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1651 Sea Oats Dr (vault) CI Y OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 N� INSPECTION PHONE LINE 247-5826 �Jlfl�� Application Number . . 05-()0030911 Date 8/17/05 Property Address . . . . . . 165 SEA OATS DR Tenant nbr, name . . . . . . REPLACE DRIVEWAY Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO 11E UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ GRAHAM, DOLORES LOFTUS ENTERPRISES P.O-BOX 552 1700 SAN PABLO ROAD BRIGANTINE NJ 08023 SUITE 805 JACKSONVILLE FL 32224 (904) 241-8903 ------- ------------------------------------ Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 UCODES.IS APPROVED ONLY C ANCE WITH ALL CITY OFATLANTIC BEACH ORDINANCES AND THE FLORIDA B BUILDING OFFICIAL ! 1,yrf3CITY OF ATLANTIC BEA Cc: S1 BUILDING / ZONING DEP TMENT D.Ford J r� 800 Seminole Road L. Higgins Atlantic Beach,Florida 32233 poerr W VIM, (904)247-5800 �jil, (904)247-5845 Fax u www.coab.us PLAN REVIEW COMMENTS Permit Application # '?/ Property Address; V� Applicant: L_ r 1 Project: This permit application has been: E� pproved Reviewed and the following ilems need attention: Please re-submit yo a lication when these item4 have been completed. Reviewed B j�c�. � -v Y• Date: � � 'OS Date Contractor Notified: 'CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION UG � t )gp��3 _.� #Jt Date: a In/.s7 Job Address: Owner of Property: Gera hetw1 Address: p > Telephone: ay G _ 1& p _ Legal Description: Block Number: $ Lot Numbe : 1'3 Zoning District:`, iuft Contractor: State License Number: Contractor Address: a(3y IQo tee..,n.e� Telephone: aa1— (OOS Fax: Describe proposed use and work to be done: e ( vo 56 l Present use of land or building(s): ' detA Valuation of proposed construction: Up, a0 What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? ^0 New electrical or increase in service? 0,0 Add plumbing fixtures?—dn Add fireplace? Add heating/air conditioning? Ko Is approval of Homeowner's Association or other private ent ty required? /t,p If yes, please submit with this application. Will this project involve changes in elevation, site grade or an use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed or this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit STEP 1. Verify zoning designation and proper setbacks for the prop sed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-582-6. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not reqt ired, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpipei Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code rms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32213 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 •Fax: (904)24 -5845 •http://www.ci.atiantic-beach.fl.us Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required ini ormation in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distanes and the legal description. 2. Location of all structures,temporary and permanent,including setback building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topo aphical survey. 4. Any significant environmental features,including any jurisdictional wet ands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalls, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correc Signature of owner; Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or loca I rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the grope . I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: %A, Date: /b /05- Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: vc�oCJy.o_t-_Q%,VA_, Sworn to and subscribed before me this c8l' day of 20 . State of Florida,County of Duval JEANNE M.SHAW .: MY COMMISSION#Db 435986 Notary's Signa re: EXPIRES:Notary 31,2 Bonded Thru Nota Public U �— r raera ❑ Personally known P"-Produced i entification Type of id tification produced r.,,.