771 CAVALLA RD - FENCE OiLii,,, �ir. CITY OF ATLANTIC BEACH
'S 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'A"J;il9`.
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-478
Job Type: FENCE PERMIT
Description: 6FT FENCE
Estimated Value:
Issue Date: 3/2/2016
Expiration Date: 8/29/2016
PROPERTY ADDRESS:
Address: 771 CAVALLA RD
RE Number: 171348-0000
PROPERTY OWNER:
Name: OSWALD, JASON
Address: 771 CAVALLA
GENERAL CONTRACTOR INFORMATION:
Name: FENCE PRO / SILVERMAN,IRWIN
Address: 4879 S CLYDO RD APT 2
Phone: - - CITY OF ATLANTIC BEACH
800 SEMINOLE RD
PERMIT INFORMATION: ATLANTIC BEAC,FL 32233
03/02/2016 10:40:05
CREDIT CARD
FEES: VISA SALE
Fence/ROW $35.00 Card# X)(XXXXXXXXXX4347
SEQ#: 1
Batch#: 76
INVOICE 1
Total Payments: $35.00 Approval Code: 533594
Entry Method: Manual
Mode: Online
Tax Amount: :ON
Card Code: M
SALE AMOUNT $35,00
•r''!.
CUSTOMER COPY
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 771 Cavalla Road, Atlantic Beach, FL 32233 Permit Number:
Legal Description Parcel #
0o Floor Area of Sq.Ft. Sq.1''t
Valuation of Work$ , S SO Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): ew) Addition Alteration Repair Move Dem. itio ••• •. window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential)
If an existing structure,is a fire sprinkler system installed? (Circle one): • I /AtQZ 5 e 3d
Florida Product Approval #
For multiple products use product approval form np
Describe in detail the type of work to be performed: (,t/dv d '�� . C a-4 ^k U 3441r
'..
Property Owner Information: /
Name: Jason Oswald Address: 771 Cavalla Road
City Atlantic Beach State FL Zip 32233 Phone 904-699-9267
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: O -, �•n Q g Agent:
uali in lr� '�►
Address: 31 a� ' Q
`G/ - v-d City G�,-' State X Zip 3 b 1
Office Phone 4-08� Job Site/Contact Number q -1 OX- 8'1'l Fax# S Oy- 2 S"' S■`19
State Certification/Registration#
Architect Name& Phone# � ' f
Engineer's Name& Phone# t e r\Q e Pro t n o C `. 4- +n pd-
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 1 have read and examined this a placation 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fede 'ate, or local law regulating construction or the performance of construction.
Signature of Owner it, Signature of Contractor
Print Name Print Name T/t,iw ,", 1//m+/ ✓
Swo • and subsc '•e+ before me Sworn to and subsribed before me 20 \`D
thi- Day of / at ,20 /4 this a 5 Day of �. tA__ r ,
itlEa •0•,,,4, , , ., . ., r�...�_�! r.. i' •_• - • _ .N KEARLEY 1.
ota 'ublic •;: Commission fission#FF 942340 N►tary Pub is ' ,� ,•: y Cp�,ANIISBION M EE209646•
•r Expires December 9,2019 • � ,� � t6
8adedThuTmpF.nMrvma•OD9AST019 FIOIWO••
,;-,s1`mr,�, , City of Atlantic Beach
Js APPLICATION NUMBER
0-. ,,, Building Department (To be assigned by the Building Department.)
• 4 `, f•;� 800 Seminole Road
3v �r Atlantic Beach, Florida 32233-5445 /e i� f - �7
Phone(904)247-5826 • Fax(904)247-5845
"�J;31�� E-mail: building-dept @coab.us Date routed: Z L/ /(
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 77/ ('+ `' , )/a, 401 Department review required Yes No
Applicant: --h C £ f'rô Planning &Zoning
re- -• finis . •
Project: r -n (6 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 y ��
Reviewed by: Date: z/2„S//e
TREE ADMIN. Second Review: ❑App roved as revised. ❑Denied. /
•
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
tevised 07/27/10
i
I
I
MAP SHOWING BOUNDARY SURVEY OF
LOT B. BLOC( 15. ROYAL PALMS UNIT TWO-A, AS RECORDED IN PLAT 800K 31,
PACES 1 THROUGH 1-0, OF THE CURRENT PUBUC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
JASON OSWALD
EVERHOME
KEITH WATSON TITLE SERVICES. INC
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
LOT 14 LOT 15 LOT 16
BLOCK 15 BLOCK 15 BLOCK 15
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NOTE$.
REVISIONS
I. !FARINA ARE RASED ON THE __!"1`L__SEARING OF ..._!;l_94.71.1:_..L..._ Al•�N„'. '7M.
WESTERLY Doom:mar Lam or SUBJECT PARCEL. DATE DESCRIPTION
7.Iry ORAP/WC PLOTTNN ONLY THE CAPTIONED LANDS LIE MINN 11000?ONE _.'„ ;_,. +A vNe N ON AE
NATIONAL FLOOD NSUTANCE MAP DATED APRIL 17. 1989.cowman,NAi4aEA 1;ti075,PANE. _OD4L.CL-_
I THIS SURVEY REFLECTS AU.EASEIENTS IT RIGHTS OF WAY AS PER REaPIC[D PLA•i 4/O3 TILE COTANIT 1CNT
IF SU'PUED.UNLESS OTHERMSE STATED. NO OTHER TITLE VERIKAT•IN,µ,S BEN NEWTON:,my THE iONINASIGNED.
& nos$JW%EY IS NOT VALD MTHOUT AN AUTHENTICATED ELECTRCY/C SM,NAraWc AND AUTHENTCAIED 1:.1C1RONRC SEAL. '
JOB # 18191 ( DATE OF FIELD SURVEY: 9--2-2010 1 SCALE: 1' - 20'
Ray Thompson CERTIFICATE �,
I NAM fZ1N1VY TNT .�• • Way`,. .. NY I1ESaNmR.L Dom
.7 _II SURVEYING, Inc. ANO Nam 1st w.0 "^I'+ 07 •, YT PPnN NY THE FLOROA
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A91MlTRA7AI[ •.. •m atcipN ° OtsiTi.°fni R'°T°A
I 1f1' 46,3Ph Jacksonville,Florida 32207 � 1 _,.8_
�� (Phone)904-448-5125 . '„4$)M
REGISTERED �, y1D M e14e STATE OF FLORIDA
(Fax) 904-4183178 7469•LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS