1771 BEACH AVE - FENCE "
� ice, ' \ , CITY OF ATLANTIC BEACH
, r, - ;� 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
-------I'2 INSPECTION PHONE LINE 247-5814
\J,31>''
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-984
Job Type: FENCE PERMIT
Description: 6FT FENCE
Estimated Value:
Issue Date: 4/29/2016
Expiration Date: 10/26/2016
PROPERTY ADDRESS:
Address: 1771 BEACH AVE
RE Number: 169675-0000
PROPERTY OWNER:
Name: TRAGER, MITCHELL AND BETH, *
Address: 1771 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: LOWES HOME CENTERS INC
Address: 4948 TELSON PL QA PETER ANTHONY CAFARO III
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:p City of Atlantic Beach APPLICATION NUMBER
�s'' s\ Building Department (To be assigned by the Building Department.)
i 800 Seminole Road C
K . 1 Atlantic Beach, Florida 32233-5445 /c —,' v' G — 98 r Phone(904)247-5826 • Fax(904)247-5845
• 0;319% E-mail: building-dept@coab.us Date routed: 1 Z 7 ,/ ,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /7 7/ ZE Q 2A_. ��. Department review required Yes No
Building
Applicant: Lit, tc) S = anning :
Tree i•min - .
Project: ir t,---i7 e 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: �i�+.4.,./eL//� -- Date: 1/3//‘
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 05/14/09
Lib/22/2014 15:35 3_524733167 KEYSTONE DOORS & ETC PAGE 02/02
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 ' 1 . i� ' mat . _. ._ A Permit Number:
Legal Description 1e. 10 /1-40 ` 9' 2s- Z 9(-- Parcel# /6 96 7r-
Floor.Asea of 3q.lit. ---SEFF-------
t
Valuation of Work$
,t,/-_2_____ 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/pro structure(s)(circle one): Commercial esidential_�
If an existing structure,is a fire sprinkler system installed?(Circle one):--Yes o /A '
Florida Product Approval# /UM—
For multiple products use product approval form
Describe in detail the type of work to be performed: *1 .fl� 1 '. ,`\
'----Z-;- .,cv�'�' / LUOc,c/ P40/'4-41
Prone Owner Information;
•
Name: .' iii Ak_ ' dr ss:t11 \ '(� e —
Citydsi-. • , L4w1 _Stet ip Phone
E-Mail or ax#(Optional) •
Contractor Information:
Lowe //or,
Company m•• C_7.�Y �Qual'kin; tent,,P- • i• .,„„ , •
Address:VC- l ' ♦ VI 0 City *' .a, . State 3 Zip Wira
Office Phone I - ?j- 1 1 ' Job Site/Contact%umber Fax#State Certification/Registration# C J '-/4-06
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 certi)S'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 sus ended or abandoned for t ertod of six(6)months at aiy time after
work is commenced. I understand that separate permits must be secured for leceric Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers, Neuters,
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.
hereby
of w ork'w l be complied andtwhether sppeee'specified herein orn t no know
The egra ring be tatperrmit doescorrect.
not prprovisions
to giveaalaws
'ray v.latees gor cancel this
provisions of any other federal,state.or local law regulating construction or the performance of construction.
Signature of Owner b� C� Signature of Contractor
/
Print Name v! 4-e- / 9' '`—= ...... Print Name .
... _._. .:.._ ..7�`--`-�'• - - - _. ...............
Sworn t• and _ibe' before me Sworn to and subscrir d before me
this r say of moi,/'/G-- 0' 6 this o x / 20,6
gr,- „...44rIdardft... , 401111FAir-
Notary Public 4 ,,, — —-16..e;a..:�::�::�a...,..,_,,,, otary •'u'is
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,o�""Y,�� DEBRA I CARTER i' ,°:ta` `4 4, a� 1
r z Notary Public-State of Florida ..; W Expi e r 18.2ida .
�� • My Comm.Expires Mar 18,2017 ?; � My Comm.Expires Mar 18,201 .
1 "s;) Commission#EE 874638
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