Permit Fence 262 2nd St 2012 1 �(a
ti Aw i-a 111 s CITY OF ATLANTIC BEACH
s') 800 SEMINOLE ROAD
s; Z ATLANTIC BEACH, FL 32233
:�. INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000507 Date 5/03/12
Property Address 262 2ND ST
Application type description FENCE PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
replace 6 ft fence
Owner Contractor
SMITH CARL HOLT III & JULIA L H &W FENCE, INC
4670 BADEN LANE 7413 NEW KINGS RD
JACKSONVILLE FL 32210 ATLANTIC BEACH FL 32233
(904) 765 -8794
Permit FENCE PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date Valuation . . . . 0
Expiration Date . . 10/30/12
Special Notes and Comments
Avoid damage to underground water /sewer utilities. Verify
vertical and horizontal location of utilities. Hand dig if
necessary. If field coordination is needed, call 247 -5834.
Fee summary Charged Paid Credited Due
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.00 35.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Graham Shirley
From: White, Debbie
Sent: Thursday, May 03, 2012 9:15 AM
To: Graham Shirley
Subject: FW: Fence Permit - 12-507
Debbie White
City of Atlantic Beach
Building Department
(904 ) 247-5826
(904) 247-5845 FAX
From: Carper, Rick
Sent: Thursday, May 03, 2012 9:14 AM
To: choltsmithlaw@bellsouth.net
Cc: White, Debbie
Subject: Fence Permit - 12
Fence Permit application has been approved by Public Works. Building Dept (247-5826) will contact you when
permit is ready for pickup.
Rick
Ricky L. Carper, P.E.
Public Works Director/City Engineer
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
rcaripercoab.us
PH: (904) 247-5834
Fax: (904) 247-5843
1
BP250U01 CITY OF ATLANTIC BEACH
Application Tracking Step Selection by Revision 9
09:: 26::33
0
Application number . : 12 00000507
Address : 262 2ND ST
RE number • 172542 - 0000- -
Application type • FENCE PERMIT
NCR OLD ACCOUNT NUMBERS : AB09006
Tenant name, number . . . .
Type options, press Enter.
2= Change 4= Delete 5 =View 6 =Fast log 8= Action log maintenance
9 =In /out maint
Path - - -- Key Dates - -- - Action Summary -
Opt Agency description Rev Step Req In Est Cmpl Last Type By
PLANNING & ZONING A 01 Y 05/01/12 05/09/12 05/01/12 AP EH
PUBLIC UTILITIES A 01 Y 05/02/12 05/09/12 05/02/12 AP LS
PUBLIC WORKS A 01 Y 05/03/12 05/09/12 05/03/12 AP SLG
F3 =Exit F5 =Land inquiry F6 =Add F7= Revisions F8 =Misc info inquiry
F9= Corrections report FlO =View 3 F11 =Sort by agency F24 =More keys
City of Atlantic Beach
4. ; Building Department APPLICATION NUMBER
800 Seminole Road MA y (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-54 1 'OJT 7
Phone (904) Beach,
247 -5826 • Fax (9 845
' E -mail: building- dept @coab.us Date routed: 7 " Q
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z � Z z Sj Department review required Yes
q No
/ / Buildi
Applicant: annin & Zoning
Project:
/ `� dministrator
IC or
C Utilities
u is Safety
Fire Services
N
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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: IVIApproved. ['Denied.
(Circle one.) Comments: e 1 / ^
BUILDING /(
PLANNING & ZONING
Reviewed by: Date: f 2 , Y /Z-
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: AN 0 - 0, N 5 ta
Permit Number:
Legal Description Pt tp i 1' e E'" 4 (I
�4-5•.15' Parcel #
Valuation of Work $ F oor ea o Sq.rt. ! S r't
Proposed Work heated /cooled (I n heated /cooled &4\
a0C. - (iz s xv, ad tio2A,,,
Class of Work (circle one): N ew Addition Alteration epair Move D M nolrtio
� _____� pool/spa window /door
Use of existing /proposed structures) (circle one): Commercial Residentia
If an existing structure, is a fire sprinkler system installed? (Circle one -T �" o; N /A'
Florida Product Approval #
For multiple products use product approval orm
Describe in detail the type of work to be performed: • i ._ 0 . mss ?, , ,, „..• � . ' /
, r fir. ,i i1 ' - I —..d • 1 •. t' .• I- �. ' l /‘ /
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Property Owner Information: /1 a , , , /
Name: i... \ .1 ∎.. 1 II J 1; _k it 11 Address: a&. sir ila
a. 1
Cit �i11:,�9��r�.:'. , State ip ; � � 3� � �.
