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1837 SEA OATS DR - PAVER WALK r, ler. ! t__'% CITY OF ATLANTIC BEACH ;? 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ` "!,,3 �%' INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES017-0031 Description: PAVER WALK WAY Estimated Value: 1000 Issue Date: 10/4/2017 Expiration Date: 4/2/2018 PROPERTY ADDRESS: Address: 1837 SEA OATS DR RE Number: 172020 0546 PROPERTY OWNER: Name: LYON JONATHAN R Address: 1837 SEA OATS DR JACKSONVILLE, FL 32233-4511 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: KETTELL INC. Address: 1860 MAYPORT RD ATLANTIC BEACH, FL 32233 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. 0.A1.1;yel City of Atlantic Beach APPLICATION NUMBER Js �, Building Department (To be assigned by the Building Department.) - v800 Seminole Road R1 0so I Atlantic Beach, Florida 32233-5445 7 _003 Phone(904)247-5826 • Fax(904)247-5845 �2/ ji�J;3 EE-mail: building-dept@coab.us Date routed: (� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: l 7 SES A De• - ment review required ira "No Applicant: 1 \ E rj . I C - _ ing &Zonin• j I -- Project: 11�V _ - Dec.c__...‘_ LO ''I-T is Works - 'us is 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: <proved. ❑Denied. ❑Not applicable (Circle one.) Comments: C-137—.11LDING) PLANNING &ZONING 7 Reviewed by: /7)1 ' Date: d' - /'1 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. [1]Denied. ❑Not applicable 1 Comments: Reviewed by: Date: Revised 05/19/2017 ril-Anjy,, City of Atlantic Beach APPLICATION NUMBER a' Po ? Building Department (To be assigned bythe BuildingDepartment.) ... ,�� 9 P ) j 5 800 Seminole Road 3 ; ¶ Atlantic Beach, Florida 32233-5445 RCSO 17 --Cx Phone(904)247-5826 • Fax(904)247-5845 ��j;t !,)%' E-mail: building-dept@coab.us Date routed: �/3 /is? City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I � S ..P., �.Jl�-ZS Cia_ ent review required Yes No Applicant: 1K E I T L j_, l IL)C.:_, ,, Iarthiing & Zonin Tree Admingtrat6r Project: PR c_42__--� _ 1i)ecr•i. WALK_ (R icb"fr work ubCltitttics, 1 Safetty 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. I INot applicable (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed b / — Date: • ,—i 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 05/19/2017 01-tvrJ,, City of Atlantic Beach _;,: a. APPLICATION NUMBER , " is Building Department (To be assigned by the Building Department.) r - v 800 Seminole Road 1;• 7 { r - Atlantic Beach, Florida 32233 ,5 AUG 0 3 20n I RC—,S0 i 7 —� � I N Phone(904)247-5826 • Fax(•a-;� 247-5845 a �o;t of E-mail: building-dept@coab.usIy: Date routed: EV:3 /i7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I ! Sp., ��ZS Cia__ Dueidinglment review requireduired Yes No • Applicant: K E j Tom_(_,_ I IvCL., 1ging & Zonin Tree'' mini r Project: PR VC,-12--S -- D •r..j- LU K-POrrc Works) 41/4. Citttfti ...—) iribbIlti::Safety Fire Services Review fee $ Dept Signature i 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. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:,..40A44/4/714. 7_Date: , lir TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. nDenied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ,-,(Th" City of Atlantic Beach APPLICATION NUMBER`' .