1762 SEA OATS DR DWAY22-0019 revision 5-4-22 Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
- n
800 Seminole Rd, Atlantic Beach, FL 32233
�r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: w,4y 22- 00/9
5741ZZ--
LJ Revision to Issued Permit OR n Corrections to Comments Date: 5--Z-ZZ
Project Address: 174,Z .5 FA OATS t ,-, ✓g•
Contractor/Contact Name: Lie LAJ . Leii ns � fi � /11ICu4 l tilt -•-•-41.1
Contact Phone: 9 D y- YZ y --Y/S7 Email: J &iLiwF,✓A/ 149- 7'r , ,L/417
Description of Proposed Revision/Corrections:
D✓t VEWA-I I . Zo
co,*1A-14.-A*y O i N a s l i s 1 / / 3? 117-0.1" 44// S'
6 754 c tc- ,Ci _S-410 iv.. lm...- Su rum y /,v h otiJ Dors N o i EXIST
I p i,cJ i LOKel.J,v 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
[iii-Yes (additional s.f.to be added:
• Will proposed revision/corrections add additional increase in building value to original submittal?
INo ❑*yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: i:� Y,
(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
BOUNDARY SURVEY ,1021,14
LINE TABLE (11
LINE LENGTH BEARING ry)7!I� 0
L1 21.10' N00°08'20°E A0J /
CURVE TABLE
CURVE LENGTH RADIUS DELTA c
Cl 75.33' 4704.38' 0°55'03' �(0, . . . .
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SURVEY NOTES
CONCRETE DRNE CROSSING INTO RM
ON EASTERLY SIDE OF LOT.
THERE ARE FENCES NEAR THE BOUNDARY
OF THE PROPERTY.
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SURVEYORS CERTIFICATE
11. GET
e :
I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY
ISA TRUE AND CORRECT REPRESENTATION OF A SURVEYING,r i C
SURVEY PREPARED UNDER MY DIRECTION.
• e NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC
SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, LB#7893
STATE OF • ORA RAISED EMBOSSED SEAL AND SIGNATURE.
°4'< °■1 a t'°` Digitally signed SERVING FLORIDA
'< •tl*v•` Kenneth by Kenneth
' Osborne 6250 N.MILITARY TRAIL,SUITE 102
WEST PALM BEACH,FL 33407
Date:2021.08.13
OsbornePHONE(561)6404800
13:36:49-0500' STATEWIDE PHONE (800)2264807
ONN®, KENNETH J OSBORNE AD �,{D !u�}�yc� STATEWIDE FACSIMILE (800)741-0576
PROFESSIONAL SURVEYOR AND MAPPER 46415 �V � `^`���"^"''1.i WEBSITE: http:lltargetsurveyng.net