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825 SHERRY DR -FENCE , ,„ _, CITY OF ATLANTIC BEACH 4 ) 800 SEMINOLE ROAD \,, , 15xATLANTIC BEACH, FL 32233 ..;at J;; `) INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0009 Description: 4' &6' FENCE Estimated Value: 2000 Issue Date: 2/8/2018 Expiration Date: 8/7/2018 PROPERTY ADDRESS: Address: 825 SHERRY DR RE Number: 169983 0000 PROPERTY OWNER: Name: GRAY ADAM R Address: 826 9TH AVE N JACKSONVILLE BEACH, FL 32250 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: The FaverGray Company Address: 415 Pablo Avenue Suite 200 Jacksonville, FL 32250 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. 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. * 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. 0.AN:rt, City of Atlantic Beach APPLICATION NUMBER Js 0141k e>0 Building Department (To be assigned by the Building Department.) r 800 Seminole Road I KIGE-1Q,- 000 p, j„ �,2 Atlantic Beach, Florida 32233-5445 C-� I Phone(904)247-5826 • Fax(904) 247-5845 QQ -art ya 11 E-mail: building-dept@coab.us Date routed: I C 3 ( l C, City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S as S b-k dZe.,L--( Department review required Yes/ No uilding ) i/ Applicant: i '6-1 Er Piot v&-2 G 2 NI/ IP arming &Zornn .7 r—, L Tree Administrator Project: 4 Co C'- NCC ublic Works Public Utilities Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By y 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: [pproved. I (Denied. ['Not applicable (Circle one.) Comments: 1:UILDINr PLANNING &ZONING Reviewed by: kt Date: 2-é-26/ TREE ADMIN. Second Review: I 'Approved as revised. I (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 1,A,�lr, City of Atlantic Beach APPLICATION NUMBER JSBuilding Department (To be assigned by the Building Department.) ` ''`'.`• � 800 Seminole Road t, E 1— K1C. 1g- 000 '9 -5..,„, Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 / Q „J,3 1) E-mail: building-dept@coab.us Date routed: 1 l 3 ( 1 l S City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: a as S_ 1---I+E Re.. (6-(� VDe•artment review required Yes No :uildin• GR- eonl-P anning &Zonrn.Applicant: aTree Administrator r r—� z. ublic Works Project: Ca, (— �!v G� ` Public tilities ubllc 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 by:/ s"7----- Date: I-3 I— I k' 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 oy1T/.,, City of Atlantic Beach APPLICATION NUMBER JS Building Department (To be assigned by the Building Department.) r ` 800 Seminole Road EC III N C.E lg- C700 ci _ Atlantic Beach, Florida 32233-5445 Phone(904)247 5826 Fax(904)24flAN 1 # Date routed: I /3 ( it g � Ur3 y:' E-mail:Email: building--dept@coab.us 2018 t City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: a zS Si--Acze._,L--( Department review required Yes No uildin Applicant: i b-•l e Piles YE- G R. 20/Y P anning &Zonin Tree Administrator Project: 4 L` EkpGG , 4blic Works Public lltilities—, 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 by��ff�ll Date: pt-2 1019 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 �S.1-Vii. City of Atlantic Beach APPLICATION NUMBER el 6s ,e? Building Department . � (To be assigned by the Building Department.) r ''`� 800 Seminole Road .. 1 N C.E. cy j:.. �� Atlantic Beach, Florida 32233-5445 �� (..)00J Phone(904)247-5826 • Fax(904)247-584 F'j gP E-mail: building-dept@coab.us l N 3 1 2018 Date routed: I / 1 1 L E City web-site: http://www.coab.us APPLICATION REVIEW AIH TRACKING FORM Property Address: a as SEA Re.,Li De artment review required Yes No uildinciD Applicant: 1 t4& v--(-a V F. (T eo(yip anning &Zonirilb Tree Administrator , Project: C e--NG-G-_, ublic Works Public tilities ti u fy- Fire Services Review fee $ IV 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 —7- Reviewing Department First Review: ❑Approved. ❑Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING1......---__Reviewed by: Date:..4/2-/i r TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. [-Not applicable PUO, RK eoLVLat ents: P BLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. I INot applicable Comments: Reviewed by: Date: Revised 05/19/2017 OFFICE COPY Building Permit Application Updater5/5/17 is' � City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 '1.1442zoi Phone: (904) 247-5826 Fax: (904) 247-5845 F N CE I g_0009 Job Address: 8oZ.1/4.s-- ShGfrcf Dr. A f 1 4 -- ,r FL-Permit Number: POS �? —00Legal Description �ee c, ( $" 5�..,rVt�/ RE Valuation of Work(Replacement Cost)$ (,190 ( Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): Ne Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esidential • If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No go • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal N%4 Describe in detail the type of work to be performed: . 5 it nt„U - -- Florida Product Approval# for multiple products use product approval form Property Owner Information Name: Aao,yyt en. Address:Address: yL` 4-►novef /� % City at.r. ctny.�Lr State Zip 3,2aA, C Phone 90i/-,c( E-Mail .k,qCc. �.,rerC-Y�.�� Lail CC Owner or Ag11nt(Pt Agent, Power of Attorhey or Agency Letter Required) Contractor Information Name of Company: TMc Rvtr i4T14,1 (-avieVc•+-71 Qualifying Agent: Address y1C PC 41la AVE— 5.L.. Zc City ia,c.k.$ 1•wrkkt II Zip &a.-2_6-0 Office Phone 151,/_ 2.092vn.x.) Job Site/Contact Number/� 'Ai-6-(12-2_'Y7y /4dowi State Certification/Registration# E-Mail �� -I-•mref"6-rci,y. Ccw1 Architect Name&Phone# CC Engineer's Name&Phone# Af ,t}- Workers Compensation �� r Exempt pt//Insurer surer/Lease Emp yees/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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. —� (Signature of O p-r or Agent) (Signature of Contractor) (including-contractor) Signed and sworn to(or affirmed)before mee this`3T0 day of Signed and sworn to or affirmed)before me thi day of �9-C21 by N 1.66 C.1'Y')\( 1CX by % 5- Ck ��1 �}' A,L_ `1uP,�� -tri (Signature of Notary) (Signature of Notary) ""'' NICHOLAS ROTONDO ,��A NICHOLAS ROTONDO '4,' '"= Nota Notary Public-State of Florida t Commission s'a'c State of Florida Commission N GG 115287 mission/GG 11 S28% ', �. Y \ •. ,r,<�t'i MY Com • " Bion ( °(4f6 RNi'!�NuuNn15,2021 '►� • 7svllall � pi res Jun 15,2021 ry '• •• Ij�i s�� ICd1lUTflaryAssn. [ )Pros c-. c09.q.I10"�INgNrA t Type of Identification: Type of Identification: 1