1436 Linkside Dr - Pergola Over Existing deck . p CITY OF ATLANTIC BEACH
}`"? 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
v> INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0132
Description: construct pergola over existing deck
Estimated Value: 20000
Issue Date: 8/28/2017
Expiration Date: 2/24/2018
PROPERTY ADDRESS:
Address: 1436 LINKSIDE DR
RE Number: 172374 5315
PROPERTY OWNER:
Name: ESPARZA BARBARA A
Address: 1436 LINKSIDE DR
ATLANTIC BEACH, FL 32233-7320
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Pratt Guys, Inc.
Address: 6967 Phillips HWY
JACKSONVILLE, FL 32216
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.
?sari, City of Atlantic Beach APPLICATION NUMBER
;f1 Building Department (To be assigned by the Building Department.)
`i 800 Seminole Road [ CS I�_ O (3a
Atlantic Beach,Florida 322335445 L
V Phone(904)247-5826 Fax(904)247-5845 0
``gin 9P E-mail: building-dept@mab.us Date routed: VV CCC V'' '1
Cityweb-site: hftp:/Awm.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I De artrnant review required Yes No
wilding
Applicant: Pc �'11 l"I('l -tYll ' lannin &Zoning
1 . / Tree minls ra or
nn
Project: R1�(1Sl1Ll l,� Y� 5bI jl LN W LJA/1'j Public Works
y J Public Utilities
cam(, Public Safety
Fire Services
pept Signatur
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: [-]Approved. EKenied. ❑Not applicable
(Circle one.) Comments:
BUILDING e
PLANNING&ZONING Reviewed by: Date:O 7
TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: 111 Date: & 2_3 4
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. [-]Not applicable
Comments:
Reviewed by: Date:
Revised 0511912017
�c CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
AUG ! 2011
Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: 7 Received by: Resubmitted:
Pemut Number: 1-3 —p 13
Original Plans Examiner: Project Name:
Project Address: 4 3 r Dr
Contractor: hr u r Contact Name:
Contact Phone : 4 - 2'57 - `f(,5'7- Contact e-mail:__0 q& arbia 5 L O
Revision/Plan Check/Permit Fee(s) Due: $ SU,p 6
Description of Proposed Revision to Existing Permit:
5.... t
—J 0.1r Al(N!S-7B
J ( �L Ant 'rNtS
Additional Increase in Building Value: $ /)��. Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(pdn"! O - affirm that the above revision
is inclusive of the p%osed c ges.
8-n 17
$i ature Of Con tor
geht(Contrector must sign if mcaase in valuation) Date
Offiu Use Only
D.e: a7 'I S' t'1 Approved: A RejeRed: N/A to Dept
Plan Review Comments:
Chance ovI- & A Plan Anr mm , Zeb C_aor /N/Y
De artment review re uired Yes No
B ldin �r
tanning Zonin
TreeA Administrator Plans Examiner
Public Works
Public Utilities 8'rl Sr 17
Public Safety".Services Date c�m.euivv ar.a
I�
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
C ,FL 32233
OFFICE C O P�LTLANTIC BEA(9H04)247-5800
BUILDING DEPARTMENT REVIEW COMMENTS
Date: 8.15.2017
Permit#: RES17-0132 Site Address: 6967 Philips Hwy.,JAX
Site Address: 1436 Linkside Dr.,A.B. Phone: 904.737.4652
Review: I Email: 6ustin raft s.com
RE#: 172374-5315 Homeowner: Joe Espana
mbarb@yaho .com
A licant: Pratt Guys,inc.
CORRECTION COMMENTS: These comments arc from 1 of 4 departments that are
reviewing this application.
C. An fidavit for attaching a new structure to a host structure nee sout and signed by the owner. I will attached the affidavit to this email.es are needed.
Mike Jones
Building Inspector/Plan Reviewer
City Of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233-5445
Ofc (904) 247-5844
Fax(904) 247-5845 /y
Emalter/ kevl ecu✓ covr., - , 43 g Is' /9 ' Yl
l
CITY OF ATLANTIC BEACH
800 Seminole Road
tl D Atlantic Beach,Florida 32233
fd AU6 6 ZU�� Telephone(904)247-5800
FAX(904)247-5845
BEET OR OFFICE COPY
CORRECTIONS TO REVIEW COMMENT
p
Date: p �16 1 Zo/ .) Received by: Resubmitted:
Permit Number: P E 5-< 17 - ZV I ".l
Original Plans Examiner: Project Name: 1CS q/-Za
Project Address: i4 i L r::,,a<5,de nr A}L,-t,iyo.t.t.. p- 322 3 3
Contractor: Contact Name: SdS tip
Contact Phone : 1Bu-av2—C7o l Con I: jD;ha i�p
Revision/Plan Check/Permit Fee(s)Due: $
Descri Hoa of Pro osed ,Revision to Existtfln Permit: 11
a G1 GFdd t �sf ATI t�
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(prim none) affirm that the above revision
is inclusive of the proposed changes.
