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195 15TH ST - FENCE c)' r 'fJ CITY OF ATLANTIC BEACH sw 4 .='"' 5-) 800 SEMINOLE ROAD J11 z ATLANTIC BEACH, FL 32233 4�013 r--) INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0004 Description: moving fence to property line & adding post Estimated Value: 500 Issue Date: 1/29/2018 Expiration Date: 7/28/2018 PROPERTY ADDRESS: Address: 195 15TH ST RE Number: 171868 0020 PROPERTY OWNER: Name: LARSON TRUST ET AL Address: 195 15TH ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: OSSI CONTRACTING LLC Address: 13349 STONE POND DR JACK OSSI JR JACKSONVILLE, FL 32224 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. 01:441;\ City of Atlantic Beach APPLICATION NUMBER �s t, Building Department (To be assigned by the Building Department.) 800 Seminole Road F ,�Iv 1 CG ( G_ D " oa ,ti T Atlantic Beach, Florida 32233-5445 Q 7 Phone(904)247-5826 • Fax(904) 247-5845 1 � ' 1 ' -=i rj;3i!? E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: tct Sl S Department review required Yes No ti ii d i n gc -_,,,, Applicant: 0 Ssi 0_,Otl Va 1.."/1,5 ,-- lanniaa &Zonina e Administrator Project: TA N L • ,-olk V1 -�'�i V Publics 4cL� thk �� � Public tilitie� S Public Safety Fire Services Review fee $ Dept Signature �S� . Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date ,(L'� Florida Dept. of Environmental Protection 'C(-�1 .. Florida Dept. of Transportation St.Johns River Water Management District W 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 &ZONINGReviewed by- - /- --.-- Date: /—/ 7— i i� 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. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 w OFFICE CO Building Permit Application Updated 12/8/17 WK� r q City of Atlantic Beach ,ter 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Q Job Address: (6 5 ?-Q Permit umber: f C�( u—000 Y Legal Description ______v_ � a /vx. 3 i/ 7Amt i9- C?l/ RE# Valuation of Work(Replacement Cost)$ .5(D `J Heated/Cooled SF ! Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial ide • If an existing structure,is a fire 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: . ,- 0 V► g r 4E o ry �y .�®,N . 1� I i 0C.5 v Nua i#4..,e 1,.,fzei Florida Product Approval# for multiple products use product approval form Property Owner Information Name: 6F. GORE GV`ir- Address: I 95 15 Sr City A-r1 P TIG 13E/r )-{ State FL Zip 32.2.33 Phone 949 244 - 255” E-Mail Gi{GGLiy� AOL. Com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information . y� Name of Company: Q ;S'y,- - d(Ao 1 IL Qualifying ent: -. VS J% Address 1 i 7 ?RAD 544*„,//leL,(! ' ( City N1 s ' L State Zip 3 2_2- 6 6 Office Phone 0 JLi —(o /J —3,`i Job Site/Contac Nuwmb�r o '/ -4. /o•3 State Certification/Registration# Co/0— 3 (9 5 E-Mail `3JT?X•- Cv L> )s. U,:ilj opi t12i1 , L r)lr1 Architect Name&Phone# Engineer's Name&Phone# _ Workers Compensation try 0/1►af- �7 ,,69 Exempt/Insurer/Lease Employe- '- typ‘t C Q�t n Application is hereby made to obtain a permit to do the work and installations N a 1 . (tSs an commenced prior to the issuance of a permit and that all work will be perform construction in this jurisdiction. I understand that a separate permit must be SE k S kg-% \S tla c dots WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, permit,there may be additional restrictions applicable to this property that ma (v)-t- Q K S"�� bLk"\- there may be additional permits required from other governmental entities suc federal agencies. SlA-I \1 Shote S attA(QSS OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and 1 a S , S-3 C} .