Permits 591 Aquatic DriveCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001849 Date 11/16/09
Property Address . . . . . . 591 AQUATIC DR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
replace 4ft fence
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HUNLEY OWNER
591 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 . . 5/15/10
----------------------------------------------------------------------------
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 container company must be 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.
CITY OF ATLANTIC BEACH
a ,d 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
L M OFFICE: (904)247-5826 • FAX NO.:(904)247-5845
't..l BUILDING-DEPT@COAB.US
F7
BUILDING PERMIT APPLICATION
09
DUVAL COUNTY
�SP"" /5r91KLtY L. UKAHANI
0.Y PVO �i V
j2° �,#�; Notary Public -State of Florida
o. My Commission Expires Feb 14, 2010
9, Commissions # DD 518533
OFF ,
BLDG01 Permit Appli tion �IHg"t�EV15�If1p�geNatiOnal Notary Assn. '
2.;VALUATI019 F" (ORK
1! fj
'
4. LEGAL DESCRIPTION ., ` '
KU.SE.OF STRUCTURE:':
/.��('9 _
LOT ALOCK_SUBDIVISION \"CVt'
❑ NEW BUILDING 11 DEMOLITION
11 ADDITION 13 CONVERTING USE
ElALTERATION 11ACCESSORY BLDG.
REPAIR ❑ POOL / SPA
RESIDENTIAL
❑COMMERCIAL
P.7; DESCRIPTION QF WORK ': ,, , ; .
:0-F IRE -SP 91 ER
❑ YES B N/A
�^
,
OVE, ❑OTHER
NO
'OWNER:;
CONT RAP
ARCH T/ENG
:PROPERTY
INEER :.
9. NAME: f L t
`
0 �l t (-1 a
15. COMPANY NAME: (?
23. COMPANY NAME
/•
L t_l_ I IhchU 64
16. NAME:
24. LICENSEE NAME:
--
10. AD REA it t�
�41 r
17. STATE OF FLORIDA LICENSE NO.:
25. STATE OF FLORIDA LICENSE NO.:
I
16. ADDRESS:
26. ADDRESS:
--ina r / ty P�
1. FFICE P ONE:
12. FAX NO.:
19. OFFICE PHONE:
20. FAX NO.:
27. OFFICE PHONE:
28. FAX NO.:
13. CELL PHONE:
21. CELL PHONE:
29. CELL PHONE:
14.. EMAIL ATDRESS:
22. EMAIL ADDRESS:
Iii
LE
EMAIL ADDRESS
40L, C -D
a FEE SIMPLE .IT HOLDER
BONDING COMPANY y:
MORTGAGELENDEi2
„...:. 9.(IFOTHFRTHANoINNErt)i, 7.•
r
31. NAME %J t j 'y-
33. NAME:
35. NAME:
L v
ADDRE : :1
34. ADDRESS:
36. ADDRESS:
U&nr. tL $ 3
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 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 secured for
Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
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. 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.
t WARNING TO OWNER:*
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PRIONERTY. A NOTICE OF
COMMENCEMENT MUST BE RECO2 D NON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEN TA ACING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFO E RDING YOUR NOTICE OF COMMENCEMENT.
OWNER r AGENT ;=
CONTRACTOR
,
-, (If Agent, Powe . Atio y or Age Letter Regtuced)
" (Qualifier Only)
Sig O Date: �Zr4J 7
Signed: Date:
Before me this day of 2009 in the county of
Before me this day of 2009 in the county of
Duval, StatVf F1 He has personally a are /
Duval, State of Florida, has personally appeared
herin by himself / herself and affirms that all statements and declarations are
herin by himself / herself and affirms that all statements and declarations are
true and accurate.
true and accurate.
Notary Public at La to of County of
Notary Public at Large, State of , County of
❑Personally ICno
El Personally Known
❑ Produce Identifffica
ElProduced Identscation -
Notary Sign atu
Notary Signature:
�SP"" /5r91KLtY L. UKAHANI
0.Y PVO �i V
j2° �,#�; Notary Public -State of Florida
o. My Commission Expires Feb 14, 2010
9, Commissions # DD 518533
OFF ,
BLDG01 Permit Appli tion �IHg"t�EV15�If1p�geNatiOnal Notary Assn. '
City of Atlantic Beach
a 9 Building Department
` 800 Seminole Road
Atlantic Beach, Florida 32233-5445
'A' r 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 Buildin Department.)
Date .routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address:
C
1pplicant:
$roject: 'PUZACfb
Departalent review required Yes No
Buildi
anning & Zonin
ee inistrator
ublic mr
u I tilitie
u ec Safety
Fire Services
Other Agency Review or Permit Required
Review or Receipt Date
of Permit Verified B
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:
APPUCATtON-STATUS
1eviewing Department First Review:CIA-pp-roved. ❑Denied.
(Circle one.) Comments:
BUtL
ae
(QNING & ZOING Reviewed by: Date
TREE ADMIN. I Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORDS I Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Third Review:
Comments:
Revised 051/4109
Reviewed by:
❑Approved as revised. ❑Denied.
ReOev, ad by:
Date:
Date.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
OFFICE: (904)247-5626 9 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
S.
BUILDING PERMIT APPLICATION
DUVAL COUNTY
1.'JOB`ADDRESSi'` ;,.
2.VALUATION)gFV�DRK'`
FT: ;UNDER OOF ,':;i. .
{ Q V 4-n 1 U I:2-
l'
AZA
4; LEGAL DESCRIPTION ,,..c
5. CLA 5`OF 1NORK ,. r , .
B' USE OF STRUCTURE:-
�y j
ALDCK_SUBDIVISIDN jc�.xVK('C C
11
❑ NEW BUILDING DEMOLITION
RESIDENTIAL
LOT /
El ADDITION El CONVERTING USE
11 COMMERCIAL
8; _.:'•, ,
+4. T; DESCRIPTION'OF WORK.';. , . " "
..
'
❑ALTERATION ❑ ACCESSORY BLDG.
1:1FIRESPRINKLER
YES NIA
❑ NO
''� 11
L �!A D Fa4 e Z i
REPAIR ❑ POOL / SPA
OVE ❑ OTHER
;.
,ARCHITEOT/
:
, ENGINCONTRACTOR
..E..ER .
9. NAME:
15. COMPANY NAME:
23. COMPANY (NAME:
16. NAME:
24. LICENSEE NAME:
104 E^� e/ t
Al://`,T h
17. STATE OF FLORIDA LICENSE NO.:
25. STATE OF FLORIDA LICENSE NO.:
1B. ADDRESS:
26. ADDRESS:
33
1. FFICE P NE: /
12. FAX NO.:
19. OFFICE PHONE:
20. FAX NO.:
27. OFFICE PHONE:
28. FAX NO.:
13. CELL PHONE:
21. CELL PHONE:
29. CELL PHONE
14. E AIL ATDRES5:
22, ENTAIL ADDRESS:
30. EMAIL ADDRESS:
` eC,C1.Vt�1 J ►v f�OL, �0
�+ FEESIMPLE T.,ITLE HOLDER~
�(IFo71iERIHANOWNER):i a
BONDING COMPANY
MORTGAGE LENDER
31. NAME:iJ iJ 15 C ll,++V
33. NAME:
35. NAME:
ADDRE
34. ADDRESS:
36. ADDRESS:
3
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 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 secured for
Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
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. 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 r AGENTt' `
CONTRACTOR'
(If Agent, Powe Atto or Age 'Letter Required}
- (odalifier Ony)
,c7�-
Sigr>l Date. V C �J /
Signed: Date:
Before me this -4- day of , 2009 in the county of
Before me this day of 2009 in the county of
Duval, Stat of Florida, has personally a are N
[ l'' " '9, %i l i
Duval, State of Florida, has personally appeared
I
herin by himself / herself and affirms that all statements and declarations are
herin by himself / herself and affirms that all statements and declarations are
true and accurate.
true and accurate.
