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303 10th ST - NEW HOME PERMIT , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD - -5 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 j'71.0.2191'' SINGLE FAMILY DWELLING NEW MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFR-2682 Job Type: SINGLE FAMILY RESIDENCE Description: NEW HOME Estimated Value: $350,000.00 Issue Date: 12/9/2015 Expiration Date: 6/6/2016 PROPERTY ADDRESS: Address: 303 10TH ST RE Number: 170063-0000 PROPERTY OWNER: Name: BOUY. KIM L Address: 303 10TH ST GENERAL CONTRACTOR INFORMATION: Name: LENDRY HOMES LLC Address: 4745 SUTTON PARK CT APT 501 QA BRYAN JAMES LENDRY Phone: - - PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $1,230.00 STATE DCA SURCHARGE $18.45 PLAN CHECK FEES $615.00 STATE DBPR SURCHARGE $18.45 WATER CROSS CONNECTION $50.00 PERMIT IS APPROVED ONLY IN ACCORDANCE Wrrh ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J" i ';, CITY OF ATLANTIC BEACH ss‘ f 800 SEMINOLE ROAD J i'•wte r) J " ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Total Payments: $2,081.90 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ;;sr-0.6; City of Atlantic Beach Building Department APPLICATION NUMBER 800 Seminole Road �_ ``��CCI�L� (To be assigned by the Building Department.) s �r Atlantic Beach, Florida 32233-5445 ��nn l v�+D _ S�2 » 2 pz Phone(904)247-5826 Fax(904) '47-584�3JV 1 6 4 `'4u;;tay• E-mail: building-dept @coab.us ?015 Date routed: City web-site: http://www.coab.us - APPLICATION REVIEW AND A CKING FORM Property Address: Q � (r'� -------- d �a0 eJ r De•artment review required Yes No l ,n //2 m iS" ui Id i Applicant: _ (� d � _ �nn nnine Gn ng -aAdministrator ` Project: il/f/4) 71/i)Ma P .. c rror s ,... _ ■, •• _ • ey Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Perm it 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: F 1 pproved. ['Denied. (Circle one.) Comments: / Im� �p ‘ BUILDING PLANNING &ZONING P Reviewed by: �� . Date: //4°ZS— TREE ADMIN. Q Second Review: nApproved as revised. r Den ied. PUBLIC WORKS Comments: PUBLIC U !LIT ES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. Comments: — — — - — — Reviewed by: Date: •vised 07/27/10 30J /pt fsszad /1':1/q - lot --x_9 0 L ?L 8/ x9 C 66 oa___>____77,zer 7fV-L , c. -- -Y.1`"D .1'14_2e Xc36 11-rf I? X . _ 44A% • 3 9z, T 3ea7 Adak C ac,,del4aP x71 x 32 > . 4-c Pa 7XJ V 2/ i/702 pa11444l a a. x/6 6 .5fz 3 _ - 1 I ,10 ke r- / 1( x62 - ItokfA 1/0 g to 'Y®© I 0,,, ; i7kt - amt Comp. By: SRW Date: 11/17/2015 01119`' Public Works Department City of Atlantic Beach Permit No: 15-SFR-2682 Address: 303 10th Street Provided Storage: Elevation Area Storage (ft) (ft) (ft3) 9.2 304 0 BOTTOM 38 X 8 9.5 400 106 TOB 40 X 10 Elevation Area Storage (ft) (ft2) (ft) 0 BOTTOM 0 TOB Elevation Area Storage (ft) (ft2) (ft3) 0 BOTTOM 0 TOB Inground storage=A*d*pf A=Area= 400.0 d=depth to ESHWT= 6.2 pf= pore factor= 0.3 Inground Storage= 744.0 ft3 Required Treatment Volume= 717 ft3 Supplied Treatment Volume= 850 ft3 Retention 10 th Street 303 11/17/2015 c CITY OF ATLANTIC BEACH PUBLIC UTILITIES 1200 Sandpiper Lane ATLANTIC BEACH,FL 32233 (904) 270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: 1/-/6 -/C Project Address: 30 3 /v Tit 5aE No. of Units: Commercial Residential 1/ Multi-Family New Water Tap(s) & Meter(s) Meter Size(s) 3y New Irrigation Meter Upgrade Existing Meter from to (size) New Reclaimed Water Meter Size New Connection to City Sewer Name: Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# /5- S F2 -2(0 $2 Water System Development Charge $ I`e-OF_V€ ,.-1 - Sewer System Development Charge $ Water Meter Only $ N. CPC �s bee.atb Reclaimed Meter Only $ 4 a. 3/,1 " A4c,^62 Water Meter Tap $ (notes) Sewer Tap $ Cross Connection $ , se, 00 Other $ TOTAL $ Sa• CO APPROVED: Kayle Moore,PE </—'1.•\ (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED �s S, Comp. By SRW Date: 11/17/2015 z. Public Works Department City of Atlantic Beach Permit No: 15-SFR-2682 Address: 303 10th Street Required Storage Volume Criteria: Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations requires that the difference between the pre-and postdevelopment volume of stormwawter runoff be stored on site. Volume of Runoff is defined as follows: V= CAR/12 Where: V= Volume of Runoff C=Coefficient of Runoff A=Area of lot in square feet R=25-yr/24-hr rainfall depth(9.3-inches for Atlantic Beach) Predevelopment Runoff Volume: Lot Area(A) = 7,250 ft2 Runoff Coefficient Area Lot Area Description (ft) (ft) "C" Wtd "C" Impervious 2,335 7,250 1.00 0.32 Pervious 4,915 7,250 0.20 0.14 Runoff Coefficient(C)= 0.46 Runoff Volume V= 0.46 x 7,250 x 9.3 / 12 V= 2,571 ft3 Postdevelopment Runoff Volume: Lot Area(A) = 7,250 ft2 Runoff Coefficient Area Lot Area Description (ft) (ft2) "C" Wtd "C" Impervious 3,492 7,250 1.00 0.48 %ISA = 48.2% Pervious 3,758 7,250 0.20 0.10 Runoff Coefficient(C)= 0.59 Runoff Volume V= 0.59 x 7,250 x 9.3 / 12 V= 3,289 ft3 Required Storage Volume DV= Postdevelopment Runoff Volume- Predevelopment Runoff Volume DV= 3,289 - 2,571 DV= 717 ft3 Retention 10 th Street 303 11/17/2015 Williams, Scott From: Don Lendry[don @Iendryhomes.com] Sent: Wednesday, November 18, 2015 10:53 AM To: Williams, Scott Cc: Bryan Lendry Subject: 303 10th Street Driveway Scott, Homeowner not going to have pavers to the street. Pavers up to sidewalk only. Not going past the sidewalk. Don E!ENDRY HO M E S, LLC Lendry Homes, LLC Don Lendry 4745 Sutton Park Court Building 500, Suite 503 Jacksonville, Florida 32224 cell: 904-910-7054 phone: 904-992-2100 fax: 904-992-2105 1 f -1,,,, City of Atlantic Beach APPLICATION NUMBER rf ?• Building Department (��t • �• 800 Seminole Road (To be assigned//��byssthe Building Department.) Atlantic Beach, Florida 32233-5445 QCT 2 cu lS /( 4+G " Z5-Zv t Phone(904)247-5826 • Fax(904)24 -5845 VP E-mail: building-dept@coab.us $Y; Date routed: �� Z6/�� —I City web-site: http://www.coab.us --_—_ APPLICATION REVIEW AND TRACKING FORM Property Addre s: 3 Q 3 /4 77i.S7' I n........a.,...,.,. .evi ew required Yes No Applicant: /fit city ,y,f4" _ ing w Tree Administrator Project: �&-fl 4-4-akx E ublic Works Public Utilities Public Safety Fire Services Review fee$ 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: dee Alai,/ /� fury BUILDING (,rim PLANNING &ZONING kg� Reviewed by: c i` Date: /d/�/S --- TREE ADMIN. Second Review: QApproved as revised. nied. JBLIC 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 ■ • • . . ■ • ifs / 4d 4 4W -./.-- --10.-r0 _ : i., 71-3( 2__;:2- _ .__• Add_ 43 k xV,J c__ ,9,17.2 ,of ___ it-„z,tio, = 11719f - __ .____ .__ 22 X AP, 7 v Jill , y I 2f . _____________:"- 2 yx ki -:.2. - .23, 31 w ;• , — -// 2 ._.., : ,..3 iliy gcr. a _ __ -../ ----- ----- /67 3r Ae fa ... sty Ii, ,.. ri 0 , \ / , , W . 