610 STURDIVANT RFNC22-0006 r' 'a''''' , Building Permit Application Updated 10/9/18
1AW iliqn, City of Atlantic Beach BuildingDepartment **ALL INFORMATION
,:• � p
�.. 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
�'; �� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: (aI 4)_7-n,)01 1/4/'d:iT Permit Number: ��t: 1 )C` LZ- •00(147Legal Description -,c. (-_,, 1--1(1,r,5�,�( L o-{ (ex a )-74,- -3- RE# 1 766(" C1 -"d d �_)
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Valuation of Work(Replacement Cost)$ 2-Zed Heated/Cooled SF 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 /No
• Will tree(s) be removed in association with proposed project? ❑Yes (must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed: km),r► G- oe.re-fr-o'&— VN L--c-- ) Ptd P'-027- 7 L[ ,-)e-
Florida
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Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name SEA^) /14dn/AlkAN Address
City State Zip Phone
E-Mail
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 3EACNES ✓GcDCZiC!tre,LG,2.a Qualifying Agent J )'--/ ›• - '—"5-7.—
Address?-‘,/9MA,jZ=S-77CC y7 -ESS De_ ,J City fTT -t3CH State Pi-- Zip 3 Z Z33
Office Phone 9/ 70O '77�( Job Site Contact Number
State Certification/Registration# E-Mail 73E-AC/"/ FD P� <- /L_ C.,„.,..--/
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer di•f't'/`T/1 4/5--- OR Exempt❑ Expiration Date 7/t1/7
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, C• SULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORD • ., y • OF COMMENCEMENT. aGS
(Signature of Owner or Agent) (Signature of Contractor)
I —1ieven ..5 harlferrs�,n
Signed and sworn to(or affirme: •- .re me this I `� day of Signed and sworn to(or affirmed) before me this/tI day of
41-tt-62- , : : aVir...:., SYk+4ulAu-( , , by ��
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oliv Sign. rr lr r �[ieofFtv.;.• y i_n.t.r- . +o a y --
Jessica A Dolquist Notary P: :'1a
flif My Commission h '.' is Jessica p,
Expires 06I14rG" ; MY Cot
[ I Personally Known ORalil Personally Known OR dr Expires
[i] Produced Identification [ I Produced Identification .
Type of Identification: Q. (- Type of Identification: D Li
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Fence Addendum Updated 1/14/2021
I City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT #
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
(010 5-7-ug- 4,..); 1 - tq - Z z
Property Type: Lot Type/ Features:
-Residential ZOne Street frontage (interior lot)
❑ Commercial El More than one street frontage(corner lot,through lot,
etc.)
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
Xi Wood ❑ Four Foot(4ft)
❑ Chain Link j2r Six Foot(6ft)
❑ Vinyl El 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?
❑ Yes(must submit separate Revocable Encroachment Agreement)
yr No
Will 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.
i
MAP SHOWING SURVEY OF
LOT 778 EXCEPT THE EAST 25 FEET THEREOF,TOGETHER WITH LOT 777 EXCEPT THE
WEST 8 FEET OF LOT 777 AND THE EAST 2 FEET OF THE WEST 10 FEET OF THE
SOUTH 39.30 FEET OF LOT 777,SECTION NO. 1,SALTAIR AS RECORDED IN PLAT
BOOK 10,PAGE 8 OF THE CURRENT PUBUC RECORDS OF DUVAL COUNTY.FLORIDA
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IR LDeXCE T DIE I FEET Of , I FEET CE ' -
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V F6ssNM VAIOur 6a ono 07.MK M NOTES:
1 STORY 1.THIS IS A BOUNDARY SURVEY.
LOT 737 LOT 756 LOT 759 / T BLOCK LOT 761 • LOT 702 LOT 763 LOT 764 LOT 765 LOT 766 : LOT 767 LOT 768 LOT 706 LOT 770 3.NTE B)ILDING ANGLES RPER ESTRICTION
FIELDNES AS PER RAT.
F -
FRAME BUILD! I mSTORY CONCRETEom MAU:04 I I I I I I I 4.NORTH PROTRACTED FROM PLAT.
I I I I I
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LOT 760 I I I 1b.623 I I I I I I
I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I
1
THIS SURVEY WAS MADE FOR THE BENEFIT OF
STURDIVANT HOLDINGS,LLC.
THE PROPERTY DESCRIBED HEREON LIES IN FLOOD
ZONE"X-(AREA OF MINIMAL FLOOD HAZARD)AS WELL
AS CAN BE DETERMINED FROM THE FLOOD INSURANCE
RATE MAP NUMBER 12031C0409J,REVISED NOVEMBER
2.2018 FOR DUVAL COUNTY,FLORIDA.
DONN . BOATWRIGHT, P.S.M.
.110704JO 41,0.17 FLORIDA UC.SURVEYOR and MAPPER No.LS 3295
54/.6 Flom.�� �.O - FLORIDA UC.SURVEYING&YAPPING BUSINESS No.LB 3672
rCHEOKED BY:__JFILE9020-1302-2 DRA11N 8r:KLw BOATWRIGHT LAND SURVEYORS, inc. 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 rDAATE OCTOE29.2020 's+EEr=a=