306 PLAZA RESO23-0006 PAVERS �.r.; Building Permit Application Updated 10/9/18
- City of Atlantic Beach Building Department **ALL INFORMATION
r v)--- 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: '3616 p/Cf t4 Rd Permit Number: 1 ES�Z�- (2) (:)(4:,
Legal Description , -6/ 4-Zr-LO: Atimmia.4 /40-51/3 {3/k /0 RE# 0,es7-,occe,
Valuation of Work(Replacement Cost)$ ZSI 000 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New DAddition Iteration ❑Repair DMove ❑Demo :Wool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial p<sidential
• If an existing structure,is a fire sprinkler system installed?: DYes ❑No
• Will tree(s)be removed in association with proposed proiect? ❑Yes(must submit separate Tree Removal Permit) 410
Describe in detail the type of work to be performed: {�
121tie/ati_ �G.1/tcc I f" 016.clip. ? 'a „��4- Ilasl De/
Florida Product Approval# for multiple products use product approval form
Property Owner Information
NamefZ.'l, Address 3a( P/4?4 Rdi
City �,r,' (3.04. State FL Zip 37.233 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information 14Aft/il Name of Com any f I .it Qualifying Agent t.
Address I j v 6 .J-t- r�M City ,41t1 .,)b L. State f(, Zi 32233
Office Phone Pi? 3-77._ '7 LZG _Job Site Contact Number
State Certification/Registration# E-Mail ;rote, Co ),(v-14u/, ct < . wM
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer A., Tf✓11 _OR Exempt n Expiration Date I/70/23
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 YOUR 14,7 OF COMMENCEMENT.
(Signature of Owner orgent) (Signature of Contractor)
Si ned and sworn to(or a •trnied)before me hii ay of Signed and sworn to(or affirmed)before me this( .1 day of
.2O-/-2), •, =Ji ileyJ. J , .J 4S ,by 6 ,--1 . lestf v //
lil
411251re
`o:%?..sr;•.; TONIGINDLESPERGER ”""' TABITHA MESHAW
_ , �! • MY COMMISSION#GG 353178 ' '`:7;i °' Notary Public-State of Florida
Uu PIRES: ctober6,2 3 '-"1 r••� Commission # HH 22744
''' ,,?,f ... Bor<d 0111RTW Frt.�pc d� ters ('Personally Known OR ;,r,� `oaP; My Commission Expires
[ ]Produced Identificati a """"'� July 22, 2024
Type of Identification: (, _ Type of Identification:
{' rte /!' CITY OF ATLANTIC
;) BEACH
;5 . )I 800 SEMINOLE ROAD
. ATLANTIC BEACH, FL 32233
(904)247-5800
SURVEY AGREEMENT
NOTICE
All new projects creating more than 250 Square Feet of impervious surface or requiring on-site storm water
retention, including swimming pools, will require pre-construction and post-construction topographic surveys,
as required by COAB, Section 24-66 and described in Bulletin 2-18, Surveys. The surveys must be new
original documents, from a licensed surveyor, signed, sealed, and dated.
Other small projects, such as fences and construction less than 250 SF,will not require a new topographical
survey,but a current original-size survey with all relevant details is still needed. These surveys, when included
as part of a building permit application,must be complete, up-to-date, and original size and scale, as produced
by the surveyor.
Copies of old surveys lacking details or copies not of original size cannot be accepted. Building permit
applications with unacceptable surveys cannot be reviewed and the application will be returned to the
applicant.
Thank you for your cooperation in this matter.
AGREEMENT
I have read and understand the Notice above and affirm that the outdated survey I am
submitting is still accurate and complete, and all structures and impervious surfaces on the
property are shown on the survey.
I further understand that, if the survey is found to be inaccurate or incomplete, a $50.00 Plan
Resubmittal Fee will be charged; or if the permit has been issued, a Stop Work Order will be
posted with the associated $110.00 Fee.
JOB ADDRESS r , (Z /
OWNER or CONTRACTOR (Print)_
Signature 2 rata VWA.. )• 64A Date l z0 ?3
1
e
,..
. '
-...., '
---7:.;.- `• --"3 -, . ,
r
,.-- -
,,..-. V
7 br.
14 ‘ V- ‘1\(11) -4e \19-1-Q .
