2233 N FAIRWAY VILLAS LN DWAY24-0010 REVISION 3-1-24 Revision Request/Correction to Comments **ALL INFORMATION
ar4410. �� HIGHLIGHTED IN
`° City of Atlantic Beach Building Department GRAY IS REQUIRED.
" :1 800 Seminole Rd, Atlantic Beach, FL 32233
't'T�xr`'% Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: DO-1M 24/C00/0
Revision to Issued Permit OR ❑ Corrections to Comments Date: 3/0 s/2.-4
Project Address: 7,,L 3 3 PAit.GWRY 1/I(,LAS LAl A.)
Contractor/Contact Name: 2_ ("ICAJ 60A/ 02e-TE
Contact Phone: '94V-1 G(Oy $'09 Email: 2 MEN eO,✓C/L( .7)4kCJ Ai
Description of Proposed Revision/Corrections:
eg-P/AeE cotJce Pg I V b)4y, E&Tm/JC n,•40 PAP 0 6),1i4
PA I/elt5. ADP A- SI cvor E,k1 f 3 FEET 11)1 C I Fro/vi ,gni vaim
-2) P4720 Div 72-1 1A0C.
t6 ito L. i.a- affirm the revision/correction to comments is inclusive of the proposed changes.
(Printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
Ig No ❑ Yes(additional s.f.to be added:
• Will proposed revision/corrections add additional increase in building value to original submittal?
,®No ❑*yes(additional increase in building value: $ )(Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
MAP SHOWING BOUNDARY SURVEY OF:
LOT 39, FAIRWAY VILLAS, AS RECORDED IN PLAT BOOK 39, PAGES
22 AND 22A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
DWAY24-0010
SELVA MARINA GOLF COURSE
O.R.V. 852, PG. 484
PART OF SECTION 8, TOWNSHIP 2 SOUTH, RANGE 29 EAST
FOUND I/2'IRON PIPJ 501.23.15"E 50.00' FOUND 7/2'IRON PIPE
CAP BROKEN P.LS. /3398
I_ or
e
p I u. r.`�`m ?,:?. O
.I'
a7 � 1a0
it
Rol 40 a LOT 38
LU a �ji.
I STORY I-NAME k u, 7 i—x-
In STUCCO RESIDENCE LC)
/ 2233
p E0
NI
00 .s.1' 00
'.:;4;13'..±1t.---,1 1tl
�'v 7.5'JEA EASEMENT
1 50.76' t NTS. O '.tl.. 70. A N.r.S.
Y zr Y
FOUND I/2'IRON PIPE
r. NO IDENTIFICATION NO1'23.15"W l 50.00 GFOUND arry M1/IUER 2"IRON PIPE
FAIRWAY VILLAS LANE NORTH
50' RIGHT-OF--WAY
L£CENIX
P.C. DENOTES POINT OF CURVATURE
* DENOTES POINT OF TANGENCY
O.R.Y. DENOTES OFFICIAL RECORDS VOLUME
NOTES:
TN; PROPERTY LIES IN 1LOOI)/ONE 7L'EN FLOOD MAP
PESTSFD APRIL 4. 1989, COMMUNITY PANEL NO. 120075
SO01 0
BEARINGS BASED ON THE EASTI ITLY NWT-OF-WAY LINE OF CERTIFIED TO:
FAIRWAY VILLAS LANE NORTH AS UEINC N OI'23.25'W CHARLES MANN
NO BUILDING RCSIRiCTION LINE BY PIAT CTX MORTGAGE COMPANY
ALL FENCING SHOWN 15 9' WOOD FENCE EXCEPT AS NOTED STEWART TITLE OF JACKSONVILLE, INC.
THERE MAY OF ADDITIONAL RISTRLCIIONS TIME ARE NOT SHOWN ON WATSON & OSBORNE TITLE SERVICES, INC.
