1370 Camelia St 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 NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-FNCE-2255
Job Type: FENCE PERMIT
Description: NEW& FENCE
Estimated Value:
Issue Date: 10/18/2016
Expiration Date: 4/16/2017
PROPERTY ADDRESS:
Address: 1370 CAMELIA ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: BUILDING UNLIMITED ROOFING & SOLAR
BUILDING UNLIMTED, CGCO55901
Address: 12620-3 BEACH BLVD # 181 JACKSONVILLE, FIL 32246
Phone: 954-235-8307
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PEMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLA�IC BEACH OR]DWA14CES A" THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road I ( - _ ZSS
�_F7 N Qf
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-deptiilicoalb.us Date routed: 10 c�
City web-site: http://�.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 137(D C�AMCLI,(,\ Department review required Yes No
Applicant: I )&�LAAII Eluilding
I - qrzgm=k,�
Project: rEADC-1;7— Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Pennit Required Review or Receipt Date
of Pernilt Verified BY
Florida Dept.of Environmental Protection
F borida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ,MApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by 4C�� Date: tZ#�
TREEADMIN. Second Review: [JApproved as revised. [-]Denied.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date'
FIRE SERVICES Third Review: DApproved as revised. ODenied.
Comments:
Reviewed by: Date:—
Revised 05/lW09
BUILDING PERmrr APPLICATION
is
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
is Office:(904)247-5826 - Fax:(904)247-5845
Job Address: 11-70 Perritit Number:
Legal Description -RE#
Valuation of Work(Replaccuient Cost)$_IA�&L_Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): Q Dew Addition Alteration Repair Move Derno Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Cornmercial 1�
• If an existing structure,is a fire spritilder system installed?(Circle one): Yes No (��/A)
• Submit a Tice Removal Permit Application if my nces ane to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be perlbruted:
tj C VV f-Or)0e VV450 41 P/12T)
Florida Product Approval# -for multiple products use product appurwitl itorm
Property Owner Information
Narne: P-k��Leo� ]�,C, Addreas:,F1r,
City 14,—, StateFLL.Zin
E-Mail
OWnffOrAgent (1fAgtP..fAftmuorArm,,�
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IWROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTIft OF COMMENCEMENT.
Contractor Information:
Narne of Company: Quali ng Agent: kt�yl� MAWJM
_&dj,n, tjnf�L w
Address: city State Zip Fl—
Office Phone 95�1 -135- -6307 Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Narne&Phone# TOMGND�SPERGER
Worker's Compensation
�xcmpt i Insurer / Lease Employees Expr Nag
is hereby=do to obtain a pecaut to do the work and heaulladons as indicated. loortz/v that no�arkr or instauation me,cammencea
710,to issuance of a permit and that all work will be fvf0,7,ned 1,oirs�,, stgo of all lows,regulating consumed h it
nded''",=n
hjj� b omes Ulf and di a 0*
.. ,tr�
void iff.,* is not��mtn red f caretru,tion or.,k is o
sionst .old. .1u. .. ad t W se ujusassusesucobasecurciffr lectrical I
a
�,ols,..at any time Oer work is coming
rnacei,BoHers,Heaters,
e of Props ��A�Simaamc of Contra:�;.. ���
C/") Before me this 0
n ay of Q rk
I ublic: Notary Publi
ertil,that I have read and examined this application and know the same to be true and correct. Allprovisions a laws an
es govern,.ng this type 9,work will be complied with whether speted herein or not. 77,egranttn8 afaloerant does not
e
to give authority to via ate or cancel the provisions of any otherfe, eral, state, or local law regulating construction or the
P I ormance ofconstruction.
Rev.3/14/16
MAP SHOWING SURVEY OF
LOT 3, BLOCK 224, ALTANTIC BEACH SECTION "H", ACCORDING TO THE PLAT THEREOF
RECORDED IN PLAT BOOK 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY. FLORIDA.
FOR: DESTINATION HOMES, LLC
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MAP SHOWING SURVEY OF
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RECORDED IN PLAT BOOK 18 PAGE 34. OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA.
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