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338 4TH ST - FENCE PERMIT ., ,- 1 i ::/ 1.+ ' .. 5 f CITY OF ATLANTIC BEACH " 1 si 800 SEMINOLE ROAD yATLANTIC BEACH, FL 32233 / INSPECTION PHONE LINE 247-5814 ..ir FENCE PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-FNCE-2771 Job Type: FENCE PERMIT Description: FENCE Estimated Value: $3,000.00 Issue Date: 1/27/2017 Expiration Date: 7/26/2017 PROPERTY ADDRESS: Address: 338 4TH ST RE Number: 169818-0000 PROPERTY OWNER: Name: STEELE, JAMES V Address: 1874 BEACH AVE GENERAL CONTRACTOR INFORMATION: Name: SH DESIGN LLC , CBC1259113 Address: 830 3Rd ST UNIT 101 Phone: 904-339-1126 PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site during construction. Roll off container company must be on City approved list (Advanced Disposal and Realco Recycling). Container cannot be placed on City right-of-way. Full right-of-way restoration, including sod, is required. All old fencing must be removed from job site by Contractor. 11 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. ,514,,k,,, City of Atlantic Beach APPLICATION NUMBER pBuilding Department <� (To be assigned by the Building Department.) 800 Seminole Road _ Apor:o � Atlantic Beach, Florida 32233-5445 1G— �-•- NCE_ 277 / Phone(904)247-5826 • Fax(904)247-5845 '=or31sP- E-mail: building-dept@coab.us Date routed: I a lI 2-// ., City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 33 I` ( Department review required Yes No ` : .ildin. Applicant: S (---tibE S( i\� nning &Zonin Tree A miator Project: }-- Ew C_C---- u lic Wor< ublic Utilities Public Safety • Fire Services • Review fee $ Dept Signature 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 Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: roved. ❑Denied. (Circle one.) Comments: UILDING) /W PLANNING &ZONING Reviewed by: Date: 41 o,U/6 TREE ADMIN. Second Review: ❑Approved as revised. ODeni d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: OApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 014•,, City of Atlantic Beach APPLICATION NUMBER `msst, Building Department (To be assigned by the Building Department.) ' i›.. 800 Seminole Road -s� EGE /Ell 1G- FNCC- 277 / r Atlantic Beach, Florida 32233-544 Phone(904)247-5826 • Fax(90 47-5845 >, o E-mail: building-dept@coab.us r. DEC 13 2016 Date routed: I Z lI Z / City web-site: http://www.coab.us ;3Y:- APPLICATION REVIEW-AND-TRACKING FORM Property Address: 33 ", S( Department review required Yes No : .'Idin• Applicant: S E S lel\ &Zonis Tree Administrator Project: (r'ublic Wore ublic Utilities) Public Safety Fire Services Review fee $ e•8Dept Signature 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 Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI ATION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Date: Reviewed by:.__ ;Z 1/1 "MP TREE ADMIN. Second Review: Approved as revised. I-Denied. WORy.S Comments: PUBLIC UTILITIES / Z-/3-`4 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 , tAkr�,, City of Atlantic Beach Js APPLICATION NUMBER kit tt, Building Department (To be assigned by the Building Department.) A i 800 Seminole Road �,� ;� - Atlantic Beach, Florida 32233-5445 ' ' ICS— FNCE- 277 Phone(904)247-5826 • Fax(904)247-5845 "� I o E-mail: building-dept@coab.us DEC 13 201• pate routed: 1 z 11Zfl( City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 33 r, v ( _ Department review required Yes No _ I j� : ..Idin• Applicant: S N U E S(Gk) nning &Zonin Tree Administrator Project: H" u lic Wor< ublic Utilities Public Safety Fire Services • 'Review fee $ Dept Signature • 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 Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ['Denied. 4ez---*-/ (Circle one.) Comments: Ve /644tdd .4i1 0144), BUILDING i�7T PLANNING &ZONING �/ Reviewed by: i i Date:/46 TREE ADMIN. Second Review: ['Approved as revised. ['Denies. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ODenied. Comments: Reviewed by: Date: Revised 05/14/09 Ti `!'i,, City of Atlantic Beach APPLICATION NUMBER , Building Department (To be assigned by the Building Department.) `:`irI�� 800 Seminole Road /� h_ Atlantic Beach, Florida 32233-5445 1G- N C E_ 277 / Phone(904)247-5826 • Fax(904)247-5845 o E-mail: building-dept@coab.us Date I routed: z /1 Z/ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 33 r-, v -- ( Department review required Yes No Idinq Applicant: Sl N ES( k) ____(Pf8rming &Zonin Tree A ministrator Project: E C<-C-1 _u.lic Wor ublic Utilities Public Safety • Fire Services • Review fee $ Dept Signature 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 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: vos<: w/ Z..•Vj --/ Date: tli/V{t 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 „, ... !(L-1uJr'=` BUILDING PERMIT APPLICATION S •• OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 �4,ii1)r Office: (904)247-5826 • Fax: (904)247-5845 Job Address: } Permit Number: 16 St -33`J Legal Description I 7)1c- $L;Ay,,1..\. \ A it RI I nil gtRE# Valuation of Work(Replacement Cost) $ 3, u-,:-0 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one):re ew Addition Alteration Repair Move .Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial (1._Residentia • If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No (NT ■ Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: ,,,i,,,,,,_J ��, e C ' ,. - ( Z - j Sa m Florida Product Approval#_ for multiple products use product approval form Property Owner Information Name: . .'rte,,Jw S,.M �A Address: S3 (-I S ( 41). City A.., State it Zip 3 2 23.k, Phone 9(4 E-Mail bpt4hti'5oniLi”py1o•--.,,,..„, Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) 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: c(-) Qe"ir--, Qualifying Agent: ) (.' 57f--11-- Address: 23J 9-q 52 C City ✓ -( State Zip .7 Office Phone ?of-f-eiZ''- 16.5--Z_ Job Site/Contact Number State Certification/Registration# E-Mail t.vv.1.1, " a .S 'L - tv c---- Architect Name&Phone # Engineer's Name&Phone# Worker's Compensation Exempt / Insurer / Lease Employees / Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)m s;--or if construction or work is suspended or abandoned for a period oI'six(6)months at any time after work is c. menced. I understead tIrat separate permits must be secured for Elec ca Work,Plumbing, Signs, Wells,Pools,Furnaces,Boilers,Heater anks and Air C. idilloners etc. h Signature of Proper wner: ��r F R( A f OS C 10 \ l c t nO Before me el Signature of Contractor: MIthis i ? Day of .e " Before me this Da of Notary Public: . Ikti < ,tip'"i° f' O T SPERGER f,.�v -? .w EXPIRES:October 6,2019 •pt,.�• Bonded Thru Notary Public Underwn rs i I hereby cert'that I have read and examined tl. .pplication a ---:"2:1---------•.------------,-.:-aect. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The grantin,g of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. Rev. 3/14/16 ,ec( -a77/ off" Arox e 14190 X-t/. f x''96 gat/7x 71. 1-' - /of .z/f 9 x__/_X Y fro dt /3,0 x .2r. _ I O3 irithrr f'K P-00-461e- tY r- ,z44 ,zirx k c-7340- 4e < 2 / IW - y