1660 BEACH AVE RFNC23-0040 Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
- 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
`F;p~ IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us 3- 004Q Job Address: ICC() '3 11c A,,.� V- �- Permit Number: E 1\)0..2 3— 00 4Q
A Legal Descriptior OCtRCi
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Valuation of Work (Replacement Cost)$ �3 I S- (ob Heated/Cooled SF Non-Heated/Cooled
• Class of Work: .lNew ❑Addition DAlteration DRepair DMove ❑Demo ❑Pool DWindow/Door
• Use of existing/proposed structure(s): DCommercial 43Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes JNo
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) it No
Describe in detail the type of work to be performed:
1C"AWP of O1 f ii to•-J ryiQc;,y vv, fu-k) (L
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name ry ,..trK 64,3 Address [G 4/C> 14cA43,4 r*?-
City
City A-- I.44L Ocaeli State F(. Zip ;1-271 Phone 31/4l7 '7//0 02=/ )'
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 741, Qualifying Agent
Address 41'9(15' ; . -,,, 4,- City 3--& State Ft- Zip yrs
Office Phone ( i) -\) i)11 Job Site Contact Number
State Certification/Registration# E-Mail J P.-¢Cnz s n.n,o ty q•L1 Cc•-
Architect Name&Phone# _
Engineer's Name&Phone# (4_06t( 6'yr ry
Workers Compensation Insurer 3.-)--)-5 U-. OR Exempt❑ Expiration Date i! )L3
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
Ag" BUG?"'
RRECORD3VG,YO NOT E OF MMENCEMENT. , _.Amp/
(Signature of Owner or Agent) qday
signature of Contractor)
-.
igned and s1i2by
orn to(or affir before me th'- I V day of Med andtlsworn L. day of
��� 'or1SQ CL 1 , to(or a ed)before me this-70 3,b� 'ate � L • 6�
!l�1� P
Signa e o c• •. -na • 4"01- af3,4- 4
'PpYPb'•., TONI GINDLESPE'T�'
20 SM MY COMMISSION#GG 353178
/b 4RY.Pk„,• 7L: '<::rdDLESPERGER
[ ]Personally Known OR =* ,w: Personal) Known OR
[ ]Produced Identification o^o: EXPIRES:October 6,2023 y MYC .,,3SI0N#GG 353178
Produced Identification
Bonded 7hru Notary Pubic Underwriters [ ] EXPIRES:October 6,2023
Type of Identification: _ Type of Identification: a
r='-..:. • o dil re Plalon F'eb6c Underwriters
"�''' Fence Addendum Updated 1/14/2021
- ,,,�, City of Atlantic Beach Building Department
�J
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
1 'z y 111 J13
Property Type: Lot Type/ Features:
®-Residential ❑ One Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage (corner lot, through lot,
etc.)
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
s-Wood ❑ Four Foot (4ft)
❑ Chain Link lSix Foot (6ft)
❑ Vinyl I ,Other 1 r- .k I E lO
❑ 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)
9 No
Will tree(s) be removed in association with proposed project?
❑l 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.
,k0
i 60 rRAcLi a 2L •-•)(1 4-
2
I,
yi ver
LEGEND MAP SHOWING BOUNDARY SURVEY OF .
SHEET2OF2 . , ` �
LEGAL PROVIDED BY CLIENT
BAL.BUILDING RESTICTION LINE -f,
CL-CENTER LINE
IP-IRON PIPE ' - a - I 44' r
FD-FOUND
R-RADIUS 4u F J
R/W-RIGHT-OF-WAY 191 Il i l f!t fkkItt
PC•POINT OF CURVATURE .^Q„
PT-POINT OF TANGENCY G
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PRC-POINT OF REVERSE CURVE / s...•-- 1,'
PCC-POINT OF COMPUND CURVE l or/ / $
POC-POINT ON CURVE �✓ /n/�� �.t•r �,• c7 -._ _ �4,. ...SURVEYORS INC.
CONC.-CONCRETE , /A' 'U�'�.8EA
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LB#7657
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A-ARC LENGTH .�1 ' Lor /Z h .'•:..I W. _ e-4. -3 Jacksonville, FL. 32223
C-CHORD C{ M n., Q "'"'N `l
CB-CHORD BEARINGS t� a �'ay; �1 L"T°"" s f�lU` (904)683-4241
A/C.AIR CONDMONING ` 3 QN. •% V ti S°OI'50•'�i. l
X-X-X-FENCE _��''; N$0.10.Ore.. "1 N S.0 FAX (904) 683-4231
•CONCRETE Pe' ZO.O ? v Z3.0 GPS ATLANTICCOAST@YAHOO.COM
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41.-SET IP 07 0) JOB# 11-3595
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'.4• n SURVEY DATE: 10-20-11
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I SCALE: 1" = 30'
E00 8-4' e' O NOTES
r\ t) ' 1 O . 1)BEARINGS SHOWN ARE BASED ON
�j o
�"i14 A/ N.R/W OFBEACHAVE.S.84.58'02'W.
I‘lir))f)It'.'L .� 2)FLOODZONE X FROM FEMA MAP
(` X" PANEL 00011) DATED 4-17-89
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p f1'0Z"1a/ FLOOD ZONE MAPS ARE SUBJECT TO CHANGE
Pi.B..`- �_. s.84
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12.7.7 co) ANTHONY O'NEIL
Oep EE S 4 VENUE FLORIDA REGISTERED LAND SURVEYOR
(Ow I/AO/rsl PLS NO.5684
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL
OFA FLORIDA SURVEYOR AND MAPPER