132 BELEVEDERE ST - FENCE , ' �� , CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
1r " ATLANTIC BEACH, FL 32233
:;;>,--- INSPECTION PHONE LINE 247-5814
J,31//19"
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-356
Job Type: FENCE PERMIT
Description: 6FT FENCE
Estimated Value: $1,500.00
Issue Date: 2/24/2016
Expiration Date: 8/22/2016
PROPERTY ADDRESS:
Address: 132 BELVEDERE ST
RE Number: 170588-0000
PROPERTY OWNER:
Name: Atlantic Beach Pinnacle Properties, LLC
Address: 132 BELVEDERE ST
GENERAL CONTRACTOR INFORMATION:
Name: PHILLIPS BUILDERS LLC
Address: 1250 SELVA MARINA CIR QA BARBARA CAROLINE
PHILLIPS
Phone: - -
PERMIT INFORMATION:
FEES: ----- - - -
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: i 2- gllU X.q Y)C Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. q t
Valuation of Work$ I e6 6, Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New 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 appit'oTaTform
Describe in detail the type of work to be performed:
67 ' F
Proper erInform. '1 • e A/ etP15Y•lItedt
Name: IIAMMIL _ Address:
City State Zip Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Quali '.: •g- t:
Address:
Office Phone State Zip
Job Site/Contact tuber Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Ad. -ss
Bonding Company Name and Ad. -ss
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certiA,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 hereb cert that I have read and examined this a placation and know the same to be true• . • rect. All provisions o a • •rdinances governing this
type ofYwork will be complied with whether specified herein or not. The grantin_ • • permit does not presume to give authority • olate or cancel the
provisions of any other federal,state, or local law regulating construction or t • •-i formance of construction. 1" /,
•
signature of Owner Signature of Contract-./_ , eAS.0
'Tint Name Print Name
3efore me / Befor= e 1,, 4A'
his Day of 20 this /,"I of 'EA
way
■
rotary Public r1 yr
Revised 01.26.10
, s'ivto,„ . City of Atlantic Beach
�� Building Department APPLICATION NUMBER
800 Seminole Road (To be assig ed by the Building Department.)
,visor Atlantic Beach, Florida 32233-5445 �� /keg . 3��
Phone(904)247-5826 • Fax(904)247-5845
0;f1. . E-mail: building-dept @coab.us
City web site: http://www.coab.us Date routed: 2 /e0/4/2-/
APPLICATION REVIEW AND TRACKING FORM
Property Address: /21.1. e f Ede Department review required
/ N Yes No
�� 1! I /Is , / ii: -Buinn g .
Applicant: [ J tannin &Zonin
/ T inistrator
Project: 6 ri t1 Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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: a ate: V/y/i
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:
?evised 07/27/10
I