392 11th St 2014 fence %-�'11�-Ilj- -
11 SS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
IC BEACH, FL 32233
ATLANT
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-FNCE-669
Job Type: FENCE PERMIT
Description: 6FT FENCE
Estimated Value:
Issue Date: 12/18/2014
Expiration Date: 6/16/2015
PROPERTY ADDRESS:
Address: 392 11TH ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
Phone: - -
PER lIT 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.
CKV of Aflantic Boaach APPLICATION NUMBER
ftilding Departmrz--L,'�`i -o be assigned by the Building D t
800 Seminole Road epar ment.
Atlantic Beach, Florida 322:33-5445
Phone(904)247-5826 - Fax(904)247-5845
H
City web-site: hftp://wv�rw-k-oab.us Date r�outed:
APPUCAT�Ohll REV�EW AND TRACKNG FORM
Proper�hr Address: 3T Deparih-mant reviiew required _V-7e-—s —o
Buildin
i Z
AkppHcan-L iv.5,0 o lanning, on�inga ,
T ir d
. , strator
ree Administrator
Public Works
17 Public Utilities
Public Safety
Fire Services,-
Review fee. — Dept Signature —
t".-ONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPIL�CATn�� STATUS
Reviewing Department First Review: XApproved,
nDenie-,'
(Circle one.)
I Conaments:
BUILDING
P�ANNING 001 ZONING Reviewed b
Y
oe!!�J�Date:_ /y
V17L
TREE ADMIN. Second Review: [:]Approved as revised. DIDenied.
PUBLIC WORKS Corarptenks:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review. ElApproved as revised. [-]Denied.
Corrinients:
Reviewed by:_ Date:
ASED 092520-k-'
BUILDING PERMIT APPLICATION T �
CITY OF ATLANTIC BEACH 014
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845
JobAddress: 392 11th Street-Atlantic Beach, FL 32233 Permit Number:
Legal Description 5-69 16-2S-29E 03101 Atlantic Beach-Lot 43 Block 13 Parcel#
F loor Area of S—q.Ft. gq--.F-t
Valuation of Work S Proposed Work heated/cooled non-heated/cooled
-.09CZ-11
Class of Work(circle one): Z�) Addition Alteration Repair Move Demolition pool/spa window/door
osed structure(s)(circle one): Commercial � esidentia
4.�R
Use of existing/pro es 0
If an existing structure,is a fire sprinkler system installed?(Circle one): s
Florida Product Approval#—_
For multiple products use product approval torm
Descri7*n detail the type of work to be perforrned: installing a new fence
Property Owner Information:
Name:-Lindley Tolbert Design, Inc. Address: 465 Beach Ave
City Atlantic Beach State FLZij) 32233 Phone 904-234-7140
E-Mail or Fax#(optional) lleytolbertdesig�.�orn
Contractor Information:
Company Name: Bosco Building Contractors, Inc. Qualifying Agent: Todd A.Bosco
Address: 2158 Mayport Rd City Atlantic Beach State FL Zip 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 —Fax# 904-241-0326
State Certification/Registration# CBC 1250212
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hereby made to obtain apermit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of apermit and that all work will bepedbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
k* nded or abandonedfor a eriod of sixPO)months at any time after
and void If work is not commenced within six(6)months, or if construction or wor is suspe
work is commenced. I understand that separate permits must be securedfor Electricar work, Plumbing,Signs, ;ells,Ptiols, 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 Y61jR NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this
type ol7work will be complied with wheth r s ecift-e herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state,or lo ating construction or the peiformance of construction.
Signature of Owner Signature of Contractor
Print Name Lindley Tolbert Print Name T dd A.Bosco .....................................................
......................
........................................................................
.........................................................................................................................................
Sworn to and subscribed before me Sworn to and subscribed before me
this 16 Day of 2,0-c-AgniMie ?O/v this /4 Day of 3 20-/f
Z111111,xe�2 411111 A0.41 IL.P-0 P E
Notary Public 00�zz MWAM t.POPE Nofary Public Notary Public,State of Florida
Notary Public,State of Florida RJOV§�M-Wjfg;Oct 19'20'5
My Comm,Expires Oct 19,2015 Commission No.EE 128745
Commission No.EE 128745
2�"l AJREL OAk 21"LAUREL OAR LOT 46
LOT 42 LOT 44
140 CAP,,PIPE
10500 FOUND IRON 150.00'
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NAME OLORI LR!�. OF
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REAR COVERED PORCH 380 sq tL LOT
GARAGE STRUCTURE 576 sq TL
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DRIVEWAY U sq ft.
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INIPERVIOUS IQ FIG 3,57�sq ft.
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--------------- _7
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