583 COASTAL OAK LN - NEW HOME PERMIT (2) BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH F:1 7
800 Seminole Road,Atlantic Beach, FL 32233 �ii. coly
Office (904)247-5826 Fax (904) 247-5845
/
Ali Mv-ii c 30.2 3 3
Job Address: ,� ,3 COa,Strl-L /94-k e t3cac/- Permit Number: /S- SF'e--2 3SS'
Legal Description p f 8 g 4--rC ia, /, C Parcel#
d Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 2,3_74,Soo• Proposed Work heated/cooled ,a.7 g(2 non-heated/cooled 1 3 5 vl
Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial Residential cm
installed?an existing structure,is a fire sprinkler system nstalled?(Circle one): Yes No
Florida Product Approval # .sc, g Pt--n µo
For multiple products use product approval form ',get./ ) devre
Describe in detail the type of work to be performed: �1 h 51 e 1 c i►�t l y
Property Owner Information: �(
Name: Teo Col v' L.LC. Address: 21037 +''P�- Z £aI / �i21V-e
City W es f, v. State Fl Zip 333:12 Phone
E-Mail or Fax#(Optional)
Contractor Informatioon: r ) /
Company Name:5Ot.�t&et r? -teS4�l(t Arm es Qualifying Agent: 0r''►'� ►�S F 1'foPN "Si.
Address:cR 7 Mual7,N„ s D R 4 Sl)1 City "C-, x State r/ Zip .P Z2 57
Office Phone 90,4 • 26e,-9 Job Site/Contact Number ''bL/- 5,/- 6082.-.Fax# RC)q- /(o0 -O2Z,z
State Certification/Registration# CKG OS7'7 g'
Architect Name&Phone#
' Engineer's Name&Phone# 36 IT 1.10-/513 g c. cj 0 4- 896 'z L/D l
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify th,,,,.,--1. v.••••••.�• 'rior to the
issuance o a permit and that all work will be performed to meet the standards of all laws regulating co "t7 �— % comes null
f p P f / g 8 f.._.A."• - ..It7.. t
and void if work is not commenced within six(6)months, or if construction or work is suspended or aba �I � • -. � � '� , time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumb �. ` ns, 'e s, 'oo s, r I, r 9 Heaters,
Tanks and Air Conditioners,etc. s
I a i
WARNING TO OWNER: YOUR FAILURE TO RE I 1 j 1 §ffsieti s+ : 0 i,
COMMENCEMENT MAY RESULT IN YOUR PAYING T i i' FOR IMPROV .:.■ NTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FI l'A • - 1. - c ITH
YOUR LENDER OR AN ATTORNEY BEFORE RECO 'II ► I : ■ I TICE F
COMMENCEMENT.
1 hereby certify that 1 have read and examined thisplication and know the same to be true and correct. All provisions of 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 other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner 214 ..._..,- -, Signature of Contractor 174 Print Name A - 1\ el MaCea-tn Print Name 140NlvZ . HCRNL •
S to and subsbed bef a me S 'r�tq and subs . ' e..bef re me
th il h Day,o - e 'L zr ,20 < 5 t • U+t tDay o !,I,a .!'. ,20 15
a)ciAgfi\ 1 ry\IF T
•ary> blic •tary P, l is
Revised 01.26.10
1 "Ivy''' GINGER KAREN MAY — — �� -
:� �s Nasary PsiM*-$1 S 01 Florida ;,,pr,°�e,,,,. GINGER KAREN MAY•
i ,� f My Comm.Eawns.IM 17,2017 r r ,�� °•= Notary Public-State of Florida
�,..a�; CoMMistica•ff 037131 t, c, My Comm.Expires Jul 17,2017
,,)ta,,.d;,, Commission 0 FF 037138
MAP SHOWING BOUNDARY SURVEY OF
LOT 88 BLOCK - AS SHOWN ON MAP OF
ATLANTIC BEACH COUNTRY CLUB UNIT 2
AS RECORDED IN PLAT BOOK 67 PAGES 132-137 OF THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA
CERTIFIED TO: SOUTHERN LIFESTYLE HOMES
ELEVATIONS SHOWN THUS(20.0) 'VS??S
P-PROPOSED 2D .70, (2,) GOLF COURSE
A-ACTUAL S(
LOT DOES NOT MATHMATICALLY (10.8)P
/1/z, SS�A�'
(11.4)A 76, J 39.31 (10.5)P
CLOSE BY 0.20' PER PLAT 06,, „
L1i S85°35'25 W (11.0)A
N
sp — &
OFFICE COPY
Ur —
1.07.
7.50'
62.99'
if
h
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Liu-
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(11.4)P
(11.6)A O LOT 87
(11.1)P
STAKE OUT In (11.0)A
N z-,, OF BUILDING e., en
0 4 co FFE=12.40 v v o
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N 21.98,
N Co 62.99' 7.500'
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(10.2)P of
(10.5)A -.__ _____ _ - - - _ - - -
SET Y2" I.P. (1o.7)A EASEMENT
Cl #6715 ,� •SETY2" I.P.
RT. N85 035'25 E #6715
2o'S 35.80'
h
• '')
° COASTAL OAK LANE
�
C/L P.C.P. g6 C OA
FD.4 NAIUDISK (VARIABLE WIDTH RIGHT—OF—WAY)
#3848
REFERENCE
L _ CURVE_TABLE _
CURVE LENGTH RADIUS DELTA CHORD BEARING CHORD
ALL CORNERS FOUND,Y2"I.P.#3848 C1 63.24' 100.00' 36°13'59" S76°17'34"E 62.19'
UNLESS OTHERWISE NOTED
PERRET AND ASSOCIATES, INC
5627 ATLANTIC BOULEVARD SUITE #6 JACKSONVILLE, FLORIDA 32207 — (904) 805-0030 ^- FAX (904) 805-9888
GENERAL NOTES LEGEND _
P.C. POINT OF CURVATURE AUTHORITY SCALE 1 -20 10-20-15
BEARINGS SHOWN HEREON ARE BASED ON �� "'
(1) P.T. POINT OF TANGENCY DATE OF FIELD SURVEY
THE N'LY R/W LINE OF COASTAL OAK LANE P.R.C. POINT OF REVERSE CURVE ••
AS N85°35'25"E,PER PLAT. P.C.C. POINT OF COMPOUND CURVE
P.O.C. POINT ON CURVE 3:3:
(2) THIS PROPERTY HAS NOT BEEN ABSTRACTED P.C.P. PERMANENT CONTROL POINT
FOR EASEMENTS, COVENANTS, RESTRICTIONS B R L BUILDING RESTRICTION UNE I HEREBY CERTIFY, THAT THIS SURVEY MEETS THE APPLICABLE
R/L RENTER FINE "MINIMUM TECHNICAL STANDARDS" AS SET FORTH BY THE
(3) UNDERGROUND UTILITIES SERVING THIS ORYV. OFFFIICIAL RECORDS VOLUME FLORIDA BOARD OF PROFESSIONAL SURVEYOR D MAPPERS IN
PROPERTY HAVE NOT BEEN LOCATED OR OIL ON UNE CHAPTER 51-17, FLORIDA ADMINISTRATIVE E SUANT TO
SHOWN R RADIUS CHAPTER 472.027, FLCRIDA STA S.
A or D DELTA (CENTRAL ANGLE) 1
(4) THIS PROPERTY APPEARS TO LIE WITHIN A or L ARC LENGTH e /
C or CH CHORD `
FLOOD ZONE "X" AS SCALED FROM CB CHORD BEARING
F.E.M.A. FLOOD INSURANCE RATE MAP, (R4 LINE RADIAL TO CURVE /'�
PANEL 120075-0406H, DATED 6-3-2013 C AIR CONDITIONER L/ r L `rte
C C. CONCRETE
I.P.FD. FOUND
IRON PIPE NATHAN P. PERRET, FLA. CERT. NO. 6900 LB - 6715
F.B. PG. NOT VALID WITHOUT THE SIGNATURE & ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR & MAPPER ORDER NO. 2015-1820-2