370 8th ST RFNC21-0151 rS, 'f r, Building Permit Application Updated 10/9/18
City of Atlantic Beach Building DepartmentE,..
**ALL INFORMATION
r;800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
�"sIS REQUIRED.
Phone: (904)
247-5826 Email: Building-Dept@coab.us
Job Address: 7-6 r,/ ..I"t . Permit Number:RVl)�Z `-'(�
Legal Description 1-.O t 13 6_ 7k 9 RE# 1 c /9 2-/1 - G6 /O
Valuation of Work(Replacement Cost)$ Op Heated/Cooled SF ,1,5-v Non-He ( �
� C(J • V
• Class of Work: ❑New Ilitddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Win /DQ0J
• Use of existing/proposed structure(s): ❑Commercial Lftesidential U�l, 7 2�2�
• If an existing structure, is a fire sprinkler system installed?: ❑Yes N1 o BY:
• Will trees)be removed in association with proposed proiect? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed: p9 C{ --f€5 j i 0) e,7') ; ( I.f .17 Cl1i' c:A,)61 y(47165J ^l _ ^
Florida Product Approval# for multiple products use product approval form
Property Owner Information n�
Name T /7243 V c/1luk 1- 1---C-1 Address / ' 'j , 51N_/(/6( /'"r64.0/IGf 4 .
City dr;
rfi 13 t C. C.-t'N State f I Zip ,J j , 3 Phone
E-Mail cl•tO,`.S /ala6 (ey OIc1 . Cey1
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 14/1 Pee) /3V 7)(1L- 6, F/ci Qualifying Agent
Address I// 5— C{(4 !/J?;cloy-( /i , j . '�I- City , )r State %I Zip 3 Jci
Office Phone I/D 3 l• .- o 0(3 fJob Site Contact Number _Svwyz a 5 - //
State Certification/Registration# C G C I,or / //y E-Mail �r0 %u;'I4p,_� e;C '�1d), ei el 1/C �c? 60711110, 7-(-41✓V)
Architect Name&Phone# /V 1ft
Engineer's Name& Phone# pi/P
Workers Compensation Insurer OR Exempt❑ Expiration Date
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 • .TT, ' N :EFORE
REC RSI G YOUR 1 NOTI E OF C MMENCEMENT. ,,.,
•
3 en. b(.J-
-0,13.4
(Signature of Owner or Agent) 111 (Signat - if Co , actor)
Signed and sworn to(or affir ed before me this(7 day of Signed and sworn to (or affirmed) before me this( / day of
(-)C , b it _ tea v�, re S, C) , 2C `) , by -)--V l S (2-0 -
/7ti7.t'
:nat -ef • ary (Signaturg of Notary)
,m, t.rY CHRISTIAN GILES
Personal) Known ORersonall Known OR ' : MY COMMISSION#HH 117153
._.. f-Personally ,�+YPU�• TONI GINDLESPERGER [ � y � ., .�. :,,
I ]Produced Identification _=o �° MY COMMISSION#GG 353178 I (:Produced Identification ::!,:,..1, :o; EXPIRES:April 13,2025
' *' * •SOF FI ,
Type of Identification: ; - ,� Pp FXP(RFS:G i.h2r 6.2023 Ty(e of Identification: Bonded Thru Notary Public Underwriters
F2FF;;?' Bonded Thru No'tur;?:blic Underwriters
ri
il'AV 73,,
MAP SHOWING SURVEY OF
LOT 33, BLOCK 9, SUBDIVISION "A" ATLANTIC BEACH ACCORDING TO PLAT THEREOF, AS RECORDED
IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
MA TI-IIEU BULDERS, INC. 871-1 STREET
(40'RICHT OF WAY)
SANITARY
SEVER
MANHOLE
CABLE i
O
6149 AR/SER WATER YARD DRAIN
aMEIS0 TDP-(B0)
_(8.6)J9.0) la 1)-- - _
FOUND PK 'O' M e FOUND 1/2'
NAIL &DISK c IRON PIPE
(NO I.D.) 9J. 91x' (NO I.D.)
m DRIVEWAY w 0
1.0' .r
-,S
b f —
a
b•j rp
•-��
r'1 R r^i (92) 18.7' Z 4'
mm� (10.2)
COVERED ,
c.
7 g' NILE PORCH
11.3' o
"iI4.4' i.
H
9' �0.-1-e ,,..4.T
�`a 1-STORY WOOD
Q
FRAME a9�
3 RESIDENCE ^ �y
i + (1370 C/
wi
N FEEL.=(10.56) J9' 1 6O•
O she . O
O °rn° h O
o o
N
-s' 34.7'
Z4' I
C0ni-t tst3GrbCPA be LOT 35 LOT 31
coI�RED :
► t OLE PORCH =
/•�/� / P
e lit If/014 (1Q2) O,W�oi�
��++ (9.J)
T�6C+�- ,:. LJ 1J,
a
,•� 771,, w YARD DRAW
111.......\ YARD DRAIN
jn: { �- lDP`(77) _ TCW=(9.0)
}t71i�W;n I 78.71 (at)
ipdisd.1-
r (7.8) (7.8)
P x MYOT 33 x
I YARD DRAIN
ETENTION TOow(7.7)
Ad x BLOCKAREA
9
and I (at) (79) (79) (a,),
I
S{- N \x`(91)- .59,-.0_q_.-
�/)O 1 L9.�.,J
blurt '1) L
r\ NORTH J FEETJ Cpl
`09' OF LOT 34, BLOCK 9
e1 �� C4.$ I O.R. 339.3, PG 759 I
Keil
LOT 36 1 1 LOT 32
ya LOT 34
ASx' I AREA
05 ) 1
el iGGtate ..t DECEMBER 202RCKRETENTION 221-4 -3WM
NOVEMBER 4,2021: AS-BUILT LOT DUDES(2021-457-2)rw
UNLESS IT BEARS THE SIGNATURE AND THE ORIGINAL RAISED SEAL 0F A FLORIDA LICENSED SURVEYOR AND MAPPER. THIS°RAISING SKETCH
PLAT OR MAP IS FEW INFORMATIONAL PURPOSES ONLY,AND IS NOT VALID.