3,..3 42 i: Ad 3g S 4.0" 11 NM- _ ..._ zl r‘ ,,, :• • . • _ •. . /0 ...ezig„/.5---- , I • • • MAP SHOWING BOUNDARY SURVEY OF (DESCRIPTION AS PROVIDED) THE SOUTH 75 FEET OF LOTS 2 AND 4 BLOCK 13,ATLANTIC BEACH SUBOOASION A AS RECORDED M PLAT BOOK S. PAOE 69,CURRENT PUBIC RECORDS,DUVA,COUNTY,FLORIDA,EXCEPTING THEREFROM A STRIP OF LAND LYING AT THE SOUTHEAST CORNER OF SAID LOT 2.SAID STRIP AND MORE PARTICULARLY DESCRIBED AS: COMMENCING AT THE SOUTHEAST CORNER OF LOT 2 BLOCK 13 FOR A POINT OF BECNNNR THENCE RUN NORTHERLY ALONG THE EAST LINE Of SAID LOT 2 A DISTANCE OF 57.85 FEET TO A PONT SAID POINT BEING THE PONT OF • TANGENCY BETWEEN THE EAST UNE OF SAW LOT 2 AND A CURVE,THE RADIUS OF WHICH IS 140.32 FEET AS MEASURED WESTERLY FROM SAID POINT OF TANGENCY THENCE RUN N A SOUTHWESTERLY DIRECTION ALONG SAID CURVE A CHORD DISTANCE OF 59.07 FEET TO A PONT IN THE SOUTH LINE OF SAID LOT 2 THENCE RUN IN AN EASTERLY DIRECTION ALONG THE SOUTH UNE OF SAID LOT 2 A DISTANCE OF 11.92 FEET TO THE PONT OF BEONMNO. CONTAMNG 7.274 SOMARE FEET AND/OR 0.17*ACRES.MORE OR LESS. CERTIFIED TO: LENORY HOMES LLC. • -('•(0' IIH RIGHT OF WAY) i . 1 NORTH 75' I NORTH 75' IL LOT4 LOT2 BLOCK 13 I BLOCK 13 I I I ' 1Er 5/C re OO•W 100.00' =r Sit eR F„R.n ,- u > •w 1Pw FONZ nP. .. SMCT EA/(6k ., � _ y1F -re Rc - I f , " f3F,(,r,,, /•', _ "=- SOUTH 75' 'I <c.• \ 1�'`1 . oft AFTYr,r. R4,V M 7/11 s � I SOUTH 75' ` CURVE DATA C s LOT 2 d (CALCULATED)1 F ` Q' {F I ,. MOOT 1�) - S N11'38'34'E 1.3� a� ' {Jri CH • 59,07' co, Cp R • 146.32' A • 59,47' 8 _ 2317'19• m / I POINT OF COMMENCEMENT• u[ D ° SOUTHEAST CORNER OF LOT 2 a_• ..cat WY,. N•1 1. e•'IEMNIIIMIIIIMII„ 00'E BLOCK 13 .P>• 11.92' De ng, TD1m11 STREET 0 37(Mc F•V� IA(LV OIR.C7 DEct E crIA'l RIGHT OF WAY) O p,P/Vrwgy 4L/ LOT SIZE 7,2743 50.R. OPI,G,,w> 0'L HOUSE 9ZE 1,435*SO.FT. U 2Y3.RC ywo CONCRETE SQUARE FOOTAGE DRIVEWAY 11 294*S0.FT. DRIVEWAY/2 564*SO.FT. IHN THERE WY K AMMO N%/45014119 Mq RFSTRICIMIS THAT NCR IIMOI SHOWN// i01;N0 1/7'NON^4E:NO 13 ON MS SURVEY TNT WY_E FOLIO N M PLRML=OR R OF TO COWS N. O UTACSS Np1E0 OTIERWSE M 1/410 SHORN MIMI R M M SPECIAL FL000 NALIRD 20NE'Y•AS 410.11 ON 8000 INSURANCE RAT:MOP OAOS N FOR THE CITY Oi.MOOTpi/RJE,RORMA.OATtp 05-03-13 ALL AMERICAN SURVEYORS OF FLORIDA, INC. LAID ST.OIE/MS-375$SAN JOSE PLACE AM 18-JCILLOPIALLL 40401,,72557-051/770-DON-1D4R[D LAW I(9A4S NO 5857 nap Aram. eir TNf 6 TO CERTIFY 5150 TINT M 48014 LAMS RIM[MRIYI3m II$ W RQPONL9{5 _4 '•pe�PNwpio�� MN 111*1 I AIO MEMO.THAT 11141[MN NO 4OROAL1RdTS(K AI. AS SHIO_A - 1RNINe1 MID THAT N SHE P1 MORN NFAEON MEETS TIN Y1NR1W TECIRS AL STMOARRS SET TOWN NY THE CHAPTER 4 80ANO of PIAOTESS10N01 SUNKYORS ANO YAPPERS 4s4� : {_R[pRFN^ PURSUANT TO CHAPTER 472.027 / CHAPTER 81017-4, FLORIDA STATUTES. a iRl11 w...M.II ORPOYO RY1114 SURVEY NOT YAUD MESS[MOSSO to SEAL 1 � 5.3 rw'apHy.IRO A Uwe KO MOS O.WARIKIN.K.144.L POW"No.4N7 2N7 ict} 1 ..u.,, _mac 1AR1.w SCALE 1-.2 ...17' 110.111 RcAOW VOI _ V. 4.1_ PA M_O MpiLM1 .}�1 l0�/9�� M4 RR O OIMO OAR 11-15-15 ROMWA A/O YAPPCP I—Si PIP •RO_M4_IMF 104 ..41HN 68 OC 144505.PRIM 01•.M 00 04! P:\2015\71/551-1445115-949 0100W MO. 144695 /5E 79651 1 e • OFFICE COPY Printed on 10/14/2015 at 2:19 PM ENVIRONMENTAL QUALITY DIVISION k5. � Wh.eere lei Began. Well Permit 2015-0894 Granted To: Kim Bouy Well Type: Abandoned/Plugged Well 303 10th Street Permit#: 2015-0894 Atlantic Beach,FL 32233 -5529 Well#: 15392 Well Location: 303 10th Street Contractor: Lawrence N. Williams Atlantic Beach,32233 