527 ATLANTIC BLVD FNCE19-0130 revision 9-9-21 .�, Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
rS J "� City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:bKjQ, E 1� 0130
❑ Revision to Issued Permit OR I I Corrections to Comments Dater /(iI
Project Address: L 1I\ a-1 'j QN6Q C7C,A
Contractor/Contact Name: („j ��� 0 n 0.
Contact Phone: //;^, 83 - op6 4 G1 Email:
CSS
Description of Proposed Revision/Corrections:
I CLC-1–Ci 04 0-- 1-\ (iL) (-4
e i\0 1 t–cm 4.t LOCUS e ii . c....1(
poc-) f JCA—C1
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
❑No ❑ Yes (additional s.f.to be added:
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No ❑*yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
Y '- Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
")`'t"''' IS REQUIRED.
Phone: (904) 247-5826 Email: Buildir -Deft@coab.us
Job Address. S27 Affia,wc a ,,A, G-t- QI(.nt:.- Re.t. F1 32233PermitNumber:
Legal Description 0100 S 1 Ay 1-,..- 1"a m 1 I y _ RE# 16`i' Sos -H1 S
Valuation of Work(Replacement Cost) $ I'BOC) Heated/Cooled SF_ Non-Heated/Cooled
• Class of Work: ❑New kddition ❑Alteration ❑Repair ❑Move ElDemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes XNo
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit se s arate Tree Removal Permit i No
Describe in detail the type of work to be performed: AGU y 25' o4 gluvn'r LA w, H 'N u -(-c) C-Ioir. of
-13.,cL,yo,v4 �u,r p()di c.c
Florida Product Approval# __.for multiple products use product approval form
Property Owner Information
Name ,-lolly ',Lewd Address SLi A++Ian+1c, Bcu,iL C4
�,..c,I, State Ft Zip 322 '3 Phone6LIC. 2.05 OC ZS T
City A-1-Lam-�c... (�, 3_..r _
E-Mail Mtc..it,ud. ,, I-Lewd C 9w«'I >(-vM
Owner or Agent (It Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 'S..,f.e.„1w Feu.. ' Qualifying Agent 10,4 Pc...y c.--1
Address SW70 N:,L >i Ayr _City 3tic lAscnn.;11-- State F1 Zip 32233
Office Phone `lo)1 6v3 6341 Job Site Contact Number
State Certification/Registration# l6STSq E-Mail 1j1/cw, • PQ -4.,✓t,..!n53uoLscvv, 11,--,.. &✓ __ _
Architect Name&Phone#
Engineer's Name& Phone#
Workers Compensation Insurer F«Qe,,.a,f....e A/lu+,.,«1 OR Exempt 0 Expiration Date q/ IS/2-1 -^
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 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORD N YOUR NOT CE OF COMMENCEMENT. ✓s,/
(Sg ture of Owner or Agent) I gnature of Contractor)
\\�01111I1U111111
Signed and sworn to or affirmed) before mei \ ..`E o 1�4gned and sworn to(or affirmed))before r this L day of
Pu S u 4— 2�2.) b y GOIle�"Iia ro, RY 2 t•' '' H l y `'r l , L,,,..1 'w„1••—
(Signature'nctrary) o'•1p .* = ignature a Notary) newut
**1067322 '
i0k'.eloyp°adedl��°��;�•y��� 4,00 Pt*,
[ ]P rsonally Known OR ��i�PI-,o'• i/bhc unee`•' ,-.Personally Known'OR `F BntanNotary i MbNormanhc State o Ronda
Produced Identificati n �_�e ,s�,�• ,0 `��� [ ] Produced Identification 1, 1 My Commission HH 011346
'DV �2 —35�4§1a1111"�- Type of identification: • Qp4./ Expires 08/16/2024
Type of Identification: _ _
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Fence Addendum Updated 1/14/2021
. City of Atlantic Beach Building Department K ( C)I —Or- 0
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
Property Type: Lot Type/ Features:
Residential l 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):
❑ Wood XFour Foot (4ft)
❑ Chain Link 0 Six Foot (6ft)
❑ Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
X Other 6 ((/iVY1 l f)l4(Y)
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?
