Permit Fence 155 Poinsettia St 2013 CITY OF ATLANTIC BEACH
St 800 SEMINOLE ROAD
--j -r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . 13-00002039 Date 1/29/13
Property Address . . . . . . 155 POINSETTIA ST
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
6ft and aft fence in front
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Owner Contractor
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DEUSE JOHN D OWNER
1855 BEACH BLVD
JACKSONVILLE BEACH FL 322502644
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Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/28/13
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITU 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: '� S�'///ac. ��• Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Wor 0 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:Property Owner Information: �•
Name: i'� ' Address:
City State_ ip.3.Z Phone
E-Mail or Fax# (Optional) _ 96/ Q Z
Contractor Information:
Company Name: Qualifying A
Address: City State Zip
Office Phone Job Site/Contac umber 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
Apporlication is hereby made to obtain a permit to do the work and installations aser
indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work wtll be performed to meet the standards of all lak isws rpegulating construction in thpis jurisdiction. This permit becomes null
and work is�o sworkmence'd. I understand that sepamot
rate permene its mu t be secunt"ctred for Electrical Workd Plumbing, Sigor ns,aWells,Pools x urnaces,Boilers,months at tHeaime ters,
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 here b 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 work will be complied with whether speci ted herein or not. The gt anting 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 Owner .� Signature of Contractor
PrintName IV... ........ ... . ..........................................................................................
Print Name ....................... �.....('�.............k ,......... ... ........................
Before me Before me
this_Day of c�CLYI��UXyI 20 I this Day of 20 -
otary Public KATRINA HATCHER Notary Public
•_ .� Commission#EE 188131 Revised 10.24.12
Expires April 10,2016
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Tsa y Is, City of Atlantic Beach W APPLICATION NUMBER
Building Department (To be assigned by the Budding Deparanerat)
SW Seminole Road
'K Atlantic Beach. Florida 32233-5445 - % _ 0
Phone(904)247-5626 • Fax(904)247-5845 / 3 /�
_DO.%&IC E-mai: building-deptQcoab.us Date routed:
City web-site: http:/Avww.coab.us coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ?41 4-1 �-1 De rtment review required Yes No
Bui '
Applicant: 10 G� _� �/� tanning�Zor
irnstrator
Project: -� `77 C u is work
u is ubli�es
Public Safety
Fire Services
Review fee $ r Dept Signature
Other Agency Review or Permit RequiredReror Receipt Date
of Peermit Verified By
Florida Dept.of Envirorrnental 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:
APPL ATION STATUS
Reviewing Department I First Review: Approved. QDenied.
(Circle one.) Comments:
BUILDING
16�NNING&ZONI Reviewed
�' i2�� Date:
TREE ADMIN. Second Review.
QApproved as revised. ❑Denied.
f PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.
FIRE SERVICES Third Review: QApproved as revised. QDenied.
Comments:
I
Reviewed by: Dom:
Reviwd 07127110
REC D
City of atlantic Beach JA 4 013 APPLICATION NUMBER
Building Dep3rtment (To be assigned by the Builn9 Daparlmert)
800 Seminole Road BY:
Atlantic Beach, Florida 32233-5445
Phwe(904)247-5626 - Fax( )247-5845
E-mail: building-dept@coab_us Date routed_
®City web-site: Mtp:/fwww.coab.us
APPLICATION REVIEW AND `CRACKING FORM
Property Address: ;j� � .�5� �-- � Department review mquired Yes No
Bui '
Applicant: 77C /L tanning&Zoning
inistrator
Project: ,-72 ublic Work
j� /� a u tic Utilities--)
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified I3y
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. Daft; I /
TREE ADMIN. Second Review.
- ❑Approved as revised. ❑ Hied.
i PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
rIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised OVUM
CEIVE
i
aa, City of Atlantic Beach JAN 2APPLICATION NUMBER
Building Deparbnent � 01PU
(To be by the g l trnerat)
800 Seminole Road -
Atlantic Beach. Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5645 / 3 / !
`e;t C� E-Mail: building-dept@coab_us Date rotted.
City web-site: httpJfwww.coab.us p
APPLICATION REVIEW AND TRACKING FORM
Property Address: 715 �-- � Department review required Yes No
Bui '
Applicant: ) -22 �-,e tanning&Zoning
lnistrator
Project: S ,�C �
ublic Work
u tic iny/) Public Safety
—
Fire Services
Review fee $ Dept Signatur
k��
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Flofida Dept.of Environmental Protection
Florida Dept. of Transportation
St Johns River Water Management District
t
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.) Continents:
BUILDING
PLANNING&ZONING Reviewed by:'((�b Date:
TREE ADMIN. Second Review-
DAppnoved as revised. Denied.
P Comments:
UBLIC UTILITI
'-PD IC SAF Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: - Date:
Revlsed 07127140