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355 11TH ST - FENCE Lyf'cc .�'� " CITY OF ATLANTIC BEACH 5pr, `" 800 SEMINOLE ROAD Jvw Vr ATLANTIC BEACH, FL 32233 AZ J;; c) INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - MASONRY WALL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0038 Description: BRICK FENCE Estimated Value: 5500 Issue Date: 8/1/2017 Expiration Date: 1/28/2018 PROPERTY ADDRESS: Address: 355 11TH ST RE Number: 170108 0000 PROPERTY OWNER: Name: LAMBERTSON CHRISTOPHER D Address: 355 11TH ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CHRISTOPHER HOMES INC Address: 355 11TH ST ATLANTIC BEACH, FL 32233 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$7,500. syLy\ City of Atlantic Beach APPLICATION NUMBER v$rte^-' •'' Building Department ,a (To be assigned by the Building Department.) 800 Seminole Road r • ""' � Atlantic Beach, Florida 32233-5445 ENC., - ooS Phone(904)247-5826 • Fax(904)247-5845 - o;tt>r E-mail: building-dept@coab.us Date routed: 24 I 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3E I t1-1-' ST Department review required Yes No wilding Applicant: C H R.ts T oP-te Hone€J . anning &Zonin Tree Administrator Project: a R(Q � CE clicWort& , crRublic�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..� ❑Not applicable (Circle one.) Comments: f/e 4e1,� 1044414f BUILDING r PLANNING &ZONING Reviewed b _Date: ,'.2ig-/7 TREE ADMIN. Second Review: ❑Approved as revised. DDenied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 0 `if.4.,._ City of Atlantic Beach APPLICATION NUMBER �S ! Building Department (To be assigned by the Building Department.) 800 Seminole Road w "" r� Atlantic Beach, Florida 32233-5445 Five_ i 7 - Q0 g Phone(904)247-5826 • Fax(904)247-5845 •'-`,..011191,- E-mail: building-dept@coab.us Date routed: *7/ 24 1 17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3SS I t 1-/= S T" Department review required Yes No � (( 3uilding Applicant: C�t R s(CSP-teii 1.�1UM€J (Ytanning &Zoning) Tree Administrator Project: B R l QAc_ ���cE clic Wo`recs�j C`u IPU 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: FrApproved. []Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:" Date:71- TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 "-;51,,,\"2:. CityofAtlanticBeach Buildin De artmentfleece:, APPLICATION NUMBER 9 p .: (To be assigned by the Building Department.) 1 800 Seminole Road "+ � Atlantic Beach, Florida 32233 5445 �1 f 2 y 20 1 ENcc.17 - oQ 3g Phone(904)247-5826• Fax(904)247-5845 ' \,. Phone E-mail: building-dept@coab.us Date routed: .7 7- t City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ."__ I [i `ST Department review required Yes No .ilding . Applicant: C b1 RAS vie Nom€J _ann_ing &Zoningn R Tree Administrator R Project: R(Q� &�L - t blic Work's -. CFu61ic Utilities' Public Safety Fire Services Review fee $ 1"/ Dept Signature =. w, 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: QApproved. ❑Denied. E(lot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING f✓, �� .-� Reviewed by: Date7/2G r 7 TREE ADMIN. Second Review: DApproved as revised. ['Denied. ❑Not applicable P WORKS Com ents: PURL C UTILI IES PUBLIC SPCFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 01.-AA , City of Atlantic Beach APPLICATION NUMBER ESI � Building Department (To be assigned by the Building Department.) o 800 Seminole Road F-(VCE l 7 - 0038 �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845I 01091, E-mail: building-dept@coab.us Date routed: ZA City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3S I (' ST De artment review required Y7 No uilding Applicant: CilRAS 7oP-1e&. 140ME. anning &Zonin Tree Administrator Project: R R l eAc_ blic 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: roved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDINe PLANNING &ZONINGReviewed by: Date: 7.a 5-. �7 TREE ADMIN. Second Review: ['Approved as revised. ❑D ied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application City of Atlantic Beach OFFICE COPY 800 Seminole Road,Atlantic Beach,FL 32233 Phone: (904)247-5826 Fax:(904)247-5845 Job Address: 35' ( 5—i Permit Number: 1 NCE ( 7 0 0-SS • Legal Description Lc.\- Z$ ukc ci. i Oa-)1)0. 1_t jat✓tyto,' A ikituAii, E# t10 L0% -pooh Valuation of Work(Replacement Cost)$ SDP Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial •esidentia • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes NoN/A • 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: Br(L\L C Florida Product Approval# ( for multiple products use product approval form Property Owner Information VA Name: r n5 L\rk^J Address: 355 1( n City V ,Q State ft..- Zip 37-2 3 Phone 9'01-(- 31-1 1- Z9°3 E-Mail it', e_h 24 ,(Div` Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information �rr)) Name of Company: �t��v�her ' �P S ; L Quali m Agent: C4 i t 5 LA -�'�3°ti Address •SCC kl £htz City 4, ' State 1 L- Zip 2133 Office Phone Job Site/Contact Number (4 r ry P,`( - 3't c1- 7-`6cv 3 State Certification/Registration# CSC. D S`l(`i 0 E-Mail Clivi 4 t) P.C4, 1grnPS Architect Name&Phone# Engineer's Name&Phone# 6[��ci� �,� �h -,� {0( Workers Compensation J Exempt/Insurer/Lease Employees/Expiration Date 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 issuance of a permit and that all work will be performed to meet the standards 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 CONDITIONERS,etc. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 RECORDI YOUR NO}£E OF COMMENCEMENT. 7 ( signature of 0 •- :nt inc •••:Contra-43o (Signat r-ontra ,c) n and swo to( ffi bef.re m: is day of Sience.)thand sworn to(or affi • befor: day of ...._S (Signatur- • o a ) (Signature of Notary), P•". TONI GINDLESPERGER MY COMMISSION*FF 92,.951 EXPIRES:October 6,2019 .>y TONI GINDLESPERGER [ I Personally Kn B:nded Thru ko:z:�PuOBC Underwriters [ 4rsonally Known OR ft: . MY COMMISSION d rrr 924951 [ ]Produced [ ]Produced Identification = EXPIRES:October 6,2019 w^.COP 5^nded Thru(3C:ary Publx Underwrters Type of Identification: Type of Identification: _