Permit Driveway 340 Sailfish 2011 5 t, \ »
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6 CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
U ` ATLANTIC BEACH, FL 32233
"$ INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002963 Date 2/10/12
Property Address 340 SAILFISH DR
Application type description DRIVEWAY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
ADDITION TO DRIVEWAY
Owner Contractor
STENGEL, RICHARD A OWNER
340 SAILFISH DRIVE
ATLANTIC BEACH FL 32233
Permit DRIVEWAY PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . 1/06/12 Valuation . . . . 0
Expiration Date . 7/04/12
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.
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible.
A sewer cleanout must be installed at the property line.
Cleanout must be covered with an RT1 concrete box with
metal lid. Cleanout to be set to grade and visible.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
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.
-5,tA t City of Atlantic Beach 1 APPLICATION NUMBER
s
� - � � \ Building Department / �� D
\ � (To be assigned by the Building Department.)
r , _ s, 800 Seminole Road //,. Z 9 (' J
Atlantic Beach, Florida 32233 -5445 1 DEC 0
__
Phone (904) 247 -5826 • Fax (904) 24775845 2011 A- ton >%' E-mail: building- dept @coab.us , Date routed: /2/2-///
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: L m/ , 744-,4 .i r Department review required Yes No
LL Building
Applicant: r � i 11 'j 1 0 /1 re 72 Planning & Zoning
Tree Administrator
Project: A lq, 1OA "J 11 air--) Public Works
dO 0,27-6 Q � / ! Public Utilities
J /V y Public Safety
Fire Service
R i fF , . � ' -; Hw , Ilk i ; „ , , _ 0. , ,,, t - �� . s . 7 d , .
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: /? Cl/
TREE ADMIN.
Second Review: ['Approved as revised. ❑Denied.
; ii . to C , mments:
yam li.-
it'
PUBLIC SAF TY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
isA PERMIT APPLICATION
H IF ATLANTIC BEACH
•) Seminole Road, Atlantic Beach, FL 32233 , ; ; _? -
Office (904) 247 - 5826 Fax (904) 247 - 5845 1,1 , - '
Job Address: d S trl — 32-t)e.-,
Leal Description L 2 i - # 5 f_ . . , _ 7 ; • c�,1�
g P - Parcel # r ,
Valuation of Work $ l 1. 4 g •
Class of Work (circle one): New Ad • • Alteration Repair o • - s - i olition pool/spa window /door
Use of existing/proposed structures) arc e one): Commercial " eside
If an existing structure, is a fire sprin er system installed? (Circle one : 'es No
Florida Product Approval #
For multiple products use pro uct approve orm
Describe in detail the type of work to be performed: lJ /L -W�JG , '�-
Ava., . <
• kt " 44 1 ALL
Property Owner Information: � �� - U t.--
Name: I\Kt,,,. ?....CJAct,.r' Address: d 7(/ �v+
2
City 1141 c Qc ., _ State Zip $ valPhone ° 8I 2 G 24 255
E -Mail or Fax # (Optional) h 1312415'17 6 t le1 i , (!_c' m
Contractor Information:
Company Name: e.4.A,\`‘ Qualifyin_ Ag-nt: ` t17* - ! :. Q
S C) k
Address: i.,,s�t C ity e. ,_.. s: . _ - State _ Zip 32.2-3
Office Phone 2 - 7 7 5 ` Job Site/ Contact Number of -- iy „ �' Fax #
State Certification /Registration # ?,...,,,( :C_ li 606 p L 151 ' i ? , . ra,.r } (-. ,2pSir51 S/0706
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. 1 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 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.
1 hereby certify that I have read and examined thisplication 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 permit does not presume to give authority to violate or cancel the
vrovisions of any other federal, state, or local lw regulating construction or the performance of construction.
II' gnature o n // Signature of Contractor iJLI; X, r �-- 02-e
?rint Name /� j chig,,/ ,9 Print Name
worn t� and subscrib: w before me Sworr3, to and subscribed before me
his 7 s. - . r 20 i .i• .l 7>F- 1>g ,201/
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3 1' y� - Notary Public - State of Florida ti 3 Notary Public - S4fai Paid .26.10
i T. My Comm. Expires Aug 9, 2014 (. • Comm. Expires Ma 26, 2015
li , r Commission � EE 14543 _ , � '
I '•7,F Commission 0 EE 97646 •
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340 E Sailfish Dr, Atlantic Beach, FL 32233 -4167 Page 1 of 1
Print
41 -1.oC , MAPS
340 E Sailfish Dr, Atlantic Beach, FL 32233 -4167
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When using any driving directions or map, its a good idea to double check and make sure the road
still exists, watch out for construction, and follow all traffic safety precautions. This is only to be used
as an aid in planning
http: / /maps.yahoo.com /print? business = &location = 340 %20E %20... 12/2/2011
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