Permit 338 11th Street
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EIviAIL REQUEST:
Building-dept~,coab.us
Application Number
Property Address
Application type description
Property Zoning .
Application valuation .
Application desc
Eft shadow box fence
07-00001188 Date 8/22/07
338 11TH ST
FENCE PERMIT
TO BE UPDATED
0
Owner Contractor
------------------------ ------------------------
HILLIARD, RICHARD H. OWNER
338 11TH STREET
ATLANTIC BEACH FL 32233
Permit FENCE PERMIT
Additional desc .
Permit Fee 35.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 2/18/08
-----------------------------------------------------------------------------
Special Notes and Comments
*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
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 ANLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
BUILDING /ZONING DEPARTMENT
800 Seminole Road
Atlantic Beach, Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
APPLICATION TRACKING FORM
Property Address: ~~D ~/ ~ d'~2~~T
Applicant: ~1~1 /1/~/~'-
Project: ~ ~~~ G ~ ~D ~
PERMIT
APPLICATIONQ #
~~ ~ v
RE RED DEPT:
Y N PLANNING
~
Z Y N BUILDING
Y N PUBLIC WORKS
~ N PUBLIC UTILITIES
Y N FIRE DEPT.
Y N PUBLIC SAFETY
APPROVAL
REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
~
w
wv Y N D.E.P HUFSTETLER
Y N S.J.R.W.M.D. CARPER
Q Y N ARMY CORPS of ENG CARPER
Y N HOTELS & RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP INITIAL: DATE:
1ST REV ~ S . ~~ ,~ Q
PLANNING
BUILDING ~ ~ 2ND REV
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
3RD REV
PUBLIC SAFETY
Return this form to the Building Department once you have entered your comments into the AS400.
~, z~~''r>~ CITY OF ATLANTI('; BEACH
3~ ~~ts 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
~:,
w `~;~~ J OFFICE: (904}247-5826 ~ FAX NO.:(9D4)247-5845
~~ `, BUILDING-DEPT@COAB.US
~~~`~~1f--,-~~ gU1LDING PERMIT APPLICATION
07- .L_.. ~ `.._ ..I_ .. I
DUVALCOUNTY
1. JOB ADDRESS'. 2. VALUATION OF WORK
,~ 3, SO;(=,T, UNDER ROOF
:33 ~ f ~ ~' s~ i ~~ ~ ~- ~ -~
4. LEGAL DESCRIPTION' 5. GLASS OF WORK: 6. USE OF STRUCTURE
^ NEW BUILDING ^ DEMOLITION ESIDENTIAL
SUB DIVISION
BLOCK
LOT ^ ADDITION ^ CONVERTING USE ^ COMMERGIAL
_
_
DESCRIPTIONaOF WORK:
7 ^ ALTERATION ^ ACCESSORY BLDG. 8« FIRE SPRINKLER:
.
( ~
J d~ i,../ C ~C ~ G t ^ REPAIR ^ POOL /SPA
^ MOVE ^ OTHER ^ YES ^ N/A
^ NO
PROPERTY OWNER: CONTRACTOR: ARCHITECT l ENGINEER: '
9. NAME: ~ ~
c..r C/ 15. COMPANY NAME~~ ~ ~ 23. COMPANY NAME:
~~ ` / ) I ~4 ~. _}
/ 16. NAME: 24. LICENSEE NAME:
10. ADDRESS:
~ l ~
~ ~ 1 l ~ 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
3 ADDRESS
2
18. ADDRESS: :
6.
11. OFFICE PHONE: 12. FAX NO.: 19, OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE:
GjOY.- ~~ p2t~! 21. CELL PHONE: 29. CELL PHONE:
14. EMAIL ADDRESS: t/ 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER:.. BONDING COMPANY: MORTGAGE LENDERi
(IF.OTHER THAN OWNER)
31. NAME: ,,~j
l ~~ `~ L^~c~~e h: I~c.~ a 33. NAME: 35, NAME:
32. ADDRESSf `
d r ~ ~, 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 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.
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. 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 COMMENCEMENT.
OWNER ocAG NT CONTRACTOR
'
(If Age t, Power of A cy Letter Required) ' (Qualifier Only)
Date: - ~~ "~'~ Signed: Date:
Signed:
/
Before me this 2 C) day of / k ~ s .-r , 2007 in the county of Before me this day of , 2007 in the county of
Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared
herin by himself /herself and affirms that all statements and declarations are herin by himself /herself and affirms that all statements and declarations are
true and accurate. ~-- true and accurate.
