425 SAILFISH DR - FENCE , CITY OF ATLANTIC BEACH
r, �� ) 800 SEMINOLE ROAD
j` '`« ATLANTIC BEACH, FL 32233
R INSPECTION PHONE LINE 247-5814
—1,,,-1.0.1319?'
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-1232
Job Type: FENCE PERMIT
Description: 6 FENCE
Estimated Value: $1,500.00
Issue Date: 7/6/2016
Expiration Date: 1/2/2017
PROPERTY ADDRESS:
Address: 425 SAILFISH DR
RE Number: 171378-0000
PROPERTY OWNER:
Name: SALT AIR HOMES
Address: 226 TALLWOOD RD JACKSONVILLE BEACH, FL 23250
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE W ITII AL1. CITY OF ATLANTIC BEACH ORDINANCES AND 111E FLORIDA
BUILDING CODES.
11
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IL, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
,',�`� 800 Seminole Road // n
Atlantic Beach, Florida 32233-5445 l0'��`E ' Z3 Z.
Phone(904)247-5826 • Fax(904)247-5845
' Em 9r E-mail: building-dept@coab.us Date routed: i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4 Z5 SQ_JLp- LsR �- Z Department review required Yes No
Building
Applicant: S�L�' L�t / ie �(p/y,Ec , o(,vI�E -finning &Zonings
Tree Administrator
Project: -__,, 0-, 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: „G- ..,_i Z----hi--Date: ,513///‘
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I lApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
/
• i. ., `JBUILDING PERMIT APPLICATION
J :e)
1
7K7,0 ) CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
�Ji310r Office: (904)247-5826 • Fax:(904)247-5845
Job Address: Li 2-5 SM LLC* -1)R . Permit Number:
Legal Description RE# i / 713 7 g---(9009
Valuation of Work(Replacement Cost) $ lj.5Oo- Heated/Cooled SF ---- Non-Heated/Cooled - -
■ Class of Work(Circle one): New Addition Alteration 'epair Move o Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial esidentia
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No /t L
• 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:
I NSrks-1,4,-- h ' Woo a tit\ Ac4 F tkk -
Florida Product Approval# / for multiple products use product approval form
Property Owner Information
Name: ty+CT (Z l�V`.tF (OLI 11 D t2W(\Address: Z2 f�
6D TA 45 •
City _\ State' -Zip 32�5kD Phone o — o
E-Mail &, lLRAUr-tom CDVACASTT= h)E`r 3�� �b
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: Qualifyin t • gent:
Address: City State Zip
Office Phone Job Site/Contac umber
-Mail
State Certification/Registration#
Architect Name & Phone #
Engineer's Name & Phone#
Worker's Compensation
• empt / Insurer / Lease Employees / Expiration Date
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 o(six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electric, ork,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers eaters, Tanks a. Air Conditioners,etc.
Signature of Prop: O I er: .9lnMA---- Signature of Contractor:
Bere
this Day of A) _ ( 10 __ ,_..... —
aim.,
, of
F,y::. 'TONT GINDtE3lE�_ , '' ,r MY COMMISSION#FF 924•
Notary Public: r'..,•c r,E�p� ;October 6, . 9
,,,
I hereby cert that I have read and examined this app�. �ion and know the same to be Zr e and correct. All provisions of laws and
ordinances governing this type of work will be complied'with whether specified herein .r not. The granting of a permit does not
Jill
presume to give authority to violate or cancel the provisions of any other.federal, state, or local law regulating construction or the
performance of construction.
Rev. 3/14/16
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