1090 SEMINOLE RD 2015 FENCE it r Jai'`
`s 6 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
+} �r 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: 15-FNCE-148
Job Type: FENCE PERMIT
Description: 6FT FENCE
Estimated Value:
Issue Date: 1/27/2015
Expiration Date: 7/26/2015
PROPERTY ADDRESS:
Address: 1090 SEMINOLE RD
RE Number: 171976-0000
PROPERTY OWNER:
Name: RAS, EDWARD M
Address: 1090 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: EASTERN SHORES CONSTRUCTION
Address: 1015 ATLANTIC BLVD QA ROBERT ROY LEI NENWEBER
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.
N.-P--.1HOWING SURVEN-.CS`
THE NORTIi 100.00 FEET,. OF LOT 80 BLOCK 7, SELVA MAR3NAj, UNIT NO. 3, AS RECORDED IN PIAT
BOOK 29) PAGE 27, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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iii L''J � City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
.f 800 Seminole Road
Atlantic Beach, Florida 32233-5445 G
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /� �� SfA(1�7701J /C.QI Department review required Yes No
Buil '
Applicant: Elf 5 7-Ee-n 0rLo 0-1anning &ZoDj6
Tree Adaiinistrator
Project: C �, Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date
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: XApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING y /i�-�! �
Reviewed by: Date:
TREEADMIN.
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 07127110
Y : BUILDING PERMIT APPLICATION
t CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: k010 SaW " `._ Permit Number:
Legal Description Parcel #
Floor Area of S .Ft.Valuation of Work$ 0 D Proposed Work heated/cooled non -heated/cooled
Class of Work(circle one): (NeDwAddition Alteration Repai Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Resident/
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval#
For multiple products use product approva
Describe in detail the type of work to be pformed: G•I � f �-� �'GG�` ��► l �'`�
1�'D YP_�4, I lj�-
Property Owner Information:
Name: � 1Address: 10 ei 6 -se, J, Z J
City State_ ipPhone oy -S`'IS --lCi'1
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: C-00�V 0 '�noll� Gj,A 44�LAI� _ Qualifying �}L� s_
p Y S _Quali in A ent: � �t-i- �y�q.n de�
Address: i �k &&In L ILS 4.. 1 M o City ��•- qtr State Zip ;Z13-3
Office Phone -1is11 Job Site/Contact Number Fax#
State Certification/Registration# c2t5t, OIc t �3 3
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. 1 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 if 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 any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, We/ls,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 TORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read a t 's app cation and know the same to be true and correct. All provisions f laws and ordinances governing this
type o1 work will be in lie it eczfi herein or not. The granting of a permit does notpresume t give authority to violate or cancel the
provisions of any other feder ate w gzilating construction or the performance of construction.
Signature of Signature of Contract
Print Name Print Name
....................... ................................................................................................................ ........ ............. ......................................................................................................
Be f e Be
thi ay of 20 this ay of t zd 20
P LA "ZA�_
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ll d ublic Site of Florid
r° Y Notary Pub c State of on a =°
Shirley L Grah m /sed 01.26.10
Shirley L Graham <
< c My Commission FF 086990
o*P My Commission FF 086990 or f�oa Expires 02/14!2018
of n Expires 02/14/2018
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
Address of property being improved: t3 l J J Q—
General description of improvements: 4-VIA
Owner Wi rc_-
Address U Aj 1 v 'k-Lo
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor S 2rn S��fQn P �1A\v
Address U 1 � �- .� v 1^�2 p Cni� �— 2�
v T
Phone No. Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration dale is on fro the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY
Slgned: DATE
e y o in the
County of Duval,State of Florida,has personally appeared
herein by
himself/herself and affirms that all statements and declarations herein
are true and accurate
� r? ---
Notary Pu Coun of
My commission expire
Person or
Produ Ide jpn pa
mhdrta
Shirley L Graham
ys � My Commission FF 086990
aw Expires 02/1412018