License#: 1417 Authorization is hereby granted to construct,repair,alter or abandon well(s)at the above location in accordance with information supplied on the application for permit form according to the following provisions,and with the authority of Chapter 366,City of Jacksonville Ordinance Code(OC).The permittee and any future property owners hereby hold the City of Jacksonville harmless from responsibility to comply with or obtain permits pursuant to any other federal, state, or local law. All permitted work must be accomplished by a well contractor with a valid EQD registration within one year of the issue date.This well shall not be used for the purpose(s)other than that indicated via the following provisions. Provisions 1. There may be a difference between the items requested in the application for the well and the requirements issued by EQD. 2. This well must be constructed,abandoned,repaired or modified in accordance with Chapters 62- 532 and 40C-3 FAC. 3. A legible and completed copy of the State of Florida Well Completion Report shall be submitted to the Groundwater Section(GS)within 30 days after completion of the permitted well activity. 4. A copy of this permit should be given to any future property owner when the property is sold. 5. Wells shall be located,constructed,cased,grouted,plugged,capped,or sealed to prevent uncontrolled surface flow, uncontrolled movement of water from one aquifer or water bearing zone to another,contamination of groundwater or surface water resources,or other adverse impacts. 6. All wells shall be plugged by a state licensed well contractor within six(6)months after their use has been permanently discontinued,or when the well is determined to be in a state of disrepair and/or subject to abandonment pursuant to Chapter 366,OC,EPB Rule 8, Chapters 62-532 and 40C-3,Florida Administrative Code(FAC),or as otherwise noted in subsequent provisos. 7. This well shall be plugged in a manner consistent with Chapter 40C-3,Florida Administrative Code(FAC). Well Permit 2015-0894 Page 1 of 2 REGULATORY COMPLIANCE DEPARTMENT 214 North Hogan Street,Suite 500 I Jacksonville,FL.32202 I Phone:904.255.7100 I Fax:904 255.7130 I www coj.net Printed on 10/14/2015 at 2:19 PM ENVIRONMENTAL QUALITY DIVISION 8. The well casing shall be cleared of all internal obstructions to its original constructed depth and sounded for total depth prior to plugging. 9. Efforts shall be taken to ensure the well is plugged in a continuous manner by having adequate additional material on site or by obtaining a more accurate estimate of the wells volume,through sounding or logging before the work begins.The well contractor shall initially attempt to fill the well with a volume of cement equal to the calculated volume of the well and open hole plus twenty -- percent(20%). 10. This permit is not a sanction that the volume of material stated on the application will be adequate to satisfy the requirements of Chapter 366 of the City Ordinance Code or Chapter 40C-3,FAC. 11. This permit allows for the abandonment of a f' _ inch diameter well that was completed to an estimated depth of 3) feet below land surface. Issued By Date Well Permit 2015-0894 Page 2 of 2 REGULATORY COMPLIANCE DEPARTMENT 214 North Hogan Street,Suite 500 I Jacksonville,FL 32202 I Phone:904.255.7100 t Fax:904.255.7130 i www.coj.net i 4 Comp. By: OFFICE COPY �P , Date: 11/2/2015 Public Works Department City of Atlantic