: Before me this day of 2009 in the county Of Before me this day of 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements ardl2rations arLe herin by himself/herself and affirms that all Statements and declarations are true and accurate. tnie and accurate. Notary Public at L a,S f Co nly of Notary Public at Large,State of ly own County of 0 Pezrsonally own E3P u 13 Personally Known 13 Produced Identification- I re. Notary sign ure: Notary Signature: BLDGD1 Permit Application Bldg:REVISED:12/1 W008 City of Atlantic Beach Building Department APPLICATION NUMBER (To be assigned by the Building Department.) 800 Seminole RoAd Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: z kLe City web-site: hftp://www.coab.us L APPLICATION REVIEW AND TRACKING FORM Property Address: . A-T-1 A - Q912ortment.review re uired Yes,-No d BuildinqA_ Applicant: I Ile Planning &Zonin92 TiovAdmini r Project: 4 0 (:�15MDC Utilitie�s-_> Public Safety Fire Services 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: PA'pproved. [_�Denied. (Circle one.) Comments: (!U— PLANNING &ZONING Reviewed by: Date:_Q—/�-02 TREE ADMIN. 4 Second Review: E]Approved as revised. FJD6/nied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. [--]Denied. Comments: Reviewed by: Date: Revised 05/14109 Home Improvement Agreement: Proposal for Fencing Installation Customer's Last Name,First Namp,' Store No. Order No. -7 Date Service Address PRICE IS-VALID FOR 30 DAYS FROM DATE OF PROPOSAL city State zlp > Customees Daytime Phone No. Customer's Evening Phone No. Customees E-mail Address Nearest Cross Street PERMIT/INSPECTION INFORMATION Permit required? omeowner to obtain permit —Insta Ur�es t tallation professional FPIot—1plan 5or�p6lrrvey available? it �,a tion) No (Installation Professional requires copy of permit before installat:ij) to obtain pe Selection $ APPROXIMATE LAYOUT FENCE FOOTAGE CONTAINED IN THIS PROPOSAL IS APPROXIMATE BASED ON FIELD MEASUREMENT.FINAL PRICE WILL BE ADJUSTED BASED ON ACTUAL FENCE FOOTAGE USED,ASSET FORTH IN TERMS AND CONDITIONS,L) ADDITIONAL COST OPTIONS ADD THE PRICES IN THIS COLUMN TO THE SELECTION TAKE DOWN AND HAUL AWAY OLD FENCE $ L J _T_ FENCE INISTAKILATION RELATED TO GRADE:PLEASE INITIAL ONE SUB TOTAL $ L'I'm NG TOTH E EYE FOLLOWING FLOW STEPPED INSTALLATION DEPOSIT $ BALANCE DUE FENCE TO BE LEVEL WITH HIGHEST GRADE SLIGHTLY UNEVEN GRADE WITH FEWXCE STEEPSLOP WHERE FENCE CANNOT'RACK" FOLLOW GRADE AND MUST BE (UPON COMPLETION) $ /* (CUSTOMER TO FILL IN GAPS) FOLLOMNG FLOW OF GROUND ENOUGH TOE FENCE V41LL BE UNEVEN AT TOP STEPPED,RESULTING IN LARGE GAPS UNDER FENCE-(CUSTOMER TO FILL IN GAPS) Product. Product Product eight: Style: Style: Height: Height: Footage: If Gates: ii" Footage: If Gates: Footage: If Gates: Post Cap: Color: Post Cap: Color: Post Cap- Color: F_ xl-A �vj Ew . ......... LL -PA/dVV 4VI2 ar'r