336 Royal Palms Dr fence permit %A
IS CITY OF ATLANTIC BEACH
'A�
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: FNCE17-0082
Description: 6' FENCE
Estimated Value: 1750
Issue Date: 12/5/2017
Expiration Date: 6/3/2018
PROPERTY ADDRESS:
Address: 336 ROYAL PALMS DR
RE Number: 1717090000
PROPERTY OWNER:
Name: BROWN MARGARET L
Address: 336 ROYAL PALMS DR
ATLANTIC BEACH, FIL 32233-3924
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LOWES HOME CENTERS INC
Address: 4948 TELSON PL QA PETER ANTHONY CAFARO III
ORLANDO, FL 32812
Phone:
PERMIT INFORMATION:
Please see aftached 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.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 ( 7
Phone(904)247-5826 - Fax(904)247-5845 z
E-mail: building-dept@coab.us Date routed:
City web-site: http://wviw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: PAL'4(h Department review required Yes No
--gu_iI d i n—
q
7
Applicant: L bu annin &Zo
Tree Administrator
Project: C4'_:)cie Public WorkO
12yublic Utiliti3e )
IP_ublic Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Verified By
0.1
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. P60t applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:)�4 1"4 h4.__ Date:
TREE ADMIN. Second Review: []Approved as revised. FIDenied. F]Not applicable
P WOR Comments:
U1UBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. [—]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach
5 rl APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 FL,)c-E 0 0B Z
Phone (904)247-5826 - Fax(904)247-58WOV 2 2017 Date routed: -7
E-mail: building-deptgcoab.us
City web-site: http://vvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 336 PA
Department review required Yes - No
Applicant: L ot, 4f La n n i n L&Zo
Tree Administrator
Project: C'��e3e Public Wor
"_F'ublic Utilitie3>
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Verified By
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: E�(Approved. E]Denied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by-L-
TREE ADMIN. Second Review: F]Approved as revised. F]Denied. nNot 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
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
ff 800 Seminole Road
Atlantic Beach, Florida 32233-5445 FK)LE 7 Df�)Z_
Phone(904)247-5826 - Fax(904)247-5845 z
E-mail: building-dept@coab.us Date routed:
City web-site: http-://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 336 cqAt ,Lt(h S
Department review required Yes No
-SuildinD
__j� 4fLannin 8,ZoW'__�-
Applicant: g__ @
Tree Administrator
(2Public Wor
Project: 6�)
u b I i�c U t i I�Rfi��ie'
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: VTApproved. [:]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: E]Approved as revised. E]Denied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
;;1 800 Seminole Road
Atlantic Beach, Florida 32233-5445 ( 7 - 0 C)B Z
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://\wNw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 33&' PA
Department review required Yes No
annin &Zo
Applicant: LoLC__1c!:nS e... -
( Tree Administrator
Project: Public WorW
.,,Cu_bIic Utilitie-
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Verified By
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: [OA'pproved. [:]Denied. [:]Not applicable
(Circle one.) Comments:
(U:l:LD:1N9
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: []Approved as revised. F]Deniad. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date�
Revised 05/19/2017
OFFICE COPY
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
aly�--
y Phone:(904)247-5826 Fax:(904)247-584S
JobAddress.- Pe�L_l 0, Permit Number: i- 61)CP- L7 C20E)
Legal Description 31-016 38-"2S-29E R/P OF PT OF ROYAL PALMS UNIT 2A LOT 17 REII 171709-0000
BLK 2 -e/R BK 4263 137
Valuation of Work(Replacement Cost)5 1 - !�'Z)_Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle on New dclition Alteration Repair M Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial -sidenti
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N
• Submit a Tree Removal Permit Application if any trees are to be removed or Afficla(Z. Dree Removal
Describe in detail the type of work to be performed:
r 3'J--- c3�v,4( r e_p ve e--
Florida Product Approval for multiple products use product approval form
Property Owner Information
Name: e- Address:
C i ty X4 State Zip _,7_zZ,4 3-17' -P in on e qZ)-Y-9 -2
E-Mail
Owner oi Agent(if Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: L o%4,4-"4-44er"'le-e�erk�� Lj_ Qualifying Agent:
AdclresG2 BOX Statei��/-- Z I P --�3.!�K 7
Office Phone Job Site/Contact Number DAN SMITH(904)535-3793
State Certification/Registration If CGC1508417 E-Mail ywooDo63o88pGmAiL_com
Architect Name&Phone Its_N/A
Engineer's Name& Phone N N/A
Worker's Compensation WCO23102416 EXP 04/01/2018
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,POO[S,FURNACES,BOILERS,HFATERS,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 P 0 RTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ' NEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. /F
e,�) Z,4,jC -1,7
(Sigfiature of Owner or Agent including Contractor) (SigIture of Contractor)
Signed and swor,n to(or affirmed)before me this day of S' ed and sworn to(or affirmed)before me this dayof
by by
JANIES S.BARDEN /d
A -L�
EXPIRES AUG 16.2021 (.5i:n4tLJW Of��oiary)
8t.r,!-7j inrc4ft ist StAiL ri)uur�v S.I nature
NATHAN BRC)OKS Pyr),R
onda
All;z Notafy PuUI L-Stdte Of�'
C,)MMj$sjon*GG 094838
[--YPersonally Known OR Ml<lsonaily Known OR My Comm.Dpifts AI 16.IG21
Produced identification Produced Identification
Type of Identification: Type of identification: