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2219 OCEANFOREST DR W - FENCE • CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 0169'1— FENCE PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-FNCE-3412 Job Type: FENCE PERMIT Description: replace 4-foot fence with 6-foot wood fence & gate Estimated Value: $2,200.00 Issue Date: 3/23/2017 Expiration Date: 9/19/2017 PROPERTY ADDRESS: Address: 2219 W OCEANFOREST DR RE Number: 1. 69463-0574 PROPERTY OWNER: Name: SIMS ET AL, ROBERT & RACHAEL A, Address: 2219 W OCEANFOREST DR PERMIT INFORMATION: PUBLIC WORKS: All runoff must remain on-site during construction. Full right-of-way restoration, including sod, is required. All old fencing must be removed from job site by Contractor. FEES: Fence/ROW $35.00 I Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. , 1-4.8\ City of Atlantic Beach APPLICATION NUMBER • �s Building Department (To ei;` 800 Seminole Road be assigned by the Building Department.) -j �r Atlantic Beach, Florida 32233-5445 l i— T'N — 3 4{L a Phone(904)247-5826 • Fax(904) 247-5845 r 0111 E-mail: building-dept@coab.us Date routed: o 3`O3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: • `C1 . °cam 644 DI. Department review required Yes No nidi e Applicant: 0t..0 AL( arming &Zoning ree Admin Project: {Lpl (2. 4' Fu u.. W i-tvt (1" LQU . &A 0.6 aft Public 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: r/ pproved. ['Denied. (Circle one.) Comments: m mjd LG P I a^ rrrc r fy BUILDING PLANNING &ZONING L/ Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I (Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 1 — 1341 Phone(904)247-5826 • Fax(904)247-5845 Date routed: 81 3` T •Azonitr E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: • OCECLA ieS- Deoartment review required Yes o ui dina Applicant: OW tn.4 ' arming &Zoning Tree Admin or Project: (L,p4,L.L 9, Ftt cj W 4-h (O 1 LL u l nrk 0.A 0.,1 6 Public 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: oved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ni Date: 3//0/t7 TREE ADMIN. Second Review: ❑Approved as revised. ❑De d. 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 I ' S C1.A.P City of Atlantic Beach APPLICATION NUMBER \ Building Department MAR .. o X17 (To be assigned by the Building Department.) r. 5.,-, /� 800 Seminole Road Atlantic Beach, Florida 32233 5445I1- �/l1 — 3 t-tta Phone(904)247 5826 Fax(904)247 5845o;31�r E-mail: building-dept@coab.us Date routed: 031(D LT City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: o�c.141, W . OULU\644 1)1- De artment review required Yes No Lit di Applicant: OW AL( tanning &Zoning - Tree Admini or Project: {c,pl�,L.L M' F.tnci W,11,‘ (p' CLu &At/64:K- cpublic 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: APPLI ATION STATUS Reviewing Department First Review: I Approved. ['Denied. (Circle one.) Comments: BUILDING N/A PLANNING &ZONING6-1V)f/f/f'-------- Ar, Reviewed by: Date: 3 o TREE A DMIN. Second Review: A roved as revised. ❑ pp ['Denied. P.:1' WORKS Comme ts: 'U:L UTILITIES 0-7 •-/ 7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 01-LINric, City of Atlantic Beach APPLICATION NUMBER c)1 6 Building Department r " 16 (To be assigned by the Building Department.) 800 Seminole Road n r Atlantic Beach, Florida 32233-5445 11.-- PN�- 341 a Phone(904)247-5826 • Fax(904)247-5845MAR 6 6 2017 �0;��>% E-mail: building-dept@coab.us i,; Date routed: 031Da1«. E. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: o‘ c.14:1 . OCe u\Pbf 4 ,p(, Department review required Yes No :nidi • Applicant: Ow AL( • arming &Zoning _ _ ree •.mini or Project: {(,p4ti.. 9` Fe i' i L tv rm1 (0' « u I' etA tt6 ate Public 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: y.Approved. ❑Denied. 41-19- / (Circle one.) Comments: ,f' Affald 'taws r/_ BUILDING PLANNING & ZONING / / / Reviewed by: Date: 65A-3//7 TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Den'-d. 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 t CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: as 11 ocean E + D . Vv . 3'- 33 Permit Number: II'-FNC6`3 -( 14- O eaL.