711 SELVA LAKES CIR RFNC24-0033 s Lir BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
' City of Atlantic Beach Building Department
"' PERMIT#
��JI" 800 Seminole Road, Atlantic Beach, FL 32233
**ALL information required to process
�c)a`)''' Phone: (904) 247-5826 Email: Building-�Dept@coab.uss ,y
Job Address ./// .J t1 ti-4- LA kEs aA.j le-, P r'U?it lIG & OCII/ rL £ t RE# fNc1.4-0035
Legal Description tb ti1A /--c)✓.l'—
Valuation of Work(Replacement Cost) ii 57.61=----f- Heated/Cooled SF Non-Heated/Cooled SF
• Class of Work: L 4 ew ❑Addition Alteration ❑Repair ❑Move ['Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): E Commercial XResidential • 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)XNo
Describe in detail the type of work to bepe ormed:
Y1.2 / t, E&
I�C Pt7ii!do.; 0//kr ex .e-/- ; keprace w_, �, u n(De�r , i t)kuI v%
Florida Product Approval# (For multiple products use Product Approval Information Sheet)
Property Owner Information Name Lu tCti LE L,' j/U/9 Phone 92y- 9'/ — '16/y
Address 7// S E t(j L Q k e S (L,•(Z - t e City i -LLl�yiiit,„ 6 k4 II/State FL Zip 3 f 3Email j ,'1.,q(3 A-7//�/A,C:COwner or Agent(If Agent, Power of Attorney or Agency Letter Required) Li A)1)t.
Contractor Information Name of Company J.3-t.' c f v ( /al r-GnGC,`{'I 1-4,4:... Phone(croy)-7Y .2.-ifs-?..s.
Address j '-/ ? t/,\wdid Lc,-. S7 City f- .J0/.J/N.J State FL Zip 322-S y
Qualifying Agent Ji jjG A.tnviiri State Certification/Registration# i--I - (ctr. c--i (S" FE��,)
Email leife,(e6-kkAchi, °0 U9 341. ,/. Job Site Contact Number `
Worker's Compensation Insurer OR Exempt Expiration Date yr
Architect's Name IV/A Email Phone
Engineer's Name N//Y 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
4Lo( ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
'tA , .) LA/c.k.ic-L...--' /'
1:% �k
(Signature of Owner or Agent) </ (Signature of Contractor) qi-��,,
Si need ands orn to(or affi7fned) before me thi• IS day of Signed and sworn to (or affirmed) before me this /v day of
1 \CtA e.1'1 , ZO14'by �: • Le LA May" L , f by ni) rti'
Signature of Notary "---;Th y� (— Signature of Notary ,/ _�. %�/ 1
[ ) Personally Known OR [ ) Produced Identifica ion [ ) Personally Known OR bQ Producced Identification
Typ°.' _.-._._._.__,-.. ---.---7--1 TYP° o ,i*,:rtti ica ion: t�A!JM*v 1_,‘ (4 0
;0 ?' TONI GINDLESPERGER ii.... 4 :6-. CHRIS GREENERT
' —=• ' *'' MY COMMISSION#HH 407122 i i Commission#HH 437408
' EXPIRES'.October 6,2027 ".7.;;VO',�,; Expires August 24,2027
• .e'
f--
Fence Addendum Updated 1/14/2021
, ,,,11,,, ' ,, City of Atlantic Beach Building Department
,6;�,' 800 Seminole Road, Atlantic Beach, FL 32233
`_ :, PERMIT #
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
iii sE y'4 1. 4-- k e s etQcic
Property Type: Lot Type/ Features:
l Residential One Street frontage (interior lot)
❑ Commercial D More than one street frontage (corner lot, through lot,
etc.)
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
❑ Wood ❑ Four Foot (4ft)
❑ Chain Link X1 Six Foot (6ft)
Vinyl ❑ Other
❑ 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)
' I 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.
ORDERED 3. -- ear, 1
s .
1 .
LANDMARK -
•
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ti 904 - 998 - 9733 . _,"'
.
i}PROPERTY ADDRESS:711 SELVA LAKES CIRCLE, ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER:FL1909.43)3
FIELD WORK DATE:9r27/2o'9 REVISION DATE(S):MEV°9/2743191 •
a
4 1909.4303 `t
BOUNDARY SURVEY
DUVAL COUNTY
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+ ole survey That rrOle#18 to rr►'tPrectke set lore by the Florida Board of Pro/essnral --- - �.Q
1111
Surveyors 8 Mappeis'inE er3,l-17 of the Fbrda AdminaIahx Code. GRAPHIC SCALE (In Feet) \. ►/�
r{•'' DATE SIGNED 9/27/2019 1 inch = 30' ft.
:'1 the of Mt w,any Of 1WPosef alr,er;un IrtaMeb...U.•r WI,ten v°nruocnr4 be at Owl/48A SO4 fa*a.d WnMIRUebIMYWlMSYrvryor
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tJ FLOOD INFORMATION: - POINTS OF INTEREST
•
B BY PERFORMING A SEARCH W.T4 THE LOCAL GOVERNING 1.CONCRETE DRIVEWAY OVER 7.5'JACKSONVILLE ELECTRIC
'G MUNICIPALITY OR WWW FEMA.GOV,THE PROPERTY APPEARS TO BE - AUTHORITY EASEMENT
`I LOCATED IN ZONE X THIS PROPERTY WAS FOUND IN THE CITY OF
M ATLANt IC BEACH,COMMUNITY NUMBER 120075,DATED 11/02/18.
:ra -. - '., Florida Landi. AFFILIATE
CLIENT NUMBER:19-3511 DATE:09/27/19 _ Title Association
.r,
BUYER:BETTY R.SEEL AND BARBARA 3 SHERER - FL'-TA • __ MEMBERS
e SELLER:BETTY R SEEL AND BARBARA B SHERER ..1404,::, . • ._. •
-
.'ti-.,
CERTIFIED TO:BETTY SEEL AND BARBARA 3 SHERER:LANDMARK-71111C; EXACTA LAND SURVEYORS. LLC.
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY, OSP Ri91
j7 TRUSTLINE MORTGAGE.INC AND/OR THE SECRETARY OF
• 7) VE-ERAN AFFAIRS 1194U Fairway takr's Or.Y4 I I Fon Myers,Ft 31913
o:PAT.7a-s.191r.i r.REG
This is page 1 of 2 and.s not valid without aN pages. ,,,.,,,„r„ rr^In,r,.•, +_,.r, r..r•.,I;
REPORT OF SURVEY FL1909.4303 'This is page 2 of 2 and is not valid without all pages. ff
LEGAL DESCRIPTION:
LOT 138,SELVA LAKES UNIT THREE,AS RECORDED IN PLAT BOOK 44,PAGES 60,60A AND 60B,OF THE PUBLIC RECORDS OF DUVAL COUNTY, ''.
FLORIDA.
1
�j
JOB SPECIFIC SURVEYOR NOTES:
THE BEARING REFERENCE OF NO6.18.00'W IS BASED ON THE WESTERLY PROPERTY UNE OF LOT 138.SELVA LAKES UNIT THREE,AS
RECORDED IN PLAT BOOK 44,PAGES 60,60A AND 60B,OF THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA.
GENERAL SURVEYOR NOTES:
1. The Legal Descriptor used to perform this survey was su polled by others.Thi survey does not oeterm re or imply ownership.
2. Thu survey ordy shows improvenserts found above round.Underground footings,utilities and ercroacnments are not located on tnls survey map.
3. If there is a se of is tank,or dram heid shown on tins surveythe brat i on•sresorox.mate as the location was either shown to Exacta Land Surveyors,LLC.by a thud party of it was
est'mated by metal detection,prolong rods,and...sisal above ground esf pecticn only No ercavat or.was performed in order to determee the exact and accurate location
4. This survey Is eaCWsuely for the use of toe part es to whom it s Certlhed.
S. Additions or deletions to this survey map and report by other than tie sign ng party or parties Is pronrodeO without written consent d the signing party or parties.
6. °Olen.ofu are,n feel and decimals thereat
7. Due to vary eg Construct ion standards.'.noose dimension are appronmate
a. Any FEMA flood tone data contained on this wavey is for enformatronai purposes only.Research to obtain such data was performed at www fema gov
9. All corners masked as set are at a minimum a'4 diameter.18-eon-ewe with a cep stamped I.5e 8291
10. If you are reader;this survey man electrons,format.the information contained on this document is only valid If obs document to electronicahr signed as specified in Chapter 51.
17.062131 of the Honda Admuustrat.ve Code and Florda Statute 472.025.The Elect fors Signature rile related 10 this document is wornmently displayed on the invoice for this w-vey
wbCh a sent under separate cover.Manually stgned and sealed logs of all survey signature files are kept in the offye of tie perto•rung surveyor If Inns document is in paper format it
is not valid without the signature and prigina.raised seal a a Ronda Licensed Surveyor 1
11 Unless otherwise noted,an examination of the abstract of title was NOT performed by the signing surveyor to determine wh ch instruments.if any.are affecting this property
12. The symbols reflected in the legend Ord on this survey may have been enlarged or reduced far clarity The symbols have been plated at the center of the field location and may not 54
represent the actual shape or sue of the feature
13 Points of Interest(PCP's)are selected above-ground improvements reach may be in contrite with boundary buAding setback or easement linesas defined by tie parameters of
•
this survey There may oe additional 001',which are riot shown.not called-out as POI'!.or which are otferwese unknown to the surveyor.These POI's may nor represent all items of
interest to the newer.
14 Li teases MAW or the sublect property may Cr may rot indicate the existence of recorded or unecurded utltf,easements
:5 TheInform/soon coreairled on this survey has beer performed exckis>veh,and.s the sole responsible.,of Exacta Land Surveyors.LLC Additional logo or references to third party
rums are for informational purposes only_
aursuant to F S 558 0035.an individuaemployee or agent may not be held Indveduahy liable for negligence
twist measurements 5150010 not be used for new constrt>clion Or pian reng.Measurements should be verified prim to such actrMy.
LEGEND:
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BETTY R.SEEL AND BARBARA 8.SHERER
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