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556 SEASPRAY AVE - FENCE City of Atlantic Beach APPLICATION NUMBER by `,> Building Department (To be assigned by the Building Department.) '! ` 800 Seminole Road I -- 1 l,j LC-- 3 g sS Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 I 107/ E-mail: building-dept@coab.us Date routed: ©H (� tI� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: SS &f p(Qy AJQ Department review required Yes No Applicant: ��1SP+ +�1� Q ' anw• Zonin• r. (� Tree Administrator Project: w k -u•lic Works \,-3 0 O p �Qnik 'ublic Utilities Public Safety Fire Services 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING .� t / PLANNING &ZONING Reviewed by: Date: 5I G Gr it I 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: Revised 05/14/09 i o,svlrin City of Atlantic Beach APPLICATION NUMBER rf itAWA Building Department (To be assigned by the Building Department.) r r r) 800 Seminole Road - FNL�- 3 SS i Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 (-)(4"�J;t �% E-mail: building-dept@coab.us Date routed: II I a-�!�-' City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S.S �D aaSp( al f AV Q Department review required Yes No Applicant: Suns --* \Q-11(--Q-- anning Zonin Tree Administrator Project: .1. L e_ -►r Cf e l ll W k tp-VDD-- -u.lic Works \A D O A Q " D.- 'ublic 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by6— Date?/Z 3 I t-7 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: Revised 05/14/09 0,,v;y,, City of Atlantic Beach APPLICATION NUMBER �� ... Building Department MAY U$ 20th (To be assigned by the Building Department.) 800 Seminole Road FN��- 3 $SS y r� Atlantic Beach, Florida 32233-5 `� Phone(904)247-5826 • Fax(904)247-3845---_____ "!J;� �r E-mail: building-dept@coab.us Date routed: OY I 4-- )11- City )iCity web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: SS LO &asp( nN Iv I? Department review required Yes No Applicant: &k(\ * R-+' LQ._ Planning rZonin (� Tree Administrator Project: ciA . LL -e.r`1l..Q. ,-3k lo$J1 A- -u•lic Works \Ao O Q Pe_nuL__ 'ublic 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: 1 pproved. ❑Denied. (Circle one.) Comments: -4 I_,/ C WtitV BUILDING '�G /!� W PLANNING &ZONING Reviewed b : Date:Lrife-'/� 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: Revised 05/14/09 Vit!ari City of Atlantic Beach APPLICATION NUMBER r.)S f> Building Department (To be assigned by the Building Department.) X11 'cp 800 Seminole Road FNCE- 3 g SS Atlantic Beach, Florida 32233-5445 � Phone(904)247-5826 • Fax(904) 247-5816Y Q 2017 � d 0Tr. E-mail: building-dept@coab.us Date routed: (a p City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: SS (0 &C1Spt 61AI AV Q Department review required Yes No Applicant: S rNS4- Zonin Tree Administrator • ---Ru61ic Works Project: �����L-� -�l l.� w k� �� D� � 0 0 a 0,0 ct Public Utilitie� Public Safety Fire Services Review fee$ Dept Signature w‘, 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: APPL CATION STATUS Reviewing Department First Review: Approved. (Denied. (Circle one.) Comments: /� BUILDING /V kt PLANNING &ZONING Reviewed by:d 261"...— Date:S l(° r7 TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. P010ORKS I Comments: BLIC UTILITIES s--6— n PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 ,S,,,-. 1-1-1-e--,-.4.1, BUILDING PERMIT APPLICATION 4 (77 {' J "`` CITY OF ATLANTIC BEACH DATE r) 800 Seminole Road,Atlantic Beach FL 32233 �!�i3 �r V Office:(904)247-5826 • Fax:(904)247-5845 Job Address: J C �`` 5 .c,, V A _ Permit Number: 11-Ili%��— 3 Legal Description /�} RE# 1 "10703 -04 z Z Valuation of Work(Replacement Cost)$ `7`O 00 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): FOr. Addition Alteration Repair Move Demo Pool 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 • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Re oval Describe in tail the type of work to b erformed: �i;�Gfl�1✓ iii c' .. l ' ';'y'i4 ct'S70'-- 4,?v©.v Piv err _ ',474 n'— n� 0.z ti, Pe9 si-- c -s j r ��- • - G'h9/Z2 N l.�m�y�=��, �3 m Florida Product Approval# for multiple products use product approval form Property Owner Information ' Name:% /2/4/, 4 Address: JFl sz' Sp?