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775 BONITA RD RFNC23-0107 r,'=;r., BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY .- City of Atlantic Beach Building Department PERMIT# �F t�C �G 1�7 -'4E,,,,, _____;) 800 Seminole Road,Atlantic Beach' FL 32233 BALL information required to process Phone:(904)247-5826 Email:Building-Dept@coab.us -------- -- — y77� 1�,� (si; Job Address O/V , RE# Legal Description 3O-(Q 17-2 S-2ci t -Pct.la( P.(rns Or1(4 t Lo 9 l=,1_44-.2- Valuation Valuation of Work(Replacement Cost) ! 4.?ij;:e) 7 Heated/Cooled SF Non-Heated/Cooled SF - Class of Work: ❑ New 0 Addition DAlteration DRepair DMove []Demo ❑Pool Window/Door - Use of existing/proposed structure(s): O Commercial O Residential - If an existing structure,is a fire sprinkler system installed?: flYes E]No - Will tree(s)be removed in association with proposed project? DYes(Must submit separate Tree Removal Permit) El No Describe in detail thg type of woto be perfor if/ST e&A/io /4r%k f/ C'a5, , x682) div 62E, Jllae v't OnC te-- t• A4— II so 4, -® I• d off Florida Product Approval# (For multiple products use Product Approval Information Sheet) Property Owner Information Name P 41TZI(K 4- G�(Z b 2�4 do L1-"M-t) Phone h' 3 38 L.oZ 77 Address 77���v int- City AIL r 0glj-9, State Z,Zip 3.233 PSP @C� �� Email 0(, 6/44,-owner�wner or Agent(If Agent,Power. Attorney or Agency Letter Required) Contractor Inform tion me of Com any 0)05-i lit$E , X2, �l3( Phone ?b y?6/a Address/ , a)Arne i '6� City x State Zip 2 Qualifying Agent , , , j State Certification/Registration# Email piLc?,q 7©6/ , b# - Job Site Contact Number '9,e2 / 7 acb /J Worker's Compensation Insurer gio4 f/ L C , OR Exempt Q Expiration Date Architect's Name Email Phone Engineer's Name Email Phone 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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANC ' ONSULT YO7 NDER O: AN ATTORN EF RE RECORDIN •UR NOTICE OF COMMENCEMENT. iii (Signat .f Owner or Agent) �01. ':nature of Contractor Siiggn� and sworn to(or affirmed)before me this - day of Signed and sworn to or affirmed)before me this ,pit -F day of VCk7Ihe,r , ZO n by p 1'C' [ OI4r-AA 2--F)(;-w- ,Z):23 by f;t:7L L'>kc ) I Signature of Notary Si&mture of Notaryrt.'tJ ' }f • [ j Personally Known OR ['1' oduced Identification ,� �FtY Flt�/(Q�N naliy Known OR [ ]Produced Identification p:-•''• Y P11- G l Type of Identification 0 V •'0'C pe mcjapntifrtation: i MY COMMISSION /0:;*;-- 0:; ;-- VANESSA ANGERS 3 : EXPIRES 10-13-2027 s, O�� f si ' '_ `• MY COMMISSION#HH 244118 l ��` EXPIRES:March 23,2028 �5;9 OF F� .••'�.; ......................`` 0 ".* Fence Addendum Updated1/14/2021 rY tall vip 71 City of Atlantic Beach Building Department l�! 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: r,c 6-N Roo 0 to 12_,5/2.0 2_3 Property Type: Lot Type/ Features: 0/ Residential ❑ 0 e Street frontage (interior lot) ❑ Commercial idMore than one street frontage(corner lot,through lot, etc.) 0 Swimming Pool Fence Material: Fence Height (select all that apply): ID/Wood OrFour Foot(4ft) ❑ Chain Link Six Foot (6ft) ❑ Vinyl 0 Other C4)1i 41-1. c111-) OF (,01-1-{ ❑ 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. Alm 409 Will the fence be built in an easement? dYes (must submit separate Revocable Encroachment Agreement) ❑ No Will tree(s) be removed in association with proposed project? ❑—/Yes (must submit separate Tree Removal Permit) Ed'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. a 9 , A „ : . IY __��� 9 EXACTA ,-ii-"I::i•.^.F:—;,, - • Land Surveyors,LLC 0 9 v www.exactalano.com(office:866.736.1916 I fax:866.744.2882 PROPERTY ADDRESS:775 BONITA ROAD, ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER:FL2302.4045 FL2302.4045 BOUNDARY SURVEY LOTS DUVAL COUNTYIII BLK2 30.0 S852673°E 876q(,y� 230 ) S8510,02"I„;8800'(Pf B�K2 I ON LINE ' v O J I I/2'Fl- — e O NO iI � I/2"FIP NO ID c� ^I Q= 1 3 I s. 410. 