420 GARDEN LN FENCE PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NElCr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-1 305
Job Type: FENCE PERMIT
Description: REPLACEMENT FENCE
Estimated Value: $1,400.00
Issue Date: 6/13/2016
Expiration Date: 1211012016
PROPERTY ADDRESS:
Address: 420 GARDEN LN
RE Number: 172020-5210
PROPERTY OWNER:
Name: MARSHALL, DAVID P
Address: 420 GARDEN LN
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CTTY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDINGCOUIES.
City of Atlantic Beach
Building Department - - --- -
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
W, E-mail: building-dept@ccab.us
Cityweb-�jte: hthr/A�.coalbus
APPLICATION REVIEW AND TRACKING FORM
Property Address; :4ZO C--\RRL'\c7y,-) LN_) Department review qmquiredYes No
Applicant: 0��2 K->c---R Flanninp &Zonmq-�>
,q
I ree Administrator
Project: k Public Works
Public Utilities
Public Safety
Fire*SeNic�
Review fee$._ Dept Signature
mumOther Agency Review or Permit Required Review or Receipt
of Permit Ve 'tied 8 Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: Approved. E]Denied.
Co
v' 9 P ri'm n
((Circle one.) Comments:
C' Cie
BUILDING
L IL
P P I a ZO
LANNING &ZONING
Reviewed by:
TREEADMIN. S
Second Review: E]Apprvd as revised, E]Denled.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date,
FIRE SERVICES Third Review: DApproved as revised. E]Denied.
Comments:
Reviewed by: Date:-
Revised 05114109
BUILDING PERmrr APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 - Fax:(904)247-5845
JobAddress:-42-D GA"u=L "�e 1 A B Permit Number: I (0-p-N C&_13a5
Legal Description E#
Valuation of Work(Replacement Cost)$—L'A—'DC) H..ted/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Additim��tmttt--W.iti- -�love Dems, Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tnse Removal Permit Application if my trocs we to be removed orAffidavit ofNoToe Removal
Describe in detail the type of work to be performed:
V,e: 19 LA�e C-
Florida Product Approval# far multiple products use pmdmt appioviii form
Property Owner Information
Name: PRAOI�.Addrcss:4W C�p,,,Lva,o L.Ail
City Vd G ta�&� Statd1FJ_Zip 3
1 r) q-
E-Mail 12 MA94 pgg-� oei k�5 ILL
O%`aer0rAgent (WAgmtPo�01'Attene,or
A�Letus P�imed) 4 V i J2 Id /9 A,* "A&_$),A�4_
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 NOTIUE OF COMMENCEMENT.
Contractor Information:
Name of Company: alibiiiv<gent:
u
Address: Q State Zip
Office Phone
Job Sit mar Number
n ct 'm
M
State Certification/Registration# E-Mail—
Architect Name&Phone#
Engineer's Name&Phone#
Workees Compensation
IN,mipt I unater 7 �ploym Expimion Date
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I hereby cc is 1i tionandknowthesam tobeirmeandcarrect. .411provisions oflaws and
ordinances govermn
%this type gwork will be co with whether speci ed herein or not. 7he granting of a pernut does not
Presume_togiveaul ray to via ate or cancel thejumvisions ofany other eral,state,or local law regulating construction or the
performance ofoonstritclion.
Rev.3/14/16
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