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715 SEMINOLE RD - FENCE `'SrySYL�fpv' „, : , CITY OF ATLANTIC BEACH ts1 `, ° '' �� 800 SEMINOLE ROAD \‘,„._. : ATLANTIC BEACH, FL 32233 0;3 9 INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0093 Description: 6' FENCE Estimated Value: 0 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 715 SEMINOLE RD RE Number: 170404 0000 PROPERTY OWNER: Name: FULLERTON WILLIAM B Address: 1015 ATLANTIC BLVD#124 ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PRO-BUILDERS OF FLORIDA LLC Address: 1115 S OAKS RIDGE DR JACKSONVILLE, FL 32225 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. T!..Al r�J, City of Atlantic Beach APPLICATION NUMBER 63� k Building Department (To be assigned by the Building Department.) r V 800 Seminole Road �Iv C�1 7 _ �•,G�q r�» - ) Atlantic Beach, Florida 32233-5445 DEC 0 7 Phone(904)247-5826 Fax(904)247-5845 U ?�77 3 A:tartit) E-mail: building-dept@coab.us Date routed: 1 Z. 1 ED City web-site: http://www.coab.us - APPLICATION REVIEW AND TRACKING FORM Property Address: -7 IS S C M i ot-€ ( . - ) De ent review required Yes No p Y uildin Applicant: `kC) -gU( uOe( .S ,,9f ning &Zoni Tree—Ad rator Project: � ( P---- N e'e- u lic wor{ ,PutrtitWiti Public Safety Fire Services Review fee $ A Dept Signature 7 -•"'\ , Other Agency Reviewor 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. ot applicable (Circle one.) Comments: BUILDING �I PLANNING &ZONING kl" /� L 2/2 7/ T Reviewed by: Date:/ t1 TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable PU,,, WOVS Comments: .e/ri�' aUBLIC UTILITIES /Z-7/—t7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Cj City of Atlantic Beach APPLICATION NUMBER t� Building Department (To be assigned by the Building Department.) 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 Fav c_S( 7 — 0093 Phone (904)247-5826 • Fax(904)247-5845 ,:01.09 E-mail: building-dept@coab.us Date routed: I Z. / I 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: —71 E(Y\ i r`7OLG k-1) Department review required Ye No r�uildi Applicant: Pte© ,QUI L0e-(ZS nning &Zonis Tree�dmfil ratsf—or Project: ( C' "�N C� lic Worlys7 PutrficliTtilires> 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 by: m n Date:/2 -/R-17 TREE ADMIN. Second Review: A roved as revised. Denie Notapplicable ❑ PP n ❑ 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 ( ir City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road I (V C — v G�93 i '-)-) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 DEC8 2017 I �;;��. E-mail:Email: building-dept@coab.us Date routed: 1 Z. / S /777 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 15 S E M 1 kDot-E Ri) De ent review required Yes No p Y uildin Applicant: PR.c -gut LOG-(Z-S ' -nning &Zoni • Tree '•_. rator ENa� •lic War Project: G, e- P . . r lie 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 y: —Date:41—f,/f TREE ADMIN. Second Review: I Approved as revised. Denied. Not applicable / PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. I 'Not applicable Comments: • Reviewed by: Date: Revised 05/19/2017 45...�lprit, City of Atlantic Beach APPLICATION NUMBER �s i1 Building Department (To be assigned by the Building Department.) �. 800 Seminole RoadIV Cil _ O q � , �,. Atlantic Beach, Florida 32233-5445 7 Phone(904)24,7-5826 • Fax(904) 247-5845 011 s E-mail: building-dept@coab.us Date routed: I Z. I Cj City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -7 I S S C in 11j0L—G RD De ent review required Yes No p Y uildin Applicant: Pic) :2(,I t,©t✓-(�-s ming &Zonirrg- Tree rator Project: C' ( f'Ef)C'_c. ..p'ublicw ._Pu utilities 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: 71Approved. Denied. fNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING 7 y '! Reviewed b : Date: ( 2 / TREE ADMIN. Second Review: I '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 .8-Feb-2017 05:50 From Charles Parliment. Phone #9045637015 FaxZero.corn 1)•3 .t,, .1, • ki:3,Aat:.:0:$ ECTION: t.§i',C.- 3. -S114.="A**.-.4.4t.r:cMLIE0::itiY.-P.-.4.:T- atIox 1:0-s PAzi: lc*: :-..