Beach Permit No: Address: 303 10th Street Required Storaqe Volume Criteria: Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations requires that the difference between the pre- and postdevelopment volume of stormwawter runoff be stored on site. Volume of Runoff is defined as follows: V= CAR/12 Where: V= Volume of Runoff C= Coefficient of Runoff A=Area of lot in square feet R=25-yr/24-hr rainfall depth (9.3-inches for Atlantic Beach) Predevelopment Runoff Volume: Lot Area (A) = 7,050 ft2 Runoff Coefficient Area Lot Area Description (ft) (ft) "C" Wtd "C" Impervious 2,335 7,050 1.00 0.33 Pervious 4,715 7,050 0.20 0.13 Runoff Coefficient(C)= 0.46 Runoff Volume V= 0.46 x 7,050 x 9.3 / 12 V= 2,540 ft3 Postdevelopment Runoff Volume: Lot Area (A) = 7,050 ft2 Runoff Coefficient Area Lot Area Description (ft) (ft 2) "C" Wtd "C" Impervious 3,525 7,050 1.00 0.50 %ISA = 50.0% Pervious 3,525 7,050 0.20 0.10 Runoff Coefficient(C)= 0.60 Runoff Volume V= 0.60 x 7,050 x 9.3 / 12 V= 3,278 ft3 Required Storage Volume DV= Postdevelopment Runoff Volume- Predevelopment Runoff Volume DV= 3,278 - 2,540 DV= 738 ft3 Retention 10th Street 303 11/2/2015 ,,r. 1.., >1.1 j.' ,_ Comp. By: Date: 11/2/2015 Public Works Department City of Atlantic Beach Permit No: Address: 303 10th Street Provided Storage: Elevation Area Storage (ft) (ft2) (ft3) 9.2 304 0 BOTTOM 38 X 8 9.5 400 106 TOB 40 X 10 Elevation Area Storage (ft) (ft2) (ft3) 0 BOTTOM 0 TOB Elevation Area Storage (ft) opt) (ft3) 0 BOTTOM 0 TOB Inground storage=A*d*pf A=Area= 400.0 d=depth to ESHWT= 6.2 pf= pore factor= 0.3 Inground Storage= 744.0 ft3 Required Treatment Volume= 738 ft3 Supplied Treatment Volume= 850 ft3 Retention 10th Street 303 11/2/2015 --,-,,, t5 ' ° rd " K 1? 5 a, o > id O w > � ).4 U z x ° ¢ moo ,-C Ui W N .0 cg 4t ,I ... W E o w c: - 0 0 ; Us a, 0 z G, 0 � `n - T M F- H � E ° a, r. �,"10 >, o o a) Q.) ttt HN a) """ - . 4-, O 0 E.y C. J W U (11 s. o '" c N 4� Z v bp A J d .., a' b� 1 0 2 ;.,,,, t. . ,D,•— -, . ._, --.-. , 0 .7,, — . ..zi „. , . ,,_ i.„ ..,\ .-,.. - 0.., 4., aci r, . ..! , ., „, `) •� w I' a • ra,O •v U t I f 1 Li, a.> ° r, n Q b c3 x \� (J l!_, 1 1 CI a �, , ° f i � o U k1 a, v o O .5 V, 0 o 0 d a, ' A ■c • s~ at ^� O 0 E Ii ! o r� FA' cn w Q O to x U (� �. a s . Oo a "9 (� .-, N Cr.) d kn .D r-. cV ri ct Ln ■O t� oo a1 ° v 1:4 a a < �o , r "''''^ `f •, - - - 74 V O ,� Qc N ed C.) O O f O Q .F. o �. L z r .k C. ri f) y .3 ,- h . L 7 v• Q o- U, O �' ry 1 L QI j f \1J • r Z.) C S.4 e H 4 = `1,/ Q o y , 0 � , d a) E" N O azt O U y y, p v U O O O O � o t} } v) -Fi v) Q+ O - r +-' cd bA ^. 0 Q, bA b i vi OA d +- f O N Q N C W C c/) 0 n ci +2. U 1-1 .0 U 'Z+-+ cn �4 '= bA t'-' t'-' u O " ••:: `'-' c� 4 W •,- o O c� «S cil O, ›, Li c . O O O O O O O G N 00 O 0 0 v) v) W v) c_ 3 3 cD c/) 0 - y r� '7 m S ri) �' �' 3 �l U �' cn • WO .. ... N c� f kn ..O 1----: 00 0\ O O N c, -t *f) �O [� c/3 o\ O - N c� �- kn 'O --- .--- -- r ..+ -. . . , 4t _o , m 4 E ri ttt r r 4) 4) 4-1 ' O O c 4 fi 0 ...4 w U ( V A V i O Q, E :J O , F,,, '1 . .. . ,_ 0 '� Ucn • 4) - � Q) ▪ '~ N X n b.1) a 48 0 J iI1LJ1IIIfliTIj 0 5 3 v) o cn N +Q ,j `—, ("Ni Cr; �t �n \.J N 6 .-■ N M mot' vi �O N 00 O■ O ' N M -4 co) II r..1. . a) 0 0 0 o O cu g • O = F N cn a III ■ N i .i ;+t 0 o ` o N ` v1 0 " N 0 6 N IN 0 0 0 " En at S�, cd ;" Va -0 z U 0 i -i a+ 6 Q 'C7 a) 0 J t I Z 'O b A 0 / N. w ai vc o o v Jr V O V o 6 o t o N V - O -0 04 -I-, > ch i 0 ^_, S], a N . I V 0 2 .o Z tli U •-. V p., Q. 0 b „ Z z ct En 8 5: E_,_ 5 8 8 2 's :g ,,,, z Cpl W •-; N UU � b,0 ` o a Bl 0 + 0 ' N -,n _ r !..e.P City of Atlantic Beach APPLICATION NUMBER 4 i �\ Building Department (To be assigned by the Building Department.) 