606 DAVID ST - FENCE e 0r JN
�1 :
s=:>>`1r�. City of Atlantic Beach APPLICATION NUMBER
.' \ Building Department
„ (To be assigned by the Building Department.)
p.i., f 800 Seminole Road �/ -/ V g
, Atlantic Beach, Florida 32233-5445 — D�d
Phone(904)247-5826 • Fax(904)247-5845
?
` 0111.0 E-mail: building-dept@coab.us Date routed: J �o
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ( 'O 6 2/ VIA sr Department review required Yes No
DAP
Build.
A
Applicant: t✓ 7) E 4 tanning &Zonin�
r ree erns rator
Project: iii ‘irC g Public Works
Public Utilities
Public Safety
Fire 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: pffApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date: SXcsf/,‘
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:
i
Revised 05/14/09
a
115
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: 606 D4 V i D .S- Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. —77777----
Valuation of Work$ I ,Ovo Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New 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 approva oI 1` rm
Describe in detail the type ofLLwork to be performed:/► V FI•o-ce ,�/OK.7 welt tr,rv?p e, tele
•
Q'w) 6 ect'l7 pOgt dT iltQ.r'Q.r Co .
Property Owner Information:
Name: .1144 eil keCL Address: tool` DV/ st.
City 144/c .t st belt_ State./Zip 32Z3310hone 90 1( SYS - 'VZP
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 0w ilei B3O.i1•ter Qualifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
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 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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six_(6)months at any time after
work is commenced I understand that separate permits must be secured for Electrical{York,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
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.
I hereby cert that I have read and examined this a plication 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 spect ied 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 regal, 'ng construction or the performance of construction.
aF
Signature of Owner1OtAkf: i ' / Signature of Contractor
Print Name ,(VI R Q k diffaTit eu. Print Name
Befo'- Before me
this rm r.y of Alp 11 'ii, ;'t this Day of ,20
.‘,..••!..7--. P. = . -hirley L Graham Notary Public
�� My Commission FF 086990
e �res<G2natoie
,� Revised 01.26.10
3
MAP SHOWING BOUNDARY SURVEY OF
LOT 653. SECTION No. 3 SALTAIR, AS RECORDED IN PLAT BOOK 10,
PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
MARK CANTRELL
PNC MORTGAGE
PONTE VEDRA TITLE, LLC/HATHAWAY & REYNOLDS, PA
CHICAGO TITLE INSURANCE COMPANY
f
MAGNOLIA STREET LIEAJ / r t. .0 C
(SO'WAIT O WAY)
50.00' (PLAT)
N 2323'09' E
50.15' (MEASURED) Et00(
CORNER
•
n
LOT 653 0 `
26.3'
W I -o.R'. V/ W
60
/ a�
m - TWO STORY . rA.• a
a g FRAME a
o POSTED # 606 QQ�
0 O 0 R
PAD V O L~ai
LOT 654 o O W;
26.3' 8
%J/gal/4" ..., 1 14.9'- 0F&h 3
1 % /%%l_1I I fit 1 1 1 ( a 0
• 1 26.7 N
QYo
N r STORY
CC;
Xi FRAME ti
Z • N
GARA4E
26.3' 1
r S 2322'49' W �+
49.99' (MEASURED)
LOT 665 50.00' (PLAT)
LOT 664
Shu.c
// LEGEND:
PSMF6146 PC - PONT OF CURVATURE
FOUID I/2•/ PT 4. PONT OF TANGENCY
NO IWCATIDNlON PPE PRC . PONT OF REVERSE
(UNLESS OTNFR915E NOTED) CURVATURE
•.4T.4'CORSET(MOR114NT PCC . PONT OF COPOIMO
A/C . NR CONNTIONER O CURVATURE
-x- . FENCE - CONCRETE
Ray Thompson REVISIONS
1011\._ -
SURVEYING, Inc.GoinDATE OESCR PTION
1825Ut1N the DISTANCE125 West >I PONTE VEDR TITLE, L.L.C.
Jacksonvile.Florida 32217
(Phone)904-448-5125
(Fax) 904-448-5178
JOB # 26088 I DATE OF FIELD SURVEY: 2-16-2015 I SCALE: 1" = 20'
NOTES: CERTIFICATE �. ,
1: BEARINGS ARE BASED ON THE BAMI;Q BEARING CF --NA-DX:OQ_1Y_-- I HEREBY CERTFY THAT M,l,%.,' ,WAa _:tk NDER MY RESPONSIBLE CHARGE
ALONG THE SOUTHERLY BOUIOMY UNE K SI10.ECT PARCEL AW MEETS 1HE STAN) -ACME t. 7+11 ORM BY Of FLORIDA
2: BY GRAPIIC PLOTTWIG ONLY THE CAPTIONED LANDS UE 5194 FL000 ZONE BOARD GE PROFES KTP' 4 ..,';�•
(. OIAPIFR 5J-17,FECWOA
X' _AS O101M1 ON THE NATIONAL FLOOD NSURANCE MAP. ADMNtSMARVE.• A':'•ANT 10 SECTION 47 F♦O Q60A STATUTES.
JUNE 3,2013,COMMUNITY NUMBER: 120075 PANEL 0409 H . f
3: THIS SURVEY REFLECTS AU.EASEMENTS&MONT OF WAY AS PER REMINDED /lr` . _
PLAT(k/OR 1171E COMMITMENT W SUPPLED.UNLESS OTHERWSE STATED,NO i
OTHER nT E VERIOCATON RM
HAS BEEN PERFUMED BY Of UNDERSIGNED. %,'AYIA9IEDEM01.4P .,..,
4: THIS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIONATURE REGISTERED SUR I�' A)4D MAP't ; 6146 STATE OF FLORIDA
AND AUTHENTICATED ELECTRONIC SEAL. U• a :. 7469
4.4,W
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS