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379 1ST ST - FENCE ,i.„,\„.,:,,,,, s. ' � CITY OF ATLANTIC BEACH -) 800 SEMINOLE ROAD 7. ,v xATLANTIC BEACH, FL 32233 1' 013 >%' INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE17-0081 Description: 6' FENCE Estimated Value: 8130 Issue Date: 1/11/2018 Expiration Date: 7/10/2018 PROPERTY ADDRESS: Address: 379 1ST ST RE Number: 169774 0000 PROPERTY OWNER: Name: LYLE JEFFREY M Address: PSC 80 BOX 10543 APO, AP 96367-0008 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ARMSTRONG FENCE CO Address: 3226 TALLEYRAND AVE DON MILLER JACKSONVILLE, FL 32206 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. -i.m;y�„ City of Atlantic Beach APPLICATION NUMBER JS $110- "`�, Building Department (To be assigned by the Building Department.) r 800 Seminole Road �-` Q a -0 Atlantic Beach, Florida 32233-5445 i- IM Q v .l 7 — U O Phone(904)247-5826 • Fax(904)247-5845 •o;3 c): E-mail: building-dept@coab.us Date routed: 1 s l Z -) it 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3`79 i S+ S ( . De ent review required Yes No Building Applicant: KrY\ s'i-R anning &Zoning _ Tri Aaministrafor �Project: C . ENu lic Worcs ..\01- Public Utilities Public Safety ( \-G> 56' (P\ Fire Services 12/ \k: , , ,,,,) Review fee $ Dept Signature �(� / Other Agency Review or Permit Required Review or Receipt Date CN of Permit Verified By (b Florida Dept. of Environmental Protection {J Florida Dept. of Transportation / t� St. Johns River Water Management District • Army Corps of Engineers 6 Division of Hotels and Restaurants � l''O r Division of Alcoholic Beverages and Tobacco Other: -X`,. „p C� APPLICATION STATUS Q\,(2/ K c;2,..0 Reviewing Department First Review: rKpproved. nDenied. ['Not app •.ble (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: " --- Date: /..2'/ '/) TREE ADMIN. Second Review: nApproved as revised. nDenied. nNot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. [Not applicable Comments: Reviewed by: _ Date: Revised 05/19/2017 OFFICE COPY qty",'`, Building Permit Application c" City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 °'�'�� Phone: (904)247-5826 Fax: (904) 247-5845 Job Address: 379 1st St. Atlantic Beach, FL 32233 Permit Number:] CE 7 ` V Legal Description RE# Valuation of Work(Replacement Co )$ 2-'( 3 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New ATdiTioThration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residentia • 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: F-}-.T r6 ' o-c ki ,J (o' P 4 I '136 c.e'.1 0if 1 0rrO\ 1:<"1Cz. Florida Product Approval# for multiple products use product approval form Property Owner Information Name: Jeffrey I yle Address: CMR 402 Box 2285 City etta� State ,AF Zip 08180 Phone 49 06371 106713 E-Mail ) y e20�D Cgmail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: A f f4-ick Ft sCC ( o,,,,w Qualifying Agent: n c),,z l..-,,/I-rte Address 32-Z(0 )c._11<i vaKA v.e_ City jCI.,)( State .C., Zip 3 Z2 a[, Office Phone g'c't-- 35-6 - L 32 3 Job Site/Contact Number I✓/f} State Certification/Registration# E-Mail G t/f}/(s pi,,1 f4iQK3 --Pc,t/` • c ii,,,,, Architect Name&Phone# ,pr(q Engineer's Name&Phone# r14 Workers Compensation tt 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 IMPROVEMENT TO YOUR PROPERTt. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEM T. _ 4,4 " � . �� `� ,, (Signature of Owner'oorr�Agent including Contractor) ...,--7 (Signature of Contractor) Signed and sworn to(or affirmed)before me this /,3 day of • and sw.,u o •r -ft- -. •ef•re e hi 1i say of ^)w/ .. -1- , by McJ;J . 