Permit 80 Ardella CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000424 Date 4/20/10
Property Address . . . . . . 80 ARDELLA RD
Application type description FENCE PERMIT
Property Zoning . . . . . . . COMMERCIAL, GENERAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
MOVE FENCE 2FT OVER ON PROPERTY LINE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LEWIS BENJAMIN E & R ENTERPRISES OF NORTH FL
80 ARDELLA ROAD 2628 WEST END ST.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 270-2185
----------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/17/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I /
CITY OF ATLANTIC BEACH 09-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL.32233
OFFICE:(904)247-5826 e FAX NO..".(904)247-5M5
-DEPTQCOAB-US
BUILDING
APR I DUVAL COUNTY
BUILDING PERMIT APPLICATION
2,VALUATION OF WORIC 13.80.FT.UNDER ROOF-
1. DRESS: -Wov 1
ea&Az&�P--j
,4.LEblitVESCRIPTION. 5.CLASS OF WORK B.LISE OF STRUCTURE:
0 NEW BUILDING 13 DEMOLITION oKRESIDENITIAL
Lt;?—#—(20CK SUBDIVISION 11 ADDITION 0 CONVERTING USE 0 COMMERCIAL
1 13 ACCESSORY BLDG. 8.FIRE SPRINKLER�
7.DESCRIPTION OF WORK 10 ALTERATION
L I SPA 0 YES 13 NIA
aq IeO P60Y 42 I=g�—I 8 P2100Jr,3 ZVEMOMnSrOTH1�11 0 NO
Ap" ':L CONTRACTOR. AKUMI I r.%-I/ENGINEER:
PROPERTY OVIINER:
9.NAME LeMp Is.CIMPARY NAME: 23.COMPANY NAME
V
16.NWW(oj f4jt..Cj1p�C 24.LICENSEE NAME:
I RESS .STATE OF FLORIDA DA LICENSE NO.:
O.ADD 7 LICEN§LINQ.: 25.STATE OF FLORI
C6rr, 1504155
10%J3.> 26.ADDRESS:
ATL*,L"TLC &C(A ft-SM�
FAX NO.:
11.OFFISC�PHOJ, 6412,FAXNO.: 19-OFFICE PHONE 20.FAX NO: 27,OFFICE PHONE: 7
2 (0 ?"110,7,115 NO)CO-4-
13.CELL PHONE" 21.lWe : 29.CELL PHONE'
14.EMAIL ADDRESS: 22.EMAI DRESS* .30.EMAIL ADDRESS:
FEE SIMPLE IME ROLDER�- BONDING COMPANY: MORTGAGE LENDER:
OF OTHERTHM OW4M
31.NAME: 33.NAMIE 35,NAME:
32 ADDRESS: 34.ADDRESS: 36.ADDRESS:
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 laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or
abandoned for a period of sbc(6)months at any time after work is commenced. I understand that separate permits must be secured for
EllacbIlcall Work,Plumbing,Signs,Wells,Poo*Furnaces,Boilers,Heaters,_Tanks, Air Conditionem etr
OWMEIrS AFFIDAVIT-I cerfify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a cerfificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDFAORAN ATTORNEY BEFORE RECORDING YQUR.NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR, ;
(If Agenk Pow of Afforney orAgency Letter ReWired)
-(2
Date: Signed- rJO
S* 4--o A
B:efor-e me Uft day 200j Oe county of Before me thils A J Gay I-JA, A .2 county of
1.St.: 6 appeared
I State of FkW)Wide,has, appeared Duval,State of I-
6rin by himself herself and affirm that all statements and deciarations are herin�y himself/herself and affirms#let all statements and declarations are
t true and accurate
N�a;d a=
N to I� ftt 60 Note u icaturae,State of flcricu�--o
P P. 81irbarti K Kennelly P
ersonallY h4 Commilision D08 81 0
13 Prowced
Notary Sign No ry S" ao�
BLDG01 Permit Application BkIW REVISED.,1211 W008
FILE
OF BEGINNING OF THE LOTS HEREBY CONVEYED; RUNNING THENCE WEST 50 FEET; THENCE NORTH 115 FEET TO THE SOUTH LIN
OF A 30 FOOT ROAD; THENCE EAST ALONG SOUTH UNE OF SAID ROAD. 100 FEf;T, THENCE SOU-TH 115 FEET-, THENCE WE�
50 FEET TO THE POINT OF BEGINNINIQ OF THE LOT HEREBY CONVEYED AND BEING ALSO KNOWN ASIOTS 17 AND 18 OF BLOCK I
'S S/D- ACCORDING TO SURVEY OF 1. R- WELLINGTON. SURVEYOR (UNRECORDED PLAT).
�aF DONNER r
CERTIFIED TO: W
ARVELLA ROAD(-yo, /?,/W)
,\4
- 540.00 EDGE OF\�)
EAST 100,00a) 48.94, M f-PANEMENT.