-.wcc.CIL Virw13� 9G Legal Description 4D-13 - O$ 5 -a9E t ©9 aS Ai E: 37-asParcel# I(o9 LI(03--O S 7 (- Floor Area of Sq.Ft. Sq,Ft Valuation of Work$ ,?,01a)-- Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): Addition Alteration Repair Move Demolition pooUspa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes -No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: 0---143( �} �t `�h t\ t U (P' Sd O,u)1:2-0-V- - ..Q.e.A.c_e_ • p a o-r. fLo.uti.1 Property Owner Information: Name: Off' I rY\S Address: i0-1(O -TO Oni' • City l k n` State(h)ZipO�1S Phone .a -, , -- l l . S E-Mail or Fax#(Op 'onal) -oj1n1C @ bei.I csp 'I-(,1 . Contractor Information: 6 f y- 8.S-9)0 Company Nam,,. _ _ _ _ . Qualifying Agent: Address:_ City _ _. __ _ . State p_ _ Office Phone _ ; fob Site/Contact Number Fax# State Certification/Registration# _ _ _ __ Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address - 3 2017 Mortgage Lender Name and Address kiAR Application is hereby made to obtain a permit to do the work and installations as indicated I certifir that no work or installation has comme.ced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construc '_•i '1 'o `' ;,; i . .'it becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandon • + 'I•' . , on' ny time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbi Heaters, Tanks and Air Conditioners,etc. - ; .1 • i :i 'I • - = = r" 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. I herebycert that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type owork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provissio�ns�off any othercfederal,state,or local law regulating construction or the performance of construction. J �?.� , Signature of Owner a i F Z- - - , o. Signature of Contractor Print Name ICUTRINV3 Ock aiet2. Print Name Sworn to an. .. • ribed before me Sworn to and subscribed before me this D. of + trot.- ,20 I this Day of ,20 Notary Public 41110SHERI R ROMECKNotary Public f. •« My COMMISSION 4 FF230640 4'.r`, EXPIRES May 18.2019 Revised 01.26.10 OFFICE COPY • 5 SPECIFIC POWER OF ATTORNEY I/We L 5: i S ssN#y 7`l -7s -L{<3S residing at 7 21`t O CC -d frPSci-- D r W' A t"4 r 1 , hereby appoint Tammy Ouellette and TDO Management Services, Inc. as my Attorney- In-Fact("Agent"). My Agent shall have full power and authority to act on my behalf. This power and authority shall authorize my Agent to manage and conduct all of my affairs and to exercise all of my legal rights and powers involving the management and or selling of my home. My Agent's power shall include the power to: Convey,lease,manage, insure,improve,repair, or perform any other act with respect to my property now owned including, but not limited to real estate and real estate rights including: • Eviction of tenants to recover possession, and the collection of money owed by tenants. • Licensing,Taxation and Insurance matters. • Mortgage payments and information pertaining to same. • Procurement, payment and termination of utility services. • Procurement, payment and coordinating of maintenance/ contractor related repair contracts. In addition, this power of attorney includes the right to sign all documents, affidavits or any other instrument to complete the transaction. This also includes the right to encumber my property legally described as: 22) cl 0cPa - O vv A-ick;c l i c 3;; My Agent shall not be liable for any loss that results from a judgment error that was made in good faith. However,my Agent shall be liable for willful misconduct or the failure to act in good faith while acting under the authority of this Power of Attorney. My Agent shall not be entitled to any compensation, during my lifetime or upon my death,for any services provided as my Agent. My Agent shall be entitled to reimbursement of all reasonable expenses incurred in connection with this Power of Attorney. My Agent shall provide an accounting for all acts preformed as my Agent,if I so request or if such a request is made by any authorized personal representative or fiduciary acting on my behalf. This Power of Attorney shall become effective immediately and shall continue until revoked by me at any time by providing written notice to my Agent Dated this 4-.�t n�, "L' In the city of Jacksorwl le lehJFL 32250 Owner of Property / Tammy Ouellette/ TDO Mgmnt. Owner of of Property a