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740 Triton Rd (vault) CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233- W.Y(W402AJXBMACH ROOFING PERMIT 800 SEMINOLE ROAD -ATLANTIC BEACH,FLORIDA 32233-5445 e Address: 740 I.D Pe AT4t,M Q RI r I . QRIDA 32233 CIZ rk: N E Township: 0 �Va n go e: 0 Book: Propose J_ : t, Lot(s): Block: Section: 0 Square r 1 19 Subdivision: Est. Value: Parcel Number: Improv. Cost: 2,250.00 QWfOM INFORMATION Date Issued: 2/21/2002 Name: GLENN EUW_ARDS7_ Total Fees: 30.00 Address: 740 TRITON ROAD Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/21/2002 Phone: (904)287-0525 ___Wo_rkD4is_C_: REROOF CONTRACTOR S I __I V-NO ROOFING SERVICES 30.00 A N le- F: W_. .......... NOTICE - IN PATI -T SPECTION P1 fi�� CQk --n_� BUILDING MATERIAL, fq BBfSIA A MiFiROM sr UBLIC SPACE,AND _, 'A'#U NOT MUST BE CLEARED UP'AND HAUL .- WW�. TQR 0 "FAILURE TO COMPLY LT IN THE OW PROPERTY OWNER P I ISSUED ACCORDING TO APPROVED P ERMIT AND SUBJECT TO REVOCATION] FOR VIOLATION OF APPLICABLE PROVISIONS Oper: CHERYLE Type: GC Drawer: I Date: 2/22/92 91 Receipt no: 36925 14 PERMITS-BIJILDING 1 $36.06 CITY OF ATLANI�C BEAb+—,, Trans weber: 790720 CK CHECKS 2642 $36.68 Trans date: 2/22/62 Time: 11:05:62 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION:--7 OWNER OF PROPERTY: TELEPHONE.- CONTRACTOR: '09 04, CONTRACTOR'S ADDRESS: 7 3 3-zip: STATE LICENSE NUMBER: —TELEPHONE: DESCRIBE WORK TO BE PERFORMED: -2 L> VALUATION OF PROPOSED CONSTRUCTIO Z14' ct� MATERIALS TO BE USED:— 7 Tr 3 SIGNATURE OF OWNER* SIGNATURE OF CONTRACTOR: SWORN TO ��ee-R THIS_/�,- -DAY OF "'k GWRIM.CASTERLINE-McLAUGHLIN MY COMMISSION#CC 976739 W 6;_d 4 gt ", EXPIRES:December 8,2004 AS TO OWN E- .OFv 1-80D-3-NOTARY FLNMwS"ce&Ba-4ng,1,- r NOTARWU—BLIC Is DAY OF ig SWORN TO AND SUBSCRIBED BEFORE ME TH ev AS TO CONTRACTOR -"M A R� NOTARY PU IC F,M LAUGHUN Liability Insurance Supplied GL04kLrkAS7RUN. c] "N N#CC 9:76739 MY(wv� �j ft 00 FxP1 ,)mnmb,-r L8,2W4 Workers Compensation Insurance Supplied OF 4.& ' � WON Swvics& TARY F ftvicm*& Contractor License Information Supplied P Occupational License lnfcrmatcn Supplied CITY OF 41 office of Building Officia FOR INSPECTI �A4i� REQUEST r, 45 Permit No. Date A-M Time P.M. Received owner's job con tor MECHANICAL Name ELECTRICA PLUMBING Air Cond.& El BUILDING. CONCRETE 0 iring D Bough Heating 0 Footing 0 Temp Pole 0 Top Out Fire Place Framing 0 Sewer Pre Fab Re Rooting C Slab 0 Final Insulation 0 Lintel READY FOR INSPECTION FridaY Thurs. Wed. Mon. Tues. A.M. P.M. Final Inspecti Inspection Made Certificate of 4up ncy Fj inspector Date ------- PSR-3844 15796 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION :,---rmit Number : 15796 iddress : 740 TRITON ROAD Permit Type : STC-IRAGE SHED ATLANTIC BEACH . FLORIDA 3.12- �lass of Work :NEW LEGAL DESCRIPTION Constr . Tvve *WOOr FRAME Block- Lot : Twv* Proposed Use : Section: 0 subd- O Rng , Dwellings ! 1 Subdivirion! Est , ll�alue : 0 , 00 improv. �ost : 1 . 700 , 00 Total F�es : 30 . 00 .',mount P4id.- 30 . 00 ,-.AGE SHED PER PLANS APPLICATION FEES �',WNER INF(--)RM,,ATI0N r--ERMTT 30- 0�1 lame: -'",LENN EDWARDS / PHILLIP EDWARr-- � 40 TRTTON ROAD RTLANTIC FEACH . FLORIDA 322 - 1-tir L r .)ne,: i� 9(141287 -0525 --- ---- C',--lNTRl'%CTr-)R INFORMATION Name : PR,-'-'PERTY t�WNEF Addr - Lic -. Exp , NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CASH ATLANTIC BEACH BUILDING DEPARTMENT By: RECEIVED CITY OF ATLANTXC BEACH i,,!iq 2 0 1998 PEPd%l:rT APPLICATION REMODEL, ADDXTXONS, OR ALTERATXONS MOVING,DM40LXT10NS City Of Atlantic Beach Building and Zoning Owner(s) /k-A- 1�! > Address:-"'+ L( QQA4-Phone: _X Lot # Block or Unit Subdivision: (�c� Contractor: State License Address: Phone No: City State Zic Code— Describe work to be done: n" Present use of building: Valuation of Prccosed Cons t rucl-lon: 2r000sed use: .5 r� A-!!