1175 Seminole Rd 2014 fenceCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID:
14-FNCE-458
Job Type:
FENCE PERMIT
Description:
6ft fence
Estimated Value:
Issue Date:
11/20/2014
Expiration Date:
5/19/2015
PROPERTY ADDRESS:
Address:
1175 SEMINOLE RD
RE Number:
171890-0000
PROPERTY OWNER:
Name:
NAUMANN LIFE ESTATE, ANNELIESE,
Address:
908 PRINCE PHILLIP DR 908 PRINCE PHILLIP DR
GENERAL CONTRACTOR INFORMATION:
Name:
MACK BROTHERS GENERAL CTRS.
Address:
5521 BARKER ST FREDERICK W MACK
Phone: - -
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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City of Atlantic Beach
Building DepartrneL
800 Seminole Road
Atlantic Beach, Florida 322:33-5445
Phone (904) 247-5826 - Fax (904) 247-5845
City web -site: http://wvAtw.,,3i:)ab.us
F ;WJ � � I 1 1!!11 111111! 11
Proper�y Address. //76-
Applican-i: k
Project:I/
6 Y_ ",
Review fee $
^ONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTAC IT #
Reviewing Department
(Circle one.)
BUILDING
PLANNING & ZONING
TREE ADMIN.
PUBLIC WORKS
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES
REVISED 09252014
APPLICATION NUMBER
'To be asSig a by the Building Depart
Date routed:
Ueparlmant review required— Yes No
EBuildin
-
:nn i n 1g, '. =Zo toning
n:g
I ree AdMinistrator —
15_u_blicWork_s�l
Public
1-'ii
llc_it
ie
s
Public Safety
Fire erves
,:
Dept Signature
APPLICATION STATUS
First Review: XApproved.
Comments: []Denie-�
Reviewed by:
Second Review: []Approved as revised. []Denied.
Comments:
Reviewed by:
7hird Review;, []Approved as revised. []Deniers.
'ornments:
Reviewed by:
Date. -
Date:
Date:
Job Address:
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
1175 Seminole Rd.
Legal Description
23-4 16 -2S -29E Selva Marina Unit 1 Lot3 Blk
Floor-Ar—ea of Sq.Ft.
Valuation of Work $ 11-5,00, Do Proposed Work heated/cooled
Permit Number:
aq.rt
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):installed?
Residential
If an existing structure, is a fire sprinkler system nstalled? (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:
Property Owner Information:
Name: 221 Oleander, LLC Address. P.O. Box 11508
City Jacksonville StateFLZip 32239 Phone 904-502-3414
E -Mail or Fax # (Optional)
Contractor Information:
Mack Brothers Building Contractors, Inc. Frederick W Mack
Company Name: Qualifying Agent:
Address: 1546 Girvin Rd Unit 1 City Jacksonville State FL Zip 32225
Office Phone 9 o4 - .. 0- 2 5 n n Job Site/ Contact Number 9 0 4- 2 3 7- 0 8 6 8 Fax # 904-.237 - 0868
State Ceti i ficat ion/Registration # rRCI 2c; R n r, 2
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. This permit becomes null
and void if ivork is not commenced within six (6) months, or if construction or work is suspended o• abandoned fo• a period of six (6) months at any time after
work is commenced. I understand that separate permits mast 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 here, certify that / have read and examined this application and knots, the same to be true and correct. All provisions of laws and ordinances governing this
tvpe of work will be complied with whether s eci red herein o t. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fe 1, state, or loco w regulating cobstAitchon or the performance of construction.
Signature of Owner
Print Name . L ,la-...�... ......
Sworn t and subscribed before me
this /$ay of A 20 /i/
Notary Pub1W
'
'rP' "•
PAMELA HRYNC7L4,2O
_. `
MY COMMISSION #4
EXPIRES: MarchBonded
Thru Notary Publiteers
Signature of Contractor
Print Name �� ' L✓ �'�—
............................�................................._....................................................._
Swornto and subscrib before me
this `Day of IV ove,.v6"
147
PAMELA HRYNCEWICZ wised 01.26.10
MY COMMISSION # FF 098164
EXPIRES: March 4, 2018
Bonded Thru Notary Public Underwriters