/2 v /9LJF" Ci�Y &G, Ch' State7taZip Phone 9 3 ,5� 2 e--- E-Mail E-Mail Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) 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 RECORDING YOUR NOTIG�E OF CONSULT COMMENCEMENTWITH OUR LENDER OR AN ATTORNEY BEFORE Contractor Information: Name of Company:��c i?�5rc"T r✓c'� _7 vv.Qualifying Agent: ,-, >�-/e,AeA E G C_ Address0V/ /L'�ll�.gg21/iv /D City �•-jc_ State Zip3? z 2-- Office Office Phone6 /2 ' f.t Job Site/Contact Number 75--9.7,Oa 9 State Certification/Registration# E-Mail Architect Name&Phone# • Engineer's Name&Phone# Worker's Compensation Exempt / Insurer / Lease Employees / Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated I cert that no work or installation has commenced prior to the issuance ofua 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 if work is not commenced within six(6 months, or if construction or work is sus'ended or aband•.ed ffor a period o fsix(6 months at any time after work is commenced I understand that separate permits must be secured for • al Wor , ''unthin Signs,Wells,Fools,Furnaces,Boilers,Heat Tanks and Air Con4litioners,etc. // / Q Signature of Prop-.is Owner:44/ .(�,l2M,t. GL-pg11A w{ Signature of Contr. tor: .6.. Befo this Day of �a�, r 01 Before me this 'D. �/C•/� >t C 17 Mill Notary Public: I�'�— 4 NotaryPub' . - — _'; ,,��i. TONI GINDLESPERGER `' *.• :•+: MY COMMISSION#FF 924951 4 A .MY COMMISSION#FF 924951 ; ,� oEXPIRES October 6,2019 /( I here , fiat R'Y p, d,wrcke tmi"ed this application and know the same to •, %'it ' .":. PA ata , laws and ordina 2tpg rraattgatti dy, �vairhrav,m'be complied with whether specified herein or no. e gran mg o a permit does not presu el the provisions of any other federal, state, or local law regulating construction or the performance of construction. Rev.5/2/16 I 174.4* CITY OF ATLANTIC BEACH A ,'� CONSTRUCTION PERMIT WITHIN C . CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 d t,r qr Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT# Date rijpr I I r1 - ao I 7 ISSUES BY THE CITY Job Address J iJ e Sec s p(G y Av E-mail 1---±r I n I d,GL @ C06Y1CCIs r n e+ Permitee: LVntla CAidturf cAe - \ c in , asc\ Telephone# gO-1 - c 23` 5c1 2 a Permitee Address: 5 5 6 Sect so-4:y /\ i e Requesting Permission to Construct: Re a IG Ce a Y\ G\ c\ c ,rc C e Location: (Reference to Cross-Street) Sc'CI S j7 rU'-/ Ave 0 nd / iGvt-k'CC4 U I �j\ d .'o,4-f 1, 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: • Jacksonville Electric Authority Yes ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes( ) No( ) Date: Comcast Yes( ) No( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles,wires, pipes,cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permitee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder 1 of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four(24) hours prior to starting work and again immediately upon completion. r...,.......—,,,—...„,!-- ^ w4• TONI GINOIESPERGER 1;4:.1.1t,..•:.-,?.. MY COMMISSION#FF 924951 OWNER 1 / „:.:e Y EXPIRES.October 6.2019 r 4;57,,,0: Bonded rnn:Not< Public Under '.ers / S Signed: / �- Q,- Deter Before me this 1102111110 day of 20 1 in the C.untof D I, State if Florida, has personally appeared 1 r.tary P iblic a Large, State of Florida, County of Duval. My commission expires: Personally Known: • 010,• Produced Identification: Revised 7/29/15 14) /Cc fC !bp /0 00b ikace Jr.? X k / "1/ ct,Z ,FIC /1, 1 ,1/4; ezrs 1 r 23,3 Y 22,z t Am/41mA if x • l/ /I l2 / zJ'1z / I(it sl ozyt —104-fea, 333 333 • • R.O.W.Permit Attachment of for R.O.W.Permit# issued • ,20 Atlantic Beach,FL 32233 • Owner's Name: L r O\ Va r r de — c\a G Property Address: S S'MS pcca`1 �v 2 A+Ian-hc Becicti F I o icic, 32233 Subdivision: SeaS?fa y R.E.