CE 1309 Rose Street 17-0271 0
CITY OF ATLANTIC BEACH, FLORIDA
CODE ENFORCEMENT BOARD
ORDER
CITY OF ATLANTIC BEACH, FLORIDA, Petitioner
vs.
MICHAEL J WIETESKA ET AL, Respondent
1309 ROSE STREET Property Address: 1309 ROSE STREET
ATLANTIC BEACH, FL 32233-2639 ATLANTIC BEACH, FL
Case Number: 17-0271
Real Estate Number: 171064 0130
Legal Description: Lots 25ft lot 5, n 12.65ft, lot 6, blk 235, sec h atl beach
ORDER IMPOSING FINE
THIS CAUSE came for public hearing before the Code Enforcement Board on March 13, 2018, and the
Board having heard testimony under oath, received evidence, and heard arguments respective to all
appropriate matters, and thereupon issues the Findings of Fact, Conclusions of Law and Order as
follows:
FINDINGS OF FACT
1. That the Respondent owns the property located at 1309 ROSE ST,Atlantic Beach,Florida.
2. That notice was sent by Posting and that Respondent was present at the hearing.
3. That notification of the violations of the City of Atlantic Beach, were made and served on the
Respondent as evidenced in this hearing.
Sec. 24-157. Fences, Walls and Similar Structures (c) Maintenance of fences. Fences that have been
allowed to deteriorate to an excessive degree have a negative impact on property values and the quality
of neighborhoods. Fences that are in a state of neglect, damage or disrepair, shall be repaired , replaced
or removed.
Sec. 24-173. Neighborhood preservation and property maintenance standards. (b) Appropriate
maintenance and upkeep. All areas of a lot and structures that are visible from the street or a
neighboring property shall be maintained in an acceptable manner, which shall be defined by the
following characteristics: 1. Lots are maintained free from litter,trash, debris, discarded belongings,
automotive parts, old tires, construction materials, and broken and abandoned items.
CONCLUSIONS OF LAW
THAT the Respondent is found in violation for the time in violation and now in compliance.
ORDER
Based upon the foregoing Findings of Fact and Conclusions of Law and pursuant to the authority
granted in Chapter 162, Florida Statutes, and the Code of Ordinances of the City of Atlantic Beach,
Florida it is Ordered:
THAT the Respondent is found in compliance.
DONE AND ORDERED THIS March 13, 2018.
CITY OF ATLANTIC BEACH, FLORIDA
CODE ENFORCEMENT BOARD
ATTEST:
411Atet, VAAA11.6
Donna L. Bartle, City Clerk By: Benj in de Luna, Chairman
Executed this °Vday of /4 i4. , 20 /g.
PLEASE NOTE: Florida Statutes, Section
162.11, states that an appeal of this order shall
be filed in circuit court within thirty(30) days of
this order's execution.
11.,m-,
.4., CITY OF ATLANTIC BEACH
4' ,!
t ; sly 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
PHONE (904)247-5800
POSTING AFFIDAVIT AND
PROOF OF MAILING REGULAR MAIL
Case Number: 17-0271
Pursuant to Chapter 162, Florida Statutes and Sec. 2-147, City of Atlantic Beach City Code of
Ordinances, I, Deborah White, Code Enforcement Officer, City of Atlantic Beach, hereby affirm a
Notice of Hearing, a copy of which is attached, was mailed regular mail and was posted at the
following locations:
(1) Date Posted: I ° 6V a
Location: 1309 ROS STREET,Atlantic Beach, Florida
(2) Date Posted:
1 /X/1
Location: ATLANTIC BEACH CITY HALL
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
11 4 CG"' Lig"' _
Deborah White, Code Enforcement
County of Duval
State of Florida
0
The foregoing Affidavit was acknowledged before me this ( day of �Q (1 ?CA CD
2018, by Deborah White,who is personally known t mei as Code Enforcement for the City of
Atlantic Beach.
'I
Person taking acknowledgement: /�
(Notary Stamp/Seal) c_ - ( (
Notary Public, State of lorida
;;�+e'••.,, TONI GINDLESPERGER
?4' = MY COMMISSION#FF 924951
r..%'1.:a EXPIRES:October 6,2019
'74, Fd:'i. Bonded Thru Notary Public Underwriters
01'4141:r CODE ENFORCEMENT BOARD
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Aimpi
r- Sv CITY OF ATLANTIC BEACH, FLORIDA
sl
NOTICE OF HEARING
1/30/2018 Case Number: 17-0271
MICHAEL J WIETESKA ET AL POSTED ON PROPERTY AND
1309 ROSE STREET ATLANTIC BEACH CITY HALL
ATLANTIC BEACH, FL 32233-2639
Property Address: 1309 ROSE STREET
ATLANTIC BEACH, FL
Dear Respondent:
The Code Enforcement Board of the City of Atlantic Beach was created pursuant to Florida Statutes and
exists for the purpose of facilitating the enforcement of the Code of Ordinances. It is comprised of seven
citizens of Atlantic Beach who meet regularly to hear allegations of code violations.
You are hereby notified and ordered to appear at the next public hearing of the Code Enforcement Board
on March 13,2018 at 6:00 pm at Atlantic Beach City Hall, Commission Chamber, 800 Seminole Road,
to answer and be heard to the following alleged violations on the property known 1309 ROSE STREET,
RE#171064 0130, Lots 25ft lot 5, n 12.65ft, lot 6,blk 235, sec h atl beach.
International Property Maintenance Code/City Code of Ordinances
Sec. 24-157. Fences, Walls and Similar Structures (c) Maintenance of fences. Fences that have been
allowed to deteriorate to an excessive degree have a negative impact on property values and the quality
of neighborhoods. Fences that are in a state of neglect, damage or disrepair, shall be repaired , replaced
or removed.
Sec. 24-173. Neighborhood preservation and property maintenance standards. (b) Appropriate
maintenance and upkeep. All areas of a lot and structures that are visible from the street or a
neighboring property shall be maintained in an acceptable manner,which shall be defined by the
following characteristics: 1. Lots are maintained free from litter, trash, debris, discarded belongings,
automotive parts, old tires, construction materials, and broken and abandoned items.
The Code Enforcement Board may levy fines up to $250.00 per day for the first violation and $500.00
per day for a repeat violation. If the violation is corrected and then recurs or if the violation is not
corrected by the time specified for correction by the Code Enforcement Officer, the case could be
presented to the Code Enforcement Board even if the violation has been corrected prior to the Board
hearing. Upon completing the corrective action required, it is your responsibility to contact Atlantic
Beach Code Enforcement and arrange for an inspection to verify compliance at(904) 247-5855.
You have the right to obtain an attorney at your own expense and to present witnesses in your behalf. If
you desire to have witnesses subpoenaed or if you have questions regarding the procedure, please
contact Dayna Williams, Secretary of the Code Enforcement Board within five days of the receipt of this
notice at (904) 247-5810. Please note the presence of a court reporter for the purpose of insuring a
verbatim record in the event an appeal should be secured at your expense.
ATTEST:
// /
Dayna . Williams, Secretary Deborah White, Code Enforcement
_' CITY OF ATLANTIC BEACH
Kt- -
800 SEMINOLE ROAD
- —• Vr ATLANTIC BEACH,FL 32233
PHONE (904)247-5800
CERTIFIED MAIL RETURN RECEIPT REQUESTED
70131710000216913156
1/3/2018
MICHAEL J WIETESKA ET AL
1309 ROSE STREET
ATLANTIC BEACH, FL 32233-2639
Real Estate Number: 171064 0130 Case Number: 17-0271
Location of Violation: 1309 ROSE STREET, Lots 25ft lot 5, n 12.65ft, lot 6, blk 235, sec h atl beach
Atlantic Beach, Florida
Dear Property Owner:
Please be advised, Atlantic Beach Code Enforcement has found your property referenced above to be in
violation of the City of Atlantic Beach, Code of Ordinances,to wit:
VIOLATION(S)
Sec. 24-157. Fences, Walls and Similar Structures (c) Maintenance of fences. Fences that have been
allowed to deteriorate to an excessive degree have a negative impact on property values and the quality
of neighborhoods. Fences that are in a state of neglect, damage or disrepair, shall be repaired , replaced
or removed.