_ .
k4:.: -„.... ..-,
-1 1 1 1
...„,
_, i.
,i,„ '- 4
•_, ...*
-',,,,z -.x. e. ,..., .-,, , s-,:_-,..-- .:,;,..::-_,.:''''• 7 ..',,i_.--_:-,-, • '-..f.,:t. _ I
IFFAK'
74 t,.'t-,"-. :.- 4 " ' 't ' - '- .-: ••'Al-, ,.,,--..;,,.-4,0:,.. • -:
- ,,,•,•; •--.,' . "e-..-4,04*11,(-0, 7,'111, --P'- `;,'-'.•?f,.: 7 '
z;1 74 Fla ft44 rA1 11 ft 4 1 7.40r.ir 14 . .. .
..
r -1-j• O. ... —•
...rn
•
I • SS 1
t i
,_.
t .,• -,,
: '4V16•-. -
i 4 •P
I
, A 1
• .• ,. 410,0- ,- ../ i
°Z 05 i
. •,. _...,,,,, • .4:•,,*".:,,,' • ----0 Q h 0
4/45 LJ ]
02'.)0 0 H
..
-ffi4 00 di2,.
4111‘10a)( 5..,'attliV8 40910 ?,i/h i ..,r_u44d A.3 VSOQ h 00o c,_1 -HI
e
,... , -?/,.....' ,,,.,..,-',i.0,,e,.•,.." ti... -
.. . .,..
,.... .._..... ,,...4.......4, ,
4
Fj
4. .t.
5.,. ! Ii•
I '' i '-
-...,
t;
4..-
. , ,. • '.
- -
! . .
N!.
•:1' ',.,
**4.
4 k ''''4,,, • 8,.4 .„
.4.
I
‘..,
. ..
..,
.,,
-, •
c7;\\
; ----)
t
I ,
,iimiainallialillMinink
"411#7 417, A f
---5,---././........../............--......- '
\w
NO
. i
. .
. .
4'7
,
-t .....-..........."1.............._..
:volt", ...,,,,...
. i iil-A----44*• 10:1'..
I .
A V
• li ;
k .
.d '‘.. .... ...... . ,
; I
vitA , , .17.1..., ..i.:1.0Ii....);74..,, mr.)14.1-1.-.44114)
THE tr.7. Ari.* pAverl PLAZA
t 99 ,iii FIFLI: 1
CA?
10001
e PI Aim* .2- *1744 t.. Ike
. .1!, .' '
CI
Jg
I cib
•
LU
,.....
4 -COINCli r 1
RAI.It ,
!P-
i 410.1.11••••
'.......1
0 I I
Ctigl i
in 1 0
III V* 0011,'ir
ft-AkTt 0 i
! , 1
--'-*\ 1 i .0
4 4.•• 74
. „ . .
tAri W
. i.. .
; .
>
-4. ' ,
----,-, — aa
...1 IMP - •••••• •••.,
VP 0 a.
bi 0
Ii _
a 0
ws
...* c; ..., I-S TORY MASONRY RESIDENCE Ps •
In I No. 306 i k t 1 0'PI I---
..01 ei
eiii ........ Ci eli...
2-Y5.
E;ita i Cu
N
A. ., •.7 1(I.T C i <
0 ... t
' i •GX
' i ' .• • •..
*i t .
-
11.iCat
''>ii • ' .A.0
0
'1
--r- -
a
it
si t 14.-
. t .
.1. . , .,.-,...- .. t
,
.. ,
, 0
,
( ,
' ,
v,-
-II' 1. .4. .
..- 04,0,, , .
, 0 "
al-
,..... - _dm • 11
,,,.. ti
,oft. L
Ti:, Iv
* . ,..
; 1- .'..7. • ol fam“.*
Cr)
1 ,
it r-,,
-- I, ;
t i. ,-
.t • ...
,, ...,
A,i,,,,, '9,4, ,, . • .
.
iiiii
- , 4 i
, . c'e: 4
4 , . N
ite,, 1
•
t, --......,.....-., ,
qt odA414- $.,-itat roolo,.1 ___,„„. ,,..,
„ . t• . e ' _ ,
°I. . thotooretre talc*PAPI
4 i
I OC(.00 , ie CAP
' C ( 100,1sInt L )
LOT 2
i .