49 ARDELLA FENCE s
=� s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
f•
�JJfI>f'
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-FNCE-1010
Job Type: FENCE PERMIT
Description: 4ft 6ft fence gate
Estimated Value:
Issue Date: 5/12/2015
Expiration Date: 11/8/2015
PROPERTY ADDRESS:
Address: 49 ARDELLA RD
RE Number: 172059-0000
PROPERTY OWNER:
Name: CONSELICE JR TRUST, JOSEPH J
Address: 209 S OAK DR
GENERAL CONTRACTOR INFORMATION:
Name: DARMATA FENCE INC
Address: 6950 HYDE GROVE AVE DANIEL L DARMATA & JAMES
RICH
Phone: - -
PERMIT INFORMATION: UTILITY DEPT.:
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of
utilities. Hand dig if necessary. If field coordination is needed, call 247-5834.
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 Department.)
=» 800 Seminole Road
Atlantic Beach, Florida 32233-5445 ,V
t Phone(904)247-5826 • Fax(904)247-5845 / Z
E-mail: building-dept@coab.us IL Date routed: �y
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ` / �.d �� Department review required Yes No
p Y B .
Applicant: Planning &Zoning
ra or
Project: ublic W rks
ub is Utilitie
u is a ety
Fire Services
Reuiew fee,/ C3ept Signature 4 .4
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: Q proved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: � �S
TREE ADMIN. Second Review: ❑Approved as revised. JDeniecl.
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
rSLyrJ�, City of Atlantic Beach APPLICATION NUMBER
JS to Building Department (To be assigned by the Building Department.)
r v 800 Seminole Road A/
' Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 J
E-mail: building-dept@coab.us Date routed: �f Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
s B
Applicant: Planning &Zoning
J4re ra or
Project: Jub
u is lities
u lic Safety
Fire 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: XApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:� � Date: S S
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
fu
BUILDING PERMIT APPLICATION ILI,
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address:
Permit Number:
Legal Description
oor ea
Valuation of Work o q t Parcel #
$ �4�.` Proposed Work heated/cooledt
non-heated/cooled ---
Class of Work(circle one): New Addition Altera Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)((circle one
If an existing structure,is a fire spriWer system installed.meirc a one): Residential /A
Florida Product Approval# a_.----j
For multiple products use product approval form
Describe in detail the type of work to be performed:
s � t ,�-•.rte �� � /"��n�.. � 1 � �—�
Pronet-ty Owner Information•
Name: 1(�Icr p
�- U f a w- Address:
City State JjZip z z SU phone j
E-Mail i ax (Optional) 2-
Contractor Information: CONTRACTOR EMAIL ADD SS.
Company ame: t e
Address: r �� Qualifying Agent. A \ cjr,M4
Office Phone City mr^K State L
io / Job Site/Contact Number -sa M e �-__Zip
State Certification/Registration# Fax#
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. I 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 i-vork is not commenced within six(6)months, or if construction or work is suspended or abandoned fora installation
eriod ofstx 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wel/s,Pools, izrnaces,Boilers,Healers,
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 ATTORNEY BEFORE RECORDING YOUR NOTICE E OF
I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of aws an dinances governir
type oPwork will be complied with whether sped led herein or not. The granting of a permit does not r e to gI authority o v• ante
Provisions of any other federal,state, or local law regulating construction or the performance of constrz Ion.
l e_
Signature of Owner #�
dC Signature of Contra or
Print Name
..........�3 .... ..�..!!✓........ ............ ..S..c ...................... Print Name
BefI D W)- ...1..e ...........v ......
.......................................................
this D o 20 Be e
this D o 20
Votary Public
u ley L aham
• �aMy Commis ion FF 6
'70 orw�' expire,02/14t2ois R vise d 01.26.10
City of Atlantic Beach APPLICATION NUMBER
Js y i7 Building Department (To be assigned by the Building Department.)
• 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 /
E-mail: building-dept@coab.us Date routed: f Z S
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ` AJ ILIA-.. Department review required Yes No
B
Applicant: Planning &Zoning
ree ra or
0.
Project: r 7- Jc 0 o
Public Utilities
is Safety
Fire 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:
APPLIC TION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date: 5 11 ZI
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied.
44' ,
WOR Comments:
TI TIES
PUVAF—ET/ Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
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