Notary Public at La to of County of
Notary Public at Large, State of County of
❑Personally I<no
ElPersonally Known
11 Produce Identfica
❑ Produced Identification -
Notary Signatu
Notary Signature:
P
••0.Y • ephLtY L. UKAHAM
U i
.P ° Notary Public - State of Florida
«Y�¢r =My Commission Expires Feb 14, 2010
"9r Commission # DD 518533
DOFF O•
8LDG01 PemitAppli tic F1 ., vlsdaotsdedrBgGNational Notary Assn, j
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 Buildin Department)
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address-
Applicant: /J)�-
Project: T�7 A-771141i
Dgpadment review required Ye No
Buil
annmg & Zonin
=1ric trator
u is Safety
Fire Services
.'%cM y; N
. �.
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept of Transportation
St. Johns River Water Management District
Amry Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: roved. ❑Denied.
(Circle one. Comments:
BUILDING
PLANNING & ZONING
Reviewed by: zr
TREE ADMIN. Second Review: ❑Approved as revised. ❑Venied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by:
Revised 05114109
Date: f/— 6-'07
Date:
Date:
City of Atlantic Beach
Building Department
ss1;
• � 800 Seminole Road
j - r Atlantic Beach, Florida 32233-5445
' Phone (904) 247-5826 Fax (904) 247-58
E-mail: building-dept@coab.us
Cityweb-site: http://Www.coab.us
APPLICATION NUMBER
(To be assigned by the Build' n Department:)
-1009
~ Date .routed:
APPLICATION REVIEW AND TRACKING FORM
2roperty Address:
kppiicant:ql
Droject: % ')')
D ant review required Yes No
Build`
annmg & Zonin
ee inistrator
-Public V4/or
u i tilitie
u is Safety
Fire Services
—S -K -^Ir- Wit' �^-m a+ `�g�""-�-5*�-�,J 'm'i�"`,�} �. +++��� 'j"�n'��•FS.rrvr k"<. ,3y'�,� y�� �5'sv^
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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
Reviewed by:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS I Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Third Review:
Comments:
Revised 06114109
Reviewed by:
❑Approved as revised. ❑Denied.
Ravfevved by:
Date: 051166
Date:
Date:
�. APPLICATION NUMBER
(To be assigned by the Buildin Department:)
NO V
7
Date .routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: ��ow-
4pplicant:
Project: % ')')
D ant review required Yes No
Build!
annmg & Zonin
ee inistrator
tiblic Wor
u i tilitie
u is Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept of Transportation
St. Johns River Water Management Distract
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
Reviewing Department I First Review:
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
TREE ADMIN.
PUBL WOR S
PUBLI U ES
PUBLIC SAFETY
FIRE SERVICES
Revised E65IUM
APPLICATION STATUS
Approved. ❑Denied.
Reviewed by:
Second Review: [--]Approved as revised. ❑Denied.
Comments:
Reviewed by:
Third Review: ❑Approved as revised. [-]Denied.
Comments:
Ravievtred by:
Date: l (-
Date: -
Date:
Date:
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax (904)
E-mail: building-dept@coab.us
City web -site: http://www.coab.us
�. APPLICATION NUMBER
(To be assigned by the Buildin Department:)
NO V
7
Date .routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: ��ow-
4pplicant:
Project: % ')')
D ant review required Yes No
Build!
annmg & Zonin
ee inistrator
tiblic Wor
u i tilitie
u is Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept of Transportation
St. Johns River Water Management Distract
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
Reviewing Department I First Review:
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
TREE ADMIN.
