1660 BEACH AVE RERF23-0039 C
�' Building Permit Application Updated 10/9/18
nig
City of Atlantic Beach Building Department **ALL INFORMATION
} 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
�p'; IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us P�
Job Address: It, GO SLA(. hut3 Permit Number: I \,1iv,t ' Z- 0039
Legal Descriptio OC".AAn 4-1/.+Y, V4'; M.'\y P-]`lots tics Re-GD 'h Ir-+s4-niOnA RE# /6457 & 'DOa 0
Valuation of Work(Replacement Cost)$ 2 it G 3. 1t Heated/Cooled SF Non-Heated/Cooled
• Class of Work: lOslew DAddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Alesidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes NiNo
• 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: -pit„° 01 1 u„Y, 4„v eze b,,,:i1 Ad: 1a:+in : .v.,CeAc c-
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name J M1(, IA.kl'.} Address 1 . 1.") 3€_,Acm ave- '4"3
City 14 k Ih•-k4, 01A Al k4 State rt. Zip 72'-3-7 Phone _ g("H C ?'1 "4
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company )4 efsa- s• o^A\s Qualifying Agent
Address 1 CSIS. &',twr b�u City S 4[ State Zip 722- .9-10,
Office Phone Job Site Contact Number_(You) c( . tss‘
State Certification/Registration# E-Mail ,)fix Pr'a e VcN•/*ts qv.1 Q rewlk,t'-^
Architect Name&Phone#
Engineer's Name&Phone# i 't/Ct. mitt :4f kfnl D6' - r1
Workers Compensation Insurer k ji(at., OR Exempt o Expiration Date II /2.3
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 PROPE• . IF YOU INTEND
TO OBTAIN FINANCING, C•NSULT WITH YOUR LENDER B.AN-ATT' , ' Y BEFORE
• :- YOU ' 10 `,�• / EN N
0_ ,,_., rii _, .100101r/
fire of Owner t/ r - ture of Contractor)
NTIricl.sw,orn to(or aff meld)before met ' a _.f ,S,,SSS•tIII����ned andsworn to(or of :.)before me thi j.y of
ZZ by \ •• 4 4r 1 t i \, 0_ • r ' '..1.�`. • '- •n
EriAlwilMM
,.i:nat �f Not- )(•� S'' . ure • A, )
;o,,,aY?U ,. TONI GINDLESPERG.
1.
[ ]Personally Known OR r' 'a+ - MY COMMISSION#GG 353178 [ 1 Personally Known OR <:nv PGB TONI GINDLESPERGER
[ ]Produced Identificati. '.,' EXPIRES:October 6,2023 [ 1 Produced Identification ' :, MYCOMMISSION#GG 353178
Fh' :onded Thru Notary Public Underwriters EXPIRES:October 6,2023
Type of Identification: Type of Identification: ffn �:
o,F,° Bonded Thru Notaryu is n erw ers
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:
16 I. )3 icL five `1 I0 / '- 3
Property Type: Lot Type/ Features:
`3 Residential tOne Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage (corner lot,through lot,
etc.)
0 Swimming Pool
Fence Material: Fence Height (select all that apply):
,fel Wood 0 Four Foot (4ft)
O Chain Link 0 Six Foot (6ft)
O Vinyl Other 76-
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
O 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?
O Yes (must submit separate Revocable Encroachment Agreement)
V__No
Will tree(s) be removed in association with proposed project?
O Yes (must submit separate Tree Removal Permit)
4-Noo
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.
4/13/23,2:06 PM IMG-4575.jpg
\ l; L? 1 1J4QO) TY I
i N
N
N \
N N
\ EASEMENT FOR INGRESS \
N
\ AND EGRESS \
\
\
\ \
\\ EASEMENT J / /^\ •\•
�`_ a / \ \
,' \ / \ \
\ 0 / N \\
\ // \
• I- N /
\ O /
xIcs txP U / ��� •
0
Gam)d \' / Co
A /
O QP v'` �Q' 4, < S 48.39'06" E
A 6, �cV' `P? \ 17.89' (DEED)
Re
1'r• N��PQ-Q �.;
N S 48.39'06" E
• O \N
17.60' (MEASURED)
Cir
<11
tiC �� /
'Pc§, kr , rOONO NAIL AND •
y' 0 Cr ND IDEM TFICAZON 0
u
AA) TWO STORY
0 bN '... FRAME
4 S°6> ^-� POSTED i 1 0 g4 § I t Di
i�?. € b O
's6,ve. Ani r
•.•/ 'i 0
4 •.Y 0 t •
/ �.� fa
j ; 1 0
cr / uta
••,,,‘
uo+
WND NAIL AN •
O d9cMOO
NO IOENi1rICATION ' «
A 14
AROEC 4 1
(NTNG
?. o
'00'00• O PAD 01Avi 1'11000
N (>a 1.8'
?e , zo•
63.7,,.. w
48.. uNOER PAD
ti `�:iib, )
CQ(!/Nq - 6s ee (Dee, ,-w ) f_
(<Q o.Ricyr o,pCAC- )(�'W01
L0 3EVd and S31d03d Z9t'TELLb06 8Z:0T EOM/8t/L0
https://mail.google.com/mail/u/0/#inbox?projector=1 1/1