NAIL & -SEWR
1/2 366.80' (R) LO 4921 ViLm. v. :/2- 85.6v (m) Lal;72
w 3;79 389.jr (M) 1,1* (IN IREE Roln)
50.0w (R)
50.4s (m) NAIL:& DISK
SITE (1!f ROOT OF
36 PINE TREE) A
3
BENCHM Lj' 0 2
NAIL & DISK
LB 54W Q MCK
PIK
IN 36" PINE & am
ELEV- 15.25
NOW '29
"i I SfORY FRAME z
RESMCE
so
F ELEV. lag' L)
F.
0
l-1w co
0 Iff
C6
r
'8 to. 9
t--0 61.
0
m APPROX.
WEST 1/2 TOP
c
RETEN
A.K.A. APMOX. AREA
LOT 17
BLOCK 16 TOE —o 1-7r
10
DONNER'S SUBDINASION
FOZNT OF "IASIO 31
TION
0 Li
)N UNE jw3gve (M) _9
AX4 C.M. WrzST 50,W (R) 0.6'
WEST 50.W (R) 3/4" W/"N 4.9-99'
NOTES. 0.53, S L70
I.) ELeVATIONS ARE 8A.sEj) ON NOVO '29 549.
GOVERNMENT LOT 3 CAST IJW or FaIrNT OF 0 T LOT 2
GOVMMENT i70Af"NCZ1AfWff -
___LOT�3 HMT" UW OF f-ASTRO Y MWER GRANT
X-REFERENCE JOB JOB NO.: aAZL4—.A242;-%%ZU
,2%AWWAL CHARCL,pLQW PL_ /AA,= �,dW-X(WAbM) _AREAS CF&2K AMWAL 04AW3E RAOM AREAS OF 1%
W DRAINAM AREAS US$ MAN I SWAK MM. AND AjW#S pRo-Mayo gy LE%MS FRW it A?04UAL CHAME FLM-
FL T0*FeLECSQS"TVHAANE 11080-T IR W
A1=Za,Mt4EA7C1E
OARMAL
V 0 RVEY.
i, ANGLES AS SHOWN ON THIS St)
2.SWICTURE NO. go SHM WREON UES W"FLOM ZW— x AS
Ep gEST OpumM FROM F.EJLA. FLOW MAPS PA14EL NO_j--DATM_04-17-lqa9-
330CIATEE) SURVEYORS IIMOQ,� 1 3.THIS Is A SURFACE SURW-Y ONLY, THE EXTW OF UM"GROUND FOOTINGS'
pjpES AND UWTIM IF ANY, NOT DETFRMfNED-
LAND & ENCINEEFdNG SURVEYS AREAS IF ANY, NOT
t 4.JURISDICTIONAL ANOhOR EWRONMENTALLY SENIVE
3846 BLANMG BOULEVARD 4 LOCATED BYfIKS WRVFY
jAcKsomillLE, FLORIDA 32210 SuRvE:y BASED ON LEGAL QEI NISHED. THE PUBLIC
5.THIS FOR EASEMENT, TITLE
Al. ao4-77i-6468 RECORDS WERE NOT SEARCHED By I
k,,� 1 GOVEN0173, ".LS. REMCHONS- 0-=FJES& TWAGS O-R ORDINANCES` ETC
TE OF r AUTHORrZATION NO. L8 OW5488 1 THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL,
0 S V CERTF)GA 1 6.UNLESS 07HMSE STATED ALL RM fWES FOUND HAVE NO IDENTWICA71014
UNDER M - LEGENWANMVIAT"s
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER M
n,aCtT ejtojrMACIrNhj Akin LACrTC Tjjf7 LJIWI&il)kA T97rIt-IMIr�A1
City- of Atiantic Beach APPLICATIOWNUMBER
..... T&MRIVEM, I
Building Department C-lb be assigned'b
the BL;ffcp' -g De Eartrnent)
Atlantic Seach,Florida 3223a-S-*
800 Serninofa ROL-cl
-45 'APR 1 4 4010
Phone(9G4)7-47-5826 - Fax QDG4);641,
jl�3 E-maff: buffc11ng-deptgcoab,.us By: Date route I d-'"
CHLYWeb-sita" httP.-1Avwff.coab.us
APPLICATION REVIEW AND TRACKING FORM
"roperty Address: 4r,4f )I, -PA Department review required Yea No
PfqMj=&Zon�j�
kpPlicant:
(e 7- 14, A 17,6
Puma Sax.bty
Fire Services
Mar Agency Review or permit Required Review or Receipt Date.
FloriEfa Dept Of Envir0runantat Protection of Permit Veriffed By
Florida Dept of Transportation.
SL Johns Rker-Wata-r management District
AnnY Corps of Engkieers
Division of Hotels and Restaurants
Division of Aftmhoricaeveragesanct-IabaODD
Other.
APPLICA71 ION STATUS
eviewing Department First Review- OA�praved. F-jDanied.
(Circle one.) Comments.,
BUILDING
I-ANNING&ZONING Reviewed Date:
TREE ADMIN. f
Second Review.- OAPProved as revised- E7E)enied-
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DAPProved as revised. ElDenied.
Comments:
Reviewed by: Date-:
Public Works Plan Review Comments
: (�q
Date: 10 initials Y I
Project Name/Address: Application Permit#: 10 - OL(A�
Check,Box
to Add
Application Tratking Comments �Co I mment
Provide impervious surface calculations. 0
Provide erosion and sediment control plans with installation details and mim7—tenance _E3
schedule.
Provide drainage plans showing site topography (flow arrows, etc.)
Provide construction site management plan, including Right-of-Way Permit if using
right-of-way for construction parking. ared by a Florida LicenseT_
Provide a pre-construction topographic survey prep 0
Professional Land SurveyDr, s )wing 1' contours.
Section 24-66(b) of the Land Development Regulations requires on-site storage for
increased runoff. Provide Delta volume calculations and on-site retention required 0
per Section 24-66(b). (See attached info. Sheet)
If on-site storage is required, a post construction topographic survey documenting 0
proper construction will be re dred.
A Right-of-Way Permit must be obtained for use 0
A Revocable Encroachment Permit must be obtained. 0
Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from
street or drainage feature (swale, structure or lagoon).
All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from
the edge of the pavement to the property line. Reinforcing rods or mesh are not
allowed in the ROW (Co mercial driveways—6" thick).
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and
must be overlaid 10 feet in each direction from the center of the cut. Repair must be
shown on the plans.
P - Roll off container company must be on City approved list and cannot be placed 0
on City right-of-way.
City OfAtiantic Beach APPLICATION
assigned gb the Build artment.)
I R�C EM cro be
Buf1ding Deparftnent VEI
800 Serninofe Road PgD
A-dantir,Beach,Florida 3"33-54455
APR 1 4 2010
Phone(904)247-5825 - Fax(9G4)247-5f 45
E-mat buffding-deptgcoab.us Datarduf4d- '
Gffy web-site, hffp.-fAvww.coab.us BY: 7
APPLICATION REVIEW AND TRACKING FORM
DeParftnent review requirmed Yes No
Property Address: 4-rif
Applicant: PfqggW&Zon!g 10,
V f'-
cpf Th 9AER598-:71
Public Safety
Fire SerAces
Other Agency Review or Permit Required Review or Receipt Daft
Of Permit Verifiled By
Florida Dept.of Environmental Protection
Florida DepL of Transportation
St Johns Piver Water Uanagement District
Aurry Corps of Engineers --I—
Division of Hotels and Restaurants
MvEuan of Akx)harJd Beverages and Tobacco
Other
APPUCA 17ION STATUS
–]Denied.
Zoviewing Department First Review. IXApproved. F
(Circle one.) Comments.,
BUILDiNG
:PLANNING&ZONING
Revievwed Date:— 11-/0
TREE ADMIN. Second Review: E]Approved as revised- E �Denied.
P W01 Comments:
LIC I
0
P ETY Reviewed by: Date:
FRESERMCES Third Review: E]Approved as revised. E]Denied. RX
Comments:
Reviewed by: Data-,
v�sed OS1141G9
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 10-00000423 Date 4/20/10
Property Address . . . . . . 80 ARDELLA RD
Application type description SHED PERMIT
Property zoning . . . . . . . COMMERCIAL, GENERAL
Application valuation . . . . 4SOO
----------------------------------------------------------------------------
Application desc
1SO sq ft shed -----------------------
----------------------------------------------------
Owner Contractor
------------------------
E & R ENTERPRISES OF NORTH FL
LEWIS 2628 WEST END ST.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 270-218S
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . - 37 . SO
Permit Fee . . . . 7S . 00 Plan Check Fee -6- -
Issue Date . . . . Valuation . . . . 0
Expiration Date . - 10/17/10 ---------- ----
------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Grand Total 112 . 50 112 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH.FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPTGCOAB-US TION DUVAL COUNTY
BUILDING PERMIT APPLICA
OF WORK, FT UNDER ROOF
2.
