500 Cruiser Ln fence permit AWL 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:
lob ID: 16-FNCE-2346
Job Type: FENCE PERMIT
Description: NOG REQUIRED - REPLACE EXISTING WOOD FENCE
WITH NEW 6-FOOT HIGH CUSTOM WOOD FENCE, 2 GATES
Estimated value: $4,400.00
Issue Date: 10/25/2016
Expiration Date: 4/23/2017
PROPERTY ADDRESS:
Address: 500 CRUISER LN
RE Number: 170703-0316
PROPERTY OWNER:
Name: MASON, WALKER
Address: 500 CRUISER LN
GENERAL CONTRACTOR INFORMATION:
Name: SUNSET FENCE, INC.
, N/A
Address: 12341 CLEAR LAGOON TR
Phon
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH O"INANCES AND THE FLORHIA
BUILDINGCODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, I'll 32233-5445 (0
Phone(904)247-5826 - Fax(904)247-5a45
E-mail: buildinq�dept@coab.us Date routed: t U0
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: __ ST)'b CJ L,� Lo ape ant review reguired Yes No
I C APIntmnglnn.-�1
Applicant: SL,4A 1"*4CALL Tree Adminisfim-To-r—
Project: Public Works
Public Utilities
Public S
ol"'AID Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
R-o—ndaD.pt of Transportation
St.Johns River Water Man I District
-Ta-my Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Mer:
APPLICATION STATUS
Reviewing Department First Review: ;gApproved. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:
Date: V2n/$,(
TREEADMIN. Second Review: []Approved as revised. [JDenied.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: CApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:—
Revised 06114/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 * Fax:(904)247-5845
Job Address: Permit Numb,,: ibj=PtU_�Ll�(6
Legal Description RE#
Valuation of Work(Replacement Cost)S*�90 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one):(� Addition Alteration Repair M o Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Co mercial (-Vesidentiall)
• If an existing structure,is a fire sprinkler system installed?(Circle one): '—M�No
• Submit a T�Removal Permit Application if my trees we to be removed or Affidavit ii�No Tree Removal
r 44,
Descn i%ail I
he type of work to be perf d
Florida Product Approval# for multiple produccu we,product approval form
Pronerty Owner Inforonation
N z 0: 72;;2� Address:
C1 4 Stat4Z;�jj_Phrme
E-Mail
OwnerorAgerrt (IfAg�,puwamAtiamemAeicy1mi�
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 NOT0E OF COMMENCEMENT.
Contractor Information:
Name of Co >V C- Qualifying , �9
Ly" A ent,
Address: �2�tjly02c_'__City �
Officep one Jot�Sitc/ContactNumberpl-42�;�i;:171�o�&
qtateCerfificatioia/Re stration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation xempt sum we mp oyeft on ate
flation hw commenced
. dcuo..
dopedfor a
Ap hcaeon is he' bing,
pr'p'to the—
a m
e ,1_b�6__
so'd F Is ou
is-"
Signature of P
But me
thii �Day
N-oaT P.M.
1herebyeerrify lication and know the same to be true and conrect. Allprovishmsoflaw�sand
i edhereinornot. The granting of operant does not
ordinances govermin I
this type of woik will be complied with whether soe
e state, or local law regulating construction or the
presume to give out ority to violate or cancel the provisions of any otherfe eral,
performance ofconstruchon. Rev-3/14116
MAP SHONNG SURVEY OF
LOT 22, BLOCK 2. SEASPRAY. AS RECORDED IN PLAT BOOK 35.
PAGES 64 AMID 64A. OF THE CURRENT PUBLIC RECORDS OF DUVAL
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DETERMINED FROM ME FLOOD INSURANCE RAM INSURANCE COMPANY; PING MORTGAGE. .
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