Permit Fence 371 Skate 2011 �' CITY OF ATL ANTIC BEACH
S sy
A ;;, 800 SEMINOLE ROAD
0 ATLANTIC BEACH, FL 32233
a,
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002314 Date 7/12/11
Property Address 371 SKATE RD
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
4FT FENCE FOR POOL
Owner Contractor
KISER, MARTHA OWNER
371 SKATE ROAD
ATLANTIC BEACH FL 32233
Permit FENCE PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 1/08/12
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.
07/01/2011 10: 59 904-905-9888 FERRET & ASSOCIATES PAGE 01
, -
, MAP 51-10 WING BOUNDARY SURVEY OF
LOT . 4 BLOCK 24 AS SHOWN ON MAP OF
REPEAT OF PART OF ROYAL PALMS UNIT TWO A
AS RECORDED /N PLAT BOOK 31 PAGES 1S-16'D OF THE CURRENT Pu8UC RECORDS OF DUVAL eouNrr. FLompA.
CER77F7ED TO: Wi e I-4 r&cr r, V
• _
i .
•
6
. .., -
- - ,
ti-k e cito7wv . . .
1
1..csr1 22.
j Lest 2 ■
vikuse.la
- t es uvu.s1E. II CIA Aal..s
80.71' (
- ., I.M.al.O. Ol£1.7-M ") 19
Y NO
— 710716 02 W 80.65 0A zst-
...„ •-e -T) - ci z v _ . ' .. — -
e ' — 1 :.£1 a ''. ,..,
i,.. SE.t tit.- FE. .e. A y r-vess.rt —=e.ce.-1Oferay.4"..t.,E %XI VA. e s •-c—j t, '." . 4--
_
- -I e . 1 ' i -if-its 0a la AAP J
0 .7; Y Ca v..% oms.S:s
C. ...c. L.ex's,
,
14
CD 0.1
Lt
S)c 26--
4 y
,..z...z.- 0
t st-r› 4,1
L „, 1 4 1 to Z .71 L i l
Il t . - 32,0 s.s•
5 4'
rt •
._,...
., 3
1-e-% t- 5-soin-e t-t AS ova re. t. . .
.
(1P1 A .15 •
,, 05 /
• - --: --...11...-- - _ •
. e. to r• rt...(... - . z -5 _,..., A La
L., ,..-
t
--.€
1 . . . .
> a ‘Pc.ce.. --
pc
to rr-e-
.,. ri o4- ap • Z
.• • ' .. •
4r g 11° Cl gA 1 / l iX e t i " Ot
.... ••••• , (1) • • • 0
00, . . t • • : , • . r: 9 ' `
- es es
i
o;s 'r'
. . .
_ •
• [
Fc ar lefts ..- 161 saw speigal 6.02E 80-65' v.,...1/4--
•
I • Subdivisimer soil - ittaii 'loud bed $0.71'
deVelOPMIMI meuintiona, Ind does 1st eenetitute
approval for the issuance of permits. Compliance li... $4,At E
lo with Florida Building Code sal ail ellt = I (....c." iz.1%-0
cal, State end Federal permitting •
must be verified by signature et the City et Mantic
Beech 01=0111alei plot to Os issemos al s
Sulfas
O
. di ie
, FILE COPY
....
vr7 7 .---- •'''''''.' -
Date
4.00.0.160.0..... i t . I. A I "Ail
••■•■■•••■••...--..-,...........-
.1 Alt120 ASSOC/A .7 ... . . 1
.5627 A7Z.AN77C BOULEVARD SUITE 05 . JACKSONWLLE. FLORIDA 32207 - (sal) 805-003G FAX(904) 505-9888
GENERA! NOTES : LEGEND • . • . -. - ,,,
..., ; r ' ' • .- - '''
PM. POINT or cuRvmume A-rm . . DELTA. (Clawma_ MOUE)
(T) BEARINGS SHOWN HEREON ARE BASED OM pa,. IF:OIRT OF TA ssi Ngti r cutzvz - - -#.•.ar-
'THE EASTERLY RIGHT OF WAY LINE OF PC..e. POINT CIF COMPOUND CURVE - c ex. -
' 6 REARING
SKATE ROAD AS 50716'02'g. PER PLAT. P.O.O. POINT ON CURVE . -
P.C.P. PERMANENT =Mot. POINT
(2) THIS PROPERTY HAS NOT SEEN ABSTRACTED R.RI WILDING RESKR=KON LINK
FOR EASEWENTs. COVENANTS, RESTRIcTIoNS of csivaIN Lilac mime :=1D - -
ft/W MIN
(B) UNDERGROUND UTILITIES SERVING 'MIS °
O.R.V. mom. RECORDS voLUsse - - - C:7"-' D74:1 :\.'''sdEAsURE.D 2,:.
o/L cst4 Lost
PROPERTY HAVE NOT BEEN LOCATED OR _-.,- aar,Aa UNE .., ,.. (
SHOWN
(4) IT IS THE LENDER'S RESPONSIBILITY TO SCA/ F. 1'.--20' - -.. .....-, ,-- --?- • .,,,tt
DETERMINE FEMA F.I.R. MAP STATUS FOR - n-rE 14 0 : '''.1,e•-;--=''
LIFE OF THE LOAN ON THE PROPERTY SHOWN 5
Agave. SURvEYOR HEREON WILL CONFIRM - - -. - - --- - ••• •
FOR ADDITIONAL FEE. DA7r OF Fizzo sioncr• axmv M . BROADSIR EEr , FLA- .0E5'7: N0. 5814 LB .--• ,671
F8. 531 PG, 3 NOT VALID WI71'0LIT TUE MONA Thrrir di ORIOINAL RAISED SEAL OF A noRtal .UCEN$V sill wrog MAPPER ORDER NO- 2071-854
rs ‘f ��rf�; _ City of Atlantic Beach
V5 , Building Department < 4: tt•• APPLICATION NUMBER
800 Seminol R oad J (To be assigned b the Building epartment.)
�' ' °°' ' "' u > �� Atlantic Beach, Florida 32233 -544.
Phone (9 04) 24 -5 Fax (90' - : 5
•' ": -.ojt�,, E -mail: building- dept @coab.us Date routed:
City web -site: http: //www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: // �,67i fed Department review re
��++,, P required Yes No
Applicant: 660 8Z ---
- Tree_Administrator
Project: `21 N, 10 ,2' -- Pool ublic Worl
4)/94 _ C _ biia Utilities
�� Public Safety
Fire Services
p yletiiFfee3 - -!" 4 : 3"4 0 . �c7ry�r 2
v.
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: A pproved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: Date: -7 / 1/
TREE ADMIN.
Second Review:
_ ['Approved as revised. ODenied.
P d rvo WORKS Comments:
/ _ i �
■ = S • FE Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised.
['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
s ii�J�j f ��
r z ., - j APPLICATION NUMBER
J 1 BC ing D epa rt men t t✓ f o �
(To be assigned / by the Building D parfinenf.)
800 Seminole Road "r , ®�, / ��
Atlantic Beach, Florida 32233 - 544 `..
Phone (904) 247 -5826 Fax (904) 247 -
o;ilaf' E -mail: building - dept @coab.us Date routed: 71 % /7
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l �I i �J '47 Department review required Yes No
Applicant: (- 0 -7.- ) p
Gf�... ing - &_ Zoning
T Tee Administrator
Project: - 77 d a g -PO o / ublic Wodss
iC Utilities;
zo f 9 4 /L Public Safety
Fire Services
��. # a.: ., 9t�r - _:em 41:
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 Date. � / ��l
TREE ADMIN.
Second Review: DApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
. =)/ » City of Atlantic Beach APPLICATION NUMBER
r Building Department
5
,
Y ent.)
v 800 Seminole Road 02.3 q
(To be assigned by the Building epartm
im V� Atlantic Beach, Florida 32233 -5445 ii ` � y`
Phone (904) 247 -5826 • Fax (904) 247 -5845
``"• ortip • E -mail: building- dept @coab.us Date routed: j
City web - site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: . T / ,----, aT P-ri Department review required Yes No
ding ...._.._....__._
Applicant: - COQ - ) EZ 'fann & Zoning '
'Tree Administrator
Project: J . 7 "7) (? JO"- Poe / -public Wor s
) / �L� rc Utili es
t / 9 4 -- Public Safety
Fire Services
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
NNING & ZONING Reviewed by: g/6 D < e j 1
Y 1
ate:
FREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH 1 4?�
800 Seminole Road, Atlantic Beach, FL 32233 �.
Office (904) 247 -5826 Fax (904) 247 -5845 � ✓0j� �',�
n . e S
Job Address: 3 7 1 5 L C-t te.- Act . f f t c pr ( B &tC Permit Number: 1 2/
1
--N„1,--4w
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft •
Valuation of Work $ 300."' Proposed Work heated /cooled non - heated /cooled .� (',l
4.
,
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): Commercial esidentiall
If an existing structure, is a fire sprinkler system installed? (Circle one): eY s No N /A
Florida Product Approval #
For multiple products use product approva oTf rm
--
s .,
Describe n detail the type of work to be performed: 1 1 cc._
ptrz,--Q -- 1 j _
Property Owner Information:
Name: I . i cc� Address: t � _,
al54,........K _
Ci LI [ ! State .r ip Phge ,(1,1,- 3 y s
E -Mail or Fax # (Optiona f
Contractor Information:
Company Name: 04, a • Con .* .. , , w Quali 5-.4..t(4,4
ing Agent:
Address: 1395 1- - -e-L0 ct, V,- & . City . +v".c $•2a cJt tate t t. Zip 35,1 b b
Office Phone '47 7 - OH 2v 4 Job Site/ Contact Number Fax # 3_ Hyt
State Certification/Registration # .%. e i e C. 1 3 a. g 33 3 q b `i- 3-7a— `-► $
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and 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 fora period of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for ElectricalWork, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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 . application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a pernut 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 Owner S ignature of Contractor ,!„ :. _
Print Name iscl.,ekkoL V . a cLL., Print Name ..� e1 J 0/ rir„ r
Swor and subscri ed efore me Sworn to and subscribed before me
this 0 !, of , 20 II this Day of , 20 1 (
L �. J a
Notary Public ' Notar P ut �:;, -
Y P ANGELA BAXLEY y1. et ' ., ANGELA BAXLEY
. :1. MY COMMISSION # DD 733254 � •% MY COMMISSION
a. %�.. `= EXPIRES: November8, 2011 ,; 4 EXPIRES: Novemer 8, 21111 0 26.10
ARA,^ ' Bonded Thru Notary Public Underwriters `y .t Bonded 1Ttru Notary Public Underwriters