DRESS: 00
AIRPS LL 0
5.CLASS OF WORK,
41 MLE L DESCRIPTION: 0 DEMOLITIO RE IDENTIAL
0 NEW BUILDING
0 ADDITION [I CONVERT] C A[.
LIT1*1 ILICK I SUB DIVISION A I U
U ERATION XP ACCESSO 0 N/A
,7.DESCRIPTION OF WORK: 0 REPAIR 0 POOL/SPA 13
IWID I STOQA%e [3MOVE El.OTHER
41TEC I ENGINEER:
C
15.COMPjNjAME: 23.COMPANY AWkt-7-
9.NAME: lam-%ses
P, wn 24.LICENSEE NAME:
16.NAME
9XIIII14"
10.ADDRESS: 7.STATE OF FLUKIDA LIC SE NO.: 25.STATE OF FLORIDA LICENSE NO.:
d2f% ^A0ekj%-$q c:I,. ex9ci.50AVt 513 -
A%TSte jjN 0 26.ADDRESS:
CPW # 0 Wl,;%T L
AT%-$0V^XTCC ?
liptlem vrt.-
3-"*3S A-rwwlic UA4 Ft-%'U53
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20 F4j NO.* 27.OFFICE PHONE: 28.FAX NO.:
1.120-21 29.CELL PHONE*
13.CELL E 1.CEL HONE,
pepq 424P-S7(*s(0
14.EMAIL ADDRESS: 3404 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
MORTGAGE LENDER:
................... flTLE-HOLDER. BONDING COMPANY.
�:EE 81111111TE
OF OTHER THAN OVMEW� 35.NAME:
31.;AME: 33.NAME:
36.ADDRESS:
32.ADDRESS: -----134.ADDRESS: nf��
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 laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or
abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs.Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,ete- _
OWNEWS 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. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE-MENT.
OWNERor'AGENT �.�'�i�CONTRACTOR
cyr :
(If Agent Power of Attom6y or Agen Letter Required) Nal or only)
� 0 .4-1?4 :
Date: Signed:
Sl 200ji5e county of Before me this d �0;0' the county of
Before me this te of F1 a ers
D I State of Flon a,has p�.rs.C,,.11y�ppeared Du orida,he all appeared
\:tala or rlull-,11- 10-11-y
d affirms that all statements and declarations are
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself an
true and accurate. true and accu
N ta Public at
Noterowl -y1L1;,^rg.Ttat.ol �Rmnty
11"U
;ary P 7p.ally Kn BaMarp K Konnelly
Ole n
0 arr)ara K KenoellY El Produced Id M commiss,
op01
P
0 P I Ir r 1112013
Notary Signatur
REVIEWM511-00-b"E- COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
FILE COPY
j
I LMVIEWED BY: DAM:
-------------
-------------------
-7 tv
L C$
----------
U%
41-
;K
T CLo4TG
iv IPS
IS
-------------
------- -------------- --------
ava
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
To whom it may concern: to certain real property, and in accordance with Section 713 of
The undersigned hereby informs you that improvements will be made
'E OF COMMENCEMENT.
the Florida Statutes,the following information is stated in this NOTI� i-�� SA-Dwied
Legal Description of property being improved: 19
uA 3-L13-3
Address of property being improved: 190 low
General description of improvements: S151 TT. SroaA41r S%A ED
Address: So AiZt)Q).,A eZ-. AVUAAIZ $" fL
Owner:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name: e-!9 Noe-r4
Contractor: �39
Address: 2&;8 Wus%r 15vp 6-1.
ev� TelephoneNo.: 'Z7a 7-17-5 Fax No:
Surety(if any) Amount of Bond$
Address:
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No: in iff da
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of record g unless a d erent te is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed- �Sk, Date:
Before me s 0 in the,Countv of Duval,State
Of Florida,has personally ap
L)oc-g 2C),j o06-240 1,(DR SKI t32-11 I �age 24. Notary Public at Large,State of lo Of M91001
NUmber Pages, 1 My commission exp 075i
or
Recorded 04/1311�o 10 at 09:30 AM, Personally Known:
JIM FULLER CLERK CIRCUIT COURT DUVAL Produced��i ation:
COUNTY
RECORDING$10 00
50 FEET; THENCE NORTH 115 aT OUTH LI
OF BEGINNING OF THE LOTS HEREBY CONVEYED; RUNNING THENCE ENCE SOUTH 115 FEET; THENCE WE
OF A 30 FOOT ROAD; THENCE EAST ALONG SOUTH LINE OF SAID ROAD. 100 FEET, TH
5o FEET TO THE POINT OF BEONNING OF THE LOT HEREBY CONVEYED AND BEING ALSO KNOWN AS LOTS 17.AND 118 OF BLOCK
ACCORDING TO SURVEY OF 1, R. WELUNGTON-1 SURVEYOR (UNRECORDED PLAT),
DONNER'S S/D
_CERTIFIED TO:
go:A21)ELLA,, 17, L C- A ROWE X L A R42AP
'60. go, (w) EDGE OF
48.94, PAVEMENT
EAsT 100.W 1/2"
NAIL &01 SEWER'. V. La 3B7,
L6.4921 VALVE 112- S5.8!V (M)
1/2" ass.8w (R) (#4 IREE ROCO
389.1?* (M)
1/2 a4 'w-
La 492, NAIL& bISK
La 54a8
(IN kOOT OF
3V PINE TREE)
2-2'
NAIL DISK
LB 5488 MCK-
IN 34' PINE CONQ
ELEV- 15-25 25.6
NOW '29 170.
