1869 SEA OATS DR - FENCE r ►` CITY OF ATLANTIC BEACH
i f 800 SEMINOLE ROAD
J si
KVATLANTIC 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-1658
Job Type: FENCE PERMIT
Description: FENCE
Estimated Value: $999.00
Issue Date: 8/5/2016
Expiration Date: _ 2/1/2017
PROPERTY ADDRESS:
Address: 1869 SEA OATS DR
RE Number: 172020-0538
PROPERTY OWNER:
Name: KLEIN, KARL M
Address: 58 BANKSIA CT VICTORIA AUSTRALIA
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
!..Al;if, City of Atlantic Beach APPLICATION NUMBER
rl• f,� Building Department (To be assigned by the Building Department.)
• 800 Seminole Road ' _ EN) O
Atlantic Beach, Florida 32233-5445
�� Phone(904)247-5826 • Fax(904)247-5845
sliiir -7�E-mail: building-dept@coab.us Date routed: ( az I
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t 8C09 SCS C),c)_—m T)eDepartment review required Yes No
Buildin
Applicant: 0 ()1/4.) L anning &Zonino
Project: ) E(JCE 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:
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
rS` �i
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11BUILDING PERMIT APPLICATION
t�'
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
�4 o;s1>%' Office: (904)247-5826 • Fax: (904)247-5845 16 -Fr,C,_ I 6,58
Job Address: /$69 tSSeQOalS ,DMuQ 18014k UCOC4 Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost)$ 999.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): OM Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial Residentia
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• 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:
// /Uo a wi Sao booktd J ce_ , s i da j a des
Fho vk kiouke 110 gytce, Din eves-t- Jiduz
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: f.YY\VV\a AM.OS Address: H61 Sea C7als Di-we
h . t3Z
City N+fanieaC4 State Ft Zip Z33 Phone 904 380 OAC-,
E-Mail Gmmaa1jona gmca+I . (r
Owner or Agent (If Agent,Power o'f Attomey 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: Qualifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name & Phone#
Engineer's Name & Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
111 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. I understand that separate permits must be secured for Electric ork,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,heaters, Tanks a,d Air Conditioners,etc.
Signature of Prope, Owner . If till -S Signature of Contractor:
Befory.we p
thisay of 2.-.0l 0 /, '.:..- - - - — Day of
ipo•lliM 0Y rte: • IG`•1 t• ye R
.;._ -k MY COMMISSIO F 924951
u.; Amtifys
t, •r,.,..tt:s.2019
Notary Public: 1 •• ,••' rondo .. Put*Undenmters I
I hereby certifr that I have read and examined tW application and know the 'me 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 granting 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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