1(375 SURVEY THAT MAY OF IOUND IN THE PUBLIC RECORDS or
DUVAL. COUNTY.FLORIDA
I hereby certify that this survey meats the
minimum technical standards as set forth by I
• the Florida Board of Land Surveyors, pursuant to
Section 472.027 Fl. da Stat and Chapter
DURDEN 6,9,7 , etratlon *`
I SURVEYING AND MAPPING, INC. //� ,
6150 Lonantnr Rood
JacksonvWe. florid()32211 _ _ �__
I I (904) 724-55E18 Fax 724-9154 Rdtl]A sEles�e D f toe No °roT
LICENSED BUSINESS NO. 6696 H.BRA OMER.1.
SIGNED DECEMBER 30. 2442
I SCALE, 1' 20'
THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED 96TH THE SEAL OF THE ABOVE SIGNED. B—2167
fytl- ,,, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
Cityof Atlantic Beach BuildingDepartment
.; PERMIT it__DWAY24-0O10
\59 800 Seminole Road,Atlantic Beach, FL 32233 **ALL information required to procc
i
'� -r�',r Phone:(904)2,4}7"-5826 Email: Building-Dept@cootdb.us /_ �'a�7
Job Address • . 3 Ait\VV Ay 'J l/ /JU fQ `f �-1 RE# 1(0 `E —/O7&
Legal Description L r, / L IAS c. Vt. I `Q S
Valuation of Work(Replacement Cost) O 4 T-6 Heated/Cooled SF Non-Heated/Cooled SF
•Class of Work: 0 New ❑Addition DAlteration ['Repair ['Move ❑Demo ❑Pool ❑Window/Door
•Use of existing/proposed structure(s); 0 Commercial ❑Residential •If 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) 0 No
I
Describe in detail the type of work to be performed:
1
PAit/I W j Q6— LA( MV►I\- eA (
Florida Product Approval# (For multiple products use Product Approval Information Sheel)
Property Owner Information Name L'il'g2L6's - eA20c.INJ- A,NA/ Phone 9 p%SPY-T ' 2 -
Address f t 373 44 070R___ i /�-C -f7 be / • City /3C KSdAJcilLLe Stater l_ ZIP 3a3�5�"
Email /71anr) o/y€r-/'t ES ' d ner or Agent(If Agent,Power of Attorney or Agency Letter Required)
f -1�� Ylc . na me-Ai C.:L -RE:if 9J 4 7
Contractor Information Nampbf CompanyPhone 0 a-731
Address )/O()1 OLO bT W, oU/O City • SQ4Vi(Kr- State FL Zip 3 ,,(..5
f
Qualifying Agent 6;1'+/ 49 / e5.; CLI Ai /�J I W/-" State Certification/Registration#
Email Ma n1 prt2pc t~-lt/e4'I6L° .Cor Job Site Contact Number
Worker's Compensation Insurer -11\J til G tj fiO,25 j OR Exempt 0 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 city/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. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE SITE OF T EIMPROVEMENT BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCIN c, C INSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR N 'TI E •F COMMENCEMENT.
h ,F ,.„ L.,,, �1.- //
JA
(Signature of Owner or Agent) I /" (Signature of Contractor) �f
Signe and sworn to(or . fir ed)bef.re me this (�/ day of Si,n,d and sworn to(o of irn ed)before me this �U day of
_a b - a ...,,o
v„_
Signature of Notary - �,�IIIIPirs"- `F attire of Notary _ . _ A
I I Personally Known OR I )Produce. .: tification I I Personally Known OR !I l Produce, d ntificat on
Type of Identification: —
Type + a ion;TOM URGER
,;.; ,• r MY COMMISSION N Hit 407122
y. e; TONI GINDLESPERGER
?- EXPIRES:October 6,2027
MY COMMISSION%HH 407122 `�'l o '"''. __ ._._-----
:P. EXPIRES:October 6,2027
0 -