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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: