CE 363-9 Atlantic Blvd 2015 CODE ENFORCEMENT COVER SHEET
LOCATION: G A+l I REST COMM
CASE NUMBER: I ILA NAME: 1
COMPLAINT TYPE: DATE: l�
VIOLATION: A
ACTION:
v INITIAL INSPECTION
DOOR HANGER COURTESY NOTICE
MEETING WITH TENANT ON SITE o Q tN• w uv. �o
INSPECTION
NOTICE OF VIOLATION
REINSPECTION
CHECK STATUS OF CMRRR NOTICE
POSTING NOV AND AFFIDAVIT
MEETING WITH OWNER ON SITE
NOTICE OF HEARING
CODE BOARD MEETINGS
OFFICER STATEMENT FORM
POSTING NOH AND AFFIDAVIT
TELEPHONE CALL
TELEPHONE MESSAGE
NOTICE OF REHEARING
ORDER IMPOSING FINE W/COVERLTR
AFF NON-COMP W/CONTEST LTR
AFFIDAVIT OF COMPLIANCE
FILE LIEN
RECORD LIEN FILE TO CITY CLERK
RELEASE OF LIEN
CE FINE MEMO TO FINANCE
LIEN LETTER
MEETING WITH RESPONDENT
BUILDING PERMIT APPLIED FOR
CLOSED CASE
INTERNAL MEETING
EFER TO CITY ATTY/LIEN
COMPLIANCE MET-6 [j
OWNER OCCUPIED
TENANT OCCUPIED
VACANT
• Y
JACKSONVILLE FIRE AND RESCUE
DEPARTMENT `_
FIRE PREVENTION DIVISION
FIRE SAFETY INSPECTION BILLING FORM
STATE OF FLORIDA STATUTE 633.081(1)
CITY OF JACKSONVILLE ORDINANCE 2004- 1003
Business Name: Date: --
Inspection Type: lk6
Occupant Use:
Inspection Address: 3 1 14-f �cl.c4A i C _&V Occupant Load:
City, State:
Zip code: _ �3 22_-3
Email Address: Business Telephone:
Billing Information:
Billing Address: Billing Telephone:
City, State: Zip code:
Inspection Information:
Square Ft: I.y 6D
TIN: (FEIN/SSN) Number:
Citation or Warning Issued? Yes C-1 No Q Scheduled Return:
Citation/Warning number(s):
Inspection Notes:
Fire Extinguisher:. 7 �� Alarm:
Sprinkler/Riser:
Hood: Hood Cleaning: Hydrant:.
This occupancy meets minimum fire safety requirements at this time. Yes No .
I acknowledge receipt of this inspection form. Inspector
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Name: "p-raCl') Inspector Name: Gy E L D i PIE pr-
Recipient
r-Recipient Title:
'i "�� Inspector Contact Number:
515 N.Julia Street Jacksonville,Florida 32202 (904)630-0445 FAX(904)630-4203 Rev. 03/2014
CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road a,
Atlantic Beach, Florida 32233
PHONE: 247-5855
COURTESY
NOTICE OF VIOLATION;}.
DATE (� ✓� y 1 'IME
�N\OWNER I OCCUPANT
ADDRESS
THE INSPECTION MADE OF THE ABOVE PREM i S ES
THIS DATE DISCLOSED YOU WERE IN VIOLATION J
ORDINANCE: /} S C-C- . zi a— ti; �-i ( 3
OF THE CODE OF THE CITY OF ATLANTIC BI A(:H,
FLORIDA.
YOU CAN COMPLY BY
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— — —
WITHIN �� DAYS OF TH[S N(7TICE
r
I
THIS IS A COURTESY NOTICE IN ORDER TO MAKE
YOU AWARE OF A VIOLATION OF THE CITY Cc )DE
OF ATLANTIC BEACH. IF YOU HAVE ANY QUESTIONS
OR WOULD LIKE ADDITIONAL INFORMATION
PERTAINING TO THIS NOTICE, PLEASE CALL
ATLANTIC BEACH CODE ENFORCEMENT OFFICE.
CES
CODE ENFORCEMENT OFFICE
RECEIVED BY
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