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1853 SEA OATS DR RFNC22-0013 /I:7.'1'J," Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department °°ALLINFORMATION '- ! 800 Seminole Road,Atlantic Beach, FL 32233HIGHLIGHTEDil GRAY Phone: (904)247-5826 Email: Building-Dept@coab.us REQUHRED. `::. Job Address: _ /8-C3_ 04-TS ,4Yu vn[ t3EAC t Fe- 32z3 Permit Number: R t C..2 z-w L 3 Legal Description RE# Valuation of Work(Replacement Cost)$ 3 8 t1'.).o . Heated/Cooled SF Pilon--Heated/Cooled ® Class of Work IJ ew DAddifion DAlteration ©Repair DMove DDemo DPool DWindow/Door • Use of existing/proposedstructure(s): DCommerciai DResidential • if an existing structure,its a fire sprinkler system installed?: DYes DNo a Will treelsl be removed in association with proposed oroiect?;Yes(must submit separate Tree Removal Permit) LINO Describe in detail the type of work to be perforiaaed: -riot( SE A -4. l j r J° 4 ,14. S 1,44.4•0e-ave s'od '-'-c, Florida Product Approval# for multiple products use product approval form Property Owner InformationO I M0.1-1 o.- Name MAi?/6 Ar tt440✓r Address 4853 ,Sc4- o.1-r Z>CZ City_ 1174 Stae__Zipa ;22-33 Phone cog-4/46-.279 E-Mail MF/44,6erd2. Ric tvE4'S22.Co0.4 _ Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company 'Leash s'-crortg-_ic,er T.. E.o/WIZ Qualifying Agent Address ..7i .,6 -rm. , -ifz.,,,rt4. ?- City. fb;al_;rmwii<tt.p State •PI:. ZIp:: .72.Za4 Office Phone` tTl Y-t o-%?..r' Job Site Contact Number 70 Y-f r'f-x Ri_7 State Certification/Registration# /322 tat( E-Mail 6+14 1 $ tKs of - carzGoe Architect Name&Phone if 41/4 Engineer's Name&Phone* AV* Workers Compensation Insurer OR Exempt Cl Expiration Data 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.1 understand Haat a separate permit must be secured for ELECTRICALWDRK PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDrOI'ERS,etc_ NOTICE::in addictor:to ihe.reciuireme is ofth s permit,there may be additional r •rictiorts applicable to this property that may be found in the public records of this count',and there may be additional permits required:rtm other governmental entities such as water managetorit districts,able 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 ail applicable laws regulating construction and zoning. 'WARNING TO OWNER:YOUR FAILURE TO RECORD A OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVE S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YO LENDER OR/AN ATTORNEY BEFORE REC RDI,YOMR NOTI OF MMEN ENT. ,., /` 0',,,, ( ure of Owner or (Signature of Contractor) -goer'and sworn to(oraffi .i-.)before me this?- day of Signed and sworn to(or affirmed)before me this -.—' clay of `` U 4. • Z _ / . f•.• 1►: _ ‘7,..,„...1 ,2,o)?_ ,by .. ;,'.€a -- �4 (3,,---- .J_%»(Signature Notary) ' f `4i 44otaryJ {)Personally Known OR r-fPersunaity i,nowf UK �- "ct�-,r y4i,� _ {j Fradused cientrcatsnrs :*/ �L' Commission�r GG 254695 j j'�roduced iderrt4�sptio �..z .'. My Come._xpires Oct 24,2022 Type of Identification: (�I Type of Identification: Boi;lcd EAroeg' N coral:rotary Assn.-�i (,( ns-, 4Y P[�B•., DEBORAH ANN ST.HART '' `\<i Notary Public-State of Florida L 4 ' ` Commission#GG 228366 1 ''-dpiti My Comm.Expires Jul 7,2022 r a " 'Bonded through National Notary Assn.. Fence Addendum Updated 1/14/2021 City of Atlantic Beach Building Department Mr 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#‘- f=I\DCZZ JOI; Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: 2/ 22_ r 8S3 ,4 O4rj bp, 47 Aw?c 13 E.fq# 3 2Z 33 Property Type: Lot Type/ Features: Residential &KSne Street frontage (interior lot) ❑ Commercial ❑ More than one street frontage(corner lot,through lot, etc.) 0 Swimming Pool Fence Material: Fence Height (select all that apply): 11'Wood 0 Four Foot(4ft) ❑ Chain Link 11,Saoot(6ft) ❑ Vinyl 0 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) io Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal Permit) ©tel o 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. MAP SHOWING SURVEY OF : LOT 2/, .BLOcK /l SELV.4 A/Jq/Q/NA UN/r NO. 9 C-/BS3 .SEA OATJ ase.) according to plat recorded in Plot Book .36 , Page 20 of the current public records of :)4/1/244 County,Florida. Examination of Flood Hazard Boundary Map, Community No. /2.07..5" Panel 000/c , dated /"F'R/`-- /6, /963 ' , Indicates that the property shown and described hereon lies within a Zone ' area. 4.07- 9 LGT S' GOT •7 = . I 1 ' f C - _ .._.._ I S•0O 2 - /'• .E 9/. OO' ` *••wen 3 7/6- I 37.3' -ry t• 0)L /.srY caga/A/A L r awss k1 oh0n ; I -,r/B.S 3_ L 5.0• 0a)ter ze h s7• 07hy:..?.Y. .rc a' �-w,"6 wnca r iropoiko aa' , JS • C ' - '1..'5-1' .' 7--/e- ,-•23'd✓,iD/.vG peR c/re 4G-Ci/JL.A7/CA($.- • • . �W ^� - 0, OA/`.•.. h� 7 . Al 00'0.2 '4/'' W 9/•00' . t CLARK & SONS, INC. LAND SURVEYORS-2711-2 ST.JOHNS BLUFF R0,-JACKSONVILLE, FLORIDA-(904) 641-6700 MAR/A LYo.V ii LEGEND a.4.4E-.e/. /Rsr Ma.erGAGE CD. 9 CONCRETE MONUMENT THIS IS TO CERTIFY to , 55co4rgmDD LAND 7/72-.0"G,COUA,ac.that METAL STAKE SET this mop is a true representation of on actual .gouwDAwz�,survey made under my > METAL STAKE FOLNO_ supervision in accordance with the minirmn teChnicol 'standards as out- I CROSSCUT lined in Cnaptar 2IHH-G, F.A.C. pursuant to Section 472:027, F.S.i that FENCE there ore no encroachments except os:may be'shown hereon and that, to the best of my knowledge and belief, said survey i; correct. - Joe NO., ZS-S7 3-87-32 Basis of bearings RJB- 3c, PG_20. • -E' FIELD 8K. NQS (1 / /� / a