�T applicable laws regulating construction and zoning. GtS WARNING TO OWNER: YOUR FAILURE TO RECORD A NO RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN, TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ORNF BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. / '1-2 . 4..y - ________S1 (S: ature of• -r or Agent) (Signature of Contractor) (inctuid••:contractor) Signed and sworn to(or affi •d)before • :this 111 ay of Sig gq\ed—and swa n to(or affir t•efore e this'�day�of C�n r i. . �.i �, Eby .111 ♦C�-�/t4 OSS +titY' TONIGI SPERI', 1.I��� __ PAM! `a ,a MY COMM 0” .''i atut• o ry) , ignature of Notary) a ,,,•,��-a EXPIRES:October6, I _ ,�Rdr, •, Bonded Thru Notary Public Underwriters [ ] [. [ ersonally Known OR i'. TONIGINDLESPERGER ' •,: ; MY COMMISSION*FF 924951 [A-Produced Identification 8aPerooduced Identification ;. Fw; : ,o Oo _'ZGl ' .�S—17 :a.,r,.. EXPIRES:October 6,2019 Type of Identification: 66 ( f Identification: a � -. _ BOUNDARY SURVEY LOT 2, BLOCK 63 AS SHOWN ON PLAT OF MANDALAY AS RECORDED IN PLAT BOOK 10, PAGE 11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL. I 8 LOT 18 BLACK 83 UNE TABLE GRAPHIC SCALE A 0 16 SO 1 $ ��,T 9 IJE DIRECT. LENGTH BLACK 63 LI(Y) 9eFila Ir 0.4 ros,:___ 12(1) SMY1 77 .).94 41(Y) S1.arser 47.94 IN �r INK) sacthIrr ORA 1 inch 4430 ft. I z� ..1 -j- 1 Ci $ LOT 8BOCK 83 -,41`,.2IAT 11 5 IJ (DLPROVED) BLOCK 63 .J MA B , l0p11EA1T FM 3/1omen or -BEBAR gtCPERTY I: „4,)S/1•BOAR LOT 1 400( ES IS Kw L2 BIS 111 1191 L3 4 ------- or Lcrt 10 I ® .. i'lP ) ' P Loa 63 IMPERVIOUS COVERAGE BLOCK 83 0 Af,IM91A Se FL IDT Sp.R E /1 gym. Z 2.403 S9.Fl. 1.190 Se FL 4711 Z ♦• ' . ; 7.47 Q I turf O N O aoD N I CO g� EA t��► o m N rn I m 1' 'p2' T -CO °� $ ao�.4 .a P Fv,1 A� q r' 7� m m S (o Y.�f Iy 72 04 444.414 Fe�� v O '' $ o%� x,a m a a,m 107 G,2. O �B IDAam w I w W w ; Nd $ �5 � I _ 6:' -.7.47'du°'i aF vI Mi�� 7.47' - li��'� BLOCK KS Y ■r .i GRATE 1,INLET ;I s��r ji.. 47.7'(PJ `-' , ""thli 21.08' se'(P) • •�io� P 285'22 9'2. ►' ''-��� N843T39"E 95.98'(M) 9 .77.(m) > N84' •'28. .� 95.:: M4a.P 1:7--. Illifillisilrjailk O IMU�UTY DEVELp�MENT •.l F740 /S'BOAR Ip ID. EBF).100.x0 APPROVED 1 1' 15th STREET Iz \). #195 1.NOMI.AM BASED Dx TIE REST L E 0 BLOCK Sl AS ODIC x79011101. ax.SENN wax,AIC 1121 of x23 1®ASNAC GATLIN .BENCH MARK AS NOTED 1 TIE VACS SCSI 77. E f11M FL000 I0E Y AS CEPv5ED a IE FLOOD ICA.RATE NAP(11.0.11..) COIREUNIET SCAR) ORE FI.E ILA F.LA MAPS HOan OAK F102 REFERENCE 3213.St TIE 112.40FLOOD=M ALIAS NO 03.1EAn5NS saw thi no MCVEY ON 1123 DENOTES FND 1/2"I.P. SURVEY ARE YAM ONLY FOR DATES IP T9 NC 10011024 TIE GATE 6 I6 SRWEY.1161E MAY NAE BFDB SICEC VIT NO ID 1EMa0e 411FR THIS DATE THAT RLL SYEDffi SAC EInATDA MURES SCUD BE N.TO TIC 001..11.Y1 Flom UNLESS OTHERWISE NOTED CANE M04 ANA0EL1 IEPECRORY,DEPAIIIIENT OF NICK HARM LAVAL COUNTY. NO IAUF}ObSC FOIIDATIOS CR OT4ITIT•NO 2E110V0p*3 amen TNM 111=0001 RETE LOCATED UNDER THE SCORE w me SUR., 0 DENOTES 4NN4' CONCRETE OW.mama NO/CR ANY WREN 3111.011001 AWED T9 116 MAP AME AND/OR PORT E P113•111P113•111P113•11113)NO 0 NOT MONUMENT NO ID 5.M 7102 SA S BY THE STRING RVEYaM IL TNS we IS 15* TO BE VEVA ATA RALE OF 1'-SY CR MAC. E 7.DINS•RANa 0PICRD AS WIDOW INTO M■EA51 RES NI:ION ISM RUST IE11. RREONTREO•MOT MELDED. 