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Permit Fence 260 6th St 2011 S' LAN:- S r' f ,. CITY OF ATLANTIC BEACH 1 r) 800 SEMINOLE ROAD C) ' � '. ATLANTIC BEACH, FL 32233 M °.�. INSPECTION PHONE LINE 247 -5814 D131!) Application Number 11- 00002237 Property Address Date 6/30/11 260 6TH ST Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REPLACE 6FT FENCE Owner Contractor HARRELL, W. A. ARMSTRONG FENCE CO 260 6TH STREET 3226 TALLEYRAND AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32206 (904) 356 -2333 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date . . 12/27/11 Special Notes and Comments Roll off container company must be on City approved list and container cannot be placed on City right -of -way. 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. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: is 0 g 4-1-. ` � Permit Number: Legal Description Parcel # Valuation of Work $ --� oor ' ea o q. t. t __,��_____ Proposed Work heated /cooled non- heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /do Use of existing /proposed structure(s) (circle one): Commercial Residential or If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use pro net appr ova orm Describe in detail the type of work to be performed: � L r Property Owner Information: Name: Mal az 8,,..t WO ikrir-c i l Address: G v C .1-c City m ( 13 State1 Zi `� E -Mail or Fax # (Optional) pZ2 Phon �� 3'°([ Contractor Information: M Company Name: ?-i cif - nt.) FOO c Qualifyin Agent: Address: 321 G ' (t r Office Phone ,s'S'& 7 . V5 Job Site/ Contact Number k5v.,u, qt State FL Zip j ,..2A, State Certification/Registration # 04. Z24 3' 7 Fax # Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address riLE Mortgage Lender Name and Address copy 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. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. 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 certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. Signature of Own: A .8 , �. ` .... ,, i , t & f� i . . `! Signature of Contractor At ' Print Name Jq II w .. u..Sa.. .Ai 13 HA K K e, 1 1 Print Name DArt,?..a itc-i.f if , Ox Swor trbscribed befQ}k me J Sworn to . . subscrib d before me this Day of �d , 20 // this o Notary Public p p�pN ota Publi of " RANO' C. .l.,u,,, " „ t gEE r Y r• MY COMMISSION #DD731279 // /� ,,r Eti K�, . " .. 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Ar.0,1••••• ."' it 4, A 4 ri ? 4 .‘ 9 Y • : t WI* Mit Pm 'brew nvoiummit Mow% orwis fix MIDMIti OISIMailOS illIINI la Np I. a R. YU/0 toti il. 1.. T T. k - - ..... • . _ .._ , ... .. I HEREBY CERTIFY THAT t MAIM BLOOMY= 1741C LANDS AS NHOWN IN 'nig AHOY* CAPTION ANo THHNir ^Net allb ItNONOACHMIKKTO. R..," .: •■XIM/ 401.1.11m4P. V SIGNED 4 ___ I 0..22.._ ICKOISTIltaa gUnVIY0h NG. i 4> maroon -.4- 270 ' botnIVTIfe RA,OXPRINT IllfRiftel. MC. °Nati! NO. -- „s!- City of Atlantic Beach ., s >>v \ Building Department RECEIVED APPLICATION NUMBER r 800 Seminole Road (To be assigned by the Building Department.) .� ° .� Atlantic Beach, Florida 32233 -5445 JUN 2 1 2011 // _ 223 \. Phone (904) 247 -5826 • Fax (904) 2 -5$45 '"� E -mail: building- dept @coab.us + x City web -site: http: / /www.coab.us --' I Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: c:6 / ,�'7 Department review required Yes No Applicant: fpm r g A ” Q 2-) C f: P lanning Z m8 misonin trat Project: ifie t, b r " - .21 d e , u Public Utilities Fire Services t eye n fe d $ i 4 L . - �- Other Agency Review or Permit Required Review o r Receipt of Permit Verified By Date 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. [ (Circle one.) Comments: Q ���"'lll""" /f� �/ BUILDING / w /�Vv PLANNING & ZONING Reviewed by: d Date: T REE 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 07/27/10 REC City of Atlantic Beach JUN 2 1 2011 \ Building Department APPLICATION NUMBER 800 Seminole Road BY; I (To be assigned by the Building Department.) �� Atlantic Beach, Florida 32233 -5445 - 223 Phone (904) 247 -5826 Fax (904) 247 -5845 0.tisp E -mail: building- dept(gcoab.us Date routed: City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: < � f ' Department review re. uired Yes No prirrowniummo Applicant: m •-)-- i 1 7. j C, 4 Planning & Zonin1 o • mis -tor - Pr ject: Mei 1 ` x` 77 e • - Public Utilities _- Public a Fire Services leview fee $n ,4;;; `.BPS yr Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: PLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: ,� Date: 6 TREE ADMIN. 6:;/:/, Second Review: []Approved as revised. ['Denied. fi '' Comments: "Oft • PUB IC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 ummueempe r s!. : Vi r1J , City of Atlantic Beach �_S Building Department APPLICATION NUMBER a 800 Seminole Road (To be assigned by the Building Department.) ,t e-7. ` . Atlantic Beach, Florida 32233 -5445 1/ - 223 7 Phone (904) 247 -5826 • Fax (904) 247 -5845 r ,i9'' V E -mail: building- dept @coab.us / City web -site: http: / /www.coab.us Date routed: l� G fD /�� APPLICATION REVIEW AND TRACKING FORM Property Address: 6 r c�'/ Department review required Yes q No Applicant: m S-7--- ? °?-j e► f Planning & Zo i4 Project: / Ite /i �`h C Public Utilities Public a e Fire Services Review fee=$r 4 q- *_ Or Lure ff Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: 0 • pproved. ❑Denied. (Circle one.) Comments: BUILDING c NNING & ZONING 62,4,--feL4ig [ �j4 Reviewed by: Date: U ` 2 /24/ MIN. 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 07/27/10