1549 Beach Ave fence 2015 ' 'I SS 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-865
Job Type: FENCE PERMIT
Description: 4ft fence
Estimated Value:
Issue Date: 4/20/2015
Expiration Date: 10/17/2015
PROPERTY ADDRESS:
Address: 1549 BEACH AVE
RE Number: 170311-0000
PROPERTY OWNER:
Name: HUDSON TRUST, LEAH H
Address: PO BOX 50219 PO BOX 50219
GENERAL CONTRACTOR INFORMATION:
Name: CONSTRUCTION SPECIALTIES OF N FL
Address: 1309 Clements RD
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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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
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Job Address: 15 4/17 -Z&-.4 Pv-e� Permit Nu ber:
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Legal Description Zao-s 5a, 7S Parcel#
Floor Area ot Sq.1-t. Sq 't
500 Proposed work heated/cooled non-heated/cooled
Valuation of Work S
Class of Work(circle one): Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial r&E;s-i d e n t i a,0
If an existing structure,is a fire sprinkler system installed? (Circle one): es No A
,�D
['1orida Product Approval #
For multiple products use produFt- app-r-o-N-,51-rorm
Describe in detail the type of work to be performed: FEM(,(. -Pro s,4n 11 Acr
41t,&, . rei
Property Owner Information:
-'�4ame: Address: J5412 &0-6-4 14l"t-
Phone
-ity
Stateft
E-Mail or Fax# (Optional)
Contractor Information:
Company Name:
Qualifying Agent: DgRoj
Address: 13 o,;el 1�S Rb C i t State Z if)sca..;�I t
X#
Office Phoneqoq-*
V-SS54 Job Site/Contact NumDhi�r 3Er-r-,a5�-- 8 -2 o 3 Ji
State Certification/Registration# g.c.
Architect Name& Phone 9 AIKI
Engineer's Name& Phone# /11
Fee Simple Title Holder Name and Address A
Bonding Company Name and Address__,A��........���
Mortgage Lender Name and Address__ 4��l
de, ob n a e i , do he work and in a n nd"cgd 'certify that no work or installation has commencedprior to the
a ng construction in this jurisdiction. This permit becomes null
s 11 ws guil t f six(6)months at any time after
al a e
or is'.
0 rm t 0 st "a i0d 1 k n ed or abandonedfor period o
f
li I be per or_ed to m t the tan a
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'o ereby mda th a 'k
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at wo w
0 -p k it c d",,h,",(6)month', or , n't ct 0 or I ctrica a', 17411s, Pools, Furnaces, Boilers, Heaters,
ot co, " , d 't i Z, t 0 r' f OE k Plumbing,Signs,
,.d d, w. T t
"',k , mn""'d. I u'de"t" that separate 1,"m ,m be secured o e
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.
f hereby cerli lication and know the same to be true and correct. All provisions of laws and ordinances governicneg this
,4-that I have read and examined this app or can 1 the
—pe Of work will be complied with whetherspecifled herein or not. The granting of a permit does not presume to give authority to violate
�'�ovisions of any otherfederal, state, or loca aw,regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name 1�c. ..................................
rint Name ..........011��
t
,,worn n and subscr
jj�ed,,,efore me /5 Swo M*and subscribed bqfore me
Day of I?X this Day of 14ec,-1 20 J�
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otary PLIblic
MY COMMISSION#FF01 1137
OMMISSION#FF01 1137
MYC
EXPIRES April 2Kaoi-wed 1.26.10
RES April 23,2017
EXPI
(407).111.8-01 Floridallotaryiiervicexom 1 (407)398-0153 FloridallotaryServicexom
City iA Atlantic F�'e a c h
Building Department APPLICATION NUMBER
(To bp Rssigned by the Building Depa ent
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247,6826 - �,qx(904)247 1-845
E-mail: building-dept@coab.us EDate routed:
Cityweb-site httIxHwwwcoabA1S
APPIUCATOIN REV�MAR§ AS H03 TRACKNIG FORM/i
FIDepartinent review required -Ve—s --No-]
Q - 1". -
nin
Planning &Zoning
Q
P p -- -----
P ro 1., ubl_c--r"s
Public Utilities
u
Public Safety
ty
tFire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verifi By Date
Florida Dept.of Environmental Protection
Florida Dept. of Transportation T
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPL�CATION-STATUS
Reviewing Depariment First Review: ;NApproved FIDenied
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed b
D a t e:
/j
TREE ADIMIN Second Review: DApproved as revised. DIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: DApproved as revised. DIDenied.
Comments:
Reviewed by.- Date:
-vised 07/27/10