258 PINE ST - SHED PERMIT 4' w,
CITY OF ATLANTIC BEACH
A V 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
J y. INSPECTION PHONE LINE 247-5814
�Ji3l T>>
SHED PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 814
JOB INFORMATION:
Job ID: 15-SHED-1737
Job Type: SHED PERMIT
Description: replacement shed
Estimated Value: $10,000.00
Issue Date: 8/10/2015
Expiration Date: 2/6/2016
PROPERTY ADDRESS:
Address: 258 PINE ST
RE Number: 170553-0000
PROPERTY OWNER:
Name: DEL GALLOWAY, CHARLES
Address: 912 NW F ST APT 700
GENERAL CONTRACTOR INFORMATION:
Name: FLA DESIGN BUILD INC
Address: 5 GUANO DR JOHN W ROWAN
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control
Inspection prior to start of construction.
Silt fence must completely surround work areas.
All silt must remain on-site during construction.
Roll off Container Company must be on City approved list and container cannot be placed on
City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and
Waste Pro.)
Full right-of-way restoration, including sod, is required.
Right-of-way Permit required if parking construction vehicles in right-of-way.
FEES:
i} a d CtT
L IN ACCORDANCrARIMLL CITY OF .ATLANTIC I(: BEACH ORDINANCES AND THE FLORIDA
J>, CITY OF ATLANTIC BEACH
c S
f-----
800 SEMINOLE ROAD
;-'1'
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
BUILDING PERMIT FEE $100.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $154.00
PERDIIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATI,ANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
t:Shilglige
MAP SHOWING BOUNDARY SURVEY OF
LOT 519, SECTION NO. THREE, SALTAIR, AS RECORDED IN PLAT BOOK 10
PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
FILE COPY
CHARLES DEL GALLOWAY
JOEL R. LAVENDER, PA
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
/3. 6'
,f
LOT 508 I ILOT 507
LOT 506
I 1 50.00' (PLAT)
N 2315'36" E
0.0,-.\ y (.j\ 49.86' (MEASURED)
J x
o.s� I \ s os'
- — —+I— 3.2' '111-(?1.6'
`O I FRAME H G.O
ESHHED V f 0 L 0 SH£J Has 0 z c/v
iaj I_ off, LOT 519 Rem o v£O
'i 119 rt-r- N■
/ 2s11
V) 'al,'� ;3:', ? SE PLAN SH �'£ r 4 -1
J LLI �B.T— • '" •34.3' e' ,� 7.0'— la Q / O/C �D 0 1 7"/04//7 L
A/C
0.8L PAD
O ✓
0674145.
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O O N O o 0 N TWO STORY
FRAME
4 POSTED #258 LOT 518
LOT 520 COVERED
•8.8'- 14.5' ., ENTRY ,,
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in WOOD — . z
r0 STOOP & = O al
N STEPS — 0
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250.00'^(PLAT)
S 23'05'36" W I/
BLOCK
50.18' (MEASURED) CORNER
50.00' (PLAT)
PINE STREET
(50' RIGHT OF WAY)
LEGEND:
—x— - FENCE
O •• CONCRETE
O = SET 1/2.REBAR STAMPED PS1.1#6146
• = FOUND 1/2-IRON PIPE NO IDENTIFICATION
(UNLESS OTHERWISE NOTED)
III = 4"x4' CONCRETE MONUMENT
A/C - AIR CONDITIONER
NOTES: REVISIONS
1. BEARINGS ARE BASED ON THE ASSUMED BEARING OF __$ 67'QQ00 E_ ALONG THE
NORTHERLY BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS UE WITHIN FLOOD ZONE ___.( AS SHOWN ON THE 12-23-2013 UPDATE
NATIONAL FLOOD INSURANCE MAP DATED JUNE 3, 2013, COMMUNITY NUMBER 120077, PANEL .402JL-
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT
IF SUPPUED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED.'
4: THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL.
JOB # 4946-A I DATE OF FIELD SURVEY: 5-29-2003 I SCALE: 1" = 20'
Ililit\ Ray Thompson CERTIFICATE
I HEREBY CERTIFY THAT THIS 7 ' "IA •OE UNDER MY RESPONSIBLE CHARGE
SURVEYING, Inc. AND MEETSP PROFESSION MINIMUM ;4"--,R--' ': `S A i ���AS IN FORTH BY 61G17-F FLORIDA
ADMINISTRATIVE C�- • ANT O ON ? LORIDA STATUTES.
Going the DISTANCE for You ►�.�i� `�•4613 Philips Highway,Suite 210 >� / `1 „���
Jacksonville, Florida 32207 RAYMOND THOMPSr
(Phone)904-448-5125 REGISTERED SUR ' OR A Tg&6PPER 3.146 STATE OF FLORIDA
(Fax) 904-448-5178 L its. Sir BUUSI;E S •. 7469
LAND SURVEYS 0 CONSTRUCTION SURVEYS �. 9.�3UBDIVISIONS
5+���,yr��, CITY OF ATLANTIC BEACH ����rr
A? P
,4" " , Building Department
x jl 800 Seminole Road .
