Permits 90 Ardella Rd CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dept&coab.us
Application Number . . . . . 07-00000789 Date 6/18/07
Property Address . . . . . . 90 ARDELLA RD
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-------------- --------------------------------------------------------------
Application desc
VINYL 6FT AND 4FT FENCE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
OWNER
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/15/07
----------------------------------------------------------------------------
Special Notes and Comments
Avoid damage to underground water/sewer utilities . Verify
vertical and horizonal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible .
----------------------------------------------------------------------------
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
PERMIT
BUILDING /ZONING DEPARTMENT APPLICATION #
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
APPLICATION TRACKING FORM
REQUIRED DEPT:
KY-
N 'LANNJ&G.->
Property Address: Z Y N BUILDING
Y N PUBLIC WORKS
Applicant: to n tie 0 Y N PUBLIC UTILITIES
t4 Y N FIRE DEPT.
Project: Y N PUBLIC SAFETY
U)
w APPROVAL
REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
z US
LU = Y N D.E.P HUFSTETLER
5
a Y N S.J.R.W.M.
LU CARPER
LU rj� -
Y N ARMY CORPS of ENG CARPER
0 1 Y N HOTELS&RESAUR�ANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA A_P REVIEWED BY: INITIAL: DA"[E:
0 F—0 e6
h
X 19-e #- ' * '
-W-
PLANNING
BUILDING 2ND REV
PUBLIC WORKS i
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY
0- 3RD REV
Return this form to the Building Department once you have entered your comments into the AS400.
4% -.7 9-'d V'
'fee BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
11 o"111 800 Seminole R04 Atlantic Beach FL 32233
Office:(904)247-5826 * Fax:(904)247-5845
Job Address:-....,..., 0 /2c/, Permit Number:
Legal Description
Valuation of Work Oteplacement Cost) 3006
• Class of Work(Circle one):. e Addition Alteration Repair
• Use of existingiproposed strt WU Cirrje one): Commercial Move
• If an existing structire,is a fire spnnkier system installed?(Circle one):
E fttv N/A
Is approval of homeowmer's association or other private entirty requitedl(Circle one): Yes
Describe in detail the type of work to be perfornied:
Z// 7-
Prow-rty Owner Information
Name: C-x--Jl aj --Address: q0 a_r 04//14
City 441
Contractor Information: State tLZip �7 Phone Jo,�__4�7_7 /w6o
Nameof Agent:
Address: _-City State zip
Office Phone Job Site/Contact Number
State CertifiCatiOn/Registraflon# Fax#
Architect Name&Phone#
Engineer's Name&Phone#
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
ihitallation has commencedprior to the issuance o
fapermit and that all work will be performed to meet Me standards ofa�l
laws�egulaqpg construction in thq' juridiction. 7ft�permft becomes null andvoldifyork is not commencedwithin sbc(6)
monft or i
f construction or' work is suspended or dbandonedfor a period 9f sixV6) months at anX.time after work is
commenced I understand that s�eparaze permits must be securiedfor Ekehl6al obi-k,Plumbing,Sqm, Welly,Pools,
Furnaces,Boilers,Heaters, Tanki andAir Condbrioners,etc.
WARNING TO OWNFR: YOUR FAILURE TO RECORD A NOTICE OF COMNIENCENIENT MAY
RESULT IN YOUR PAYING TWICE FOR MROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING CONSULT WrM YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR fi6fftE OF CONINIENCEMENT.
i hereby certify that I have read and examined this I* ti n and know the same to be true and correct Allprovisions pf
laws and ordinances governing this ty a 11ca 0
,pe�fwork wiffbe complied with whether specified herein or not. Thegrantin&qfa
permit does not presume to give authority to violate or cancel the provisions bf any other federal, state, or local law
�egukding construction or the-performance,.of construction.