I STORY FRAME
RESIDENCE z
No. 60 a
?n
5;
F.F. ELEM 13-9'
C'I 5� a) w j
10 ED x
1E
zcs,
w _j LA1
-f_
r4 . __;
04
05
0
Sri
133
TOP OF SLOPE 4r
VVEST 1/2
2:5
A,/i 2.8) -RETENTM
A.K,A. AIPPRIDYL AREA
LOT 17 1 TOE OF��jj
BLOCK 16
DONNER'S SUBDIVISION (11-4)
pofiff OF
A 0.7'
—X.44-.7& (M)
ON LINE sq-3g�027
—x WE4
.4 C.M. _RT 50,00! (R) 0,15
4%, 3/4- Le
WEST 50-00* (R) 3/4.. W/PIN (UNDER PINE
ROOT)
NOTES- 50.00' (R)
1.) F-LEVA'nONS ARE BASED ON f40140 '29
z aCrVERNMENT LOT 2
OOVI�RNMENT LOT 3 EAST UNE OF OF
GOVERNMENT
— LOT 3 NORTH LINE Or CASTRO y FERRER GRANT -
X-REfERENCE JOB JOS NO.' 54714, 549429La5= AREAS OF 1%
(WAM,)-- AWAS OF Q.=AMIUAL CHANM Maml.AL 04A"M FLOOD�
500 2EW ANNU
.7721 MWAL CHAN 7GOTED By Ul%fM FROM 1%
AAEAS OelgRIAN90 TOr FM OUP CE FLWD PLAN (HFIJ I IIWARE VU; AND AREAS FKU
FLOOD ZONE-)C - FOOT OR WFTH DRAI�Wx AREAS LESS AN
ANNUAL CHANCE VATH AWRACK CIEP71-IS OF LMS THAN 1------- fARNMAL
E Y 0%� 1. ANGLES AS SHOWN ON THIS SURVEY- WTHIN rLOW ZONE x
2.SMOTURE NO, go- WVN HEREON UES V TATF-17-191
n MAM PANEL NO. -L- _0_04-
OEST DETERMINED FROM F-E-M-A- FLO' ExTENT OF UNDERCRWI40 FOOTIN,
3.THIS IS A SURFACE SURVEY ONLY, THE
SSOCIATED SURVEYOR$ INC. PIPES AND UTILITIES, IF ANY, NOT DETERMINED- AREAS IF ANY, N
LAND & ENGINEERING SURVEYS 4--JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE
BOULEVARD LOCCATED BY THIS SUQ��- THE PUB
384-6 BLANDING 5.THIS SURVF-Y BASED ON LEGAL� DESCRIPTIONS FURNISNED-
jAGKSoN"Lj-E;, FLORIDA 32210 l'!OR EASEMENT, TI
RECORDS WERE NOT SEARCHED By THIS SURVF-YOR
3qANM ".L'S. RESTRIGTIONS. GLOSURM, TAKINGS OR ORDINANCES, E
GOVf AN ECT THIS PARC
VEN R MATTERS OF RECORD THAT AFF
0 CERTtFICKFE OF AUTHORIZATION NO. L9 0005488 �THERE COWULMD BE OT14C IRON PIPES FOUND HAVE No JOENTIFICATI
UN� THER
6.UNLESS OTHERWISE STATED ALL
URVEY �y
DONE UNDER MY _No.AmemVIAT10"s
I HERF-13Y CEKTIFY THIS SURVEY_WAS rlt4Kllr'Al
�A-11%11r-Al
AIJn 1ACCT4Z TU17 LimikAlthil TP WhilrAl
-T40
PLYWOaD
*%T r to vj/
944MVIZ WtLA-
LAJ/
TlypC A*91-6- 14owr, -na..---Doa�QvS
W-4-Aver,
aXA49Y-Z- /A( aAOVAV
'lepe PLIA TE-,
-ca
-----------
- -----------
ob
-----------
-tb-
All
City.ofAtlandc Beach APPLICAT[ON'NUMBER
Buffdlng Department assig by the Buildinq Dsparftn nt)
CTb be ne�d
;/z
%�A 800 Serninofe Road APR 14 2010
A-Yantic Beach,Florida 32233-54Ao-
Phone(904)7-47-5826 - Fax(904)247-
E-malk buffding-d9ptgcosb.US
114 Data r6tifed.,
CRY web-site- http.-[AA&vw.coab.us A
APPLICATION REVIEW AND TRACKING FORM
Property Address: hdill"U
D4Pftft"9Zt rz-view required Yes-1 No
kppficant --;7 IS,� anniMAMming-
I Tres Administrator
Fire Serk-as
Other Agency Review or Permit Required Review or Receipt Data
of Permit Veriffed By
Florida ElepL of EnvironmenU Protection
Florida Dept of Transportation
St Johns Piver Wafer Nlanagernent Distdat
AmW Corps of Engineers
Division of Hotels and Restaurants.
