398 11th Street FENCE (----
- y�J�<�yf `�' CITY OF ATLANTIC BEACH
SSA
_ f 800 SEMINOLE ROAD
,`+) �r 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-916
Job Type: FENCE PERMIT
Description: 6FT FENCE
Estimated Value:
Issue Date: 7/6/2015
Expiration Date: 1/2/2016
PROPERTY ADDRESS:
Address: 398 11TH ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
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 Department.)
6 ..
800 Seminole Road / /t</)(y 9/
Atlantic Beach, Florida 32233-5445 G Ci
Phone(904) 247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: `City web-site: http://www.coab.us /��
APPLICATION REVIEW AND TRACKING FORM
Property Address: 351 / / "I sr _ Department review required Yes ' No
Building
Applicant: ' tj nning & oni
ee minis ra or
Project: 617C, Public Works
Public Utilities
Public 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: pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING /V 0.7
Reviewed by:� Date: Jf
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. F 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
Job Address: 398 11th Street - Atlantic Beach,FL 32233 Permit Number:
Legal Description 5-69 16-2S-29E.17 ATLANTIC BEACH 03101 Parcel# Lot 47 Blk 13
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): OM 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 product approval form
Describe in detail the type of work to be performed: Install new 6'board on board fence
Property Owner Information:
Name:Lindley Tolbert Design,Inc. Address: 465 Beach Ave
City Atlantic Beach State FLZip 32233 Phone 904-234-7140
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Bosco Building Contractors,Inc. Qualifying Agent: Todd A. Bosco
Address: 2158 Mayport Rd City Atlantic Beach State FL Zip 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326
State Certification/Registration#CBC 1250212
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. 1 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 work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
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 OF
COMMENCEMENT.
1 hereby certify that I have r='d and ,mined this.a,plicat''n and know the same to be true and correct. All provisions of laws and ordinan • governing this
type of work will be compli: with •ther ••c re, er:=n or not. The granting of a permit does not presume to give authority to vii ate or cancel the
provisions of any other feder'1,scat loc' • eg- 'ti _ co• • on or the performance of construction. -
Signature of Owner A•, Signature of Contr. or /
Print Name Lindley Tolbert _ _..._ Print Name Todd A. Bosco
Sworn tp and subscribed before me Sworn tq,and subscribed before me
c �
this Day of ,20 /1- this Day of c'A ,20 I
0,6t%.. 14a. it)dAt'
Notary Public Notary Public
WILLIAM L.POPE WILLIAM L.POPE Revised 01.26.10
Notary Public,State of Florida Notary Public,State of Florida
My Comm.Expires Oct 19,2P15 My Comm.Expires Oct.19,20.15
Commission No.EE 128745 Commission No.EE 128746