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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. 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