238 PINE ST FENCE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
19
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-FNCE-1730
Job Type: FENCE PERMIT
Description: REPLACE EXISTING 6FT FENCE
Estimated Value: $2,279.00
Issue Date: 8/7/2015
Expiration Date: 2/3/2016
PROPERTY ADDRESS:
Address: 238 PINE ST
RE Number: 170554-0000
PROPERTY OWNER:
Name: HOLLERAN, WAYNE T
Address: 238 PINE ST
GENERAL CONTRACTOR INFORMATION:
Name: SILVERMAN FENCE
Address: 4698 DUSK CT
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.
2'sfe) Rv'M ST.
MAP SHOWING SURVEY OF
Lot 521, SALTAIR SECTION NO. 3 AS RECORDED IN PLAT BOOK -ICF, PA&E
L
F106tOF THE CURRENT PUBLIC RECORDS OF QUVAL COUNTY, FLOIROA.
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
;so
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845
E-mail, building-dept@coab.us Daterouted:
Cityweb-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -Department review required Yes No
Building
Applicant: 0\ P�Ia n n�i n�g &Z o n�in
Tr—ee Administrator
Project: (&(7 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: XApproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by:
TREE ADMIN. Second Review: DApproved as revised. OlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date:
FIRE SERVICES Third Review: DApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
1 JO I 32vd
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH Fo inr
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Pi h,0� S__,C�e_t Permit Number:
Legal Description Floor Area of Sq.Ft. Parcel 9 Sq*Ft
Valuation of Work$&ZEW2 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move (2Le A�oliti pool/spa window/door
Use of existing/proposed structure(�) (circle one): Commercial <[��
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product A proval #
For multiple prosucts use product approval form
Describe in detail the type of work to be performed: llulood 4;4t)�
Property Owner Information:
Name:_ :DD,r0tkSj "MwN Address: ;G5
city 4UaA-,,ttr_ J -Ep&c,�— —State���Cip �7, �Phone 'I L)
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAEL ADDRESS:
, 11 7
Company Name: _:�,o r_4,nqJ -c Zj! Qualifying Agent: /"I
Address: V;? Aj 00(� -city State z!�Z- zip =az
tjff2 J b Site/Contact Number Fax j7
Office Phone
State Certificati6/gegistration m1a 2?
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 thisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)-months, or if construction or work is suspended or abandonedfor qWeriod of six(6)months at any time after
work is commenced. I understand that separate permits must be securedfor Electrical Work, Plumbing, Si�ns, ells, 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
ATT EY BEFORE RECORDING YOUR NOTICE OF
J NNIFER WAVER
9 JIS:
S COMMENCEMENT.
FF01148
MY COMMISSION#:0
S
EXPIRES:Apdl 24,2017
I hereb e4ig.Aat iWff 0 a Pplication and know the same to be true and correct. All provisions of laws and ordinances governing this
typ e o i i zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
'I.st t 0 ormance of construction.
d:7
provisions o�an'yWher e eral,state, or loc aw regulating construction or the perf
Signature of Owner &VA 1,n4,r,_.)
&./ 1)141— Signature of Contractor
PrintName 40*toVry\ Print Name �,adzll.......... ... .............
............................................ ................................. ............... ..........
B?OJD;�- Before me
this Dav o this /_�(Dayof Q<W_� 20
Commission#FIF 185048
W tg ExpimJanuant7.20119
BwWW TM Tmy Fain Imnnce OW,185-7019 V
Notary Public Notary Public
Revised 0 1.26.10