1908 Creekside 2015 fence CITY 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: 15-FNCE-588
Job Type: FENCE PERMIT
Description: 6FT FENCE
Estimated Value:
Issue Date: 3/25/2015
Expiration Date: 9/21/2015
PROPERTY ADDRESS:
Address: 1907 CREEKSIDE CIR
RE Number: 172020-1212
PROPERTY OWNER: MAS W
Name: GOODRICH IV, THO
Address: 1907 CREEKSIDE CIR
GENERAL CONTRACTOR INFORMATION:
Name: DUVALFENCE
Address: 11556 -2 PHI PHILLIPS HWY
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.
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Departmen.
800 Seminole Road
Atlantic Beach, Florida 32233-5445 A 7
Phone(904)247-5826 - Pax(904)247-5845
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: 190 7 erf F, ex- Department review required Yes No
Building
-Fra_n_!jn_g_&Zo_ni_n_----)
Applicant: )[C-L- C11--7) e A a
-Tree Administrator
Project: 61T. cl �� C & PublicWorks
T Public Utilities
Public Safety
ff�T Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
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: ZApproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by., Date:
TREE ADMIN. Second Review: FlApproved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 07127110
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 ..........
Job Address: �&_Permit Number:
A)A Parceydu , r Ax
Legal Description C-0 J S�qt
Floor Area ot �q. t.
t
Valuation of Work Proposed Work e t�dlcool 1-d non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
s)(circ e one): Commercial Re
Use of existing/proposed structure( . I sidential N/A
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: 1A15-779-11 A46-V1
?C�6v4c
Property owner Information: Address
Name: ()Ak (-OC9 VCC_1^_
city i5ecu'—U\, State-ELZip 3e.1-33 Phone !Rcrq qC1 92
--t-0 Sgl,aM , 1. C4-=,_4
E-Mail or Fax# (optional) J -J;-Z-CAA
Contractor information: Qualifying Agent: E)AvtjP pg__v^44 0 4
Company Name: A10 y city State Fz- zip
Address: Fax# 9 04
OfficePhone 04-2-60 - 4-14-7 Job Site/Contact Number
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 it to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
Application is hereby made to obtain a perm fi d t the standards of all laws regulating construction in this jurisdiction. This permit becomes null
(a permit and that all work will be per orme tomee d 0 a period ofsi%)months at anytime after
'ssuance 0 'k is not commenced within six(6)months, or if construction or work is suspended or abandone f r Wells, Pools, urnaces, Boilers,Heaters,
and void i w p st be secured for Electrica[Work, Plumbing,Sikns,
or
work is cL menced I understand that separate permits mu
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
ted this application and know the same to be true and correct. All provisions of laws and ordinances governing this
I hereb certify that I have read and examir, f,, n or not. The granting of a permit does not presume to give authority to violate or cancel the
type o7work will be complied with whether s eci ted herei construction or the pe�formance of construction.
provisions of any otherfederal,s , or local raw regula
Signature of Owner z Signature of Contracto
If&AA I't................................. Print Na
,C me ......... .... ..........
... .. ...140
Print Name .............&t.j DV.V
Sworn to and subscribil before me Sworn to and subscribed before me 20 12�_
�n -May of lu e-
this 1z
this_t2n_Day of 20-L—
Notary Pu lic MORRIS E PETE
#arrO95744 o95744
Notary Public
MMISS104
EXPIRES MOV 22'20A5 EX _S May 2015
.0091 FW44 M"'Oom
F ��07)3 __i53
NOTICE OF COMMENCEMENT
State of Dk Tax Folio No.
Countyof AA-i
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 COMMJENCEMEN
Legal Description of property being improved: LaLy
C
Address of property being improved:
General description of improvements: f/V
Owner: 6 c)(-,)Pou ca Address: 0-7
Owner's interest in site of the improvement: 0,-,, Aj A.Tj 77C 6fylp-�
Fee Simple Titleholder(if other than owner): Doc 4 20115058097,OR 6K 17096 Page 692,
Number Pages� I
Name: Recorded 03'113 2015 at 12:3"PIVI,
Contractor: r Ronnie Fussell�LERK CIRCUIT COURT DUVA
COUNTY
Address: RECORDING$10-00
a*7 Fax No: o -4-
TelephoneNo.: 'L-(p0
Surety(if any) Amount of Bond$
Address:
Telephone 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:
Telephone 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
7131.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER Date:
Signed:
oun Duval,State
Before me this 2--M - day of in the Coun
Of Florid has personally appeared
Notary Public at Large,State of Florida,County of Duval. -7-,
my commission expires: �6/" 600palw
or
wall Known:
c i j?A
MORRIS E P ced Identifica ion: _PftQ_az5 Q—C-6"5;
t
My COMMISSION#EE0195744
in 15
Ely
PIRES May 22,n2015
(407)398-015;1