(DtiP • \Ic 0 a-$ • (0 3� .fj AS TO CONTRACTOR: - U Cr �¢'OY M• Lor--rus Swom to and subscribed before me this TV— day of 20015-. State of Florida, County of Duval "°Y y JEANNE M.SHAW Notary's Signature: MY COMMISSION#DD 435966 ; '= EXPIRES:M 31, a'" 8ondad Thru Note aY 2009 ❑ Personally own Notary Underwriters 99-- oduced id entification Type of idel itification produced __EL--DnY be 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 3 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Revised 8/04 CITY OF ATLANTIC BEACH ' ,. CONSTRUCTION PERMIT WITHIN CI RIGHTS OF WX AND fi_I 4E TS 800 Seminole Road : Atlantic Beach,Florida 32233-5445 904-247-5800 Date AUG 8, 00Fax 904-247-5845 p � PiRMIT# Job Address (o p� ISSUED PY THE CITY Permitee: LO 5 riz� vl�, Telephone# c2A) ibbS Permittee Address: d Ato o c. Requesting Permission to Construct: evm-4o Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the to utilities, both aerial and underground and the accurate location are shown on th ches. A Letter of Notification was mailed to the following Utili ies/Municipaliti s: '`�""`�'v '� RO-161 Jacksonville Electric Authority Yes c5��� Bell South Telephone Company Yes ( ) No ( Date: Ferrell Gas ( ) No ( Date: Comcast Yes( ) No Date: Yes ( ) No ( Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cab es or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at th expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florii a partment of Transportation Standards and be performed under the supervision of :M22SA (Contractor's Project Superintendent) located a t L 3 Telephone* 62C, 4. All materials and equipment shall be subject to inspecti n by the Director of Public Works or his desiggneee.' 5. All city property shall be restored to its original conditic i as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, s well as, a copy of a recent survey shall be made a part of this permit. Calculations showina anv increase in impervious area on owner's lot or in the cit Ri ht of Way are to be included with this at)Dlicatloii. 7. This permittee shall commence actual construction in good faith with 90 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred i i the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileg s herein set out are granted only to the extent of the City's right, title and interest in the land to be entered u oon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expensE s arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twen -four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of in the County of Duval, State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known.: or Produced Identification: MAP SHOWING SURVEY OF Lerl' , L'I T,Y '>, :;I:I,VA MARINA UNIT' t`N1, t, iY; I21:('nItU1:11 IN PI,A'I' Ik XIK 11 NAL CIN1N'I'1', I'LUI2111A, 'It X;I;1'I 11•:It Wf'171 '17IA'1' I'AIYI' rll' 3.1 I'ACI 7; 'il, SIA '1'I2AC"P 'A" I.YINC' I' I2L1' (H ANTI ',Ilt UI' '1711: CIII2R1•:NI' I'IA.il'Ic mi,–Atic UI ' SAID IIYI'. SEMINOLE ROAD-COUNTY ROA No.667 L� ES " (90.1'CAFC.1 B .9 U NO CAP of • T (90. 'FIELD) A S. 06" 16'10" E. 9 .00' FNo.l/z'1 e _ !11'.4 NO CAP 0.1' - 6'woo" --- �._JP,'VACY FENCE�•' 0'3• L 0 S K 5 w ,^ Pa. J _5 C)- MIM I)o M n .9.'.... 15.0' V W=i O \Q N I 14.9' \-OZ M'o I STORY d m M MASONRY + �2 m `O� p6 RESIDENCE No.IG.I v 14.9' 3 — 13.0 .URC. NOTES 15_0_t,o.3— 30' B_R_L CONC. BEARINGS AS PER PLAT. WALK B.R.L. AS PER PLAT. THIS IS A BOUNDARY SURVEY. ip i0 c; p P) M N. UNC.Mpry. 90.00' RIN CENTER "I.P NO CAP N. 06° 16'10" W. 90' 0' FND.1/2'1.P. NO CAP wdz Oa --------SEA 0 T S ' Riw (PAVED) onlnp subdivision a11W o r local land 1 III I21:I1Y CI•:IYCII'Y '171A'1' POI; ppOpIaYPY SII(XVN IIPI2F(�; �N'OYa aw..,...16� constitute LIPS IN Fl.(X)P ZCNJI' "R" A.S '11(&JN ON 1911•: hT.CXH.I wlift. Ctmpllanca IIAZAI Il IYAINI,ARY MAI' 1.01? A'l'LANT IC ISI:ACI1, h•LUI2lUA, .I 111:121;DY Cf h f�Orlda tr'oda OW ON athsr gVilcable ,'letalwand'Fs�srai..psr l nts s IAPT?ANC1•: t' bawerllladl• la I@(ft { ;V(Ili Rewta,e .� R L (AI"PION AN 1 Y9 _^a �. Io X ��T OV THAT :> I � �YY��VWr...�111�.��rrrrr���a11IM MIIt ►t lY=iltNfYl 'ItYV '1111: MINI 'PI•:C'IINICA� IIIA.U411t)I• '17121•:I1. RISt' )A AI", ' NI�N'k LVIi ex S �VI ��N CODECIIAI CI 2 - _ lWI1 'l9 THIS SURVEY NOT VALID UNLESS \ SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON D NNN W ©OATWRIGHT, L.S. _ FLORIDA REG. LAND SURVEYOR N0.1295 a I SCALE - MAP SHOWING URVEY OF IA tI' I i itL(x'K S, S;",VA MARINA I.INI'I' NI1. 1, V; Itl•:(V UtUi•:II '3 IdIVAI, C(tl/NI'1', h'LURIlC;h."171i•;U WITH THAT PAIYI' UI' '1'ItA("P IN 1'I,A'I' Ipx)K 1 "A"':!;"A"':!; SI, SIA ANI) ',IIs LII' '17111 CURRI•:NI' IthA'nRl ';AID IdYI'. SEMINOLE ROAD-COUNTY ROAD NO.667 1I�11 '--------_ S.06^ 13'38'•E. OU4c.1 �u�•f1 _ F.D.In+, R -..--- A C T (90.1 FIF LD) A ^ Z- No uv D.1' S. 06° 16'10' NwD.1/:'LP _ E. 9 .00' o Ir. O CAP OI' -_--�--- s'WOOD J PRIVACY FENCE✓ • O.]' ----- B L 0 K 5 HOZ 13 0 w o ( P�: M vi -t �a.r 15.0' (rr�� „T O 1A `w dI' 14.9' tI" Ot 'u{ I STORY MMASONRY �01 12 •-- -o-s' RESIDENCE No.IC,. l 14.9' 11_5.0. IRON __...u....._._ 15.0* i0' R.R L. NOTES - CONC. BEARINGS AS PER PLAT. WALK R.N.L. AS PER PLAT. THIS IS A BOUNDARY SURVEY. to c; O M M NO CUNC.MON. 90 DO, REBAR IN CENTER NO CAPZ^'P N 06° 16'10" W. 90. 0' NO CAP SEA OATS_ D_ I V E --- 66 R/W (PAVED)_ I III•:ItL:HY CI•:IYIJFY 771AT 'I'lliti I'IdJI'I•;IYI'Y ;iIKWN IIIiItRVN LIlis IN I'I,(X:)U /,(N N "R" A3; SII()tNN ON 7711•; 1'I,Cxll IIA%AI2U WAINUARY MAI' 101! ATEAMI'IC BJ-:ACI(, I'LUItaUA. I IIE.REBY CI•:1,'Ih'Y 'ICI IiltAl)LdiY T. :;1'I•:ItLlNC AND CIIICAC(1 '1'1'1'11•: IN';I IItANCI•; '171"C I HAVE SIII?VI.:yl.:I) 'I'I lli I,ANIC; A:; :;IR WN IN '1'111: Aw"(W CAPTION AND I'IIAT 'I'lllt; MAI' It; A TRUE AND OI' THAT :;IIR I':Y AND THAT THES(;I?vl.:Y 121•:1 IdhltillNlTl ItIMI:1�IW RI>S 111.:ItNIII;I '1711•: MINIMUM TECHNICAL, STMI)AOI•' '1711: PLUItIUA IN N)MINISL'ItA 71-: COONCIIAIYfI•:k ?I-(III-6 ANI) '(illi I'LORIDA IJAb TITI&; AS.1XIC'IATION. THIS SURVEY NOT VALID UNLESS \ SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON DDNN W. pOATWRiGHT, L.S. c _ FLORIDA REG. LAND SURVEYOR No.3295 o I SCALE CITY OF ATLANTIC BEAC PUBLIC UTILITIES DEPARTMENT J �r 1200 Sandpiper Lane Atlantic Beach,Florida 32233 JFiI�� (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # / / Property Address: r Applicant: L r a fl Project: r Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need atten ion: s _ Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904)247-5834. Revie by Donn.Kaluzniak, Public Utilities Direct:)r 1 Date t'( C) Signature Contractor Notified Date f►'�� K ps CITY OF ATLANTIC BEACH ,J BIJISING PERMIT APPLICATION Ic k Date: elf?&S7 Job Address: Owner of Property: Gr a Ila, rv1 Address: P Telephone: ac/L _ 265-0 Legal Description: Block Number: S Lot Numbe 1?j Zoning District: ua n'lartih,, Ui}- (p Contractor: i2y-lut, C State License Number: Contractor Address: a(3y go 3e,..n.,4 Telephone: 6taI 1005 Fax: Describe proposed use and work to be done: c ( vo 56 l Present use of land or building(s): ' deK Valuation of proposed construction: What are the dimensions of the added space: A feet x feet Will the added area be heated and cooled? New electrical or increase in service? Add plumbing fixtures? Kn Add fireplace? 3 Add heating/air conditioning? no Is approval of Homeowner's Association or other private ent ty required? N,p If yes, please submit with this application. Will this project involve changes in elevation, site grade or an.y use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site gradD, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this proje t. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please foil w all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-58 6. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not req "red, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed oi relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 3223 Telephone:(904)247-5826 800 Seminole Road •Atlantic I each,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)24"-5845 •http://www.ei.atiantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required ini brmation in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distanes and the legal description. 2. Location of all structures,temporary and permanent,including setbacks building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topoi raphical survey. 4. Any significant environmental features,including any jurisdictional wet ands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewaI13, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correc Signature of owner Date: 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether sp'cified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the properv,. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting c ata have been or shall be provided as required. Signature of Contractor: SOL, Date: r Address and contact information of person to receive all correspond nce regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this $'tom day of S� ,20 05- . State of Florida,County of Duval =E3H W 435986Notary's Signa ure:Bon* 009 " lietwrMera ❑ Personally known Produced i Jentification Type of identification produced C,r(DE50 • \(OO 'a-$ • Co AS TO CONTRACTOR: LV c" T�Y M• l..or--lus Sworn to and subscribed before me this day of 20 Cr' State of Florida, County of Duval NNE yrs;. JEANNEM.SHAW Notary's Signa re: ;« MY COMMISSION#DD 435986 ° ,:• EXPIRES:May 31,2009 ❑ Personally own Bonded Thru Notary public Underwriters •-yM 92--15roduced ic entification Type of ide itification produced FC--'Dny < 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 3 Telephone: (904)247-5800 -Fax: (904)24 -5845 • http://www.ci.atiantic-beach.fl.us Revised 8/04 •S`yL`�f _ _ r{ CITY OF ATLANTIC BEACH E4 C E I V E D J CONSTRUCTION PERMIT WITHIN CI RIGHTS Ot WA�IJF Tr �� 800 Seminole Road Atlantic Beach, Florida 32233-5445 AUGoo� 904-'?47-5800 Fax 904 47-5845 Date p j Elps', RMIT#Job Address o Dt( U Y THE CITY Permitee: ✓171QC. --. �--- Telephone Permittee Address: d Requesting Permission to Construct: evm-t l PKA- r Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the to nn �f SII pYictin both aerial and underground and the accurate locationare shown on th ches�.j_.,--` n utilities, A Letter of Notification was mailed to the following Utili ies/Municipaliti s: r'�"`�"v '� ROP1 1 Jacksonville Electric Authority Yes ( ) No ( Date: Bell South Telephone Company Yes ( ) No ( Date: Ferrell Gas Yes ( ) No Date: Comcast Yes ( ) No Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said strE et or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cab es or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at th expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Flori a Pppartment of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located ata t L 3 Telephone#: 6"_ e4�7� 4. All materials and equipment shall be subject to inspecti n by the Director of Public Works or his designee. 5. All city property shall be restored to its original conditi as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, 's well as, a copy of a recent survey shall be made a part of this permit. Calculations showin_q any increi se in impervious area on owner's lot or in the cit Right of Wa are to be included with this aDDlicatiob. 7. This permittee shall commence actual construction in ood faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred i i the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileg s herein set out are granted only to the extent of the City's right, title and interest in the land to be entered L pon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expens s arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of in the unty of Duval, State Of Florida, has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: or Produced Identification: MAP SHOWING SURVEY OF 14IV 11 I;LIxy :;h:I,VA MARINA UNIT' NII, I, A:: It1•YTIItUI!I) IN PIAT INX11( I. I,IVAL CtdIN'I'1', I'L,Ult1UA, 'I1x;b'17Ib:R W1'171 '1'11,1'1' i'AIYI' r1 I I'AC:I % I. I 'I'ItAC'P ) 1g ANI) 'Illt t)P '1711•: CUlatl•:MI' 111NI,It' It141Bt1 r,; Cq: "A" LYINC: h: ;'1'1!1.11' ul' .`;AlD IATI'. NO ImpGrViWs es SEMINOLE ROAD-COUNTY ROA N..667 FNo. /zw� x----._----T R A --- - - NO CSP O.1•. S. Or'* I6'1O" E. -------- - _ _ 9 .00' od.• Nu CAP e'woen Pat Cy FEN CE✓ i',Ly 0.3 B O K - 5 W o I P w M Ni O M Q 4E.3, 15.0' v O w'1 14.9' 1 A "N ttI` o M SOT e} I STORY HT MASONRY I 12 Dom`_ RESIDENCE No.IG.1 M 1-OS I 14.9' ' 110• ORCM ' L - e = NOTES. 30' 8_R L___ CON., BEARINGS AS PER PLAT. WALK B.N.L. AS PER PLAT. THIS IS A BOUNDARY SURVEY. _ ip to M M ND CONC.NON. 90 .DV• NE06N IN CENTERFMR.1/2-1.P N, •p6e16'10" W.NO UP 90.cO' MO CAP ------SEA O —T S-- I V E -_-- --- (PAVED) I III:IthNY CI•:IYI'lh'Y 'I71A'l' '17111 I'IN)I'I•;IY1'1' :iIICI.YN Iil•:kEUN I,IIa IN I'IAY)I) %C)NI: "R" AS !;,,(,,JN ()NI'LOIIN IIA%API) NXINIWtY MAI' 1-1V A'I'I,AN'1'1C Ill'A(711, 11L01t1l)A. 1 Illilil'By CICU'IhY '1CI IiltAl)I,EY . :;I'I;ItL.I NC; ANO I NhIINANC'j, '17 'l' 1 IIAVI: StIHVISYI•:II '1111: I.ANI).; ; IICA4 I 'IN 'NI R ('AI"I'I(N ANI) IIA'I' '1711:; MAI' I:; h' f7IN WN IN '17111 AI;Vc il•; A 'I'Itlll•: ANI) CUltitla'I' Itl•:I'ICI��;h:Nl'A'I'ItNV ���r7 r� OI TIINF SUIt I:Y AND THAT '1'111: :;IIItVI•;Y kl•:I'Itl.tiliN l'IiU Ill ath%HV AT I(IN /� ( "/- '1111: MINID11.1M TI-VIIN1CAl, S'I'ANI.)ARU;; OI' '1711: I'L.OltI IIA N)MINI:,"1'ItA'I'IVh PKis'h coCOUP: CIIAI'Clat 21-1111-6 ANI) '1111: I'LOItII)A I.ANI) '1'1'!'1,1: ASS(k.,IAll,LCBJ. c/�l E , �12C",�M� �r,� THIS SURVEY NOT VALID UNLESS \ SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON DONN W. BOATWRIGHT� L.S FLORIDA REG. LAND SURVEYOR N0.3295 MAP SHOWING SURVEY OF Idyl' 1 3 IILtE.'R; ',, :;h:I,VA MARINA IINIT rA1, t, A:: Itl•Y'(IItUi•:U IN PIAT Iux)l< ti I'AGI]; SI, IIIVAI, C(NIN'I'1', I'l e)It1 UA, 'It K;ICl711•:It WI'111 '111 I' :; I' ul' TNA!"P "A" I,1'INC I: ;I'I•:I'A( (I lA ANI) '111t C)I"1111; CIIItIii:N l' IMII41,It' Ith C(gtl r,; (ry: SEMINOLE ROAD-COUNTY RDAD No.667 ILII ' , Ion.