540 SAILFISH DR FENCE PERMIT ).?LAN._,/
s
�� �.s, CITY OF ATLANTIC BEACH
- 800 SEMINOLE ROAD
-r ATLANTIC BEACH, FL 32233
/�
INSPECTION PHONE LINE 247-5814
0111)
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-1450
Job Type: FENCE PERMIT
Description: FENCE
Estimated Value: $200.00
Issue Date: 6/29/2016
Expiration Date: 12/26/2016
PROPERTY ADDRESS:
Address: 540 SAILFISH DR
RE Number: 171317-0000
PROPERTY OWNER:
Name: CABRAL, HEIDI
Address: 540 SAILFISH DR
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE AN IT11 ALL Cfl'1OF :1'1'LAN'I'I( BEA(11 ORDINANCES AND "IIIE FLORIDA
BUILDING CODES.
r0 tvi-.,, City of Atlantic Beach APPLICATION NUMBER
} , Building Department (To be assigned by the Building Department.)
:,...V7:-:--7,..._.. 800 Seminole Road
,Ji� • "� Atlantic Beach, Florida 32233-5445 i �� 4----NCE ---/450
Phone(904)247-5826 • Fax(904)247-5845
-:-.2:01119)/ E-mail: building-dept@coab.us Date routed: 1 i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 5.4O S tl(..,Ft'S&4 b r` Department review required Yes No
Building
Applicant: OL&Jt1L.. " kat 0k Qi nnin &Zonin
Tree�A ministrator
Project: FEN)C 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: 9Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: �,w„..,./ (..--'*---:.r---" Date: i fi:///`
TREE ADMIN. Second Review: A roved as revised.
U pp ❑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
r-s BUILDIIV-G PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
-'4 o;II> ' Office:(904)247-5826 • Fax:(904)247-5845 ' G.,_'F•N CE-1 4 s V
Job Address: SOSCt t ` i, Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost)$ GAJ c Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition tera i n Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial �esiclential M
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: r'{ (�U (o r -Fen E Lt (' C _ ,
�n
Florida Product Approval # for multiple products use product approval form
Property Owner Information/ ,, �J
Name: Q,( c �� Ca./ Address: -tt- q
�O l S 74-{j yh C-Z 1 4 -
City rrh c State -Zip 3 22-33 Phone b Lf - 4' -32s' e)
E-Mail he,ta;() kv-e tr0rF •c am.
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company: o vl,(/----- Qualifying A .
Address: City State Zip
Office Phone Job Site/Contact N er
State Certification/Registration# - ail
Architect Name&Phone#
7
Engineer's Name&Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
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
Thrior 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.
is permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a
period of six( months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,H ters, Tanks and Air Conditioners,etc.
Signature of Property Owner: Signature of Contractor:
Bef /
thist �
jDay of ) A - �v Before me this P• of
1
Notary Public: _ j�l A Not. Public:
01vT. GINDLESPERGER
I herebycerti that I have read and examined thi• a Ci cation and riv.•' Barn' J. ; . •ea All provisions of laws and
ordinanes governing this type of work will be c. Pp ed with whet �.:._.: ya, e. 't l''1J .'qt. ' • :r nting of a permit does not
presume to give authority to violate or cancel the provisions of any ; ,i1E %% '-:' %l d , 'h A _� dating construction or the
performance of construction.
Rev.3/14/16
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