370 SARGO RD - FENCE /-**- `S, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
J _________/7� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-1231
Job Type: FENCE PERMIT
Description: NEW FENCE
Estimated Value: $1.500.00
Issue Date: 7/6/2016
Expiration Date: 1/2/2017
PROPERTY ADDRESS:
Address: 370 SARGO RD
RE Number: 171689-0000
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'ERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
rrt�a,yr City of Atlantic Beach APPLICATION NUMBER
r , ' , Building Department (To be assigned by the Building Department.)
1.--- 800 Seminole Road /� 22
o�i`' si Atlantic Beach, Florida 32233-5445 I ( 7 `(` w CE `I Z J
�J� V Phone (904)247-5826 • Fax(904)247-5845 l
--'74,31119',- E-mail: building-dept@coab.us Date routed: ---S/2 //Z 7 l l cQ
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 37 C S Pt 26,0 `-.J Department review required Yes No
j- Building
Applicant: A L( 1 t l 12_ L tom E Snning &Zorn
Tree Administrator
Project: b --C:__-, cc_g 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: ��„� v ate: .f/,2j/l4
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
/
,
" �A.v' BUILDING PERMIT APPLICATION
4 SSS
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 • Fax:(904)247-5845 i co_F N cC -1z3 (
Job Address: .g-70 S RGO T2,L Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost) $ 1500• Heated/Cooled SF -----
Non-Heated/Cooled
■ Class of Work(Circle one): New Addition Alteration Re air Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial &esidentiaC)
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N
• 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:
/INS' J 61 Wood ? i VAC—L11 : Jc-
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: L 1 At R- W(KOLI V v 1 Address: 22-h TAL(—tiva-114
City J 4 X g State Zip 322-50 Phone q0y-- 3 3 3— 6 6C)-7
E-Mail (). KlZ v'T Cow C AST• Ov E'--
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: Qual. :•: • _ent:
Address: ity State Zip
Office Phone ite/Contact Number
State Certification/Registration# E-Mail
Architect Name & Phone#
Engineer's Name & ` one#
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 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 of six(6 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,Heaters, Tanks and Air Con droners,etc.
g Property
( \�/, - ,, K �:� :��"•, f TOPII GISs IE l#FF 2R
Signature of Pro e Owner: � � J �./� �iJJ1V/�` .! .,�. ,� ��Nj p FF 824951
Bef e i EXPIRES:October 6,2019
this Day of O��j r' �j „e fe tPAged mm rrrair PZ
/ • ,i
Notary Public: O, - Notary Public:
I hereby certifir that I have read and examined this i. ication 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 specified herein or not. The grantin,g 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 of construction.
Rev.3/14/16
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