J "r Atlantic Beach,Florida 32233
(904)247-5800
PLAN REVIEW COMMENTS
Permit Application # /5-- Sheol - 1 7 g 9
Property Address: S$ P, n e S f
Applicant: F/ a 1 &)y, ,;v, /o/
Project: R-e.)0 laze Pr) en f S',4-e0/
This permit application has been:
14L Approved— C-.‘" ^� t
0 Reviewed and the following items need attention:
C) 2vh4-7v71 /e5 / Svrvey ShoU..n�, 64../1,Pr,e ?hQg/
tv- 'l I b.e loca -1,0 ti 3A0w`.y1 3 Sef - loar,k al sqat;le se-
h h re5ard 1-0 proper i-7 l;tie s, a k,o' nearby
Sirvciv (as.
.r`4'l '0),R'/S - Qpc i eveU SGry ey5 •'71 Aa'7 W f,✓ e ‘10-1--
l, a b /_S - n ea, Sec/e b. / ee / ie r+d 3 tir e r,4
Drif-er . Sr k p (A- r �-A /7't/i Ic e 14/4rGd a foci/ -71,,,'3 ni
//
--- \ R-ec, ved Icolv'ec-leo/
rink_
(P.,--2-/5--
Please re-submit your application when these items have been completed.
Reviewed By: 2 - • Date: 7'a .-is-
BUILDING PERMIT APPLICATION
. CITY OF ATLANTIC it EACH �^ RLECOPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904) 247-5826 Fax(904) 247-5845
Job Address: 015-79 one sired- / NLi L. 1 0,, 3 e mittNurraber: /S S d- 17 7
Legal Description La .5/I 5- •h1),1 Ato.7-Aree Sa-/ i^Parcel# / '7053_3 — 0000
oor Area of q. t, q..bt
Valuation of Work S /d/ 4't/0 Proposed Work heated/cooled non-heated/cooled / '73
Class of Work(circle one): r t ew Addition Alteration Repair Move Demolition pool/spa 'ndow/door
Use of existing/proposed structures)(circle one): Commercial Residents .,S
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A 0�
Florida Product Approval
For multiple products use product approva form �y ✓(/�2 0/jr�
Describe in detail the type of work to be .- ormed: ' it ,,e -S`-2- Cl / ` c%%i•∎
Ag
Property Owner information: 'NFI/41
Name: C'/3O1-/PS �e j //0w J Address: 3--'S A 17 L <f v-e _f
City tI a i'1-+-ic 3 et State 6.L.Zip 3 2 2 3 3 Phone (4o,),) 3 G 0- 0) 19
E-Mail or Fax#(Optional) d:) 1)1 t, ' a
Contractor information: "J�Ol�n t-'J•c,Jc.il d�J t:9h a 0/Ce/.rl. '�'
Company Name: �2..P. il- it, f73uu IcQ 1 1-clL• Qualifying Agent: �0 X n M "i1
Address: /c i Sa uJ� .5 C r-n erS br's V� CIO/ City �cmvf?. 1k j)vrt, exact State 14. Zip j Z-082—
O f f i c e Phone c?D y- ✓"?..5-q-2 007 Job Site/Contact Number goy- '7 3 q-q c Py Fax#
State Certification/Registration# C/0 0 3 3 19 V-
Architect Name&Phone#
Engineer's Name&Phone# .LU(.G s awl 5-colt 6/1�.n6iPri1 •�y)C- (e/e f) ,2-&e.)--1_6 y c
Fee Simple Title Holder Name and Address Chctr/e,S 0'`'1 tret//r�✓n'�•.c�i ,- ht v e (1-ef-o/ /-i/ 8,4, P.'.
Bonding Company Name and Address ✓ 1.-X-31
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert fi,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 sir(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 and Air Conditioners,etc.
W k . I G TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY l'Y RESULT IN YOUR PAYING TWICE FOR IIVIPROVEINTS
TO YOUR P i':OPERTY. il YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby cer•t fi'that 1 have read and examined r a plication acrd ktrow the sa tot r e t ue and correct. All provisions of laws and ordinances governing this
type of work will be complied with 1 hether s cited herein or not. .he a.ti _ ' a permit does not presume to give authority to violate or cancel the
provisions of any other federal.state, or lo,al w regulating constr on a the .• 7 mance of construction.
Signature of Owner V 1 • : : ature of Contractor
Print Name C/1CtvieS T
/fit( (u 800 / Print Name 2-Vf7 IRO CAAi - .
Sworn to and subscribe• •- :re me Sworn lo.and subscribed or me
this /6 Day of 1 20 this /(6, Day of i4-1 .20 1
Notary Public I No Pu. rc{. t J
1 1 j S�'-e�R 4otMY pt/�c JUDITH STEEQ Li d i Revi°�. 'Di 86.10 JUDITH STEEL
'1 J * c•) * MY COMMISSION r FF 091299 * �A.);-:, * MY FISSION t FF 091299
II, EXPIRES:February 10,2018 in? EXPIRES:February 10,2018
m,"lEaFidr°~ BoMedTlruBudget NOWySincee yrEr>sFt exidedTh., ),:i«INobrysmog
. :,,,, City of Atlantic Beach
6 •`-.f,- Building Department APPLICATION NUMBER•,r. (To be assigned b the Building Department.)
474'
Atlantic tic Seminole Road Jc x�1 j _ /7x 7
{" Atlantic Beach, Florida 32233-5445 s d
�� ' Phone(904)247-5826 • Fax(904)247-5845
0
;r j/ E-mail: building-dept @coab.us Date routed: 7A2 /A,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: e7?a / . Jr . - : . . ent review required ' o
� [Bu .
Applicant: / � 7 - yi/ 4 I/ rjanning &Zoni t.,
es trator
Project: JtEf2JM /')j e ♦ r-ublic A . .s 1111.111M1
.`
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
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 ---T
Division of Alcoholic Beverages and Tobacco -
Other:
APPLICATION STATUS
Reviewing Department First Review: I pproved.
❑Denied.
(Circle one.) Comments:
BUILDING U C----
PLANNING&ZONING 5 7. /J
Reviewed by: Date
TREE ADMIN.
Second Review: ❑Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
•;; • ;; City of Atlantic Beach F1cEv . -') APPLICATION NUMBER
:>,• Building Department
(To be assigned by the Building Department.)
f..; l,� 800 Seminole Road �UL 2 20�� 1 5���
"" Atlantic Beach, Florida 32233-5445
i Phone(904)247-5826 • Fax(904)247- g
/7�7
,,_ ; `i E-mail: building-dept @coati.us '----- ` _ _ / -�
= Date routed:
City web-site: http://www.coab.us ��""�---_,APPLICATION REVIEW AND TRACKING F0f- M
Property Address: Department review required Yes No
Buil.'•.
Applicant: / 'L. 2 ?yA/ , //(1/ PilIanning&Zonr g
Tree ' .11• istrator
Project: _ X_Ephteinien_ rublic A • s
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
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:
APP ICATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments: �� ri'�� �G���� _L1/
BUILDING �J ,(�T
PLANNING &ZONING
A
Reviewed by: Date: 7 13 l J
TREE ADMIN.
Second Review: Approved as revised. nD ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: nApproved as revised. I JDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
• City of Atlantic Beach RECEIVED NUMBER
A�C
Building Department 1
VED (To be assigned b the Building Department)
, 800 Seminole Road �� ,(
{ "' ,j.7,• Atlantic Beach, Florida 32233-5445 Jul 2015 / /7 U
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
�•
Property Address: AP _ � r ent review required Ye e ss V
BUI in
Applicant: Z? ?yA/ : 4/z0, tanning &Zon —
Tree .U. istrator
Project: _-YV iAeMe A6 'ublic I • s �--
Fire Services
Review fee $ / Dept Signature
Other Agency Review or Permit Required Review or Receipt
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:
APPLI ATION STATUS
Reviewing Department First Review: Approved.
❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by: Date: r�
TREE ADMIN.
Second Review: nApproved as revised. nDenied.
LIC WORKS Comments:
'II: I UTILITIES
ruBLICSAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
I
s v, City of Atlantic Beach APPLICATION NUMBER
rr T *-'?�, Building Department (To be assigned by the Building Department.)
i`- 800 Seminole Road
1. "7 i_ '#:. Atlantic Beach, Florida 32233-5445 /�r„ yf 6 _ /757
Phone(904)247-5826 • Fax(904)247-5845 �f
__,4 E-mail: building-dept @coab.us Date routed: 7/02 /�_
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING F•RM
Property Address: „Sir Be ent review required Yes No
/ 'L. /L� /1/ W4//el______ e l Applicant: -tannin &Zoni
Tree A s u' istrator
Project: J7/,?JM&v)len7— . Sth6 ru blic A . .s
Wellimum
'u. — -
Fire Services --
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
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: ❑Approved. Denied. _
(Circle one.) Comments: (,Lt �r L A���
BUILDING J +"�'r'�
PLANNING &ZONING (//.../.
Reviewed by: Date: 7/3( I S
TREE ADMIN. J —
Second Review: AnApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: r�
— -- ate: , h'
FIRE SERVICES Third Review: ❑Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
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