2127 BEACH AVE - FENCE '° CITY OF ATLANTIC BEACH
A
N la_ Sf 800 SEMINOLE ROAD
1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
<4.0.i31 fir,
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-1708
Job Type: FENCE PERMIT
Description: install 6 ft. vinyl fence
Estimated Value: $15,975.00
Issue Date: 9/6/2016
Expiration Date: 3/5/2017
PROPERTY ADDRESS:
Address: 2127 BEACH AVE
RE Number: 169515-0000
PROPERTY OWNER:
Name: PELHAM, VIRGIL G
Address: 2227 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: SUPERIOR FENCE AND RAIL OF NFL
, N/A
Address: 5470 HIGHWAY AVE
Phone: 904-382-2221
PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS:
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities.
Hand dig if necessary. If field coordination is needed,call 247-5834.
All silt must remain on-site during construction.
Full right-of-way restoration, including sod, is required.
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
(WILDING CODES.
(iJ>
4„ City of Atlantic Beach APPLICATION NUMBER
, � Building Department (To be assigned by the Building Department)
i v 800 Seminole Road'�0 Atlantic Beach, Florida 32233-5445 �� F/JC�— (�OT
Phone(904)247-5826 • Fax(904)247-5845
\oili9%- E-mail: building-dept@coab.us Date routed: 0-4-1e- g I 16
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1-lY.4- QL&( AVQ . Department review required Yes No
Bu'
Applicant: S�v IA ;0 I V thLL 4 Q-rt.., l Planning &Zonin>
Project: `\ c' kt \ to • V n�yJ, 1 Tree Adu"�" trator
Public Utiliti-
75ublic Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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: jklApproved.
['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: ,e".°',",,....." 4/7--------- Date: Sfrip/
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
1
r51..An;y, City of Atlantic Beach �:
ri -1 Building Department APPLICATION NUMBERi' 7 800 Seminole Road i if (To be assigned by the Building Department.)
r t .a r y .�
�ij ._ �5 Atlantic Beach, Florida 32233-5445 JUL IFNC6— (1 Qi'
Phone(904)247-5826 • Fax(904 7-5845 ?9 ?IM
' u111g E-mail: building-dept@coab.us B}; Date routed: -Ile- glib
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ( -`')-2r QL&L AQ . Department review required Yes No
Bu. .•..
Applicant: St-tp 12 (;0 I FLALt- '4- ', 1 rPlanning &Zoning
II
Tree A .ill trator
Project: \ f\s\--(00\ (p • V to gn02_ 411P—Air ..,:,. . _
. Public Ut
"ublic Safety
Fire Services
Review fee $ ! r-.- Dept Signature -
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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:
APP)CATION STATUS
Reviewing Department First Review: I Approved.
['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING il
Reviewed by: Date: 3/4
TREE ADMIN.
Second Review: I ;Approved as revised. ❑Denied.
WORK" Comments:
PUBLI UTILITIES
/ /�
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: ['Approved as revised.
nDenied.
Comments:
Reviewed by: Date:
sed 05/14/09
I ;
:(!.,Alp,-.J, City of Atlantic Beac '
7
r' '- ', , Building Department , faiiAPPLICATION NUMBER
i ,' -,?i''a800 Seminole Road JU (To be assigned by the Building Department.)
il
u_. xAtlantic Beach, Florida 32 -5445 L 29 2016 I 1p— FNCC- Op
Phone(904)247-5826 • x�,(904)247-5845
"Io;il9%• E-mail: building-dept@coab:tf Date routed: 0-4-Ie- % 1 1(p
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: a-l� -4-" 64-1( )11 AVQ • Department review required Yes No
Bus',•
Applicant: Sq.( L(,0 ( FALL 4- . \ r•tanning &Zoning _-
Tree Administrator
Project: \ (\c \-c�\\ (0 • V til .e,(1(.Q .01:2:11-2.---- ...,,�,,,,r. 111
. Public Utr
'ublic Safety
Fire Services �■
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
IIIIIIIIIIM
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: QApproved.
(Circle one.) Comments: `�ee �' Hied.
/ af
BUILDING �Q
PLANNING &ZONING /
Reviewed by: ' 6r/ Z /‘
TREE ADMIN. � Date:
Second Review: ['Approved as revised. ❑De led.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review:
Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
sed 05/14/09
•
I
•
BUILDING PERMIT APPLICATION
• CITY OF ATLANTIC BEACH
•
800 Seminole Road, Atlantic Beach, FL j2233
Office (904)247-5826 Fax (904)247-5845
•
Job Address: a.t -7 rive_a L.(Ea Permit Number: t(6
Legal Description Parcel# t t4,95('( `j- COC?
C Floor Area of Sq.Ft. q, t
Valuation of Work$ t ,),crfr:>.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval #
For multiple products use prii uct approval form
Describe in detail the type of work to be performed: Tin k ( 1. �' v 1/41 n
Property
� Owner Information:
\
Name: Jf G �rcj \ � Q Address: 1?-1 l�ec c h V GrZ e.?e_
City t--Ftg r 4 r _ Vet a StateR2ip 3a ;�Phone Lei( ‘---1.)5'4/.5---1 Z 7
E-Mail or Fax#(Optional)
Contractor Information: _
Company Name:Ss4Jec-o^ L�pc€+ 1 4, ( Qualifying Agent:
Address:547D /4158 h nue City-To State L. Zip 3 T
Office Phone(9 )(¢63-C Job Site/Contact Number Fax#(Cut ( 3- (Q
State Certification/Registration#_
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address__ _
Bonding Company Name and Address_ •
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert i rtt 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 cominerrced within six(6)months, or if construction or work is suspended or ab:luioned fora eriod of six 16)months at any time after
work is commenced I understand that separate permits must be secured for Electrical Work,Plum ing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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.
herebycert that I have read and examined this plication and know the same to be true and correc,. All provisions of laws and ordinances governing this
ype of ork will be complied with whether specified herein hein or not. The granting of a permit does rot presume to give authority to violate or cancel the
,rovisions of any other federal,state, or local law regulating construction or the performance of construction.
ii nature of Owner Signature of Contractors L
ttpv
'tint Name V k R 3 t L f&(1.611 Print Name ZO C l-1 tP Y r o
;worn to and subscribed before me Sworn to and subscribed before me
his 2-7 Day of / 'VI 2l, ,20/-6 thkc 2'7 Dam ,20/6
I 'AVID EARL FLEISCHMANNfr, '' ID '� 1�
18
EXPIRES September 4,2018 `d" toi
.� -- RES September 4,2018
p of N:. P
•
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