Permit 66 W 9th Street CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number
Property Address 10-00000392 Date 4/06/10
Application type d. . . . . . 66 W 9TH ST
Property Zoning . escription FENCE PERMIT
Application valuation TO BE UPDATED
800
Application desc ---------------------------------
replace damaged fence
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Owner
Contractor
NORTH FLORIDA CLASSIC HOMES OWNER-------------------
8081 PHILLIPS HIGHWAY SUITE 14
JACKSONVILLE FL 32256
Permit-----------------------------------------------------------------
FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . . 00
Expiration Date . . 10/03/10 0
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Fee summary Charged Paid Credited
----------------- ---------- ---------- Due
Permit Fee Total 35 . 00 35 . 00 ------- - 00 ----------
Plan Check Total . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
. 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORD NANCES AND THE FLOR A
BUILDING CODES. 1 ID
BUIELDING PERMIT APPLICATION
CITY OF ATLANTIC ]REACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904).247-5826 Fax(904)247-5845
ob Address:
Permit Number:
degal Description i-t2t H reel 9
Valuation of Work
G'lass of Work(circle one): New Addition Altera.tion e�i_ai� Mo.
eofemistin / roposeidstructure(�) circleone): Comme molition pool/spa window/door
ran existing gUr XAo-0s_?'denti_Z')
ucture,is a fire spriWer system installed? (Circle CAD
lorida.Product Approval 9
or multiple products use prod 10-L attipiroval form
lescribe in detail the type of work to be performed: ed c 6AI'm Pic j�q
ro e Owneir lWinnfirorm fion:
ame: (I in it Address:
ity C
Ity p ho'ne
(Optional) 4,11 State, Phone
VIP
-Mail or Fax#(Optional), Vin 6�1
ontractor Info nation:
:)Mpa.ny Name:
ddress: Qua.Iffying Agent.
ffice Phone —city —state
Job Site/Contact Number zip
ax#
ate CertificatioruRegistration#
rchitect Name&Phone 4
igineer's Name&Phone#
'e Simpletitle Holder Name and Address
.)nding Company Name and Address
ortgage Londer Name and Address
atz- n is he e made 0 o'a,-n a ,n"'o do'he work
,n 'p bep ormed to m or installation has commencedprior to the
,�rthsix mo�Vi or
in (6) thisj4risdiction. This permit becomes null
er a ,'p, i aWeriod ofs� months at any time 4y2e,
plic 0 r by
ce 0 apermit that all 0 k i'
dvol'd w.,k is n t commenced w
rk is 'nced !,ndrst�d at,,
kN ad�r _p
Ms,Pools,Arnaces,Boileiw,Reders,
WARNING TO OV17NER: YOUR FAILURE TO RECORD A NOTICE OF -
COMAUNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR LVIPROVEM[ENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING y0jjyj NOTICE
CONMENCEMENT. OF
?r by certr
e fy that I h e read ined this plication and know the same to be true and correct. I p ovis o aws and ordinances gov��,cng this,
,ranting of a permit does not presume to give authority to violate or I the
OJ work will be c lied wi ether i ed herein or not. The L r ins ofl
Wisions ofany other Xil
era4 te, rlocalsra��re latin construction o�'the peiyb�ma�we ofconstruction.
Plature of Owner Signature of Contractor
nt Name
z J . ....... ...... .................................. Print Name
...... .....................................................................................................................................
OMAO a,d ubscri d efig e a
1c's
s 'Day- f Sworn to and subscribed before me
this Day of In
tary Ic
MytIOMMISsION#oD Notary
Z 957760
E PIRES:February14 20
8 d 4
Thru Notary Public un�e ,ers Rcvised 0 1.2 6.10