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1749 MARITIME OAK DR RESO24-0026 f=,,•,s'.nr�, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach Building Department PERMIT# EEscZ4-b oz Wit800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process `;I 9' Phone: (904) 247-5826 Email: Building-Dept cc coab.us Job Address 11 y b ►',,,r (2g (c Dr 3Zz73 RE# I(.,y Sc T- 14So Legal Description 61- 132 0?- ZS - 'Z E . Ivi- A-+I<..-1.,- gr.,L, C C LSI+ Z Valuation of Work(Replacement Cost) '7,000 Heated/Cooled SF Non-Heated/Cooled SF •Class of Work: ❑ New ❑Addition E,t1teration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door •Use of existing/proposed structure(s): ❑Commercial esidential • If existing structure, is a fire sprinkler system installed?:❑Yes❑No •Will tree(s)be removed in association with proposed project? 17 Yes (Must submit separate Tree Removal Permit) 1711:10 N Describe in detail the type of work to be performed: -ir,y4. 11 c.6 g saufr-c. -a- Cy.,6,-.., Sy- -I~L - Florida Product Approval# (For multiple products use Product Approval Information Sheet) Property Owner Information Name eub - 4-trib.Lr- Phone &1le j'ci "I5a7 Address 1-11-1 ty rt,,..-; +,,,",;� Q,(, Or City 44-1w41.; tau- State Ft, Zip 3 2-3-3 Email rshe,cr 0 y^-l.a, I • cow Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company 5y..14-,=. ) r 4 c o- )t, Phone q p y Lf S7 OT Z t. Address 7ifo P.,,IIT" iite.A.( 163 f- City lacifo,,„,IL State F . Zip 7Z2fC, Qualifying Agent hila 4-1- J4q „- State Certification/Registration# Email Mu 4-11,(.....,. 14.,4-g-, © A..ki.t-.• w'.. Job Site Contact Number `lute[ y r] 0 rz 2_ Worker's Compensation Insurer -Era IA-- OR Exempt ❑ Expiration Date X /z cr y 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 THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN J ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ' (Signa . - .f Owner or Agent) (Signat - of Contractor) Si7d and sworn to(or . , :.)befo a me this-D-€ 'fid y of S Si and swor to(or alPd)d)b: 'is ..wof e �a� vAN y e� Signature of Notary • A� Signature of Notary [ j Personally Known •R `i J Produced Ide cation j,Tersonally Know � ► Produced I•cation Type of Identification: ,.,•'1 Type of Identification: ✓n •< E.; : MY COMMISSION#HH 407122 TONI GINDLESPERGER In. '� lIF'Y1*.:.. '..4".42 '''' EXPIRES:October 6,2027 �t f of dC4;• ,a �I'r MY COMMISSION#HH 407122 1..t,;;:.'' EXPIRES:October 6,2027 MAP SHOWING PLOT PLAN OF LOT 111 AS SHOWN ON MAP OF ATLANTIC BEACH COUNTRY CLUB UNIT 2 AS AY:.>tWNYO I.V MAT PAN-67 PAt:ES 131-137 OF THE CURRENT MIMIC RECORDS OF DUVAL cowry; FLA. MOI/RD 10: IOU ONOIIORti, INC. 0111..0115 NTICikW Or ILOW TWE'A'LMTAINAGE Il I\ATOSS SVOWN 1110s(II BO ,\T' !EIRE NOON I NOM ENGINEERBIG PLANS BY iA\EOR A N1415.INC.,DATED 04-15-14v° RE\A11ONS SI/OWN HEREON \ REFER TO WAD CF 1988 I4� • \..-1, b t +,� 94 'Ph Q b 5; .. `49 F `{ST J,c l C " i\''''''t NY ES `,+- . „-o-` 4 \ 4\/ r 4? * . -, . NOTE-ALL BU4DING TIES ARE MEASURED TO THE FOUNDATION WALLS. ALL PAYERS DIMENSIONS SHOWN HEREON ARE PER FOUNDATION PLAN ALL MEASUREMENTS ESTIMATED MODEL'CAPIIVA' NOTE; NADER TO MAINTAIN 3.0' FRONT 456*SQ.FT. LOT 111 BETWEEN A/C PAD AND BACK 224*SO.FT. LOT SIZE 6,600*SQ.FT. PROPERTY UNE. DRIVEWAY TO R/W 315*SQ.FT APPROXIMATE SIDEWALK 220k SQ.FT. BUILDERS ENDORSEMENT TREE SCHEDULE ENTRY WALK 38t SO FT. SIGNED. LOT SQ.FT.MINUS EASEMENTS/WINOS 8,600 55.00 FT. NAME ACRES-8,600/43.560 als TOTALRICHT-OF-WAY[ACTH DATE: ACRE3810-REQUIRED TREE INCHES 6.0 TOTAL EASEMENTS COVERAGE 4.003*SO.0*FT.611 THE REQ4JAED NUMBER OF TREE INCHES 181 BE MET TOTAL EASEMENT AREA SO.FT. USING 2'DIAMETER TREES. 70%OF REQUIRED PLANTED TREES SHALL BE CANOPY TWE. 8815 NO MORE THAN 50%OF THE SAME SPECKS. NE 1.01 SWAN NI)LLUN IS N ENE SPtCNE 81.000 111121M1 NK Ir AS SHOWN ON 110100 ERt1ANNCE NATE MAP 0109 N FOR THE Ch OF DIDIISOIMI IE.11.08101 DATED 06-03-13 ALL AMERICAN SURVEYORS OF FLORIDA, INC. ANO swarms-3761 SAN.W ACL SLATE$5-AtaiScNV%EL FLoT10.32137-901/779-0088-URILSED IMV BUSAESS No..1477 [�p.OyMEN L.INl:1=1:: .AN WmY - - - - - - -- - I 4n Ny ill.? N°G . .YA y, a O 0...0 SNUCK/011 FE01 PINI ONLY-ONDI NIPILLSk NT ON PUNPONf 70`JN)r BOIMOWY LYES 808 IS II SAW ON A/E1.D ROI WRYLY' ALL iii Nu N,n r u Nw=PQM AMERICAN G y".... ii< .y I 011NN.Y NOr WNID UNLESS EMBOSSED BY SEAL OF 71o1� suitvaors „to L11-..:,••••"'"''''":"" *9 0.HARRISON.A.Ma 2847 INC. o� uu f 10 YC�YEL A.GANNETT.No.6847 F( .++°. amts N/uL f. Qutemowsum SALE 1.'20 —9 v-we-.v .mei m.roeecea •u y- SJ(N =B M I. .r n r MR �y91-16 ANSWERED WA IMI444 F4 L OR or BEA 0K, P.\2018\84218-I64761-pblpbn ORDER No. 1.4221 !u 64