454 Selva Lakes Cir 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 NEXr DAY INSPECTION: 247-5814
305 INFORMATION:
3ob ID: 16-FNCE-2566
Job Type: FENCE PERMIT
Description: REPAIR 6' FENCE - COMMUNITY PROPERTY
Estimated Value: $1,600.00
Issue Date: 11/15/2016
Expiration Date: 5/14/2017
PROPERTY ADDRESS:
Address: 454 SELVA LAKES CIR I RRG
RE Number: None
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL Cl� OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES,
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fq� (904)247-5845 1 (o -Fmce- 7-G C�2
Job Address: -q5Y 501JA LAlces Ckic(e, Permit Number:
Legal Description n C-) orArea�WIork Parcel# �,q�,
S , v
Valuation of Work$ oposed hqUtId/cooled -hea cooled -?,Y--f
Repair Move Demolition posil/spa window/door
Class of Work(circle one): New Addition Alteration (i;;
Use of existing/pro used structure(s) circle one): Commercial
If an existing strucfare,is a fire spriler system installed?(Circle one;'� N/A
Florida Product Approval#
For multiple products use product approval form
0�- lox A'h1*JZ X
Describe in detail the type of work to be performed: 0,0 PIAZA wi Ac:r , 5
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Property Owner Information:
q0 5e\vALA)t:cs Address:SY9
city StaWL Zip-IZW3—Phone C�v#el(ja-`s -lv4,-7
E-Mai id) RE-le- Vm�:,
Contractor Information,.
Company Name: pA-L.i� L04-ti uali Ing t
Address:—L& (. r. ---qn4qA*q prya i �ae 9ZX--W&c%-,state FL zip 3 2Z&o
Office Phone Job Site/Contact Number Fax
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Tide 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 oulalialions=indicated. I certhy that no work or installation has commencootprior to the
issuance ofapermit and that all work will beperformed to meet the standards of all laws regulating construction in thisjurisdietion. This permit becomes null
and void ffwork is no,commenced within six(6)months,or itconsuruction or work is su;pended or abandonedfor a
Wpriod of sarj6)months tv any time
work is commenced I understand that separate permits must be secaredfor Eleddea Work,Plumbing,Signs, Wks,Pools, wnaces, Boilers,Hefmr,
Tanks andAir Conditioners,da
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 Y6UR NOTICE OF
COMMENCEMENT.
lherc�cert6 that Ihave read and examined this lication and know the same to be true and correct. Allprovitsions oflaws and ordinances gm=this
Penn, , work will be complied with whether=40d herein a,mt. The granting of a permit does not presume to give authority to violate or the
on,
isions ofany otherfederal,state,or local one,mgulafing construction or the performance ofeenistruction.
Signature of Owner Signature of Contractor
Print Name j��4,r K4,L,
Print Name
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Notary Public Notary Public
Revised 10.24.12
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