972 OCEAN BLVD DWAY22-0057 r ,-y k,, Building Permit Application
City of Atlantic Beach Building Department d°"O rti�',o,�
'•ALL INFORMATION
rF 800 Seminole Road, Atlantic Beach, FL 32233
HIGHLIGHTED IN GRAY
Phone: (904) 247.5826 Email: Butlding-Dept cz coab.Us b '��''[is REQUIRED.
Job Address. 872 Ocean Blvd Atlantis Beach,FL 2 Z- b o 7
Permit Number- �7�,: yq
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Legal bescriotion r..«rx ra*urs�g prrgr"y .w+trst1aifrp RFaraeea.nu.:r, 'a4' ' r`+ra•,..111
REfff
� 1703tP-6044,,
Valuation of Work(Replacement Cost)5 13OQ
Heated/Cooled SF _ Non-Heated/Cooled
• Class of Work '-,New : Addition c,'Alteration iRepair : Move i::iDemo DPool OWindow/Door
• Use of existing/proposed structure(s): CCommercral C1Residential
• If an existing structure,is a fire sprinkler system installed?. JYes CNo
,,,,,_ • Wilt trer,,sj be removed in association with proposed poiee t' Yes(must submit separate Tree Removal Permit) :,'No
Describe in detail the type of work to be performed. As per the permit application for the installation of the pool,the driveway and the walk
way leading to the front door need to be removed entirely and the driveway shah be replaced in the same configuration to existing driveway with 50%
impervious pavers as shown on the Survey submitted with the pool application and this application
c
FiC`Eda P.'i;ctut r`•,pproval a
for multiple products use product approval form
Property Owner Information
Name Lauri Names �~
City Atlantic Beath Address 972 Ocean Blvd
state FL Zip 32233 Phone 609-015-8404
E-Mail taun_namescQigmaiicorn
Owner or Ae,,errt(if Agent,Power of Attorney or Agency Letter Required}
Contractor Information
Name of Company i if- ,,, _„
Qualifying Agent 11;41r1h"it,,,,,,,,,,
Address if,o 17.1.,Ak. .4 (asA
r City Sr.oVhsr state FL zip Luc,
Office Phone gag-4'11--6 s. Job Site Contact Number
State Certification/Registration# Lit 00 00 1,,I.0 Z E Mail ha,Cy,.f/"int/,
Architect Name&Phone a wU r Q�l/l�ik.cii„
Engineer's Name&PhonePhoned_ —
Workers Compensation Insurer -
OR Exempt LI Expiration Date 10 1/441.
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 alt 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 AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed))before me this Ci day of Signed and sworn to(or a fire ed)before me this 9 , day of
NN�s11L e ` by _WW1 , �..�___ 1V'') 2 (
lIQ1 IS�\dtil BRIDE c- l ' tb ar
Y
^ -i Notary Public, State of New Jersey Vit, r,.• , Ep fitOP
,Person:;lylCn wnOR My Commission Expires O Personally Known 0 *? t.4 C,r'f'1551 I6G^v s=,' I-
i I 'rdductii identification November 12,2024 -- _,'" ".+=tRES:Ott err, 3
T I Produced Identifica i ` r •,
iypa of tdettifrcat'ion: - " .� -
P„. �f
- ,- .. � ------ _ __... _ 'Ypeofidentification. .�.�.:.�....,. >,,�.�,.....,�rg
PLOT PLAN
THE SOUTHERLY 3 FEET OF LOT 1 AND ALL OF LOT 2, EXCEPT THE SOUTHERLY 1.50 FEET OF SAID LOT 2,
BLOCK 1, ATLANTIC BEACH PARKWAY, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 15,
PAGE 61 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
0 t0 20 4I
SCALE:1- = 20'
60.00' bL
tri
78.00'
/
7
0 LOT 1, BLOCK 1 EXCEPT 0`0 7
LOT 15, BLOCK 1 ,r, THE SOUTHERLY 3 FEET •o/
SETBACK TO -SETBACK TO EDGE / 7
WATERLINE EDGE POOL EQUIP LOCATION 2
-22'TO MAIN DRAIN / /
/
Soo e'eVW FENCE Y 3 F 111. ' (FIELD) / 2
OF L 1,BLOCK 1
FOUND 1/r IRdi n,9' 11,7 ' �� _ 12VALM /1C"��A'44, SET.MLA.:
NAIL k
PIPE.NO CAP 1 r,' Dlsx.LB 3672
6 NNYL FENCE % �C PADS 'x. t;1' ,_ 4 ='4i! x 1292
- BENCHMARK: SET NAG I
011/C9: '''''',4‘40
'J‘{ .V ". - ',,ANoO CASK,lB 3672
FOUND 1/Y IRCN . - ELEVATION,2_49(NOVO
PIPE,LB 3672 '^13'PALN 26.2'. 'JJ L W 2 1<'
1 /�d�', ryt
SETBACK TO EDGE ° -CONCRETE J:S /OU 4
OF POOLSHELL-N1 x PROPOSED PERVIOUS
r DRIVEWAY BY OTHERS A'.
13.4 COPING ELEVATION 1 tt ,`.i111 P /' ",b tr 7„d'q
o b 8 • s 3.r .4.f. •P p+/ ,1, !''b ECA`O 2
v la 4-131 J•X 21.0 OPANE __ A ry.
LOT 14, BLOCK 1 • 5=+ u TANK '° // 0Q
fG 5 2 STORY CONCRETE v.28- Jap _1 ti 3
AND STUCCO m -y3. '2• v
COVER EXISTING `D RESIDENCE NO. 972 r�QQ"'261 O 2`"
IMPERVIOUS PATI FINISH FLOOR ELEVATION.13.79 iv , ' �'`x V
�;2 GARAGE FLOOR ELEVATION-13.42 2.0'-c> . .91 S
WITH TRAVERTINE I v
NO CHANGE X' 'A.-, 1562 / .:'t y� A, �"
NZ-
FOUND,,'r IRON OAT..°,OjO I7'PAu/,3 C3 6'NNYL FENCE-, -p. _ , {„1)9 '''• I'pi } 4 O�
PIPE.NO CAP '3 T Q- .ri"• "/Mi. sc.. " CO%�/ X+3.4 2' a �x•12 M l�
-
6'WOOD NC n SpRiHERLY 1.5 FEET-, 87.49' I--- """ "' REA
0 6EXISTING 6028NEW
I OF LOT 2.BLOCK 1 I 1 HOUSE 1650.00 1650.00
I 4'i FRONT PORCH 192.00 192.00
FRONT WALKWAY 90.00 0.00
,�--- -- DRIVEWAY 897.00 448.50
ASPHALT ENCROACHMENT 179.00 179.00
LOT 3, BLOCK 1 r I N.EQUIPMENT PAD 13.00 13.00
SI I SHED 2800 0.00
Note:POOL DECK NOW INCLUDES FORMER TILED AREA Y I • N CONCRETE REAR 23.00 0.00TILE REAR 149.00 0.00
DRIVEWAY WILL BE"HONEYCOMB"50/COVERAGE rc l I'n 9 CONCRETE REAR 69.00 6 280
POOL 0 280
NOTES: ��APCpOFORL DECK 0 424
1. THIS IS A PLOT PLAN / fN0' ITOTafMQUS' 3289.00 3277.50
2. BOUNDARY AND TOPOGRAPHIC DATA-PEI----Mr-61 1 HOUSE: 1650 SQUARE FEET Existing% New%
SURVEY PERFORMED BY THIS FIRM, JOB NO. 2021-0679. I HARDSCAPE: 1581 SQUARE FEET54 56% 54.37%
DATED MAY 24, 2021. VINYL SHED: 28 SQUARE FEET (VOID)
3. BENCHMARK SHOWN HEREON WAS ESTABLISHED BY GPS I TOTAL IMPERVIOUS: 3231 SQUARE FEET
OBSERVATION USING SPECTRA PRECISION EPOCH 80 LI/L2
EQUIPMENT AND TRIMBLE VRS SOFTWARE. 1I LOT AREA: 6028 SQUARE FEET
4. INTERIOR ANGLES AS PER FIELD SURVEY. FOUND 1/2'IRON q IMPERVIOUS PERCENTAGE: 53.5%
5. BUILDING RESTRICTION LINES AS PER PLAT. PIPE.BASSETT 1
6. NORTH PROTRACTED FROM PLAT. PROPOSED IMPERVIOUS:
7. CR DENOTES CABLE RISER POOL: 561 SQUARE FEET
8. WM DENOTES WATER METER TOTAL COMBINED IMPERVIOUS: 3792 SQUARE FEE
9. WPP DENOTES WOOD POWER POLE TOTAL IMPERVIOUS PERCENTAGE: 62.9%
THIS PLOT PLAN WAS MADE FOR THE BENEFIT OF
LAURI NAMES.
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.
JASON D. BOATWRIGHT, P.S.M.
"NOT VALID WIHOUT 16€SIGNATURE AND THE MORALFLORIDA UCENSED SURVEYOR and MAPPER No. LS 7
SEAL OF A FLORIDA UCENSED SURVEYOR AND YAPPER.- FLORIDA LICENSED SURVEYING & MAPPING BUSINESS No. LB 367:
CHECKED BY: DATE
DRAWN BY: DAF BOATWRIGHT LAND SURVEYORS, INC. JUNE 03, 2021
FILE: 2021-0679-2 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA (904)241-8550 SHEET 1 OF 1