800 Seminole Road _ n� n • 26 24 '- -0 Atlantic Beach, Florida 32233-5445 ..J /c d Phone(904)247-5826 Fax(904)247-5845 Mr/i. ',on ��• E-mail: building-dept @coab.us Date routed: / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 Q 3 Ao Jr De ailment review required Yes No &r/ uildi Applicant: L I A NLr1G5 annin ng /, ref,Administrator Project: /1l//4 ! b MI. P.. is _or s _ _ tilities - ey iFire Services Review fee $ Dept Signature • Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: pproved. ❑Denied. (Circle one.) Comments: / " o_ BUILDING PLANNING &ZONING Reviewed by: Date: P'.5/ TREE ADMIN. Second Review: ['Approved as revised. ❑Deli d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Ill -- — Reviewed by: Date: -Revised 07/27/10 ,c 40-14.. City of Atlantic Beach r) /= 74i• Building Department APPLICATION NUMBER 'y;=; 800 Seminole Road (To be assigned by the Building Department.) �'� K�, •" Atlantic Beach, Florida 32233-5445 p \, .. r y Phone (904)247-5826 • Fax(904)247-5845 ��� + ��v `______ Email: building dept @coab.us City web-site: http://www.coab.us Date routed: / c APPLICATION REVIEW AND TRACKING FORM Property Address: J 13 MP/ Jr De m nt review required Z., ,--/ ruildi .- No Applicant: d R iij in CS - annin• : ng ,- inistrator -Project: RA it/ tk) M htt P.. c ► or s n., Fire Services Review fee $ Dept Signature . Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept.of Environmental Protection MEM Florida Dept.of Transportation _ St. Johns River Water Management District Army Corps of Engineers MMMIIMMMMMIIIIIIIIIIIIIII Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco IIIIIIIIIIIIIIIIII Other: _ — _ _— —__ _ APPLICATION STATU_S_ Reviewing Department First Review: (Approved. (Circle one.) Comments: /— nDenied. BUILDING PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: ate: s — — — --- DApproved as revised. [Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: — — _ _ Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: — — Date: wised 07/27/10 wised ____________- _____—___--_ ;,s-i-;„ City of Atlantic Beach70I17- 1)rf 7- < •'••4, Building Department ,1' APPLICATION NUMBER i ,-� ,; �� 800 Seminole Road 'r0V (To be assigned by the Building Department.) tavi �r Atlantic Beach, Florida 32233-54 '• Z0i - .•J�� Z� p� Phone(904)247-5826 • Fax(904)2, --.:, 0 `'`fijoIP- E-mail: building-dept @coab.us ill c City web-site: http://www.coab.us Date routed: / row APPLICATION REVIEW AND TRACKING FORM Property Address: j / ? / n Jr-e1 / d Department revi- ew required Yes No l ,� / C-uildi . _ Applicant: n d R 07 CS __ • annin n ng -- A.• inistrator _ Project: /✓ It) 71711)hi.t P.. is or s ■ Y Fire Services Review fee $ SP Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B 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: -- — -__ APPLIC TION STATUS Reviewing Department First Review: Approved. nDenied. (Circle one.) Comments: BUILDING PLANNING & ZONING ,.� �. Reviewed by: �--�'i�i �—�• Date: // f (,— TREE — (J- - — -- REE ADMIN. Second Review: nApproved as revised. [Denied. -': WOR 1 Co ments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:__ Date: FIRE SERVICES Third Review: [Approved as revised. nDenied. Comments: ----- .