❑ Yes (must submit separate Revocable Encroachment Agreement)
'% No
ill tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
No
Conditions of Approval:
• Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way.
• 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.
PLOT PLAN
LOT 24, ATLANTIC BEACH COUNTRY CLUB UNIT 2, AS RECORDED IN PLAT BOOK 67,PAGES 132, 133,
134, 135, 136 AND 137 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
111
4 ,0 2D 40
SCALE 1'.20'
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/ 4k, he - ` \ s3Bro3'54'E 7.45(FIELD)
/. i ..• C" CHORD=S36 15'41'E 7.44'
�l0pp �. / e. �y ARC-7.45' RADIUS-183.00'
ZONE
FEET) lQi 25 g f 'A Ar._ ., �,M DELTA-0213'52-
e
p c,..''W°f 1��Y e..iniewo OMO 1/z IPM
-x�" ""F Rc4eN�.E4 ,e 36.
8000 ZONE'X'(SHADED) S . '4*4,1,0;'7 x„ ..
-. "L�2' o- Rey ,;', x.: ('
ZONE•,,LEL 1 SET) !b��ww ', n •� ,ry
--FLOOD !k ,, z.t - .. \
ze " \
wr�
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n � ..ex .I, 4 ,1E
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i on
0�no u' LOT 23
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NOTES:
p0,0J /
1. THIS IS A PLOT PLAN.
2. BEARINGS ARE BASED ON THE SOUTHEASTERLY LINE OF IMPERVIOUS:
LOT 24, BEING SOUTH 53'29'23” WEST, AS PER PLAT. HOUSE: 4,483 SQUARE FEET
3. NO BUILDING RESTRICTION LINES AS PER PLAT. HARDSCAPE: 1,970 SQUARE FEET
4. BENCHMARK USED IS FOUND MAG NAIL&DISK, LB3672
IN EAST EDGE OF PAVEMENT ON ATLANTIC BEACH DRIVE PROPOSED:
BETWEEN RESIDENCE NO. 1679 AND RESIDENCE NO. 1673. POOL&DECK: 582 SQUARE FEET
ELEVATION = 7.35(NAV) 1988).
5. BENCHMARK ESTABUSHED BY A CLOSED LEVEL LOOP FROM TOTAL IMPERVIOUS: 6,453 SQUARE FEET
A PREVIOUS BENCHMARK BEING A FOUND MAG NAIL IN EDGE LOT SIZE: 13,77C SQUARE FEET
OF PAVEMENT AT RESIDENCE NO. 582 OAK LANE, ESTABUSHED
BY CPS OBSERVATION USING SPECTRA PRECISION EPOCH 50 PERCENTAGE OF IMPERVIOUS: 51.1%
L1/L2 EQUIPMENT AND TRIMBLE VRS SOFTWARE.
6. CLP DENOTES CONCRETE UGHT POLE
7. CR DENOTES CABLE RISER
8. SV DENOTES SEWER VALVE
9. WM DENOTES WATER METER
THIS PLOT PLAN WAS MADE FOR THE BENEFIT OF
MICHAEL IZARD AND HOLL"IZARD.
THE PROPERTY DESCRIBED HEREON LIES IN FLOOD ZONE
"X"-SHADED AND FLOOD ZONE"AE" (COMBINED RIVERINE
AND COASTAL FLOODPLAIN)(EL 7 FEET)AS WELL AS
CAN BE DETERMINED FROM THE FLOOD INSURANCE RATE
MAP NUMBER 12031C0406J,REVISED NOVEMBER 02, 2018
FOR DUVAL COUNTY, FLORIDA. JASON D. BOATWRIGHT, P.S.M.
M.VAUD 116.3 I. A ,APO ME ORM. UCENSED SURVEYOR and MAPPER No.LS 7292
MAL 6 A ROMA L.P.SUPPETax MO imAPLR. cLOR,DA LICENSED SURVEYING Y MAPPING BUSINESS No.LB 3672
1.
C11ECKE0 BY:__IFlE 2021-0449-2 DRAWN BY: 040 1 BOATWRIGHT LAND SURVEYORS, Inc. 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 23 2021 SHEET 1 OF 1