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1520 FRANCIS AVE RESO24-0031
Building Permit Application .4,0u-''''. \-,,,;\, Updated 10/9/18 73 x City of Atlantic Beach Building Department ALL INFORMATION `., ::,�� 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY `�`,•I�r REQUIRED. Phone: (904) 247-5826A / Email: Building-Dept(a�coab.us IS R /, -{ Job Address: I 70 f'G rt A 5 ii-v.e- // Permit Number: ,�E 2 Z- `- v 0 3 I Legal Description 51.61 /1- 7 S-z 4 C F-yjnt.,s (4 e Lei k1 RE# i -C11 - 6/00 S /� 1 Valuation of Work(Replacement Cost)$ vow Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition741.teration DRepair DMove ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ,'ResIdentia! • If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No • Will tree(s)be removed in association with proposed project? DYes(must submit separate Tree Removal Permit) ❑No Describe in detail the type of work to be performed: PA L `j ,i I , „`e �l& d at-:0 , �O 6 "�,.,vu €., . 4 AP ;lorida Product Approval U for multiple products use product approval form Property Owner Information _ Name plf ci (it ke, [.Qr'V` S,/ Address ) Z) Hs ke City 40 State 1L zip 37.z'3 Phone E-Mail (Yl ppfe , (, l- /St'c;. e AIT AL`r.,T Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information 1 ,, Name of Company i til-Q/1/1 I C. Qualif inb Agent 1) Q 14 e) I Address !Sc)6pl6t.t,fpo-r� .nh'11,.,4 City Atio . eat.-1 State ('L Zip 37-233 Office Phone lob Site Contact Number_ State Certification/Registration tt E-Mail Pi 4 nC ge i - . - eor'1 Architect Name&Phone tf Engineer's Name&Phone# Workers Compensation Insurer Arti TN 51 OR Exempt 0 Expiration Date 9/3 b/2-y 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 AN ATTORNEY BEFORE REC ING YOUR NOTICE OF COMMEN EMENT. (Signature of Owner or Agent) s' (Signature of Contractor) CG Sed and sworn to(ora time )before me is«iay of Si ed and wor to(or irmed) before me this l day of ?c' 4 ,b ie\ L Leo �lYk ate- 42 If igna . e . '• ary) r ____ -- o " - TABITHA MESHAW TONT GINDLESPERGER PersonallyKnown Ut Notary Public-State of Florida ersonallyKno Q*''': =•ii/e�•e Commission 0 HH 22744 [ j Produced Identi i-alio -4-4- "•+": MY COMMISSION#HH 407122 [ ]'Produced Identification My Commission Expires Type of Identificati• ,:..-•,(*..',': .• , •ctober 6 2027 Type of Identification: July 22, 2024 Gtr 1 • 5 00'15'00" E 52 72 (M) r BEARING REFERENCE UNE I/2. i/[- REBAR x—x--x—x—x—x—x—x —x ASSOC SURV W.: `AF __ 3':.- U3 6645h1 c 1x10 L13 5488 "UN�READABL c C' ;q � i 5' EASEMENT FOR DRAINAGE. �R ' SIO 5- —' 2 UTILITIES &SEWERS _ y: 0.2 62'= . x / FORT~ H I " n OR1t1E 4 K fl I le 0,-,,f • 34 8 ,G tr' 02' I Id 4 ' .'`fit '} �J —r_ i 1-STORY FRAME ii ` !�C, 7 i m RESIDENCE 4 c I . S r r• .. rn , I• r NO 1520 v Z ( ti N t- r I S G Ir n W �� O C w 5 0' 34© 0.4� / �/ cN '� ►>ti I. v i ,.� CONCRETc .. ``/1J IJII//�J, s �. WC PAD • , . ,...t..... , 4,.• '••• ,`" ' - ro n r ' c, t. O ': L Ln r: f� COVERED i q . 06 Cr 0 in,4cU; oI( e 1 FRAME & I�° N. �� } cJS t.� BLOCK . catir_ `HED I D 17 `20' B.R.L. STOOPAr'e,a i - ---- 7 2 METAL II 9 12.0 0 7 T : SHED )R ? *4- 171 ec ' - - 6 I W/ wCOD 9 nj = Sty r�OOR I0 2' 19 7. 0 7.., k7� 0< - 9. 0 3 .' a 7 UNREADABLE. N 0;7'38.42 E 0, 9 4 5 0 HE SOUTH N02'06'19" a789' (A*I E ' • ; TRACT G I 48.18' �R)! UNREADABLE i PART Of THE NOR Ili 1/2 OF TRACT A I -,%1E Y 0 y GENERAL NOTE3T R I' 1. BEARINGS ARE BASED CN PIAT BOOK 50, PACE 5'A / 2 STRUCTURE NO 1520 giOYM HEREON UES '•fTH;N FLOOD ZONE X AS BEST DETERMINED FROM FEMA F.000 MAPS PANEL NO DATEDO4-17-1959 SSOCIATED SURVEYORS INC. 3 THIS IS A SURFACE SURVEY ONL THE ExTENT OF UNDERGROUND FOOTINGS, ////////ff/ LAND & ENGINEERING SURVEYS PIPES AND UTIUTiES, IF ANY, NOT DETERMINED 4 �UHISUICiIONAL ANO/OR ENi"RONMENTALLY S NSITIlE AREAS IF ANY, NOT S 3$4Fi BLANDING BOULEVARD LOCATED BY THIS SURVEY JAC SOIMLLE. FLORIDA 3221.0 5 THIS SURVEY BASED ON LEGA_ DESCRIPTIONS FURNISHED THE PUBLIC ODS-77T-6466- RECORDS WERE NO1 SEARCHED BY THIS SURVEYOR FOR EASEMENTS, C.:, PILE, COVENANTS, RESTRICTIONS. CLOSURES, TAKINGS OR ORDINANCES, ETC. -G J V CEP,i FICATE OF AUTHORIZATION NG L9 000 488 THERE COULD @E OTHER MATTERS OF RECORD THAT AFFECT ;THIS PARCEL 6 UNLESS OTHERWISE STATED AI:. IRON PIPES FOUND HAVE NG IOEN11F1CA11ON HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY LEGEitD/ASSREVIATIOF!>s RECT SUPERVISION AND MEE S THE MINIMUM TECHNICAL 4` SE IRON PIPE OR REBAR P.0 = POINT OF CURVE COV'0 - COVERED rANDARDS FOR LAND S..URVEYINC PURSUANT TO CHAPTER 'ASSOC SURVEY' OR L 8 5488 IP T = PUNT OF ONoN07 E B.ELECTRIC Box IC17- F RIDA AOMIMICTRATION CODE. CIjAPTER 472, r S • FOUND IRON PIN OR PIPE lip) PRC - POINT OF REVERSE CURVE 7 / ■ FOUND CONCRETE MONUMENT (Cu.)AP.0 C _ POINT OF COMPOUND CURVE C LONPUTEC DATA R = RIGHT OF riAY ;Y 1/ r x : CROSS L'UT OR Dkl� HOLE ( ) _ /N i L (R) =RECORD (M` = MEASURED CONC = CONCRETE B I = BUILDING TIE CHARLES 6. HATCHER FLCRIDA�RTIFICATE N 77' R =RADIUS .. ARC LENGTH A\C =NR COND1ilONEF. (E T.) = ESJE TIEHARLES L STARLING FLORIDA ..ERTIFICATE NO. 4579 O.R B =OFFICIAL RECORD BOOKto =WATER METER A = UPUY POLE RAYMOND J. SCHAEFER FLORIDA.,CERTIFICATE NO 6132 0 R ' =OFFICUi. RECORD VOLUME P EO =POOL FOWPYENi -._ GUY ANCHOR P R M =PERI6ANENI REFERENCE MONUMENT -O L =OVER HEAD UTILITIES EN = CHORD JOB NO 4777E 1 MATE 11 -'4-2005 B R I. -BUILDING RESTRICTION LINE X-X CHNN LINK FENCE BTN = 8EI11'EDN E T =ELECTRIC TRANSFORMER & PAD K-W WIRE FENCE -0-0-WOOD FENCE iCAL E: 1" = 20' I DRAFTER TTL9.1R.wt at bl J E A =JACKSONVILLE DICTRIC AUTHORITY C & R = COVENANTS & RESTRICTIONS ,OT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISE'. SEAL OF A F LORIDA LICENSED SURVEYOR AND MAPPER Alk f \t ;, CITY OF ATLANTIC BEACH ;1 `'' .) 800 SEMINOLE ROAD `_) �r ATLANTIC BEACH,FL 32233 H ,..,__________} (904) 247-5800 SURVEY AGREEMENT NOTICE All new projects creating more than 250 Square Feet of impervious surface or requiring on-site storm water retention, including swimming pools, will require pre-construction and post-construction topographic surveys, as required by COAB, Section 24-66 and described in Bulletin 2-18, Surveys. The surveys must be new original documents, from a licensed surveyor, signed, sealed, and dated. Other small projects, such as fences and construction less than 250 SF, will not require a new topographical survey,but a current original-size survey with all relevant details is still needed. These surveys, when included as part of a building permit application, must be complete, up-to-date, and original size and scale, as produced by the surveyor. Copies of old surveys lacking details or copies not of original size cannot be accepted. Building permit applications with unacceptable surveys cannot be reviewed and the application will be returned to the applicant. Thank you for your cooperation in this matter. AGREEMENT I have read and understand the Notice above and affirm that the outdated survey I am submitting is still accurate and complete, and all structures and impervious surfaces on the property are shown on the survey. I further understand that, if the survey is found to be inaccurate or incomplete, a $50.00 Plan Resubmittal Fee will be charged; or if the permit has been issued, a Stop Work Order will be posted with the associated $110.00 Fee. 1 JOB ADDRESS 1c-20çT7A5 OWNER or CO .. CTOR (Print) "''' a pD( (1Li tcf)ne,,r4 Signature ( ,__s,_ w Date /t /Z y