Permit Fence 296 Royal Palms 2011 Y 2 CITY OF ATLANTIC BEACH
,�
s1
� , 800 SEMINOLE ROAD
6 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002509 Date 8/26/11
Property Address 296 ROYAL PALMS DR
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
6FT FENCE
Owner Contractor
KLOTZ JEFFREY DAVID OWNER
P.O. BOX 330833
ATLANTIC BEACH FL 32233
Permit FENCE PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/22/12
Special Notes and Comments
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.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Required to remove the old chain link fence that is already
falling down into the Cavalla Road ditch.
Required to remove the oil tank located along the west side
of building. See attached photos.
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.
T M C, g-• P '1.- 4 i
c7 9 ( ?0 Y/I-6- P14 (- 1 Q r __________.-----Th
A - 6. 4 Ai 7 e..- R 4-c- c4, E L 3 � --)- - 3 \Il ivr. ,..‘Nk)
r . .
I � a I
I �
0,./ .. \ 1
CP
t, f \t 4e 0
--• _ -- — 4 ., � .� 1 4 , \ � `
f.; i ` \ \ 7 ' ,\
Nf to f l` ac.>= . g t #
-
-...$)
FIN., J 0 �-ae ` \
1a
rr W Dwv 14 � b: t• a ... Y- r 6 r! / � A` 1",;:,:',.;) . q t6
Sy r � � } 1 e 3
2 r( ELOt4) /9, ;y ` s'' ,, /., . , ?
\\\; '•' \\
• \r{./4CLE ' ^ 1 \ \ \ \ `. `9n `�� \A .4 _,.......,,,..,,,,..1:c7:. , . � , •R"•∎ AT../ K�!t r:: ' ` ` i _\
t \ \ I 3 C ` t
i
V 1
\.....•NgtT •ou.44 [SLIM
�\ \
1 s 96' 16' at' Ta •
tiT1 -.. •
;E pe - 146. AL
t City of Atlantic Beach
__ t T +� a s° ` 1L,_ ° 1panning and Zoning Department
f This approved vendee uenp Banes wl, 'West*
toning. subdivision and other local land
development regulations, but does not constitute
approval for the issuance of permits. Compliance
with Florida Building Code and ad other applicable
local, State and Federal permitting requirements
must be verified by signature of the City of Atlantic
Beach Budding l is the of a
Building Permit.
Approved By: -=
Date:
. .., , City of Atlantic Beach APPLICATION NUMBER
' i } , Building Department (To be assigned by the Building Department.)
r 800 Seminole Road —�
, Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
A (33 Tie E -mail: building- dept @coab.us
Date routed: Sr
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
94 —/ ,/ a / Department review required Yes No
Build "_ng.
Applicant: (je l7 C 171 Ss e m T annin g & Zoni g
pp ) Tree Administrator
Project: (6 % e u`b� lic wor
6 'ublic Utilitiej
Public Safety
Fire Services
, assai "6 4 ti4f w
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 p o
PLANNING & ZONING ed b by:
: or t o(otr
Review y
TREE ADMIN. Second Review: DApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. EDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
0.44 , , City of Atlantic Beach APPLICATION NUMBER
✓�». x` ( To be ass b the Building Department.)
',' Building Department
'- , I, - ' .. 800 Seminole Road AUG g ' // — 7� f U
r ` -"?!"- " Atlantic Beach, Florida 32233 -5445
� Phone (904) 247 -5826 • Fax (904) 247 5845 Z 1 1 1
1 .. E-mail: building-dept@coab.us - Date routed: / 7/ 7/ -
3. , r
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
9 (p V 2 � ? a /ni5 Department review required Yes No
Property Address: ng iii
Buildi
- .di•.__ -_.
Applicant: 4 (' � Y � l�e `fanning & Zoni g
pp Tree Administrator
/, f / ( -Pill Wor
Project: (,� /� �.� '. � � � .�
� Public Utilities
Public Safety
_ Fire Services
Review fee $ Dept S ,
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: �. Dater ��
TREE ADMIN. Second Review: EApproved as revised. ❑Denied.
-.i ► e - Comments:
,,,,.. II ro '
(11 0„
PUBLI , AFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments: I
Reviewed by: Date: I
Revised 07/27/10
4:`,,,'-,
i"ti f ,. City of Atlantic Beach k. .,f>, APPLICATION NUMBER
?� 0,44;,,, (To be assigned by the Building Department.)
j Building Department �
800 Seminole Road ,Q '"" /1 - f r 01
Atlantic Beach, Florida 32233 -5445 ' ;4 � Phone (904) 247 -5826 • Fax (904) 247 584,5 8� l/ 7
E-mail: building- dept @coab.us , �
� / Date routed: (f/ f
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND CKING FORM
c 7 (p a / Pa / ,� Department review required Yes No
Property Address: / Buildi
Applicant: i (le /k ( t71 `�" °te l Manning & Zo�nyip g
pp ! Tree Administrator
Project: 1) A / , � . d c e'lsublic Wor s>
U Public Utilitiej
Public Safety
Fire Services
Review flee $ Dept Signature r ,
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. i� 2-
O e 6 u ,. y j.
BUILDING
PLANNING & ZONING Reviewed by: Date: OVAth)
TREE ADMIN. Second Review: Approved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments: I
I
I
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION 9J
CITY OF ATLANTIC BEACH 6 3 g
800 Seminole Road, Atlantic Beach, FL 32233 g - t i
Office (904) 247 -5826 Fax (904) 247 -5845 I, t 1
Job Address; ?a `/ f c_ ?9e., -DP. Permit Numb
.«.r
Legal Description 3 2(-. ' , S,"6 a7icciffeieme Parcel #
Floor Area of Sq. t. Sq.1-'t
Valuation of Work $/2 O . Proposed Work heated /cooled A no -1 • ated /cooled .ut in
Class of Work (circle one): New dditi Alteration Re air Move Demolition of /sp wln
Use of existing /proposed structure(s) (circle one). Residential X 7 2011 �
If an existing structure, is a fire sprinkler system installed? ( i rcle one): Yes No 1100 I'y` —
Florida Product Approval # i BY _____
For multiple products use product approval form �j /
Describe in detail the type of work to be performed: ,E ozf r 5 r6eleo fb FE,wcE pax 3
/� Aare,' -- ,Q4uaa� ®r 7� opFRy
_LAI S % b c (...�ue_lLr a✓ ; 6,441„+l - L k K / E Q nt / a i !f Id - S
Property Owner Information:
CI 33
Name: JC f/ �- 07-47.- Address: 3.�1�
City ' T ' Ayr 4? a e *c ti StateciZip , . 33 Phone 'O 'f Se( .2 S
E -Mail or Fax # (Optional) O Y Q F2 0
Contractor Information:
Company Name: "4' Ta 2 1 y� CC) C. c l Quali A&Ent: Ie f <<y ers
g7,e_acneJ
Address: .5.7.) /Y S 7- A) - City ./4-X /...5,e09-coo State /c'L Zip 3.0 S
Office Phone 5 -84 c, - //, S Job Site/ Contact Number Fax #
State Certification/Registration # az C is 1/ ise.p
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 for a_ period of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical 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.
1 hereby certify that 1 have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing t his
type ol will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate • c•
provisions of any other federal, state, or local law regulating construction or the performance of construction.
i ii
If
Signature of Owner 94t-el / Signature of Contra tor , ■■■ _ ..r
Print Name ��"FF XL 0 7'Z Print Name .. 14fi_TO ga y •or ' I ' 65
Sworn t• and subscrib- • before me Sworn •
, to _Ind subscr' . -d before e
this , ' b a of •` . .�.. _ _ _ 1 / this , ,Wlay ef 1 r�'I' ►/k7✓' `
y r , ? • Notary Public State of Florida
t N otary P ublic State of Florida / _ 1. Gad Testa
_ `�,l' ._ ' .� ' a P Gad Testa � ,� . -Public ..,..': ..... :-•
'ro Try ' ublic G . . i` My Commission DD999051 1 : ary Public ?ofrtio Expires 0
of w Expires
Revised 01. .. 0