Signature of Contractor/Agent(Contactor must sip if memsm,in valuation) Date
�/ Office Use Only
a
Date: � � �7 Approved: X Rejected: N/Ato DepC
Plan Review Comments:
D review uired Yes
Buimm -
Planning R Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities
Public Safety
Fire Services Date a.mu 5113h7aa...
-cs+>rir City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road C I,,
Atlantic Beach,Flonda 32233-5445 -t/ J I0 3Ql
Phone(904)ing-de 25 c Fax(904)247-5845
E-mail: buildingttp://@c.mab. Date routed:
City web-site: hdp://w,vw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: y3 LP UtnY-S1 At 0( • D
epartment review to ulred Yes No
Applicant: Y4 /� l 1u4 � &Zoning
1 ims ra or
Project: (�.1�ns w'A 9&4 56k � W 4{ �..x iA, rks
,1. Cy lities
hit- 1. fety
ces
Review fee $ Dept Signature
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
Amy Corps of Engineers
Division of Hotels and Restaurants
DMsion of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. Denied. ❑Not applicable
(Circle one.) Comments:
/�Ls +
BUILDING eVVoc ks. r/ 14h�
PLANNING&ZONING Reviewed by: //L?"�%�/�'� Date: Of� IY
— 17
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 95/19=7
-f t1Lyr
�H' r CITY OF ATLANTIC BEACH
� r
800 Seminole Road
sJ _ Atlantic Beach,Florida 32233
AUG 1 1 2617 Telephone(904)247-5800
(j FAX(904)247-5845
"ON REQUESTSI MET OR
CORRECTIONS TO REVIEW COMMENT
Date:,9-1 - 17 Receivedby: Resubmitted:
Permit Number: 1_j -
Original Plans Examiner: Project Name:
Project Address: M3Or
Contractor: hllm LjM&' jContact 11,is /f
Contact Phone : W 4 - 717 - S Z- Contact e-mail: t<iC n 5 tl
Revision/Plan Check/Permit Fee(s) Due: $
Description of Proposed Revision to Existing Permit
P Ad
B-�ci@�aCL�rLS Pen 5,'MS—
Additional Increase in Building Value: $_ MA Additionaf S.F.
Site Plan Revised: Public W/U Approval:
By signing below.I(Printer O - affirm that the above revision
is inclusive ofthWciposed c nges.
Sr tune of Con for geht(Contractor must sign it urcmue in valamim) Date
i)ffia Use Onty
Dat: Approval: Rejectal: N/A to Dept
Plan Review Comments
I
ent review re wired Yes NoZoninmistrator Plans Examiner
rkslitiesfetyices Date C,a,,,,,,v„
I
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
_ r0
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date 08/17/17 Revision to Issued Pertnit Corrections to Comments x Permit# RES (7--D j 3 Z
Project Address 1436 Unkside Dr.Atlantic Beach FL 32233
Contractor/Contact Name Contractor'Barry Darnell/Point of Contact:Justin Belllchls
Phone 904-737-4652 Email Justin®PranGuys.com
Description of Proposed Revision/Corrections: Permit Fee Due$
Adding height of Pergola as per request from Zoning Department
Additional Increase in Building Value$ Additional S.F.
By signing below,I �effirm the Revision is inclusive of the proposed changes.
(p7/ ted name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
• / (Office Use Only)
Approved V/ Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
Building
87/7/17/9 &Zoning eviewed By
I reel ree Adnninistral
Public Works 7
Public Utilities
Public Safety Date
Fire Services
!; VE
G'l OFFICE C(PpVding Permit ApplicationljlJ�(—
r City of Atlantic Beach �1j� AUG - 9 2011
800 Seminole Road,Atlantic Beach,FL 32233 •'I
Phone:(904))247-5826 Fax:(904)247-5845 I
� �Job Address: 36 Permit Number.