----------- — — — Reviewed by: Date: wised 07/27/10 _- ____.___ trLy;�,, CITY OF ATLANTIC BEACH s I, Building Department 'i f 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 ' r4 J;il>r' OFFICE COPY PLAN REVIEW COMMENTS Permit Application # /5 Si—g--,26 5? Property Address: .'c'3 1!, lA S 7. ./ y4- Applicant: L ,en dry /7/0 me." /lie e4i., /' 7'- This permit application has been: • 0 pproved_ — Reviewed and the following items need attention: i / 0 enemy Perfelemv,nce Level- 10, yiay Card tool A \\ i Cvp1:e S 'lie,/ i b-e soo. a by Ca:�t '�rc'1dc ? aitpl -the 1 a We. ezO2• el, 1, / 4; r 113a rep e r c v vto/ •n s uia r/; ,v --, fy1Spec /i cern e .�er 7" CriI-eTros �r�✓' w, 1o €. c�'.e ck-e e ' I ba 4 A Co i:v si `f0 3,e eahn anv Co di)7 5 e o i'19 n7ser)/ Ora Adak', R403.6i1 E et e riDfrren4 Sl0i175 . Si,b.»: / cr ar,or S to phanc-.v oriv- . 0 Lo7/raeckon. SJ7a`1 wv'/4r 0 r srs/ e Plot', el i41 i hal 8cJake \ IA-e >A roe)seri 1',.-i is . -/'!aria l e 1,a'-><:c.)r� . P e c e■ JQ-o ii•i 'I C IT,, Ss ib 50./ & m :a,4fP, -gaY l v e Please re-submit your application when these items have been completed. Reviewed By: /71 Date: N'&25"/ 9 92 - 2/o >' 11-25-15; 14: 14 ;Fro-n: To:99922105 ;9042475845 # 1/ 1 5 � ;y�, CITY OF ATLANTIC BEACH _ t Building�: '; ,�.;,,{,� ding Department : OFFICE COPY j3^r } j 800 Seminole Road -':'" Atlantic Beach, Florida 32233 " ' (904)247-6800 �J;3 ';,1 PLAN REVIEW COMMENTS Permit Application # /5 SFR--02C ?? Property Address: C>> d Jf S'Z T Applicant: L Pvtdi^ 14 )-re Project: )V 6 lr/ yyt,e This permit application has been: 1!2( • pproved 12• r3' I C . ►, I�' Reviewed and the following items need attention: i --r ' -'La�:s• a c e L a r.:31 -- -- -k- co f Ile Le / r r✓'l 'r K ,fa ).i?�n --2 /4 ' C. 'IS ' ei r _ '' 4 1-e T /07 -A✓ w+ -A) k2 £- - clue . b_o,�•1 Co1r� S ---- ------- Rec.: !2• './ J` /9-1 yl_ _ f iii ' Pn aza:b s_AS" .0" �,f/ 1i � V" i ..• of14a•..L ■ —iali a.: '.. 0_12_, 2:: .4411 C5 ---W--"407--;::1 r A- 01 • _ 4.1i _ >=0r.-. GPec, /2 -3'/S /� O CE8V[E rfEC 3 2015 ■ Please re-submit your application when these items have been completed. Reviewed By: 7 Date: 1'2. 3-/ 5- felY 992 -- ?it, >-- BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road,Atlantic Beach, FL 32233 /01;) Office (904) 247-5826 Fax (904)247-5845 Job Address: 303 1,1tich Street Atlantic Beach, FL 32233 Permit Number: / S' 3 F2- .2C ga_. Legal Description 5-59 16-2S-29E ATLANTIC BEACH Parcel# 170063-0000 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 3622, Ot'O Proposed Work heated/cooled 3,073 non-heated/cooled 1,019 Class of Work(circle one): CO Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: CONSTRUCTION OF SINGLE FAMILY HOME Property Owner Information: Name: ICi m goo y Address: III/ &.ti'Ng7 s'Pai,U 49 Pelt. City- Gee E.t.15tavko State6 Zip,3) / Phone 7o( - ii44- 2/415" E-Mail or Fax#(Optional) •C3c 'y y co.& Pi.frb t„f.rro,0 ()cv3ke•AA Er a Contractor Information: Company Name: LENDRY HOMES, LLC Qualifying Agent: .5'76V tll i-. A.:0,42y Address:4745 SUTTON PARK CT. SUITE 503 City JACKSONVILLE State FL Zip 32224 Office Phone _ Job Site/Contact Number(904)992-2100 Fax#(904)992-2105 State Certification/Registration# CBC1251744 Architect Name&Phone# Engineer's Name&Phone# LOU PONTIGO ENGINEERING (904)242-0908 Fee Simple Title I-folder Name and Address it I Al i y • 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 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. 