0 - DENOTES W000 LIGHT POLE n LIFLAND E.ia■AD4mIT T9 NETTNDS ARE TO WW1 HA10 1ETETAIrv[ADA wasbDED. DREAM,OsD�OR Mk.,5 C®c�.a�SMELTFEN TIC sc.,,�3T Mar 01111 031. ,ND NO a OF IT.N x B - DENOTES WATERMETER tioROARY SURVEY 1I4T ARE LSD N ANY 05030101 TRAIIA0RO6 STALL IE NULL NO DAO E THEY 00 NOTNEAR TIC CAMEO H- DENOTES CABLE RISER NASD SEAL Cr BE SOAE SIMENR. 111E USE 0 SUCH OOcalw15 MEAS]TIC%9MIO SAW.OF ANY N.R. CLAM OF ILABEITY of AMY 0SEpEMT TRN6ACT.I.AND IS OCT VALID V TO SO DAYS AFTER THE LST renal .Dep3UW AEN MET NO GEOM.FARTS muEOF, p-DENOTES SIGN, AS LABELED Item R OILY FCR THE LINOS AS DEbtEED.IT 3 ICT A OATNCATE 0 TIRE MCC EA9EIAS OR FIEFA01 6 EOP- DENOTES EDGE OF PAVEMENT IL 1R6 SURVEY MS NOT INIODED TO Oa1EAIE OR DEEM ANY 0E11.0IO1,E2NR0YNTALY 02911E REAS MACE F+*�1 ARTA/OR.AE®IaToal.4L u ANY MOM.ST017.REDO.KR LCEAL ACC.®D ..11 ).Aso 03KR HOOT 1 9 DENOTES CONCRETE ENTITY AC ANT IABEIIY 1E11TNa Twff5R011 I NOT RE IE11eJlV N TK INDUlSOFD. 1 MX=A L1/MSM A 140E MOANED SEAMM 070 491/2.03 NE CENMCAL EN PLAT VALUES ® 14.ICS 1MINE?S BASON n O aA411 1 AS PROM=BY TIE Q.T. ® DENOTES BRICK S 02.02P 10 NC. 1TR.EIDIT T.AS DENOTED 10032 ARE PlalpCOMOLL LEE* CpAAR TO C .FROM ALL WOWDES ARE 51014 TO TBE F0IM121. 17.NO m1Em.c Mahn MAS FO.D AT TIE TSE E TDA MOW/. 17.TE PIIPUIE 0 T1■BNMMY 1212.7 IS 112.3101 TIE MAL 511E YRIOEIE)DS. 1E1t90N D.ARMED FINAL SIE.ER s1WT!(S/1/N)(0011/RIPS) DONALD R. LARSON 1ENSw 0 ADDED F9U051e01 LCERIEN(10/23/I4)(ENAtP%) GREGORY K. GUY EEVISON C AWED■IIDSC STACOIT(1/0/1.)(SL/IRS) 4L.ma A ADDED STE LAE(4M/I4)(1.41/10) D.R. REPASS, P.A. PREPARED FOE:OSSI HOMES CERTIFIED TO:FIRST AMERICAN TITLE INSURANCE COMPANY BARTRAM TRAIL SURVEYING. INC. a= LAND ` WV ffiP - LAND DEVELOPMENT)) CONSULTANTSs -' �- 1yD COUNTY ROAD NO. I � 254-2224RAI =MN COVE�GVX04)) 264- 8 C iH20E7ITTON ;� � COPYRIGHT © 2013A=2311p4 32043 B 13 NOTATION: F.IR1. 3i• � 1 HEREBY CERTIFY.thatMNl.survey graphically rewarl4 The LMy nrsm 201 max 01115.1 are91 of 5.noct r 'woo ZONE X EIEVATNSt N/A -''' Me rsults of a MEd y mods under Ti)nameable .qd1 of till.,and therebe XI.undr.*ad and Bertr1n if'.'.h-___=.,C' tltnat)an d aamp'se.B,M.lout Standards of Thai Surveying make no Certificatlern reporting 010matron PMEL NO.: 120077 04046 1/0.}/13 .�r,7.��'= ,=ram p° Proetlp b 0100)2 oe promulgated by the MenNa State Moan or not shawl hereon pertaining to sawnertR dam. =a........ .17".521"... Board of Pmisbnol Surveyors and Capp.,Olaptr f eas0ne11M RIBlt.-a}-say,e.t.a.IFS,oven 1.1-17 F.A.C.:Pursuant to.sedan 472.027,ParMa orM FPL =tea. L� .4010 ,w1.01 to m not.s Old notations sham heron. Boundary Line 414)41 e,agreements)13413 re.rvattom or other 7B1/Iy1�1/��roZ NmEor matters alldl may appy F the abstract, search. 1 �'� "�'� ,LILY 1,2013 Jill.11.2013 Ther. B. 04111 \` 19CAc µ: j1. 2^eY .d H•F•d and artmetl ran Fame mambo i ar 7/1/13 1•yp �,r' 2 FlE1D WORN CONPLE'Tm MAP ORIGINALLY SIGNED t,.Cop n ed hereon d Me q the cools thereof an not solid animal Ti.armor and RRDECT 13 RVt9aV: =r� C. .� ens original mama..E of p necklet Dowsed vsgv and yt1F13-00.7 I / y`k S'�.4 ti RAYMOND PAUL SUTHERLAND,P.S.M. rnOP� /// STATE OF FLORIDA LICENSE NUMBER LS 6477 C RAIN BY:u 0Emm we NOS SHEET 1 OF 1 I�v.p.,Jo- City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road {v C! ( _ 0ON j -0 Atlantic Beach, Florida 32233-5445 G Q I Phone(904)247-5826 • Fax(904) 247-5),4 \I l 3- \ 1 -/J;;tq4 E-mail: building-dept@coab.us '+ I Z 20i3 Date routed: ` CK City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1.Ci S l Sk 31 - Department review required Yes No Gi Applicant: 0 SSi 0,(:),(-)-Na CAti5 Janniga&izoning . iceAdministrator Project: C"\N L -nNG `" i �A-Q Public Works GU � r Public fifties4 aG U� POS Public Safety Fire Services Review fee $ Dept Signature XAt_ k" Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date `2 Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District N1" Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: I 'Approved. ❑Denied. of applicable (Circle one.) Comments: BUILDING PLANNING &ZONINGv�- Reviewed by: Date: r' i TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable ?,Z.17:2,A2.1),3 6`_,i_ Comments: PUBLIC UTILITI /-12—/ PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. I 'Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ?i ��r City of Atlantic Beach '� R APPLICATION NUMBER Jsiii`. _ � Building Department (To be assigned by the Building Department.) -. 800 Seminole Road JAN r ,\] C.! ( _ -� `I s� 201J =v G ii Atlantic Beach, Florida 32233-5445 1 2 U L�� Phone (904)247-5826 • Fax(904) 247-5845 1 (� t l ��DJ31s? E-mail: building-dept@coab.us Date routed: 7c City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1,ct 5- I S ,$ ' Department review required Yes No Gl • Applicant: 0 Ss. 0,i';r1-�(a C /1.5 Tanning Zoning,? Tree.Administrator Project: x"\OsJ I._ ti11,J. �� VA)cY-�"�j VA,4 PublicrTcs 1 (_Public Utilities °,v a ctd( 1p10- Public Safety Fire Services Review fee $ Dept Signature ' Other Agency Review or Permit Required Review or Receipt Date k_. '0-- 49...1A 1" of Permit Verified By Florida Dept. of Environmental Protection (21� Florida Dept. of Transportation St.Johns River Water Management District W Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: /Approved. nDenied. ❑Not applicable (Circle one.) Comments: BUILDING /' PLANNING & ZONING Reviewed by-.Jirgt,4206414.1,L Date: 1-/6`,,° 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 oldav;yv�. City of Atlantic Beach APPLICATION NUMBER JSlr 1 Building Department (To be assigned by the Building Department.) 800 Seminole Road i" C' l] C./ c_���`l Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 `� '� , ' f ��J;; E-mail: building-dept@coab.us Date routed: g City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: IC( 5- 5t- 54 • De.artment review required YesrNo .44A7=71.11, '7 Applicant: n SSk 0,0n-.a c* f cJ . Zoning :Else Administrator Project: f"\b.1 �. - - ki. \p `_ `�! Public Work a �� O � Public Utilities S Public Safety Fire Services Review fee $ Dept Signature • SQ' . kLUA Other Agency Review or Permit Required Review or Receipt Date � of Permit Verified By L�-- Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District W l� Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: F' Approved. ['Denied. ❑Not applicable (Circle one.) Comments: BUILD! �� PLANNING &ZONING Reviewed by: Yn� Date: /- / ? P 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. fNot applicable Comments: Reviewed by: Date: Revised 05/19/2017