Permit Fence 344 5th St 2010 1-4 _ j, CITY OF ATLANTIC BEACH
�, 800 SEMINOLE ROAD
J ,. _�;
} ATLANTIC BEACH, FL 32233 6
INSPECTION PHONE LINE 247 -582
x
Application Number
10- 00001366 Date 11/22/10 Property Address 344 5TH ST
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . • 3000
Application desc
6 ft vinyl fence
Owner Contractor
GREENE CLARENCE F III & ASHLEY DANIEL L. DARMATA, INC.
1113 SANDPIPER LANE 5144 LEXINGTON AVE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 333 -0981
Permit FENCE PERMIT
Additional desc . .00
Permit Fee . . . 35.00 Plan Check Fee . .
Issue Date . . . Valuation . . . . 0
Expiration Date . 5/21/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 39.00 39.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
Permit No.
State of Florida
County of
The undersigned hereby gives notice that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the following information is provided in this
NOTICE OF COMMENCEMENT.
Legal description of property (Include Street Address, if availa c .i-) << 1._4 S2L - CS -)
General description of Improvements Z ;,.5't r�11 4 (,..,,,..._• �`- v. ,,__
Owner Gt s ?' c_L ZC,-x c F., e_c c
Address y k 4 S ;- Pc vkr. ;1 � t AC- L 3 - z - z s 3
Owner's Interest in site of the Improvement '= °{- . =r_ ei (2 c(" Q. `
Fee Simple Title holder (if other than owner)
Name
Address
Contractor k) AtA L• 7tcz. %N , .
Address cc n cb 14-1 dam., (- o.. A., . — s. ys IA, p L- �2z. t c
Surety
Address Amount of bond $
Any person making a loan for the construction of the Improvements: N G
Name
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a) 7, Florida Statutes.
Name
Address
In addition to himself, owner designates
Of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes.
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of
recording u e sa different date is specified)
Signature of O r �r
Printed Name of Owner
n
I have r fie )u omth Alt). i g identihCa of the Milani ____ ___
y 9 '�
Jac g w I u�n5ao ,..:5 K �r ��
, � a e ' Vin. — -
Number Pages
Recorded 1 5 2010 at 04 03 PM Sworn to and subscribed awe n this _ day of 14 j� �JIM Fi L_ER ER?� �:RC I? CCURT DUV�
COUNTY ^ — —.__._
1 .
REOORDtNG S1C Ou :981.6(1. to r:V
. : t, . ' 0,"MISSION A DD 95T760 —
. % x ; r.R4 Bonded rnru N
s% ;4.„ CITY OF ATLANTIC BEACH 08-
800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
V. '
OFFICE (904)247-582 UILD- DEPT @COAB US )247 -5845
DUVAL COUNTY
w
'gr= V ING
BUILDING PERMIT APPLICATION 3. FT. , i1NDERROOF
Illiggli
2, VALUA ON OF WORK:
1. JOB ADDRESS:
5. CLASS OF WORK 6. US OF STRUCTURE
❑ NEW BU ILDING
4. LEGAL DESCRIPTION ❑ DEMOLITION 1 - ESIDENTIAL
,c. CSE'l+cOr • WAADDITION ❑ CONVERTING USE ❑ COMMERCIAL
LOT
t_I BLOCK SUB DIVISION Gc O P%-;7-4.•/-.1:1- ❑ ALTERATION ❑ ACCESSORY BLDG, 8. FIRE SPRINKLER:
7, . DESCRIPTION OF F WORK: ❑ REPAIR ❑ POOL / SPA ❑ YES A /A
it ❑ M OVE 1:1 OTHER ❑ NO
�tl�s CP.L t r.r.aC .C. , .. // TRACTOR: ARCHITECT 1 ENGINEER
PROPERTY OWNER: 23. COMPANY NAME:
15 OMPANY `
9. NAME: � /� . , - r fvv A -
f C_+~ C-1 rL G C� 24. LICENSEE NAME:
