178 BEACH AVE - FENCE PERMIT �' � '' �s, CITY OF ATLANTIC BEACH
" '" f 800 SEMINOLE ROAD
J V ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
' J.219f"
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-FNCE-2071
Job Type: FENCE PERMIT
Description: 6FT FENCE
Estimated Value:
Issue Date: 9/8/2015
Expiration Date: 3/6/2016
PROPERTY ADDRESS:
Address: 178 BEACH AVE
RE Number: 170210-0000
PROPERTY OWNER:
Name: 178 BEACH AVE LLC
Address: 6 E BAY ST SUITE 500
GENERAL CONTRACTOR INFORMATION:
Name: CANTRELL CONSTRUCTION, INC
Address: 1015 ATLANTIC BLVD QA MARK FRANCIS CANTRELL
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.
s--1.`.r,�, City of Atlantic Beach APPLICATION NUMBER
�y" Building Department
4c\ (To be assigned by the Building Department.)
800 Seminole Road /
j. � Atlantic Beach, Florida 32233-5445
/� —/`" ve Z Q 7 f
Phone(904)247-5826 • Fax(904)247-5845
F,J;3 o' E-mail: building-dept @coab.us Date routed: i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 7/ gitt CA /1 VE..- Department review required Yes No
Bu' .•■•
Applicant: C ,- r7Z // � �c7w .� , Planning &Zoning
ree •• is ra or
Project: 6 —„ C G 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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:_ieeft.,.. i/ /C-l' Date: 17AAf
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑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
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 178 Beach Avenue, Atlantic Beach, FL 32233 Permit Number:
Legal Description Lot 5, Block 31 Atlantic Beach, PB 5 page 69 Parcel# 170210-0000
0o Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ / 4/00 Proposed Work heated/cooled non-heated/cooled '!
Class of Work(circle one): 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: r--A-557-4-1A- LA-)-'0-6 °c r Pc- 'v 14-/j
44-41,..1v-Eb
Property Owner Information:
Name: 178 Beach Avenue LLC Address: c/o David Edwards,200 W. Forsyth St.,Ste 1300
City Jacksonville State FL Zip 32202 Phone 904-699-5333
E-Mail or Fax#(Optional) dedwards @edcolaw.com
Contractor Information:
Company Name: CAotREu- .LNC Qualifying Agent: 144$-P-14- iE4/7"14---
Address: l D 15 A44au tie $/al,,1f07 City 644 ic. Nek State I / Zip 32233
Office Phone 5'/5 -NZ* Job Site/Contact Number /'lbil- c-s9c-/'!LS Fax#
State Certification/Registration# C 6C o Co Z 57 /
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'node 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 work is not commenced within six(6)months,or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after
work is commenced. I 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.
I hereby certify that I have read and examined this implication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci ed herein or not. The granting of a permit does not presume to give authority to v - •to or cancel the
provisions of any other federal,sta�t�e,or!gqcal law regulating construction or the performance of construction.
11 (S¢a cl.4 �.�f.•wra Ll C
Signature of Owner �L: Signature of Contractor
Print Name Print Name OIL 9I 1
Swop to and subsc 'bed before me Sw• • and s bscribed •- . - m-
this Li Day of ' • USA- , 20 155 .f Day .f 20,
&TA eN
Notary ' blic ," I N -' ' i
w
? ed 01.26.10
�f°V Notary Public State of Florida
'kYw••, TANYASANCHEZ ?�' '. Shirley l Graham
.. MY COMMISSION t FF 178589
�s a _ ,o` My Commission FF 088890
]T1 EXPIRES:November 20,2018 1-10;,,,d` Expires 02/14/2018
',oe `t,•' Bonded Thru Notary Public Underwriters
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