992 Ocean Blvd - 4ft & 6ft Fence 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 Ni DAY INSPECTIOM 247-5814
PERMIT INFORMATION:
PERMIT NO: FNCE17-0050
Description: install 4-foot&6-foot fence
Estimated Value: 800
Issue Date; 812912017
Expiration Date: 2/25/2018
PROPERTY ADDRESS:
Address: 992 OCEAN BLVD
RE Number: 1702400000
PROPERTY OWNER:
Name: Michael Phillips
Address: 992 Ocean Boulevard
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 FURST 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 RVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 F-tJ Ca-1 -0 OS-C)
Phone(904)247-5826- Fax(904)247-5845 - —
E-mail: building-dept@wab.us Date routed: 0 8 [1+114
City welbsite: htfix/A~vcoalb.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9Q a, ou&n AVA De, �ment review required Yes Mo
a
<:E I W� _ii�'
Applicant: �:p di�in- &Zonirl
Tree Administrator
Project: i (N 'Sllrali L(—�CI)3' -VV�bi)A P—nd- 4ZRZ9cWorks_--_),
15�ublic Utili#es ::>
Public Safety---
Fire Services
Dept Signature .
Other Agency Review or permit Required Rev low t
of P=ft=iSy Date
Florida Dept.of Environmental Protection
Ronda Dept.of Transportation
St.Johns River Water Management District
ArmyCorips of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
obem
APPLICATION STATUS
—]Denied.
Reviewing Department First Review: PApproved. E]Not applicable
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: Date: Uzhg
JD V
TREE ADMIN. Second Review: ElApproved as revised. [_ enled. ONotapplicable
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: DApproved as revised. EDenied. [:]Not applicable
Comments:
Reviewed by: Date:
Revised06119120117
Allabli, CITY OF ATLANTIC BEACH
800 Seminole Road
IF Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date�J - � Revision to Issued Permit— Corrections to Comments Pcnnit# Fi,)Cr-- (-L6 SO
Project Address ?9 '� 0(,46AA� IRIVq A. (S, F-k- 37W3
Contractor/Contact Name pla"o "Ps
Ph .. 2) 01 3'iq - Z III Email PVIUA/.S 61", JdV��,t*lt,04`rl A.AX
Description of Proposed Revision/Corrections: Permit Fee Due$
G(2XZ,,\ VZ(tyJLe. W-A� be- cL At C-e-"tf- M d-r At C,'
Additional Increase in Building Value$ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
/ 1pr' W naux:1
44 1 9 - 2 -(-- 7 -7
�P""`re ofe6tTliactoi/Agent IC76ct6r must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Cornments
Department Review Required:
4 B 'Id'
u'
�ranmn'g &Zoningr /���Reviewd�By
Z
--r
s
+ree A minis a�r
Public Works
Public Utilities
Public Safety Date
Fire SerVices
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-6826- Fax(904)247-5845
E-mail: building-dept@wab.us
Cityweb-site: httio:1A�.coalb.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9Qa' oc"_o AV& Department review re uired Yes No
Ilding —p
Applicant: &Lonmgl,
Project: jj�nL� Tree.Administrator
c Works
u lie tilitles
Public Safe
wFireSemcesm
Neview fee Dept Signature
Required Review or Receipt
M't of Permit Verified IS
Other Agency Review or Permit Required of Permit Verified IS Date
Florida Dept.of Environmental Protection
Florida 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: [—]Approved. Denied. E]Not applicable
(Circle one.) Comments: I of 0"64 10
BUILDING (rrf-4`r�Y c--- 4-edve e te,��--t--
PLANNING &ZONING Reviewed bylto Date ?/2Y/I-7
TREE ADMIN. Second Review: ElApproved as revised. E]Denied. ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied. E]Not applicable
Comments:
