955 Amberjack Ln 2013 fence CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r
Application Number . . . . . 13-00002979 Date 7/08/13
Property Address . . . . . . 955 AMBERJACK LN
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPLACE 4FT FENCE
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Owner Contractor
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WOOD, KENNETH BEST FENCE CO OF JAX INC
955 AMBERJACK LANE 886 AIA NORTH SUITE 5
ATLANTIC BEACH FL 32233 PONTE VEDRA BEACH FL 32082
(904) 543-7743
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Permit FENCE PERMIT
Additional desc - -
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/04/14
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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 .
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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.
. MAP SHOWING SURVEY OF
Lot 20, Block 4, as shown on the Plat of Royal Palms Unit 1 . as recorded in Plat Book
30, Pages 60 and 60A of the Current Public Records of Duval County, Florida.
For: Kenneth A. Wood
0 7- 0 7- /4
F pty f iantic Beach At z5a 77".3132 "S. f 55'
piann-Ing a x
lr� I
Fla'I-
----T-vell-
This approva T1 local land
zoning, subdivision an other
development regulations, b t doer, not constitute
approval for the issuance 0 permits. Compliance
with Florida Buil in o e d all other applicable
local state an e eral P mitting requirements
mus�be ve rifie y i natu of the City of Atlantic
Beach Building icia id to the issuance of a
qVilding Permit.
Approved By'
Date:
FW
10.6,
COAIC. 13,LO,-�IZ,
10
us
-:5. 23 37'3?l"1,V 85'
4M15ERLJA.CX LANE
JUL-1-2013 10:22 FROM:CLERK OF COURTS 904 270 1512 TO:924 I 75e45 P:1/1
Doc#20131T7514,OF,BK 164;33 Page 83�3,
Number Pa�es: I
Recorded 07fOl�2()13 at 10:57 AM,
RQnNe Fuwlll CLERK CIPCUIT COURT DUVAL
COUNTY
PEC:ORD)NG$10.00
'Permit nUinber Tax Follo uumber
DLOTICE OF d"nMINIENCENENT
STATE OF ri LORJJ)A
COUNTY OF DUVAL
TIT UNDERSIGNED bereby gives notice tW iMP—ToWment will.be made to COrtajn real
property, and fi-i accordance with Chapter 7.13, Florida Statutes, the follovvir)g Wbrinati011 is
provided in this Notico of Commoncel-rient.
T. Descriptioti of prope' y:
65
2, Gencraldescription F', rovelTlents:
44
1 0 mier kFb rmatiw3.:
a- Name and.Address,
b. Interest in property-, :a2za�3
c. Name�araadress of f,�e simplc fitleholder(otber than ownef).
4. Contractor's ii-ime aud address-
a Phone iiumber: b, Fax number:
5. Surety information:
a. Name and address:
b. PhQnc numl�cr: c. Fax number: d. Arnoimt of bond:
6. Lender's narao wid.address.
31. Phone number- b. Fax numbe�T.
7. Person withi)a the State of Flvi-idA dcsigned by ownez upon whom notim9 or other do-mments
inaybe scrved as pjco-�.ided by 713.12(l)(a),Florida Stat-ues.
Name and Aftess:
a. PhQne iiuwbe.T- b. Fax number:
8. In addition to bimselfter-self, owmer desipates
to receive a copy of the
Liewr's Notim as provided in Section 713.12(1)(b), Florida Statutes.
9. Expii-ation date of Notice of Commencement (tle expiration date is one (1) year from the
datoof Recordizig uoless a different date is spedlfied)__�
SignEtture of Owner:
Sworn to and "bscribed before,me this day of ja IV 2(�_J3
Notary- an
----------------------
KuowupeTsonaUy/jj).showm r- L-
My commisslou expires: fr U-Q 51s 0
SUSAN K.SULLIVAN
No%ry�ubiic,-Sbft of Flafide
My Comm.Expires Aug.5,2016
Commission No.EE 1081W
JUL 0 1 Z013
City of Atlantic Beach APPLICATION NUMBER
Building Department BY: (To be assigned by the Building Department.)
800 Seminole Road 779
Atlantic Beach, Florida 32233-5445 13 9
Phone(904)247-5826 - Fax(904) 247-5845 Date routed: *7
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Applicant: X ning &_D�
-7—ree-Td-ministrator
%L e 4:j
Project: ZI 17- k 77 e,P. &f'& tf-lublic WoMks�
A�JRi I i t i§�s> I
Public Safety
Fire Services
Review fee Dept Signature
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. FIDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by�-__JA Date:
TREE ADMIN. Second Review: [—]Approved as revised. ElDenied.
Gii� Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
RECEIVED
City of Atlantic Beach APPLICATION NUMBER
Building Department 7JUL 0
JUL 0 12013 (To be assigned by the Building Department.)
800 Seminole Road 2
z Atlantic Beach, Florida 32233-5445Y?Y:
Phone(904)247-5826 - Fax (904) 247--5845 Date routed:
E-mail: building-dept@coab.us
City web-site: http://v�ww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: A-C Department review required Yes No
?_'� — Build i n
Applicant: A2qan�.
Tree Administrator
li4 A�5ublic Works
Project: r-ublic-Utilities
Public Safety
Fire Services
Review fee Dept Signature
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. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date:
T TRE ADMIN.
RE AD M I N, Second Review: [—]Approved as revised. OlDenied.
1P
C Comm ts.
en .
P Comments:
PU L C UTILITIES
P LI S y
Reviewed by- Date:
P BLI SAF Y
FIRE SERVICES Third Review: FlApproved as revised. ODenied.
Comments:
Reviewed by: Date:
Revised 05114109
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 13 — e? 9 -79
Phone(904)247-5826 - Fax(904)247-5845 Date routed: .711
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
4 1-.,-t,-;'4 8 4 Department review required Yes No
Property Address: �§�' - BuiIqLr1g__,
77 ning �_Z�o
Applicant: —e--r ,��i Tr—ee-Nd-m i n i s t r a t o r
Project: a"144444f I tffu—blic WoRs-_-_-�>
4�Mirities:>
Public Safety
Fire Services
Review fee $ Dept Signature e41--
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
FOther-,
APPLICATION STATUS
Reviewing Department First Review: [OA'pproved. E]Denied.
(Circle one.) Comments:
B G
CPLANNING &ZONI Reviewed by: Date: 71,o 12-48
TREE ADMIN. Second Review: F]Approved as revised. FDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. OlDenied.
Comments:
Reviewed by: Date:
Revised 05114109
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-.
F7 11, 1, 11
OFFICE:(904)247-5B26*FAX NO.:(904)247-5845
-DEPT@COAB.US
BUILDING
BUILDING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF
9,55 'qrnkwcl�A L-n' $ Q, 9(OL4 .0c)
4.LEGAL DESCRIPTION: 5�CLASS OF VvORK: 6.USE-OF STRUCTURE:
0 NEW BUILDING El DEMOLITION El RESIDENTIAL
LOT-BLOCK-SUB DIVISION 13 ADDITION C3 CONVERTING USE 0 COMMERCIAL
7-DESCRIPTION OF WORK: 13 ALTERATION El ACCESSORY BLDG. B-FIRE SPRINKLER:
0 REPAIR E]POOL I SPA 11 YES NIA
in VInVI 12 Cje.,-+ -�e_rQ- 11 MOVE Q OTHER 0 NO
PROPERTY OWNER: -- CONTRACTOR: ARCHITECT I ENGINEER:
9.NAME: 15.COMPANY M : 23.COMPANY NAME,
yen nt4 h W cW PP4 C f- Ctyfl pin�1
16,NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
55 PfM ber'(XX L-n
J
"(jLh-fi- &CCfi,f7I 18.ADDRESS:5L.IoLA RCkCfTr0_(X 26.ADDRESS:
C SOCKahvit 32-25q
11.OFFICE PHONi 19,OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
2-(A-1(-'-16 1130- 2--190
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: D
CIN- -7,55--2-5]
14.EMAIL ADDRESS: �.2- ' L DDRESS: 30.EMAILADDRESS:
11) be-k4knceax.rvt+
FEE SIMPLE TITLE HOLDER: BONDINdCOMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER)
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34 ADDRESS: 36.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. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance With all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaied and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNEQ or AGENT CONTRACTOR
(If Agept�� fAttom* or Agency Lefter Required)
."er 'y (QualifterOnly)
Date: Signed: Wojul� _W
7-1 Data: 2,&
Befo e this IST day of 20J§in the county of Before me this 2��.y of F999 n the county of
Duval,State of Florida,has personally appea Duval,State of Florida,has personally appeared
V,5-k)m eT14 hruft4 W&P-0 Cm-11V walk-er
herin by himself/herself and affirms that all statements and declarations are herin by himse
"a are
true and accurate. true and accur t" p CHARLES R,RICHARDSON
Notary Public at Lar a,State of C..ntv of Notary Public 1`9 OMIF ISStQNq GE 2 �,4/,�-5
a 0`��
El Personally Known OWPersonally EXPIRES Soplaimber 21,2015
Produced Identilli tion- 0 Produced Id
Notary Signature: Notary Signature: ",-t,-
VIRGINIA ROSALES
Notary Public-State of Florida
a
SLDG01 Permimit Appli WrAmm.Expires Jan 27,2017
Commission#EE$62763