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606 AQUATIC DR RFNC25-0068 c,->, m. ')-f,,, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY �' City of Atlantic Beach Building Department PERMIT# 'FNeL 5`00(9g / 800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process -Ji31� Phone: (904) 247-5826 Email: Building-Dept@icoab.us rr Job Address C9 06 AcoPrrtc `J aitE_ RE# Legal Description 05/22TH bile a .)0_-'Ce'T- Lo i $5 `5 L' Sr Z0 ry )(Valuation of Work (Replacement Cost) 2560 Heated/Cooled SF u I er Non-Heated/Cooled SF 0(A • Class of Work: ❑ New ❑Addition ❑Alteration ERepair EMove ['Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial Residential • If existing structure, is a fire sprinkler system installed?:❑Yes[ No • Will tree(s) be removed in association with proposed project? ❑ Yes (Must submit separate Tree Removal Permit) VNo Describe in detail the type of work to be performed: /444 .0 ' (A)004 Florida Product Approval# (For multiple products use Product Approval Information Sheet) PROPERTY OWNER Name SEA0 i eABARA MC❑JE.€J J1 Phone gdLI 94,Z- 2313 Address 6,61 NoAT-I C_. (Daku4City A Tui-071c f State FL Zip 3 Z L 33 Email ty8",� () e4�� 0 crt`l , cootOwner or Agent Ki 1 A CONTRACTOR Name of Company 36i-kI 04 ( _DIUSs-e_OC I Phone ciby -86'g ---..-7S"'3 Address ql 4 - t - I7&1 ii 6. City /1(‘‘ Jet State Zip /'Z'Z 33 Qualifying Agent eei /41:-L9I��' State Certification/Registration# (134: `Z-SVIIS Email ki c.rN i TSncag.. Il�At- t c� Job Site Contact Number g -- cj(o'Z - 1313 Worker's Compensation Insurer K4-- OR Exempt VExpiration Date I /112-5. Engineer of Record Nth Architect of Record LI I IN 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 regulating 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 city/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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. "In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contractor, and under penalties of perjury, I dare that I have read and examined the foregoing application and that the facts stated in it are true and correct." 1" Kiel,„.) A Cz;v2-,t/1) 4 6)4---70772_6-- SIGNAT 'E O CO'TRACTOR PRINT OR TYPE NAME OF CON'RACTOR DAT T c / l4 011. C/-I1I ey C.2-13 . kiEl Ci-CEA?/2_42 —.S SITWF OWN i: ► PRINT OR TYPE NAME OF OWNER OR AG NT DAT Building Permit Application 11.05.202, Fence Addendum Updated 03/07/2024 City of Atlantic Beach Building Department 75 •�,f �; 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT # Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: (dO(' ACV 3 (ô - I ' Property Type: Lot Type/ Features: "Residential ] One Street frontage (interior lot) ❑ Commercial ❑ More than one street frontage (corner lot, through lot, etc.) ❑ Swimming Pool Fence Material: Fence Height (select all that apply): C /ood ❑ Four Foot (4ft) ❑ Chain Link ViSix Foot (6ft) ❑ Vinyl ❑ Other ❑ Block/Stone (Plan details required for footings and/or retaining walls) ❑ Other Fence Location: Please submit an accurate and current boundary survey showing all existing improvements (including building footprint, driveway, swimming pool, etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or retaining walls and any portion or fencing above 6ft in height. Will the fence be built in an easement? NI Yes (must submit separate Revocable Encroachment Agreement) ❑ No Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal Permit) Nit/No Conditions of Approval: • All old fencing and debris must be removed from job site by contractor or homeowner. 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. �'Z°"" 'r• REVOCABLE ENCROACHMENT AGREEMENT City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process %wow? Phone: (904) 247-5826 Email: Building-Dept@coab.us REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a muni ;�pal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and KACJIt of Atlantic Beach, Florida, hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as _E Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days' notice by CITY to USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address .4 . A r_ l P AL Ti 1C i �C {k FZ -,KZZ,K? • In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or adding to of the utilities and facilities of the CITY or franchise utility provider. • The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." • The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of completion. • This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. • USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of easements, public right- of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. !nature o •• (Da -) TONIGINDLESPERGER MY COMMISSION#FIR 407122 Signed before me this day of I EXPIRES:October 6,2027 in the County of Duval,State of Florida, has persona y appeared AN&e [ ]Personally Known OR [ ]Produced Ideitification My commission expires: . /IIIII AiliNotary Signature: sem.' Department Approval: Revocable Encroachment Agreement 12.11.2024 Public Works Department Date Sheet 1 of 2(Sketch of Survey)-See Sheet 2 of 2 for Legal Description,Certifications,Property and other Survey related data.SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS N BEARING REFERENCE: ��� ��;��;;�` NORTH LINE OF SUBJECT LOT AS S 57°31'26"W '*� ; �'' �� I 7 4♦• ALL BEARINGS SHOWN HEREON REFERENCED THERETO. R r ��,A�- - FOUND I/2' i • =-► IRON POD ttfir:. :� c i S AND CAP r,jj:� 1 NO ID SCALE:1"=30' FENCE 0.4'OUT AERIAL PHOTOGRAPH (MAY NOT SHOW LA TEST IMPROVEMENTS) (NOT-TO-SCALE) FCC LOT 12 1 pNCLUD 1 • 0 �� ,� * _ 4`14oRt2© t. L0112-0 d >{i ti°', �Q / 1� 0 -ENS . . o- ,, j rn ^. i 'a LESS AND O CES ' PORTION Of iz" POR(lON OF k 1_01 13-A L01 134' ,,s,"`-'IRC,,- ED) 1 A (011NCW //�• I� 0 VI 6�ti :A.�Fy°C4f50 23.' '.1 • o t" 2 � fes` :i1.55 a, god *X- tfPcy, �► ._.I$ ( : ) ca ti N� Fo0\1 1 t)p% e 8.70 $ o - rn tiCsF1y °��d'e\� ` �`'�tik• `�l • WIC o'4 Iwo 51> 4.96'• ' 89' wOa \ �r �� h ,%;. MAC. CNC W".., i• p,E51DENCE "I' OF \\ OCA fid.• .,.mow-/ .65' `& if° O.T �7 r , - t1< 6 / s''. NC ON I C. ' Jfi�� 15\)&9&‘\Q ' '. CONC.i.3-n----f--,-"- . �5�CI 5�\ / ._.' • -51)- co---3014G SEl 1K ,F _ NG .� 582°43'58'N a8.o4 ON 1-1q E WAU j1 NW CAP SND 112', (14014-�IAL) t.z-[ Lb 8507'I 250a IRS C° IO2.17( " LOT 138 i ADJOINING RESIDENCE%I 2 w CA‘14" FOUCLOi KO of OOB IRON ROD CURVA�� 1 AND CAF CURVE TABLE CHORD CHORD • Q NO to LENGTH RADIUS DELTA LENGTH BEARING 4 T C I(P) 14.79' 100.00 8°2815' 14.78' N25°58'58W CINM) 14.80 N26°I053W FND.WI q o Q 6, 4 C2(P) 25.27 100.00 14°28'3T 25.20 N14°30281( n o No ID C2(M) 25.12' N 14°3044W -`y C " 5W SER C3(CR) 18.95' 75.00 14°28'40 1830 N 14°3017W r" LOT 13-0 A 00.19'E 0.06'S 'CP'=CONTROLLING POINT(POINT OF ROTATION) 'HFA'=HELD FOR ALIGNMENT - ALL OTHER MONUMENTATION AND IMPROVEMENTS RELATIVE THERETO Platted Easements,Notable or Adverse Conditions(unplatted easements also listed if provided by client):IF APPLICABLE,RECIPIENTS OF THIS SURVEY SHOULD REVIEW THE POSITION OF ANY FENCE LINES SHOWN HEREON AND THEIR RELATIONSHIP TO THE BOUNDARY LINE -7.6 UTILITY,DRAINAGE&SEWER EASEMENT ALONG NORTHERLY BOUNDARY LINES OF SUBJECT LOT. -U.R.=UTILITY ROOM -15'UTILITY,DRAINAGE&SEWER EASEMENT ALONG EASTERLY BOUNDARY LINE OF SUBJECT LOT. -CONCRETE DRIVEWAY EXTENDS THROUGH THE NORTHERLY EASEMENT. -FENCE EXTENDS INTO THE NORTHERLY EASEMENT. -SHED EXTENDS INTO THE E?FTFg'V c.FQ Ip.',T This survey has been issued by the following Elevations,if shown: Revisions: Job Nc 242485-CE Date of Field Work:04/16/2025 Drawn by:A.M. andtec Surveying office: 700 West Hillsboro Boulevard,Suite 2-102 Benchmark: Deerfield Beach, FL 33441 Benchmark Elev.: Office: (561)367-3587 Benchmark Datum: LANDTE Fax:(561)465-3145 Elevations on Drawing are in: www.Landtecsurvey.corn N.G.V.D.29[1N.A.V,D.88L1 LiCENSED BUSINESS No.8507