6d �L.2 ON O 1:72, ii ^a O of i;, - 6' �� s� ♦ Cl.'. Z a , \ y f /N J Z 411111111 ii =1 1. /Q NI e ��I / 0.7 OFF L_ 25'5.0.1. p '� cf co 1 LOTg goo°cc, 1 BLK 2 ° of — z.s 0488 Ac.tclic: ,� 1 I/2°FIR ---- --_ Ja NO ID L1 I/2•Z RC SOF Q B.C. I NO ID I �;�I' CURB Cel B.C. 1 INi r Al° ' 0028 i4 '. 1-545595I 0 I .. N6522V1.W 8817y* o _ 4 m BONITA ROAD(6p } --4 - o N LINE TABLE: A L1 N85°20'02"w 60.00'(P) N 85°3357'W 60.01'(M) N SURVEYOR'S NOTES: 30 0 15 30 SETBACK INFORMATION SHOWN ON PLAT,NOT VERIFIED FENCE OWNERSHIP NOT DETERMINED. D.U.E.-DRAINAGE AND UTILITY EASEMENT GRAPHIC SCALE(In Feet) finch=30'It. SURVEYORS CERTIFICATION: POINTS OF INTEREST: 1.CONCRETE DRIVE OVER 5'DRAINAGE AND UTILITY ovattu 11u epjH��� I hereby certify that this Survey of the lands EASEMENT. 1.6'WOOD FENCE OVER 5'DRAINAGE AND �i.� described hereon was made under my direct UTILITY EASEMENT. 3.RESIDENCE OVER 25'SETBACK ......i.:- ..k`" Nrr4.��� supervision,and to the best of my knowledge LINE. Nr.L56132 'Vi3 t. and belief is a true and accurate representation it, si of said lands and meets the Standards of lir .1/ Practice set forth in Chapter 5J-15.050 through A -v ¢B 5J-15.053,Florida Administrative Code, ,EXACTA 3 p / Q pursuant to section 472.027,Florida Statutes. Exacta lan/SxwM1r LLC STATE A / 4 to / This survey is not valid without the signature and . Lend Surveyors.LLC fBt 8291 �% J` FLORIDA o:.l r,.1918jn886.1L32210 Tr, ��� original raised seal of a Florida licensed surveyor seae9aeamyeowev.m,lMtwn.nerl3zzw ryi h0-'4 su i °''`���` and mapper,except when the electronic �4ryt21tlli1ti1111Ot11"`` signature and seal of a Florida licensed surveyor RAYMOND J.SCHAEFER and mapper is affixed hereto. '"°; Florida Land State of Flood°Profeovonal Surveyor end Mapper AFFILIATE License Number 6132 _���� Title Association MEMBERS Exacta Land Surveyors.LLC I LBe 8291 -- DATE SIGNED:03/02/23 FIELD WORK DATE:3/1/2023 SEE PAGE 2 OF 2 FOR LEGAL DESCRIPTION PAGE 1 OF 2-NOT VALID WITHOUT ALL PAGES REVISION DATE(S):(REV.O 3/2/2023) REVOCABLE ENCROACHMENT AGREEMENT 't � **ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED. REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and P j P,A-irw,J of Atlantic Beach, Florida, hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as FE-NtE- i cn4t L • - Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days' notice by CITY to USER,said notice to USER shall be given by certified mail, return receipt requested,to the following address l (i ( SEtA4 Por4Q A g Ft_3 22-3 • In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing,operating, replacing or adding to of the utilities and facilities of the CITY or franchise utility provider. • The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." • The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of completion. • This permit shall inure to the benefit of,and be binding upon,the USER and their respective successors and assigns. • USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications,to include utilities locate requirements and use limitations/requirements of easements, public right- of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. I . All Date /r Z512,0z3 Property 0 er/Agent (signed in pre.ence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 2_5- day of 0 c-T1-, E) .- , 20 2 3 by eT. 4' -''-1'`J (printed name of Signer), who personally appeared before me and acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. . � VANESSA ANGERS MY COMMISSION#HH 244118 '' •°` EXPIRES:March 23,2026 c• FOF i�O' Department Approval: Signatures Notary Public, State of Florida [ I Personally Known I tj roduced Identification (Type) t_ 0 L_ Public Works Department Date Revision Date:05/09/2023