12-• Va1feo' , 5,4 /.4/1/ , f �y i- :14 '.. . ._ O (' ' ; , °Notary P •li• - State of Florida SEAL (Signature of Notary) iii.,_,.,:_.::. .,=.,, / %� -moi';e° w pSbAf16laTYt580 y ....."4:1' �, Bonded Through National Notary Assn. \\o s [ I PerSGfildiE15: OR Personally Known OR K Produced Identification [ 1 Produced Identification Type of Identification: J1A, , ricA I . \-,) , Type of Identification: r _ OFFICE COPY 1 /3,— s>cr-..,,e.. i t I 1 • U) 13rn •--:-1 -0 $m -0 x Z ' i I 3• I iIi • I ayX00 - I I I L J T (-'-'N • • r+ , ,,1 l fA 4 -' /11,403. ,-,..1Cote & Associates `°"°"° '°`� a r � "41� ARCHITECTURAL DESIGNERS FRANK T$ROWER _ !1 `s rats sewn Third seriast r mca m.2..41.1042104 aaeo (904)240—OM- / O IZPVIMM*.M r • v. 4 , 7 OFFICE COPY 1: . \ I , • /1 H .f Jf 1 . . y A l 1 / 1 k o j 1 t / ' 3 I 1 . d f. 11 s r I 1 I •,)Q , 1 . e4ti 3 1 11 E 1 1 I t 1 (--i�1�`�flrf. City of Atlantic Beach APPLICATION NUMBER s\ Building Department (To be assigned by the Building Department.) 800 Seminole Road ^— / QQ I ;. Atlantic Beach, Florida 32233-5445 ���QE.t - U 08 Phone (904)247-5826 • Fax(904)247-5845 r�_ ,iloo'• E-mail: building-dept@coab.us Date routed: 1 ` l Z9 )t 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Si .3'79 1 S De. . . ent review required Yes No Building Applicant: \ Km Com`-i RC ,3 C\ 'anning &Zonin. Tree Administra or Project: 67 ( E u lic Worcs a �ublic Utiliti 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 8 Division of Hotels and Restaurants ( •©t"�t Division of Alcoholic Beverages and Tobacco , Ju/ Other: t`ev APPLICATION STATUS V. .K Reviewing Department First Review: Approved. (Denied. ['Not applicable ° a (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ? VDate: /2-01—( 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 C") - 1.7 r o rri z . 11 - ,/, co m 2 , 1 • { "'F 1n° • f �,-,004; . rig V Yr ti 1 _L J r�l ',n^ t - ;1 3 :-� gab; i F Cote Sc Associates ...wpm..1.9:\ � a .1 4:t../1 I" a 1/14 ARCHITECTURAL DESIGNERS FRANKTRTIER o q 222.5 s...4n Thine atreoe r.avemat.s...a norsr iso Co")7.4a-0223' .1 p co.,.e+r 1... 91 T s 1 . ri��'��f City of Atlantic Beach APPLICATION NUMBER �S I ,; Building Department (To be assigned by the Building Department.) `-:. 800 Seminole Road Q Atlantic Beach, Florida 32233-5445 MQ .l 7 - 008 1 Phone (904)247-5826 - Fax(904)247-10" 2 9 2017 i,;tl9r E-mail: building-dept@coab.us U Date routed: I l l z9 it 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: :]Cl L --i--- S _ De artment review required Yes No Building Applicant: ('—\ Kms t Relk) Manning &Zonini Tree Administrator Project: Co �E-� u lic Worcs Public 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 Y` Army Corps of Engineers 8 Division of Hotels and Restaurants ( , .` „ ‘''©C'-N<C Division of Alcoholic Beverages and Tobacco ') u j LI Other: �q^3M,) APPLICATION STATUS \P� Reviewing Department First Review: Approved. I (Denied. ❑Not applicable ° a (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b :ji 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 !.�\iv\. City of Atlantic Beach APPLICATION NUMBER �3 r "'`,.�� Building Department (To be assigned by the Building Department.) r, b , 800 Seminole Road / -5,itt - ;, Atlantic Beach, Florida 32233-5445 i- k)QE_17 - DOS ( Phone(904)247-5826 - Fax(904) r�$4 i ,319' E-mail: building dept@coab.us ° 1 3 2017 Date routed: I l l z9 I( 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3`7C1 ( S ��(. De• - r ent review required Yes No Building Applicant: (\ R m eS'L R.0 OL3 ( _ - anning &Zoning Tree Administrafor Project: l�, � (��' u lic Wor<s , Public Utilities Public Safety Fire Services Review fee $ Dept Signature ��'''I Other Agency Review or Permit Required Review or Receipt Date \ � of Permit Verified By V Florida Dept. of Environmental Protection Florida Dept. of Transportation � St. Johns River Water Management District ✓` NT t k Army Corps of Engineers 8 Division of Hotels and Restaurants �\ " (N' ©t',y<C Division of Alcoholic Beverages and Tobacco C "- JQJ Other: \t.,q`,` p.; APPLICATION STATUS q\Q. v e Reviewing Department First Review: Approved. Denied. Not applicable v (Circle one.) Comments: BUILDING BJ PLANNING &ZONING Reviewed by) �// I`z✓---- Date:IR–i(f)17 TREE ADMIN. Second Review: Approved as revised. ❑Denied. I INot applicable P 11_10r WORFCS Comments: 'UREIC UTILITIES / 2—/ —/ 7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017