17. TATE •F FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
10. ADDRESS: ti 4"t L. C' C` L ■ C.
3y~ � •
L FL,._ 18. ADDRESS: 1 (e_.. 28. ADDRESS:
AFL t 3 c - ' Sr H `fa . J
' L,, 3'22( O
J �
11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE P ONA: 2 F O �} 27.OFFICE PHONE: 28. FAX NO.:
-1
c- 234 33 ? /
13. CELL PHONE: 21. CELL PHONE: c� j�
29. CELL PHONE:
d� » 561 2 (1 / 30.E IL ADDRESS:
14. EMAIL ADDRESS: ( 22. E IL ADDRESS:
C,:.r ecv...aki el. Q.•rt.�C Cc∎.- M
I + 4 0(v et:»rneci. '
_ - - M •'T -- HOLDER - BONDING COMPANY: „ MORTGAGE LENDER
OF OTHER THAN OWNER) 35. NAME:
31. NAME:
33, NAME:
32. ADDRESS:
34. ADDRESS: 36. ADDRESS:
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 aCond t h at se permits must be secured for
Electrical Work, Plumbin,, SI,ns, Wells, Pools, Furnaces, Boilers, Heaters, Tanks,
OWNER'S AFFIDAVIT - 1 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.
**fir WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
A NOTICE RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE CONSULT SITE BEFORE H E
FIST INSPECTION. IF YOU INTEND TO • - AIN FINANCING
LENDER OR AN ATTORNEY BEFORE R - - ' i D • R NOTICE OF : OMMENCEMENT.
• WNER or AGENT i. CONT T OR
of �J s ;✓ of Attorney or Agency t.eher Required) .....41 / T Date: AIM
te: Signed: w.
Signed: --� -} 4 , 2007 in the county of
Before me this
- 11 A. of / 2 2007 in the county of Before me this day of
Duval, State of Florida, has personally appeared
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. _.__ --
ti true and accurate. 0-
, Coun. .°u C
Coun o Notary Public at L rg'e; 8 - _ • _
Nota ublic at - rage, S r to of ersonal Kn , wn
Personally Kn. A EI ' 4
❑ Produced Identi �.:
0 Produced Identification ,per i 4 L
` Nei } 7 ,2m - - ;R -- �� _ _ � � / otary Signature: i F � �
, Notary Sl_ r _ t li,,,.,,t y Lu. .r . " :711N!sm:1' _ } ,1iirYr� _ •I eb 4
1/4,:l.,-.4:•7',.. _ Y a ISSION DD 9s7760 �� u . ' n � ' Underwriters
EXPIR Fetxu be 14, 2014
- . ,;_ Bonded Thr otary PublIc Undervaiter
COAB FORM BLDG01: REVISED: 1/8/2008
APPLICATION NUMBER
SyA 1`fr,„ City (To be assigned A by the Building Department.)
'' � � � Building Department of Atlantic Beach , _ /3 �
v 800 Seminole Road
" r.f Atlantic Beach, Florida 32233 -5445
,..)\.V Phone (904) 247 -5828 Fax (904) 247 -5845 Date routed: ....
r,,;t �� E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
3 I / 1 4 T D - • review re • uired Yes No
�reNerty Address: 7 `7 , : ,.
Planning &Zoning � =
\pplicant: 41, L- /17 a r ee ' •m
/ 47 ,/ • [i F ublic Works..' _ -
) rojeCt: ; - ublic Utilities
�� � Public safety ==
Fire Services
Review fee $ Dept Signature , p
Review or Receipt Date
Other Agency Review or Permit Required 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.
Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING II Reviewed by:
g Date: � l /
TREE ADMIN. Second Review: Approved as revised. [7]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. El Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Cit of Atlantic Beach APPLICATION NUMBER
y i` '`�'r (To be assigned by the Building Department.)
