Permit Fence 177 Pine 2012 t'f Lif•I'`!J J4
, - to CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
P4 051
Application Number 12- 00000464 Date 4/25/12
Property Address 177 PINE ST
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
4 FT FENCE
Owner Contractor
DUTTER WILLIAM M. & ELSIE OWNER
1742 OCEAN GROVE DRIVE
ATLANTIC BEACH FL 322335845
Permit FENCE PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 10/22/12
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.
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.
v.om r City of Atlantic Beach APPLICATION NUMBER
J s Building Department (To be assigned by the Building Department.)
r A \", 800 Seminole Road /Z -- Q e/Go
. Atlantic Beach, Florida 32233 -5445 / ✓
" ` Phone (904) 247 -5826 • Fax (904) 247 -5845
„ (j W e' E -mail: building- dept @coab.us Date routed: 1 2 e/ /Z
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 7 7/ -;1) it Department review required Yes No
Buildin
Applicant: A --yn 69-4,0i7,-/-7 arming & Zonir
/! dministrator
Project: �`f f C6 _ ubl wor s...) ub Utiliti
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: pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: iliele Date: y19i� / /
TREE Second Review: Approved as revised. ['Denied.
p -4 4 % e - Comments:
si
PU:LI UTI I IES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: /7 7 7/ - h jr - Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.F't
Valuation of Work $ Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structures) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approva orm �"
Describe in detail the type of work to be performed: 'Y " 6 "TT/ CLfiA r e i..
Property Owner Information: M �.
/4� , �, / / - cq S'/ C'- 1/
Name: 1 4 - ri S Address:
City State Zip Phone -
E -Mail or Fax # (Optional) _ .C. > a 1 I ' riV ,
Contractor Information: /
Company Name :,4 L't 60. e.1 c -.. e' � �1ua�lifying Agent: . /.i.,yc, ii 54 a_v rc r
Address:'' f 3 1 /, _Al.../...n II City 4J c 6.k State FL Zip 31,14
Office Phone ( -f) 3"Z ,- '',etC, Job Site/ Contact Number .zv qe cc Fax #
State Certification/Registration #
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- 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 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
d
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
provisions of any other fede •l, d te, or local law re: lating construction or the performance of construction.
r
• /
t _ j� /� ■ i Signature of Contracto
Signature of Owne �_
Print Name Print Name
Swor .n. ubscrib- . b- ore m: Sworn . a , ••..,crib:d before • =
Day f %�,►� 1 this .�iI a of t 1 J
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NO U , 0 nded Thru Newry Public UM.rwrllars EXPIRES: February 14, 014
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v ii 1;.9 Bonde Thru Notary Public Underwriters • - vised 01.26.10
MAP SHOWING BOUNDARY SURVEY OF
SOUTH 1/2 OF LOT 677, ACCORDING TO THE PLAT OF "SALTAIR SECTION 3"
AS RECORDED IN PLAT BOOK 10, PAGE 16, OF THE CURRENT PUBLIC RECORDS
OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: WILLIAM M. DUTTER, USiE D. HARRIS,
STEWART TITLE OF JACKSONVILLE, INC.,
WATSON & OSBORNE TITLE SERVICES, INC.,
AND WELLS FARGO HOME MORTGAGE, INC.
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MAP SHOWING BOUNDARY SURVEY OF
SOUTH 1/2 OF LOT 677, ACCORDING TO THE PLAT OF "SALTAIR SECTION 3"
AS RECORDED IN PLAT BOOK 10, PAGE 16, OF THE CURRENT PUBLIC RECORDS
OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: WILLIAM M. DUTTER, USIE D. HARRIS,
STEWART TITLE OF JACKSONVILLE, INC.,
WATSON & OSBORNE TITLE SERVICES, INC.,
AND WELLS FARGO HOME MORTGAGE, INC.
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DETERMINED URFACE SURVEY ONLY. A TNEP EXTENT O OF UNDERGROUND FOOTINGS.
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