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1102 ROSE ST - FENCE .i yLy jfv�` 6' ' 's 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: FNCE17-0096 Description: replace 4 ft. &6 ft. fence Estimated Value: 200 Issue Date: 1/5/2018 Expiration Date: 7/4/2018 PROPERTY ADDRESS: Address: 1102 ROSE ST RE Number: 171007 0150 PROPERTY OWNER: Name: STARLING LINDA JO ANNE ET AL Address: 1102 ROSE ST ATLANTIC BEACH, FL 32233-2659 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. ri A.iv-,.lJ\ City of Atlantic Beach APPLICATION NUMBER ij Building Department (To be assigned by the Building Department.) . -r 800 Seminole Road C 3 �� Atlantic Beach, Florida 32233-5445 � � _�� 'J� Phone(904)247-5826 • Fax(904) 247-5845 `- 0;iirr E-mail: building-dept@coab.us Date routed: I I -- -1 ( ( -} City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: \ 10 . , 4)S L S- - , Department review required Yes No CBuildin Applicant: 0w,J-( 1, lanning &Zoning Tree Administrator Project: 'C tiM.1t 4 a ` r- (C '1 k . 11 P • ._ A .r. Public Utili ies Pu• lc Sa ety 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: 1171Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by, //cam Date: i-3`/er 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 C-A.1\: City of Atlantic Beach APPLICATION NUMBER \`�, Building Department (To be assigned by the Building Department.) .,; f 800 Seminole Road � �-N _UMB00c/k -„ ,= Atlantic Beach, Florida 32233-5445 �v Phone (904)247-5826 • Fax(904) 247-5845 r j;jj9f- E-mail: building-dept@coab.us JAN u 2 201 Date routed: I 1 4-1 ( ( —} City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: . 0 . . L S-k- _ De artment review required Yes No Building Applicant: Owl fanning 8,Zoning' Tree Administrator Project: V�s vc.l... R VA - ' () �$ - Vtr Pu. .. ..A.m. Public Utiliies Pu• "a ety Fire Services Review fee $ ., Dept Signature 2/ 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: f Approved. nDenied. /Not applicable (Circle one.) Comments: BUILDING �J' - 3 PLANNING &ZONING Reviewed by: ,IYIle--. G✓, �"' Date: I TREE ADMIN. Second Review: ['Approved as revised. nDenied. I 'Not applicable PU:,4, ORKS Comments: BLIC UTILITIES /- 3- i S PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. fNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 s!..Uv�� City of Atlantic Beach APPLICATION NUMBER ff,s r41110., Building Department (To be assigned by the Building Department.) - `i 800 Seminole Road ./k)(,& _ © �,, Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 �N 01 6 E-mail: building-dept@coab.us Date routed: I a- I ( ( q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t 0 -4 Q'M L Sk Dg�artment review required Yes No Ii3ui ding Applicant: Owl ( (planning &Zoning' Tre- Adm nistrator Project: 'C P QQQLe 4 ca ci- iNk . _-y'l( P _• A •r. Public Utili ies Pu• a ety 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: , O PLANNING &ZONING 1 1/1,�` • Date: l.-T.-c9ap Reviewed by: /' 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 f�\,\J;., \ City of Atlantic Beach APPLICATION NUMBER t \� Building Department (To be assigned by the Building Department.) tads., 800 Seminole Road 60(.k(1- _®©Cl I ;� =� Atlantic Beach, Florida 32233-5445 �N oK Phone(904)247-5826 •• Fax(904) 247-584u2 �� ,,,,,,,,-„,--„-,-6„ y E-mail: building-dept@coab.us Date routed: I 1 4-1 ( ( -} City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: u0 a , L Sk De_Dartment review required Yes No Building Applicant: 0w,(0-( faning & Zoning Tree Administrator Project: CPQ\Que Lk - (k �% - L P . WV-Z. Public Utili ies Pu. c •aety 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: 1Approved. ❑Denied. nNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:� 4 Date: -" -*/j� TREE ADMIN. Second Review: ['Approved as revised. nDenied. 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 iI) [- ��'` OFFICE (;OP_uilding Permit Application,!`` uqy� 412/8/17 rs .' City of Atlantic Beach DEC 2 CU� 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 � Job Address: \ \ 0D, (7 SC. SA- Permit Number: FIN) Ce1'- - 00'ib Legal Description RE# Valuation of Work(Replacement Cost)$ a O0 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 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: . Ct 4 / i� (� S O C O \ArL - S E �1 a..c e 4. bk-Co�Q. -Q — ,S -tom Florida Product Approval# for multiple products use product approval form Property Owner Information ` Name: 1...l r J . Sk a.v'1 tr Address: 1 1 D af-R �� Si- City Pt lvet n-k-:G 'Bpm ► 1 State f l Zip 3.*- -... .33 Phone q0- ";.(}IL-rl4-9�, E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation 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. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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 - : 45 RDING YOUR NOTICE OF COMMENCEMENT. I: ,..0.;i:1•1 : I, • • ",::*•,r;',..‘ :nature of Owner or A ) (Signature of Contractor) S° (including contractor) m sign d and sworn to(or affirmed)before me thisaC1 day of Signed and sworn to(or affirmed)before me this day of E.-I"V •iu i ' v •' , Q©t ,by L-',nda so- &T LsEWk;n , , by A m Z . i >v O iLI AA .2v O C. z `o :nature •Y No$) (Signature of Notary) 4t T, o )j': sonally Known OR [ ]Personally Known OR o ,�,�I educed Identification hi_ n [ ]Produced Identification a. ;f�e if Identification: f for &(k 11Li i J9-1 S \.t(-MI? Type of Identification: • „ ;.i ��i _O...':, z_, nL�+%-4ft.f °. rIM /M{ a Ott lril oilarussimmerir "'""""""` M• .P SHOWING URVEY tr ilea (Ile) 7•N6 SOurw 40 rear OF cwr G► f CLOCK /9 Z SeCr/O i/ M/.i- ATLA/r/C 45CACrl AS RECORDED IN PLAT BOOK, !8 PAGES_ 34 OF THE CURRENT PUBLIC RECORDS OF OUVA 1. COUNTY,FLORIDA. CERTIFIED TO DEsr4 <ubdGG _CpVttr4fc-/Cfv0e/, /Oa. ',aortas lriftsr Ff 4Adc,ha f... 5,4 to SS I C44#I Assoc. :,,, 1421tilj . JUN - 31993 Building and Zoning 40 7" GpT G 9 80 4 o c 193 ..40 16.1",.. .O t'«.00a I occ/.tp--A. ,,,,r 30' ) ✓o cep) i1 • • • .�' i 00 Q El,3'4 . c._ ....1:4075;;.: I f Dons.w..LIc r.. *�, pR RA E ry, 0 •.-• tVd t.c. ,n Q 1.7704V 1 M c ihnoc7 S/D/ 0 • e Al.F4 4.30 3 COMMUNITY DEVELOPMENT LOPMENT • APP OVE e - V 1" 141' .44' Q i ;' 1,4; -4 i , 40.0' ROSE(so.3/405TREeT