77ris permit becomes null and void rif work is not commenced within six(6)months,or if construction or work is suspended or abandoned Or a/period of six(r6)months at any time after work is commenced I understand that separate permits must he secured far Electrical.Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Beaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. t hereby certify and I have read and examined this application d know the some to he 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 viote or cancel the provisions ofany other federal,stale, or local law regulating construction or the performance of construction. i, Signature of Owner "`" r la� � Signature of Contractor oiS--- Ay Print Name W4Vfl L. u Print Name 4i.,4e.01 le i'J d Savor o •1-•-.:. .47,- __------ Swo tp and subsc,�. --:----- --- this I a AIL_ ...•:.ANIZnla�s—� 20 I this ` Day of c II 4 P.B.AlITZA u t i ;y'. eT#FF 215988 I El ii -j /`XPIRES:July 19 2019 �I �_ di EL, :-, ,'c EXPIRES:July 19,201 Notary P. -- Notary P. . 1c _____ 9_ Revised 01.26.10 DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: /I7,,. /A? Development Size Habitable Space 30 7 3 s.r Non-Habitable /019 S, F Impervious area y" Miscellaneous Information Occupancy Group ,i2-3 Type of Construction v f3 Number of Stories Z Zoning District k3-a... Max. Occupancy Load Fire Sprinklers Required Flood Zone yt, Conditions/Comments: INSTR # 201525885, Book 2002, Page 381 Doc Type D, Pages 3, Recorded 09/10/2015 at 02:33 PM, John A Crawford, Nassau County Clerk of Circuit Court, Deed Doc. D $980.00 Rec. Fee $27.00 apt.>;4 Prepared by: • • Karen t Stellhorn OFFICE COPY Watson Title Services of North FL,Inc. • 11226 San Jose Blvd.,Suite 2 Jacksonville,Florida 32223 File Number: 1500887 15a 1u,} General Warranty Deed Made this August 26,2015 A.D.By PETER H.BURGHARDT,a married man,AND DAVID C.BURGHARDT,a married man, 153 BUFFALO ROAD,Wentworth,New Hampshire 03282,hereinafter called the grantor,to BRIAN T.MEE,a single man,whose post office address is: 783 Virginia Circle NE,Atlanta,Georgia 30306,hereinafter called the grantee: (Whenever used herein the term'grantor'and'grantee"include all the parties to this instrument and the heirs,legal representatives and assigns of individuals,and the successors and assigns of corporations) Witnesseth,that the grantor,for and in consideration of the sum of$140,000.00 and other valuable considerations,receipt whereof is hereby acknowledged,hereby grants,bargains,sells,aliens,remises,releases,conveys and confirms unto the grantee,all that certain land situate in Nassau County,Florida,viz: Lot 19,Block B,Pirate's Cove Unit One,a subdivision according to the plat thereof recorded at Plat Book 4, Page 6,in the Public Records of Nassau County,Florida. Said properly is not the homestead of the Grantor(s)under the laws and constitution of the State of Florida in that neither Grantor(s)or any members of the household of Grantor(s)reside thereon. Parcel ID Number:00-00-31-1640-000B-0010 Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever;and that said land is free of all encumbrances except taxes accruing subsequent to December 31,2014. DEMO Individual Warranty Deed With Non-Homestead-Legal on Face G. C, >< y z x m °°VO D WA d O C.y m ; u°+o E I X W V Cf A X A 0n n _ Q 0'CD,n = =tT W ti W. 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