2337 SEMINOLE RD - UNIT A - FENCE PERMIT � s� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,,,,,,,,____i
j 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-2345
Job Type: FENCE PERMIT
Description: 54 "
Estimated Value:
Issue Date: 10/12/2015
Expiration Date: 4/9/2016
PROPERTY ADDRESS:
Address: 2337 SEMINOLE RD UNIT #A
RE Number: 168846-5002
PROPERTY OWNER:
Name: BOHR, SARAH H
Address: 2337 SEMINOLE RD UNIT A
GENERAL CONTRACTOR INFORMATION:
Name: ALLIANCE BUILDERS GROUP
Address: 543 PELICAN KEY VALERIY FEDOROVICH KNODYUKOV
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.
rS�:.v./.�J. City of Atlantic Beach APPLICATION NUMBER
J 'P.n- `' ':s Building Department (To be assigned by the Building Department.)
800 Seminole Road bc— .//tiel '. 0,73 1/6-
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 //�
---013�y:= E-mail: building-dept @coab.us Date routed: /�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM•Property Addres : c,733 i �SmJ/v2 k Ind Department review required Yes No
Jil Building__
Applicant: ''l . lam/ %f • l �S tanning&Zoning
Tree Administrator
Project: ' ' (,L 5 I N 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:`/`""_' v� Date: A rOr
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
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: - 3 7 6 m,,al e_ Aellae/ Permit Number:
Legal Description 37 ;2S 2 ,d/ 81-U/FF5 64-107 14-enne5 Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 5,Uo U Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): Cr 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: Fe 1C inj *, cn'lotO e a /oa / (tiatt : also
Wi✓7 7 di r -G - tie,;,-, . 4l4-eheuS??, PP:it.e rte►//o6po•�iewrt-) F.enie 54" hi>)
Property Owner Information:
Name: J #Y '/ /`f•BoA✓ Address: 2337 .4 eh"'40/8 tai/
City A1-/&r he (3,0e/.) State Zip 32233 Phone (%Gy) x}72-h025.2
E-Mail or Fax#(Optional) beira.hh /'vb au/.Cllr (g09) 3'/b 5545 (r+/*mg to/° #v)
Contractor Inform•.tion: d.. /5
Company Na,.-: / I : k I a/ (' a / Qualifyin Agent:
Address: _ gi'f7I 9W City State 1 Zip .-x233
Office Phone .? -- obi ite/C,p�t�Im4e, Fax#
State Certification/Registration# c l G
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 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. 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 a plication and know the same to be true and correct. All provi•io is of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not press • � ve authority to violate or cancel the
provisions of any other federal.state, or local law regulating construction or the performance of construction.,\``
Signature of Owner i�/" Signature of Contra,for A
Print Name Print Name yA (' 0/ 1.1 `.
Swor 8 • an• - i • rib9d •efo. - •e Sworn to and subscribed efore me
this I.y of V. J.>, 20 this 03 Day of 0t 0 , 20(5
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Shirley L Grah:•• ,ins 3442
41 My Commission FF 086990 My comm.expires Oct.14.2016
10;00 Expires 02/14/2018 ,,