150 SHERRY DR - FENCE r '` �1\ CITY OF ATLANTIC BEACH
' '" f 800 SEMINOLE ROAD
1; ,. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-406
Job Type: FENCE PERMIT
Description: REPLACE FENCE
Estimated Value: $1,000.00
Issue Date: 2/29/2016
Expiration Date: 8/27/2016
PROPERTY ADDRESS:
Address: 150 SHERRY DR
RE Number: 170652-0000
PROPERTY OWNER:
Name: COMMUNITY PRESBYTERIAN CHURCH
Address: 150 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: ARMSTRONG FENCE CO
Address: 3226 TALLEYRAND AVE WILLIAM KYLE JONES
Phone: - -
PERMIT INFORMATION:
FEES: - ---- ---
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
K
, ;syL`�r,,, . ,City of Atlantic Beach
,� ' 10 Building Department APPLICATION NUMBER
.. , (To be assigned by the Building Department.)
5,' ----. r{ 800 Seminole Road
�r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
'Irinioj E-mail: building-dept @coab.us
City web-site: http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 SO SHe 2..k i2 R__ Department review required Yes No
j� Building
Applicant: 12 S`isRQ l �E X c J . tanning &Zoning
Tree Administrator
Project: R�Pt-HOC P- L 0,-)cC 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: YjApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by .���Date: p/j�
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
i
1
/ BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 •
1
Office (904) 247-5826 Fax (904) 247-5845 1 CD-EevCC 4 0 6
Job Address: rr k t , , J t Number:
Legal Description Parcel #
Valuation of Work$ ta cx_r Floor Area of Sq.Ft. t
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 approval form
Describe in detail the type of work to be performed: 4) -Q e 013-
. c.o6-1' \Thoi- --- Co r Pr Fran, 5le,fd•►va.,4 Ave. °,
Property Owner Information:
Name: 1 QC
Address:
City a >\l x��.lam StategjZip. 33 Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:krit f c f yP c'C Quali ing Agent: i• ' O. S
Address:.�,-9-.412) I�� T(i (1--t-" :' City " .._
Office Phone • `' - � �' - ��� � St.to Zip ,�� .
Job Site/Contact Number • Fax# trim + .
State Certification/Registration# -
Architect Name&Phone# Z rJfirtert irfa��AVr t .-
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 cert that no work or installation has commenced prior to the
issuance ofa 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 f 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 ElectricalWork, 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 provisions of laws and ordinances governing this
type of work will be complied with whether spec(red herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance ofconstruction.
Signature of Owner I o,,-�rtyt Signature of Contractor
print Name 1 h �'�
5 In.,r o mot, n. kr k Print Name iy..1 1 .--4_1',W
his lay of �.L�.,A� 20 Bef.` - 4-',!-1-,:.--;�• /
■ this �!� Zp 20 4 i
dotary 'ubli� l.,.
610Z'9 t040100:S3dIdX3 ^,7�; Notary i i ' ;74-7°. Baded Thw Nosy Pubic ;Ira
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839H3dS31ONIJ INOi Rev I 01.26.10