PUBL WOR S
PUBLI U ES
PUBLIC SAFETY
FIRE SERVICES
Revised E65IUM
APPLICATION STATUS
Approved. ❑Denied.
Reviewed by:
Second Review: [--]Approved as revised. ❑Denied.
Comments:
Reviewed by:
Third Review: ❑Approved as revised. [-]Denied.
Comments:
Ravievtred by:
Date: l (-
Date: -
Date:
Date:
I
est r� CITY OF ATLANTIC BEACH 09— I I I I
800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
z OFFICE: (904)247-5826 • FAX NO.:(904)247-5845
BUILDING -DEPT
@COAB.US
a �I� BUILDING PERMIT APPLICATION DUVAL COUNTY
r 2. VALUATION OF WORK'_ .
3 SO FT UNDER OOF"
QBADDRESS ., , . :'#: �' ' ICI
QU(4YI( 1V1� %7--5
�C 5:
CUA S OF
ti. B ;USE,O .STRUCTURE.
❑NEW BUILDING ❑DEMOLITION
t„4:GEGALDESRIPTION ''=o yp�� / RESIDENTIAL
r- 1LO47,1 T LOCK_ SUB DIVISION � V A(I ` ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL
WORK
<<,
❑ ALTERATION ❑ ACCESSORY BLDG. 8: FIRE SPRINKLER -
REPAIR ❑ POOL / SPA ❑YES WA
DESCRIPTION OF
9. NAME: li f.._h Y
/_0
15. COMPANY NAME: (ice
�
� a
23. COMPANY NAME:
18. NAME:
24. LICENSEE NAME:
Vt���
Nut41_C
wtL>_ln�h'I t
Notary Public at Large, to o yf
❑ Personally Known
17. STATE OF FLORIDA LICENSE NO.:
25. STATE OF FLORIDA LICENSE NO.:
10.ADRESv% C�0�frl>�
I !/_�T /�
Notary Signat
26. ADDRESS:
DE COMPLIANCE
18. ADDRESS:
CITY OF ATLANTIC BEACH
2-
SEE PERMITS FOR ADDITIONAL
Commission # DD 518533
1. FFICE P NE: / 12. FAX NO.:
1.
19. OFFICE PHONE: 20. FAX NO.:
27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE:
21. CELL PHONE:
29. CELL PHONE
14.E AIL A DRESS:
KA ,e> ��wl t> > ao�
22. EMAIL ADDRESS:
30 EMAIL ADDRESS
NAME:
31. NAME: (_ i) J t 5
ADDRE 34. ADDRESS: I36. ADDRESS:
C 7R 3Z233
plication is hereby made to obtain a permit to do the work and Installations as Indicated. 1 certify that no work or Installation has
Ap
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 secured for
Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
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. 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 N
Sigge`
Before me this __ day of
Duval, Sta of Florida, has personally
herin by himself / herself and affirms tt
true and accurate.
Notary Public at La to of _
❑ Personally'Kno
❑ Produce Identifi
Notary Sign t-.
BLDG01 Permit
Dater (%Iii.�ZXJ /
2009 in the county of
Signed: ”"� I
Before me this ay o r--- UST BE
,
a areN S
Duval, State of Florida, h s personally appeared 01Af
1 ra o re
at all statements and declarations are
herin by himself/ herself and affirms that all s to n nd
true and accurate. 11AC kjolr PECT N
County of
Notary Public at Large, to o yf
❑ Personally Known
❑ Produced Identification -
Notary Signat
RILEY L. GRAHAM
DE COMPLIANCE
Jotary Public - State of Florida
CITY OF ATLANTIC BEACH
Commission Expires Feb 14, 2010
SEE PERMITS FOR ADDITIONAL
Commission # DD 518533
REQUIREMENTS AND CONDITIONS.
rode"y6National Notary Assn.
,rye ��
REVIEWED BY: _2L17 --- DATE: 1 ��S
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