�A crtFc.l �u NNff N0 CAP D.0 C T (90.1 'FIELJA S. 06" 16110" E. 9 .001 .v: LP - CAP WOODJPRIvAcYFENCE✓ - 41 J �O O 361' 1.0' 41.3' .. 15.01 O 4i—II 14.91 1JO e' 1 STORY KY MASONRY \2 " O4 RESIDENCE NO.I65 C O� m _Iz °...RcN iib -„---- 15.01 �°s' 30' B.R L. -- NOTES CONC. -- BEARINGS AS PER PLAT, WALK B.R.L. AS PER PLAT. THIS IS A BOUNDARY SURVEY. in i0 O p M M '1 N°CUNC.MON. ------_ r 16.6' 16 O 90.00' RESAR IN CENTER FNO.1/0"1.i N 06* 16109 1 " W, NO CAP9 O. FMD.I/E�I.P. NO CAP S E A OATS_ D I R I V E -- 60 R/W IPAVED) I IIh:ItI:HY Clilt'i'LI'Y '111A'1' '1'111: Nit;11'I•;If1'1' :ill(WN 111?Itl•k)N I,I I S IN 1'11-01) ZONE "[I” AS 511(X+IN ON '111): I'LCKII- IIA%API) I't')IINIMI211 MAI' 1T)It ATI,AN'I'IC Iq:AC11, I'LUIt1UA. 1 lil{RI?f3Y Cl-:1 I1Y 'ICI IIRAULI'.Y 'I'. SI1i1+ERVC ANP CIIICAO) 'I'I'I'LI•: IN TI IItANCI•: '111 'I' I IIAVI; SIIItVhYI•;II '1'111•: I.ANI15 A:; :;Ik WN IN '1'111: AI;V(W CAPTI(V ANP 'IIAT 9111:; MAI' I:; A '1'171/l': ANUCUlflll'.l"I' Itl•;I'lil',;I•:NI'A'I'I(NJ "' 'I'IIA'I' :;IIIc l•:Y ANDTHAT 'IIIISIihI NV MI'.1f 1IN illi SL112VI;Y It1;l'kl:SliNl'1:U '1111•: MfNIh91M PP.CIINICAI. STANUAI2US OI'C CY '1711: I'LUltil)A NN111NIb"1'ItA'I'LVI: IDP: I IAI'P1:12 1—I III-4 ANI) 'Jill 1'Lt)Itll)A LAND 1111,1; A3SOCINI'L(NJ. THIS SURVEY NOT VALID UNLESS \ SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON DONN W. DOATWRIGHT, L.S. FLORIDA REG. LAND SURVEYOR No.3295 0 SCALE: I" CITY OF ATLANTIC BEACH s PUBLIC WORKS DEPARTMENT r ; r 1200 Sandpiper Lane Atlantic Beach,Florida 32233 t`£1F31� (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # q Property Address: Wn 1 6 07 Applicant: 1 Project: Your application is approved as no ed by the Public Works Department. Final application approval must ,ome from the Building Department. ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can arprove your application. If you have any questions,please call (904)247-5834. Review fbk Carper, P.E., Public Works DirectDatSignatur Contractor Notified Date DD-D _. sr , CITY OF ATLANTIC BEACH J ssti _ J 11 $ ,DING PERMIT APPLICATION Ale's .` J;31 cl� Date: Job Address: - Owner of Property: Gra h a✓ , Address: Telephone: a?y G _ 7fo SO Legal Description: Block Number: S Lot Number: Zoning District:5Acig 1ow*,10, (. i� (o Contractor: 4*1_ c_ State License Number: Contractor Address: c9(3!1 &n^--ood t Telephone: ota1— (obis Fax: Describe proposed use and work to be done: ReynbLe_ P&MO( vo 956 Present use of land or building(s): eke%4 Valuation of proposed construction: S-00. What are the dimensions of the added space: IuA feet x feet Will the added area be heated and cooled? ^0 New electrical or increase in service? oto Add plumbing fixtures? go Add fireplace? In Add heating/air conditioning? A0 Is approval of Homeowner's Association or other private ent ty required? &0 If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed or this project. YES. Removal of Trees will be required for this proje t. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the prop)sed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-58 6. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of PublicWorks to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not reqt ired, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpipej Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed o relocated. STEP 4. Please submit Building Permit Application, Energy Code rms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 -Fax: (904)24 -5845 -http://www.ci.atiantic-beach.fl.us Revised 8/04 In aAtion to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required ini brmation in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wet ds,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalls, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct Signature of owneg2� r Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or loca I rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the prope I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting d ita have been or shall be provided as required. L Signature of Contractor: V, Date: 6/0105- Address and contact information of person to receive all corresponde ice regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this 1=01� day of 20 State of Florida,County of Duval JEANNE M.SHAW . My COMMISSION#DD 435986 Notary's Signature: EXPIRES:May 31,2009 Banded Thru Notary Public Und"ers i.._ ❑ Personally cnown Produced identification Type of ideatificationproduced CM(off • IIp0 3a V AS TO CONTRACTOR: 1— U Sworn to and subscribed before me this day of ,20 US