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367 6TH ST FENCE 2017 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: 17-FNCE-3818 Description: FENCE Estimated Value: 1700 Issue Date: 5/30/2017 Expiration Date: 11/26/2017 PROPERTY ADDRESS: Address: 367 6TH ST RE Number: 169902 0000 PROPERTY OWNER: Name: Rebekah Wilson Address: 367 6TH ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: 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. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) `n 800 Seminole Road I `-7` �N� _ ' 8 Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 it E-mail: building-dept@coab.us Date routed: '-F City web-site: hdp:1twww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:3(ol / `-('� ST De rtment review requi Yes o {— Dl9 Buildin Applicant: 1` �IJL' E 1 g-o fanning &Zonin Tree Admlm Project: 1- �/1�CG Public o Public U I I I Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: UILDING PLANNING&ZONING Reviewed by: Date: 6'� TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised OW14/09 Yt� City of Atlantic Beach APPLICATION NUMBER Building Department (to be assigned by the Building Department.) 800 Seminole Road I `-t [-N/� _ ` g Atlantic Beach,Florida 322335445 l / t� Phone(904)247-5826 Fax(904)247-5845 A ... nf E-mail: building-dept@coab.us Date routed: `i' Zz�a 417-- City weGsite: http://w .coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:3�in_Z (oak ( De artment review required Yes No ('— o Buildin Applicant: 1` � . ),oc_ 0 fanning &Zonin (� Tree AdmM Project: {- -f��'� Public o Public Utl i Public Safety Fire Services Review fee $ Dept Signatur Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: 14Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: / 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 05114/09 ?S,ar�r City of Atlantic Beach F ECEIVE APPLCATION NUMBER Building Department (To be assigned by the Building Department.) r800 Seminole Road APR 2 5 2011 I ` - EN�18 - Atlantic Beach, Florida 32233-5445 Phone(904)247-5828 Fax(904)2845 i JfflpP J E-mail: building-dept@coab.us By Date routed: 4 Z d Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:36p7 67—'1' ( De it It review re wired Yes No {`— o Buildin Applicant: — �rJC.E. ) g-o Pianning &Zonin (�" Tree Admml Project: 1- '/ cc—_ Public o Public Utl i l Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Flonda Dept.of Transportation Sl.Johns River Water Management District Arany Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: W(Approved. //❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed : Date: 11--14 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 05114/99 City of Atlantic Beach ;t-� APPLICATION NUMBER .�� Building Department ECEIVI= (To be assigned by the Building Department.) 800 Seminole Road APR 2 h 7_ g Atlantic Beach, Florida 32233544 20�� Phone(904)247-5826 Fax(9 7-5845 4JZe '�oIIly^r E-mail: building-dept@coab.us By:__ _ Date routed: City web-she: hnp:/hvvw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:3(n7 C, De artment review re uired Yes No uildin Applicant: I' �rJ CE Pio lanning &Zonin (� Tree Adminl Project: 1— E=;�CG Public o Public ti I I Public Safety Fire Services Rev' Other Agency Review or Permit Required Review or Receipt Date of Permit Verified 8 Florida Dept.of Environmental Protection Fbrida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: U✓Approved. [-]Denied. (Circle one.) Comments: r BUILDING / PLANNING &ZONING Reviewed by: w�/� Date: Z (7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. P WORK Comments: PUB UTILITIES PUTZ /7 IC SAFETYReviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 3U-1 Office(904)247-5p826 Fax(904)247-5845 j_7 -rM Q_&M( 8 Job Address: wto SJR' {-I.1 tw,,�N L t.�(L-L)`l Permit Number: Legal Descriptions-(Pl \b- Zl - PO1 �,h • Parcel# '`� 3S �k LcA : _F ocrl Ar of hq.tt. \�t 3 \K Valuation of Work S �"100.� Proposed Work heated/cooled non-heated/cd,Td Class of Work(circle one): New Addition Alteration Repair Move 7F __ Use of existiog/proposed stracture(s)(circle one):. Commercial RedenIf an existing structure,isafiresprinkler system installed?(Circle one): YesFlorida Product Approval# 0 2011For multiple products use pr act approv orm Desc(rriibe in detail the type of work to be performed: 1"'J C\ y3r -V ,—_S C-S Seo V.0 Property Owner Information: City�anhc ac_h State -Up Phone ttCl S" 3 SKgq E-Mail or Fax#(Optional) v l , A m,;6 (n"\ Ij Contractor Information: Company me: T r\ ,a Qualifying Agent: �L\ \ S� V e J"»'\A Address:']__ Ci -• �-.J' State t \ Zip 3 a'a o Office Phone S ol, Jobb Sitel Contact Number S- Fax# State Certification/Registration# Architect Name it Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 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 issuances apermitandthatall work will beperformedto meet the standards ofall laws regulating construction in thisjurisdicaon. Thispermithecowsmll and void work u not commencedwithin six(6)months,or iiftwarection or work is surnded or abandoned fora period ofsbr/6J months at any doe alter work is commenced. I understand that separatepermits must be secured for E/ecid Work,Plumbing,Sign, WdL,Pooh,Furnaces,Rollers,lig eon, Tanks and Air Conditioners,etc 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 YO"NOTICE OF COMMENCEMENT. I hcme certify that l have readandexamined this Plication and bow the same to be true and correct. All provismatt oflaws a ed ordrrmnces governing this type o work will be complied with whether sppeec'ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the prnvumm ofony other federa hie,or locallaw egulating cowavcdon ar the performance ofcomnuction. Signature of Owner ` Signature of Contrac �- S\ u%-v-`- Print Name F.�rzP �t (.�tLSor1 Print Name c�b }�N 57V1�eVlyl7'/n SwopQi and subscribed before me Sworn to and subscribed beflye me this d ay of 20 thisl- M Day of 20/ 1 't'a o� i ever Notary Pub is Nohry?ubft �""♦ 'e cpitpanox,FFsseesn . ��" i State of Porda y ��d STM Febwr8,20211 n Car®issan IR4 Revised 01.26.10 01 "'•..any; BmtledTtvu NMUYWMUWbmsllea �0r �r,,...,,,,�,,,,v�cc uc,om