161 SEMINOLE RD RFNC24-0053 „:�"---t. BUILDING PERMIT APPLICATIONFOR
jl City of Atlantic Beach BuildingDepartment r�rr; ►,ac €�cfus ONLY
rt~
800 Seminole Road,Atlantic Beach,FL 32233 PERMIT R� �-L�
Phone:(904)247-5826 Email:Buildln Det c_oab.u5 **ALL information required to process
l g � � •
Job Address _______k____________ _________/ �IS�.F �>t�rt t! t - - '
Legal Description
Rۥ 1-70G08 "000 O
Valuation of �»rf(rePi cement Cost) �� __ _
Z- Heated/Cooled SF Non-Heated/Cooled SF
0 Class of Work �Nev✓
[Addition fAfteration [Repair [JMove DDemo 0 Pool
•Use of axistingiprapased Slructure(a': ❑Window/Door
fl Commercial Q t-eside ia) •if exi,sting strums:is a fire sprinkler system installed ; Yes CJNo
•Will tree{s)be removed in association with proposed project? ID Yes (Must submit separate Tree Removal Permit) 210
Describe in detail the type of work to be performed:
- $T - 4 rrht-ce zu reodv7 1400 ;
Florida Product Approval# — .- -- -- ---- —
(For multiple products use ftoduct Approval Ir forrAtation Sheet)
Property Owner Information Name Pio r„. 904
1 ,1 Phone "j''' z774 .
Address ,)cjir) !"/' 7 r►a' o qty
Email(i�1✓rJl ?► +e"Ov►4cs'I. (.6,011.' -jig___ State yip tZ33
IOwner or Agent(If Agent,Power of Attorney or Agency Letter Required)
I Contracttorr Information Name of Company : ttlAET F NCC r4 t- 4' '�”
_1 �T� /�J�`11 �4� kb �i� f t3b City �� Phone 'I t�, �q�. /2-31/
Address t3 -s--•�-
_ ..._X . State PL- Zip 1 j��
Qualifying Agent - �
Age L J DEV_ State Certification/Registratiordt
Email iso ion 97 tf(s l e GlG 1. co viii- - --__ _
= T-- Job site Contact Number /04 'j 5 �t>GS
Worker's Compensation Insurer € f,44-,S, OFt Exempt r-El - _
a Expiration Date
Architect's Name -
Email _ Phone
Engineer's Name
T, _ email Phone
Application is hereby made to obtain a permitto 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.
NOME: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
rictions BEFORE RECORDING YOUR NOTICE OF COM a CEMENT.
e4/frie4:4-,- , ;;-64,--- 74.2u-------/e6=5-
(Signatu e of,
f O>Slner or Agent -- !"�� -Sol"N
Signed and sworn to(or ed)bef, e chi dayoftYl
�t�,,. Signed and swvr, onor affirmed)before me this �� d�of
,�_![ots�•dr --,' ti _ by..i _4..1 Its •Ca�triili 4.. 21J'23 ' 19 cel
Signature of Notary • `NW=
---
Signature of Notary 111
i I Personally Known OR J Produced Ide.ntiti , n
' J Personaify Known OR ) )Produced Identification
Type of Identification:
_ Type of Identification;
°lie'•., MAYRA D.OBERTI
;:3 ":'".Yg•••• ?g Notary Public•State of Florida
;_. p: TONI GINDLESPERGER
�� , ` Commission#GG 949232
or F‘,7,/ M Comm.
.`• MY COMMISSION it HH 407122 �'
^�� Y Expires/my t5,202a.
f•....oP: EXPIRES:October 6,2027 Bonded through Nation'N.;t..n.;.-
7r" Fence Addendum Updated 1/14/2021
City of Atlantic Beach Building Department
: 800 Seminole Road, Atlantic Beach, FL 32233
9. , PERMIT#
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Date:
/4 e SO n o 12/-760 23
Property Type: Lot Type/ Features:
514esidential ®'One Street frontage (interior lot)
❑ Commercial ❑ More than one street frontage (corner lot, through lot,
etc.)
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
ITYCAlood 1:4'f-our Foot (4ft)
❑ Chain Link ❑ 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)
VN o
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
E 4io
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.
MAP SHOWING BOUNDARY SURVEY OF
LOT 630 AND THE NORTH 17 FEET OF LOT 631, ACCORDING TO THE PLAT OF "SECTION NO. 1 SALTAIR"
AS RECORDED IN PLAT BOOK 10, PAGE 8, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: ARTHUR W. BROWNING, JR. , DEBORAH BROWNING,
STEWART TITLE OF JACKSONVILLE, INC. ,
If SOUTHTRUST BANK
GP* AND WATSON & OSBORNE, P.A.
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d E. Y 0 GENERAL NOTES,
R 4' 1, A,i6ids4,ce5-..dow,c/Foe,THIS sue✓ey,
tSN
r? 2.STRUCTURE NO. /G/ SHOWN HEREON UES WITHIN FLOOD ZONEX AS BEST
A S3O IA'fQ
ED SURVEYORS INC. 3.THIS RISINED SURFACE SURVEY ONLY. TF.E.IA.A. FLOOD HEPEXTENT OF UNDERGROUND FOOTINGS,
i LAND & ENGINEERING SURVEYS PIPES AND UTIUTIES, IF ANY, NOT DETERMINED.
w 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT
r 3846 BLANDING BOULEVARD LOCATED BY THIS SURVEY,
Q�/// JACKSONVILLE, FLORIDA 32210 5,THIS SURVEY WAS BASED ON LEGAL DESCRIPTIONS FURNISHED AND THE
/ j 2 904-771-6468 PUBLIC RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, TITLE,
`�O % CERTIFICATE OF AUTHORIZATION NO. LB 0005488 COVENANTS OR RESTRICTIONS THAT MAY AFFECT THIS PARCEL.
•-.. S S d 6.UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY X—X- FENCE LEQEND/AISREVIATION$ 1(R) - RECORD
DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL Q -SET IRON PIPE OR REBAR MPRK P.C.a POINT OF CURVE (M).MEASURED
STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER •' ASSOC. SURVEY •• OR LB. 55466 P.t+POINT OF TANGENCY p . CENTRAL
61G17-6 IDA AD/ NISTRATIO ,CODEeil ��// '_�2, F.S. w " FOUND IRON PiN OR PIPE CA • CEMERUNE ANGLE
:-l!'� f``J' f-� -r' X • FOUND CONCRETE MONUMENT LP.• IRON PIPE F PIN L.ARC RADIuLENGTH
X CROSS CUT OR DRILL HOLE R/W - RICH! OF WAY R • RADIUS
BY: CHAR ES B. HATCHER BY: - POINT OF REVERSE CURVE ELECT.- ELECTRIC (CHO- CHORD
FLORIDA CERTIFICATE NO. 3771 P.C.C.. POINT OF COMPOUND CURVE REN..- CONCRETE NdcD. NAIL AND
0-RI. ,. BUILDING RESTRICTION UNE REF. COR.•REFER£NCf DISK
JOB NO. 268 93 DATE /?.4P,a"z, 200/ 0RV - OFFICIAL RECORDS VOLUMECORNER PLAT
SCALE: /"-ZO
ORB - OFFICIAL RECORDS BOOK (CdER)• COVENANTS STR1 �AND P B - BOOK
DRAFTER%'•J•F, ✓�e• J.E.A. -JACKSONVILLE ELECTRIC AUTHORITY —OU—.OVERHEAD ;MUTES
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER