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2329 BARFOOT TR 2ND STY ADD 2017 . f vL`l�h '� n+ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 n� INSPECTION PHONE LINE 247-5814 RESIDENTIAL ADDITION - SINGLE OR TWO FAMILY RESIDENTIAL ADDITION MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RESA17-0005 Description: SECOND FLOOR ADDITION Estimated Value: 90000 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 2329 BAREFOOT TRACE RE Number: 169463 0618 PROPERTY OWNER: Name: HOSTO MICHAEL D Address: 2329 BAREFOOT TRCE ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: REMODELING PROS Address: 2763 N MANDARIN MEADOWS DR JACKSONVILLE, FL 32223 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500.For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. 3 1 +lJ� 1 City of Atlantic Beach APPLICATION NUMBER Building Department (To be as by by the Building Department.) 800 Seminole Road K ES A l—r _ Fw�-5 Atlantic Beall,Florida 32233-5445 `, / �--�-Ll Phone(904)247-5826 Fax(904)247-5845 ";27i-ion E-mail: building-dept@coab.us Date routed: Za City web-site: http:/A~v.wab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2 ^FERDC3_ (PPC Dpipaiditient review required Yes No Build' Applicant: REry100E.(_(NC1 Pg85 tanning &Zoning G� -Tree A mmr r Project: 2,- 1— L-0 FZ PDf7ro Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date Of Permit Verified B 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: Imo(•Approved. ❑Denied. (Circle one.) Comments: fVQ G UILDING PLANNING &ZONING Reviewed by: Date: S' 3CJ'L'7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Dania . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127110 gsav, City of Atlantic Beach APPLICATION NUMBER Building Department (To be ass' ned by the Building Department.) 800 Seminole RoadFi..,.� Atlantic Beach,Florida 32233-5445 ES IN L-7' CcCJS Phone(904)247-5826 - Fax(904)247-5845 fes- E-mail: building-dept@wab.us Date routed: _ I LIE City website: http:/Jwww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z X29 6AIP-epccT D e it review required Yes No Build' Applicant: ErblO IJ (ty� P&C)—S Ianning &Zoning G� OeA mini r Project: Z Y-D g 1— I— O fZ 1-1 p IJ ('7"t C) Public Works Public Utilities Public Safety Fire Services Revle ✓ gg, :> .. Dept Signature Other Agency Review or Permit Required Reviewor Receipt Date of Perm't Verified B 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: BUILDING PLANNING &ZONING 171 Reviewed by: 4c' Date: `S /)-6(('7 TREE ADMIN. Second ReviewApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES //-'� PUBLIC SAFETY Reviewed by Date: 6/4,/1 / FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127110 OFFICE COPY BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH DATE ` - -` /b 800 Seminole Road,Atlantic Beach FL 32233 rt 9P a ce:(904)247-5826 • Fax:(904)247-5845 �5/1 i 7 33a9 /� Job Address:— !S G/L e fjfz—rte' Permit Ntrmber: � ES iok-7-OCCLS Legal Description RE# Valuation of Work(Replacement Cost)S Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New 'tip Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial rden " • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes 6D N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Desc/rlbe in detail the type of work to be�yUerf,limed: AK� SC-a"e `LJO"-' [JC.R!' BV/t P- QP7-�� T fin_ Ft` f/� Florida Product Approval#s for multiple products use product approval form Property Owner Information se cj Name: Address: &JAW U6re/i,01� City �}�-"Can/-rL Rr-cf. State;ElLip Ahone E-Mail Owner or Agent (If Agent,PowerofAttvuy or Agency Letter Required) O 171 __57V_5"- 3 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 NOTIUE OF COMMENCEMENT. Contractor Informatioon: Name ofCompany: ll�.Zo.li.Gs�� /fir�f Qualifying Agent: Address:l-7(�/zit...(an P ✓ Ia.- IVCityCG6tate Zip 33.12— Office Phone Job Site/Contact Number O S- f 3 State Certification/Registration# r?! /2 S�-3 y_;7 E-Mail _ .S A o L,Co/`'t Architect Name&Phone# ✓ j�y 6-113'0 Engineer's Name &Phone# Worker's Compensation Exempt Expiration Date Application is hereby mode to obtatn a permit to do the work and installations as indicated. I certify that no work or installation has commenced nor to the issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating corutramtion in this jurisdiction. it becomes null and vat d if work is not com enc, wt! six(6 months, or ifcomtmction or work v sus ended or abandoned or a Pro ix(6)morsths at any time afrer work iscom ence y(/ erstand that separatepermits most be t —edfor cart warepaunting, Zzz (/s,Pools,Furrtnces,Boilers,He T ks n !r n i ,,co,PropertyOwneSignature of Con ct Hitme _ Day of/ l\ "26\\J��/���� Before me this D o (7 d# It- public:/ ®�"'rr�/!/L/ Notary Public: i �•µi`.�h-,, TONI GINGIESPEFGEa M11U15' FFF 924951 cert that/have read and examined this application and know the same to t dr67 ,Bd aws and es governing this type of work will be complied with whether speci ted her )H - gia does not to give authority to via ate or cancel the provisions of any other fe eral,st 'on or the or nce ofconstrucnon. Rev.5/2/16 irLlr RECEIVE[ r ITY OF ATLANTIC BEACH 800 Seminole Road MAY 3 0 OW Atlantic Beach,Florida 32233 =r Telephone(904)247-5800 FAX(904)247-5845 Bun t9 DepobrA R RFCft MM*QM*AET OR CORRECTIONS TO REVIEW COMMENT Dates. -,,ZS--/ ;7 Received by: Resubmitted: Permit Number: Original Plans Examiner:/,t/i( .Je,.G.r Project Name: IV,2 `o Project Address: A. 32y Aw.rt nJ– /-r /I-f. Contractor:Xr_ /»( Contact Name: Contact Phone r _V6 3 8 RevisioTan Checmut Fee(s)Due:ifx$"0.00 Description of Proposed Revision to Existing Permit: S_4 a/'D�Y !rZ.0 ,t .Fo.-.•. A- Getic/ m<F ifsty✓c6io., oti JC7f7-1 , a Additional Increase in Building Value: $ q5--- Additional S.F. <ED -- Site Plan Revised: ,ty Public W/U Approval: By signing below.I tp mt name) /L,--/ c5 affirm that the above revision is inclusive f the proposed changes. _ Signfturc Woutractor/Agent tconnaceo must sip if inerease in valuation) Date Office Use Ouly Date: S'- 30 't7 Appmsed: X Rejected: Notified by: Plan Review Comments: nt review required Yes No m� Building annmg Zoning Tree Administrator Plans Examiner Public Works Public Utilities Public Safety Date crwroianans ar.a Fire Services Ste' ' CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD OFFICE COPY ATLANTIC BEACH,FL 32233 (904)247-5800 BUILDING DEPARTMENT REVIEW COMMENTS Date: 5.25.2017 Permit#: 1 RESA17-0005 Site Address: 2763 Mandarin Meadows Dr. Site Address: 2329 Barefoot Trace, All N. Jax Review: 1 Phone: 904.545.4638 RE#. Email: bks aol.com Homeowner: Michael Hosto Applicant: Remodeling Pros CORRECTION COMMENTS: These comments are from 1 of 4 departments that are reviewing this a 1' Q From the current existing building code, choose a method of construcIto s: ( t� compliance method/alteration level. This information shall be place on the vr�fv�' she 7Envelope e su mit 2 copies of the Form R , Residentia m mg hernia Approach, Florida Building Code, Energy Conservation. This can be found in the existing building code under the residentialsions APPENDIX C. Mike Jones tl Building Inspector/Plan Reviewer City Of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233-5445 Ofc (904) 247-5844 Fax (904) 247-5845 � mpif,r� �Pvi ,PW Gomrr.Pn.'� S/2S/17 il�� 1 OFFICE COPY FORMS FLORIDA BUILDING CODE, ENERGY CONSERVATION t Residential Building Thermal Envelope Approach FORM R402-2014 Climate Zone 1:32- Saopa:Compliance with Section R402.1.1 of the Florida Building Code,EnergYCOMINVI NOS,shall be demonstrated by the use of Farm R402 for single-and multiple-family residences of three shades or lees In height,additions to existing residential buildings,alterations,renovations, and building systema In existing buildings,as applicable.To comply,a building must meet or exceed all of the energy efficiency requirements on Table R402A and all applicable mandatory requirements summarized In Table R402B of this haml.If a building does not comply with this method,or by the UA Assumed.method,It may obit comply under Sector,9405 of tiro FlwMa Building Code,Energy Conservation. PROJECTNAM l&-{ fa ,t�o� �/� AND ADORESS:339 's BUADER: OWNER: .•/7T+1 J-L-n1+✓L_�SFsLC - PERM"WOFMCE: �//C,yz�t✓L `J.�l JURISdCTION NUMBER: PERMn NUMBER: I General Inanudbns: I 1.9111 In.11 Me applicebie paws dthe"Te as lnetalled'column on Table A40M whin the information requested.All"To Be installed"values mum be equal to or mon enklwd then Me nqulreG W.N. 2.Complete pope 1 basad on tis"To Be Installed"column information. 3.Read the requinchmas Of Table R4028 and chmA soon box to indicate your Intent to comply with all applicable item.. a Rua,sign and den the 'Proper"By"mortification stdament at the bosom Of pays I.The owner or owner's agent must also sign and date the form. 1. Nswcenstrenlon,eOtlXlon,er existing bullXlnp 1. 3. Single-familyay,num er muMela.0vore by thetl 2 3. If Wis.muftlPletcase?( erofcasks covaretl by thts eubmiaelpn A 4. Nihle.wora mare((M.0. a s. CouWindows, Boorarealw.n.) a. 11L----- s. Windows,Nps maaroa — 1 a) (Afads, x 3? I b) Solar Had Gaal Co M(SHGC) O) Ane T. skylights b' e r of Ur.amr: ra 1 b) Solar Had Gaal CoeKdant(SHGC) A --- 0. Fleor type,ane Or Psfimstsr,and impletion: .) Sl.bom rade(S-velus) gA i in VAcd,slaw(i vtlue) eD. -- C) Mtood common(R-glue) ac. d) Condole.reimd(R.vaua) a -- s) Conceale,apmmOn(R-vad. lue) ad. 0. waltypsaMlnamahm; .) OMedr 1. Vod Uame(Inaulslbn RwIua) set. LZ 2. hN.m,(lmOldleh&wlue) 9e2. - - D) Adgmd 1. Nkodfremaga.uumpa Rvowue) 911. 2. Mmxmq(Imuldlon R.value) B62 -- 1a. C.illrgtilpledichudi on — e) Attlag axwear yt.l.) Ica b) enpeaesemuytlnwlabon R-value) lob. 11. Air dlstrbdlon syssom a) Dud location,Insutstlon lis. D) qHU locaaon c) 11b 12, Co4Ll(r_LffL����, Tealduc .Tce[npoaarosehM. 11 a. esernpp Al. Yw0 No drg system:om: sit, a)Npo 12s. b)aladency 1m 13. Hedingsystam: a)Npo D)daclenay. IAL -- 14. HVAC sizing Oelpuledca:eaacbea 1w, te. Water M1oatlrg system: e)Npo 14.I" Nb 0 b)eM bncy tab. I haps,cadiN that W Plans sM apeafte,hre pavane by sheath sn Reviewdplena entl spedficstlone poverptl by she harm lMWts In complMnoewM tfy Fbd�s Bupciop Cods,SnxpyCwrvsSal. compliance arm the Flodds Spacing Cods,Energy conawaBea.Bar. PREPAREDBY: {SCl/Z cS�iLl./-j ay,y— consbucnon bcompleas,this building wM be In I he"by cartily thatthls D deny le In compliance wMl aro ft aYg,as apoad.np wsagect p1 Fb. OOmplimaln Code, Cauery(jpr(' - CODE OFFMAL , ; OWNE9/AGENT: / ,f'��---OabS� D.N: V r FLORIDA BUILDING CODE-ENERGY CONSERVATION,9M EDITION(4014) a 1 t I I I Copyri9huo,orliceved by,ICO(ALL RIGHTS M....0);sdartl by Slam sa,mRen Msy 19,2015 L16:4]PM Pweuam m-Cca,.r A9nana t.No funha repducaons submimd. FORMS OFFICE COPY p TABLE RIMA ' BURG NO COMPONENT PIIEBCRIPTNE REQUIREMENTS INSTALLED VALUES ' Cpmeb 2abl CgmMe U.2 V6ndvxe: LLFemr.0.6� tAFeMrc.0A0a IA aomr.f y9 SHIM-0.25 SHGC•0.25 SHGC• ,t Bky1DMe Wectrx•0.76 LLNa4br•0.65 Weo17r• SHOC•0.30 SHOC=0.80 SHOC= Ooan:EWdp dna LLlecmr•O.B9 LLfacbr•OAN WectV• ' FIor. SIeP nnmy NR NR Over unc4Mhbned"cw' R-10 R-13 R-Velue= VYellee:EM mM AOL Funinum Was R-16 R-13 R-Value• i 3 Ineubtlon on welllNerl¢ R4 R4 RvWua- InaublbnonwellaxbdUr RJ R4 R-Velure. Gelling°' RUO R:9e R-Velw= Air inNlrad.n: Slowaldom tart N requbed on the building an-eloM ao vedy lake iIS ACM; TaW laekepe•ACM ' bat report p-'th"!W cede d6Nel. Tem npolA:V YMAir No L} AlydlrtHbutlan eyebm°: luucft b . N IueWayZb R4 rSk Lulahms Ouc{R-value R-velue2 R-8(wPPIYb eMp)d2R-0(ell atlls ductbntlwu} R-Vete• C Alrbekage. O ' OUN tM PON-neyu-Ipn bort TaMIIsla9e51c1m11WeL TNM haka;e•__rfMlWnf. T RaugMb bet TOW lsekpe S a r,n,W cf. Tart 4pmlAWNBd7 Yee, No, Ouga In m1k86ned epos M not 1pulled if ell duel*and AHU am In-M%wwd apace Larem ' Mr-ndU-ilD eyebm: MlNmumbdemlWMa-lerylrad b/IUECA°. CeMN syeb1n 566,0011 SWT SEER 13.0 Room unher PTHC EER Ibom T�hN C003.R.6(5)] SEER- ' Otlwn gee Trdu p06.25(1)'(tt) EER• Hsetlnp syebm: MlNwan fetlanlWMerd requkad by NAECA° Hart WmD SSS,OW Sbah HSPF 7.7(bero41Po16);HSPF 8.2(ea N V1l16)W GXSPF• G. mxe,mnwMMllaml AFUEW% O0 tuturn.,non-wwMedW AFUE W% AFUE• ' O-er. AFUE ' 'y0olor asung eyebm(ebnge bwY Mini..W.,wao,aWonparrdbyNAECA- I0gal:EF•0.0 50 ON:EF•0.60 Otim" Oee l4rt° 10 gW:EFa0.6g EF. OIMr(tleecdy): W9rk EF•0." GuA^neEF • ' NR-Noaquhromall ' (1)this E-h��n-t present po tar As Propoaed home mart meet or exceed each of the epliablr performroce cribrb po orda W mmply wall Clue cede apog ' (2)B41df1. �Nrmexi-um Uon--plying with Section 8301.2.1.20fthe Rondo Band4gCode,lbrMoundal or Sootioo 1609.1.2 ofthb RaMa"joy,Code, CeVW rryuhemenb,or W p 15 ,an,ft%Zone 1 and Obs po Climate Zone 2.An hroup ttho avamge of U-Gcbr and SHGC sibll be M b meet the up square tam of gl ed feoatntion area ere exempW Rom Me U-@cWr evil SHGC requiameN beaed on ' Sections 8402.3.1,R/M.3.2eM R4M.3.3. ' (3)Ore aide-hinged opique d-r aa-bly up In 24 square fart by ewoupW boom Wu U factor requiremene ' (4)R-veloes me far h preti0n mebdel only rev applied po eccorden-with menuf cope- instillation ivWctio n.For mess walla the `poterior of waif' aqu6emeN mart ba meta-pt tfrtlaet 50 gempent Of ft population required for the"exterior-fwall"is hath exterior of,or integN W.the well. (5)&wahuDuour r,m m eAMU�th Ionized by Rorklo Starwaa-.Therto4�on R03.2.2.Teat required by-energy obby cr bfiod in ec broth a wiM Section 553.99,Rortda ' envelop. ealalC bat is not required for duct and air hoodlum 1-eW enlvely within the butldtnl61m4N (6)Minimum efficienci "yon"at by the Nanarvrl A'Wfnna E-W Covervmbn Acr of 1%7 for typtcel rraidenum equipment and to subject b NAECA COAarvonan. ala and rrgulelionses ore. For oNa types of equipment,tee Tebla M3.2.3(1-1 1)of the Commeaiel Prtwolore of the Rorfda Building Crile, Energy ' (7)Far ether elxdic-Wage volumes,min EF=0.97-(0.00132 a volume). (8)For-her natluel W aboral¢volumes.mm.EF-0.67-(O.Wl9-volume). R-CA FLORIDA BUILDING CODE—ENERGY CONSERVATION,Stir EDITION(2015) ° 1 COPydpN W orboemedby.ICC(ALL RIGHTS RESERVED):a towl by Swwn SNlceRon May l9.M151:16:43 PM Punuaol w uc—c I�j!jL�J.� AB,cmnn.NokMerrtqulyedonx nmhmiw. OFFICE COPY FORMS TABLE AMB MANDATORY REOUIREIAENTS 8 Compoww SwDon eummarywppulrwwnga) Chaak Nrbakape flw3A 4-2—,g7= wWe4 perTa0b R402.4.1.1.Rewew9119htlw:IGmlaOw hMw 52.0 pr1otaYeO pI ASTM(s285. NtnOpxaaw Opas:0.9tlm'p.R(awrOlnp tlwn:0.5tlMsOwlln WbMa NFRC4W orMMMADMNCSA 101/ I.S.M--:. PYeplawa:TghMmly A.4ampan 8 oultloCr W.O.romalr. !/ PMrarnmable 8403.1.2 Nnwe fpm a,Ameba NpHmary Seeee.•MgmeamYbbtlmmbe,et bm,,Abe. tllerlrnebt ' Nr8lsbibuton."m R4(19.2.2 Note"I be bsbtl a Seabn 805 Of Bm RESNET abwaNa by an wpry Haat mBe,lna�4wwwM ' 81082.4 Seotlon 555.99,FanIW Sabbe.br AS subohaw by FarMa SleLbe Ab hn811np ml are notelaxeE aaBw. (� VebaHheabm R403.4 ComplywM OBWMwIn Table C404.2.Hot eabrplpeslwuleb0a2 RJ to X8chen oulbb.wbm woes. Cgaeetlry aywemea Sew an auamatlporapcwaae manual OFF eaBph.Heetwpm9uueafor,emwlplpe ✓ I Aaem. S1yMmliq poda8mma 8409.9 hey aMheaap poMe must hew vawr-narenlcwwe ore llpup wwrnotlprmww prawn to .hew Ipw me'Mf Y]p%M haw rtpm e8smcow�e8 arwmy.DBAimerawlM repel S&Get heabn mMimum V.emuB eAltlamy b 82%.Heat pump pw1 hwbm miNmum COP le 4.0. CooH1V/Aea8n0 R403.8 SYap wbuls8on mmprmM a mei W.Speobl pxwbn pwli,wMa"npwity M.,aa wweyebmbe ma e9uiP�nent wHMble wFaaryeyeam. ' LOhM9 epupment ""A At hand 75%of permanently lnstatea,I-9Pompey aMllbhOtielAcecy lamp. ' FLORIDA BUILDING CODE—ENERGY CONSERVATION{SM EDMON(2014) 8-C.5 I 1111 e1111111 ' 1 RKI 111 Aepinita .or l��rwP TOC(n MOWWSRESERVED);.1ealby Steven SahoeRon May 19,MIS 1:16:43 PM pvnuanI to Lirenae ?ilr� CITY OF ATLANTIC BEACH It 800 Seminole Road ' Atlantic Beach,Florida 32233 J „r Telephone(904)247-5800 FAX(904)247-5845 REVISION REQUEST SHEET OR 'lt CORRECTIONS TO REVIEW COMME*T Date: 5 u"CL Z' )0/7 Received b : Resubi titted: Permit Number: Z FS A I f?- Co (� n(� Original Plans Examiner: Project Name: rb�a3e) f�Alzlr k? Project Address: --Vr Contractor: t H " tOS Contact Name: d c Contact Phone : rjpy^ (� S s ^ _Contact a-maiP VA ie.G na C Revision/Plan Check/Permit Fee(s)Due: $ Description of Proposed Revision to Existing Permit Additional Increase m B 'lding Value: $ `�V\_(�_ Additional S.F. 4ti Site Plan Revised:-_ I _Pr rublic W/U Approval: 1 4= By signing below.I(pant name) �yA te-� /mss �g that the above revision is inclusive of the proposed changes. Signature of Contractor/Agent(contmctor must sign ifinaeaae in valuation) Date Office Use Only Date: Approved: Rejected: Notified by: Plan Review Comments: Department review re uired Yes No Building nning &Zoning Tree or Plans Examiner Public Works Public Utilities Public Safety , Fire Services Date cre.�m.nmc n...r TREE & VEGETATION AFFIDAVIT l City of Atlantic Beach n Department of Community Development - Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 (P)904 247-5800 (F)904 247-5845 PERMIT* -� SECTION I-APPLICANT INFORMATION vc; n'ts) r Legal Authorized Agent* NAME OF APPLICANT M/� I A, -J � NAME OF COMPANY TQ(ACTS�XA_( i n C VOLS ADDRESS OF COMPANY �.� 1v-\ 1Z�[ 7Q/n �y PHONE '- -S 'HELL EMAIL 8 Kse ADL. elv'^ ` CONTRACTOR CERTIFICATION NUMBER C ge- ATLBCH BUSINESS TAX RECEIPT NUMBER 111 SECTION 11-SITE INFORMATION STREETADDRESS OF PROPERTY Mmodtlrea lrarrwt EeenmsgaMio Ma�gsopay.tanroa Me A9 BuYdrgpOeyamnenrar Me)N)-58MrorewreuonWdrm. LEGAL DESCRIPTION LOT _ C� BLOCK SUBDIVISION 0eQ]/14.T�k REAL ESTATE NUMBER1694G3-6)(V RPARCEL SIZE: SOFT " �A AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that 1 have reviewed the visions of Chapter 23, 'protection of Trees and Native Vegetauon"of the Municipal Code of Ordin r t c ch.FI arM/or l/awe participmM in o prcaPPlication meeting with the Administroror ofthose r lotions. Subsequen , I of no regubted trees and no regulated vegemlion will be damo9ed,drttroyed and/or removed Irom the above- or ' <en r icin'caFwnRion with this projett. SIGN* NER SKiNATURE OF OWNER -/ Signed and swPm before me on,�this S day of ,/,���N by State of I C1 w 1 C'1�W E? � T'C o-_+i' County of l V v CL Identification verified: Oath sworn: f/yes r No WRUR awhN wtvyvu ,bmaw Rodd tut* OomnieNoM FF 189888 ;v n ;; My Co mm.e�p0 Oct.14.2818 Comm.511oneaphes: MAP SHOWING BOUNDARY SURVEY OF LOT 599 BLOCKAS SHOWN VAP AwAP OF ' pcE 4 c/wQ�a+ Z , a AS RECORDED IN PLAT BOON '✓P PADRE 15-0,9 OF THE CURRENT PUBLIC RECORDS OF DUVAL CO., FLA FOR. &VZleR CGRSSir' Nbwep NOTE- BEARING DATUM SHOWN HEREON ARE BASED ON THE ABOVE MENTIONED PLAT la 70.513166114F. 4;r E cool T4acF ) . 09'P3 n7iPs.�Cf/. E• ..E d pt 'y •• ;. IPOozz, � 6 W ? .. .. �• . � 44•0 F /Q Lr A \O > d 4 $ • isv W� H e Y 1-4 X914 Y3 W IIW 4 : '04 ��oF. roY mm as ®�w"x�rm �� ►�ti� sx J� D pv. © I � oe.r . __8Vo / _.- .t-�- _.AE19 E.✓D Q� 4 J•110.sy r, f/ S - P> OAGM g,P,a yPPA/M BAYy pdW A / M.ob=/NAV.VPUO N.2•W. 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