Permits 630 Aquatic Drive 0021i9�
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PEPARTMEW 00 �UIIM
CITY,OF ATLANTIC 6EACH
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kddt*s*1 630 AQUATIC DRIVE
pe
riolt TV po 1W-1,LD,1A6 ATLANT TC BEACH, FLORIDA ,32233
LEGAL DESCRI'PTIOk
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Section i
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ARDEMS3
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Total
Amount,''
Work Ll re"CE PR*-PLANS,
JAI,
APPLICATXON .FEES
RWIT *01�00
41PACT, FEE
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$0400
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NOTICE—AiLLCO06, E,",,%E.'-",'fO#,M$A4DFOOT�INGSMUSt,'SEINSPECtEUBtFOREPOURit4rx.,
ji
UE
-JRMIT YOID SIX MONTHS AFTERDATE OF ISS
AND OEBA'IS FROM THIS,WORK MUST'NOT BE.P ACFED IN PUBLIC spAc El
BUILDING MATEPIALi RUBBISH
D D'AW Y,
QLEAAOD�UPAN 'HAuLe FtbONTRACTOk OR 0
A-� WNM'
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TAILURE TO,
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R YING TWICE F,OR.',0UIL0ING1MPROV
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ISSUED AOCORDINGTO APP 10, I-A ARE PART OF TH18..PEAMIT AND SU
TO
OF'APP�, b LAW. .......... �,,TTION
11�A
--WOLATION
T
B CH BUIL
M` NTIC
t
APPLICATION FOR FENCE PERMIT
e_�
Owners nam
-phone
Job address
-----------------------------------
Lot _'/�__block and/o'r unit. #-------------subdivision 46 2
Contractor if different from owner 4,�L
..................... .. ................
-----------------------------------------
Valuation of fence $ ---------- Corner or interior lot
Type construction
4 C------------
Show location and height of fence an well 88 location of street(s).
,3
Xp,PROVED
CITy Of ATLPNTIC BEACH
BUILDING OFFICE
B 2 198
17 FS,q.,
Building and Zoning
Owner signature,/x '
Date
-----------------
Contractor signature
--------------------------------------Date
MOW-
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
MOM
rVermut Number: Z1,5416 IAUUM55; 015U k7TC"DR1VE–
C Permit Type: MECHANICAL ATLANTIC BOULEVARD
Class of Work: ALTERATION Township: Range: B o o�7k:
10
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: AQUATIC GARDENS
Est. Value: Parcel Number:
I
Improv. Cost:
Ks
I F"0J,
Date Issued: 2/14/2002 Name: KKL, FIAMIL
r ss.
Total Fees: 33,00 Address: 630 AQUATIC DRIVE
Amount Paid: 33.00 ATLANTIC BEACH, FL 32233
Date Paid: 2/14/2002 Phone: (000)000-0000
Wo—rk-D
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NOTIA ftON
BUILDING MATERf�
SPACE, AND
MUST BE CLEARE
"FAILURETO CO rHE
PROPERTY OWN. -SPOR
AR'
JECT 0 REVOCATION
FOR VIOLATION OF APPLIC
ISSUED ACCORDING TO
............ .........
7
Oper: D9NITH Type: OC Dratier- I
Date: 2/28/62 81 Receipt no: 35925
14 PERMITS-BUILDING 1 $33.88
Trans number: 78 W 7
ATLANTIC 'EACH BUILDING DEPT. CK CHECKS . 16955 $105.60
Trang da P% PIPA192 Timpa 9%3fis47
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
APPLICATION FOR MECHANICAL PERMIT
ATLAMTOC 29ACH.FIARIVA 32133
—rALL-iN NumaER
IMPORTANT—Applicant to complete all items in sections 1, 11, 111, and IV.
