1722 SEA OATS RFNC22-0019 REVISION 4-29-22 ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
ON
�s�f�,.U�`%� HIGHLIGHTED IN
`'.' City of Atlantic Beach Building Department GRAY IS REQUIRED.
V 800 Seminole Rd, Atlantic Beach, FL 32233 [
`' 'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: R 1�kseZ z
bo ( 9
Revision to Issued Permit OR ❑ Corrections to Comments Date: 4 - Z
Project Address: 1 L - S e 0 0,...,4"S
Contractor/Contact Name: C--)0 I e (O r I e-r\O--t
Contact Phone: ( 2 ( 1—C) (9-1 C,S ' Email:
Description of Proposed Revision/Corrections:
P-dcke_ct (c:( e -Q._(\0 --e,
I 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?
❑No ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No ❑*Yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
: Building Permit Application
City of Atlantic Beach Building Department **AU,INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coallus
iS REQUIRED.
Job Address:.... 17 2.2- Seal Oct l-s ID6r Permit Number:
Legal Description 01 OO S i<isn y RER «2CfLP .6 C
Valuation of Worst(Replacement Cost)S "{avc) Heated/Cooled SF Now Heated/Cooled
• Class of Work: °New °Addition °Alteration i!SRepair ❑Move °Demo °Pool OWindow/Doer
• Use of existing/proposed structure(s): °Commercial G tesidenbai
• If an existing structure,is a fire sprinkler system installed?: °Yes 1No
• II r r e 'n i t h r r d r ' ?r�lY s mit e r Tr n ,.i Pcrrii t Nr
Describe in detail the type of work to be performed.
J / / �
t+p a c;►.� $i t/ - t'��'►Ge- ':vc5 i►� S c+YMc �,a'pf;cvt tn// (� 11
Florida Product Approval b for mutiplc products use product a 1prowil fern:
Prperty Osier information
Name A___ Stir H�a^_.(at j&. Address _/72-2 Sr•. °ahs _ f)
City„. de.'%s �� State Fl Zip 32-23'1 Phone G l 9 Sl•f 06 q of
E Mail __. 1_t eye.-�tetin�
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Silev,f ov r GwL.._fiaRall Qualifying Agent_., z 1 fir-7
Address_5910 N.y !aAtr�- Cityjj.asww.fk.__. State .F/ __.Zrp__3ZZ54-9___..__.
Office Phone__.904 6i3 63/1 Job Site Contact Number goy 3/Z. 3 n.S
State Certification/Registration ty /GS rS1 E-Mail 0 Cr:c.v.- .Pert L;rt�J rr•,vvt
Architect Name&Phone N
--_____
Engineer's Name&Phone N__
Workers Compensation Insurer ( `l,.h;0 tI/IKti,t.f OR Exempt o Expiration Date 14 /S/Z1.
Application is hereby made to obtain a permit to do the work and installations as indicated.t certify that no work or installation has
commenced prior to the issuance of a permit and that ail work will be performed to meet the standards of ail the laws regulating
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BORERS,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 he done in compliance with all
applicable laws regulating construction and Toning
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
RECO• 'I►> YOUR NQ.T CE OF COMMENCEMENT.
(Signature of owner or Ag Signature of Contractor) �+
S ned and s-or. to(or of •d)before me 1 !day of Signed and sworn to(or affirmed)
before me this Z`V day of
xpl • •_1 s I lib 0. .4 Are,/ ZcrzL,by-- •►w� ,..
''Yru TONI GiNDLESPERGER.-__ '.r1.
MY COMMISSION#GG 3 ` S icnature of Diary,
EXPIRES:October 6,2023
B•r1.-ulThruNplai Public Underwriters ,,r No4 y Lubec sur
-- — 1 rrsonally Known OR ' .\ Brasrn M Namur,or Floc a
( I Produced Identification 1 I Produced IdentificationC76 t6rComrr..sa2D2n ro:+oltsa1'
Type of tderttifuait�n; �_.L Type of Identification;
a w E■yvq
Fence Addendum( , Updated1/14/2021
City of Atlantic Beach Building Department
/�~ 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT 14
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
-72-2_ tic-,-,— C)c_-I-S DK" H 12, 12 2_
Property Type: Lot Type/ Features:
"Residential ❑ One Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage (corner lot, through lot,
etc.)et
l�Swimming Pool
Fence Material: Fence Height (select all that apply):
food ❑ Four Foot (4ft)
❑ Chain Link 1: x Foot (6ft)
❑ Vinyl ❑ 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)
❑✓6o
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
DK-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.