DmEsfan OfAkuharic Beveirages and Tobacm
Other
APPLICA TION STATUS
.eviewing Department First Review. �(A?proved. FIDenied.
(Circle one.)
BUILDiNG
q-AMING&ZONING Reviewed by.-
TREE ADMIN. Second Revievr- CApproved as revised. FlDenied-
P*U . R mments.
POReK
PUB C Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied.
Gamments:
Revia\eved by- Data:
01"Atlantic Beach
..... City * , RIEC ED APPLICATIOWNUMBER
BuffdIn-9 Department (To be a'sSigned'by the B,uifdfng Deparirnent.)
800 Sarninors Road APR 1 4 2010
Afffantic Beach,Florida 322 hl�
Phone(9G4)247-582a - Fax(904)247.
E-mail- buffdihg-deptgcoa5.us
CHY Web-sffa' PsffP-.1/Vakw-coab.uG Date routed. A0
APPLICATION REVIEW AND TRACKING FORM
�raperty Address: t rav&--w required Yes No
kPocant: P1annkLq-&ZbRMg
Z
Tree A inistator
Mr0i'act. buc wbr��
lic Utififfes
Fire Servicas
Other Agency ROVIOW or Permit ReWired Review or Ez—aceipt Date,
of Parmll'Variff ad By
Florida Dept of Envkonmant3f ProtaWon
Florida Dept af Transporfaffon.
St Jofms Rhor Wafer Management District
ArM Corps of Eng-bears
Dhftian of Hateffs and Restauranfs
DPHNon of Alcoholic Sevemgas and—1 bbacco
Mer.
APPLICA TION STATUS
.eviewing Department First Revftw: WAFpmved. nDenied.
(CMe one.) Gomm
BUILMUG
)LMMING&ZONING Reviewed by.-,
TREE ADMIN- 1�4
Second Review: E]Approved as revised. r-jDenied-
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFE-IY Reviewed by: D ate:
FIRE SERVICES Third Review: DApproved as revised. 7Denied.
Comments:
Reviewed bv,- Date-
City ofAtlaritta Beach
APPLICATEON NUMBER
Buf1ding Department (To be$3--igne�d'by the Bu1fdfnq Departrient)
300 serninore Road
AlEantic Beach,Florida 3223'—"5445
Phone(904)247-5826 - Fax(9G4)247-5345
E-mail- buffTing-deptgcDab.us
11. Date rol,14d: -171
CrLY web-sife. �.[Arakw-coabxs
APPLICATION REVIEW AND TRACKING FORM
2roperty Address:—& DOPerftneet review ragulmd Yes No
kpPlIcant:
Tres AdmirCiat-ator
buc Wo
Fire Services
...........
Other Agency ROVISW or Permit ReWired Review Or Receipt Date
of Permit Verffled By
Florida Dept.of Envirionmentd Pmtection
Florida Dept of Transportaffon
SL Johns Piver WaL-r Uanagement District
Anny Corps of EnTineers
UvWiun of Hatels and RBstaurants
Dnfton of Aimhoric Sevemges a-ad—1,ubaccD
Other
APPLIC ION STATUS
-]Denied.
dng Deparhment First Review- E��pproved. F
(Circle one.) Gomments.,
BUILDiNG
Reviewed a4AA-
140 Dt,� A.
TREE ADMIN. Second Re'vlaw-- DAPProved as revised. 17Denied-
PUBLIGWORKS Comments-,
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: CAPProved as revised. ElDenied.
Comments:
Reviewed by: Date-
CRY of Atlandc Beach
Buf[ding Department APPLIGATION'NUMBER
(To be assigned by the Building Department)
800 Seminofe Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5s2a - Fax(904)247-5g45
il E-malf. buffd1ng-dsptgcoab.us Data r6uf4d:
GfrYW8b-s1fe-' http.-1A4&w.c*ab.us IF
APPLICATION REVIEW AND TRACKING FORM
Property Address: �Ij 0 -
traviewrequired Y--/"—No
4pplicant: 7-V,-,Pr d A 5 ann"
Tree Administrator
b GW
uc woft�71
r t
ic Utiffus-�-_-N
U L.
Pu T L
Fire Services
rj
P_K--E-am 1, OtL'-
Other Agency Review or Permft Required Review or Rwelpt Date
of Permit Variff ad By
Florida DaPL of Environmentaf Protection
Florida Dept of Transporlaffon
St Johns Piver Water Management District
Amy Corps of Engkieers
Dmision of Ho6als and Restaurant-,
MvWun of Alcoholic Beverages and Tabacco
Other.
APPLICA 17ION STATUS
-viewing Department First Review- 2A"'pproved. FIDenied.
(Circle one.) Gom M- ents:
E��)
,aLANNING&ZONING
Reviewed
by-
TREE ADMIN.