LOCATION Stmet Addi'661:
OF jejan*4flng street,: rial.sen ArL IlA�T�t— P.'L\l >
BUILDING And=:R:�i
11. IDENTIFICATION—To be completed by all applicants.
rot coms"rer"O"Of Permit given for doing the ark as described In the also�*itale.e.t.,ho,@6y agree to Perform sold Orj In
with ths'.0t0child Plans and specifications h;ch at*a Part hereof and in accordance with the City of jasksonvii[* jaccordance
of good practice listed therein. ordinances on standards
NOR,*
Contractors
Name of AT P- Master (4 9'3110
property Ownter
$igp&twft of O-A
or Avilloriftel A a sign.ure of
Architect Or Engineer
[III. Go FOR
A. Type of 64 "1
soctric IS OTHER CONSTRUCTION BEING DONZ ON
THIS BUILDING OR SITIE7
C3 644—C3. L0 13 rot 13 ntral utility /1)(:)
13 oil IF YES, GIVE NUMBER OF CONSTRUCTION
C) Other—Specify PERMIT
IV. MICHANICAL MUIPMINT TO 81 INSTAUXIIII NATURE OF WORK
(PMVWQ complete list Of components oft"of this fam) )!r Residential or [] Commercial
Heat C3 Space C Resmsed )( COMM a %or Now Building
Air Casseltioning: 13 loans U con" Existing Building
Dwc� Sycheat i'"n'S"L� Thickness— Replacement of existing'system
m"In"a"capacity cj^ Now installation(No system Previously Installecill
C3 Extension or add-on to existing system
coollas 0 a Capacity 94k^ Other—Specify
CI Rre sprinvens Nwnsber of head.
13 Da"for Q I'lealiff (3 "Ief--intuniewl
0494*0 PUMPL—Itnemb-I THIS SPAC1.10011,OppIC&VSII ONLy
(Reast-si)
TOAL-11110119w)
Remarks
0 LPG coatelawL.—Inw-le"I
13 unflireal preaftes vanaw
13 boom Permit Appmved by_� D@
Other—Specify. Permit Fee—
WIT ALL EQUIPMENT
AOL CONDMON1kG AND REPRIGERATION EQUIPXWr
C
X%mber VIeft DaNnIVUoss Model NUnilsor Manufacturer (=t
HEAnNG-FMACES. ROUXILS, J�UtEPILACXS
X111101,111w units D"Wivtlm Me"Number Manuftab)"r
AIR A
TANKS
now M"T Nowhw Capacity T�FJPS Uq%" Nam of Strw A
and mtm4ndou Contain" Monuftattow No.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC'B' EACH,FL 32233
INSPECTION PHONE LINE 247-5 826
INSPECTION EMAIL REQUEST:
Building-dept2cpab.us
Application Number . . . . . 07-00000973 Date 7/09/07
Property Address . . . . . . 630 AQUATIC DR
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . isoo
----------------------------------------------------------------------------
Applicati.on desc
repair
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BRADLEY NADERS PEST RAIDERS
630 AQUATIC DRIVE JOHN LANG
ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082
-------------------------- Structure Information 000 000 -----------------
Construction Type . . . . . TYPE S-A
Occupancy Type . . . . . . RESIDENTIAL 2
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00
Issue Date . . . . Valuation . . . . 1500
Expiration Date . . 1/05/08
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS.
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
*EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COA.B.US
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40 . 00 '40 . 00 . 00 . 00
Plan Check Total 20 .00 20 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH PERMIT
BUILDING /ZONING DEPARTMENT APPLICATION #
800 Seminole Road
i�13
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
vp,vw.coab.us
APPLICATION TRACKING FORM
REQUIRED DEPT:
Property Address: -Y-1 N PLANNING
z ,"Y).k BUILDING
N PUBLIC WORKS
Applicant: ZAAI-,� /A)',# 0 N PUBLIC UTILITIES
-? / Y N FIRE DEPT.
Project: 4, L Y IN PUBLIC SAFETY
APPROVAL
w
00 REQLX/RE� AGENCY: RECEIVED BY: INITIAL: DATE:
Z W
LU y N D.E.P HUFSTETLER
Y N S.J.R.,W.M. CARPER
w w
y ARMY CORPS of ENG CARPER
0 y HOTELS&RESAURANTS HUFSTETLER
APPLICATION STATUS /7
CIRCLE ONE: SITE BUILDING DA AP _,,,<EVIEWED BY: IN!/IJL: PATJ-.
I ST REV
PLANNING--)
2ND REV
B�UILMW�
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY
3RD REV
Return this form to the Building Department once you have entered your comments into the AS400.
