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03 Camelia St 2015 sidewalk �i rL�1,rJv� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD U ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROW-266 Job Type: RIGHT-OF-WAY PERMIT Description: SIDEWALK- CONCRETE Estimated Value: Issue Date: 2/12/2015 Expiration Date: 8/11/2015 PROPERTY ADDRESS: Address: 603 CAMELIA ST RE Number: 170917-0900 PROPERTY OWNER: Name: WALINSKY, LILLIAN Address: 603 CAMELIA ST PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site during construction. 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. , CITY OF ATLANTIC BEACH f 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: 15-FNCE-265 Job Type: FENCE PERMIT Description: 6FT FENCE Estimated Value: Issue Date: 2/12/2015 Expiration Date: 8/11/2015 PROPERTY ADDRESS: Address: 603 CAMELIA ST RE Number: 170917-0900 PROPERTY OWNER: Name: WALINSKY, LILLIAN Address: 603 CAMELIA ST GENERAL CONTRACTOR INFORMATION: Name: SUPERIOR FENCE AND RAIL OF NFL Address: 5470 HIGHWAY AVE 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. 230 SF - 23'7"- — — — — - - - - - - - - - - - - - - 1 I a;an�s i_ Additionni 1 18' 1 j I i RESIDENT HOME -7'5"— 603 CAMILA STREET 1 1 ATLANTIC BEACH, FL 32233 a 1 i { 104 SF Total 334 SF Note: Needed for Permit 2 copies of Map Zone (Survey ) Draw dimensions shown above. And list on Permit Application You are doinm a Sidewalk Addition. City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site. http://www coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: uuuu�� Building anning LL Applicant: �' Tree Administrator Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: X*� [/ ��_Date: IS 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 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach,Fl, 32233 Office (904) 247-5826 Fax(904) 247-5845 �IA1� f�c: Permit Number: lob Address: a 3 z 71P5 /D�'��" Parcel# ,egal Description / Floor ea o q. t. t Jaluatto■• f Work$ 7 Proposed Work heated/cooled non-heated/cooled Jlass of Work(circle one): (�e Addition Alteration Repair Move Demolition pool/spa window/door circle one):. Commercial idential ,, Jse of existing/proposed.structure(s) If an existing structure, s a fire sprinkler system installed? (Circle one): es o N/A :lorida Product Approval# For multiple products use product approval JIM III C.woof-') Describe in detail the type of work to be performed: /✓ Hnc& d N A10 /o f" /iNe Prop Prty Owner Information: R eV �/ r 1^J Address: 3 e/�flet!/eq 57— Ne' Stat- Zi 3"_G=3 Phone �[�a 2 35 3 6 City A1"e e&r/C F3 I9� / p E-Mail or Fax#(Optional) Contractor Information: Company Name:—';?074& Awe f/`�'/ Qualifym Agent:�� State L Zip r /�('.f/COt�j h V(=ry City Address: 90 y 3i Z 2 222/ Fax# Office Phone Job Site/Contact Number ��1 .� _ 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 no wo k or becomes Application is hereby made to obtain a ill be eo do the ormed toork and meet thetrstandards ns as f all lawsted I certify r, in regulati S abate cued for a t installation jurisdiction.c m Phsmttanyrtime afteior to r issuance of a permit and that all work wt p rf and void if work is not commenced within six(6)months, or if construction o work is suspended o work is commenced I understand that separate permits must be secured for Electrics!Rork,Plumbing,Signs, ells,Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,etc NOTICE OF WARNING TO OWNER: YOUR FAILURE TI AYING TWICE AR IMPROVEMENTS COMMENCEMENT MAY RESULT IN YOU TO YOUR PROPERTY. IF YOU INTEND TO OBTAINH YOUR LENDER OR AN ATTORNEYERECORDING YOUR NOTICE OF COMMENCEMENT. nether s eci ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the 1 here certify that 1 have read and examined amined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type o�work will be complied with p provisions of arty other federal,state, or local law regulating construction or the performance of construction. Signature of Contra Signature of Owner ';•*""'` DAVID Print FLEISCHMANN Print Name MISSION.