1633 Selva Marina Dr 2014 - fence permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00001089 Date 7/14/14
Property Address . . . . . . 1633 SELVA MARINA DR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
4ft fence
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Owner Contractor
------------------------ ------------------------
FERGUSON, MICHAEL ALAN OWNER
1633 SELVA MARINA DR
ATLANTIC BEACH FL 32233
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Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/10/is
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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 3S . 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.
BUILDINGPERMrr Ap'PLICATION
CITY OF ATLANTIC BEACH
800 Send.nole Road,Atlantic Beach,FL 3 22')3
Office 004)247-5.826 Fax(904)247--5845
Job Address: t6.313 &JU&- &-np r
YA' b Permit Nutriber:
Legal Description I-oT .5.1.9 Pt.ck.6, t)o it- P0, 5 Parcel#
11001'ATea Of F t.
Valuation of Work$ H6 00 Proposed Work I 0�ated/cooled rion-beated/cooled
Class of Work(eirde one); N vw ddition A.Iteration Repidl- Move Demolition pool/spa wilidow/door
Use of existing/proppsed strueture(�) rc�ljre eEwDie): Commercial. (es
�ie
d(,qnti�,
dersystem installed?(Cirele one): es 0 N/A
If anvxisting stkuclarejs a fire spHni
Florida Product Approval.#
For multiple products use product approval f6rrn
Descii be in detail th.e type of work to be performed: h-o X
bL,',(r �roM k1 60#rA,,p�l p1jawy-, 7-r' . XPr'f&'V t&"O�r AE CPrA�-!"
-'t�k &�qQ --L-
P 6, A t'i L" t�- �t.'L I t 'r U 1A t?, 46 rtjd;0- F- qj-,d
I-Utilk 6".*-�Ck r"M "114w
-r-V Owner Information: 0,
Name: Address:
city Statep
Lzip 3X�L'5E" P110118
E-Mail or Fax (Opfional)_—
Contractor Inforination: 6ZV�T-ey, I RA Kkkawa-
Cornpany�Tame: Px6&k6LLA)A-\1/ QuaffyingAgant:
Address:—Ej
,.9 /AL149— City �Stfitc
-ffAkk - '11 Zip
OfficePhone, YOY 6!�3 6 Pj?c',—Job Sitel Contact Number j y 6-20-7
q36c! Fax#—
State Cerfification/Registration#
Arch iteot Name&Phone#
Engineer's Name&Phone#
Foe Simple,Title Holder Nameund Address
Bonding Company Name mid Address
Mortgage Lender Natne and Address
�pplicatioqis hereby made to obtain.aperinit to do the work and irdtallqtlons�qs indicated I certify that no work or insiallotion has cominencedprior to the
tssuance ojapennit oW that allwork4di be.peff-orinedio:tneet the standardroj'all 7owsr eptlatinj constryetion in thisfialsdietion.
and voidFivork is nni commenced within sit.(6)nionths,or fl-construction or work 4,.yusperided or abandanedjhr o period ofstx 66
)niOnAS W 0nV tiMe Cyrlel'
work is cotaftienced. .1 understand thev separate perinits miist be serured.for Mectrical"Iforl(.111and5ing, Vigns, I-Vells,I'dols,Furnaces, Roffeis,He.afers,
Tanks and Air Condition&s,etc.
WARNING TO OWNER:'YGUR FAILIAZE TO RECORD A NOTICE OF
CON MIENCEME NT MAY RESMT IN YOUR PAYING TWICE FOR IMPROVEM1,NN7S
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT MUTH
YOUR 1,ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herebv certif,that I have recud and examined this application and know the some to he true and correct. Allprovisions ey'lairs and ordinances governing rk's
i3pe q'workivill be co�npfied with ii,.hedier specried herain or riot. The granting of a permu does nol prasunic to ive aiabority io violote ar concel the
orovisions ofaiU,otherfederai,state,or tocal law-regulating construction or the pety6rmance orwasiructioll. 9
Signature of Owner Signature of Contractor
.-Man.f.e.179159
PrintName print Name
Defor�tlle
Iiis ay of IALU'jk� 20
�+h D t1' EthDayof 2014
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lotaly.. ublic 5 F16 -7' "-1
Revised 10.214.12
BARBARA
RACHELE HOLDEN BAIRBW RACHELE
W COMMISSION H F.E 853013 A""I *� HOLM
Q %,A MYCOMMISSIO.NtEE853013
-XpIRES:Ma(ch 20,2017 EXPIRES:Mav;m 20,2017
VoMad Thru Notaq Public Undemltem 3mded Thm Notafy Riblic underwNters
City of Atlantic Beach
APPLICATIO�N NUMBER
Building Department RECEIVED, (To be assignedib h ui
ylt e Buildin epartment.)
800 Seminole Road
Atlantic Beach, Florida 32233_5445 JUL 0 8 2014
Phone(904)247-5826 - Fax(904)24 5845
E-mail: building-dept@coab.us LDate r�oute
d:
Cityweb-site: http://www.coab.uE �B- Y----------.-
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2dV4-/Nfr//)0— Depiartm—ent—reviewrequired No
Buildin
an
Applicant: ning & Zoni
minis ra or
Project: r orgy' ublic Works
<-Pubfic-Utilities
P u b I i c-S-aTe—ty
Fire Ser�ies
Review fee Dept Signature—All—
Other Agency Review or Permit Required Review or Rece�"%',. Date
of Permit Verifiec? f:,�,
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: [XApproved. FIDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by. Date-".�>
TREE ADMIN- Second Review: E]Approved as revised. F]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. E]Denied.
Comments:
Reviewed by:__ Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b h B ild'-ig epartment.)
V e ui ig
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACK!NG FORM
Property Address: Department review required Yes No
Builqja,�L_ -
1�LDe a
p r
Buildin,
r
Applicant: 0 f r- za�VA�q V anning &Zon-in-g�
T. AU_m-inisTr_aTo_r
Project. iblic Wo
r 6: lic Works
2:u:]:T),ETJ t&i I—Liti es---'
— 2,�
PublicT773ety
Fire Se _�es
Review fee $ Dept Signature
Review or Rece4p.-,
Other Agency Review or Permit Required of Permit Verifiec, Date
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: AkIpproved. [JDenied
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by- Date:
TREE ADMIN. Second Review: F]Approved as revised, nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
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BUILDING PERMIT Ar'PLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247--5845
Perinit Nuniber:
-—-----------........
Job Address:
Legal Description 4.T 94.4k. t)44f- Parcel#__S_F1
)q..I,-t. q
"il po.re8i�o:rk heated/cooled no'n-beated/cooled
Valaaflon of Work$ 45 00'-S k. 'roo'Ased
Class of Work(circde one); NeW ddition Alteration Repair Move Demolition pool/spa wiiidowf'door
Use of eximitig/twoposed struc!ture.(�)ircire e orie): Commercial. eside,
�4i�c;lltia (
If anexisting struclure,is a fii-e sp-_der system installed?(0rele.pit e): es 0 N/A
Florida Product Approval.#
For muitiplie products use pr.odue ftpVi oyal form
Desciibe in detail the type of work-to be perfori-ned: 60�k
4"A'o bo X. FztLe�" _011
bu't(r �1`44m t1D1AAe_, 6� P/jQWN
re'
la-'Cl< 1-C44P ftv;_ (T* �1.rtl( r L-,4A Le rn 4,- F
P r(Fuer w di"n er In Fo r niati on:
ff
-,A
Naine: Aic F x —Address:
ltateElzip 3040�" -PlioneVa-KL-7-n
city A7 kLa�I A 'L §tate;
E-Mmait or Fax 4(Optional.)
Contractor Information: OF Al' RA
6& a'LL)C' Agent:
Company�Tarne: QL111lT
Address: 9 A city _r- Zip
_UAL J'ax#_Vq_-4EM
OfficePlione..y,01 Job Site/Contact Number 573
State Certification/Registration
Arch itect Name&Phone#
Engineer's Name&Phone
Fee S imple Title Holder Name mid Address
Bonding Company Name mid
Mortgage Lender Name and Address
�ppliwliaq hi hereby made to obtaina Permit to do the work and irvflallatlon,�'as indicated. has
i.vsriance.olapet-in,ttaiizi#iot4illivoi-kt�i.lib�,pel- Thisperinifbeconiesnyl!
forinedio me
and void.!Twork is n,ol commenced within sit. months,or il-conshwotion or vork.ia,swpended or abandonedfir a criod qfsfxC0*�'P10)7&Y 01 rny time qj�'ei
work is commenced. .[undenytand dial�epajald permits ndist be serured.for Weetrical Work I'llmd5ing,Slins, f4effs,Pdols� Furneecs, noileis,Henterl,
Tanks andAAr Condftioners,etc.
.WARNING TO OWNER:YO'UR FAILIMETO RECORD A NOTICE OF
COM7MENCEME NTMAY RE(90�T IN YOUR PAYING TWICE FOR INTPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUIJ NAUTH
YOUR IENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCKMENT.
I herebv cerlify that I have read and taomined thi-T Vplication and know ihe seline to be true and correct. .411pro-visions cy'laws anil ordinances governing this
lype of workivill be co�41?11ed with ivhedtei,specyled herein or riol. The granting of a pe)-mii does nol prestinic to give authority to violate or concet Pic
arovisions qj'arq,olherfiMerai,siote,or local law-regulating construction a)-lite r.?eTfbi-mance ofConstruction.
Signature of Contractor 1�� V_
Signature of Owner—
Print Naine Print Name
................
efore(pe
Before D
:11is 20 t1 is of N
Day of
ot ty. tiblic
Revised 10.214.12
BAR Am RACHELE HOLDEN 6TRiARA;70HE LDEjjN
0
301 1,
D
.:XPIRES:Ma(ch 20,2017 EXPIRES:Mao3n 20,2L
LE Ho
4y commissioN K FE 853013 MY COMMISSIG.N�E7E,853
to
2017
Bonded Thm Nolwy F, .6 nd"'J'en�
Wed Tftru Notay PublIc UjideWt
A City of Atlantic Beach APPLICATION NUMBER
fTo be assigned b h B ildi epartment.)
Building Department e ui iag_D
800 Seminole Road
Atlantic Beach, Florida 32233-5445 JUL 0 8 2014
Phone(904)247-5826 - Fax(904)2 7-5845
E-mail.- building-dept@coab.us iBY:__-�_ Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
_:ment revi(�
Property Address: lvs Department review required Yes No
in
Buildqiu�
Applicant: 0 anning & Zon_inn-t�
m 1 is r or
minis ra or
Project. All r ftT04F 10 ed�ujblic Work-s`---N
r 0TTu-5T-cT_Jti fit-iies
Public-S-aTe-ty
LFLe Ser�_�c-es
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Rece,J,,,�.�i Date
of Permit Verifieu
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. IlDeniedl.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:_(z_) Date:
TREE ADMIN. Second Review: [-]Approved as revised. FIDenied.
Comments:
P LIC UTILIT
4PU B IL I C'S A F E/ Y Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09