State of Florida, County of Duval Notary's Signa SHAW re: JEANNE M { w MY COMMISSION#DD 435986 ;I.A EXPIRES:May 31,2009 ❑.rPersonally own Bonded Thr,Notary public Unda" #•^-- B-15roduced id ntification Type of identification produced_EL—DnY t4 800 Seminole Road -Atlantic Feach,Florida 32233-5445 Page 3 Telephone: (904)247-5800 •Fax: (904)24 -5845 -http://www.ci.atiantic-beach.fl.us Revised 8/04 r�� 51 CITY OF ATLANTIC BEACH Fe E V E D CONSTRUCTION PERMIT WITHIN CI RIGHTS O WA�II' jF TRCH 800 Seminole Road -a;;i1�r Atlantic Beach,Florida 32233-5445 AUG V L�� 904L47� Fax 9b4 Date p Elps,> RMIT#Job Address (p Or U Y THE CITY Permitee: Telephone# � _ Ibds Permittee Address: a Qto 5e,,0a Dr, Requesting Permission to Construct: Revm..,C. Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained =e , both aerial and underground and the accurate location are shown on th utilities,A Letter of Notification was mailed to the following Utili ies/Municipaliti s:Jacksonville Electric Authority Yes ( ) No ( Date: `� Bell South Telephone Company Yes ( ) No ( Date: Ferrell Gas Yes ( ) No Date: Comcast Yes ( ) No Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said strE et or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cab es or other facilities and appurtenances authorized hereunder, shall be immediately removed from said 'street or easement or reset or relocated hereon as required by the Director of Public Works, and at th expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florii la Pppartment of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located a' E` 1 Telephone#: 6"_ q,�,7 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original conditio i as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, s well as, a copy of a recent survey shall be made a part of this permit. Calculations showin an increa' a in impervious area on owner's lot or in the cit Ri ht of Wa are'to be included with this a licatio . 7. This permittee shall commence actual construction in ood faith with '--50 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred i i the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileg s herein set out are granted only to the extent of the City's right, title and interest in the land to be entered u on and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenSE s arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twen y-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of in the C unty of Duval, State Of Florida, has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: or Produced Identification: 4 k MAP SHOWING SURVEY OF LIYI' I S ISLIx'N: S;H,VA MARINA UNIT NII• 6 A:; I21•X1)hUl•:U IN HAT 14x)1(IaI . d I 1,A(;,*.,; il,VA1, C(AINI-1, VIAAOIA, Wf71 '171AT PART ',IA ANI) ll, OI' INtI(I,I(''I'lW7 "A" 1.1'ING Ith)'nitl p; ,q: 00 S SEMINOLE ROAD-COUNTY ROAD Nn.667 OOF�) „•r rNO./2— x T R Q ---- - -►„!T No CAP O.1' S• 06" ICI loll T (90.1 'FIEL7A - .3 JVE. 9 .00� CAP 410.s.3, \A N VI 14.91 I STORY MASONRY RESIDENCE No.IG., t O� P.,-CN u NOTES Ie V 15,01 °x 30' B.R L. BEARINGS AS PER PLAT. WALK R.R.L. AS PER PLAT. THIS IS A BOUNDARY SURVEY. w) iD O p M M ND CUNC. ON, 9D.DO REBAR IM CENTER NND. 1/2'LP N 06 161 10" W, NO CAP 90. O1 FND.1/2'1.P. NO CAP EA 0 _T S_ D 131 V E AV _ R/W IPE_D) —(1 I III<IthNY Ch1Yl'LIT 'f1INI' '1111•: I'Itf.)I'I•:I�1'Y :;II(4VN III•:IthON LIPS IN I'IAYJh %(N I.: "(1" AS ;,,(AVN CNV 1111; IIA%AItU IYXINI)AIEY MAI' 1'(-)R ATI,AN'I'1C 11171(-11, 11,01?1DA. 1 IIIiRhIII CI:II IIY '1C) ""AI)L,I:Y 'I. STI-14-INC ANI) CIIICAU) INSURANCI, 111,.'1' I HAVE SIIIiVI:Ylilr '1111': I.ANR'I A:; ;111(WN IN '1711'; AhVU1': Rewi�A,e ,r ( ON AW MAT 'Pill!; MAI' I:; A TItlll': ANI)Rpt �I' :AI"1'I pro� �56 n,�, j (A` Cl)ItItLA"I' ItLa'1i1::;l:Nl'AT'I,MI } � 'I'lIA'1' :;1111 I:Y AND 'I'lIA'I' :;1.11VI:Y MIN7I(I':I'NI:;IiN I'1':U III:HP)NV n '17Th MLIM 'PI•:C'IIN]CAI� S'1'ANL)Altl)ti OI'' '1111: 1,1,UI< j►j` pEi�s (-ODI: CIIAIYCI:It 21-IIII-6 ANI) 'Jill.: 6'h()hIDA rV.MINI:;I'ItA'I'LVIi tl)A L/UVI) '1'1'1'1,1; A;;(K71A'I'LUN. c/�.l THIS SURVEY NOT VALID UNLESS \ SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON DONN W. DOATWRIGNT, L S FLORIDA REG. LAND SURVEYOR o SCALE 1'•- �I- _. — No.3295 PLOT PLAN 5 E L VA LOT , BLO CK 5 UNIT G PLAT BOOK 3`- PAGE (S) . 4 { CURRENT RECORDS, DUVAL ' COUNTY, FLORIDA SCALE. I" w 20' N 12,2 90' 12,0 SWALE I ►5 I c� ►n 14 P� SIN. FL, LL V. i2.4 o E-�►.� jI I Eli-o CON C. 16� LAG _ _ CON C* i O APP OVED DRI v& ctural C ntrol mitte } s r go .. ..... f10. - .... ...... ....