87 19tg St RFNC22-0128 `'S' ^✓i, Building Permit Application Updated 10/9/18
mCity of Atlantic Beach Building Department **ALL INFORMATION
v
800Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
/11_9%," IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
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Job Address: $1 1 94-)^ Si Permit Number:
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Legal Description 91-' pq -Q S- o'1�E .13�b I\a1'�h ROLA:, L1„ ,,,,.,IA'; t.{Pi.ai�RE# 1(pcV`)n - loD 5
Valuation of Work(Replacement Cost)$ SO,OOO, -
OHeated/Cooled SF aCV-Pk Non-Heated/Cooled 10o6
• Class of Work: lNew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ElCommercial I Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes IRNo
• Will tree(s) be removed in association with proposed project? EYes (must submit separate Tree Removal Permit) ,ANo
Describe in detail the type of work to be performed:
AAA UJOO &epee.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name avvilreci. t YY1q.c014 CisosS Address \'�a� -.cts-‘wwhd '6(
City 3-gtk sane i lle bPae. State t= t_ Zip 3�'311 Phone t -305- 61-7S - CoS`Ati
E-Mail Cv'OSS .Q \C1-etA) ck Yui 1,L O r,-..
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company AiVA.k-V\i e-<- k,.
6 ' (8- �r
Q s Qualifying Agent lc- 5 A: v\ .k-5 cow
Address 3 W , a 5* City }. State c-L- Zip a' 3'3
Office Phone 1D4- 613- 366‘ Job Site Contact Number
State Certification/Registration# C(3C cdS`1c%& E-Mail At-4.5"\ (1),^a-1--h.eu 1l6 c .co:-
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer )V (c OR Exempt k Expiration Date 1 1 a'31 9_dak
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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING :OUB.' • •l' OMMENCEMENT.
Jrgnature of Owner or Agent) (Signature o Contractor)
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ecsa gt�{'t9(or affirmed) before me this 4 t) day of Signed and sworn to(or affirmed) before me this 3 0 day of
\ 5 C , by �Y�'Cty 1 C(b 5 f Nom 001) , by (y �s1 ;h �`�,. _ llll�f�,
Y.
Od(jl‘ 55e1 _ \a c1b.7�9.. ^(`n �AA� Th. '+ .; Y pi"'„
=Z ee Ve so. Q- (Signature of Notary) (Signatu P•-i,itarY)Etwres V<t0,',..
NeM ,,�2�4 (�2�? Heatrye� �?s n
'�, [ Per pally KpQuprl�R [J9 Personally Known OR = M Mes
'/��4 cO tl`e�i`l_�tic�ation [ ] Produced Identification ��°'' u�_,
Tyd4/4f/ifignile ation: Type of Identification: %7� f4?e?� ���-
Fence Addendum Updated 1/14/2021
1J ... Cityof Atlantic Beach BuildingDepartment
�, � p -
;r;_1(.// 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT ARI-a\-coo
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
Property Type: Lot Type/ Features:
X. Residential ❑ One Street frontage (interior lot)
❑ Commercial [S More than one street frontage (corner lot, through lot,
etc.)
2 Swimming Pool
Fence Material: Fence Height (select all that apply):
, Wood ❑ Four Foot(4ft)
❑ Chain Link 4 Six 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)
lig.No
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
ql 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.
J
LOT AREA=6,000 SQ.FT. z o T
BLD AREA=1,660 SQ.FT.
LANAI=176 SQ.FT. :1.:
PORCH=119 SQ.FT. ,,A/C PADS=18 SQ.FT. x
POOL EQUIPMENT=12 SQ.FT. y;<o
DRIVEWAY=162 SQ.FT.
CONC STRIPS=132 SO.FT. ti
POOL COPING=143 SQ.FT. y
HALF OF POOL=277 =Q.$ i,
41 TOTAL IMPERVIOUS=2,699 SQ.FT. JOB COP' �q O,z
IMPERVIOUS=45% "
REVIEWED
DOWN SPOUT 6" PVC By Mike Jones at 4:34 pm,Jul 30, 2021 I,lrov,� •E��,-c
GUTTER (TYP.) �� _
CLEAN - OT ,`' ••,
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x
. 1, _.;____::::.-_______ vientsia:ra 6 i
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YARD DRAIN y�` 1 '
I TOP EL 10.8 • I I I) 'm �f / �1 DRAINAGE NOTE:
4' OVER FLOW 1. THE COVERED PORCH AND STOOP SHALL BE
' 111 1- 0 R SLOPED AT MIN. I% AWAY FROM STRUCTURE. AT THE
�° rye'`' WEIR EL 10.9 CONNECTION POINT OF THE PORCH AND STOOP,THE
• x:- } '-" I TYPICAL ELEVATION DROP SHALL BE 4 INCHES.
I « � 41..";-.. x I 04 o. E,,. zi
c " • 6L - 2. GROUND EL EL. AT FOUNDATION SHALL BE MIN. 61N rcn
Z
]]j • `" �' �— w BELOW F.F. ELEV. W o a
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ti �. F 3. CONTRACTOR SHALL BE REQUIRED TO BE WITHIN am c
o,I —� ` t +/- 0.1 FT OF DESIGN ELEVATIONS. x 0 Z
P, .i x i p `l ex on .Y� ate.+ i- W
72
{ r'" C� 4. DOWNSPOUTS ARE TO BE CONNECTED TO UNDERGROUND - x cr
L - I Cu --7.?‘, ^= o,I DRAINAGE 6" SOCK DRAIN PIPE WITH POP-UP EMITTERS °' < ww
C FOUND CONCRETE— - \`---imasw•+a•s— FTE
uan;.`0,�iA - PLACED AT PROPERTY LINE. ~
1 YONAIENT.LS4690 z x `x z 4 OVER FLOW
SRL • x ♦ 2
�� 4� _s. *®�e ^♦ 9'6 x C ° WEIR EL 10.9
Q e o"m 'x o '* DRAINAGE I EGFND 00.0 00.0
xet(^� �� p.,z S �Ob $ PRE-FLOW ARROW r PROPOSED SPOT EL.
IVAL r - YL z x yb g a'1-• POST-FLOW ARROW X TO BE REMOVED REVISIONS
0• ` b ,.x ' % e v�' *** 0. _ ._ PROPOSED SHALLOW
E ^. r� Fez (C EXIST. SPOT EL. SWALE
x
0 Y c" a ♦,, _'IP TREE PROTECTION — SUCK DRAIN PIPE WITH POP-UP
DRIVEWAY a R ❑ n I ♦ �_: POP EMITTER
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y a �. R FM p�2YENT - B GRAPHIC SCALE
6 p P .6 P a
I (E)GRACING KAN o D D xo a
1 t - ♦. -----_----- �o w -, ,
ei xi SEMINOLE ROAD °
I ( IN FEET 1 _-. SHEET NO.
S 1 inch = 20 It f RECEIVED
1 I O,rood OiMnpry.!n 1l)pork Al t0.:ROI;
NOTICE OF COMMENCEMENT
State of L11 Tax Folio No. (0-1 a3 -l oa5
County of 'V atrcd\
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 1 pq-aS-a 9 E
Jv.,rd4. A .e. Be4c.4-. kr Ik 3 Ck•p\cck \•k- I
Address of property being improved: a-) k°► Sf \a(\k`1 C lad t F
General description of improvements: New .s �rje.'ie
Owner: Ifld,re w 4 Mgr 4-1Ka. C r 6 5 5 Address: k w i v..
Owner's interest in site of the improvement: kex 5�n
Fee Simple Titleholder(if other than owner): _
Name:
Contractor: f \cyk4ike t t r 5 _
Address: '• `M GO' Sir
Telephone No.: c14-k- -3e61 Fax No:
Surety(if any) _
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified): _
THIS SPACE FOR RECORDER'S USE ONLY OWNER \```�``� rr'''
Signed: .`a 0, SL� pi t�3
Doc#2022295852,OR BK 20515 Page 2019, Before this day ofn the Cou va
Number Pages: 1 .c. j
Recorded 12/05/2022 12:04 PM, Of Florida,has personally appeared ����� -rig s 1
Notary Public at Large,State of Florida,County of Duval e/' S
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL MyC M
COUNTY My commission expires: d(o] tS �Oa G 0=
RECORDING $10.00 Personally Known: k =y `�7���
or
Produced Identification: OA" �t P