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1865 Hickory Ln ACC21-0051 Deck, Fence -51E li ACCESSORY PERMIT PERMIT NUMBER /t' A ACC21-0051 v� CITY OF ATLANTICBEACH ISSUED: 10/20/2021 ��� � SOO SEMINOLE ROAD EXPIRES: 4/18/2022 `x1119 ATLANTIC BEACH, FL 32233 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1865 HICKORY LN ACCESSORY SINGLE OR TWO DECK AND FENCE $2100.00 FAMILY ACCESSORY TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: SELVA MARINA UNIT 12C 172020 1432 R/P COMPANY: ADDRESS: CITY: STATE: ZIP: COAST TO COAST FENCE 1221 GALAPAGOS AVE S JACKSONVILLE FL 32233 CO OWNER: ADDRESS: CITY: STATE: ZIP: CAMPBELL WALTER 1865 HICKORY LN ATLANTIC BEACH FL 32233-4548 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\ YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. Issued Date: 10/20/2021 1 of 2 ACCESSORY PERMIT PERMIT NUMBER -/ *, ,r ACC21-0051 CITY OF ATLANTIC BEACH ISSUED: 10/20/2021 800 SEMINOLE ROAD • ATLANTIC BEACH. FL 32233 EXPIRES: 4/18/2022 2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container cannot be placed on City right-of-way. 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 4 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing and debris must be removed from job site by Contractor. 5 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking and debris must be removed from job site by Contractor. 6 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-3294003 0 $100.00 TOTAL:$226.50 Issued Date:10/20/2021 2 of 2 JOB COPY REVIEWED FOR CODE COMPLIANCE 1:74'4 Building Permit Application - REVIEWED W City of Atlantic Beach Building Department ,,, A* 800 Seminole Road, Atlantic Beach, FL 32233 By Mike Jones at 1:19 pm, Oct 19, 2021 Phone: (904) 247-5826 Email: Building-Dept@coab.us \ y N Permit Number: ACC21-0051 Job Address: I�l�� 1_i kc.1tiu 2 Legal Description :37-29 o'T-2S-2 4- SC 1,✓Qf4gA'1A UNIT-i1 -C(.E?L,4 RE# S7Z6Z O - /ci r✓ LOT ' S Valuation of Work(Replacement Cost)$ Z./Uay Heated/Cooled SF Non-Heated/Cooled I �,�+ • Class of Work: New DAddition (Alteration ❑Repair LiMove ❑Demo ❑Pool DWi E li • Use of existing/proposed structure(s): ❑Commercial yiResidential SEP 1 7 2021 • If an existing structure,is a fire sprinkler system installed?: DYes giNo • Will tree(s)be removed in association with proposed project?❑Yeslmust submit separate Tr Describe in detail the type of work to be performed: "*-t pve /9LL ez-C' 1""CClr 4 Fr'" /N P2. i-- pLAce t., t 714-pj6,L� 'a et-K v1----e-,,-)e—e:r {7c ce. /-1 Wiz.", t' a c.eV-0 .., Florida Product Approval ft for multiple products use product approval form Property Owner Information Name �in`/A LTe a. 614/01-1e-1..L Address IVb /t fe.K.0e� L-/4 7 City r LQ'� t C__ (.F/fe -t- State �._ Zip 3e z 3 j Phone c fZ y/L1 0g 7'/ E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)-__ Contractor Information Name of Company`/� CZIf$t tr& r7I t- FC-"'Lt Qualifying Agent Jci' " i /y.4 '✓ i /Z�`/r 5 r---- Address S' aJ r/� L' fee 55 P N City f�7'L . BG N State F"(.- Zip _-2 z �'2D Office Phone ���L' T �a3 -7S D Job Site Contact Number // State Certification/Registrationft E-Mail CTU.^ Fe^'`1 r: • � i'Y>,ai csx'-.-,, Architect Name&Phone ft Engineer's Name&Phone tt Workers Compensation Insurer OR Exemptp"Expiration Date "Y"/Z-, 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 RECORDING YOUR NOTICE OF COMMENCEMENT. a../i..L. ..r:.-,.—,..,.. ..,--1, , .,3„. ....„4_,..,./ •-•"" (Signature of Owner or Agent) {Signature of Contractor) 1„.!./,¢-c- /2 L:v c•,.o�"�45*_-e.e._ cJ1 veYl Sclio rc.e 51,11,2„ Signed and sworn to(or affirmed)before m:this f?-day of Signed and sworn to(or affirmed)before me this /9-day of iircigrlbture of Not:it,dFlorida ire of NotafOt f ••:�8ut.of Flotlde my car, "'217 ylpulit �. Ex�Ires Ois •, c ,HYWn HM 112217 Personal) Known OR r "(�Personally Known OR r`,. 1;�, � y e, 'b"1112026 [ I Produced Identification [ i Produced Identification Type of Identification:- Type of Identification: . MAP SHOWING BOUNDARY SURVEY OF LOT 15. SELVA MARINA UNIT NO. 12-C REPLAT. AS RECORDED IN t PLAT BOOK 37. PAGE 29. OF THE CURRENT PUBLIC RECORDS OF OUVAL COUNTY. FLORIDA. CERTIFIED TO: JOB COPY WALTER W. CAMPBELL AND LEA ANNE CAMPBELL TICOR TITLE INSURANCE COMPANY JAX NAVY FEDERAL CREDIT UNION BUSCHMAN. AHERN. PERSONS AND BANKSTON I LOT 10 S 00'24'53- E 86.00• (PLAT) rRAINO 1/Y oto. I+11E S 00'08.03' E 86.34' (MEASURED) FORb i/ IRGNT)ON OPE St..+Pm -L2,66.5- � O Nfl 1oN2•T.fTW I "�-RLo' f i LOT 15 I I x / o IW I xa.t... ]..• .. W Qcr ! �r.7o0 1 VT G 7-1 / 14i W V ` g v ' I TWO STORY Kc --o I o 02 MASONRY & FRAME a' POSTED H.186S cr I �' x 6 A LOT T6 LO: 14 e s 2 I C I ,.....• u L..I �'. ^ ,6s lac 3�. r— 11 I I...V al ,do „��o 1 it> '1 it ,ion , 01 co I � Z IInX L_____......„) I I •:• •:: •. •-; 1[3_l1" Pt a? wCPT Or CIRVw 11;R( teU F. No ,f wow..r[ OFODND 1/2'na+PKDL 1.1142) 'w 1:0>'' N 00'11'07' W 86.04' (MEASURED) STAuvro -vats ••.•- N 00'24'53" w BG.00. (PLAT) HICKORY LANE (60.0 RICNT Oi WAY) N0a4 ' C RTIFIED T . A TRUE AND LEG_ND: — CORREC OPY OK THC ORtP,tP L N -• RADIUS --x---Y.... FCNCE L - L,EN GiftCD - CONCRETE —..` `T' ' NOTES. REVISIONS 1. a •'..'.S ARE BASED ON INE PLAT BEARING OF N "•SS'O7' E ALONG THE , NOR:.:RLY BOUNDARY LINE OF S IOJECT PARCEL DATE DESCRIPTION 2. DY L.APHIC PLOTTwC ONLY THE CAPTIONED LANDS L.R: .NTIIIN FLOOD 2ONC Y _PAAS SHOV", ON THE NATI.;IAL FLOOD INSURANCE MAP DATED APRIL M 17. 1080. CONUN1TY NUMBER 12OO7S. NEL 3 THIS :.URVEY RCrLECTS A1.L EASEMENTS & R10I1S Or WAY AS PER RECORDED PLAT 4..../OR TITLE COMI4ITMENT IF SL;•PLIED. UNLESS OT1ICR fSE STATED. ND OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERWCNEO. 4, TWD. :.URvEY NOT vAUO V.ITROUT THE CMBOS'._D SEAL OF THE CERTIFYING SJR vEYOR. JOI: H 10655 r5ATE OF FIELD SURVEY: 02-28-00 I DISK (i CD-3 I SCALE: I" a 20• .,. ,.-.�•ct �%f CERTIFICATE _.,;:iii. •�, it. T. P �•.1, 1572 Oo,. SLr«t , aUDIY CCRTW 1•I Ile:?/RKY woe;..At.(UNDER W. REL.b+S10LE C..ARCE .• �. 'R=rev r f 4' •;• •o Lk son V,TIC. FIOr•4O 32204 4410 1ECTS THE NWIVUI TEQW:AL 514N0AN05 'S GET roan. 11 n,C Rdlb• /((F „/•.•' ���} . (Phone) 004-399-5066 COAR6 rY PRC Al.S17R.ESG . .a0 MA"EKkRS tN CNAYTEF ♦IC17-6. RU.0L74 i-' �.F;/ •• J• n (r.,.) 994-360-6175 wDUMtSTitA ` AIRi Ta aCT" . 2_077., •A STATt1TCS. ' �s - RVEHInnine.:x"'54 �•.p�••r,.,,.F,,..P� `• �. ,t:•+y ti�'�� rr� MICHAEi�^. w1C O P LICENSED BUS/NESS i 4702 RECISTCRED SURVEYOR AND vP < a?r Dt .0 oe /.o::IOA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS - JOB COPY Fence Addendum Updated 1/14/2021 City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#ACC21-0051 Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: Property Type: Lot Type/ Features: pi.Residential (?"One Street frontage(interior lot) ❑ Commercial 0 More than one street frontage(corner lot,through lot, etc.) 0 Swimming Pool Fence Material: Fence Height (select all that apply): /Wood ❑ four Foot(4ft) ❑ Chain Link friSix Foot(6ft) ❑ Vinyl Cl 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? Li Yes (must submit separate Revocable Encroachment Agreement) gNo Will tree(s) be removed in association with proposed project? ❑ Yes(must submit separate Tree Removal Permit) k7 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. RECEIVED By Toni Gindlesperger at 11:31 am,Oct 08,2021 Revision Request/Correction to Comments **ALL INFORMATION HIGHLIGHTED IN 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#: ACC21-0051 Fl 1 Revision to Issued Permit OR El Corrections to Comments Date:/l} -2) Project Address: ' u 6.) ki Contractor/Contact Name: (2.0 4s i Z ( i:3-S 'r P— ej 6) Contact Phone: 62,81( 7/4 7 "Y Email: C i) C ^) �.&sr4/1- - 7y+_ Description of Proposed Revision/Corrections: c c'c>Jl u(,- ; 5-AJ L c, (.JCA'-r 14)I-) F/4 kw/1N(,' PL4,.- Ja-ki AT-144N -c9-/-0...V 15; 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? >7' No Yes (additional s.f.to be added: • ill proposed revision/corrections add additional increase in building value to original submittal? G No ,Yes(additional increase in building value:$ (Contractor must sign if increase in valuation --AW, *signature of Contractor/Agent (Office Use Only) Approved IDenied '_i Not Applicable to Department Permit Fee Due$ 50.00 Revision/Plan Review Comments Department Review Required: Building Planning&Zoning Tree Administrator REVIEWED Public Works ByMike Jonesat 1:15 pm, Oct 19, 2021 Public Utilities Public Safety Date Fire Services Updated10/17/18 ..,. �.._.._., .,c, .:., v� c. , J>01.4.L6_NJuu,I ayu c/cI MAP SHOWING BOUNDARY SURVEY OF LOT 15. SELVA MARINA UNIT NO. 12-C REPLAT, AS RECORDED IN ! PLAT BOOK 37. PAGE 29. OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. CERTIFIED TO: WALTER W. CAMPBELL AND LEA ANNE CAMPBELL :ICOR TITLE INSURANCE COMPANY NLE 'TU - JAX NAVY FEDERAL CREDIT UNION BUSCHMAN. AHERN. PERSONS AND BANKSTONv I LTi f�` .�m1�j ____,......z..,,....,_ .11\itl- c)r pCL c I , LOT 10 t0 S K1'S•lit V C- -T t 5 00'24'53- E BG.00• (PLAT) Fo1R+D I/Y MON PPE S 00'08'03" E 86.34• (MEASURED) fowlo vT I9 PIPE Si....PIM 'LB 6645• Q fox:avow- In I II I LOT 15 1 I• y Q w I2v t• _ l3, .