\ BuildingDepartment " p (To be assigned by the Building Department.) r 800 Seminole Road AUG ,� ` vj �} Atlantic Beach, Florida 32233-5445 ?i�17 RC-SD` 7 --� v Phone(904)247-5826 • Fax(904)247 845 ,;;lwE-mail: building-dept@coab.us }' Date routed: e/.3 11 '7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 13 7 , .c A-rz Of Des , ment review required Yes No Applicant: 1-‹ II-Q—L 1I3C., 7.- mrni g nm 11 .111111.11 Project: 1-7- RV&_s _ D ,,,.. -_ L3c /':is works -- '00 •ub is Safety Fire Services / Review fee $ Dept Signature "-1.- 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. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b 44---c"‹. Date: TREE ADMIN. Second Review: A roved as revised. pp ❑Denied. [Not applicable 2?g, WO,8 Comments: PU�J-IC UTILITIES ts-3—1"? PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ` t': Building Permit Application Updated5/5/17 A 4. City of Atlantic Beach OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 1 A`01=Iyi53 Phone: (904) 247-5826 Fax: (904)247-5845 Job Address: S..:4 rer�/ S f) 17(-'/ L' Permit Number: Rd` 7 -003 ( Legal Description 36-20 at-z-S-74 £ �iIVAf'•.nnkOA ) q 10.-71 61 L RE# 1&2ZU-os-ie` Valuation of Work(Replacement Cost)$ POO Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New dc: Alteration Repair Move D Pool Window/Door • Use of existing/proposed structure(s)(Circle one): CommercialResit de �-�, • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No ,N( /9/ • 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: J. X tll �� pc.1) I ( <ce6 ,) -�'h 1---)i-,t, (� ritVe-o—S' i 4i/ /UL:z /1i_- AA Florida Product'Approval# for multiple products use product approval form Property Owner Information �i Name: LtQO•� Address: /O '1 f 5 Ori,vee City 44-16„,h'` 664.v� State rt Zia 32Z 3'S Phone /obi Z,q/ 311 77 E-Mail gc,..-- ,.� )3 (J i i f./t', - Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information �1 / T ,l / Name of Company: 1 /TI-e`), .Y+�/L- qualifying Agent: Ketir C-� 2,1 Address I%c t w� e.f,1 City_�� A i, /er,,,A_State/ Zip S z z 3 3 Office Phone 906/ �� 72-7(v Job Site/Contact Number Oz/ 3 77 /QJ g' State Certification/Registration# E-Mail ,AA 6 Mi ,.,. , , E. Architect Name&Phone# Engineer's Name& Phone# Workers Compensation O- Pi* - Exempt/Insurer/Lease Employees/Expiration Date 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 regulationg 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 will 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. U1., ^ /-- (SignatureCof Owner or Agent) Signature of : ra (including contractor) S' ned and sworn to(or affirmed)before me this I day of n/Signed and sworn to . - 'rmed)before me this J day of _. - vv {, • •-2- by ii I-t'4.s,S V , - / , by ',. / _ `i ,.... affIff s` (Signature ofi'.. ary) (Signature of No 0"Ce [ ]Personally Known 0: �l� DAVID NAT [ ]Personally Known OR ;' 7.1 DAVID NATHAN SLATOFF ( ]Produced ldentifica aR` NATHAN SLATOFF [ ]Produced Identification COISSION x FF 935021 Type of Identification: ' MY COMMISSION to FF93502t Type of Identification:_ EXPIRES__Noy X19 EXPIRES November 09.2019 Apr , 3.4c.,,,,,, 1407 •53 FlorqaNq• ger ice r.,xr • TREE & VEGETATION AFFIDAVIT City of Atlantic Beach - ., ,� 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 F Owner(s) (Legal Authorized Agent* NAME OF APPLICANT C.,L- 4.'r?