� ,....... SAN TARP $ ..• INV* EL ......... .... DAT ... • PR..1.. ..19 CURB SEA OATS DRIVE N.0 NOTE : VERIFY SANITARY SEWER LOOATION AND INV . ELEV. IN THE FIELD. V lar 21 C3 09! 47a Building Department ' 247-5845 P. 1 CITY OF ATLANTIC BEACH PLUN113ING PERMIT' PPLICATION Date: J)Job Address: Y, Owner of ProVerty, Plumbing Contractor. t,�Contrantor'sAd4Lac3s.— Fax: State Li"nse Numocr.- C 04 ilowny o e tjie following fixti res(re-piv,.d o e-,:;w): -,UrinaN Disposals --Washing Ma .e e. .--------Re-Pipe(Lisfixtures being re-pYcd) 'Total Fixtures: C;), x $7.00 S3:. J Imstal lation of plumbing and fixtures.must be in acco :ince Will, tjjc, j- Southern Standard Plumbing ro,4,- Call a day ahe a ,-Ialle f u1,41 14 t-U!6 800 Seminole Road-Atlantic B4,a b,Florida 32233-5445 Phone.(904)247-5800- Fax: (904)1.47-5845 http.liwww.Ci.at]2ntic-bruch.ft.us RcviRcd W4JOI CITY OF°ATLANTIC BEACH SPECIAL INVESTIGATION TO BE FILLED OUT BY COMPLAINTANT DATE ADDRESS LOCATION COMPLAINT (� OWNER OF PROPERTY -o y S16N*T; R;"F COMPLAINTANT PHONE -- ----------------------------------- _ __--•�---- FOR OFFIC USE ONL DATE OF INVESTIGATION INVES GATOR " if CONDITIONS FOUND ACTION TAKEN COMPLIANCE NOTESf?: J4 to (0 0 CITY OF �1 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 YELEPHONE(904)247-5800 Al "a9 FAX (904)247-5805 William & Delores Graham 1 Clearman Place Belleville, N.J. 07109-2601 Dear Sir: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 1651 Sea Oats Drive a/k/a Lot 13 Block 5, Selva Marina L nit#6 RE#172020-0142 An investigation of this property discloses t at I have found and determined that a public nuisance exists thereon as to constitute 'a violation of City of Atlantic Beach Ordinance Section 23-36 (high weeds and grass). Posted: 6-6-96. You are hereby notified that unless the condition above described is remedied within seven (7) days from the date of posting, the C ity will remedy this condition at a cost of the work plus a charge equal to 100%of the cost f the work to cover City administrative expenses, which will be assessed the property owner or occupant. If not paid within thirty (30) days after receipt of billing, the invoice amoun plus advertising costs, will be posted as a lien on the property. Sincerely ��,�'•• � ���-�-,cam-�._ Karl W. rune` wald Code En rcement Officer KG/pa cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED l' k C. CITY OF ATLANTIC BEACH APPLICATION FOR PL ;_.BIND PERMIT PERMIT NO._'Ze-7j� Date :_ :.Fly -•2---- LOCATION 1651 Sea Cats Drive Street LOT NO . 13 BLOCK NO. St/N OWNER DIASTER PLU'MBER Carl H. Routtillat, Jr. Bldg. BUILDER OR CONTRACTOR Aderkeld B1 rs. Bldg t.r,�?o,. 12165 TYPE OF BUILDING Residenr LAVATORY 1 BATH TUB&c URINALS CLOSETS FLOOR DRAI14S 1 SHOWERS 1 WATER HEATERS 1 DISH14ASHERS DISPOSALS OTHER Wasl2inz mac i,i,!! TOTAL FIXTURES10 zz 1 . 00 10.0 NO WORK. MUST BE DONE UNTIL A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must showi!, a plan and description of the size.-and location of all the soil and vent pipes, and the number and location of all fixtures , (in accordance with Ordnance no. 188 of the City cf Atlantic Beach, Flcarid ) must be shown on back of appli- cation and be approved by the Plumbing Inspectrr. DRA9 PLAN AND SPECIFICATION OF ABOVE PLUMBING ON B11CK. Approvel by Plumbing Inspector Date (FO OFFI E SE ONLY ) ROUGH-IN INSPECTED -� y REVARYS FITAL. INSPECTION: — CERTIFICATE ISSUED: FOR OFFICE USE ONLY Date...............f17---....19 Permit *--/--- -- Fee CITY OF ATLANTIC BEACHr Valuation $ ......................... FLORIDA House Z ........................................................................... APPLICATION FOR BUILDING PERM17 ....................................................................... Application is hereby-made for the -approval of the detailed statemeni of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlanfie Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date........ .... ...4_"ell.....'/ ....... 1922... _VZ.1e Telephone Owner----;Z-710e�---A ---------------------------------_-Address_ ..... ....../--—-------------------- a_------ A, I epr ... aux.- Architect..... ------- -----------------------_Address. .,ll.../.. Y------ . ......Telephone No ;r1 .....17--S- __7-- -- -- _-------.._...Telephone NoA/V/:7�.Z0Z?s/ Contractor Builder..-.. I.- ...................Address.-Address.-3,11.----17...... t 0----------- Block No--------5—----------------Sub Di * ion..45;--- ................. ...Zone,�R5 No.