-Er wg00 LU•^- tJ7 / CA ,, 7 6.6 La ✓0 Io ' I ti TWO STORY - o - 03 = MASONRY & FRAME co 0, I POSTED p.1865 rnrn rn LO': 14 LOT 16 I �w © x _,y'j ' N LvIWf— 6.G �0.i• ��16.s t0.Q in O I RoJ ( D 1 ` =C I Mk ' 71.9• '`� i -_ �' JOB COPY 5 TALC- I } II - sdS7 PL•T „ PE.T Of CLRVAiURC 8, -0 •/T nN...IOC PIPE 'FOUND I/2'IRON O urn 'LA x_05 N 0071.0' W 86.04' (MEASURED) STAN>Eo 'ASS .I..- N 00.24.53- W 06.00" (PLAT) ACC21-0051 HICKORY LANE RECEIVED (60.0' HIGHT Or WAY) By Toni Gindlesperger at 11:39 an,,Oct 08,2021 NO S 1 A.CF L' .. ill RTIFIEO TO E.A TRUE AND LFG�vD: , CO_ • �' C CRt - F -• RADIUS ->i-x- FENCE ,,,. L - LENGTH CD - CONCRETE '! - NOTES' RLV'SJONS PLAT N K9^J'D7• E I. E.":A7:.„S AtiE BASED ot: tHE BEAA1Nc OF ALONG THE , NOR-!!=fiLY 0OJNOART. LIN_ Or. SJO-JECT PARCEL DATE DESCRIPTION 7. DY L.,.PHIC PLOTTING ONLV THE CAPTIONED L.1,10. LAI: vo1HW F1_000 ZONE . _ AS n-1OK1. ON THE NA11:=IAL FLOOD INSURANCE HAP DA1E0 APRIL 17. 1980. CO MUNI TY NU441ER 120075. PANEL 00(11 D 3. T1115 :.URL Y REFLECTS r.:.L EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE CAUI,RTUBJT IF SL:•PLIEO. :JNLESS OTHERvaSE STAlE0_ NO OTHER TITLE VERIFICATION HAS BEEN PERrORUED BY THE UNDERS:CNED_ .r. 1HL. !.UR VEY N01 VALID V.11S10U1 THE ENROS.SSO SEAL OF THE CERT,FYINC SURVEYOR. JOit N, 10655 [DATE OF FIELD SURVEY: 02-28-00 I DISK if ' CD-3 SCALE: 1” 20' ,:G4 W.'1.4, 1l ( CERTIFICATE J{•, ; •A 7532 OoL SLI<cL •IER[UY CCAi1FY l...T T1a:OJO�Ll•v,.: .I ctE UNDER UV Rr:i ON9B:.[ OR F 4 11 *g=* f! jr % c. 'OCYSon.nllc. Florio 3,2204 BOw RDD Or PROF R•AH Jv 9JF RvEYGRa�AYD �Pt7.s IN OIAPTEF Orr'car. U61 61C17-6.11.0.609CLOAK:,rS.' -SCI � • (Phor.o) 0Ot3DD5966 �S - . TO :LTu PT2O D w s61C17 6. C� © csr+�-•;• �• �� ✓� a (F,.) 991-100-G1':5 AOUR.LSR• -y'r . ,•jl•••'.%w.f.T$: i t•S!.er'F•..1' .aIOtAEL J. Y C y I • r.L,C 145EO UV 9(055 Y G7D2 RCGSTERED SiJR S'rON AND w. o7v It r -14P.. LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS s 13'-4" 7'-o" 16'-0" ` O O E n W v/ 171x5�:- a U oa w V o OCC m --) P ►�� 1>r c YEt La.) — F6 -Cc, r _ Fc��,►CO s5 74 36 r' e; LD #v tie 3 v Q2 3,-8" / o 40115E- • 32'-8" 7' f 5'-6" / C.4 CO JOB COPY r. 1 ' , W __--. b - i , 8'-8" 1 : a / / a r j V _� _ f A; O Cst NJ 12'-0" ! / 1 61b. T_ 1 O c. 1 1 - i i i i 10'—On / RECEIVED By Toni Gindlesperger at 11:39 am,Oct 08,2021 t 6)( (o r 2 , ),- r r,.:ri, ,Ai(, ::.., , . ilritk(-(t- toil-r-Li -77t PLoti,..! ,5 ()1r Li a?,.) 6. il d , 6:-( t) irq 1 • if-iii) 1 - L7.--iI: a an t-'1 i 1 , 1 ; •,..r., 1... - ---1 . ' 1 'rf.• 'I . , I I- ' — 1 - -=_. )_ ... a L__--.------ .. —. NIS 301;7-..s TO ?I't7-1 ouitz7) 6, c7-) ,2) 1i)t?r 1iA-)67 TF-2 ..1.7;„ ,c(I' ( ( ANID D f 51 PA ( . / s 0;,3 rx.',re•0,P I 7)(-7 CI tr p) i,u\ 0 ( S7-5 4-r-TPC c-(ED To ,..9\ t. 0, -(1-1 L-f " LiA6Sw* .! (L- i1, a 0.,/6 'BC9 CLI"s F CD RK flat R D5 3citzrjOs ACC21-0051 RECEIVED By Toni Gindlesperger at 11:40 am,Oct 08,2021 JOB COPY • •