�)qs- is this an addition? r_2 0 If yes, what are the dimensions of the added space:_ft- . X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireclace? New Heat/AC? SUBMIT TER= (CCMMERCIAL) TWO (RESIDENTZA-L) COMPLETE SETS OF PLANS,* INCLUDING SITE PLAN, SURVEy, ENERGy CODE Fop.KS, NOTICE OF Cobff-�C=�ENT, AND OWNERICONTRACTOR AF.FIDAVIT, I.F OW= is CONTRACTOR. 0 —!p Signature OWNER: Date: Signature CONTRACTOR: Date: th' V_10___�4av of Sworn to and subscr re m 4'V / re m t 4hee ty� \x� 9UPARY PUBLIC STATE OF FLORIDA AT LA7GE Oslo pabicla k=Wft h4y MMSSION#=M1 EXPIRES AWUbd V,2000 Bon Tm M FAN 7-x -I? VII RECEIVED JAN 2 0 19;8 CitY of Atlantic Beach Building and Z ming CITY OF Vead - �'&uW4 800 SEMINOLE ROAD 4 ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 469. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICEN 5ED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU _HAVE LICENSES REQUIRED EBY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMF-ROVE THEIR OWN PROPERTY WHEN IT 15 FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE. THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-?-26( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA,"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. fROPER16e'OWNER/BUILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS c9�& DAY O� Patdcia Amonette SION#CC553881 EXPIRE� NOTARY PUBLIC m higust 27,20M NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: 4* ---4GNK4;WRU TROY FAJN INSUPANIU,INC. ARE EMPHASIZED BY THE BUILDING DEPARTMENT. FOR OFFICE USE ONLY -1.&.............196-1 Date---?.—/ . Permit *_49SI....Fee CITY OF ATLANTIC BEACH %--.W Valuation ................... FLORIDA House #/. ��La...2- ------------------------------:-------..................................... APPLICATION FOR BUILDING PERMIT ------------------------------------- ............................................................................ Application is hereby made for the -approval of the detailed statement 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 Atlaniie Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is h a list of sub-contractors be submitted to this office so that licenses can be verified. Date----- --------------------_------------- ---------- -------Address............ -----------------------------------------------Telephone No---------------------------- Architect-----------------------------------------------------------------------------------------------Address------------------------------------------------------------Telephone No---_--_------------------ '12 --- -----------------------------Address------------------------------------------------------------Telephone No--------------------------- Contractor Builder------------ M_fe ----------- Lot No. ------------Block No-------AV---------------Sub Divisio4rfAl 624;��--------LZ 7,4---Zone-----_---------- ------------- _------------ J01---- - ---------------Side Between---------------------------------------------------and------_-------- --------------------------------Sts. .JZ - -------Street---------- 0_11ze ------AZ Valuation $._6MO------------For what purpose will building be used.--------------------------------------Type of construction_-------------_-------------------- ,I,e-Z 11 JV e!:�'V ------Size of Footings_._';1;)4.-?.?--------------- Dimensions of Building--cK............�_a_9__Dimensions of Lot____,7_2e Size of Piers--------------------------------------Size of Sills-------------------------------Greatest Sill Span in ft...........---------------Type Roof A/f.ae__4901-_ How will Building be Heated JA,.,1.'Will Building be on Solid or Filled Ground ------- A/ VP Size of Ceiling Joists__2&2_4a.�.-�-------------- Distance on Centers-.- reatest Span-------------------------------------------- -------------------------------�' G Size of Floor Joists----------------------------------------------Distance on Centers----------- ------------------------------.-, Greatest Span-..----------------------------------------- oI Size of Rafters-----------_--------------------------------------- Distance on Centers..........................--------_---- Greatest Span----------------------------------------- 1P 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 buildings. 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. E-4 4. When framing is completed. S 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 covered. 7. Electrical inspection by City of Jacksonville. U2 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder'�_'X.'...,tz.. ........... 4t"""gt.. Address------------------------------------............................................................... Signatureof Owner................................................................................- Address.................................................................................................- DEPARTMENT OF BUILDING FOR OFFICE USE ONLY- CITY OF ATLANTIC BEACH, FLORIDA Date 191/ Permit #ZV-S Fee $_a..�&-0 Application for Permit for Valuation $ 4�4- e--o Miscellaneous Alterations, HOUSE # 7z[ o and Repairs DESCRIBE: 6'4,Z� Z-,,/L,)�- c-,&7 zl- 3 C,4C-1�5S- f--WCA-)74 OAI<,:- (Sta�e if to repair , alter, add to or move building, erect awswings, signs, etc. ) Building on: Lot No. Blk No. 154 Sub.Div. Address- -7,qo J]d I �- b4l I Va�luation $ Jx Owner 's Name 6&6Z-A.)1L1 BUILDINGS AND OCCUPANCY Building Use - Residential or Business what Plumbing work to be done? Size of Present Bldg. -Size of Extension Lot Size No. of stories now after altered Material of roof Material of Present Building Material of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump_ Type or Model Name and Address of Manufacturer in connection herewith, application is also made to install: agge metal gal. capacity tank (s) made of %�i-gT ground. -, - or Ahove) (Under or Above) (Name of Manufacturer) i6rr- (Inside or Oult-s-i-d-e7—of building. For (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size Classification (State whether ground, roof, wall, projectin-g-,-Fa—nner) Material of Construction Illuminated? Type of illumination (State whether Lamps or Neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATIO BELOW (For canvas awnings provide dimensioned draw on reverse side) C =t) ;1i oMPLETI� ...yq A, U Jul IMPORTANT NOTICE: uKf In consideration of permit given for doing the work as described in the above statement, we herebyagree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. (Soulth =Standard Build ' g Code) . Signature of Builder or Oumer KT Address 44 0 fA)t-c _U=Phone No. --946 JE�- C. -4 3543 4A DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -------- LLjuAfjUN INk-UhMAI -LON F:::PERM:IT:FORMATION IN Address. '740 TRITON ROAD Permit Number: 3543 Address; 00 ATLANTIC BEACH, FLORIDA 32233 Permit Type: RE-ROOF LEGAL DESCRIPTION Class of Work: NEW Constr. Type: WOOD FRAME Lot: Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $22. 50 Amount Paid: $22. 50 Date Paid : 3/25/91 'OOF �T'H N�EW SHINGLES A C APPLICATION FEES ----- t'2 W S I L L E Name; GLENN EDWARDS PERMIT $22. 50 "j I.,n An WATER IMPACT FEE $0. 00 Address: 740 TRITON ROAD ATLANTIC BEACH, FLORIDA 31-1 A SEWER IMPACT FEE $0. 00 Phone: ( 904 )287-.0525 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 ------- CONTRACTOR INFORMATION - -- - RADON GAS - 5% $0. 00 Name: AL DAVIS ROOFING CO. WATER TAP $0. 00 Address: 1650 BRASCHVILLE ROAD SEWER TAP $0. 00 JACKSONVILLE FL. 32251.-1 HYDRAULIC SHARE $0. 00 License: CCC--015549 Type: 0 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. r NOTE& NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE U BISF U UP AND HL�AULED AWAY BY EITHER CONTRACTOR OR OWNER U IL I M T C C LEARED up AND H LED AV� L IL T 2 COM "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN ROVEMENTS-59 nr2no= TV n% j THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ISSUED ACCORDING TO APPROVED PLANS C LVIOLATION:OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : Address:- Z-/0 7e 17 Phone: Lot # Block or Unit Subdivision Contractor: Address: 14 �'-o , Phone: State License No. Describe work to be done:. Materials to be used: Signature OWNER: Date: Signature CONTRACTOR: C Is CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 W1 Application Number . . . . . 08-00000788 Date 6/13/08 Property Address . . . . . . 740 TRITON RD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc new fence ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PICKETT OWNER 740 TRITON ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/10/08 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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. City of Atlantic Beach APPLICATION NUMBER Building Department 7(To Fbe assigned by the Building Departmen 800 Seminole Road Atlantic Beach, Florida 32233-5445 -5826 - Fax(904) 247-5845 Phone (904)247 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us 1 APPLICATION REVIEW AND TRACKING FORM —/zC) Depa-r-tm, t review required No Property Address: ui lann ng Applicant: U .. -Wor s Public Utilities ....... Project: Public Safety Fire Services Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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: FlApproved. (Circle one.) Comments: X/_ BUI G Z P NNING ZONI R Date: eviewed by: P PU 0 S U ORKS PUBLIC UTILITIES Second Review: Ev-p-p--roved as revised. DDenied. C ments: PUBLIC SAFETY �rl C) - (e�Uoryu *k-) FIRE SERVICES Reviewed by: Date4�V Third Review: FlApproved as revised. ElDenied. Comments: �7 Reviewed by: Date: CITY OF ATLANTIC BEACH 08- 800 SEMINOLE ROAb,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US DING PERMIT APPLICATION DUVAL COUNTY BUIL -VAL -f,' 1'._.�,_1..,1: -,�i4�-` : [3:$a,FT.7-UNDERROO7_ UATION�OF OB ADD RESS-. z :WORK -740 ___ *_�0;1,\Atlantic Beach, FL C�, RE�SL_ le uin, 322 33 : -51.'QI &USE OF _,STRUCTU ��`._#I.LEGAL DESCRIP.TION�"��'-,*'.�-,,.,--�.c,�4",�.-.��, [I NEW BUILDING OLIT10,N 0 RESIDENTIAL BLOCK� DIVISION 0 ADDITION 0 CONVERTING USE 11 COMMERCIAL Zj_ LOT _�SUB '6�..FIRE:SPRIN ES16RIPTION $ ALTERATION A65�)ORY BLDG. 1�001_ PA 0 YES NIA LJ REPAIR OP? /S V I JQ r e-r--.C_j* 0 MOVE n 113 No R- GUITECT I ENGINEER�, `i:.�.,_P.R0P TY,.OVVNEIR�.... 23.COMPANY NAME: 9.NAME- 15.COMPANY NAME: IA 4r_(I C_ 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 3 k-,i q+ 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: -13.dECL-PHONL: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: GAGE;L& ilk, FEE SIMFLF , �TITLE HOLI)Ell��'-..; F HAN OWNER ............. OTHER T 35.NAME: 31.NAME: 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.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 FINANCING9 CONSULT WITH YOUR LENDER DRAKAVYM�Y BEFORE RECORDING YOUR NOTICE OF COMMENCEME-NT. N._ "NE -_x0NTRACT0W`-` fcW6 be�:AG ER If g r ttor' A M etter equired),,.-i Signe Date: Signed: Date: Be da f J A,1 2k7 Q?