Notary Public at Large~State of ~ ~ , County oY ~~~~ `"" Notary Public at Large, State of ,County of
^ Personally Knownf' e'~/ 7 / /°~
f ~ ~ ~ ~
~
~ ^ Personally Known
-
ifi
ti
d Id
~
`~ ` L
r
Produced Id ntiftca"Tio on
ent
ca
Produce
NotarySignature: Notary Signature:
`,o4~Y p~~'', SHIRLEY L. GRAHAM
,•r *~ ; Notary PubClc -State of Florida .
. • My Commission Expires Feb 14, 2010
'~, e`.= Commission # OD 518533
COAB FORM BL of:~~;~cS: a/a~~~ gy National Notary Assn.
MAP SHOWING BOUNDARY SURVEY OF
T~-IE WEST 1/2 OF LOT 15, TOGETHER WITI-I LOT 17, BLOCK 13, SUBDIVISION 'A" ATLANTIC BEACH, AS RECORDED IN
PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED T0:
EDDIE A. HILLARD, JILL B. HILLARD AND RICHARD H. HILLARD
AMERICAN BANK
MAINLINE MORTGAGE
TRANSCONTINENTAL TITLE COMPANY
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
FOUNDI/2" REDAR
STAMPED "ACM LB 67
LOT 19
BLOCK 13
0.
FOUND 1/2' IRON
NO IDENTIFICAT
LEGEND:
R = RADIUS
L = LENGTH
/\
ifi.B'
w
~a
Q~
aw
o° v
o ~
~^
ai
ELEVENTH STREET
(40.0' RIGHT OF WAY)
75.00' DEED
N 793729" E 374.96' (MEASURED)
FOUND t/2' IRON PIPE 375.00' (PLAT)
74.87 (MEASURED) NO IDENTIFICATION
50.00' ~ ~ 2$.0 ' 2
~
+rfnQ
zo ~ubd
'~
• W
e
~ • ~i ~ ~ N1{
~• t
~
tVl '~ ~ , ~ W
n
~' ~ ~ ~ >
~ i,
~ a .
COVERED ENTRY
16.0'
12.7
n ry 20.
r ~~ ~
~
.~ .~
M
n~
8~WM1 JMy ~~sy.r ~,/ ~^.•, ~ ~
!ijwY~~aw~ Y~ ^A
prfOr b MN wYMa 01 ! ~/
}
~
a.
• ~
+' I ~' v ~ (n ~
_
~ o ~ ~
p SPLIT LEVEL ~
MASONRY ~
~ o
POSTED # 338 ~ v
~ 0.2' ~
FlNISHEO FLOOR
ELEVATION 12.31 X
,~.,.
''°
~s~ ,.R• :,
.~ 12.3 15.4' "
'
"' ~ LOT 13
5.2 _ w
~ BLOCK 13
• SCREEN PA710 I ^
Y
~
~ 0
J I
m
I /
~ Q
0
~ ~
~ I
i ,
Z //s
K
TWO STORY
~~
LOT 17 GARAGE
APARTMENT
BLOCK 13
I W
~
50.00' La;:J
S 79'S4~28" W o.s' f
74.87' (MEASURED) I
75.00' DEED
LOT 18 ~ I
BLOCK 13
~.1~~ 7~25.OD'
1,7' F~ OUND t/2~ IRON PIPE
STAMPED "LB 6129"
LOT 16 NOTE: ELEVATIONS SHOWN HEREON ARE BASED ON
BLOCK 13 THE NATIONAL GEOOETC VERTICAL OATUM.1^2B.
- X -X = FENCE
O = CONCRETE
1. BEARINGS ARE BASED ON 1HE _ASSUMED N 10'00'00" W
__ BEARING OF _______________ ALONG THE
WESTERLY BOUNDARY LINE OF SUBJECT PARCEL.