-e BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 o Fax: (9,04)247-5845
Job Address: 63(--) 1, Permit Number:
Legal Description /,' za /1/ 4
Valuation of Work(Replacement Cost) $ 196 . 06
Class of Work(Circle one): New Addition Alteration (Re air Move
e iyg� --'-
Use ofexisting/proposed structure(s Circleone): Comm rci
er system installed?(Circle one
If an existing structure, is a fire spriM, Yes N/A
Is approval of homeowner's association or other private entity requirVl?(Circle one): Yes <2�
Describe in detail the type of work to be performed- /15-147caA "I//A ox. 1-1<rm A101CM
Property Owner Information
Name: 16A,,71,ul ddress: 6,10 es�?"-At,5
Z.
e, 7,�!-7
city 41 T,, A,6-4' StateofL ip��,5�Phone Y`21`7- 2s�-S77--
Contractor Information:
NameofCompany:
__Qualifying Agent.
Address: 5 z City&�' /,/,,j/
:24,, ),-,, State.A-Z— _Zip T, r,r--2-
Office Phone V -,7-8!!�7- z;,e? -2/ -Job Site/Contact Number &5;1 -, - & si-)
State Certification/Registration C-6 Office Fax# �-�el- Z-7 I -a6
Architect Name&Phone#
Engineer's Name&Phone#
Application is hereby made to obtain a permit to do the work and installations as indicated I certi that no work or
fy_
installation has commencedprior to the issuance ofapermit and that all workwill be Performed to meefthe standards ofall
lavvsreg-ulatingconstru!ctioninthisjurisdiction, Thispermit becomes null and void i1york is not commencedwithin six(6)
months, or if construction or work is suspended or abandonedfor a period 9f six (6) months at any time after work is
commenced I understand that separate permits must be securedfor Electrical Work, Plumbing, Signs, Wells,Pools,
Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc.
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.
i hereby certif 9
y thatIhave read and examined thi a 1' ation andknow the same to be true andcorrect. Allprovisions f
laws and ordinances governing this!�Te ofwork wi be complied with whether specified herein or not. Thegrantingo a
rai
permit does not presume to give authority to violate or cancel the provisions of any other federal, state. or local aw
regulating construction or the performance of construction.
Signature of Property Owner Signature of Contractor:
Sworn tq and subscrilm d efore S-,yo and subscribelefore me
,/,17 - this Day of
this 'I Day of W, .611911!�WFWWle V �j" -0
R"Bly 0 6
cto 4�Awft*66WUO
Notary Public- lon
idiimbI6�n� uquet 9.2010 Notary Public J� ,t Ae
VALERIE K KNIGHT
M C(
-7 - Y
MY COMMISSION#DD 277154
EXPIRES:Ap6i 23.2oo8
B-dedThruNotaiypubricunderwrhe,.
REVISED 03.05.07 A
FF�
CH
CITY OF ATLANTIC BEA
800 SEMINOLE ROAD
A ANTIC BEACH,FL 32233
TL
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00000999 Date 8/04/08
Property Address . . . . . . 630 AQUATIC DR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
INSTALL 61 FENCE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TOPPING, BRIAN R. OWNER
630 AQUATIC DRIVE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/31/09
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY
CONSTRUCTED.
*SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED.
PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL
INSPECTION.
*EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US
FENCE MUST BE AT PLACED AT LEAST 10-FEET FROM CUTLASS DRIVE
PROPERTY LINE.
Fence cannot go any closer to ditch.