#EFF157186.. .... „:.......................................... E{SCHMANN .............................. Print Name Sr?j. l._• � ;a''"' :DAVID EARL 4,2018 +�, �d�.• EXPIRES September Sworn to and to s bad fssiort FF157188 0 Sworn to and subscrib'd e F this Z Da b£ this,_Day of No N Revised 01.26.10 0 230 SF 1 - 23'7"- ? 1 ' Sidewalk Addition - - - - - - - - - - - - - - - - --- — �_,_ 18' 1 I I 1 i RESIDENT HOME -715"- 603 CAMILA STREET 1 1 ATLANTIC BEACH, FL 32233 1 1 1 A Y 104 SF Total 334 SF Note: Needed for Permit 2 copies of Map Zone (Survey ) Draw dimensions shown above. And list on Permit Application You are doino a Sidewalk Addition. 8� ad � 0 LU 9 • J� � p ,.;�. erg '� � _& � , fY 3pj r r �r Go' 'el At �•4 ��z o I J C k fj av o VI i �a BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach,FL 32233 Office (904)247-5826 Fax(904)247-5845 lob Address:G�o3 ��'��/� sT Permit Number: ,egal Description tv N��' Parcel# dor ea o q. t. q. t ialuation of Work$-1 5'S O Proposed Work heated/cooled non-heated/cooled lass of Work(circle one): New Additio Alteration Repair Move Demolition pooVspa window/door Tse of existing/proposed structures)(circle one):. Commercial esidentia I an eidsting structure,is a fire spnnkler system installed?(Circle one): es o N/ :lorida Product Approval# For multiple products use pr uct approva orm Describe in detail the a of work to be performed: Property Owner Information: Names KY Address:401 Gad City AT�a�,�T,-�c �3�'�Jc StateZip ��Z Phone 8�O 25-5 6 4! 3 E-Mail or Fax#(Optional) Contractor Information: / ,p els (,C7rl/C/�� Quali mg Agent: Zi 3GZ Company Name: �� City lyr/J/V -e eC '1 State_�_ p— - Address: �U 7aL� Fax# Office Phone RW 2 � 36`�'-3 Job Site/Contact Number Q Ori 2 3S 36 - 3 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 ation has the Application is hereby made al obtain pe to do the domed work and theirs a llations as ndards of link s regulating Construction,h thisjurisdiction.hat no work or This permit bectime a omesrior nu°fter issuance of a permit p p and void o work isnot d I u unnced der-stand that separate permits must be secured for Electrical Work,Plumbing,Signs,aWells Po Is,XFurnaces Boilmonths at er ,Heaters, work is Tanks and Air Conditioners,ete WARNING TO OWNER: YOU YOUR PREYTO ING WILE FOR IOM NOTICE MENTS COMMENCEMENT MAY RESULT CONSULT TO YOUR PROPERTY. IF YOU INTEND TOOOBTAINRE RECORDINGO'�NOTICE F H YOUR LENDER OR AN ATTORNEYNV ENCEMENT. correc. rovisions of laws and ordinances governing this I hereby certify that I have read and examined this plication a } ume to give authority to violate or cancel the type of work will be complied with whether speei ed herein or t:�► � 5 provisions of any other federal,state, or local law regulating co tidh oP therp o rr►n°!S,i c tember 4.2018 J; EXPIRES Sep .... . .. .. . Signature of Owner S .o' ' �1 / Print Name s rq._N.___..�.�.l.N_.sK _.._._____...._..____._._____..... Print Name �...............................__...___.._._____. Sworn to and subscribed bef Sworn to and subscribed before me 0 HMANN this Day this Z Day of �� • Aly COMMISSION*FF157186 1s N is t40 ,,J�w01:� F,undafdutaryService.eom vlsedII1.26.10 City of Atlantic Beach fla"OCEIVED APPLICATION NUMBER ;•rs-- r,,, (To be assigned by the Building Department.) �. Building Department 'l Boo Seminole Road FEB 0 4 2015 �w - �ui0 1 P Atlantic Beach, Florida 32233-5445 / z Phone(904)247-5826 Fax(904) Y 5fa ��;.i E-mail: building -dept@coab.us Date routed: City web-site: http://vwvw.coab.us APPLICATION REVIEW AND TRACKING FORM J7 Department review required Yes No Property Address: IDD �� h,4, Building /I✓ n C r6'rE Planning &Zoning Applicant: Tree Administrator G u Ii c Works Project: ` f Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By 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. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: .ti Date: 2 S TREE ADMIN. Second Review: ❑Approved as revised. ❑ ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10