REVISIONS
,~ ~'t="''%~,.~ CITY ORATLANTIC BEACH
:a _ ~~~/'ti 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
'~ ~ OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845
~~ BUILDING-DEPT@COAB.US
'J-{a~ ~}' v BUILDING PERMIT APPLICATION
e
07- -,-..I ~ WI._ I_, _._I .W...(
DUVALCOUNTY
1 `JOB:ADbRESS: 2 VAEUATION OE WORK: "- ;; -' 3. SO.,FT. UNDER ROOF
l r
e33 ~ / / ~ ~ / ~~ G
4. LEGALbESCRIP.TION: 5. CLASS OF WORK: 6. USA OF STRUCTURE:
^ NEW BUILDING ^ DEMOLITION ESIDENTIAL
LOT _ BLOCK _ SUB DIVISION ^ ADDITION ^ CONVERTING USE ^ COMMERCIAL
7'DESCRIPTION OF WORK: ^ ALTERATION ^ ACCESSORY BLDG. 8: FIRE SPRINKLER:
t ! /
S !~
~ ^ REPAIR ^ POOL I SPA ^ YES ^ N/A
C H L t
' ~1 G W C ^ MOVE ^ OTHER ^ NO
PROPERTYiOWNER: CONTRACTOR: ARCHITECT 1 ENGINEER:
9. NAME: ~
t..f' !/ 15. COMPANY NAME~~ ~ ~ 23. COMPANY NAME:
I ) 1 ~~ /.~ 16. NAME: 24. LICENSEE NAME:
10. A DRS: ~ / ~ ~ ~r ~
j 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
33
18. ADDRESS: 26. ADDRESS:
11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
f3. CELL PHONE:
90 'v -- ~`~ D 2 ~ 21. CELL PHONE: 29. CELL PHONE:
14. EMAIL ADDRESS:
~ e 1 /sc u ~fi
~u
~
'
ld ;
; 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
_ ,
E y
~
o
t
n .[
C
FEE SIMPLE TITLE HOLDER:
" (IF OTHER THAN OWNER) BONDING COMPANY: `MORTGAGE LENDER:.
~ ~
~
31. ~ / ~ r ~ ~~
eT 33. NAME: 35. NAME:
` C
1 ~
32. ADD~S
S: ~ ~ ~ ~ 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 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.
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. 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 bylaw.
~ 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 COMMENCEMENT.
OWNER or AG NT CONTRACTOR
(If Ags t, Powe(ot A cy Letter Required) (Qualifier On{y
- ~~ "~~
Signed: Date: Signed: Date:
Before me this 2 CJ day of k yf ~ `T , 2007 in the county of Before me this day of , 2007 in the county of
Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared
herin by himself /herself and affirms that all statements and declarations are herin by himself /herself and affirms that all statements and declarations are
true and accurate. / /
~~
~
~~ (
' true and accurate.
Notary Public at LargeyState of
,County of
IT
- Notary Public at Large, State of ,County of
^ Personally Known/~' t'~I~~`
~
~ ~
~ ~%
" ^ Personally Known
~J
,
~
I~roduced Id ntiffca
Ti / ^ Produced Identification -
NotarySignature: Notary Signature:
.,~•~~~~~., SHIRLEY L. GRAHAM
2a~~Y P~@<i;'-; Notary PubllC -State of Florida .
My Commission Expires Feb 14, 2010
='~,, e~= Commission # DD 518533
COAB FORM BL ofa¢~;~~cf: a/~$4fb'ed By National Notary Assn.
MAP SHOWING BOUNDARY SURVEY OF
1HE WEST 1/2 OF LOT 15, TOGETHER WITh-I LOT 17, DLOCK 13, SUBDIVISION 'A" ATLANTIC BEACH, AS RECORDED IN
PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED T0:
EDDIE A. HILLARD, JILL B. HILLARD AND RICHARD H. HILLARD
AMERICAN BANK
MAINLINE MORTGAGE
TRANSCONTINENTAL TITLE COMPANY
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
FOUNDT/2" REDAR
STAMPED "ACM LB 67
I'1
~ 16.6'
~.l.1
F-
¢~
a 'Q
~W
o~
a
~~
of
r
LOT 19
BLOCK 13 171
3
0
0
b
0
0
z
FOUND 7/2" IRON PI
NO IDENTiFiCATlON
ELEVENTH STREET
(40.0' RIGHT OF WAY)
75.00' DEED
N 79 37'29' E
$7' (MEASURED)
74 FOUND T/ 2' IRON PIPE
. NO IDEN TIFICATION
50.00' ~ 25.0 ' 25.00'
n
•
~
r~
W
COVERED ENTRY
..-
!~'
•~
1 ].~ 0 20. 16.0. ~
.