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 ersonally appeared — y rx[-e-r i c, P I L,V_-e 4� 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. -f�>L�ya- Notary Public at Large,State of—,County Of Notary Public at Large,State of ..Count-vof- 0 Personaily Known El Personally Known PE;odeced Identification- 11 Produced Identification- Notary Sionature: Notary Signature: CUNNINGHAM N tary Public-State of Florida 01 .My Commission Expires Feb 28,2010 8 ission#DD 523638 Comm COAB FORM BLDGOI:REVISED:11/612007 '9� ";"0 F16'��" B,National Notary Assn.. Bonded Y CITY OF ATLANTIC BEACH OWNER BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I -CONSTRUCTION CONTRACTING"REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW: r F OR Sr�f_"ONT 489.103('71,FLORIDA STATUTES: DISCLOSURE STATMVIEIN, Fkj" S__.. j STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS yOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE.CONSTRUM YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE- IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR COMPLETE,THE LAW WILL PRESUME,THAT YOU BUILT AFTER THE CONSTRUCTION IS IS IN VIOLATION OF THIS EXEMPTION- YOU MAY NOT IT FOR SALE OR LEASE,WHICH YOUR CONSTRUCTION MUST HIRE AN UNLICENSED PERS AS YOUR CONTRACTOR- BE DONE ACCORDING TO THE BUILDING CODES ANI) ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED By YOU HAVE By COUNTY OR MUNICIPAL LICENSING LICENSES REOUIRED BY STATE LAW AND ORDINANTCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. MPLOYERS AND SHOULD ALSO III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME E OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED . CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCE OWNERS BEING SUBJECT TO $5,UUU PENALTY UNDER FLORIUA STATUTE NO. 455-228(l). AN-OC(;UIJA I iONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETE�EY- OR THE FLORIDA -CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. — :7 08 PRONE NUMBEK ADDRESS E 4� DATE — IGN Before me thi day of 2bg�'I�the county of 7dh.s pe —if I herself and affirms that . Z C val,Stater- f Florid , as persoRally appeared henn by hill, 'men and declarations are true and accurate. all'state en and de state of -t County of7dLALUV Notary Public at Large, K. CUNNING11AM V'y NING117A "e of F lond _S 7E b 28 2al 0 �y pemnally Known Notary Public-State of Florida e ured Identification- _s Feb 28,20'.0 �My CornInission Ex�.irp Commission 9 DO 52�638 Rv .4/2 CoAg FORM 13LDG07;REVISED.-9114/2 MAP -OF QOUNDARY SURVEY DESCRIPTION: LOT 18 IN BLOCK 14 OF " ROYAL PALMS UNIT TWO-A " ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 31 PAGES I & 1A THROUGH ID OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CA WON RaW WeW 24 AS'ZT CLAS 2.8, EAST .6* SOUTH S 85*33- 41' E 80.59- (H) FENCE LIE� 6 SOUTH S85W27E 80.65, .2' NEST FEN(Z TIES F.I.P. 112' --L— No 10 331.19' 41 Z.P. M2* No zo 4V 9' X 10.6 I COVERED CAFFW LOT 18 LOT 17 BLOCK 14 BLOCK 14 1 STORY Qi a i BLOCK - LOT 19 yt 15.3' 1740/ 10.6'-, BLOCK 14 49.6' 4k 11C 14.6' X 24.7' cc wow DECK 12.2' X 9 3' F.1.P. 112 Nm�f� NO ID WOOD FLOOR F.1.P. I NO ID — — — — — — — EASD"T FOR DRAINAGE —C?tT of-Aftntw Mach FOR DRAINAGE +tamiW and .2 — — — — — — — — — — — — -- — — .2' EAST S85W2rE 8aWpq TThi4. �r0V81-Ve-fffiWuu,,1Vll -wlth applicaMe FENCE TIES S B5'44- 36- E 80.53 zo%ng utomwon and other local land de lopmerfARNPons, but does not constitutel LOT 6 roval for the issuance of permits. Compliance ap I BLOCK 14 LOT 5 -ilt FloridaL&T,ing Code and all other applicable BLOCK 14 10 1, St __-- Federal permitting requirements m t be verified by signature of the City of Atlantic BeTch Building official prior t the I ance, of a s4iding Permit �;= Adproved By:. Comm Ity bevejOpment Dire or Date: rL SURVEY NOTES.* #1 BEARINGS ARE BASED ON THE PLATS WEST LINE OF LOT 18 IN BLOCK 14 CERTIFIED TO AND FOR THE BEING N 04* 22' 33' E. EXCLUSIVE BENEFIT OF.' #2 MVM2=jV-L 61ESNOF rIONS OR OTHER CHARLES D. PICKETT TOfflA INC. ATED BY THIS SURVEY. SUNTRUST MORTGAGE. STEWART TITLE GUARANTY COMPANY #3 ACCORDING TO THE FEDERAL EMEJ*fiNCY MANAGEMENT AGENCY BUSCHMAN.AHERN.PERSONS & BANKSTON 120077 500010, EFFECTIVE 04-17-69. FIRM MAP PANEDENSOR-IBED HEREON APPEARS TO LIE IN ZONE 'x-. ADDRESS.' 740 TRITON ROAD THE PROPERTY WITHOUT BEWFIT OF AN ABSTRACT. 