Legal Description 1181- 1-
� 7�^5
3
Valuation of Work(Replacement Cos vd 00
Heated/Cooled SF Nan-Heated/Cooled
• Class of Work(Circle one): New dition Iteration Repair Mo Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Cftueatmilb
• Ilan existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe In detail the type of work to be performed:
r<�yola kya a over exis}-�,)y deck ::1
Florida Product Approval# for multiple products use product approval forth
Property Owner Inforot ation�y t, /
Name' �N '6� fr`R41r.- Address: 7 6 S d
city +( ,tT�s Rirx� state PL• Zip 3Zz3 Phone — �•
E-Ma ^^ CCM
Owner or Agent(I f Ager(t,Power of Attorney or Agency Letter Required)
Contractor Information Dp /^�
Name of Company: res w /S. IOL. Qualifyi Agent: &rte./ l.hrnt�
Address ,7 's-�City i (Gate zip
Office Phone - `f� Job SIte/Contact Number
State Certification/Registretlon#f2, A G _E•Ma �, •x - "-y' - sns — I ,Tys•co•1
Architect Name&Phone#
Engineers Name&Phone# LI
Workers Compensation T
Exempt/Inwrer/Lease Employees/Explretlon Dale
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 the laws regulatlong
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing Information is accurate and that all work wl11 be done in compliance with all
applicable laws regulating construction and zoning.
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 A ATTORNEY BEFORE
RECOR ING YO� NOTICE OF COMMENCEMENT.
ignature of Own or Agent lnyy ing Contractor) (Signature of contractor)
SI ne a d sworn to(or affiredefd'e me this Z6 day of d and sworn to(or affirmed)before m this day of
2017tS �
rr T� ♦i . ZO btit d
V
JONATHAN CRCommlaslon aFF a of Notary) gra re of Notary)
My Commission February16, F •JONATHAN CRENSHAW
commission•FF 981370
( 1 Perwnally Known OR ( )Personally Known OR My Commission ExPires
teroduced Identification [ ]Produced Identification February 16, 2020
Type of Identification: Type of Identifiradon:
Alahk OFFICE COPY
IV
OWNER'S AUTHORIZATION FOR AGENT
Derek Pratt, Pratt Guys is hereby authorized to act on behalf of
Joe Esparza , the owner(s) of those lands described
within the attached application, and as described in the attached deed or other such proof of ownership as may
be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development
Permit or other action pursuant to:
❑ Zoning Variance ❑ Comprehensive Plan Amendment
❑ Use-by-Exception ❑ Zoning Map Amendment
® Building Permit ❑ Plat,Replat or Lot Division
❑ Sign Permit ❑ Tree Permit
Other
BY:
i are ofOwner
Print Name
Signature of Owner
Print Name
Telephone Number
state of frlr�r.�a
County of [ /kou
Signed end sworn be a me on this—L7day of,201'
BY =ACHAW
1 3ra1210Id fi cationverified: �G Sb 20
Oath swom: Yes No
No gram
My Commission expires:
PelmvIt 17-0/ 32
NOTICE OF COMMENCEMENT
State of EJ - OFFICE COPY Folio No. 1'72,37Y-536
Countyof
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information iqq stated in this NOTICE OP COMMENCEMENT. II +
Legal Description of property being improved: N4�23 (7^2.$—ZqE ,St(Jw -in .� �.(nl7 1
Address of property being improved: 1 ( 22
General description of improvements: QCalO(
Owner: V—'1 1R;9'4 Address: v
Owner's interest in site of the improvement: t. Q
Fee Simple Titleholder(if other than owner):
Name:
Contractor: T' L , Jy 1 �f
Address: 6 967 P{,r�> 4�w1/. —. &Ck saqy i yr At. J7-LI
Telepbone No.:9d� YgS� F. i
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
[713.06(2)(b),
me of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be
ed: Name:
Address:
Telephone No: Fax No:
addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
Florida Statues. (Fill in at Owner's option)
Name: ///�/
Address: L 1"/
Telephone No: Fax No:
iration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
cified):
IS SPACE FOR RECORDER'S USE ONLY OWNERSigned:Before e A 2m]18580D,OR BK 18082 Page 818, Of Flo ber Peg":1 Notary blorded0aWW1]a10g:12 AM,nie Fussell CLERK CIRCUIT COURT DUVAL My commission expires:
