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1695 SELVA MARINA DR - FENCE 0,..„.„.,../..,,, cs p 11\1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 01119INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0003 Description: 6 foot tall cypress fence Estimated Value: 5000 Issue Date: 5/26/2017 Expiration Date: 11/22/2017 PROPERTY ADDRESS: Address: 1695 SELVA MARINA DR RE Number: 171999 0000 PROPERTY OWNER: Name: HELLER RICHARD M Address: 1695 SELVA MARINA DR ATLANTIC BEACH, FL 32233-5615 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ELITE CUSTOM HOMES & RENOVATIONS INC Address: 2304 Peach DR JACKSONVILLE, FL 32246 Phone: 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 $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. , JAI.r,. City of Atlantic Beach APPLICATION NUMBER mss "' 1 Building Department (To be assigned by the Building Department.) -• :. i 800 Seminole Road ,r-ti (- 11 0oo3 l Atlantic Beach, Florida 32233-5445 ,� Phone(904)247-5826 • Fax(904)247-5845 ",:_1111. )1c7E-mail: building-dept@coab.us Date routed: OS IOC/ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM c.Property Address: 1 CLC-- v,k-`kl 0 PV l n ci 0( • epactment review required Yes o n uildinq Applicant: L ik.k L. uS \A"6Yv`.QS /arming &Zonin , Administrator Project: 0-- O ( * N p( .2S -►-Li lC QC ,' °`l s Public Utilities Public Safety Fire Services Ilpyiew fed,:-. MOIVRAIMINIMIll 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 PLANNING &ZONING Reviewed by: �� Date: 5—'/7/7 TREE ADMIN. Second eview: 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 0.1-11rjr, City of Atlantic Beach APPLICATION NUMBER `�� i ,o, Building Department (To be assigned by the Building Department.) -- `' .If 800 Seminole Road r /t j i 1 _ 0003 ,�, - Atlantic Beach, Florida 32233-5445 l-G 1 Phone(904)247-5826 • Fax(904)247-5845 ...'rr 0 E-mail: building-dept@coab.us Date routed: IOG( I 11 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM PropertyAddress: 1 V)CLc Sg-'11U,' l(\Ct Or. _B - . rt ent review required Yes No n :uildin• Applicant: LU-V-4.._ CLtsi m nAkj illianning &Zonin• i "0- Tree Administrator ( Project: %l.* C,p c L.- Pc-aL.Q rte_= 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: _Date: _S7)--7 (1^1 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 05/14/09 II,Aiv; City of Atlantic Beach APPLICATION NUMBER S r ��� Building Department (To be assigned by the Building Department.) } � 800 Seminole Road I // /� :-•br � 1.�s) Atlantic Beach Florida 32233-5445 rN eG i l 0003 ,v' �E� ' Phone(904)247 5826 Fax(904)247-584 G \`'!oloryi• E-mail: building-dept@coab.us Date routed: I' I O j I 1 q City web-site: http://www.coab.us MAY 15 2017 APPLICATION REVIEW AND TRACKING FORM • Property Address: 1 0�1 SQ-1JC1 J1'`ti,tir tj 01. s ent review required Yes No n :uildin. Applicant: & � Lik _ LSM �Yv\. j 'tanning &Zonin• Adminis ra or Project: lo— -VD(j-k at p( LSS Pc-aL__Q 411_= LLai,� 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: [Approved. ❑Denied. (Circle one.) Comments: 16e /1�� 424ifek BUILDING �i PLANNING &ZONING Reviewed b : Date: v f it /fq TREE ADMIN. Second Review: ❑Approved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. EDenied. Comments: I Reviewed by: Date: _ Revised 05/14/09 s'`, ,' City of Atlantic Beach APPLICATION NUMBER z : n� Building Department (To be assigned by the Building Department.) ,; 800 Seminole Road rnl an- _ 003 �� `�'` `� Atlantic Beach, Florida 32233-5445 BECEI4 � � r Phone(904)247-5826 • Fax(904)247-5845 o�j? y E-mail: building-dept@coab.us MAY 5 20 Date routed: ( I Oc( (1 1 City web-site: http://www.coab.us a0 APPLICATION REVIEW AND TRACKING FORM • Property Address: I l0 CLS- SQ1-kl G J'kU i l nCl 01. D_•_ ent review re•uired Yes No 11 :uildin• Applicant: CAA-Vt._ S YAQ_S Or anning &Zonin• __- -- Adminis ra or Vr� Cy (L Pe-aLk � _Project: (0- ' v(DA-(DA- P SI Public Utilities Public Safety Fire Services Review fee $ Dept Signature 's4-7 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: /1/14- BUILDING PLANNING &ZONINGReviewed by: 7'' - Date:S r yi TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ciP C�ORi Comments: PUBLIC UTILITIES .-5.-(5---i7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 ro"L''':-/, BUILDING PERMIT APPLICATION FN ce f i - 3 Jt;:, CITY OF ATLANTIC BEACH DATE 800 Seminole Road,Atlantic Beach FL 32233 ,J Kit - FILE CCi- ,r;t9a Office:(904)247-5826 • Fax:(904)247-5845 ✓ Job Address: 16 43 -5e 1 Jc-., /°kms i - 1 ,,N e Permit Number: /6 - S i R - I VI) Legal Description to II G14del.)4- it ‘11+ Li k IT ,� RE# ,r- a Valuation of Work(Replacement Cost)$ 7!(�1i0- Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed struc re(s)(Circle one): Commercial esida� nti • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No C i � • 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: ,--- / C Fs,5 reN'nGe A 11 Florida Product Approval#_ for multiple products use product approval form Property Owner Information R,,t,. f4 f 1,wr .4!/ .-L. 3 -233 / Airwii--Name: A(14Au,� 1( IDS t- Address: 1 5-‘ 5,e I�l� � pr, City 14 rte\ State fl Zip 3 2233 Phone 1 -- 31 U_ ?0 �9.5 E-Mail / x-F "Mil _T-22,53 e 4w_, Ga ' k1-I 6 4--c6 � e) a i 2/Y / tnrUOwner or Agent (If Agent,Power of Attorney or Agency Letter Required) _ WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE i m41.� ' 174,1: NEW RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ' ' k '' ' TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Contractor Information: � APR 2 9 2017 Name of Company: E I%\'`t (,),40,..-- t 5 @ 1�'�vk�Jw Qualifying Agent: en r•r re/ Address: )0 ?ec .A t.. City - -1-4_2_X___,,,,_13(11110.r 'epa .int 6 Office Phone/01/- 233' 9130 Job Site/Contact Number - en •' . b F- State Certification/Registration# L GC. 12 b04 2.7 E-Mail .)i4 49.4. ft(xA-t.cm 6 Lt a (/4 lux) • legit Architect Name &Phone # / Engineer's Name&Phone# Worker's Compensation - xem:id surer / Lease Employees / Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a perm' ''1 all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and •'d if woi " not commenced within six(6) months, or if construction or work is suspended or abandoned or a period of six( months at any ti . ter wor ..mmenced. I understand that separate permits must be secured for Electrical Work,Plum ing, Signs, Wells,Pools,Furnaces,Bob leaters _ _ ; onditioners,etc. /"� /A Signature of Prope owner-40w _ Signature of Contractor: Gs� Before me this 2t1pDay of MA/ 02-0 li Before me this 2 ► Day of Mitt/ 0o11 l 414\''',:^Mq ,; DAYNA ti WIllIAAIS • (�. I_ Notary Public: �'liU � .., -,.__t�CCOMMISl ON1FY217e�ic: �C W v'• "' •a EXPIRES:August 7,2019 '�I„pf \d'.. Bonded Thru Notary Public Underwriters I hereby cert that I have read and examined this application and know the same to be true and correct. All provisions of laws and of ordinances governing this type work 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 provisions of any other federal, state, or local law regulating construction or the performance of construction. Rev. 5/2/16 • /;