800 Camelia St fence permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
FENCE PERMIT
MUSTCALLBY4PM FOR NEXT DAY INSPECTION: 247-5814
306 INFORMATION:
Job 10: 16-FNCE-2853
3ob Type: FENCE PERMIT
Description: 6' FENCE
Estimated Value: $2,000.00
Issue Date: 1/4/2017
Expiration Date: 7/312017
PROPERTY ADDRESS:
Address: 800 CAMELIA ST
RE Number: 170932-0000
PROPERTY OWNER:
Name: HENDRY, MARK A
Address: 800 CAMELIA ST
PERMIT INFORMATION:
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDUNANCES AND ME FLORMA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 )G- 31
Phone(904)247-5826 - Fax(904)247-5845
&mall: building-dept(Igcoalb.us Date muted:
City web-site: http://�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 800 eptlry-, C-- S Department review required Yes No
,LtA
13uildipg
Applicant: =ad�Zomn�
Project: Tree Administrator
Public Safety
Fire Services
Dept Signa
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
F11-o-nda Dept.of Environmental Protection
Florida Dept.of Transportation
St.-Johns River Water Management Dishia
Army Corps of Engineers
Division of Hotels and Restaurants
-Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: JgApproved. E]Denled.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: 4F/
TREEADMIN. Second Review: DApproved as revised. E]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date,
FIRE SERVICES Third Review: DAPproved as revised. DIDenied.
Comments:
Reviewed by: —Date:
Rwised 05114/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road 1-544 kD--eak�'I 11 1
Atlantic Beach, Florida 3223" t'. Fm�F_-2&L3
5
,(go
Phone(904)247-5826 Fa; 904)247-5845 C
E-mail: building-dept@coab.us De 2 7 201� ate muted:I Z17- 7-41
City web-site: http://�.coab.us Py,
C
APPLICATION REVIEW AND�TikING FORM
Property Address: 800 ep((nE:_,LjA S :C Delartment review required Yes No
-Buil,6 pd�' _�'>
Applicant: TJaculita&Zonin _
Project: Tree Administrator
Rb�li',Mtfflba�l
Public Safety
Fire Services
R e v i 49,re'& $AE"M6&_ Dept Signa
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Pmtecton
Florida Dept.of Transportation
St.Johns R ver Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division at Alcoholic Beverages and Tobacco
Other:
APPLIPATION STATUS
Reviewing Department First Review: W(Approved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: L4$4V4�— Data: 1?[f 7
TREEADMIN. Second Review: E]Appmved as revised. E]Denied.
1-07 LIC W RKS Comments:
�3
TIES
Y
i 7'Ll UTI 7
4pAuf"ZIC UTIES
z-z 9-1-4
PUBLIC SAFETY Reviewed by: Date:—
T
FIRE SERVICES Third Review: EIAPProved as revised. DDenied.
C C
omments:
Reviewed by: Date:
Revised 05/14109
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date routed:27
City web-site: http:/A�ww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 800 CAMEUA '(1c Department review required Yes N
t___'D 7
suilding
Applicant: -TJaMMg&Zomn
jJ'
Tree Administrator
Project: 6r u c
PublIc MUblbZ,?S
Public Safety
Fire Services
Rev MMUWt signataM
Other Agency Review or Permit Required Revie'! t
of Pe,,.t=PBY Date
Florida Dept.of Environmental Protection
F-lodda Dept.of Transportation
St.Johns River Water Management District
_�r_my corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Wpproved. [:]Denied.
(Circle one.) Comments:
(��o
PLANNING &ZONING Reviewed by: Date:_Zkl7-Z6
TREE ADMIN. Second Review: E]Approved as revised. ODenieV
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. ElDenled.
Comments:
Reviewed by: Date:-
Revised 05114/09
&ILDINIGPERmrf APPLICATION OFFICE COPY
Crry OF ATLANTic BEACH
800 Setnintile Road,Atlantic Beach Fl,32233
.o,,' Office:(904)247-5826 - Fax:(904)247-5845
Job Address: camp_00� S-�— Permit Number:
Legal Description Leta, 131xk 1148, A13 SmK 8a+ aak12f3H _RE#
Valuation of Work(Replacement Cost)$_2�QHated`Cooled SF_Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Cc mercial esidential
If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No /A FWte�e
Submit a Train Removal Permit Application if any toors are,to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: 60 F-eexae_
Florida Product Approval# for multiple products ase,product approval fina,
Property Owner Information 00,1 � 4c-
Name,: 42 r Address: 200 a P"'k- Lie
Staqtp L�/Zip 3=1 SL' P20
�L�f)rhone
no� or Agent (uAma,pawar.fAusnny or Agait,Icoar an,,a
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 NOT17Ct OF COMMENCEMENT.
Contractor Inform2flon: 0
Name of Company: AC bae-) ?oq S-7!;- �.�ox
_Qualifyin�Agent: Wf-Af)
"&A IrV City—.,- rZ[XL t State Zip Z�
ji?�!Address: LPAR -&3WX)r _0:5�7�
Office Phone Job Site/Contact Number 0nny_
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone i�_
Worker's Compensation
e an Zen an
f me it. I tplina4willi5e edwaweitAuses a all 'ie I= consou it I riedicti
iies or ca
if
`,mt id k is not.... within six numak" a,,a a ned
is6 man at anytime a er rkiscommenced. lundersta thatsclem... t 'e I I Wok,Phim
, oo , ur ces, a ers, caten,Tia and 1, eev,ine. 'e.,
R a
rope Woer. signaft s.
Sig fp a,'
BSF Before 1 1*
this Ray of Day o
Notary Public: Netury in
ury
h m, andcorrect. Allprovisionsaflawsan
or A, Oo,=, I* �E ' ;�ed'his application and"now ate ka"
��grii 16YU 8 w, w 11 sapi, . a, S3 at
44 " be ca d witz, A he"pcZ The granting of a permit does not
a othe,fe f%al 5 ocal law regulating construction or the
a e
MS M'11111wo
a"a�
Rev.3114116
_11"J'; City of Atianfic Beach APPLICATION NUMBER
0��93�, Building Departiment (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Be,ach, Florida 32233 6445 G
Phone(904)247-5826 - Fe DEC 7 2016
Date routed:17- 17- 7-
E-mail: building-dept@wat
City web-site: hft;p:11www.coab.us BY._
APPLICATION REVIEW AND TRACKING FORM
Property Address: 800 cpkrn E--,uxt 's j� nt review required Yes No
Applicant:
Project: Tree Administrator
u
Public Safety
Fire services
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
_�nny Corp._.fEngm.�
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: lj�Approved. ElDenied.
(Circle one.) Comments: Ld
Joe
BUILDING
PLANNING&ZONING Reviewed by* Date:
TREEADMIN. second view: DApproved as revised. enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied.
Comments:
Reviewed by: Date:-
Rewlsed 06114f09
zoo
I 1 .1 k -�16t -2
z A Y?,
VT i
)YgA
IV