� Pr m ,. S� Building Department �� �
800 Seminole Road
, e Atlantic Beach, Florida 32233 -5445 /
' , . Phone (904) 247 -5826 • Fax (904) 247 -5845 Date routed:
r - r It y Email: building-dePt@coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: JIV c6 S r D • ment review required Yes No
,� / l D 4 i 2 a I L Planning & Zoning
Applicant: ��'Yt� 1- Z- ����//// ree Aam im s ra or
E Z I Ui7 l I(jiCE ( br c w ork s,...)
Project: Y ,.PUb"Ific Utilities -,
Public�a ety
Fire Services a
j x q4 kf � m'wT fi r - 0 r �� s �x � r 'f�� pr �" n:
�' 4�1 �& iii4 h,� '' q� �"' ' � ? r k, p,
'�� �;'�� '� °� {�i�p�'�����`�� � he '�..
Review or Receipt Date
Other Agency Review or Permit Required 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. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date: / J
i1i
TREE ADMIN. Second Review: DApproved 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:
Revised 05/14/09
S vr Atlantic Beach APPLICATION NUMBER
City of Atlan (To be assigned by the Building Department.)
Bui800 ldiSeminole ng DeparRoad tment
j Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 - Fax (904) 247 -5845
-6 __,-
E -mail: building- dept @coab.us Date routed: r A�
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
1
3i1/ T7' S T D • artment review required Yes No
property Address:
'-
■■
b ).4-21,. Planning & Zoning applicant: � `� 1' n� a l CL, ree '' •ministrator
C f
0 71 1 /(v blic Works.
�rOjeCt: � �� / r ; Public Utilities
C.' Pu blic S
Fire Services
Review fee $ p Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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. ❑
Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date: / / /21
TREE ADMIN. Second Review: []Approved as revised. ❑Denied.
P C OR S Comments:
i r V�7
t / , -.. ,,,,..-
BLIC UTILITIES
/
PU: IC S FETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
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Dec 06 10 02:27p GARY MCCUMBER 904 217 0304
12/06/2010 15:20 2963471 p 1
ALLSTATE ELECTRICAL PAGE 02/02
T' EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
•
Electric power is requested now under the conditions and tams of this fully executed Agreement & Release
Job Address: 2 5t-
Permit No. /C — 707 Service Type (Circle One): Overhead Underground
We, the undersigned. General Contractor and Electrician. understand and agree:
1. "Early Powee is pumly for our constrection,convenicnce, it is required ty Codes and does n
substitute for Final 1nspcctons or the C/O (Ccit cute of Occupancy) at must be issued before occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach. will make a special inspection prior to the early power energirirtg. All, rough
inspections must have prior Approval. including meter base connections.
3. Occupancy QT vse of the new coustructi u befaire a formal C10 constitutes fraudulent use of the early
electric service. Such action is expressly prohibited and penalizrd by The City of Atlantic .Beach
Otdan
inees. A violation of this Agrecmem shall result in a rcquest'fat prompt removal of electric service
after a twenty -four hour nonce.
4 , ".Early Power" .release authority is the Electrician and/ the Contractor and must not occur before:
a. Equipment, devices and fixtures arc installed (or blanked off) safely.
b. Panel is complete with breakers and cover. and (labeling required at final inspection).
c. Service connection and grounding is complete.
d. The electric system has safely passed through electrical check.
c. Meter can is permanently marked with address.
f Temporary address numbers displayed (Perin/molt numbers at required for CIO).
5. This fully completed form is to be submitted to die Building Department by hand, email or fax,
6. Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR L � e ��yr // / f' ,�� C 41e , . i 1 DATE
6
PRINT NAME 7iL 7
ELECTRICIAN �f ec - r�r r . DATE
PRINT 1VAN1E �- , , ` K j4v3 e5
800 Seminole Road, Atlantic Bench FL 32233
Phone; (904)247 -S826 Fax: (904)247 -5845 ;tor- tvvu�c , : :i, revised O. 30 05