Reviewed by: Date:—
ReviaedOW19/2017
City of Atlantic Beach EGE-11VUE
Building Department APPLICATION NUMBER
600 Seminole Road AM 18 2W (To be assigned by the Building Department.)
T'J\)at 1 - a as-D
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826- Fax(904) 247-5845
014!"'3_11 E-mail: building-dept@wab.us Daterouted:
Cityweb-site: http:/Avmv.coa1b.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: 961A 0"A-C) AVO4 . De artment review re uired Yes No
i ding
Applicant: in &Zonind",
Tree Administrator
Project: ifNskalt q-�Qo� -IV�Voi P-od . Works
U lic tilities
Public Safety
Fire Services
W77P
keview fee $-4— Dept Signature
0 !W
ther Agency Review or Permit Required Review or Receipt
'e'p'
ramt Verff
ofPs itVertfledBy Data
Flodda Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages nnA Tnha
00ther I
APPLICATION STATUS
Reviewing Department First Review: OAPProved. E]Denied. [5Nt applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: OApproved as revised. []Denied. E]Not applicable
B L fRK Co ants:
- 1�/
let� LTIES
'?--I?-/7
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [JApproved as revised. [-]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 06119/2017
City of Atlantic Beach ECEIVE: APPLICATION NUMBER —
Building Department 18 2W (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233. Ftictl-1 o os'cl
Phone(904)247-5826 Far(9 7-5845
E-mail: building-dept@wab.us - Date routed:
City web-site: http://�.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 9qA CL"n %Qci .
'PeRartment review required Yes No
<73U ing —,b
Applicant: C) <-2JA;L1nq.&Zonin�'�
Tree Administrator
Project: t4_�Co� J�-,nd- CEMGWorka`-�5
BY
'11�ubllc Utilities
F
Public Sa et—y
Tire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
of permit Verified By Date
Florida Dept.of Envimnmental 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
-]Not applicable
Reviewing Department First Review: EApproved. E]Denad.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed bX�4—gwljz' Date: -ZAL
I . '4
TREEADMIN. Second Review: OApproved as revised. ElDenled. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. DDenied. E]Not applicable
Comments:
Reviewed by: Date:
Revised D511912017
ing Permit Applicatio.1 E 0 FE Upda 5 7
OFFICE CW
City of Atlantic Bea h
80OSeminole Road,Atlantic Beach, FL32233 AUG 17 2017 1 1
e Phone:(904)247-5826 Fax:(904)247-5845 1�,
Job Address: 9 q �2— 0 (-6AA 131VO . —Perm!tNumber:
Legal Description Lo-T JIS ajocg- 1, aoor- )g- PA,&c ly, RE#
Valuation of Work(Replacement Coi koo. '9' 'Heated/Cooled SIF_Non-Heated/Cooled_
• Class of Work(Circle one(�N:e�Adcfition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system Installed?(Circle one): Yes No N/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:
+' F,,Cvr f-
Florida Product Approval# for multiple products use product approval form
=%�wner.1ni
N I LIA Pis Address: 94Q I at4FA t-1 lal 141 -
city AN 9S St te r—I . Zip Phone q04 31q 2-q!141
E-Mail La 07—
Owner orAgent(IfAgent,Power ofAttorney orAgency Letter Required)
Contractor Information
NameofCompany: Pj�lwpj lsy�lcla Qualifying Agent:
Address RIVY? —Ci
Office Phone Job Site/Contact Number
State Certification/Registration#CgC-ID�75kf E-Mail P"NA."95 9 V I L*e Q CC CP.Cr-, "Or-
Architect Name&Phone If
Engineer's Name&Phone If
Workers Compensation
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.
OWNERS 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
RECORDING YOUR NOTICE OF COMMENCEMENT.
zz;
(51,nature of Ownerifir Agent) (Signature of contractor)
jincludingoontractor)
�igned and sworn to(or affirmed)before me th Is tl� day of Signed and sworn to(or affirmed)before me this_day of
hid64-d'Ir awor by
(Slf,i or�N.Iar,) (S,,ratu,c ef Ncrtz,y)
JENN;FER JOHNSTON
eer,0111yKnown. EXPIRES:Odeb.,27,2320 Ptrsenally Kr.-n OR
'reduced" diti,ca] ]Produred Identification
it L
a W
Type-1 tilicatic Ty,e of dentifi�dd.r: