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41 6th ST RESO21-0084 4 ?H- (oQ 94-ethos Building Permit Application a �' updated9/18 }( " .-W !' City of Atlantic Beach Building Department **ALL INFORMATION s 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us r IS REQUIRED. Job Address: /7/ 6'• s 1 f tttA I lc, Permit Number: R E S o Z t — OC 4 Legal Description (;ween es Rip Lci- I ;S 1 i z L p-- B So R€# 1 7 01 ( `„ - 0000 Valuation of Work(Replacement Cost)$ 71 900 Heated/Cooled SF I' Non-Heated/Cooled • Class of Work: *New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ONo • Will tree(s)be removed in association with proposed proiect?OYes(must submit separate Tree Removal Permit) No Describe in detail the type of work to be performed:-- v\5-\-a,[a-� 00c'- S[.� ��-� )L - u.c- 43 V)s}�vv\ c&+ PlaO cep 1 r 6c�c���(-8 i hs k��, c l - L1 WI© -E-'E ►rIS Florida Product Approval# for multiple products use product approval form rr 4 Property Owner Information u51,5 SIALG. 501+ 6 0 I,11"5 (06 Name rOw/Z..4' ...6c?1 41„ a Address ill l©'FA /'e-C City•" / f frdjc AC'!-L !l State } L Zip 3 3 Phone E-Mail /ee-d-�,y'(a r_,1 I.', c c-71---t Owner or Agent(If Ag�iht,Power of Attorney or Agency Letter Required) n 6,r-e -t t.S Contractor Information // . C� Sp nu', 1\.7e. 4bCk 1' k t c�sR NL Name of Company Sw.- wes� b e..el1S O Qualifying Agent F Address 'IL-1 -z-t'1ck u.s Ctc-a 1 \c'.'' R 4Q.city Co r. Co 042-S P State Ft Zip '3201'13 LLC— Office Phone C10-4 . "�% 3-7JobSite Contact Number '1V1 32 /7 -2- State ZState Certification/Registration# - E-Mail G & ♦ - S ••eek _ C . CC i . Architect Name&Phone# h\ Ct Engineer's Name&Phone# r11 C& \ Workers Compensation Insurer -7 CVO) e-`.CSS OR Exempt❑ Expiration Date .Cd Li 3/1 L)-,2 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 ATI"'RNEY BEF• : RECORDING YOUR NOTICE OF COMMENCEME . . , hza-' Ad / _ ,f►- �, % (Signature of Owner or Age L1 (Signat IN Contractor) ned arid sworn to(or ff e. •efore me this day of Signedand sworn to or affirmed)be •f- me thi ,Z da o , 0.1- ,Z02 tb ,% , .� Ae A ,.' %'( �o b i 1. F I 1' 1\ 102:411111111111 a #4 _.Rils�rir�.�sn•_. . ignature of ;"a. ,a• =IIz RO8$ETTI :.: • t r0 1 2&/7 ( : • ,•, ;, Conunission 0 HH 187360 • �`:s7 Expires October 17,2025 [ ]Personally Known OR [ ]Personally Known OR "'tF :FSO`•'' Bonded TtuuTroy Fain Insurance 800.385.7019 [ ]Produced Identific ,.-�-�--,�, , , (1oduced Identificatio .••--..Type Type of Identification 19ttti6Wt �_, Ilfwrwwr'� Type of Identification: ]► �1i� ' ia..• +i '1,' MY COMMISSION#GG 353178 -1/,:.'