UNTY Personally Keown: or
CORDING$10.00
, O )JONATHAN CRFNSHAW
(�o°.. Commiealon a FF 961370
My Commiuion Eaairea
i�l�rum. a anon
TREE & VEGETATION AFFIDAVIT
City of Atlantic Beach
Department of Community Development
Planning&Zoning Division
j vp 800 Seminole Road Atlantic Beach,FL 32233
(P)904 247-5800 (F)904 247-5845 PERMIT a
I
SECTION 1-APPLICANT)INFORMATION r Owner(s) f— Legal Authorized Agent"
NAME OF APPLICANT Joe tL r2-o'
NAME OF COMPANY '� I,t,Vs
ADDRESS OF COMPANY 6467 A(III71 t7.ri NWV .tC AVl �l2 (�1+. 2'LI `
PHONE qo y- 37 y632 CEL pp EMAIL v
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
!. SECTION II-SITE INFORMATION yL I1,�,
STREET ADDRESS OF PROPERTY W6 LI7R,SJ6 or-, /�T 1ANl fG �Pn CiJ ISL /f���
Ilan address hasnotbeen assigned wthtspropeny,r°ntactCN ,,8Bu0ding Oepanmentat[904)247-5826 to nq
uesta1n addressLy
LEGAL DESCRIPTION (� y� 23 1-7 - is — 21 C SPIVµ LkSlje Nnll 'I
LOT BLOCK SUBDIVISION
REAL ESTATE NUMBER LOT OR PARCEL SIZE: SOFT AC
RESIDENTIAL COMMERCIAL OTHER(SPECIFY)
1 affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation'of the Municipal Code of
Ordinances for the City of Atlantic Beach,FL and/or I have participated in a pre-application meeting with the Administrator of those
regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed
fromtheabove-described djacentproperties in conjunction with this project.
��
SIGNATURE OF OWNER SIGNATURE OF OWNER
Signed and sworn before me on this day of µ51r ,by State of 011�q
Nl0.Mctl� N County of mvl�Kl
Identification verified: d.t�J Y(vS ALL 2l1$�
Oath sworn: F- Yes r No
I �""'• JENNIFER JOHNSTON
,p `• MY COMMI5910NpaG 0429Bd Notaryinatufe
+�4ofr„p:. EXPIRES:Ocbber2].YOp
ea.aM tlwN°uryPuuc um.n„n„, My Cor ission expires:
OFFICE COPY
AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE
TO: Building Inspection Department,City of Atlantic Beach, 800 Seminole Road
Home Owner: ✓pg ESw,r-.7a,
N e I
1�t36 L���s�le Or.. 'A1�Ia ,17G 8tac�,, FL 32233
Street as
�` A.I ik Bene, FL 32233
ppCity State and Zip Code
Contractor: D4r4 Amnoel)
Permit Number fr -ll -o '
As the Contractor for the proposednew structure located at the above address;I have personally viewed
with the above named home owner those portions of the existing structure on which portions of the
proposed new structure are to be attached for structural support.I am confident that the drawings and
details included with this permit application depict the existing conditions of the host structure,and the
members of the existing structure upon which the new structure are to be attached are sound with no rot
or deterioration. The home owner has been advised by me that,in my beat judgment based on experience
and knowledge of structural adequacy,the members of the existing structure upon which the new
structure are to be attached are sound with no rot or deterioration and will support all structural loads and
fomes imposed on them.By signing below,I hereby declare that I will hold the City of Atlantic Beach
harmless and release it from any responsibility and liability for any adverse consequences or failures
resulting from this work,and farther that I will not initiate,execute or enjoin any legal action against the
City of Atlantic Beach for such consequences or failures.
A copy of this document will be recorded as an official record with the Building Inspection
Department permit history so that any and all future buyers/owners of this property may be made
aware of the status of work performed on this structure.
Signed
NATHAN NIEDEL
Stets of Florida-Notary Public
Before me this day of /-1 M•n„$1— _ Commission♦GG 126453
My Commission Expires
In the County of Duval, Stata�oi�a,has personally appeared " n, " .Iw 20, zozl
herein by himself/herself and •
AffiWs all statement d dec tions herein are Wue and accurate.
Notary—Public at Large, State of County of h,a_Ja
Personally Known or Produced Identification—VIC
ID Type t
F:buildinglaffldavit for attaching a new structure to an existing structure.dov 7/21/09
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MAP SHOWING SURVEY OF
LOT GL, 3E<0.a L/NhSr OrE' 11N17 r. ,e3 •f'£CdROGo //.,+pC-,qT fy..bK 44
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'L«�i .I/VMDEA I � - a du t0/Nd REfYF/!ti/N UNYJ JNa✓HARE
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:.G6y��'I Area Vo Square PM
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DURDEN LAND
SURVEYORS
Le 3672 DONN W BOAiW M, C SL.
iORME.{LY LB 4469 FLORIDA LIC SURVEYOR and MARKER N0. LS 3295
1101 SOUTH THIRD STREET DAM ✓BLY J2 100/
JALxSONNLLC BEACH, F(OR)M 32250 $CA1,E' 1�•S0
N _
(904) 9-]261 !AY (904) 241-1e'51
THIS WC OF SURVEY Is NOT VALID UNLtss a IS S4NED AND
NAS THE OA41WLL AAIS£D SGL OF A F1OA1M t4ENSE0 50RVE10R
I
" SURVEY OF
W/9F.1, A3 RE�t?RF+C'e> iM A�-.ir Y_",avK 44,
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9•
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BV2AM6 •(f7TRIU/DN r✓Ntl INOSIN qzE
BY CDNN9X>.xFdlT-H WJD TIFLf ai'�A'.WfC "
CO,t/Vq,✓( G9F�tf,L//7,{.IFN117`�Nd�if�ei}l{X��.1C Y`
nsi az'�o��IYf��+'-`•.`..' FYfLI�I y .
DENIED
1
s
h-
Structure Pergola
Material Cedar
Type Attached
Roofing None
32o Square Feet
v � T-' Setbacks are meexured to walls.
:�A,
j ALL/,4.VCE A-(oR10AG£ Clbl/k�e.
f1lMx/ONNiA[TN.LAND ,"7Z EL /; '2'r0.t'y.
" GyBRALTA,? rl"j' "lERVt6;�
l I �DURDEN LAND
SURVEYORS
-.G 7571 DONN w. 5GA?'h CH1 PSM
FORM RGY L,5 GG4� FLOPoDA UC SUP4'EYCR. cnd PAPER NO. LS 3295
1103 SOUTH THIRDSTREE7 DATE: JULY /
JACKSONVILLE BEACH, FLORDA 32250 SCALE:
(904) 249-7261 FAX (904) 24 1- 1252
THIS MAP OF SURVEY IS NOT VALID UNLESS If IS SIGNED AND
HAS THF ORIGINAL RAISED SEAT. OF A FLORIDA LICENSED SURVEYOR.
CITY OF ATLANTIC BEACH
i `: 800 Seminole Road
�Il�i I AUG 29 ��l' Atlantic Beach,Florida 32233
REVIISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date Oql 1 ` 14 Revisio o Issued Permitl Corrections to Comments_ Permit# IC[S )7-o13 2
Project Address 3L b"AV)-ela Or" A11c WL g..G� I f--` 32233
Contractor/ContactName �f"� G w,5 n
Phone q04 ' C1 �Z ��3fl � Email U51pnP
Description"off Proposed Revision/Corrections: Permit Fee Due$ Se•oo
�W' W r- -rV4 Si�E SU(VPN�
Additional Increase in Building Value $ Additional S.F.
By signing below,I air=the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved�_ Denied Not Applicable to Department
Revision/Plan Review Comments Ce/1T'►OGu�t
Department Review Required:
u i
P annmg &Zoning Reviewed By
Tree A mini rap
a or
Public Works
Public Utilities
Public Safety Date
Fire Services
ovRE- I[�I
i CITY OF ATLANTIC BEACH
AUG 2 9 2017 ` 800 Seminole Road
8 �`Lf Atlantic Beach,Florida 32233
�1 nMREVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date D��!/' Revision tto'Issued Permit{ Corrections to Comments_ Permit# IC L S RT dl 3 Z-
Project Address l 3 l0 L-� l�5-plcyf. {�}�c,.wl. �c� I (L -3 2233
Contractor/
�Contact�NJaame Vr'4 6")5 �{ /�
Phone q O"I '"1 p V —Ge
l Email JU5�(p`' ��r Gtn'�/15 • r��
Description of Proposed Revision/Corrections: Permit Fee Due $
Surv"
Additional Increase in Building Value $ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved (/ Denied Not Applicable to Department
Revision/Plan Review Comments //��,
Department Review Required: 4 :=
ui in
Planning &Zoning Reviewed By
Tree Admini ra or
Public Works x ��
Public Utilities !/
Public Safety Date
Fire Services
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1103 SOUR IN;R1J SSRcv '' SALE
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SCALE 1 2D_
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:1µL1 INE ORi@N4 RAISED SELL OF A RORIN U ENSEO SUK✓EYOR.