Sec. 24-173. Neighborhood preservation and property maintenance standards. (b) Appropriate
maintenance and upkeep. All areas of a lot and structures that are visible from the street or a neighboring
property shall be maintained in an acceptable manner, which shall be defined by the following
characteristics: 1. Lots are maintained free from litter, trash, debris, discarded belongings, automotive
parts, old tires, construction materials, and broken and abandoned items.
This letter requests that the noted violation(s) be corrected by removing or repairing collapsing
fence and cleaning rear yard within ten (10) days of the receipt of this notice.
To avoid having this case be referred to the Code Enforcement Board, all listed violations on this notice
must be in compliance on or before the date established by Atlantic Beach Code Enforcement. The
Board may impose fines up to two hundred fifty ($250.00) per day for continuing violations. Upon
completing the corrective action required, it is your responsibility to contact Atlantic Beach Code
Enforcement and arrange for an inspection to verify compliance.
It is our goal to keep our neighborhoods looking well maintained while protecting property values and
your cooperation in this matter is greatly appreciated. Please contact Atlantic Beach Code Enforcement
at(904)247-5855 if you have any questions or need additional information.
Sincerely,
Deborah White
CODE ENFORCEMENT
,,: 1--,vi-i---4„ CODE ENFORCEMENT BOARD
.,�'. � CITY OF ATLANTIC BEACH, FLORIDA
�—' NOTICE OF HEARING
r/Jiils)r
12/6/2017 Case Number: 17-0271
MICHAEL J WIETESKA ET AL Certified Mail Return Receipt:
1309 ROSE STREET 70131710000216913392
ATLANTIC BEACH, FL 32233-2639
Property Address: 1309 ROSE STREET
ATLANTIC BEACH,FL
Dear Respondent:
The Code Enforcement Board of the City of Atlantic Beach was created pursuant to Florida
Statutes and exists for the purpose of facilitating the enforcement of the Code of Ordinances. It is
comprised of seven citizens of Atlantic Beach who meet regularly to hear allegations of code violations.
You are hereby notified and ordered to appear at the next public hearing of the Code
Enforcement Board on January 9,2018 at 6:00 pm at Atlantic Beach City Hall, Commission Chamber,
800 Seminole Road, to answer and be heard to the following alleged violations on the property known
1309 ROSE ST,RE#171064 0130,Lots 25ft lot 5, n 12.65ft,lot 6,blk 235, sec h Atlantic Beach.
International Property Maintenance Code/City Code of Ordinances
Sec. 24-157. Fences, Walls and Similar Structures (c) Maintenance of fences. Fences that have been
allowed to deteriorate to an excessive degree have a negative impact on property values and the quality of
neighborhoods. Fences that are in a state of neglect, damage or disrepair, shall be repaired , replaced or
removed.
Sec. 24-173. Neighborhood preservation and property maintenance standards. (b) Appropriate maintenance
and upkeep. All areas of a lot and structures that are visible from the street or a neighboring property shall
be maintained in an acceptable manner, which shall be defined by the following characteristics: 1. Lots are
maintained free from litter, trash, debris, discarded belongings, automotive parts, old tires, construction
materials, and broken and abandoned items.
The Code Enforcement Board may levy fines up to $250.00 per day for the first violation and
$500.00 per day for a repeat violation. If the violation is corrected and then recurs or if the violation is not
corrected by the time specified for correction by the Code Enforcement Officer, the case could be presented
to the Code Enforcement Board even if the violation has been corrected prior to the Board hearing. Upon
completing the corrective action required, it is your responsibility to contact Atlantic Beach Code
Enforcement and arrange for an inspection to verify compliance at(904)247-5855.
You have the right to obtain an attorney at your own expense and to present witnesses in your behalf.
If you desire to have witnesses subpoenaed or if you have questions regarding the procedure, please contact
Dayna Williams, Secretary of the'Code Enforcement Board within five days of the receipt of this notice at
(904) 247-5810. Please note the presence of a court reporter for the purpose of insuring a verbatim record in
the event an appeal should be secured at your expense.
ATTEST:
a'1104
Dayna L. Williams, Secretary Deborah White, Code Enforcement
I
r ' 4.&:, City of Atlantic Beach [11
6 neoost," `"'S "ss MAIL
Seminole RoadIli12/06/2017
Atlantic Beach, Florida 32233 US POSTAGE $06.5621_1.
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7013 1710 2022 1691 3392 ZIP 32233
041L11240784
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MICHAEL J WIETESKA ET AL Certifier) Mail Re _ . 1
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1309 ROSE STREET �70 = - == -
ATLANTIC BEACH, FL 32233-2639 R c T U R tY TO SENDER
NOT DELIVERABLE AS ADDRESSED
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CODE ENFORCEMENT VIOLATION ACTION TRACKING - CASE #: 17-0 2 7 1
FIRST INSPECTION: // 5- / ACTION: NOVt REG ❑ NOV CERT ❑ NOV POST
SECOND INSPECTION: I 1 ' 27- 17 ACTION: ❑ NOV REG ❑ NOV CERT ❑ NOV POST
THIRD INSPECTION: ACTION: El NOV REGCI
,❑ NOV CERT CI NOV POST
PROPERTY ADDRESS OF VIOLATION: / 30 5 '5J
PROPERTY OWNER: (/l/ ( L SGS•
�C
SEND LETTER(S)TO: (Please check('1) and explain all that apply) OFFICER: Deborah White
ROPERTY OWNER AT: [ADDRESS (ABOVE)
❑ DIFFERENT MAILING ADDRESS AS FOLLOWS:
❑ TENANT(NAME) AT THE FOLLOWING ADDRESS:
VIOLATION(S): (Please check (V) and explain all that apply)
❑ IPMC: SECTION(S)
AB CODE: SECTION(S)
❑ SAME AS ATTACHED NOTICE OF VIOLATION DATED:
REMEDY FOR COMPLIANCE: /7-e/14-8-1A-e- l 7-v4.
rzert_t;s,1-1)14-„k- o -.42
Ctitte,47
El REMOVE BOAT, CAMPER,TRAILER,JET SKI'S STORED IN YARD/RIGHT OF WAY
El CEASE STORING BOAT, CAMPER,TRAILER,JET SKI'S STORED IN YARD/RIGHT OF WAY
12EMOVE ROTTING/COLLAPSING FENCE
REMOVE DISCARDED HOUSEHOLD ITEMS STORED IN YARD
❑ REMOVE INOPERABLE/UNLICENSED VEHICLE(S) STORED IN YARD/RIGHT OF WAY
❑ MOWING THE YARD/VACANT LOT e7( /7 ❑ 5 DAYSO DAYS
SPECIAL INSTRUCTIONS:
❑ Mail copy of Notice to: I
❑ Other:
I - I - TM
3 ,,� City of Atlantic Beach 4 - neoposG0e
r, 800 Seminole Road1 I 11 11'"Kiippi Q1/04!201 R ..u
/ Atlantic Beach, Florida 32233 t US POSTAGE $06.5b
7013 1710 0002 1691 3156agite
041L1ZIP124073223384
MICHAEL J WIETESKA ET AL t.41 X.1" t '2 2 U t i m �s %L'i l l ffi i
er T:e.e5 0.A T v C C•,n C b '! ;
1309 t Vae cn J1.t44JL 4`.
ROSE STREET - � �
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ATLANTIC BEACH, FL 32233-2639 N r-�!7 n. - • ,N P-it
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Property Appraiser-Property Details Page 1 of 2
WIETESKA MICHAEL 3 ET AL . 4 Primary Site Address Official Record Book/Page Tile#
1309 ROSE ST 1309 ROSE ST 06039-00636 9417
ANTIC BEACH,FL 32233-2639 Atlantic Beach FL 32233
ATL
DYCKMA WENDY C
1309 ROSE ST
Property Detail Value Summary
RE# 171064-0130 2017 Certified '2018 In Progress
Tax District USD3 Value Method CAMA CAMA
Property Use 0100 Single Family Total Building Value $65,386.00 $64,945.00
#of Buildings 1 Extra Feature Value $604.00 $604.00
Legal For full legal description see Land Value(Market) $24,206.00 - $24,206.00
Land&Legal section below Land Value(Aaric.1 $0.00 $0.00
SubdNision 03119 ATLANTIC BEACH SEC H Just(Market)Value $90,196.00 $89,755.00
Total Area 4319 Assessed Value $90,196.00 $89,755.00
The sale of this property may result in higher property taxes.For more information go Cap Diff/Portability Amt $0.00/$0.00 $0.00/$0.00
to Save Our Homes and our Property Tax Estimator.'In Progress'property values, Exemations $0.00 See below
exemptions and other supporting information on this page are part of the working tax ----- Taxable Value $90,196.00 See below
roll and are subject to change.Certified values listed in the Value Summary are those l
certified in October,but may include any official changes made after certification
Learn how the Property Appraiser's Office values property.