`i NAME OF COMPANY )3E,7b?e/I/, , ADDRESS OF COMPANY PHONE oG/372 6 CELL *pj7 7yy EMAIL (n 7 ( eokiN CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER ' 7 _ e/j/ j SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY r 1 Q . If an address has not been assigned to this property,contact the AB-Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION 36 _ 7 o G — Z c', _ ' E LOT BLOCK SUBDIVISION 72-, • 4,v REAL ESTATE NUMBER 17?') oS L�G SQ FT LOT OR PARCEL SIZE: (ee /,, AC RESIDENTIAL COMMERCIAL OTHER(SPECIFY) I affirm that 1 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 from the above-described or adjacent properties in conjunction with this project. SXNA FdFO SIGNATURE OF OWNER Sign d and sworn before me on this day of y��}—• ,by State of pi County of Identification verified: K Oath sworn: r Yes I— No 1 DAVID NATHAN SLAT• 1.7-Signature *' MY COMMISSION H FF935021 11) ."% EXPIRES Novemb.r 09.2019 My Commission expires: j l ( /77 i407)3t►n-0'53 FladaNetiwySwvme.00rn I / / LOT 23, BLOCK 1, SELVAMARINA UNIT pNG SURVEY �F 9, AS RECORDED IN 20 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDAPLAT BOOK 36, PAGE -�T • SEA A4 Ts' 2�r yl....E Go 0jj,/ �r:::+416.2.,a;) - -- G .A./4;01=70 /"!t/ 9/.Gn' "e,44•0, viti I j .._,-i A • •• . • . ::: iii:::- 1 _...._......„7—\\ -,a7. I •:-•;:23 k : • - i I .02.44,valec . �4� 25.E• T • ' ` x s 3 pi i, (PN.,_ - ir i - ",,W: . ® W I ,'' 4 "'‘,... ':!':.y -,----=- iiN mf ch, 9 4 :v /- 5.7�RY h CD�?tJ/./4 , 'r'`' 1 -1,"3 7 1 Ci? 111 • -- ,i • - - - - _ ... _ ..E_ _..t.. ii f 1 , ...51, A C=1oleatzIA d 4 -- - 1t11 s dAtrAl..V , „Ix --k-- • ay- 3.i,cxzet:c7 1 1 c 07) ; - 0 : 1iLo I 'Tali ) lo I'v--/-4 L/03 1 i. I-- aviAdtb-;04-) 5-0 1 ,. , w Ftp m�� $: .41414 -',4,,,Z47.4,2,0.: 4 _4,, L ,cro•:/�GV77'c XC• C)c I el4t./( 6\11:2--r*, 3LSA� / g� t � G a MA- SHOWING SURVEY ,.....F LOT 23, BLOCK 1, SELVA MARINA UNIT NO. 9, AS RECORDED IN PLAT BOOK 36, PAGE 20 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. PUBIC WOR 4 { VPPROVED , z..'�pyx./.4 -/C7�-i L Yc,,t� { }DENIED NOT APPLICABLE TO ,EPT • . 1 X47• af?ivE . -"et, - 44 J • r::+ ' A/0010Z:1/'!� 9/CO' fry' . a*244 15- � N ,... "ii. \.(1) I Li -i A :i• t:..' . : • 1 if,.....46.."--1- 4-1-41%._ 41"Sit( gr----TR. , - 4 • i k i /2:„.2 - •:- -:: t 4,,t/ : • e i - - , i `, fir\\\ z,:_-___-.,,,,_.__.,,, ftiN q 7- 5727/5- if4 . 1:Z lit,• it3 0` + S I Z • I 14? - ., . - _ - _ - - --� ` ��, of. E / �. 3t. '4d 11 : ?At oma '.; ix . ----/C., 97-lie).7‘72. oil 3.A.42;y,_. . . - ',.A.._ Or Ar_....e:L.- q 5 yi liaL. I _u 1....L.a_ce jjk7 ,_ . lio , 3 . ,.�s /s .4 � - L 4Ji;i 'cr1 3514(4 w Fes $: �Y n .c y �t rn�u� 1,: c 7c ()f, 'I net:( (mi.e.,* 3(as/ 8� C � G �i.K✓.0- SILK/i"Y� _ _ _ MA SHOWING SURVEY i ..-F LOT 23, BLOCK 1, SELVA MARINA UNIT NO. 9, AS RECORDED IN PLAT BOOK 36, PAGE 20 OF TFlE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. • PUBLIC UTILITI : . ���'.'�/G)�,-/11 ,14,,; L Yc-,,"..i { } PROVED { ENIED ez - _{ NOT APPLICABLE TO D PT SEA ca4 Ts' ZVq>✓E 4'3' /✓ 102 4/'!� /.Gto" ' �i 1:4-r4r6246t .1.ft ::::Imo. S. • % //'_ a etaf-:.;°:33 it ' - i I ...e..,.. ..._?, '. •..q si • �� Ii 4 - 1, , ftv1/4„... 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