;
M
m
SPLIT LEVEL ~
+ a
~
MASONRY ~ '-
POSTED # 338
I 0.2'
FlNISHED FLOOR %
ELEVATION - 71.31
4.B' 15.4'
°P a Isa•
a ~
l to r-
L
s.1
l,O• SCREEN PA710 I t
s ~ U
• O
•
,. m
~
o/
~:
TWO STORY
LOT 17 GARAGE
APARTMENT
BLOCK 13 I
~ 50.00' C_::J
S 79~54'2f3' Vlf 0.9'
74.87' (MEASURED) I
75.00' DEED I
LOT 18 ~I
BLOCK 13
LEGEND:
R = RADIUS -- X -1~ = FENCE
L = LENGTH O = CONCRETE
374.96' (MEASURED)
375.00' (PLAT)
H
Q
J
a
0
0
0
LOT 13
BLOCK 13
7•
25.00'
~~ x -
T.7' FJ OUND 1/2" IRON PIPE
STAMPED °LB 6129"
LOT 16
BLOCK 13
NOTE: ELEVA7IDNS SHOWN HEREON ARE BASED ON
il$ NATIONAL GEODETIC VERTICAL DANN,iB2B.
LL1
D'_
Q
~ o
Q~
~~
Uo
0
!F!-^
VI
Q
LLJ
NOTES;
1. BEARINGS ARE BASED ON 1"HE _ ASSUMED N 10'00'00" W
__ SEARING OF _______________ ALONG THE
,•,~~rr~~ ~ onur.IneRV 11NF DF SUBJECT PARCEL.
REVISIONS
nnTr nCC/•OIOTILAI
r~``''\'r~~~ . CITY OF ATLANTIC BEACH
~'~ : ~~~. , r~ BUILDING /ZONING DEPARTNTENT
r~ 800 Seminole Road
f y ~; r Atlantic Beach, Florida 32233
,.~ Ji~V (904)247-5800
(904)247-5845 Fax
www.coab.us
APPLICATION TRACKING FORM
Property Address: ~~O ~~ ~ ~j/Z~~T
Applicant: ~G~/t/~/e
Project: T" ~~~ G ~ ~0 (O
PERMIT
APPLICATIQONQ #
O ~ ~~ (J ~/
RE RED DEPT:
Y N PLANNING
~
Z Y N BUILDING
Y N PUBLIC WORKS
~ N PUBLIC UTILITIES
Y N FIRE DEPT.
Y N PUBLIC SAFETY
APPROVAL
• ~ REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
~
wv Y N D.E.P HUFSTETLER
Y S.J.R.W.M.D. CARPER
Y ARMY CORPS of ENG CARPER
Y HOTELS & RESAURANTS HUFSTETLER
APPLICATION STATUS
C{RCLE ONE: SITE BUILDING DA AP INITIAL: D T
^ ^ 1ST REV ^ ~' n .7
PLANNING
BUIL~DIN ` ~•- '~' ^ 2ND REV ^ ^
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
^ ^ 3RD REV ^ ^
PUBLIC SAFETY
Xetar 1'
~ this for
~' to t1~e Baildl~gD~
~~~~@ht
OF"ATLANTIC BEACH O7" ~^~ ~ /
~.'~~ CITY
800 SEMINOLE ROAD, ATLANTIC BEACH, FL 3223
:(904)247-5845
AX NO
} 'y~
` ~' ~
~
~ .
OFFICE: (904)247-5626 ~ F
DING-DEPT@COAB.US pUVAL COUNTY
•^
,
~
J //
~ BUIL
BUILDING PERMIT APPLICATION 3 sa.FT.u
F WQFK. '' " NOE~ROOF ,,
'-~u%t'-' 2 VALUATION O
JOB ADDRESS'.: }vim 6. USEOF STRUCTURE'.
~ /_
S / f~ C
3 z ~ / I 5 CLASS OF WORK:
^ DEMOLITION
BUILDING ESIDENTIAL
(] COMMERCIAL
i. LEGAI'DESCRIPTION: ^ NEW
~ CONVERTING USE
^ ADDITION ~
CCESSORY BLDG.