E -Mail or Fax # (Optional) In ?-y , 6nrz)
Contractor Information:
Company Name: V3CC Qua lifying Agent \i \ )1.o b y L
Agent: ! T A
Address: 7"J/ 3 feu i] WGS Ci - -))- State LYE Zi 3A2)
Office Phone ?65 '7?!/ Job Site/ Contact Number S".9 XS Li f Fax # p
State Certification/Registration #
Architect Name & Phone # ti S
Engineer's Name & Phone # ip)
Fee Simple Title Holder Name and Address
Bonding Company Name and Address Noh p
Mortgage Lender Name and Address Naiy, p
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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
Tanks and Air Conditioners, etc
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.
I hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied w' hether specified herein or not. The granting of a permit does not presume to gave authority to violate or cancel the
provisions of any other federal, tat o 1 c l law egulating onstruction or the performance of construction.
Signature of Owner FA (A Signature of Contractor it , - Illif
Print Name `�'�,• .�w
C AL � \OL �!I1i l
..I v• Print Name Dm /4a /1 Z'..ro(
Swo end subs 'bed befog me Swore to and s .s' -' : - d se j e me
thin ay of (Wl , 20 12.. this . Da of Ei ja ii 4 / 20 j Z
Notary Pub is -
Notary y ,� �,/
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..; KRISTIN FRYAUW * - `14't C EXPIRESIS ION A DD 948063
= ' ..= MY COMM N, : A p ril 19, 20
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SLAN::, City of Atlantic Beach
, Building Department
+ �r,. APPLICATION NUMBER
(T
800 Seminole Road MAy o be assigned by the Building Department.)
� Atlantic Beach, Florida 32233-5445 •r 2 0/2 /c- — 7
Phone (904) 247 -5826 • Fax (9043147-5845
.,r
if Er " E -mail: building- dept @coab.us 3 ,
City web -site: http: / /www.coab.us
Date routed: Z
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z �Z z s j Department review required q Yes No
Buildi
Applicant: I7` V- re-A_ annin Zoning.
` — � LT1egAdministrator
Project: -. • is Worn")
•'ic Utilities>
Public Safety
Fire Services
BRU x :k V %' 11 H'I r
e�.,�„ , a, e al`ra �iQaY� �gg, i ��., x �e� 8 �a� 8 � "4 �..
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: Date: (. 5" : " 2/17
TREE ADMIN.
Second Review: ['Approved as revised. ['Denied.
P • ' r Comments:
ePUB C�
—2 --f Z
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 2 ( ' v � a, c
J l 3 , Permit Number:
Legal Description P' ti f hh a cklop /s11 er Parcel #
Valuation of Work $i — F o ea o Sq.Ft. S 1~'t
Proposed Work heated/cooled OA n heated /cooled )-A
Class of Work (circle one): N Addition Alteration (Repair li '�
\ r Mo ve Drr tro pool/spa window/door
Use of existing /proposed structure(s) (circle one): Commercial Residentia
If an existing structure, is a fire sprinkler system installed? (Circle one . - mod,"' N /A'
Florida Product Approval #
For multiple products use product approval form '
Describe in detail the type of work to be performed: • 4 - / t will
r 41 A ii i ■ � _ �/ - / 0 ° t_ I. e ' A ' w‘ i
Property Owner Information: 4"1" /
I. a &� ,
Name: :L L' a' ' .,�.�� � ■ 41 i �► 1�`� Address: .
Cit :jj : ,, y�irt StateZip Phone `/
E -Mail o r Fax # (Optional) In F- ) f 0 - `��`' 3� �'
Contractor Information:
Company Name: - 41A) L _ ' �C (� �
"�' Qualifying Agent: I i \ 1C4A p) I .p l I t
Address:
91J/ / `�'u )W G3 { 6 S iSot. - l - )) - St ate Zip p2)9
Office Phone 2fv5 g'�ji Job Site/ Contact Number �'(; q 2cF' 9 i Fax #
State Certification/Registration #
Architect Name & Phone # N / q
Engineer's Name & Phone # MI)
Fee Simple Title Holder Name and Addressc`j 1,, L. Still, i(,` c' (Aj L iAbo---srmAtIlli
Bonding Company Name and Address NcM p
Mortgage Lender Name and Address /`itw,,,,
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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a_ period of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc
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.
I hereby certify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied w hether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, tat o local
itti
law regulating onstruction or the performance of construction.
Signature of Owner a ' ' D�
( t 1 Print Name \- IY'3±m., `. ■. DMA-at °- � � ( ia
P rint Name &t
Swo nd subsc •'bed befo me Sworn to and s bs rd se ' e me
this ay of n,L� , 20 1 this .) Da ' of OA A i 1 / 20r
wvirivoirtir
1 If
Notary Pub is — ,ZP PU >� .
Notary 'r t
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* KRISTIN FRYMAN :'°(.77.1,,IIT:fe* ' IS ION # DD Signature of Contractor 948 063 `• —' - MY COMMISSION #D 876527 EXPIRES;Apr ,20 " "' l$ evised 01.26.10
' -:►� EXPIRES April 1,2013
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