-,-
Taxable
Taxable Values and Exemptions—In Progress
If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above In the Value
Summary box.
County/Municipal Taxable Value S)RWMD/FIND Taxable Value School Taxable Value
No applicable exemptions No applicable exemptions No applicable exemptions
Sales History
Book/Page I Sale Date I Sale Price I Deed Instrument Type Code Ouaimed/Unqualified 1 Vacant/Improved
106039-00636 111/5/1985 I$43,000.00 I WD-Warranty Deed I Unqualified I Improved
106872-0083a 13/9/1990 I$100.00 I MS-Miscellaneous I Unqualified I Improved
106964-01248 19/7/1990 I$36,900.00 I SW-Special Warranty I Unqualified I Improved
Extra Features
I LN Feature Code I Feature Description I Bldg. I Length I Width I Total Units I Value
1 SCPR2 Screen Porch I 1 112 18 96.00 I$604.00
Land&Legal
Land Le.•I
LN Code I Use Description Zoning Front Depth Category UnitsLand Land Tv LandalLN Legal Description
1 117-2S-29E
1 0101 RES MD 8 19 UNITS PER ARG 38.00 130.00 Common 38.00 Frage $24,206.00 2 I SEC H ATLANTIC BEACH
AC3 I S 25FT LOT 5,N 12.65FT,LOT 6
4 I BLK 235
5 10/R BK 6964-1248
Buildings
Building 1
Building 1 Site Address Element I Code I Detail
1309 ROSE ST .Usr
Atlantic Beach FL 32233 Exterior Wall 116 116 Frame Stucco 0 1
Roof Struct 3 3 Gable or Hip
Building Type 0105-TOWNHOUSE Roofing Cover 3 13 Asph/Comp Shng
1
Year Built 1985 Interior Wall 5 5 Drywall
BuildingValue $64,945.00 I BAS
Int Flooring 8 8 Sheet Vinyl
Int Flooring 14 14 Carpet
PinGross Heated Effective Heating Fuel 4 4 Electric
Area Area Area F0P
Heating Type 4 4 Forced-Ducted
I Base Area 940 940 1940 Air Cond 1 3 i 3 Central
Unfinished 64
Storage 0 26 Element (Code
Finished Open 52 0 16I
Porch Stories 1.000
http://apps.coj.net/pao_propertySearchBasic/Detail.aspx?RE=1710640130 11/9/2017
:$y'' CITY OF ATLANTIC BEACH
\x\ 800 SEMINOLE ROAD
r- )) ATLANTIC BEACH,FL 32233
PHONE (904)247-5800
11/9/2017
MICHAEL J WIETESKA ET AL
1309 ROSE STREET
ATLANTIC BEACH, FL 32233-2639
Real Estate Number: 171064 0130 Case Number: 17-0271
Location of Violation: 1309 ROSE STREET, Atlantic Beach, Florida
Dear Property Owner:
Please be advised, Atlantic Beach Code Enforcement has found your property referenced above to be in
violation of the City of Atlantic Beach, Code of Ordinances,to wit:
VIOLATION(S)
Sec. 24-157. Fences, Walls and Similar Structures (c) Maintenance of fences. Fences that have been
allowed to deteriorate to an excessive degree have a negative impact on property values and the quality
of neighborhoods. Fences that are in a state of neglect, damage or disrepair, shall be repaired , replaced
or removed.
Sec. 24-173. Neighborhood preservation and property maintenance standards. (b) Appropriate
maintenance and upkeep. All areas of a lot and structures that are visible from the street or a
neighboring property shall be maintained in an acceptable manner, which shall be defined by the
following characteristics: 1. Lots are maintained free from litter, trash, debris, discarded belongings,
automotive parts, old tires, construction materials, and broken and abandoned items.
This letter requests that the noted violation(s) be corrected by removing all discarded items, trash
and junk from front and rear yard and repairing or removing collapsing wood fence within ten
(10) days of the receipt of this notice.
