1065 Hibiscus 2014 fence CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
J
—Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J�JIil�` FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY TNSP CTTON- 47-SR14
]OB INFORMATION:
Job ID: 14-FNCE-291
Job Type: FENCE PERMIT
Description: 6 ft fence
Estimated Value:
Issue Date: 10/29/2014
Expiration Date: 4/27/2015
PROPERTY ADDRESS:
Address: 1065 HIBISCUS ST
RE Number: 171088-0108
PROPERTY OWNER:
Name: DEARMS, MEME ROSE
Address: 761 CRAWFORD CT
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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BUILDING PERMIT APPLICATION � � � C 0 T M
CITY OF ATLANTIC BEACH T 22 14
800 Seminole Road, Atlantic Beach, FL 32233 OCT
Office (904) 247-5826 Fax(904) 247-5845
Job Address: 0 0 5 P i L u S Permit Number:
Legal Description Parcel #
fFloor Area o q. t. Sq.Ft
Valuation of Work$ 460, 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 type of work to be performed: <7)
Property Owner Information:
Name: SAL--r A-t R— OOVAr S, L Pr e- Address: P-0 1>0 a9759
City State Zip_31Z�Phone O 3 0—7
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Qualifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number Fax#
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 this jurisdiction. This permit becomes null
and void f 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 anytime after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,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.
I hereb 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.)., k will be complied with whether specs ted herein or not. The granting of a permit does not presume to gave authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
1.
Signature of Owner 61�
V Signature of Contractor
Print Name 0 L1 V F=q _� ..".... .......... Print Name
........
........................................................................................................................................
u
Bef Before me
20f —
this ay of ) this Day of ,20
No Notary Public
,20 *'vgc= JENNIFER WALKER
MY COMMISSION#FF 011480 Revised 01.26.10
a€ EXPIRES:April 24,2017
Bonded Thru Notary Public Undetwdtlrtl
City of Atlantic Beach APPLICATION NUMBER
s r 1 Building Department (To be assigned by the Building Department.)
ii 800 Seminole Roadrll
/� Z
Atlantic Beach, Florida 322:33-5445 v 9/
Phone(904)247-5826 • Fax(904)247-5845
City web-site: http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: .4'*� A !j Departnaent review required Yes No
Buildi
Applicant: tanning &Zoning
Project: Public Works
Public Utilities
Public Safety
Fire SE es
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: JxApproved. ❑Deni- 11
(Circle one.) Comments: fCnGG er_,n �e A,0 Geo-re.r eO
BUILDING 44c, -(r,,,,7 p/or,.,41 I ,,,e
PLANNING &ZONING Reviewed by: Date: y
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. ❑Deni,
Comments:
Reviewed by: Date:
REVISED 09252014