----------------------------------------------------------------------------
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 ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MAP SHOWING BOUNDARY SURVEY OF
LOT 14A, AOUATIC GARDENS, AS RECORDED IN PLAT BOOK 38, PAGES 71 AND 71A
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
JESSICA J.KAPKE
ATLANTIC STATES BANK
PATTERSON,BOND&LATSHAW,P.A�
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
S 07*16'02" E 54' RIGHT OF WAY FOR
45.00' (PLAT) DRAINAGE AND UTILITIES
S 06*5234" E
SET 1/2- REBAR 44.69' (MEASURED)
STAMPED "ACM LB 6702 SET llr REW
STAMPED'ACM LB 6702-
4.W X X 70X—
15'DRAINAGE. UTIUTY
>AND SEWER EASEMENT
(f) LOT 14—A
<
ui < UJ 4.9' x
> -j ,k14.8' AAR
CONDITIONER
T
jjj=PPAD E] LLJ
(D
27.0'
0 0)
< F-
Lj
5,
<
-1 %-.0 ONE STORY
p= U, Lu -0) - MASONRY & FRAME
ONE STORY
C" POSTED # 636
MASONRY & FRAME 0) CD
C) CO c6 c6 LOT 14-8
io to POSTED # 630 S cn
�0
ZN V-
00 04
z 00 COVERED
z 6.0' ENTRY DO
0 C) �0
10.9. 11.6'
14.9' :t
0
POINT OF CURVATURE
FOUND 1/2* IRON PIPE 04 OD
NO IDENTIFICATION DO V)
0
11.6'
1.510
FIL Cnp y
POINT OF TANGE
FOUNE X-CUT -7FMM X-CUT
IN CC 4CRETE 51,DEWALK ..IN CONCRETE
r
N 07016'02" W
19-99' (MEASURED) AQUAM DRIVE
N 07*16'02" W (50.07 RIGHT OF WAY)
FILE COPY NOTES. 20.00' (PLAT) ACCEPTED BY:
LEGEND:
R - RADIUS X— = FENCE
L = LENGTH C) = CONCRETE
NOTES:
1. BEARINGS ARE BASED ON THE --- BEARING OF __N 0716'02' W REVISIONS
WESTERLY BOUNDARY LINE OF SUBJECT PARCEL. ---—-------- ALONG THE DATE DESCRIPTION
2. By GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE AS SHOWN ON THE
KIATONKIAI Clf%^n ,�D M^Trn ^0011 1� In_ ^�......_T� _,_— -- _"', nnni n T I
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
djM" E-mail: building-dept@coab.us L Date routed: y
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address: (�c r-Yld an a4y'C_,)-PT Building
Planning &Zoning
Applicant:
Public Works
Public Utilities-
Oroj6ct: I ' Lo rT Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco I
Other: I
APPLIJOATION STATUS
Reviewing Department First Review: MeApproved. F�Denied.
(Circle one.) Comments:
(E�P
PLANNING &ZONING Reviewed bv: Date:-7
PUBLIC WORKS
PUBLIC UTILITIES Second Review: []Approved as revised. E]Denied.
Comments:
PUBLIC SAFETY
FIRE SERVICES
Reviewed by: Date:
Third Review: FlApproved as revised. F]Denied.
Comments:
Reviewed by: Date:
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
oil E-mail: building-dept@coeb.us Date routed:
City web-site: http:/twww.coab.us 11
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address: 1yCn0_dD1a41*e-2'Or Building
Planning &Zoning
Applicant: Public Works
Public
roj t: j�Y�Wf U, Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: MA1�proved. FIDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONI vi
viewed by: -77 --Date:- e717
it� -
ORKS
PUBLIC UTILITIES Second Review: MApproved as revised. MDenied.
Comments:
PUBLIC SAFETY
FIRE SERVICES
Reviewed by: Date:
Third Review: E]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
CITY OF ATLANTIC BEACH 08— -T-T-T-F]
900 SEMINOI F ROAD,ATLANTIC BEACH,Ft-32233
OFFICE:(900247-5826 0 FAX NO.:(904)247-5845
BUtLDING-DEP'r@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
F
ER
fj&+iC Atlantic Beach, FL 32233
'-W-r 'oRt jsl�r "",&T-,DC'T-,R
4!461*-,W -N,482m".trA or R ru,e'�jR'n
El NEW BUILDING 0 DEMOLITION 13 RESIDENTIAL
LOT BLOCK SUB DIVISION ADDITION ;qAde.' [3 CONVERTING USE Q COMMERCIAL
ALTERATION 13 ACCESSORY BLDG.
E3 REPAIR 0 POOL I SPA E3 YES NIA
Q MOVE ftTHER 0 NO
-ID '�'fflq -NITIECUENGIN
E .M 4~
CONT. ARC
Ew
- 23.GOWANT NAME:
9.NAME: C047
&io-,q 1 J4 16.NAME:\ 24.LICENSEE NAME.
10.ADDRESS: t) 11,STATE IF 17 LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
3 T 18.ADDRESS*. 26.ADDRESS:
0 A�'ve,"c-
I tj,44i(_ &Atk ) Fl-
28.FAX NO.:
11.OFFIC9 PHONE- 2.FAX NO.: 19.OFFICE PHONE: 0.: 27.OFFICE PHONE:
13.CELL PHONE. 21.CELL PHONE: 29.CELL PHONE.
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
k
ID
ME 0I NORMS
31.NAME. 33.NAME.' 36.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 Vold if work Is not commenced vAthin 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,etc.
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 vAII 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 NO'nCE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINGo CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
N
Signed: Date:
IM Signed: Date:
lu 'RIthe county of Before me this_day of 2007 In the county Of
Before rpe thip;6' 20%7
LZ day C
Duval,State Of Florida,has personaTy Wearkd Duval,State of Florida,has personally appeared
1�j Vy r A
herin by himself/herself and affirms that all stat"1114s and d"rations are hedn by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large.State of f�_ County of fj"061 Notary Public at Large,State of County of
0 Personally Known 13 Personally Known
1G.Pf6ruced Identffication- 13 Produced Identiftcatiori-
Notary Signature: _lNotary Signature:
K. CUNNINGHAM
' M
Notary Public-State of Fbida
CommIssiI:lnExpiresF:eb28,20j0
.2010
Commission#DD 523638
COAB FORM BLDG01:REVISED:1 11=007 Bonded By National Notary As�sn,
pub,i-c Works
plan Review Comments
initials:
X
A�,
Date: 11fl, ' I
r— �1 ' �,,9,0 A 7Y C- Pa- Application/Permit#:Jos�— '?
project Name/Address:
Che ck Box
To Add
App,fication Tracking Comments Comment
13
Provide impervious surface calculations.
provide erosion and sediment control plans with ir I istallation details and maintenance 0
schedule.
Provide drainage plans showing site topography(flow arrows,etc.)
provide construction site management plan,including Right-of-Way Permit if using 0
right-of-way for construction parking-
topographic r 0
Provide a pre-constructiOn urvey prepared by a Florida Licensed
Professional Land Surveyor,showing l' contours-
Section 24-66(b)of the Land Development Regulations requires on-site storage for 13
increa.sed roff Provide Delta volume calculations and on-site retention required per
Section 24-66(b). (See attached inf
O' S
if on-site storage is a post construction topographic survey documenting proper 0
construction will be required. 0
A Right_of Way permit must be obtained be obtained for ---------- 0
A Revocable Encroachment Permit must
Pool-Wellpoint(if used)must discliarge into vegetated area 109 minimum fIrOm street 0
0,drainage feature(swale or structure) 4000 psi,with fibermesh from the
All driveway aprons must be concrete, 5 inches thick, are not allowed in 0
edge of the pavement to the PrOPertY line*Reinforcing rods or mesh
the ROW(Commercial driveways-C-)thick)-
in the road must be repaired using COj standard Detail Case X and must
Any utility Cuts center of the cut- Repair must be shown on
be overlaid 10 feet in each direction from the
the plans. AS-
FAPIanRevieWC Am
City of Atlantic Beach APPLICATION NUMBER
Building Department Tz E CE I VS7D (To be assigned by the Building Department.)
800 Seminole Road
JUL 4115 4 ?(1081
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fmc(904) t 7-5845
5.
E-mail: building-dept@coab.-- --I Date routed:
City web-site: httpJMww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address: Building
Planning &Zoning
Applicant: 6,14 nQ Public Works
Public Utilities
"0 r ict:' 10,
oi Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit
Florida Dept.of Environmental Protection
Florida Dept of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [YApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
PUBLIC WORKS Reviewed by: Date:-2 �J_C I_r
PUBLIC UTILITIES Second Review: FlApproved as revised. RDenied.
Comments:
PUBLIC SAFETY
FIRE SERVICES
Reviewed by: Date:
Third Review: F�Approved as revised. FIDenied.
Comments:
Reviewed by: Date:
CITY OF ATLANTIC BEACH
Soo SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE.,(904)247-58M 0 FAX NO.:(9")247-5845
BUILDING4)EFrT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
6so Au&+iC Pro AtlantiC Beach, FL 32233 Lic L20
13 N BUILDING 13 DEMOLITION E3 RESIDENTIAL
LOT BLOCK SUB DIVISION ADDITION fqA?Xt� [3 cowFR-nNG USE 13 COMMERCIAL
ALTERATION 13 ACCESSORY BLDG. *080RRI��'
13 REPAIR 13 POOL i SPA 0 YES 13 NIA
I)Aa iab 01, LP 13 42TITHER 13 NO
AMORUl"4GINEER, W*F,�
9.NAME: 15.C047 NAME.' 23.COMPANY NAME:
&i(,LON F. 7orr'jAl 16.NAME.\ 24.LICENSEE NAME:
10.ADDREM' t)rij t 17.STATE OF F17 LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
3 o atic- . .
IS.ADDRESS: 26.ADDRESS:
M-r/444tc- Sec�) Fl-
372-3.3
11.OFFICE PHONE:* 12.FAX NO.: 19.OFFICE PHONE: 120,'4\X7*: 27.OFFICE PHONE. 28.FAX NO.:
?6r7-155-2- 1 -
13.CELL PHONE: 21.CELL PHONE. 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
&
-W MM
F' 11"
If-A
31.NAME: W.NAME: 35.NAME-'
-V.ADDRESS: X ADDRESS: 36.ADDRESS.
Application Is hereby made to obtain a permit lo 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 vAll be performed to meet the standards of all laws regulating oDnstrfjcfion In this
jurisdiction. This permit becomes null and void if work is not commenced vAthin 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,Poole,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. _ _
OWNEWS AFFIDAVIT-I certify that all the foregoing information Is accurate and that all work vAll be done in compliance with all applicable
laws regulating construction and zoning. I vAll not occupy or use the referencec!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 FINANCING9 CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
wlt&" kr&' T
-�- NTR�ffi
P, whir
N -�11'- -. , , � -A'
!7*0
SIgned:.X--- —_T� Date, 7/27/ioff Signed- Data.
Before me thit2�day of/-1 Imh 2(k7 n the county of Before me this day Of 2007 in the county of
&.1 red
Du Flo h arson y a
0 person y Duval.State of Florida,has personally appea
76�0, h V�v V�:-11 1 VA —
herin by himself/herself and affirms that all stateman&and d"rations are herin by himself I herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of f7j_ County of rM061 Notary Public at Large,State of____.County of
EI Personally Known 13 Personally Known
-ZWh1%3ucsd Identification- E3 Pd..d Idnor—ti--
Notary Signature., Ignatunw.
K. CUNNINGHAM
8 2010
S S N0t9rY Public-State of Florida
Commission Expires Feb 28,2010
,,F mission#DID 523638
COAB FORM BLDGOI:REVISED:11/612007 Bonded 13Y National Notary AS�sn.
MAP SHOWING BOUNDARY SURVEY OF
LOT 14A. AQUATIC GARDENS. AS RECORDED IN PLAT BOOK 38, PAGES 71 AND 71A
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFEED TO:
JESSICA J.KAPKE
ATLANTIC STATES BANK
PATIMRSON,BOND&LATSHAw,p.A
OLD REPUBLIC NATIONAL TITLE INSURANCE CoMpANy
S 07*16'02" E 54' RIGHT OF WAY FOR
45.00' (PLAT) DRAINAGE AND UTILITIES
S 06*52'34" E
SET 1/2- REBAR 44-69' (MEASURED)
44-69
STAMPED 'ACM LB 6702" SET 3/'2*RESAR
STAMPED'ACMI LB 670r
4.8' x x 15'DRAINAGE. UTILITY
at, >AND SEWER EASEMENT
LOT 14—A
< UJ 4.9'
> T4.8� AIR
CONDITIONER
N�
PAD
0) co
0 27.0'
<
W W <
Q-
ONE STORY
MASONRY & FRAME
cj Ui ONE STORY 0)
!a 0)
::1 0) 0) POSTED # 636
It MASONRY & FRAME,,
0 -Do I
�o tf) POSTED # 630 Cd 06 LOT 14—B
-0c) S a) o'
00
z OD COVERED
z u 6-0* ENTRY Do
0 b io
10,9' vi 11)
-11.6'
0
POINT OF CURVATURE 14.9 a Q c"I
FOUND 1/2- IRON PIPE 00
NO IDENTIFICATION co
V)
4, 0
To '�P'
OLT'
C-11 POINT T
4 FOUND X-CUT
4_1%, F X-CUT. O�E.W�h.L K- IN Cmow-m
TE
N 07016'02" W
19-99' (MEASURED) AQUATIC DRIVE
N 07'16'02" W (50.0' RIGHT OF WAY)
20.00' (PLAT)
NOTES.
LEGEND:
R = RADIUS X FENCE
L = LENGTH CONCRETE
NOTES:
1. BEARINGS ARE BASED ON THE PLAT IN 07*16*02* W
EiZEf"P A R CE L. ------------- REVISIONS
WESTERLY BOUNDARY LINE OF 9T BEARING OF ALONG THE
2, BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE ----X
...... AS SHOWN ON THF DA RIPTION