MAP SHOWING BOUNDARY SURVEY OF
LOT 20, BLOCK 14, SELVA MARINA UNIT NO. 8, AS RECORDED IN PLAT BOOK 34,
PAGE 85, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
MIAH L. HARBAUGH, TRUSTEE OF THE MIAH L. HARBAUGH TRUST DATED JUNE 1, 2006
RICHARD T. MOREHEAD TITLE & ESCROW, INC.
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
SEA OATS DRIVE
(60' RIGHT OF WAY)
S 04'53'22" E 96.43' (CHORD) (PLAT)
S 04'39'31" E 96.64' (CHORD) (MEASURED) 65.110O(PLAT) PT
L=96.43', R••4704.38' • 65.14' (MEASURED)^ L�37
•
•• • •'L
- xi of
•
30' BUILDING •
a_ RESTRIPTIONLINE. t — ,�.• ' . 16.3' 14.8'
X .� 28.8' 1
L, • m LWOOD�m_
. N DECKN_
dv '' '14.8' < CO
U)
A/C
M • �1 ••
�S PAD ONE STORY O o
n
• • FRAME
�4•A L_ POSTED #1722 r.) 1")
t 5' I:2 _° m LOT 21
x x 4. P 4 0 m
L. POOL 31.6'
LOT 19EQUIPMENT • •
• ' PAD VII;
•
,• N
• /
1J-1
W •
POOL 75.9' ,�
s 1 •• 21.8' x
O ..II
CO 11,4, . 1.2'J .• W
d' Sul HOT . •h4•40i .
co in !orTUB iCO II& •j',t�,•l x ^ -
jj
".?l..r • . 44.02,'
C
x 7)
m
C7
v
LOT 20
t.4'�
,..1.0' x2.41
0.11 'x x x x x x x
LOT 4 x `D.D' N 03'59108" W 98.45' (MEASURED) 0.4' k..0'6' x
N 04'18'03" W 97.96' (PLAT)
LEGEND: - LOT 2
O
STAMPED PSM/8146 PC .• POINT OF CURVATURE LOT 3
• ® FOUND 1/2'IRON PIPE PT a POINT OF TANGENCY
NO IDENTIFICATION PRC - POINT OF REVERSE
(UNLESS OTHERWISE NOTED) CURVATURE
•- 4"x4'CONCRETE MONUMENT PCC - CURVATURE
OF EOMPOUND
A/C •• AIR CONDITIONER O s CONCRETE
—X— = FENCE
Ray Thompson
SURVEYING, inc.
REVISIONS
lilt\
iRirllttrD d. IIrP�Ptt,� DAA DESCRIPTION
Going the DISTANCE for You Milt nub $g(drnw, �ttr
1825 University Boulevard West 444 THIRD STREET
Jacksonville,Florida 32217 NEPTUNE BEACH, FLORIDA, 32266
(Phone)904-448-5125 (904)-247-5147 FAX (904)-247-6087
(Fax) 904-448-5178
JOB # 39619 I DATE OF FIELD SURVEY: 5-18-20 I SCALE: 1" = 20'
NOTES: s 842O'12 w CERTIFICATE . ,
1. BEARINGS ARE BASED ON THE PLAT_BEARING OF I HEREBY CERTIFY THAT THI'.x':. I WAS4.'^ ,,NDER MY RESPONSIBLE CHARGE
ALONG THE SOUTHERLY BOUNDARY LINE OF SUBJECT PARCEL. AND MEETS THE STANDAR, -ACTICE }ORTH BY THE FLORIDA
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS UE WITHIN FLOOD ZONE BOARD OF PROFESSIO :•RVEYOl�S.6Na MAPF• I CHAPTER 5J-17, FLORIDA
X _ AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP, ADMINISTRATIVE C•' • .•UANT TO SECTION 47 CY��LORIDA STATUTES.
DATED: NOVEMBER 02, 2018, COMMUNITY NUMBER: 120075 PANEL 9307 J /
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED
PLAT &/OR TITLE COMMITMENT OR OTHER DOCUMENTS PROVIDED BY CUENT, IF — _ .......01.7..._-
SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN '. -AYM®1`fUEAIiOMP t
PERFORMED BY THE UNDERSIGNED. REGISTERED SUR r.* D MAPPE: , 6146 STATE OF FLORIDA
4. THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE LIC T•4'''i x°CD' •°•. 7469
AND AUTHENTICATED ELECTRONIC SEAL. Mr„c
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS