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328 10th ST RESO24-0046 sr lAak BUILDING PERMIT APPLICATION — FOR INTERNAL OFFICE USE ONLY "; City of Atlantic Beach Building Department PERMIT# SC.��� `�1�� s, 800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process -I.on`'� Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address Deb eb 1(9 7(-( S:-f- 2 R. 1-70035--o()� Legal Description Lo+ l ` �( Q4 (3 E c LU i S r-r) C3LK (Z- Valuation of Work(Replacement Cost) © Heated/Cooled SF Non-Heated/Cooled SF •Class of Work: in New ❑Addition ❑Alteration ❑Repair ❑Move ['Demo El Pool ❑Window/Door •Use of existing/proposed structure(s): El 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)l, No Describe in detail the type of work to be performed: i - (( 01'1) tikiA( f0,r -E around poo ( ° 6 .Cy I t o pr qpiora 11tin d sk Guff Pi' Floritla Product Aproval# (For multiple products use Product Approval Information Sheet) Property Owner Information Name (4.IA UN Phone 1(-C Ci Q Address 37.1I b11-- 't City ( aiA-f L ctc1 State Zip 3ZZ33 Email )aSpio,Pal4rmH Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) V�/ At•10w, Contractor Informatidn Name of Company r--(Orl 4A (Ur k- (Om Phone o l{. 7Sj 41 Address 2t 0 a.,, ?),- I d City Ag State Zip U)._33 Qualifying Agent ,-(t jv le,( State Certification/Registration# Email I e� Q P(bIi d 1-fur F cow 7 4 Job Site Contact Number 70 y °1(_/ J`7(4 Worker's Compensation Insurer OR Exempt El 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 THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT. • (Signature of Owner or Agent) (Signature of Contractor) ed and sw rn to(or a ed)before me this j day of d ands orn to(or affix - d)bef.re me this�7-- day/of/ ZrMit .y ttj. #IN l 1 rr MeN I ,2 by A �� 4 U, Ftle.I Signature of Notary All Signature of Notary [ ] Personally Known OROR [ ] Produced tification [ ] Personally Known R [ I Produadentification Type of Identification: ..- ,. Type of Identification: L /.;.<-••...7: TONI GINDLESPERGER1....r,... .."=,, TONI GINDLESPERGER n• 4- `•• MY COMMISSION#HH 407122i: a, MY COMMISSION#HH 407122 F. f••;:j./ EXPIRES:October 6,2027 ,.�'o" EXPIRES:October 6,2027 MAP SHOWING SURVEY OF LOTS 11 AND 13, EXCEPT THE WEST 15 FEET OF LOT 13, BLOCK 12, PLAT NO. 1 SUBDIVISION "A" ATLANTIC BEACH, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA TENTH STREET ? ,�D 40' RIGHT OF WAY PAVED PUBLIC ROAD SCALE: 1" - 20' 40 7 (84.86' FIELD) FOUND 1/Y IRCN o ^ p ._ PIPE,NO CAP 85,00 °MC"BIDEWM-K FOUND 3/4"IRON p -�- ✓ X0.2' PIPE,NO CAP 2 7 15.00' A. t� p �— -- � a NET UNE p VrQ,�$O.00' ri, tyl 1 BI,1 I 6._ m I t 4 1 Q R o n Q1p n a i$ J1 I ¢ ti BRICK 0 W WALL i- a 13.' a7 � r37.,,,.AV'� N 12.2' 6.5 0.-94'Iy y COVERED t 3 BRICK b w .5' I - I ¢ � Z""- _ m 1 STOR BRICK AND pp, 13.1' 4 W 1.31 S SIDIN RESIDENCE 9_ 4 AL NU BER 328 LOT 15 Ig '�Q Ac 4.r� I d Qw - Y [�] I G: LOT 9 I ���,� O CIGto.- PAYERS 124' n I . 13.p' Ka v h� ■ 1 inOi 0 PLANIEA r [h i0 12.' rcj/` C� 60. ca.Ijj�3.7' (TYPICAL) 16.J' I WOOD DECK PLANTER VI n r ! tt D D l W m Z ' . 1�.► L R } ;, \ 13.1' .7 3 Om a i"I , \___,___, tee• 5 17) f'` co,�,'N p 3.B' 16.3' '• / /.1: .... r,� -\ 0.7' ...-pet.w.G3V,4 ar dD o 15.00' k4-).k4 -—: d -` " 0.3'------ T3-x-r FOUND 1/2 IRC..: 0� 6 NVW FENCE PIPE.IU�GGIBLE d d b Fp1ND 3/?um \ 84.96' FIELD) PPE,NO CAP �/ I I LOT 16 LOT 14 LOT 12 I LOT 10 Ca 1 1 NOTES: 1. THIS IS A BOUNDARY SURVEY. 2. NO BUILDING RESTRICTION LINES AS PER PLAT. 3. INTERIOR ANGLES PER FIELD SURVEY AS FOLLOWS: A - 90'00'32" B - 90•01'59" .- . C - 90'01'34" D - 89.55'55" 4. NORTH PROTRACTED FROM PLAT. THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN) AS WELL AS CAN BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP NUMBER 12031C0409H, REVISED JUNE 3, 2013 FOR DUVAL COUNTY, FLORIDA. "NOT VAUD WITHOUT THE SIGNATURE AND DONN W. BOATWRIGHT, P.S.M. THE ORIGINAL RAISED SEAL OF A FLORIDA FLORIDA UC. SURVEYOR and MAPPER No. LS 3295 LICENSED SURVEYOR AND MAPPER." FLORIDA LIC. SURVEYING &MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE` DRAWN BY: PGP OCTOBER 7, 2015 FILE: 2015-1219 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1