To avoid having this case be referred to the Code Enforcement Board, all listed violations on this notice
must be in compliance on or before the date established by Atlantic Beach Code Enforcement. The
Board may impose fines up to two hundred fifty ($250.00) per day for continuing violations. Upon
completing the corrective action required, it is your responsibility to contact Atlantic Beach Code
Enforcement and arrange for an inspection to verify compliance.
It is our goal to keep our neighborhoods looking well maintained while protecting property values and
your cooperation in this matter is greatly appreciated. Please contact Atlantic Beach Code Enforcement
at(904)247-5855 if you have any questions or need additional information.
Sincerely,
e,e)
Deborah White
CODE ENFORCEMENT
�"as
�s Case Details Case Number
�`
17743, 27 '
r)
v City of Atlantic Beach
\rill �%'
Description:Collapsing fence,trash,junk Status: PENDING CODE BOARD Case Summary
Type:CODE ENFORCEMENT Subtype: RESIDENTIAL "'" '
Opened: 11/9/2017 Closed: Last Action: 1/21/2018 Fllw Up: 1/21/2018 = CASE OPEN
Site Address: 1309 ROSE ST ATLANTIC BEACH, FL 32233 : , OPEN
DAYS 50 COMPLETED
Site APN: 171064 0130 Officer: Deborah White
Details: JANUARY 9, 2018 [2] INSPECTIONS 2
RECOMMENDATION: FIND IN VIOLATION AND ALLOW 30 DAYS TO COMPLY. FAILURE [2] VIOLATIONS
TO COMPLY WILL RESULT IN A FINE OF$100.00 PER FOR THE FIRST DAY AND$100.00
EVERY DAY THEREAFTER UNTIL FULL COMPLIANCE IS ACHIEVED. [5] ACTIONS 2
0 0
ADDITIONAL SITES LINKED CASES
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES
CERT MAIL RECEIPT �
RECEIVED Deborah White 1/8/2018 - Ck.' r r y�
CODE BOARD MEETING
AGENDA Dayna Williams 1/4/2018
CODE BOARD ORDER Valerie Jones 1/21/2018
•
NOTICE OF HEARING Valerie Jones 12/4/2017 12/6/2017
NOV REG Valerie Jones 11/9/2017 i 11/9/2017
CONTACTS
NAME TYPE NAME ADDRESS PHONE FAX EMAIL
1309 ROSE ST ATLANTIC BEACH, FL 32233-
OWNER WIETESKA MICHAEL J ET AL
2639
•
Printed:Thursday, 28 December, 2017 1 of 2 1
J�rS�`�r1�z
s Case Number
Case Details
M
J City of Atlantic Beach 1 r
FINANCIAL INFORMATION
INSPECTIONS
INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
INITIAL VIOLATION
DW 11/9/2017 11/9/2017
INSPECTION FOUND
REINSPECTION DW 11/27/2017 12/4/2017 VIOLATION
CONTINUES
VIOLATIONS
VIOLATION TYPE USER NAME OBSERVED CORRECTED LOCATION REMARKS NOTES
DATE DATE
Sec. 24-157. Fences, Walls and Similar Structures
(c) Maintenance of fences. Fences that have been
allowed to deteriorate to an excessive degree
Fence Valerie Jones 11/9/2017 have a negative impact on property values and
Maintenance the quality of neighborhoods. Fences that are in a
state of neglect,damage or disrepair,shall be
repaired, replaced or removed.
Sec. 24-173. Neighborhood preservation and
property maintenance standards. (b) Appropriate
maintenance and upkeep. All areas of a lot and
structures that are visible from the street or a
OUTSIDE neighboring property shall be maintained in an
STORAGE(RES) Valerie Jones 11/9/2017 acceptable manner,which shall be defined by the
following characteristics: 1. Lots are maintained
free from litter,trash,debris,discarded
belongings,automotive parts,old tires,
construction materials,and broken and
abandoned items.
ATTACHMENTS
Printed:Thursday, 28 December, 2017 2 of 2 Ix
r S11
"401119 CASE ACTION FORM
3111)
Investigation# _ DATE:
NAME:
UJAJJ3L
ADDRESS OF VIOLATION 12-43 Se ST
Action Taken:
562AdC(
jj,
cdvt-t_A._
4-0
Compliance: