357 SHERRY DR RFNC22-0137 4.4 ; '' Building Permit Application Updated 10/9/18
:` ' -= City of Atlantic Beach Building Department **ALL INFORMATION
VP
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
} IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us Q �1 r�
lob Address: 357 Sk>: y pkr Permit Number: 1 f\)( Z Z ' c3 I . -7
Legal Description - S-Cq 16-2.5--2_ E .063 RE# I C9 4n-S —un S
Valuation of Work(Replacement Cost)$ 69 So Heated/Cooled SF Non-Heated/Cooled
• Class of Work: 'New ❑Addition ❑Alteration D epair ❑Move DDemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential/
• If an existing structure, is a fire sprinkler system installed?: ❑Yes /No
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) /No
Describe in detail the type of work to be performed: R�lac wy ex s+.+may +u- A`".4 "44, S' "'{1`
6'41 W vv./ Few
Florida Product Approval# for multiple products use product approval form
Property Owner Information I`
Name i cll ° P"rP` II Address 367 5 Ley fD -
City A{Iant:c- j3ro,cf, State F i Zip 32-233 Phone "212-206--nn,
E-Mail Pcsppc.1I - V- C-44* 0,I'Vt CA I. G0141
Owner or Ageht (f(Agent, Power of AttiSrney or Agency Letter Required)
Contractor Information
Name of Company SUper;ar 44,w a,.J r'a;I Qualifying Agent 1 Py-4c,.
Address 917o H;yLvay AVI, City 5«cLs01tiy:11'- State F I Zip 3225'1
Office Phone 104 6V3 6349 Job Site Contact Number
State Certification/Registration# I Lsiss'( E-Mail 04:cc- a cos -re✓ %moi juckso►''v%11,o co 0,
Architect Name&Phone#
Engineer's Name&Phone# _
Workers Compensation Insurer I !)r,z,.,t.y M,, ,.saI OR Exempt 0 Expiration Date IZ/IS/ 2.2-
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
RECORDIUNO�F COMMENCEMENT. xz7
(Signature of Owner or Agent) ( :nature of Contractor)
Mned and sworn to(or affirm-d) before a thi90 day of Signed and sworn to(or affirmed) before me this day of
D V ZO'L ,.E' �U r Gam, I 1uo, mac.,az, by r3I2M3LE=t.( 6� S k�u--
. a<.
t_ilkiiira
.igna ure . �.��w'�►�
. SHANEL R.CHALWELL J. 9181 J HUSSAe'
Notary Public-State of Florida •. r •i vctary Public-State pf c!onu
''� —��' Commission 8 GG 357166 >;
PersonallyKnown OR Commission HH 262507
( Personally Known OR .• My Comm.Expires Aug 16,2023 [ ) '` My Comm.Expires May 9.2025
Produced Identification ��, r ' [1�Produced Identification
Type of Identification: 'I— OL Type of Identification: L
Fence Addendum Updated 1/14/2021
City of Atlantic Beach Building Department
/ 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
357 Sherry Drive, Atlantic Beach, FL 32233 November 22, 2022
Property Type: Lot Type/ Features:
V Residential iZ1 One Street frontage(interior lot)
❑ Commercial 0 More than one street frontage(corner lot,through lot,
etc.)
0 Swimming Pool
Fence Material: Fence Height (select all that apply):
f Wood ❑ Four Foot(4ft)
❑ Chain Link V Six Foot(6ft)
O 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)
6Zf No
Will tree(s) be removed in association with proposed project?
❑ Yes(must submit separate Tree Removal Permit)
✓ 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.
09 17 01 14:37 FAX 9042476107 Jae Bch P end D rib 01 '.
, MAP SHOWING SURVEY OF
THE KORLH 26.67 FEET OF THE WEST 15.25 ricer OF 127. 32, =COINER
WITH THE NORTH 26.67 FEET OF LOT 34, R GEENER WITH T E NORTH 26.6
TEPP OF THE scum 150 FPT OF AM W8}+IIII1ED TRACT LYING WGST O tt
EO15 34 AND 35, ALL IN BIOI7( 5, PLAT NO. 1 SUBDIVISION •A' ATIJARTI
BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLT. •
RECORDS OF DUVAL COUNTY, FLORIDA.
(SBF, ATTACHED LEGAL DESCR FrIICN)
RI FOURTH STREET
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for LOT 22
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POINT OF REFERENCE THIRD S T R E E I
40.•10NIT OF WAS I PAYED I
THE PROPERTY SHORN HEINEJ APPEARS TO LIE IN FLOOD I HEREBY CERTIFY TO WILLIAM TEN <MIARWN MANN, III,
ZONE X. (AREA OUTSIDE 500 YEAR FLRJO PLAIN) AS SUSAN P. FAIN, APE:RICAN FIRST TTTL.E INSURANCE CONANY
IO1l. AS CAN BE DR7Ep.QNED 0RCT4 THE 'FLOOD INSURANCE COECNNEALTH LAND TITLE AND SiORI110L CORPORATION
RXTE MAP. c094.NITY-PNEL HEFNE 1 120075 0001 D THAT I MANE SURVEYP.D THE AS 9QEN IN THE ABO✓E
REVISED APRIL 17, 1989 WR ATLANTIC BEACH. FLORIDA. CAPTION AND THAT THIS FNP IS A AND CORRICT RENNSE4TA-
TION OF'Th0T SURVEY AND THAT SUINEY REPRFSL3F1'ED ISI
11ECT5 TFLE HIHIIi 4 TECHNICAL AFNDARFE OF THE NORMA
AOQNISTW.TIVE QODB CHAPTER 6 017-6 AND 786 FLORIDA
LAND TITLE ASSOCIATION.
TNIE 1589(9 NOT VALE W.[4•
SEALED 0175 AN EY.O.SED SEM.
or SUAVE TOR IMRE0 kart or V W. ONTti L.B:
FLOFIIDA RCA L. S1.FNE No.3295
SCALE=1"•Eo' BOAT WRIGHT LAND SURVEYORS, INC. . a M SIGNED.
DRAWN BY,p FNEEWN '
FB '93 1711 0,(6 ":TRFFT CrIIITH IAr .MCONvr. i r or ne-t-, r n.. -• r,...-r, ..r