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
•
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