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49 DONNER RD - FENCE J3 ' v S� CITY OF ATLANTIC BEACH of ' ' :. 800 SEMINOLE ROAD 4, ATLANTIC BEACH, FL 32233 "2-0;3 >' INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0013 Description: Estimated Value: 0 Issue Date: 6/2/2017 Expiration Date: 11/29/2017 PROPERTY ADDRESS: Address: 49 DONNER RD RE Number: 172064 0000 PROPERTY OWNER: Name: LYLES TOMMY Address: 13925 HUNTERWOOD RD JACKSONVILLE, FL 32225-1905 GENERAL CONTRACTOR INFORMATION: Name: JAMES KELLEY Address: , Phone: 9046864818 Name: ELITE CUSTOM HOMES & RENOVATIONS INC Address: 2304 Peach DR JACKSONVILLE, FL 32246 Phone: 9046864818 PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of li $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. I o>r:ar1; City of Atlantic Beach APPLICATION NUMBER �s \�� Building Department (To be assigned by the Building Department.) r . d - t. A+ �� tla SeminolecRoad F N]QE 1. 7 —00(3 ,��. �� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 �-7 -__io;ilq� E-mail: building-dept@coab.us Date routed: -` `II / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ` ( 9 EC I C)Eiz_ i ._b Department review required Y`es - No I_ �uildinci7 V Applicant: ELITE, C...0 -7-,,,,,,,. t-bm eSWining &Zon n j ~ Tree Administrator Project: 0. . �PutSI'ic� oW^TK5-� is 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: [ proved. ['Denied. (Circle one.) Comments: Lo/i< ac,�olt. Sha)( �.l.i �� c�pp)ica4;or. asrV•lns Valutj descr;be. Pence Type a rr.a.5riais. UILDING PLANNING & ZONING Reviewed by: !79--- Date: 5—'/7'/7 TREE ADMIN. Second Review: A roved as revised. ❑ pp ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 f..Alt,-. , City of Atlantic Beach APPLICATION NUMBER o' /; ", Building Department (To be assigned by the Building Department.) t!':.-_ 800 Seminole Road �`)SCE / 7 Dig • s� Atlantic Beach, Florida 32233-5445 I , I 0 C(3 \- Phone(904)247-5826 • Fax(904)247-5845,,,,,y • X5119%- E-mail: building-dept@coab.us Date routed: -J ( � (7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 49 UO( (\J 4 ... ( De•artment review required Yes No i uildinc Applicant: LL- TE. Co i[,rYi 1—bm es anning & Zoning Tree Administrator Project: ) - • is or t. .lic 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: A,,,---PrrPLICATION STATUS Reviewing Department First Review: I/ (Approved. ❑Denied. (Circle one.) Comments: [i BUILDING 1 -ren C�oCl• Phi5+ ke G-f- (f.,S1- 10 / i L _e 1 (' 7,-)-- /c- C(-4-1 '4., e. PLANNING & ZONING / U Reviewed by: /‘ -'—'' /7„,..-z_ Date:5/2) /I? TREE ADMIN. Second Review: 'Approved as revised. I 'Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 �5.rip,,,, City of Atlantic Beach fir- APPLICATION NUMBER �s Building Department } r ;,�a (To be assigned by the Building Department.) ,r.: , 800 Seminole Road + � _, �r Atlantic Beach, Florida 32233-5445 - 'Ur f �)v�� 1 7 —0D(..3 Phone(904)247-5826 • Fax(904)24745845 �.o;t >� Email: building-dept@coab.us '-moi Date routed: –Si(� l(7 City web-site: http://www.coab.us �`-- - -- APPLICATION REVIEW AND TRACKING FORM Property Address: `t' C'-)M(\E-A. Department review required Yes No �uildin_0 Applicant: ELATE COS rcwy tbm FS _ . arming &Zonir Tree Administrator Project: P-mac M or is 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: gApproved. ❑Denied. (Circle one.) Comments: je,e id ®r0/0 BUILDING PLANNING &ZONING // ��/J/�� W �7 Reviewed by:_4 1�"� Date:P* TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. LiDenied. Comments: Reviewed by: Date: Revised 07/27/10 ,"•i"\, .