#: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 20_, by Atlantic Beach,Florida, a municipal corporation organized and existing under the laws of the State of Florida,hereinafter referred to as "CITY"and of Atlantic Beach,Florida,hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the • right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). • This work is generally described as: e cc Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. • In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code,and all other land use and code requirements of the CITY,including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." • Page 1 of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNE j this a 7 day of 07Q/Uj 20 / 7. / BY:or. 14 , _ 'roperty Owner • (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this day ofP1` 20 j Public � , l � personally appeared before me, a lic in and for said Co>hty and State, the Notary L+�d0. , Atlantic Beach, Florida, known to me tor be the person(s)f desc .:. in and who executed the foregoing instrument; who acknowledged to me that he or she exec the e ,eely . • voluntarily and for the uses and purposes therein mentioned. No y Public in for said Coo and State Y i TONT GINDLESPERGER '"f •s; MY COP,4MISSIOA; EXPIRES:Octobsr6,204 gt Borded Thru Notary P.bGc Under +niers • CITY OF ATLANTIC BEACH,FLORIDA, a municipal corporation: Approved: • / 444 Public Works Director File: 12/12/16 Page 2 of 2 MAP SHOWING BOUNDARY SURVEY OF LOT 28 BLOCK 4 ACCORDING TO THE PLAT OF SEASPRAY AS RECORDED IN PLAT BOOK 35 , PAGE(S) 64 do 64A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY FLORIDA. CERTIFIED TO: PAUL TRINIDAD, LINDA TFRINIDAD, STEWART TITLE OF JACKSONVILLE, INC., INTERFIRST WHOLESALE MORTGAGE LENDING AND WATSON & OSBORNE, P.A. SEA SPINA Y A VENO, ;, r: ' ( 60' R/GHT-OF-WAY) i1 s+, 3 2001 city of Atlantic Bead' BEARING REFERENCE LINE 99.84' (M) Bt4 d4 +anc1 ZOnln o I/rS 6x,2600" E !00.00' (R) C.M. MMS \ TAB . 5' CONC. WALK 1� L 0.1' 0.1'I• �� kk 1. • �� 6 N h 20' B.R.L i . , 45.7 .� .1 .1' I .•'., i Z (ir .-EREO.•w / 20.8' ' O O. A11.1 // f :,•''y'.••'• '••' O tv 14 1 4' . RCT..•...• • •'• a o OM 1- ryE. .- O 8 N. STORY BRICK a •/ �'.•.�:•�•. •. •.,• •' O ` Q `ti FRAME RESIDENCE ' ' 1.0 n 0 NO. 556 V[ 0.6' // 17'/ / 20.6' 0, 0 tti O N D 44,"' • - D e'� .o R 13.1' LJ ...CONE. •• . O : -r O 1 PATIO D O O O � .�'' 4 r.. BEACH `lN, r� N Ai N Z L WI •'! to I BLOCK 4 ,i,I 1i.1 ..... CI g v_. n f ` 0 0.1'--X '38.5'EASEMENT FOR i36.3' ` S o r o 4E-�Lr-4.--- � �3. It x • 7/4. • O 0.2•DRAINAGE, UTILITIES a SEWERS..0.1' °- • '/,' \` q r�r i N brae oo" �r I .100.00"-,Z) ,' ___ _ __-• - - � �:. r N 6T21'44" W 100.06' (M) � 0� �,00 S,• .� LOT 26 LOT 27, BLOCK 4 �� ' k\•\J��� BLOCK 4 () Cl* �� EY ---Pthi-Bb01(36. tYO(614 mmas 'A gip, `• J R 0 R J 1.BEAMS ME BASED ON ASTRUCTURE NO.-AIL SIM 14ZREON UE5 WHIN FLOOD 2011E_X____ AS BEST ',.,,.p� t` 8 '1'''� , Y % 2.OEIEi51RED FROM F.EMA ROM IMPS PANEL NO._1-DATED 04-17-1616. Y-Al ®� ' ASSOCIATED SURVEYORS INC. 3.THIS IS A SUPF'CE SURVEY ONLY. 111E EXTENT OF UNDERGROUND R:C7.11., 4,� a{+f' " o , PIP cS AND 111 LIES, IF ANY, NOT DETERMINED. �0 0 LAND a< ENGINEERING SURVEYS 4.LOCATE BY THS AHD OR ENVIRONMENTALLY SENSITIVE MEAS IF ANY, HOT • t r P.O. BOX 382017 ��BY THS � 5915 CEDAR HILLS BOULEVARD 5.THIS SURVEY WAS BASED ON LEGAL DESCRITMONS FURNISHED AND THE �.IX 1, 4 JACKSONVILLE, FLORIDA 32210 PUBLIC RECORDS WERE NOT SFARCMED BY IHS SMEAR FOR EASEMENTS,TITLE. •y �� E ,J j 904-771-0468 COVENANTS OR RESTRICTIONS THAT MAY An•WI THS PARCEL4).'' ' CERTIFICATE OF AUTHORIZATION N0. LB 0005488 5.UNLESS OTHERWISE STATED ALL. IRON PIPES FOUND HAVE NO 10001F1CADON. 4)' O S S V . ���oi 7.NOT VALID WITHOUT THE SIGNATURE AND THE ORICINN. RAISED SEAL OF A ,,f�, i T1ER41 LICENSED SURAEYOR AND MAPPER �/•P /' I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY Lirp/AMIIIYIATIONS /`j DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL 0 SET IRON PIPE MARKED P.C. - POINT OF CURVE ", - STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER "ASSOC.SURVEY"OR LI. Stas P.T. - POW OF TANOEN.Y 61G17,r-6, FLOjTIDA ADMINISTRATIU CODE C}TAMER 472, F.S. : ' P.R•C•' POBtt of REVERSE CURVE -C�2 - O D ...FOIRO WNOETE YOM11ElfT( ; P.C.C.� PgfT OF CpP01M0 Ci1R1E , X CROSS CUT OR DRILL HOLE P.R.M..- P4AWEM RDEI6CE YQL1tM BY: CHARLES L. STARLING X CHNN LINK FENCE CA - CENTER UNE FLORIDA CERTIFICATE NO. 4579 W-W ITE FENCE R/W - MOHT OF WAY 11-0 W000 FENCE B.R.L- BUILDING RESTA/CTION UNE JOB NO. 18619 I DATE 07-29-1998 A � CENTRAL ANCLE(�A) (R)M RECORD SCALE: 1" 20' DRAFTER T�10L L _ ARC L H C .� CONCRETE