155 16th St (vault) IC BEACH
CITY OF ATLANT
800 SEMINOLE RO"
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00032472 Date 3/15/06
Property Address . . . . . . 155 16TH ST
Tenant nbr, name . . . . . . INSTALL 4211 FENCE
Application description . . . FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6SOO
Owner Contractor
------------------------ ------------------------
DUVAL FENCE
11556-2 PHILLIPS HWY.
JACKSONVILLE FL 32256
(904) 260-4747
----------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
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
P A D
MAR 15 2o06
Ck#
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL,
CITY OF ATLANTIC BEACH Cc:
D. Ford
SS BUILDING / ZONING DEPARTMENT L. Higgins
800 Seminole Road
Atlantic Beach,Florida 32233
-5800
(904)247
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
W- /1 4-(
Permit Application # A2S
Property Address:
Applicant: 72W V a- t F-r V1 ff-)
Project: Tv��-ia i i 4;� Ut ol vat M
This permit application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Date Contractor Notified:
CITY OF ATLANTIC BEACH
FENCE PERMIT APPLICATION
Date:
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Job Address:__.�
L
Owner's Name:
Address: 110621 �!7_awth Phone:
. .0:�Au,�ft�e (44+1
Legal Description: umber Lot Number. Zoning District:
Fence Contractor:
Address: [I 57q(,0_ 2- Phone. '+_7 q--7
City: Zip: Fax: '
Type of fence and materials to be used:
Valuation Of Fence.* acv Rinterior Lot 12fcomer Lot E]Dumpster or storage tank enclosure
is approval of Homeowner's Association or other private entity required? W 0 If yes,please submit with this application.
Tree Protection: [g'�O. Applicant certifies that no trees will be removed for the installation of this fence.
El YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS
REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which
meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
incomplete applications may result in delay in issuance of permit.
1. Attach copy of property survey showing location, height and all distances from property lines of the proposed
fence. (Fences shall not be placed within any utility or drainage easements without written permission from the
Utility and/or Public Works Departments. Fences shall not restrict any private easement.)
Address and contact information of person to receive all correspondence regarding this application(please print).
Name:
Mailing Address:
Phone: Fax: 43:�' E-Mail: �—e
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone- (904)247-5800 - Fax: ("4)247-5845 - http://www.ci.atlantic-beach-fl-us Revised 3/04/04
Page I
I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct All
provisions of the 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 provisions of any federaL state or local rules,regulations,ordinances,or laws
in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this
permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as
required.
Signature of Owner. Date:
AS TO OWNER:
Sworn to and subscribed before me this of 2099
U
State of Florida,County of Duval
Nancy P. Falloon Notary's Signature:
""J'Ay P(%"
Commission#DD155074
v 02,2006
Expires:No
ff--Personally known
Bonded Thru Produced identification
OF
look" Atlantic Bonding Co.,Inc Type of identification produced
Signature of Contractor. A4 LAA� --Date:-
AS TO CONTRACTOR:
Sworn to and subscribed before me this qK day of 120 OV
State of Florida,County of Duval Notary's Signature: I-P4 Cq
a -
Nancy P. Falloon Personally known
Y
Produced identification
Commission#DD 155074
Type of identification produced
Expires:Nov 02,2006
Bonded'Mru
Atlantic Bonding Co.,
Inc.
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 - http://www.ei.atlantic-beach-fl-us Revised 3/04/04
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