04 THIS SURVEY PERFORMED i TITLE SEARCH. TITLE OPINION OR TITLE INSURANCE 015 DIMENSIONS ARE SHOWN IN FEET AND DECIMALS THEREOF SCALE: 1 " 30' AND ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE. #6 25 FOOT BUILDING RESTICTION LINE FROM ALL STREET LINES NOTICE OF LIABILITY. THIS SURVEY IS CERTIFIED TO THOSE INDIVIDUALS SHOWN ON TLW CArt: TwrarrW Aw nTwA INF. RFNEFIT OR RELIANCE By ANY OTHER PARTY IS ........... CITY OF ATLANTIC BEACH 08. 800 SEMINOLE ROAD,ATLANTIC BEACH,F-L 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845L, BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION -DUVAL COUNTY NDERIRQOF��:�:�!.* JOB ADDRESS:, ZVALUATION OF WORK.:,. \Atlantic Beach, FL 32233 C:� 6.�USE 5:COZSS OF WORK:e: OFSTRUCTURE� 7- 4.1EGAL DESCRIPTION: 0 NEW BUILDING Ol-lfldtk; 11 RESIDENTIAL LOT t 11 AI)DITPW [3 CONVERTING USE 0 COMMERCIAL _q_BLOCKa SUB DIVISION 'LTEF . Y BLDG. WFIRESPRINKLE OR IJ A �kXON 7.DE StRIPTION OF WORK 1:1 REPAIR OOL SPA EIYES NIA MOVE I�POOTH L IONO ARCUITECT.1 ENGINEER-.: IP CONTRACTOR' ERTYOVYNEK: 9,NAME- 15.COMPANY NAME: 23.COMPANY NAME: . �-�f-(�'-P' 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 3'��I 'A+ 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 2.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: ) &I , -3�:n(11s,1 1 29.CELL PHONE: 13.CELI-PHONE: 21.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: .......... AGE LENDER: FEE SIMPLE TITLEHOLDER: ORTG N RO, Dikd 66MP (IF OTHER THAN OWNER) 31.N AME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of 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 -Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ;ON I MCTOK T OVVfiER or AG (Qualifier Only;.4�: if Required):,: power IfAgent, ower Atiorn Sigjned , Date: Signed: Date: Beee da f 41 trl Of 121V Oth-c-u Before me this day of 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Flodda,has ersonally appeared VC�_ 4� affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and true and accurate. County of true and accurate. k/Ila-11 Notary Public at Large,State of County of Notary Public at Large,State of 12;7-1- El Personally Known 0 Personally Known Q E;Qdeced Identification- 11 Produced Identific; n- Notary Signature: Notary Signature:_ X 111,W Ab. UE e0% E INGHAM C� State of Flon SIO pires Feb 28, DD 52363 al otary ....... K. CUNNINGHAM CITY OF ATLANTIC BEACH u c Public-State of Florill ary SEE PERMTS FOR ADDITIONAL Nol Ex iry� ion# 1 0 N z �.My commission Expires Feb 28 10 REOUIREMENT CONDITIONS. mss 523631 ��z- commission#DD cF JIM EGOICI 1/6 07 -a. Bo By V0 Bonded By National Notary VIEWED BY: DATE: 15-/0 CITY OF ATLANTIC BEACH J, OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: FLORIDA STATUTES: DISCLOSURE STATEMENT FOR SECTION 489.103(7), REQUIRES CONSTRUCTION TO BE DONE BY LICENSED STATE LAW XE THA CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN E MPTIONTO T S YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS LAW. THE EXEMPTION ALLOW YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR SUPERVISE THE CONSTRUCTI YOU MAY ALSO BUILD OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. IMPROVE A COMMERCIAL BUILDING AT A COST OF S25,000.00 OR LESS. THE BUILDING OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE- MI ST BE FOR YOUR—USE AND ILDING you HAVE BUILT YOURSELF WITHIN ONE YEAR IF YOU SELL OR LEASE A 13U OMPLETE,THE LAW WILL PRESUME THAT YOU BUILT AFTER THE CONSTRUCTION IS C YOU MAY NOT CH IS IN VIOLATION OF THIS E)CEMPTION. IT FOR SALE OR LEASE,WHI YOUR CONSTRUCTION MUST HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR- - IT IS BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REO—UIRED By STATE L.AW AND BY COI INTY OR MUNICIPAL L'CENS ORDINANC S. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WOKKER'S COMPENSATIL)N INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT E EMPLOYED UNDER ANY CIRCUMSTANCE OWNERS BEING sututu I TO $5,00U PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN-OCCUPATIONAL LICENSE- IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. tp- r) -ADDRESS PPIONE NUMBEK E DATE IGN d �2 a Before me thi y of '2-�in the county of self I herself and affirms that h ri. �'uv rid.,has s.na y rV ate. Duval,Statu- f Flo as persomally appeared herin by him a 'e true rnd. cur all statement and declarations are true and accurate. VC Notary Public at Large,State f county of dh 910 K. CUNNINGHAM 0 Personally Known wtary Public- State of Florid, uced Idenfification- jrps Feb 28.2010 .Nly Commiisiorl Ex, # 52"638 A Notary Signatul �1;REVI COAB FORM BL.DGO;REVISED:9/14�- rDESCPIPTION: MAP OF BOUNOARY SURVEY SCp-TPTI L Lo ROYAL PALMS UNIT TWO-A " ACCORDING OT JB IN BLOCK 14 OF DED IN PLAT BOOK 3J PAGES J T j a j T T 0 THE PLAT THEREOF AS eECOn 0 PL JA THROUGH JD OF THE CURRENT PUBLIC RECORDS OF DUVAL r MTY i COUNTY, FLORIDA -------- — ------ Ot TIUM P44D 69 RW 24' ASPHALT -------- MIAHr CtM 2.8' EAST S 85 33 41 E 60.59 .6' SOUTH FENCE TIES .6' SOUTH — — — — — — — — &%W27E W.6y .2' WEST FENCE TIES — --I-- — — —0 F.1.P. 112 NO 10 331.19' (p) x F.1.P. 112' NO 10 9, x 10.61 �7 COVERED CARPORT LOT 17 LOT i8 -i ;0' BLOCK 14 00 I STORY BLOCK 14 1 STORY (03; C BLOCK LOT 19 7An BLOCK 14 1740 jj.,� 1149. 10.6'-�, Z7 11C Q, 14.6' X 24.7' co U3 WOOD DECK 12.2* X 31 F.I.P 112' WOOD,Ab 5.2 no 10 WOOD FLOOR F.I.P. 112' — — — — — — — — — — — — — — — — — NO 10 — — — — — — — 5- EA FOR DRAIM4GE — — — — — — — - 5' EASEMENT FOR alllmAGE — — — — — — — — .2' EAST WW227E 8adVo — — — — — — - - FENCE TIES S 85'44' 36' E 80.53- (N) ON LINE FENCE TIES LOT 6 BLOCK 14 LOT 5 LOT 4 BLOCK 14 BLOCK 14 SURVEY NOTES: #1 BEARINGS ARE BASED ON THE PLATS WEST LINE OF LOT le IN BLOCK 14 CERTIFIED TO AND FOR THE BEING N 04' 22' 33" E. EXCLUSIVE BENEFIT OF: #2 UND� Lgp��MTIONS OR OTHER Y. CHARLES D. PICKETT TED By THIS SURVE SUNTRUST MORTGAGE. INC. STEWART TITLE GUARANTY COMPANY #3 ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY BUSCHMAN.AHERR PERSONS & BANKSTON ID EFFECTIVE 04-17-SR FIRM MAP PANEL NO. 120077 5000 , RS TO LIE IN ZONE "X"- ADDRESS: 740 TRITON ROAD THE PROPERTY DESCRIBED HEREON APPEA #4 THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT. TITLE SEARCH TITLE OPINION OR TITLE INSURANCE- #5 DIMENSIONS AW SHOWN IN FEET AND DECIMALS THEREOF SCALE: 1" 30' AND ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE' #6 25 FOOT BUILDING RESTICTION LINE FROM ALL STREET LINES LS SHOWN ON .�TTrc nj7 I TAnTl TTV?I TNTS stinvEY IS CERTIFIED TO THOSE INOIVIPUA-- ----- -- City of Atlantic Beach APPLICATION NUMBER "SS% 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 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Depaftm t review required Yes No Property Address: . ui . o lanning &Zoni Applicant: u ' -Wor s Public Utilities Project: - Public Safety 7 �/ - V FFire WServices Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection 10 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 _�R -ew eviewing Department First Review: F_-JApproved. [:]Denied. ( ir � Cir_cle o�ne.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date'. /o PUBLIC WORKS PUBLIC UTILITIES Second Review: FlApproved as revised. [-]Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: FlApproved as revised. F_�Denied. Comments: Reviewed by-.- Date: PLIGATION' City of Atlantic Beach d b ailment.)- o be assign,e, ytheBuidingDep Building Department 800 Seminole Road 110/V Atlantic Beach, Florida 3223 04)247-5826 Fax 4 20 Phone(9 ------- oll 19 E-mail: building-dept@coab.us 06' D afe,to'ued City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM - 7- _�C De t review required Yes No Property Address: 07 CJ ui , lann ng &Zoni Applicant: u ' Wor s .,,Public-Utilities . Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Envir)nmental Protection Florida Dept.of Tra isportation St.Johns River Water Man 3geme it District Army Corps of Engineers Division of Hotels and Restaurants Divisi Dn of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS tReviewing Department First Review: [�Approved. [—]Denied. (Circl e one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: DApproved as revised. E]Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: FlApproved as revised. DDenied. Comments: Reviewed by: Date: Public Works Plan Review Comments Initials: Date: Application Permit#!9 Project Name/Address: Che ox dng Ito 4G omments:1.1 on, ominent Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance schedule. Provide drainage plans showing site topography (flow arrows, etc.) Pro ride construction site management plan, including Right-of-Way Permit if using 13 right-of-wa for constructi)n p king. Provide a pre-construction topographic survey prepared by a Florida Licensed 0 Professional Land Surveyor, showing l' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for ons and on-site retention re quired 0 'f u d sin de�e n and ed ent I pffan 'th ntro s w co i � s m 0 rovi rosi schedul Pro .de drainage plans showing site topography g age r Old f increased runoff. Provide Delta volume calculati 'qu e er Section 24-66(b). (See attached info. Sheet) If on-site stoLrage is required, a post construction topographic survey documenting f on-si s is co s ctl wi ro er=construction will be required. A Right-of-Way Permit must be obtained for use A Revocable Encroachment Permit must be obtained. Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from 1 )M street=o�rdrainage feaire ( rale, s[ructure or lagoo L). m a from drj u All driveway aprons must be concrete, 5 inches thick, 4000 psi,with fiberniesh from )t einforcing rods or mesh are not the edge of the pavement to the property line. R allowed in the ROW (Commercial driveways—6" thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the IDlans. i� : I :�)i 1� L E33 13 MAP , OF BOUNDARY SURVEY DESCRIPTION: LOT IB IN BLOCK 14 OF " ROYAL PALMS UNIT TWO-A " ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 31 PAGES I & JA THROUGH ID OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA — -------- Ot 7rdTON Raw wRw 24 MIANZ CLQ8 2.8' EAST .61 SOUTH S 85 33 41 E 80.59 FENCE TIES W9 .6 WV27E 80.6y .2 NEST FENCE TIES F.I.P. 112* NO ID 331.19 (p) 0 x F.Z.P. 112 No 10 9 x 10.61 COVERED CARPORT 39.o, LOT lia LOT 17 "i BLOCK 14 BLOCK 14 1 STORY /ai BLOCK LOT 19 1740 k BLOCK 14 15.3, AD 11C 14.6' X 24.7' WOOD LL DECK 12.2' X 8 3' F.1.P. 112' WOOD�f� S.p NO ID WOOD FLOOR F.1.P. 112' No 10 5' E4 FOR opAINAGE 5- FA FOR uUINAGE .2' SOUTH .2' EAST S&W27-E 8aer(p) FENCE TIES S 85*44' 36- E 80.53' ON LINE FENCE TIES LOT 6 BLOCK 14 LOT 5 LOT 4 BLOCK 14 BLOCK 14 SURVEY NOTES: #1 BEARINGS ARE BASED ON THE PLATS NEST LINE OF LOT 18 IN BLOCK 14 CERTIFIED TO AND FOR THE BEING N 04* 22' 33' E. EXCLUSIVE BENEFIT OF.* #2 UnpGR Mp LaaNDF TOMTZONS OR OTHER CHARLES D. PICKETT TED BY THIS SURVEY. SUNTRUST MORTGAGE. INC. STEWART TITLE GUARANTY COMPANY 03 ACCORDING TO THE FEDERAL EWRGEMY MANAGEMENT AGENCY BUSCHMAN.AHERN.PERSONS & BANKSTON FIRM MAP PANEL NO- 120077 50001D. EFFECTIVE 04-17-89. THE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE "X'- ADDRESS. 740 TRITON ROAD IT%BENEFIT OF AN ABSTRACT, #4 THIS SURVEY OP OR TI TITLE SE TLE INSURANCE. #5 DIWENSIONS ARE SHOWN IN FEET AND DECIMALS THEREOF SCALE: 1" 30' AND ARE PLAT AND 14EASURED UNLESS SHOWN OTHERWISE' #6 25 FOOT BUILDING RESTICTION LINE FROM ALL STREET LINES NOTICE OF LIABILITY: THIS SURVEY IS CERTIFIED TO THOSE INDIVIDUALS SHOW ON TLW CAM 714POMF AMY nTWA lrlF. RFMFFIT OR RELIANCE By ANY OTHER PARTY IS Y, ry