'A,
Second RevleW ElApproved as revised. F�Denisd_
:d
PUBLIGWORKS Comments:
PU13LIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. 713enied.
Comments:
F,'eviewed by: Date:
�viSc_d
CRY 0-111'-Atfandc Beach
APPLICATiON NUMBER
Building Department
CIO be d b the BuffcPq Deparfrnent.)
800 Serninofe Road
Atlantic Beach,Florida 32233-5-445 X Z' V
Phone(904) Fax(904)247-5845
�1 E-mail. buffdiing-daptQcoab.us Date mtd4d:
GffY web-srta-' h�Y1Vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
"raperty Address: Department raVmw required Yes No
Pf anning &ZonAlgi-I
kpplicant
V P,
J
PubfL-Safety
Fire Services
Other Agency Review or Permit ReWired Reviiew or Reca4pt Date
of Permit Variffed By
Florida E)ept of Emftnmentat Protacdon
Florida Dept of Transpartaffan
St Johns Piver Water Management District
Army Corps of Enqm' ears
Omman of Hafe-Ts and Restaurants
Dfw!mc;n of Aicaftolic Bavemge3 and Tobacco
Other.
APPLICA-110N
eviewng Department First Review- ElApproved. F�Denisd. I WAA!V.
(Girds one.) Gornments., I J, j
Z;1
BUILDING
LANMING&ZONING
Reviewed by: Date:
TREE ADMIN. Second Review.- 922Cpproved as revised. F�Denied-
PUBLIC WORKS Comments.* 4
lu 6
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:.e4l
FIRE SERVICES Third Review: E]Approved as revised. FIDenied.
Comments:
Reviewed by: Date:
CITY OF ATLANTIC BEACH 09-
800 SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233
OFFICE:(904)247-5826 a FAX NO.'(04)247-5545
BUILDING-DEPTOCOA13-US
APPLICATION DUVAL COUNTY
APR BUILDING PERMIT '_1:
3..SQ.FT.LINDER ROOF
W_VALU�N I IVIM U17
6"DRESS:
.Aab S.US RE.
5.CLASS ORWORK E OF STRUCTU
L
.4. PROM 0 NEW BUILDING 0 DEMOLITION RESIDENTIAL
ADDITION 13 CONVERTING I ISE t13 COMMERCIAL
8,
OCK SUB DIVISION 1>0 ESPRINKLER�
EI ALTERATION 0 ACCESSORY BLDG. 8,.'FIR
ESCRIFnON,OF-WOKK: R OOLISPA 0 YES 0 N/A
13 VE M:ry%kCTHER ___All NO
OV FUN a PVT --ARCHITECT I ENGINEER:
CON7RACTO
R::,
PROPERTYMNEi�_ 7. 23.COMPANY NAME:
9.NAMEVj� '15.CORY NAM toe
16.NffWt4j 24.LICENSEE NAME:
'Q
IO.A.DDRESS- 7.13 OF F RIDA LICENS60-: 25.STATE OF FLORIDA LICENSE NO.:
L9 o Arzlbe" lez. C I Is
AIULWVac� gic-4A 9�'L_ is.42mo viesT 26.ADDRESS:
051n,133 ATU"TLC &C(A ftSM�
19.OFFICEPHONE' 20�FAX NO.: '7 OFFICE PHONE: 28.FAX NO.:
11.OFFIC PHDT, J1112.FAX NO.: 0& 2-19 7
-i (*foo"t I E: 29.CELL PHONE'
13.CELL PHONE: 21.CE -no 'T&
14.EMAIL ADDRESS: 22.EMAI DDRESS- -30.EMAIL ADDRESS:
P"A)6ax'�%
C MORTGAGE LE
UME777777
77�T BONDING CO P
_ME
33.NAME- 5.NAME:
31.NAME.
3 ADDRES& 34.ADDRESS: 36.ADDRESS:
1 3
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 laws regulating construction in this
judMicrion. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or
abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for
-Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilem,Heateirs,Tanks, Air Conditioners,etc. _
OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
lavis regulating construction and zoning.I will not occupy or use the referenced building or any,part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
*** WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NTH YOUR
LENDP%O AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
_,CONTRACTOR�
OWNERorAGENT
A� (Q idifier'64-
(ItA�efitpqWerofAttomeyorAgancx ar Requir
S S
a-
Date: Signed
day
Belbre me this 204 t3e county of Before dayp
is
4 'W
- tW
re Duval,S of Florida,h ii;.n.y appeared
Dtj State of Florida has person appeared
therin by himself I herself and affirms that all statements and declarations are herin�y himself/herself and affirms that all statements and declarations are
true and accurate. 0 )LUIC"L
N�and n
Note ::It te b tcafiwiloa Notary Public at La a,Ste a of
Pa. gprbiii-4 K Kennelly RrPerso
Personally 0 - Notary ublic Stogis of Florid
[I Produced I MMj6r'jonDD86 81 [1 Prod Id ri
Notary Signs Notary Si a OF
BLDG01 Permit Application Bldg:REVISED:12/1 SM008
OF BEGINNING Or THE LOTS HEREBY CONVEYED; RUNNING THENCE WEST 50 FEET; THENCE NORTH-115 FEET TO THE SOUTH UIS
OF A 30 FOOT ROAD; THENCE EAST ALONG SOUTH LINE OF SAID ROAD. 100 F-Efj; THENCE SOU,TH 115 FEET, THENCE WE�
�50 FEET TO THE POINT OF BEGANNINQ OF IHE LOT HEREBY CONVEYED AND BEING ALSO KNOWN AS LOTS 17 AND 18 OF BLOCK I
DONNER'S S/D' ACCORDING TO SURVEY OF 1. R- WELUNGTON, SURVEYOR (UNRECORDED PLAT), t,
CERTIFIED TO:
80,ARDELLA, 'J� L.C. ARDELLA RVAO(jo, mlv)
540.00' EOGE OF
EAST 100,00' (R) 48.94' f-PAVEMENT
NAIL &INSK V. La 36
1�2 3N,W (R) US 4921 VALVE 1/2- 85.65� (M) 12
7REE R007)
1-6 ;72 389-17* (M) (IN 0.70'N
2
(`4
LEI/4021 50.?�' v') NAU� & DISK
LQ 54a
SITE (IN ROOTSOF
PINE TREE)
"K
BENCHMASK �4
MAIL & tMSK
LB 5488 c BRICK
IN 36' PINE CONIC
ELEV- 15.25
NQ\lD '29 6-1, 1.8
I SfORY FRAME z
1.0, RESIDENCE
NO. w
F F ELE',A. 13�9' Lil
m
r
0
I:z
*'4
APPROX.
TOP OF S E
WEST 1/2
c —(f2 11)
'62-8) 'RETENTION
A.K.k APPROX. AREA
LOT 17 TOEjyi'�7s)71 M.
BLOCK 16 sL 0
DONNER'S SUBWASIONJ
112.7)
PofJff OF c
r
ON LINE IW39�027 X—K-
'4X4 C,M. WEST 'W (R) IDA' LO 1 -72
WEST 510.0(� (R) 3/4" w/pIN 49..99' M Ne
NOTES� 0,",63, 's ROOT)
i.) ELEVAMONS ARE BASED ON NGVD *22 5t?.00' (R)
OOVERNMENT LOT 3 EAST LINE or FQIAT OF VOYERNMENT LOT 2
COVERNMENT "�)v
OT 3 WftyH LINE or cAsM Y FERRER GRANT
com jiit
X–REFERENCE JOB JOB NO.: 5AljA--14k42a–*52-U
AFWAS OF Q-2K AFWAk'"AAM FLOW' AWAS OF 1%
FLOO13 ME")r AAEAS OEWWW90 TO BE PUTWE THIE 0.2%ANWAL CHANCE FLMD PLAN /FLOW ZOW"X(S"AbM)
AWNUAL MAKE TM AWRACE DEPINS OF LITSS THAN I FOOT OR WM ORAINACA AREAs LEss 7M#N I SWAM MU; AND AIWAS PROTE07M By"n FROM 19C ANNUAL CHANIX FLOW
E Y
1. ANGLES AS SHOWN ON THIS SURVEY.
2.sTmit x AS
,TjjRE No. go SHOM HEREON LIES 111HIN FLOM ZONE-
13EST DETERMNED FROM F.E.M.A. FLOM MAM PAf4EL NO.--j—PATED-04-17-19M.
.3 OCIALTED $URVEYORIS INC. 3.THIS IS A SURFACE SURVEY ONLY, THE EXTENT OF UNDERGROUND F00,1INGS,
LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED-
*.JURISDICTIONAL AND/OR ENVIRONMENTALLY SEN VE AREAS IF ANY, NOT
38+6 EILANDING BOULEVARD LOCATEI) OYoTHIS SURVEY. GAL DESCRIPTi�
5.THIS SURVEY BASED ON LE �SJNISHED. THE PUBLIC
JACKSOINVItAg, FLORIDA 32210 Y I EASEMENT, TITLE
RECORDS WERE NOT SEARCHED By 1"S SURVEY FOR -TC
COVENANTS, O.R.L'S, RESIRCTIONS, CLOSURES, TAKINGS OR ORDINANCES, t
0 CERTIFICATE OF ALITHORIZANON NO. L13 0005488 THERE COULD BE OT14ER MATTERS OF RECORD THAT AFFECT THIS PARCFL.
6.UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IOENTIFICA71ON
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY ] L118PINWA&MVIATIONS
r%,CjC�-f AKIN LACIC-rlt' TWC' WhIlkilIkA Tf7('t4hlfPAI t - - —1- -- --- -- I—