'8. FIRE.SPRINKLER:
IA
^
SUB DIVISION
BLOCK A
^ ALTERATION
^ p00L I SPA N
^ YES
^ NO
_.
LOT ____
___..,..,~.. ^ REPAIR n .,TUCa ......- .
uw..~ •~. .. -
~ S~ y d ~ ~ p ~G •^ ~ { LJ MV V
CONTRACTOR:
23. COMPANY NAME:
PROPERTY OWNER: - 15. COMPANY NAME~
9. NAME: ~ 1 ~. ~ a,.
`1 ~
NAME:
24. LICENSEE NAME:
~
l~ i I t ~ ~ ,~
P 16.
:
ENSE NO 25. STATE OF FLORIDA LICENSE NO.:
.
17. STATE OF FLORIDA LIC
10. ADDRESS: ~ J ,~ (~ j'
26. ADDRESS:
3~ ~ 18. ADDRESS:
FAX NO.:
20
27. OFFICE PHONE: 28. FAX NO.:
OFFICE PHONE: 12. FAX NO.:
11 .
19. OFFICE PHONE:
. 29. CELL PHONE:
21. CELL PHONE:
13. CELL PHONE: ~ ~ 1
9o y r- ~~~-
ESS:
30. EMAIL ADDRESS:
14. EMAIL ADDRESS: ~ ~ ~ -
22. EMAIL ADDR
FEE SIMPLE TITLE HOLDER:
BONDING COMPANY:
MORTGAGE LENDER:
(IF OTHER THAN OWNER) 3S. NAME:
31. NAME: JJ tI ~/ ) ~ 33. 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 six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work, Plumbing, Signs, Weils, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work wilibe done in CDR1p118nC2 WItII aII BppIICBbIA
laws regulating construction and zoning. I will not occupy or use the referenced building or any part taerof, until ajl ins,Dections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official, as required by'aw.
*** 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 TH
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULTW~ E
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NQr~ Th Y~U~
OWNER or A HT CE OF C~
~~~~ '~9c~ '., Power of At cy Letter Requited)
Signed:
D Co
I ~ i ~ ' `'I
(! ~
I~~
Ili
a
;~~~~,
~~ 'I ~,I!
ill ~~
IIIIh Iii I I'~ ~<)
MAP SHOWING BOUNDARY SURVEY OF
THE WEST 1/2 OF LOT 15, TOGETHER WITFI LOT 17, BLOCK 13, SUBDIVISION 'A' ATLANTIC BEACH, AS RECORDED IN
PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED T0:
EDDIE A. HILLARD, JILL B. HILLARD AND RICHARD H. HILLARD
AMERICAN BANK
MAINLINE MORTGAGE
TRANSCONTINENTAL TITLE COMPANY
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
FOUNDI/2" REOAR
STAMPEn "ACM L6 67
~~
W 16.8'
1=- ~
Q
v W
O v
o i0
~--
LOT 19
BLOCK 13
3
0
0
0
Q
z'
FOUND ~/2"IRON
NO IDEN TIFICAT
17.1'
ELEVENTH STREET
(40.0' RIGHT OF WAY)
75.00' DEED
N 79'37'29` E
87 (MEASURED)
74 FouNn 1/z• IRON PIPE
. NO IDEN TIFICATION
50.00' 25.0 ' ZS.OD'
n
~
1 W
COVERED ENTRY
'
~
17.7
zo. '
r 9.7• ~ ~ 16.0'
. ~
a
'
~ ;
t
SPLIT LEVEL I ~
MASONRY
1
r-
POSTED # 33
8
~ r-o.z'
FlNISNED FLOOR X
ELEVATIIXJ - 12,31
4.8' 5.4'
~~5.2 ~~ .J 12.3' n
• I'~')
w N r.
.
~ ~
!
O SCREEN PA710 ~ fO ~ (~
-, ~
Q J J
o~ m
r
~L
TWO STORY
_
LOT 17---~ GARAGE
.APARTMENT
BLOCK 13
S 79'54'28' W os~
74.87' (MEASURED)
75.00' DEED
LOT 18 ~I
BLOCK 13
LEGEND:
R = RADIUS -- X -X = FENCE
L = LENGTH O = CONCRETE
7'
25.D0' ~~ 25.00'
1,7' FOUND 1/2" IRON
STAMPED "LB 61
LOT 16
BLOCK 13
374.9b' (MEASURED)
375.00' (PLAT)
W
H
Q
J
0_
O
O
O
~ 'a
~o
Q ~
U o
~ o
Q
W
LOT 13
BLOCK 13
NOTE: ELEVATIXIS SNOVM HEREON ME BASSO ON
7NE NA710NAL GEODETIC VERTICAL DATUM,182H.
