1802 Seminole Rd 2015 Fence S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
7 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-640
Job Type: FENCE PERMIT
Description: 6 ft. fence
Estimated Value:
Issue Date: 3/30/2015
Expiration Date: 9/26/2015
PROPERTY ADDRESS:
Address: 1802 SEMINOLE RD
RE Number: 172020-0502
PROPERTY OWNER:
Name: HUGHES, KATHLEEN M
Address: 1802 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: FENCE PRO / SILVERMANJRWIN
Address: 4879 S CLYDO RD APT 2
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.
MAP SHOWING BOUNDARY SURVEY OF
LOT 1 BLOCK 1 ACCORDING TO THE PLAT OF
SELVA MARINA UN[T NO., 9
AS RECORDED IN PLAT BOOK 36 , PAGE(S) 20 OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: KATHLEEN M. HUGHES, UNITED GENERAL TITLE, G.T. CAPITAL MORTGAGE SERVICES,
COMPASS POINTE TITLE SERVTCES, INC. AND VINCENT M. CAPEZZERA, P.A.
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LOT 27 LOT 2
S 89'54'16" W 99.96� (M)
S 89057'19 X 100.00 (R)
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SA MRIBA DRIVE
( 100' RIGHT-Of--WA Y )
PO 0,.,-I E Y 0 CIENERAL NOTES,
v- 1. BEARINGS ARE BASED ON PLAT BOOK 36, PAGE 20
2.STRUCTURE NO. 1802 SHM HEREON UES MTHIN FLOW ZONE X AS BEST
PF U A RrM UAPq PAMM Nn 0001 nATFn04-17-1989-
City of Atlantic Beach !:R
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PPLICATION NUMBER
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Building Department
(To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
(D4 0
Phone(904)247-5826 - Fax(904)247-5845
I, E-mail: building-dept@coab.us t rou
Cityweb-site: http://www.coab.us [[Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department rawiaiq r�-uired Yes No
Buil *
Applicant: fanning & onin
Tree ministrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit V rified By
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: kApproved. OlDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by/
Date--
TREE ADMIN. Second Review: DApproved as revised. OlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: DApproved as revised. FIDenied.
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
Permit Number: IS- F'JC� -(040
Job Address: Sf cce
Legal Description JaO6 0 a Floor Area of Sq.Ft. Parcel# "q. -t
Valuation of Work 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�roduct approval form
Describe in detail the type of work to be performed:_ 1�
Prooertv Owner Information: P-
i VLAO
Name: Address:
City CGH�—� +1-c k5�e�P-f State K-Zlp �-L7,32Phone O�L — 105-
- — —F--4
E-Mail or Fax#(Optional�— -3liu -0
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Contractor information:
CompanyName: ff(7 Qualil ',ig Agent:
Address: !�2 —Cit- State Zip -7 r,
Fax# 6,
S-—04'Z -7Job Site/Contact Numb-
Office Phone L - S_ - -
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
Applicano heeb de a,"n a e d the I and n alla ions�s 'ndic rtify that no work or installation has commencedprior to the
0 in to wor t d,0 a law lin this jurisdiction. This permit becomes null
n 11 r it .0 t t i s n ng c�bns tdr u6c2ido or a period of six(6)months at any time after
p be e ed to m sta ar
t to f t t rk is, or a an
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a P"_it an - -i
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in t ' or con or 0 S.
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'i" .0, , ot coin c r'
en ed 'hi it t 0 , cure or ric P.
is c k'" , -" n -2t" ix 0 be' e d e Wells, Pools, Ftirnaces, Boilers,Heaters,
omm nc unde 'a d eparate per
Tanks and Air Conifftioners,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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
,isia nd know the same to be true and correct. All provisions of laws and ordinances governing this
I herelb certify that I have read and examined th' fp I* t e to give authority to violate or cancel the
ec,le§ ca i n a
work will be complied with whether herein or not. The granting of a permit does not presum
provisions of any otherfederal,state, or localsfaaw regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name .... .........
Print Name ............... .......... ..... ...... .................. .................
"llaffi-le,ew.......... .. ......... ... ..
e
Sworn su cri Swo and subscri
this ay o this Day of .2016
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Nota u Shirley L Graham
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my commission FF 086990 EXPIREJ , ALa
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