Signaturc of Property owrter. Signature of Contractor:
Sworn to and subscribed
Us_Day of SHIRLEY L. GRAHAM Sworn to and subscribed before me
ublic State of Flodda this Day of
'(,,"rimission ExPires Feb 14,2010
Notary Public: DD 518533
'8,' issn
Notary Public:
R-EWED 03.05.07
CITY OF ATLANTIC BEACH
PERMIT
BUILDING /ZONING DEPARTMENT APPLICATION #
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
APPLICATION TRACKING FORM
REQUIRED DEPT:
Y N PLANNING
Property Address: N BUILDING
z
I-- Y N PUBLIC ORKS
Applicant: -2L
0 rY) N LIC UTILITI
Ix
Y N FIRE DEPT.
Project: Y N PUBLIC SAFETY
C0
UJ APPROVAL
oc REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
Z LU
W cr Y N D.E.P HUFSTETLER
05
a Y N S.J.R.W.M.
w CARPER
UJ X
Y N ARMY CORPS of ENG CARPER
L- 0 1 y N HOTELS&RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP REVIEWEP BY: -WIAL: DATF;I i
I ST REV
(57
J L
PLANNING
BUILDING
PUB 'C OR S
P U Ll
FIRE 4D T
PUBLIC SAFETY
3RDREV 0 0
Return this form to the Building Department once you have entered your comments into the AS400.
2 9-d :1
Public Utilities — Distribution & Collection
Date: 6r-7
Initials:
Project Name/Address: 1) a4e&_'m7a Application/Permit#: ..Q-7--7N
Check Box
Application Tracking Comments To Add
Comment
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call 247-
5834.
Ensure I all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered with
an RT I concrete box with metal lid. Cleanout to be set to grade and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be tested El
by a certified tester and a copy of the results sent to Public Utilities.
Plans note the building will be unsprinkled. If plans change, any fire line installed must
be metered with a Sensus touch-read meter in a properly sized vault and an appropriate
backflow preventer installed. Backflow preventer must be tested by a certified tester and
a copy of the results sent to Public Utilities.
If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow
requirements. At a minimum, will require double check backflow preventer.
Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must
be installed in a vault as noted in JEA specifications.
F:\P1anReviewComments-PU.doc
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
'A'/ 800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 * Fax: (904)247-5845
Job Address: .. AckIll- 12 Permit Number:
Legal Description
Valuation of Work(Replacement Cost) $ 3606
• Class of Work(Circle one): qe Addition Alteration Repair Move
e
ej
I
Circ
• Use of existing/proposed structur . Cie one): Commercial
• If an existing structure, is a fire spr_ _ er system installed?(Circle one): Wv N/A
• Is approval of homeowner's association or other private entity required?(Circle one): Yes
Describe in detail the type of work to be performed:
7-
Property Owner Information
Name: 3o�, C-&.1-,6 a,q Address: Qb (-7r o1c//a
City 441�,,-f I'c dcneL State ft-Zip 22ZZ5 Phone C?-7 ^�660
Contractor Information:
Name of Company: Qualifying Agent:
Address: city State zip
Office Phone Job Site/Contact Number
State Certification/Registration Office Fax
Architect Name&Phone#
Engineer's Name&Phone#
Application is hereby made to obtain a permit to do the work and installations as indicated. I certi at no wo or
fy_ th rk
installation has commencedprior to the issuance ofapermit and that all work will be performed to meet the standards ofall
��'n e"Z:;e 'inws,j 6�1
it� 'x�
er work
11
S,Pool
tr id tno c 7iet s,
4, t m
� p '- ' i w
and
-;s u
tr sl (6 mon h a an e
Plu
M , g,
)k bn gns,
io
�a er d
�o PElectrIcal r
bandoned
t be ecured or
s e n n n h dc h
r g cons uctio isjuri s 0 p
c 0 0 us
on n n rk is s Pend or a
c om t' or . 0 u s uctio r w s p t rm mus
me ce f nd rstand that e ara e Its s
Ur S, 011 rs, rs, T .r C itjo rs, tc.
F nace e eate an and i ond ne e
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 hereby certif
y that I have read and examined this ap
p.lication and know the same to be true and correct. Allprovisions 9f
laws and ordinances governing this type ofwork will be complied with whether specified herein or not. Thegrantinura
1
permit does not presume to give authorij�v to violate or cancel the provisions. nf a otherfederat state. or loca aw
regulating construction or the performance �f construction.
Signature of Property Owner: Signature of Contractor:
7. K:
Sworn to and bscril-AJ—F-I Sworn to and subscribed before me
Sul -17777-771.11. SHIR'LEY 7L�. G�RAHAM'
this Day Of this Day of
F106d
Nctary Public- State�:of 7n a
1� :71mlssion Exorps Feb 14,2010
Notary Public: 'r. ,�53 3 Notary Public:
�sn
REVISED 03.05.07
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2007-06-12 13:22 JGKEMA 9043724450 >> 9042475845
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PERMIT
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CITY OF ATLANTIC BEACH
PERMIT
BUILDING /ZONING DEPARTMENT APPLICATION
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
APPLICATION TRACKING FORM
R RED DEPT:
Property Address: JZAIIA, Y N PLANNING
R
ED
N
z N 4"S-ILDINQ�)
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Applicant: y
Y N PUBLIC UTILITIES
y N FIRE DEPT.
Project: Y N PUBLIC SAFETY
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LU APPROVAL
REQUIREa AGENCY: RECEIVED BY: INITIAL: DATE:
Y D.E.P HUFSTETLER
SJ E
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CARPER
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APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA P, EVIEWED BY: IN41AL: BATE:
0 11STREV-[Efl Iff I
/U /;W17 0
PLANNING
BUILDING o 2ND REV
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY 3RD REV
Return this form to the Buflding Department once you have entered your comments into the AS400.
--51
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 o Fax:(904)247-5845
Job Address':
Permit Number:
Legal Description
Valuation of Work(Replacement Cost)S 3600
a Class of Work(Circle one):
9 Ve Addition Alteration Repair Move
0 U�e of�xistingtproposed=Sp _(Circle one): Commercial
If an existing!�tmtze,is eside
0 rinkler system installed?(Circle pne): W� N/A
Is BPPrOval of h0me0l�mer's association or other private entity required?(Circle one): Yes
Describe in detail the of work to be performed:
Informa n
Proporty Owner Informma
Name: Address: (k) X/13
City A41 State ft-
tLZiP —Phone k4t gezt? lce6-d
Contractor Wo tion:
Name of Company:
Address: Qualifying Agent:
Office Phone city State Zip
State Certification/Registration# Job Site/Contact Number
Architect Name&Phone# Office Fax#
Engineer's Name&Phone#
-4pplication is hereby made to obtain a permit to do the work and installations as indicated. I cerfify that no work or
ififtallation has commencedprior to the issuance af
.qpermit and that all workwill be,"?7nedio meeithe stwxjards of4
laws regukz(�ng construction in th4juris&ction 1 hispermit becomes null and void work is not commencedwithin sbc(6)
mon�, or z
_f construction or work is suspended or dbandonedfor a period pf sixV6) months at a time a
0 _fter work is
commenced I understand that sgparate permits must be sectai&jbi EkAc&kW brk,Plumb*099, Ww, Wells,Pools,
Furnaces,BoMm,Heaters, TanlCv andAir Conditioners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONEMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR S TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEy
BEFORE RECORDING YOUR NOTICE OF CONMIENCEMENT.
iherebycerti that I have read and examined this application and hnow the same to be true andcorrect Allprovisions9f
laws and orSynances governing this ty
pe?fworkwi7l be compliedwith whether speciftedherein or not. Ae anti
gr loin qfa
formancelpf construction. any otherfederal, state, or c
permit does not presume to give authority to violate or canxe the provisions bf
regulating construction or the per al law
Signature of Property owner.4L Signature of Contractor:
Swom to and subscribed b�f4
_
this Day f Sworn to and subscribed before me
�A9 S�IiF?L, Gp
AHA,,4 this Day of
Ic StOe C)f F1
01ida
Notaxy Public: 2010
Notary PubUc:
-A
REVISED 03.05.07
2007-06-12 13-22 JGKEMA 9043724450 >> 904 2475645
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