1. BEARINGS ARE BASED ON THE _A5SUMED N 10'0000" W
__ BEARING OF _______________ ALONG THE
WESTERLY BOUNDARY LINE OF SUBJECT PARCEL.
__ _ - - _ __
REVISIONS
DATE DESCRIPTION
~»
J ~ ~\
, rs "" `r~,, CITY OF ATLANTIC BEACH
~'~ ~f'' BUILDING /ZONING DEPARTMENT
~-~ ;: 800 Seminole Road
Atlantic Beach, Florida 32233
~~.._~!r v (904) 247-5800
JF1~ (904)247-5845 Fax
www.coab.us
APPLICATION TRACKING FORM
Property Address: 3~~ // ~' ~T2~~ T
Applicant: Q~/1/~/e.
Project: J' c'3~~ O,U ~D (0
PERMIT
APPLICATION #
D ~ /~8 8
RE RED DEPT:
Y N PLANNING
~
Z Y N BUILDING
Y N PUBLIC WORKS
Oa, N PUBLIC UTILITIES
Y N FIRE DEPT.
Y N PUBLIC SAFETY
APPROVAL
N REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
w
WU Y N D.E.P HUFSTETLER
Y N S.J.R.W.M.D. CARPER
Q Y N ARMY CORPS of ENG CARPER
Y N HOTELS & RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: BUILDING DA AP INITIAL: DAT .
1ST REV
S t ~'~. ~5 ~or9
~ ~n
~
i s ~ n P r y /~~ p~'v~'~~j ~
C~ S .e nc p
PLANNING
a,~
BUILDING
2ND REV
PUBLIC WORKS
PUBL IES
FIRE DEPT.
3RD REV
PUBLIC SAFETY
Return this form to the Building Department once you have entered your comments into the AS400.
Public Utilities -Distribution & Collection
Date: B/21/07 Initials:
Project Name/Address: 6' Shadowbox Fence / 338 11t`' Street Application/Permit #: 07-1188
Check Box
Application Tracking Comments To Add
Comment
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call 247-
5834.
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ^
A sewer cleanout must be installed at the property line. cleanout must be covered with ^
an RT1 concrete box with metal lid. cleanout to be set to grade and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be tested ^
by a certified tester and a copy of the results sent to Public Utilities.
Plans note the building will be unsprinkled. If plans change, any fire line installed must
be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ^
backflow preventer installed. Backflow preventer must be tested by a certified tester and
a copy of the results sent to Public Utilities.
If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ^
requirements. At a minimum, will require double check backflow preventer.
Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must ^
be installed in a vault as noted in JEA specifications.
F:\Public Works~PlanReviewComments-PU.doc
4 ~`rt,_~ CITY OF ATLANTIC BEACH
'~ `~h5i 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
~ ~ OFFICE: (904)247-5626 ~ FAX NO.:(904)247-5845
BU I LDI NG-DEPT@COAB.US
~.~~„~ Rini niN~ PERMIT oPPLICATION
07- ~ ~e . ~- _~. ew ~
DUVALCOUNTY
1, JOB ADDRESS: 2. VALUATION OF WORK: 3. $Q.,~T. UNDER ROOF
~~
33~ I S' / ~L~ ~ ~ ~ -
-
4. LEGAL DESCRIPTION: 5. CLASS OF WORK: 6. USE:OP STRUCTURE:
^ NEW BUILDING ^ DEMOLITION SIDENTIAL
SUB DIVISION
BLOCK ^ ADDITION ^ CONVERTING USE ^ COMMERCIAL
_
LOT _
K ^ ALTERATION ^ ACCESSORY BLDG. 8. FIRE SPRINKLER:
:
7. DESCRIPTION OF WOR
+ ^ REPAIR ^ POOL /SPA ^ YES ^ N/A
J /
S i'1 ~l C W C ~C +n L ~ ^ MOVE ^ OTHER ^ NO
PROPERTY OWNER: CONTR ACTOR: ARCHITf=CT I ENGINEER:
9. NAME: ~ ~
tJ C/ 15. COMPANY NAME~~ ~ ~ 23. COMPANY NAME:
16. NAME: 24. LICENSEE NAME:
10. ADDRESS: ~ ~ it ~
l j 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
~ I
33 ADDRESS:
26
18. ADDRESS: .
11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE:
c
2
' 21. CELL PHONE: 29. CELL PHONE:
l
/
~-o
qov~- ~
14. EMAIL ADDRESS:
~c
ils
b
B 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
ou,
. N~f
~
~
End; ~ ,,~ .
