201 Mayport Rd 2014 fence ?i rl'�J1lf�
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
J131��
Application Number . . . . . 14-00001112 Date 7/22/14
Property Address . . . . . . 201 MAYPORT RD MAIN
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-------------------------------------------
Application desc
6FT CHAIN FENCE
------------------------------------------
Owner Contractor
-
------------------------
-----------------------
BEACHES HABITAT FOR HUMANITY OWNER
797 MAYPORT ROAD
ATLANTIC BEACH FL 32233
(904) 241-1222
----------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . . . 00
Permit Fee . . . . 35 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/18/15
--------------------------------------
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 .
Roll off container company must be on City approved list
and container cannot be placed on City Right-of-Way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management . )
--------------------------------------------
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.
f� City of Atlantic Beach APPLICATION NUMBER
j ' •�i Building Department (To be assigned by the Building Department.)
n A/800 Seminole Road ,� /,' Z_
.� I
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
yew' E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORMA
Property Address: -r'? D ! /7')aV pdpr Department review required Yes No
/ Buildin
Qe/1 s lanninc &
Applicant: Z
Tree Administrator
f
Project: u lis /
P551ic Utilities
Pu is afety
Fire Services
Review fee $ Dept Signature _
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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. ❑DeniE
(Circle one.) Comments:
BUILDING / �
PLANNING &ZONING Reviewed by-,A1," Date: -7
------- ----------- ----
TREE ADMIN. Second Review: []Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
s
FIRE SERVICES Third Review: []Approved as revised. ❑Denies.
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: 201 MWort Rd Permit Number:
Legal Description see survey Parcel#
Floor Area of sq. t. q. t
Valuation of Work$ 4500.00 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 structure(s)(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 approval form
Describe in detail the tvne of work to be performed: install 6'chain link fence per site plan for construction storage and
laydown yard.
Property Owner Information:
Name: Beaches Habitat Address: 797 Mayport Rd
City Atlantic Beach State FL Zip 32233 Phone#904-241-1222
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Beaches Habitat Qualifying Agent: Rob Peterson
Address: 797 Mayport Rd City Atlantic Beach State FL Zip 32233
Office Phone 904-241-1222 Job Site/Contact Number_904-334-1202 Fax#_904-241-4310
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 thisjurisdiction. months at This permit becomes null
)n or work is er
and
void
f mrk is not
l understand that six
(6te months,
ntperhs,sor stn secured for Electrical Work,l Plumbing,Sigor abandoned ns,or aWells, Poperiod ols, Furnaces, Boilers,tHeaters,
worTanks 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
BE OR RECORDING YOUR NOTICE OF
CO
I hereby certify that I have read and examined this application and know the same to be true and con•ect. All provisions of laws and ordinances governing this
type of work will be complied with whethersped red herein or not. The granting 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 p ........................................................................ Print Name 4L+.h'.....} . 3..+c►-...............................................................
.........................................................
Sworn to and subscribed before meand subscribed before me
this_11!Day of S� 1 ay 20 t
DE HURRAY :•; MY C�@IFE1
�tiz • : MY COMMI 85723 ' 2,2016
Notary Public '- , „,• EXPIRES AprN 02,2016 1� 1Fbnd&Nowyseryce oom
(407)3W*is3 FbnftNow com
r-�rrLIU/A I IUM INUIVIt3ER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road LBY:
I T�• A/ -+ ��� Z.•
r� Atlantic Beach, Florida 32233-5445V
Phone (904)247-5826 • Fax(904) 247- � 2014
E-mail: building-dept@coab.us Date routed:
City web-site http://wwwcoab.us
APPLICATION REVIE aING FORM
Property Address: "-,S
�T Departs ,ant review required Yes No
Buildin
Applicant: Tree no Zo
Tree Ad;ninistrator
Project: — is U ilities
Pu is afety-- _
Fire Services
Review fee $ Dept Signature A
Other Agency Review or Permit Required Review or Receiptof Permit Verified B ®ate
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. ❑DeniE
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: _ _ Date:
FIRE SERVICES Third Review: ❑Approved as revised. []Denied
Comments:
Reviewed by: Date:
Revised 05/14/09
15 U ILDIN G YERMIT APPLICA'g r ON
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-53345
Job Address: 201 Mayport Rd. Permit Number:
Legal Description see survey Parcel#
Floor Area of Sq.Ft. q• t
Valuation of Work$ 4500.00 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 structure(s)(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 pro uct approval form
Describe in detail the tvne of work to be performed: install 6'chain link fence per site plan for construction storage and
laydown yard.
Property Owner Information:
Naive: Beaches Habitat Address: 797 Mayport Rd _
City Atlantic Beach State FL Zip 32233 Phone#904-241-1222
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Beaches Habitat Qualifying Agent: Rob Peterson
Address: 797 Mayport Rd City Atlantic Beach State FL Zip 32233
Office Phone 904-241-1222 Job Site/Contact Number_904-334-1202 Fax#_904-241-4310
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 cet4 thc.'t:o work or inhas commenced prior to the
issuance of a permit and that all work will be pet formed to meet the stattdat ds of all laws regulating const action in this jurisdiction. This permit becomes null
and void if work is not commenced within six(ti)months, or if construction or work is suspended or abandoned for a period of six6)months at any time after
work is conmtenced. I understand that separate permits must be secured for Electrical Work, Plunrfiing,Signs, Wells, Pools, urnaces, 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 I have read and examined this application 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 specified herein or not. The granting 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 pet formance of constru.tion.
G�Signature of Owner pp Signature of Ccntractor
Print Name i-e — -�t
r...C�' ...................................... Print Name a6+.�1-..... 3.. ......................................
Sworn to and subscribed before me and siioscribed before me
this Day of �'� - - ay _. 20 t
47139*8"'01'53E MURMY �' �AEE1W29-
I 85723 2,2016
Notary Public S Apr#02,2016 15� Fb,cam I • •' ,
r�rrut,H I IUM NUMBER
Building Department (To be assigned b the Building Department.)
800 Seminole Road
. � t -5445 R_R:CE1V i`�,
Atlantic Beach, Florida 32233
Phone (904)247-5826 • Fax(904) 247-58 5 4
9- P @ JUL 1 4 2014 Date routed: i
E-mail: buildin de t coab.us ' �
City web-sitehttp://www coab.us
APPLICATION REVIE ING FGRRA
0 mQ Q� - Depart'"_ant review required Yes No
Property Address: buildin
1 lannim;; �: Z
Applicant: Tree Ao - r-iistrator
r u lic
Project
: is l iliEies
Pu is .:.�y _
Fire Servies
Review fee Dept Signature _
$
Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified R
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: Xpproved. [-]Denis
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: -�
TREE ADMIN. Second Review: []Approved as revised. []Denied.
I Comments:
LIC UTILITIE
P BLIC SAFE Reviewed by: _ Date:
Third Review: ❑Approved as revised. ❑Dd
enie
FIRE SERVICES
Comments:
Reviewed by: Date:
Revised 05/14/09
IS U ILDIN G YERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 201 Ma ort Rd.
Permit Number:
Legal Description see surve ow ea o q. t. Parcel# sq.Ft
Valuation of Work$ 4500.00 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/pro osed structure(s)(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 approval 161,1111,
Describe in detail the tvne of work to be performed: install 6'chain link fence per site plan for construction storage and
laydown yard.
Property Owner Information:
Name: Beaches Habitat Address: 797 Mayport Rd
City Atlantic Beach State FL Zip 32233 Phone#904-241-1222
E-Mail or Fax#(Optional)
Contractor Information:
Qualifying Agent: Rob Peterson
Company Name: Beaches Habitat City Atlantic Beach State FL Zip 32233
Address: 797 Ma ort Rd
Job Site/Contact Number_904-334-1202_ Fax#_904-241-431
Office Phone 904-241-1222
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
that
k or installation has commenc
Application is hereby made to k we et,njit to pe�othe
�med tothe omeetrk tthe standardssof all as lawsr egtdatincated. I g onstru�tionrin this jurirdict on. TI is pern it becomesrior on 11
issuance of a permit and p
and void if work
tcedlot I commenced nderstar d thatissix epai ate permitsomust be sei toed for Electrical-Work,l Plumbing,Signs,aWells, P eriod olsX��irnaees,SBoile s,at any tHeaters,
work is co
Tanks and Air Conditioners,etc.
OTICE OF
WARNING TO OWNER: YOUR O�P�To
TWICE OR IMPROVEMENTS
COMMENCEMENT MAY RESULTFINANCING CONSULT
TO YOUR PROPERTY. IF YOU INTENDEY RECORD NG YOUR NOTICE OF H
YOUR LENDER OR AN ATTO OMMENCEMENT.
e same to be permit does not presume to give authority to violate or cancel the
1 hereby certify thate have read complied with whethrer stleciaepolhe reuii or�ot�o The granting of aip and correct. All provisions of IaN.r and ordinances governing this
type of work will b p
provisions of arty other federal,state,or local law regulating construction or the performance of corisn ucnon.
Signature of Contractor
c�
Signature of Owner -
IA! Print Name �4. '..... 3.s ,..............................................................
Print Name �S;..S�' ......................................
..................................... .. . .
Wnrn to and subscribed before me 20 1
Sworn to and subscribed before me ay
this Day of �°'j LE MURRAY MY CC1t16SIQNaRE189291
`/j^� ''• MY COMMISSI 85723 "• 2,2016
• EXPIRES Apri102,2016 4p 153 11 pm__W w Service coo
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