The URL can be used to link to this page

35 Forrestal Cir fence permit 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: FNCE17-0073 Description: 6' FENCE Estimated Value: 0 Issue Date: 11/14/2017 Expiration Date: 5/13/2018 PROPERTY ADDRESS: Address: 35 FORRESTAL CIR RE Number: 171742 0000 PROPERTY OWNER: Name: JERNIGAN LOIS C Address: 35 FORRESTAL CIR N ATLANTIC BEACH, FL 32233-3323 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. S�L`Jf�J. City of Atlantic Beach APPLICATION NUMBER t ra Building Department (To be assigned by the Building Department.) r 800 Seminole Road . .. Atlantic Beach, Florida 32233-5445 Iv — ` UCS 73 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us NOV 0 6 2017Date routed: I 1- 15 /17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM rte-- De ent review required Yes No Property Address: �� (�(Z�S qC_ vi 2 a uildin Applicant: (,� d�(-{�� nning &Zoning reeAdm-inistr-a Project: f� �— E=,N C' �= ublic Works u is tilities 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: BUILDING PLANNING &ZONING Reviewed by� Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑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 rS sblf J, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r si 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 IV ` 00 73 Phone(904)247-5826 • Fax(904)247-5845 E-mail: build ing-dept@coab.usNQV (� 6 2017Date routed: 1 ( ! L /17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: f De.-ar ent review required Yes No p y �� 'c%r�t2�S �C _ yr fL uildin Applicant: P+.nning &Zoning TeeAdmi-nistr-ato l I Project: C�� (- ,N (' t,— ublic Works dD-15is tiIities 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: BUILDING / I PLANNING &ZONING > �// � I( l7 Date: Reviewed by: TREE ADMIN. Second Review: []Approved as revised. ❑Denied. []Not applicable PU WORKS Comments: UBLIC UTILITIES //- 7-/ -7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road J ') Atlantic Beach, Florida 32233-5445 lv — Uv 7 3 Phone (904)247-5826 • Fax(904)247-5845 j;ttgr E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �J f-'o22E,S t AL \_i 2 Depailment review required Yes No jpkWnning Applicant: &Zoning Project: L��--�,� �' ublic Works u istilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date 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: [YApproved. ❑Denied. ❑Not applicable (Circle one.) Comments: (�DN PLANNING &ZONING Reviewed by: y�'1/ Date: TREE ADMIN. Second Review: ❑Approved as revised. []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 riL�r,JCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road !, Atlantic Beach, Florida 32233-5445 Iv ,, — — UCS 73 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 17 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM rte— De ent review required Yes No Property Address: I—.0!c.(Z�S�� 2 -�' q uildin Applicant: (,,� �� panning &Zoning 7e'eAdmitnistrato Project: r� �-- E_ ,lam ('�— ublic Works u is tilities 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: proved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING, Reviewed byX_'�Z Date:// / 7// 7 TREE ADMIN. Second Review: ❑Approved as revised. ❑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 Js Building Permit Application Updated 5/5/17 City of Atlantic Beach OFFICE COPY rtFa . 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: r'' T e Sy G2. re, /U, Permit Number: F NCE 17 —00-7-3 Legal Description RE# 1-7 ( 7 4 Z —(DOC 0 Valuation of Work(Replacement Cost)$ :5 00(D 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 Reside • 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: C P, Pr ; ✓6t7 c, A/c e- Florida Product Approval# for multiple products use product approval form Property Owner Information Name: C Address:-1.6' FO Cl* �° S 7_k - L'i CityL' State 1CL Zip 3�R3 Phone f O}4- SLG- O StTT E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information i Name of Company: / Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/ gistration# E-Mail Architect Name hone# Engineer's Na e& Phone# / Workers C pensation 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 RECORDING YOUR NOTICE OF COMMENCEMENT. (SigmWu re of Own(9 or Agent) (Signature of Contractor) (includin contractor) Signed and sworn to(or of Irmed) before me this day of Signed and sworn to(or affirmed before me this day of r b v' S by % Cl— (Signature of Notary) TONI GINDLESPERGER MY COMMISSICN tt Fr"924951 EXPIRES:October 6,2019 Bonded Thru Notary Public unoerwrters [ ]Personally Known OR - [ ]Personally Known OR [ ]Produced Identification / ��_C ` �_ [ ]Produced Identification Type of Identification: J 62 J Z3 Type of Identification: J-- cno i , Perm? � t7 r- /1/` [ -2 — 0073 OFFICE COPY NOTICE OF COMMENCEMENT State of r Ol" z County of UIX Tax Folio No. (-7 17 4- Z _ 0 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 14 4&0,4 kQ& 40i� Ay, &0& &vim 3 0 5-6 Address of property being improved: J,- rp r r e- .5 General description of improvements: Rie P L A O-e- 92A,l V Com'-,o.L. V i Owner: t0 IS G` 'E. Q, Address:,I.5F-r�(f t'�' e=5TG,Z- Owner's L rpt Owner's interest in site of the improvement: RU L14-6-4- S T22 RIVE AM.A!q P_ d: tAj c °� Fee Simple Titleholder(if other than owner): Name: / Contractor: Address: Telephone No.: / �Ax No: Surety(if any) r Address: Amount of Bond$ Telephone No• Fax No: Name and address of any person making a loan for the construction of the improvements Name: y( S /7 'fie r Al q 6-Al Address: 3.-§- Erj le le e d2 A/, A-7-/-QA)Ti G AL 22433 PhoneNo: ��(o-Qj(�% Fax No: k/A Name of person withinthe Sta e of Florida, other than himself, designated by ower upon whom notices or other documents may be served: Name: /� Address: Teleph e No: Fax No: In addition to himself, owner designates the following person to receivecopy of the Lienor's Notice,as"provided in Section 713.06(2)(b),Florida Statues. (Fill at Owner's option) .� Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER �r Signed: ,-6p.A,' (�• � Date: 4"-- Beforeme is _ ay of K-)d y in the County of Duval,State l Of Florida,has personally appeared L, Q. Doc#2017251760,OR BK 18172 Page 844, ;Personally Known: or Number Pages:1 Produced Identification: SZ— S Z 3w — �' L` Recorded 11/031201711:32 AM, � RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public: COUNTY My commission expires: RECORDING $10.00 = =- f; TONI GINWDLESPE.0 R P:dY COhik41SSICN It FF 924951 EXPIRES:October 6,2019 ?:; 1 ". .. Bonded Thru Notary Public Underwriters 7 a'7 d IV 7 bd 7 ty.(Ucr b' . / o a LL susdik W �•'., Ab'NOSV'W now 40 r N 17 0 ,r 4K1 N O G1R � L