. EXPIRES:October 6,2023 °`,F` '• Bonded Thru Notary Public Underwriters MAP SHOWING B G UNDAF YI SUR VIE YI OF LOA I, TH8 SOUTH 1/2 LOA:L INO THE SOUTH 50 FEET OF A 19 FOOT PRIVATE ROID LYING E/ST or 1107 J. ACN IN BLOCK 31. STOCK TON fROOME'S REPEAT OF LOTS I /ND 'I OF BLOCK 31. ATIIAA TIC BENCH. ACCORDING 7O PLA 71 THEREOF RECORDED_N FIV 11600K 6 PI GE 43 OF THE •g, CURREN 1 PUBLIC RECORDS OF DUVAL CIOLANT7 FLORID/. *gam, "TIN, 9.2f PRE-POOL WPERiNOUS C4LAM.A nOvs ZO �/� O �� ro 6. 1y rasrow WPERNOV AREA J.O61 f , acR v4- O� I �� `sca �`�'L POOL •'•TO. CALA. CAI9 EXISTING �e DOWNSPOUTS TO MENIIIMMIECJEYZI DRAIN INTO NEW ..ei..i. ' • to so WATER RETENTION r ro4 s0 T D KING AR "•' I 427 J AREA TOTAL IMPERNOIIS ARCA • 3,662 •FT Iib H/ 4, PAVER BRICK LANSCAPING / BOARDER G`` J / c,8 So. 4 `O 5'TALL BRICK WALL A •NG �� S4'" a` PROPERTY LINE t , `al ��°j ✓� 8"X40"ON-SITE WATER RETENTION AREA y), ?T NV STORY WOOC #41 p'kl! F.F.-a8.B7 J. `od o P/E LOCATION ' EVATION OF "401 COPING 4,1` .i.° s U (16.1) ,IPe /� �, go• o � V 411 m. ,y Ortoti0 �,ti4 CJ EcA a / /.2' �' l40 .73,- Y 4 m. �'/ e `�M C7Nr STORY 14000 p �,/556'V1. F.F.=18.82'4. •i �, ✓ul A ME'VIP• Yi. '.y," f IE[EK1179 hAM/d•s \ , 1 A• %lel / 613 '•t•'6•� 1 NOTE: SEE W.0.101-1522 "C-ORA PARCI DATED 1-18-06 t ,1 a FOR DEP dr C.C.C.11 SUR VE Y LIPARI£TED EIY MIS FIRM. s O REVISE IMPERVIOUS AREA: 12-04-20X1 0 •~' IMPERVIOUS IRE/ CAL.: N.O. i1C120-LTO dL ON M/F'., I.1-65-202CL GG• RECERTIFY NIIH TOPO FOR POOL: W0. 2C120-574, FB 1224-i12, 51-15-202CL R£CERDFY N.C. CI3-2453, ON Mi PL ILI-2J-CIi ". REVISED: NOR RECERTIFY DEP SURVEY, N.O4200A-97, ON MARI Ell-17-0.1 REVISED: FDA DEP SCORNER 110/'06-1CI9 FE. 1056 PG. 60-6 I-13-01 CER TF 1E0 FOR.ELI2/BETH IAARGOL. THE PROF ER TY SHOWN HEREON AF PEA RS TO LLE WTH,N FLOOD HAZARD! 2KME X AS SCALED FROM FLIOOC INSURANCE RATE MAR 409 FOR 71-1E CIAY OF DUVAL CGUNIIY, FLIORIDA, DATED 11-02-2018 , ANC' IS SHOWN AS A CCURTELY ONLY AAD DICES NOR CCNSARJTE A CEA 77FItCAROA CF SAME TRI—STATE LAND SURVEYORS, INC. 58751 M,NIA,IG 1ERRACE ,#205, ,,ACKSOlIIALLE, FLORIDA .2257 (504) 880-2535 LEGEND CEA RINGS EASED CN R/W LIANE A S SHOWN. •cosc Lav THE SURVEY DOES NOT REFLECT' OR DE:TERMIAE OWNERSHIP. •NOV CYK NC T L4A110 WITHOUT ThIE SIGNATURE AND THE ORIGIN/LI RAISED SEAL (RI M M CIII/U 19:11 OP A FECRDA LICENSED SUR VEYCR AND MAPPER. -x-o/EraIRONCOR(TOOK) THIS SURVEY BASED UFICN DESCRIF AOA AS FURNISHED, AND W8THCLIT . 0 cross au EEN£FIT OF A 7771EI BINGER/A BSTRA C T CF TRE AND/OR DEED RESEARCH. 80.1 OULfLMG RESTRKOCN LAC E9YT EASEL°.7 CARRY G. EDDY. P.L.S. No. 4144 M/R RYyTT-O,MAY SCALE: I"-20' GLENN M. EROADSTRE£TI REM. NC. 5614 C06. COVERED AREA 11 4AD 5,1 AA CaornovNC RAD FIELD WGRId DA TB' I-13-06 ❑I) RADIAL MIAMI' SLG NA PURE Gs TEl 1-IB-aI RIEG/S!FRED SUR VEYCR AND MAPFLER, C Lova•m5 TA TE CF FLICRICIA (LIE! 14921, F.B. 1056 PG. 60-61 WI' 121-2.122 ORDER NO. 01-1522