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44 5th St fence permit $wL ji. 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 ]OB INFORMATION: Sob ID: 17-FNCE-2991 Job Type: FENCE PERMIT Description: FENCE 4' Estimated Value: $1,500.00 Issue Date: 1/27/2017 Expiration Date: 7/26/2017 PROPERTY ADDRESS: Address: 44 5TH ST RE Number: 170160-0000 PROPERTY OWNER: Name: HOWELL TRUST, DONALD WILLARD Address: 44 5TH ST 44 5TH ST GENERAL CONTRACTOR INFORMATION: Name: SUPERIOR FENCE AND RAIL OF NFL ,N/A Address: 5470 HIGHWAY AVE Phone: 904-382-2221 PERMIT INFORMATION: FEES: Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �c=�r City of Atlantic Beach APPLICATION NUMBER ;jt •n Building Department (To be assigned by the Building Department.)_ 800 Seminole Road j _ s Atlantic Beach, Florida 32233-5445 17 .. - Phone(904)247-5826 - Fax(904)2475845 E-mail: building-dept@coatims Date routed: ) City web-site: hap:/&ww.wab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 44 5' S--t— Department review required Yes No Applicant: fJ�eCrol— / �WnEc- mg &Zom ( Tree AdrmniMMW Project: Pen Q e_ Egis Works ublic Utilities Public Safety Fire Services Review fee $ Dept Signature> Other Agency Review or Permit Required Review or Receipt Date Of Permit Verified B 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: 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 Ntv�r City of Atlantic Beach APPLICATION NUMBER Building Department ECi 1j (To be assigned by the Building pDepartment.) 800 Seminole Road ��71 12 _FtJ ,�E_ _LI Q/ Atlantic Beach,Florida 32233-5446 fd Al Phone(904)247-5826 - Fax(904) 7-584 17 2017 if j f1 E-mail: building-dept@wab.us By. , Date routed: Cityweb-site: hdp://w .Mab.us APPLICATION REVIEW AND TRACKING FORM Property Address: l+4 S / /S� De artment review re uired Yes No Applicant: U 1�eCcct- / l �(N .'� E? C— frig 8 Zonl _ Tree AdmhnKVW6r Project: ( n U is Works ublic Utilities Public Safety Fire Services Revlew fee $ '!i1 Dept Signature Other Agency Review or Permit Required Review or Receipt Date - of Permit Verified B 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: Approved. ❑Denied. (Circle one.) Comments: �/ BUILDING '°/K PLANNING 8,ZONING Reviewed by: "" z, Date: g TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. C WOR Comments: PUBLIC UTILITIES / /7-x`7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic BeachAPPLICATION NUMBER Building Department �qN V (To be assigned by the Building Department.)_ 800 Seminole Road z0�� 17 -FrvCE- Zg 9 / Atlantic Beach,Florida 32233-5445 qp Phone(904)247-5826 Fax(904)247-564 E-mail: building-dept@wab.us Date routed: Cityweb-site: hrpJAM1 .wab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 44 S' ^Sr- De artmant review required Yes No Applicant: L) p eC't cr- 2 r^ ning &Zom Project: rN e e— c work ublic Utilities Public Safety Fire Services ;Review fee$ Dept Signature Other Agency Review or Permit Required Review of Permit Verified or ReceiptBy 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: FkJApproved. El Denied. 1 1f'l? (Circle one.) Comments: BUILDING PLANNING&ZONING _ Reviewed by: Dater TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114/09 City of Atlantic Beach APPLICATION NUMBER ;jr •� Building Department (To be assigned by the Building Department.) 800 Seminole Road 17 Atlantic Beach, Florida 32233-5445 Phone(904)2475826 - Fax(904)247-5845 E-mail: building-dept@wab.us Date routed: I City web-site: http:/hnwu.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 44 J" hSn De artmant review required Yes No Applicant: � Upet`cot- / l X C-1eC— mg &Zom ( _ Tree c m nv U r Project: ��n e �_ is Work PublicUtilities Public Safety Fire Services Review fee $ Dept Signature, Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: proved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING&ZONING Reviewed by: Date: E/R�7 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 BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office:(9 04)247-5826 • Fax:(904)247-5845 ^ I _ ct Job Address: 4-LAJc� 54 ' \ V�`' I -' Permit Number: Legal Description RE# Valuation of Work(Replacement Cost)$ 1 SDt 1) geated/Cooled SF nNon-Heated/Cooled n Class of Work(Circle one): Ne Addition Alteration Repair M Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial ide If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit o is Tree Removal Describe in detail thee of work to be performed- Pie�lcllct-i-tr�¢ across k'ror�-1- ��.v-� Florida Product Approval# for mulppro8ucra use product ap�°�al f Property Owner Information `` V� H Name: Jule uA `,l Address: 5+ S� t�V City A- • c Statef Pho (q0tQ4 -(r CA &A¢iil X71 wp orAgent (IfAgvit,power ofAnomey or Agency ld[er Requi�l 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. Contractor Information: Name of Company: -AG`Rr f or�4n LA_ Quali 'ng Agent: Address: der d1A XL City State Zip yy I sr.51fi Office Phone 0 3 3 -Job Site/Contact Number tel, (e3-f4 g, State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Worker's Compensation Tiiqly J7 • cxemp, t insurer / Lease L'mpl6yeea I ..fore.Da[o Application is hereby mode to obtain a permit to do the work and installations as indicated Icertify that no work or installation has commenced pn0r to the issuance ofa permit a that all work will be perlarmed to meet the standards of all laws regulating construction in thLs jurisdiction. %his permit becomes w(l aM void i wrork is not comme cedd within six(6 months, or if construction or work is suspended or abandonedfor a periodofsix(6)monthr atony time after worker comm en end Iundcrsta�thatseparatepennits must bes redfor6'[ecnical Work�P/umbing, SSigns, IFVVe!!s,PPoa/s,Furnaces,Bod., eaters, Tanks anal Co dlti ",eM. QQ Pry X Signature of Property Owner: ""�'Si V Before a Signature of Contra r this�D .JD Before me this Dyyay of NotaryPub Notary Public- JEAN ublicJEAN A.sNYDEA .... I hereby cert th !therer -`� = Naa Public State of Flaritla f T NYAiv l ® w the sem ;b Cr Rt� laws and ardiwnces governing lh tY N��r r ( sped red o. S arllwat t does not presume to give aulhori to ne s erfeera si2;p;,;0 o�RFla59$gakFbtBt&81$Y ionorthe performance of mutslruction. oa7 mat a aonueearsa Flerlaenmery 3E4CH . + " 4VENUE I 'O}I ON 1P t IN RINCI r.. P. I I �.T: � I .DA° L1 �1 4• 1,9�RN O �- C � � R 20 . . len I inl 1©�7 H 14 • I O dap .`"Oli/ �� � TK m R td ti vh `111 A�� L' MC ,otl .,G• �/ _. �•� I tn 'ho 'M � Iq 111 M P I� l 2V�t4 i�• P I q utr�t n '. 1 :lTer•: \.f I � _ •rr� I gyp 3 E A C V E N l/ E S/VWC w I�_ y . _ ! Gw ow vw 1 . 0 14 �v6wc t i