�4, City of Atlantic Beach �� APPLICATION NUMBER , S Building Department , (To be assigned by the Building Department.) �y.._ ., ., 800 Seminole Road MAY 7 2017 �l��E t `7 - 00(3 ilii- "°1 Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 `-7 .?2',/,,g.219%-- E-mail: building-dept@coab.us routed: Si( j City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /1-H 0O(\ 1._ E� P\Thk Department review required Yes No ✓ Building") l_ CO&T1T)vYIanning & ZonigApplicant �E ��m � -- Tree Administrator is Wor'K5� Project: ) is Utilities Public Safety Fire Services Review fee $ y Dept Signature f_irf Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers I) Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: 0-- BUILDING PLANNING & ZONING i 'l()ttit ---Date: 51140 7 Reviewed by: TREE ADMIN. Second Review: Approved as revised. ❑Denied. dr. ' WORKS Comments: 1 PUBLIC UTILITIES 5"---/7—/-7Reviewed by: Date: SAFE PUBLICICSAFETYY FIRE SERVICES Third Review: I lApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 RI r.7,.. ( opY ems,, Building Permit Application r+Sr, City of Atlantic Beach ;A v J 800 Seminole Road,Atlantic Beach, FL 32233 �_J Q Phone:(904)247-5826 Fax:(904)247-5845 Job Address: "� i DoNverz- tcn c, , Permit Number: P Cd 7 b o(3 Legal Description text 74Nr1tAL (b �, �l' RE# \12 O VI-00o0 Valuation of Work(Replace ent Cost)$ /CjO�r)Bated/Cooled SF Non-Heated/Cooled • Class of Work(Circle on ration Repair Move Demo Pool Window/Door --2UCe, • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No /A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit o No Tree Removal Describe in detail the type of work to be performed:^" 11 Florida Product Approval# for multiple products use product approval form Property Owner Information Name: 51 loud CZ I- l.-1-C- Address: 35-5- (ti& hi-pe• ,+ City / M—Vi v ( Q)kek State Et_ Zip 311-33 Phone 9o4"3-J 9- 2-zo 3 E-Mail Nr(,l2) ver how,'0. 1D&iA Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: )✓(t(. y[:,,.n Mie{(-•revvq,(jmvg 4- Qualifying Agent: �h4Ae's Iii`/ Address Lao Lk P..e)..JL. D ri ue City T',tics,,y,1le State PL Zip 3 Z z qc, Office Phone gag-6%-- L{ql$ Job Site/Contact Number J45 got/-6%-4--Ni ci- State Certification/Registration# e6c-- I ZL-CLF Zq E-Mail Ji`- Wit,Sid,,... iv.-, 6Kd y4600 f�^V Architect Name&Phone# 7I1A- RECEIVED Engineer's Name&Phone# /11/4 Workers Compensation •L;t t.nt- Exempt/Insurer/Lease Employees/Expiration Date Application is hereby made to obtain a permit to do the work and installation i ipd afed I�c tify that no work or installation has commenced prior to the issuance of a permit and that all work will be perfor o 4 ndards of all the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS, POOLS,FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDIT1QuNR ,etc. p��* OWNER'S AFFIDAVIT: I certify that all the foregoing information is sod QQ�I tOa�. ' , TSAk one in compliance with all applicable.laws regulating construction and zoning. g Uan c :each, FL 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/ /;,- ---zi (Signature of Owner or Agent including Contractor) (Signature of Cont ctor) Signed and sworn to(or affirmed)before me this I a day of to(or affirmed)before me this 13 day of µa'kt , a-Ol ,by qq NGtA , a_l� ,by / ignatur'e of tar ) (Signatu of No ry) ilg%4,.. JENNIFER JOHNSTON '=Q.**** =Q. *.4'-'= MY COMMISSION#GG 042984 • c t -%iL,,, ri :,F EXPIRES:October 27,2020 . ;•" ^w! -%$oc...o"' ed Tru Notary Public Underwriters JENNIFER JOHNSTON `:**"': '•. JENNIFER JOHNSTON ,1,„ 4Q� �,.� ,� iJ6Y 4Q1k- ,. :e'�t:OMMISSION#GG 042984 (personally Known OR :f. • l,t; MY COMMISSION#GG 042984 ( )Produced Identification • ;_.;PIRES:October 27,2020 I I Produced Identification "L—$ EXPIRES:October 27.2020 Ttau No Type eti��.0* Bonded Tru Notary Public Underwriters Type of Identification: �Public Underwriters T e of Identification: