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311 17TH ST - FENCE `'3 CITY OF ATLANTIC BEACH ss1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 S) INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0074 Description: 6' FENCE Estimated Value: 3795 Issue Date: 1/5/2018 Expiration Date: 7/4/2018 PROPERTY ADDRESS: Address: 311 17TH ST RE Number: 172020 0244 PROPERTY OWNER: Name: RUDEN ANN V Address: 311 17TH ST ATLANTIC BEACH, FL 32233-5811 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: SUNSET FENCE, INC. Address: 10418 NEW BERLIN ROAD, #106 JACKSONVILLE, FL 32226 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. r53-tv.b. .1• City of Atlantic Beach APPLICATION NUMBER !-51 • Building Department (To be assigned by the Building Department.) r • 800 Seminole Road —..)/� - ,2 Atlantic Beach, Florida 32233-5445 F N Q.E. i 7 c70 7 `-i- Phone(904)247-5826 • Fax(904) 247-5845 j'"_/:.011 jr v E-mail: building-dept@coab.us Date routed: I 1 / 7 I / -7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM /-i---- Dtment review Yes o Property Address: �J t � � � � �._� required /N ,�(Buildin J �/ Applicant: S anninq &Zonis) l Tree Administrator Project: C() I— (= ! ll) C' • - • • ks 'ublic II ii les Pu is aey 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 Q Division of Hotels and Restaurants ry� Division of Alcoholic Beverages and Tobacco `"' Other: APPLICATION STATUS � Reviewing Department First Review: /Approved. I !Denied. / ❑Not applicable (Circle one.) Comments: / 4 CtEl L; GPA $� / �.pr-i, plea d"{r (uILDINGD / V // PLANNING &ZONING Reviewed by: 0n Date: //—I b^Z7 TREE ADMIN. Second Review: A as revised. ❑ pproved ❑Denie ❑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 Y0,AN _ City of Atlantic Beach APPLICATION NUMBER 4S ,4 S, Building Department (To be assigned by the Building Department.) 800 Seminole Road ����� + �O ,', ,, Atlantic Beach, Florida 32233-5445 l si ,� v Phone(904)247-5826 • Fax(904) 247-5845 !0;119%- E-mail: building-dept@coab.us Date routed: 1 I ( 7 /I 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM P- 4De artment review required Yes No Property Address: k ` - q C---` r---- , Building Applicant: U iuS 1— a,•..:)Ct_: c-Fr ening &Zoning _ Tree Administrator Project: C 1`=) C f'I�u or Public i i ies s----15i—rib c 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 //1 'j-- 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: pproved. ❑Denied. Not applicable (Circle one.) Comments: l/A BUILDING PLANNING &ZONING ,�� fr _ f( ci 7 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 rSyry�r City of Atlantic Beach APPLICATION NUMBER �i s, Building Department (To be assigned by the Building Department.) :- 8tla SeminolecRoad Fid C,� (7 - CO ) 4 �'`��� ~- '� Atlantic Beach, Florida 32233-5445 1 ,�- yr Phone(904)247-5826 • Fax(904) 247-5845 0131 %- E-mail: building-dept@coab.us NOVO 7 ZOp Date routed: \ 1 ( [ /I -7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: k l I '7\lt S4- Department review required Yes No _ Buildinq1__ Applicant: S u 2 sE, ; t-- E!!.:yC , I ng &Zoninq� / _ Tree Administrator Project: 62 I- (--- N L' (- 15ublici(Qrks Public i i ins 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 / 4-- 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: VIApproved. ❑Denied. Not applicable (Circle one.) Comments: BUILDING • PLANNING &ZONING Reviewed by' Date:7�117 TREE ADMIN. Second Review: Approved as revised. 1 (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 r,i�vi-,-.4 City of Atlantic Beach APPLICATION NUMBER JS - ""- v- 1 Building Department (To be assigned by the Building Department.) 800 Seminole Road (�- '-7 /� /j r r� Atlantic Beach, Florida 32233-5445 ! t;�. t / — DO' 7 4 V Phone(904)247-5826 • Fax(904)247-5845 1 7 r j;tl9%' E-mail: building-dept@coab.us Nov h �af�dyted: I 1 [ /I 7 City web-site: http://www.coab.us ll��JJ��!! APPLICATION REVIEW AND TRACKING-FORM Property Address: 3 ` l I - ' S r . De artm_ ent review required Yes No _ Building Applicant: ') O I�S•F T F E1 Ct ming &Zoning.)j _ Tree Administrator Project: V L1� CE_. (u lic Wok-s--- ublic i i les Public-Safety Fire Services Review fee $ /6 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 / � 1 . St. Johns River Water Management District /x Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: nApproved. nDenied. tot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: VE— i'-% 1 nate: 8(i(_3/( 7 TREE ADMIN. Second Review: Approved as revised. nDenied.2 i nNot applicable P ` WORK Comments: UB IC UTILITIES /1- 9 -17 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. fNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 r.r ;''`i, Building Permit Application Updated 5/5/17 City of Atlantic Beach 800 Seminole Road, Atlantic Beach, FL 32233 fPhone: (904) 247-5826 Fax: (904) 247-5845 7 Job Address: /` /71-7/4,5,-- Permit Number: • t )cE 17— O) / `i.1 Legal Description RE# .� Valuation of Work(Replacement Cost)$ 3777 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one):gay Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esideht. l • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No , /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: n /•,•77/A74-- r ( t Lj�c, 7 ,jc: &)//# 4A /i`( "�(2 e/ Zdre7.� '?n�.✓t/c, Florida Product Approval# for multiple products use product approval form Propert Owner In rmation '' ` I � // / 97-:-." _ Name: /�/� J� FA-- Address: • City / - � 1 - State��Zip Phone �- �� M E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Compan : )f_ 51“ !i i''� r etualifyin l Agent: l 7 Cj � C _ Address/ A cu l ac-e 7t( ' - City ‘:.2,1--/‹. �� tate 47_ Zip ?T2- 2 Office Phone,? ( -3`f Job Site/Contact Number . eR©0 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. 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 ATTOR�. • BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. j (Signature of Owner or Agent) (Signature of Contract r) (including contractor) F Signed and sworn to(or affir •ed) befor- e thi 6--;day of Si ned and sworn to(or affi m-. before me this L'day of I + JC�l,f 7O(7, bY . ► a. e, 'alma, Ca� , Za(7by � b , " 4----Lo ac`1L l( irspm_ i_. (Signature o 'otar ) IMP I atUreolA1` ary-- '` >� :,1.= MY COMivo,, ION 'rF v 'I F.SPEPr;ER ,, •o EXPIRES:October 6,2019 I_r A't1r .* (l(.;(n:,..'1!. f rF 924951 , 0' Ernded?hr�Notary Public Underwriters [ ]Personally Known OR N...4_:. .;' e>P R r E 019 ; [ ] Personally Known OR - .-.."°"- [ . [ ] Produced Identification ; FFF" ` E^6 �'*•;,. us n aers , [ ] Produced Identification ? Q Type of Identification: z`� `�`"`"..3_m;,�" .�� . Type of Identification: 1J 4 -0( 0--S8-0S6-C NOTICE OF COMMENCEMENT .rmit No. eriGt j 7•--0 D 71-1 Tax Folio No. :ate of Florida, County of Duval FIE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with hapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. Description of property(legal description f property and address if available : 3/i / 7r#Sr ,41frrvT/� ;&si96 ' I 191 �4 16- a'S SA (31011' eneral Descri do of im rove s: d vittac- ! p p � v� � r n (. ft,k f fiO f,' � S fif l. �57�" �{�S�-�' �V rA F 5 14,4 Owner Information: G��v�r — 'v s7'" --6 .c G fZ,) ;' i 7 ' N p• jP a)Name and Address: /,,41( 31/ b)Interest in property: c)Name and address of simple titleholder(if other than owner): Contractor Information:e# a)Name and Address: c.)1/A2) --11- 7/l)L''i- , 2VC: /l 4/6//r '343a ,3JJter ' b) Phone Number: 9,t) Surety Information: a)Name and Address: b)Phone Number: _ c)Amount of Bond: $ Lender Information: a)Name and Address: b)Phone Number: Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a)7, Florida Statutes: a)Name and Address: b)Phone Numbers of Designated Person: In addition to himself/herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b),Florida Statutes. a)Name and Address: b)Phone Number of person or entity designated by owner: Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one (1)year from the date of recording unless a different date is specified: rARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE OTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, ECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR ✓IPRO'EMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND OSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, ONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING OUR 70TICE OF COMMENCEMENT. nder penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated .erein a true to the est of my knowledge and belief. ignature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office he foregoing instrument was acknowledged before me this day of Jan.&ll ,20 1$ , ✓ Pt .0( 11• Q- tr) as Dwc :e...". for 3t1SAt2•' (Name of Person) (Type of Authority,i.e. Officer/Attorney) (Name of Party Instrument was Executed for) NOT PUBLI« , ST E OF FLORIDA )c#2018006485,OR BK 18246 Page 797, ^ ���5 � Jmber Pages: 1 Print Name: J•C n R,}i n./ :corded 01/09/2018 04:22 PM, DNNIE JSSELL CLERK CIRCUIT COURT DUVAL DUNIE ❑ p rso lv Knosnnti CORDING $10.00 )ae 4J t1on/T o R FtN&�1ON Cti 14(k MY COMMISSION#GG 042984 EXPIRES:October 27,2020 '•'.;Fp ;' BondedThruNotaryPublicUndenvrter$ Revised 3/15/12