•• -,\. K 4,. ....4 I.,r. tf4k ;4/4PENT PU010.1/4 WORDS-OF 13,4Aftst. CO4t1,Y, iLOR.-tak ::: •• • .•:.,.•41 . I•' •. : • .' :.•:',.. . .' .' • . ' ''.; . . '.- 1 .4 ,'..4.. ,'''j. . . . . • .1 i •i....1. ..C.:k .•.' • ••.4 ..1%t40-te. '1:1 ...: ,'"'b-:,...).:. i•- ' ---w --7,,,-- . • . ,. .: ....... • ... . .. ., ; •, s.:, . A .‘-.'.. i .4",..1., : ' 2. . ,, i: ''. i 1-.• Ay frit. 4.. tt. 1..,•Li,- ,..) i•-:,..,4...4 ,.,......., . . .4 • , 4,1,s•0,„,,;..... 6*,..---: .11:1-- 'A.;.•1.1-!"! ' N: 1: t..)j t . 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(.,1, r- --Ntc_.E---- r • • .. . • ,:,•, ,,f.•,••- ,. io:-•;- x-- ' Flid.O.ED t•ICAD.F.ss 11* • i• 7,„,,,, ;• 4, 4 . :• Ik• : kt • • i...:-..,..i.4.' • FAM 5.83, .‘r'r .,,e/: : .:1 •• ir 14. • • ,,t 1:.." _-/ Nit* . 401,0*, :fttikLOGIge . .• , . ALit • tt .•••63:,-.OA, • i.A.,,+^,;,,,s• Mat.tie ,.., • • - 1.4- ‘, w ,... -8,-. • . • . " , 1,,...4::.:;o: .„,. . 1,,,,, › 14:--- • :, t t,:: , •tiommorit,x.)t .,,: . .. .i. ' . . . 1;'".=,(z t 4,-am 100*.art'0.1. ' • - •• - ' 4- - ' •, - • - • ' --• . '. •..••0•::.on -.'•*•4:•• '::.. ..ifot itio 40; -. Sevor. 18 W 99,64 . . . ft, . •riq I - . C.1. ..',7' cNi i tve,Av to-Ptia) ...4, I i l ZT: i KIWEL1. C90.K. COMMUNITY DEVaer7)M-Ettr— ,••• - 1 APPROVED .,. ,,,•\ . • . s.•,! •- •" kti4044. Vt.. •tf...i f > .,.• ‹..)C.:;>e 4;w-I i. i.,...., '•. 1:.• t>.'At :.\- .1 •.t. ••:, - t• l• •-• •• :,• .. ! ' 1 A '....i,„..,A...., '• 4.4a:.v•vrot.:- A 7 4,..0 ',30 ts•a KftANT,Art VAS 'f., 4 1 • A ..1- MC:*MU) OS Itft'EA$101.:.* •&11141.."-Of-44ke LK Cf 4- .. 'e(t *ftkl% OielkVG.AZ? l'.'. ort fAssutio'0A7tAit1 ' L \ I ,,,,,,. s,....‘ 1. t.)1$0,$001103S.-Ahrt Ofgokt*Mf; 4.11E 44 4A.90tf0.0*.V.)147§4 ' Si_ itY;.M tOT SAS 0.114.X.OK to.4041141, KR.P..i.‘Ai, . I . . ME AK tiqift.t.0' #•10$01t4C11014:4.1K.S Mk PtAt:: ,•'.' ••••.:, • - - .(4'1 .i.. :L. 1 i,' 1".Q •'( : /• PROPERTY SKOW1•4 •f•tERZW4 'it INP 000•ZONE 'e' '17 , t - - - • .. i . t •• ,... i••••'',)?•:.,..-• ""'"- . k all'SOE ,.,-k.* YEAR TWO:, PLA44.1 AS 0...r.TEI*14e0 FAtUi 1 4,--z--1,1 . . 4.-- '— •"- ri..mo. acoo .ANic, Fok:FrimP, tomoogny IF04411 Ni44.,fAr4 - • . . ... : - I OFFICE COPVuilding Permit Application Updated 12/8/17 4(':-".?" City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 ` /L. Phone:(904)247-5826 Fax:(904)247-5845 [� Job Address: 7//S � c/L X/')2C 6Id Atka,. &a(�/, Permit Number: u'C�9/ 3113j t IVCD \] — 3 G Legal Description /Z'7 RE# C0 Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): , ew ddition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esidenti • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes 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: Privacy 7eru. or /e/s /iihtfu_ Florida Product Approval# for multiple products use product approval form Property Owner Information Name: �1/t-6{,bd-L /67/08Address: 7ir20 City , --Hai4L, 9 LZLL State { .L Zip 31233 Phone (3.5-2) 5-52,5- E-Mail -51.5E-Mail K(7ctJt"e /-ne -GA/f'/ Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information _ Name of Company: FQ�630 L(�E'Z_S or �i-cR- & I_LC Qualifying Agent: t•--L- t5 2o --jr-Qv - Address 1( I 5S O4 ("It9G� ;�Q- S City f k State 1 - Zip 3222.5 Office Phone 104 '�'C?)G OOq r Job Site/Contact Number State Certification/Registration#CGC 1 14' E-Mail Fez cve_S 6(= LO ZU7A LLC (, HZ L- . Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Q--- ()POD 4- Exempt/Insurer/Lease Em ogees/ xpiration 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 YOU' PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A ■ •RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. y4 /� ai`� (Signature of Owner or Agent) Signature o ontracto ) (includi :co ractor) f ned and sworn to(or affir ed) •efo - 7 e t is C_day of I ed and sworn to(or affir 1) befor ' e this I ay of 2 ( 7, by _ __ 4 o l e - QC, ZO WARM 1.21M (Signature o Notary) • (Signature of Ngtary) [ ]Personally Known OR { TONI GINDLESPERCER [ ]Personally Known OR [ ]Produced Identificati � MY COMMISSION#FF.924951 1j [ ]Produced Identification ,00t F 019 Type of Identification: EXPIRES:Octob ?" Type of Identification: a.. "t- tera 6;nded inn WaryP