--------- - -------------------------------- _49,elh?......Street-------------------------Side Between. er .......W�..........and W .Sts. Valuation "'_eve,ae---For what purpose will building be used... .............Type of construction-//40`W"/--------------- Dimensions of Building_-----------------------------------.-Dimensions of Lot.....�_Ia.- ............ -------_-----.-Size of Footings................................... Size of Piers------------------_------.-------Size of Sills-------------------------------Greatest Sill Span in ft--------------- -------Type Roof-----.--------------------------__ How will Building be Heated?..-.--.--..___.............................................Will Building be on Solid or Filled Ground?._........--.........................._ Size of Ceiling Joists------------------------------------------- Distance on Centers-_-.... . ................................I Greatest Span...---.--.......--................_......... IV Size of Floor Joists----------------------------_---•---------.,Distance on Centers....---- --------------------------------I Greatest Span----------------------------------•......... IV Size of Rafters------------------------------------------------------ Distance on Centers ---------------_-------- Greatest Span.------------------------------------------- of This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildin5q. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing Is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is co red. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FR*T OF L61/9 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attache plan, an .spOifications,widich are a part hereof, and in accordance with the building an e . regulations of the City I f Signatureof Builder-- ----r.. ......... ........................................... dress......----------_---_--_--------- ---------------------_---------------------- ...... Signatureof Owne -- --_----_----_--------------------------------------------------------- dress.................................................................__.............................. DEP ' OF BUILDING FOR OFFICE UaE ONLY CITY' OF `A IC BEACH, FLORIDA Date .:.. ..�._....___ Permit # � Fee AppliCatioa for Permit Valuation $ fpr Mc. Alterations HouseI IL #. a Re airs DE;,.CBE: (state if to repair, alter, add to or move building, erect awnings ldi or signs, etc.) Bu ng on: Lot -� Blk No. Sub Div Ad res s ,p; • , •.�.� 1�• �....._. Valuation luation $_l ,. 0 er's Name ------ BUILDINGS Bu lding Use ­ Residential or Business What Plumbing work to .be done Si2e of Present Bldg. Size. of Extension Lot size Material of Roof No.; of stories now . ,_�, after .altered Mat6rial of Present Building M aerial of Extension P S MUT BE WMITT --HEREWITH, SIGNS Siz, Classification (state whether ground, roof, wall, projecting b finer) Mat vial of Construction Ill nated? Type of illumination (Stats whether lamps or neon) Wil sign be over public property? ,IUBMIT DRAWING SHOWING CONSTRUCTION OF EUGN AND METHOD OF 'HANGING WRITE ADDITIONAL INFORMATION BELOW a (For canvas awnings provide dimension drawing on side) IMP RTANT NOTICE: In consideration of permit given ford ing the work as described in the above statement, we hereby agree to erform said work. in acc rdance with the attached plans and spec'fications, which are a Par hereof, and in accordance with the bui ding regulations of the Cit of Atlantis Beach. southern Standard uilding Code) Signetture of Builper or Owner Add ness Phone ' _ -2 MAP SHOWING SURVEY OF IAT 13, BLOCK 5, SELVA HARIBA, UNIT NO. 6, AS ORDED IN PLAT BOOK 34, PAGES 51, 51A AND 5111, Oy TU CMUUWT P1UUJC RBCO M OF DUVAL COLUMN , FLORIDA. �RNoo ,T' 49R V2= (moo •ei, ) /rOt/Np //l"/�'�/✓� II, /I. �O� �� • ��••� 90• r/�OUNt? �2"/RO/V — o C lb STOOP t IS.li�/GK E, MA50 ,r2E srt7ENC E Ar t•I� r.,.:� J4 Id rr' V� C � T' 74 /o'E. FOUNO �•• /�to/V T 7 APPROVED N40 re A it tvrai,Control Co mittee RtG'/�!G'CK�O Aurf. .�o, i 97? To Ss/OM' 14rlw,44 ��.q•v6 Y. C ......... ....... ...... ...... f>/A.OL/k'.Ofs"/V �'; •4;S G7C/.4TES,/�'✓C. .... ... ll .............. .... DAT :......... .1.9. 97,13.. ........... . I HEREBY CERTIFY THAT I HAVE SURVEYED THE LAND$ AS SHOWN IN THE ABOVE CAPTION AND THERE ARE NO ENCROACHMENTS. H. A. DURDEN & ASSOCIATES2 926 - 7TM AVE. SOUTH INC. JACKSONVILLE BEACH. FLA. SIONKD—/� lL�j^e 19 ZZ— SCALIE: / '' L y REGISTERED SURVEYOR NO. 1671 FLA. ..�....,,...... 2A 7 3 3 3 24 ORDER NO.________ s,