F E SIMPLE TITLE HOLD R: BONDING COMPANY: MORTGAGE LENDER:
((F OTHER THAN OWNER)
31. SAM ~ ~ ~ ~~` C , / ~, G~ ~
11
~L 33. NAME: 35. NAME:
32. ADD
RESSG
[
d / ~ 7, 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 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.
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. 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 T O OWNER: *~
YOUR FAILURE TO RECORD A NOTICE OF CO MMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOU R PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTA IN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECOR DING YOUR NOTICE OF COMMENCEMENT.
OWNER or NT CONTRACTOR
(Ifrlyart, POwei ofA cy Letter Requi-edl (nualifier Only)
O
Date: • (~ "~~ Signed: Date:
Signed:
Before me this 2. U day of k ~ s .7- , 2007 in the county of Before me this day of , 2007 in the county of
Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared
herin by himself /herself and affirms that all statements and declarations are herin by himself /herself and affirms that all statements and declarations are
true and accurate.
~'""
// (/ true and accurate.
,
_
~y
Notary Public at Large~State of ! / ,County V~ "'" Notary Public at Large, State of ,County of
^ Personally Known [`y/ 2
~ ~ Q~S' ^ Personally Known
i
^
produced Id nti i ` ./ on -
Produced Identificat
NotarySignature: Notary Signature:
,,~~NY P .~~~ SHIRLEY t.. GRAHAM
~;,p` 4=~ Nary PubNc - Staff of Fbride
• hlAy Canntfssior- Expires Feb 14, 2010
=~, Commission # DO 518533
COAB FORM BL of:~~~ s/~~~ gy National Notary Aaart.
MAP SHOWING BOUNDARY SURVEY OF
TfIE WEST 1/2 OF LOT 15, TOGETHER WITFI LOT 17, BLOCK 13, SUBDIVISION 'A' ATLANTIC BEACH, AS RECORDED IN
PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED T0:
i EDDIE A. HILLARD, JILL B. HILLARD AND RICHARD H. HILLARD
i AMERICAN BANK
MAINLINE MORTGAGE
~', TRANSCONTINENTAL TITLE COMPANY
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
EEEVENTN STREET
(40.0" RIGHT OF WAY)
75.00' DEED
FOUNDI/2" REDAR N 79'37'29' E FOUND t/2" IRON PIPE
STAMPED "ACM l8 6702" 74.87 (MEASURED) NO IDENTIFICATION
sD.oo' 25.0 ' 2s.oo'
n
n
i1
W
/1
...-
COVERED ENTRY :~
W
(~ I6.6' 12.7 2a 76.0
ri B.7' c' ~
~
(~ W
~'
a i
~ ~
0 r
0 .~
o n s SPLIT LEVEL ~ ,°n
MASONRY
1
~ POSTED # 33
8
r ~
FlNISNEO F100R 0.2'
ELEVAl10N - 12.31 I X
LOT 19
BLOCK 13 ,.e' . - s.a'
,7.,• as.z°~ ~ 12s r'l
w in
•; 0.. SCREEN PATIO I `1
1 ~ (~
~
3
i ~ Q
o ~ ,
o
~ m
Q/
o .-
~ ~'
--
~.
I"-_L ~ -'__ I i I
TWO STORY
GARAGE
LOT 17 I APARTMENT
BLOCK 13
374.96' {MEASURED)
375.00' {PLAT,
H
Q
J
a
0
0
0
LOT 13
BLOCK 13
W
l.l~
0 }
Q
O
Q
~ ~
U o
0
I----
Q
W
0.3' r~ , 7'
_ XX 50,00' ~:~11 25AD' ~~~ 25.00'
FOUND 7/2~ IRON aiPC -- °