Permit Fence 357 12th St 2011 6- _ t CITY OF ATLANTIC BEACH
• >: ce, 800 SEMINOLE ROAD
, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
44 i 31 >
Application Number 11- 00001917 Date 4/18/11
Property Address 357 12TH ST
Application type description FENCE PERMIT
Property Zoning RES SF LRG -LOT DISTRICT
Application valuation . . . 0
Application desc
new 6ft fence
Owner Contractor
LAMBERTSON CHRISTOPHER OWNER
357 12TH STREET
ATLANTIC BEACH FL 32233
Permit FENCE PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 10/15/11
Special Notes and Comments
Roll off container company must be on City approved list
and container 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
� .
lb Address: ? 7 %f _ Permit Number: 1/ - fq i 3
.gal Description Parcel #
Floor Area of Sq.Ft. Sq.r't
tluation of Work $ /v t-% Proposed Work heated/cooled non - heated/cooled
ass of Work (circle one): - ew / Addition Alteration Repair Move Demolition pool/spa window /door
;e of existing /proposed structures) (circle one): Commercial Residential
an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Drida Product Approval #
,r multiple products use product approval f orm
scribe in detail the type of work to be performed: 1't- }L " ,.- , )'.1 () 4- 7 ` -V ` „, ,) , ' A ” .�
opertv Owner Information:
me: t J . -� (_ ,iv�. L,. 'cl -k, \i Address: . 1 `7t" 4,e):, -`--
Ly ; \i ,, , t_, , 'i..,r',1,\ f','14 State Zip 2 ''. ',Phone a`--! - --.7;7")) '?
Mail or Fax # (Optional) i. • V a 4 - ' ' t i ,, ,
Infractor Information:
mpany Name: E' % . Tx ∎ k, ti�j , 1 ' ,n,U Qualifying Agent l c (;, ,z ) /. 1 1.), t ;.
dress ' '( . i , Y"" City M-( 4, v h 'L , '.1.4='A.,/\ State F L Zip _ -2),}`,) ' 3 3
fice Phone qf j 7r fx, ) Job Site/ Contact Number 7 ) `- 2 {,ci ' Fax # . --) y t - a ",7i. -j�.
rte Certification/Registration # L) L.. (✓ ` `l c 1 1
chitect Name & Phone # Al A
gineer's Name & Phone # N \'
Simple Title Holder Name and Address <),:%, ( ,) '✓ r.e iLE- cop ndin Com an Name and Address 1r 1 t ' I Y
g Company J /
)rtgage Lender Name and Address i1,'i --
lication is hereby made to obtain a permit to do the work and installations as indicated I certfy that no work or installation has commenced prior to the
lance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This pennit becomes null
',void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a enod of six (6) months at any time after
•k is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
:ks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
reby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
of work will be complied with whether specid herein or not. The granting of a permit does not presume to give authority to violate or cancel the
visions of any other federal, state, or local 1 ,regulating construction or the performance of construction.
tore of Owner —
Signature of Contractor � '.--- ----K.
it Name Print Name
orn to and subs .. - d • - fore meal Sw im to as d ubs• ' bed b 'ore u -
. of 20 this Da of 1 20
►1,l�L�` ' , 'S _ ,
ary Pu'","�! l Notary Public
Revised 01.26.10
.51..ivi- City of Atlantic Beach A NUMBER
, - o be a nd 6 the Buidm De artment )
Building Department xg ., (T # g e y T l . g p
- , . J 800 Seminole Road 4 8' .* I Yr i t k . t ' , { 4 / i7 }
I - Atlantic Beach, Florida 32 -5445 • - ' r �r { F {
IS i I Phone (904) 247 -5826 • Fax (904) 7 -58446 i x� 4 .: t A 7� 47=777--;-747-477'
- -..fist 9r E -mail: building- dept @coab.us 1 8 2011 't' Date routed `"4'4 �' J 4 ...._ : ' r
City web -site: http: //www.coab.us fay.
APPLICATION REVIEW AN ' V CKING FORM
Property Address: 251 /2 Jr Department review required Yes No
p tl/ BUildi
/ I t /7 < lanning & ni Applicant: i 'Tr inistrator
Project: (G J r C� C` . •
/! public Uti .
Uv Public Safety
Fire Services
..xs,' . xn," xF d Fk.. P" ram ` R � r -b s z �v tt
F�eulew fee :�� r °���� ;,., � 9.�... � -�� ..,., � ''��
..:,... �., ISM' �i at ren
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. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: � Date: K 13./1
Z
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
I nc • RK Comments:
Wit IC UTIL -
` PU:LIC AFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
City of Atlantic Beach APQLIaCAT10N NUMBER
js r Building Department (To lie as� gned by the Building Department)
'� 800 Seminole Road tI } {. a l
r Atlantic Beach, Florida 32233 -5445
4- Phone (904) 247 -5826 • Fax (904) 247 -58451 k � 1k
911 E - mail: building- dept @coab.us �" Date rou
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ! I / �' �'"� Department review required Yes No
•
p y gu
/ m f S �lanning & Zo 1 (�
Applicant: jj i it 'Tr inistrator
Project: UJ Public Safety
Fire Services
._ ,, { t i- ": � A , ep i-Sig at a
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: RApproved. ❑Denied.
(Circle one.) Comments:
BUI ' - �L/ /
P/O NNING & ZONING Reviewed by: _,.�_ gate: -/ '/! �L/
E ADMIN. Second Review: ❑Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
.rL‘,P; City of Atlantic Beach APPLICATION NUMBER
s r s ,� . " Building Department (To lie assigned by the Building Department)
y si 800 Seminole Road 'j
j Atlantic Beach, Florida 32233 -5445 APR
Phone (904) 247 -5826 Fax (904) 247-5845 1 ? c �: °{ {_
if Date routed
---art , f E -mail: building- dept @coab.us a F s
City web -site: http: //www.coab.us
APPLICATION REVIEW AND ACKING FORM
Property Address: / / 2 Jr
p Y Department review required Yes No
Bu"
Applicant: j rt 01 f S Manning & Zo '
/ r -- • • inistrator
Project: r /f-neL •
�2ubNC Uti - -
Public Safety
Fire Services
�i as, ,SS's + r ANf i C` . a S`: N d a
4 ` �De tSt pia IJ ° ax.
ReVle 4W ..... P 9
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. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date: y /y1//
TREE ADMIN. Second Review: EApproved 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
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