a d Qi\ 4-op NO1ES LEGEND Date: 10-27-21
I.Bearings ore bosh on Me CENTERLINE PCP'S
0e DENOTES CONCRETE MLNAIENT Scale: 1"=20'
I • 2. This BOUNDARY 9.R1EY 2021-457
J Devotions shown thus(ISO)refer to U.S. Coastal d Geodetic Survey°duns, North DENOTES e'now FENCE JOb No.
�1���� Americon Vertical Datum of 1988, (NA.V.D. of 1988). O oENpos I/7'NON RERUN SET F.B.
-
4.By Grvphic plotting only, the property shorn hereon lie,within Zane: 7t" NM CAP,L8 Nae 8293 Page:
Wail ' as shown on the Federal Emergency Management Agency(FE.MA.),Notional Flood Insurance • DENOTES IRON HNN FOUND 457.0.
Program.ram.Rood Insurance Rote Map(FIRM.)Community-Pond Number 12031C-0409,1 (LB 5488).UNLESSttORD Comp. File. 21-DEW q
Map Revised dote: 11/2/18 x TAN01ES CROSS CUT Drown By
S Unless otherwise noted ony portion of the paras lhot may be deemed as Wetlands
by State or Coommental Agenales hos not been determined and any liability resulting
therefrom is not the responsNJity of the undersigned MELROSE SURVEYING AND MAPPING, INC.
6. There may be Restrictions or Easements of Record evidenced by title examination that PROFESSIONAL LAND SURVEYORS
have not been shown hereon. 11437 CENTRAL PKWY., SUITE 1107 L.B. No. 8295
ABBREVIATIONS THAT MAY BE USED N THIS SURVEY JACOSONWLLE,FLORIDA 32224 Tele. (904) 721-1226
ABBttEWA ITON yEFMII20N A614REMA TKR DEFINITION
PLP Permanent Control Point LB Licensed 0000 ss Pa 6 to away RM,nos SLIME I"a A MX nEPf[sNT ION 0 AN ACRMI
PRM Permanent Reference Monument RLS Registered Lard Surveyor new sum,:IIAIX MOM on S.RRwSgn AML N ACCOODAR¢ism Mr
PEW Point of Beginning ..CA MP Jocks..01.Electric Authority MAIM IEDIIGV.SWrM®S AS 0/11.08 411 RV 0angy 8Y M noon.o
PC Pont of Curwture G 57,-1'
quipe t BMW Of AKrESOM(1418 SLwWn0t5 Ano YAPPERS ot0P1e,s�,-17.
PT Point of Tangency A C Ar Conditioner Orn=14,77 51017-6104F141.114 AOIN38Mnw CCOE PIMLANT 18
PRC Point of Reverse GLr attire TV Code Television SEC >t CO2],EZOZA
PCC Pont of Compound Curvature R) Record Plat
R/W Rpht f Noy P. Field Measured
OW Olfroid Records Book or Volume Radius equals D
PGB. P1O0g14BDBk Ord O 6 1 A1018ke 40u84 NY'
P�RO�, ®NAdn9 Restriction VMI = I9 M 9n r n n 680876 NTLL/AM N4 M€LN®� STA 1€OF FLORIDA, F€DlBT€R€D
S91fT wit COI�C 10811 LAND SURVEYOR, DEN1111CA1€No, M43
C
=�''�- Fence Addendum Updated 1/14/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
'---,;:19.-
Phone:
- ,;:19.- PERMIT #
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
Pr erty Type: Lot Type/ Features:
E3 Residential Ly'One Street frontage (interior lot)
O Commercial 0 More than one street frontage (corner lot,through lot,
etc.)
El Swimming Pool
Fenc Material: Fence Height (select all that apply):
LWWood 0 Four Foot (4ft)
❑ Chain Link 0 Six Foot(6ft) 1
❑ Vinyl ❑'/ uOther _i 2`'Cutt at ,3 '' wiz ''''7�
❑ Block/Stone (Plan details required for footings and/or CIO NUL -f)/lo a-) v0 L' ad--Q-
retaining walls) J c1
D 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. )•6,, a flack, / 1J,, ve
Will the fence be built in an easement?
❑ Yes(must submit separate Revocable Encroachment Agreement)
P4lo
Will tree(s) be removed in association with proposed project?
❑ Yes,(must submit separate Tree Removal Permit)
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.