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457 SAILFISH DR - FENCE 1aPP;.l . City of Atlantic Beach APPLICATION NUMBER �s T c.>� Building Department (To be assigned by the Building Department.) r `� 800 Seminole Road —�C� �g —f�tz Z Atlantic Beach, Florida 32233-5445 r Phone(904)247-5826 • Fax(904)247-5845 - ,�r E-mail: building-dept@coab.us Date routed: 3/ /18 J;, City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 15-7 SPt-tc,F(3t-k b(a__De ent review required Yes No uildinq__-) Applicant: CD(Jt\Eke_ anning &Zonin Tree Administrator Project: (0 FEI\DC _ ublic Works Public 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. 1 INot applicable (Circle one.) Comments: / BUILDING F10-0- t e I L k PLANNING & ZONING ---.7Reviewed by: Date / 3 r'e TREE ADMIN. Second Review: Approved as revised. ❑Denied. 1 'Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. I /Denied. fNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 - PC) r- M. -+ ( S,Sue_G L.0 7 Building Permit Application Updated 12/8/17 Var. j City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 115 � one:(904)247-5826 Fax:(904)247-5845 ("� �- /� Job Address: ( 57 5.115 �"/i,• / Permit Number: 1 C—"L--.1. B --00�7 Legal Description ��'GY re_ ( `t 545 C(/per/-,(e62 e,-i�c 4-e-tiz=-e_,RE# Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one)0 Addition Alteration Repair Move Dem 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 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 wo k to be performed: • / 1 1 Lcc A'6''') `17(-7-ce ii 62671 6t 1 Ci. CRL1 Florida Product Approval# for multiple products use product approval form Property Owner Information/ ,n Name:6�e`�� �C,,,7%nc� Address: LK-S-2 i /ci / /-_-, City A-/A7,/,'c._ /3e`,c^. State r__ Zip -3z2 i 3 Phone 2Q/— 3/'7- 7g.IO E-Mail z' C.261e.v,6.� 1tC+ 1 -,_v./, (cc47 Owner orAg nt(If Agent, Power of Attorney or Agency Letter Required) Contractor Information . �I- / Name of Company: x.�' 'w'4 CV\ Iret4 --r RC t / Qualifying Agent: JELL✓1 •c"_3(.4.t, Address 5'1170 /Lit. 4,,,,, -- c' City k;c14<C%ilo//Q State /-7----L_ Zip 52.-Z.Sel Office Phone gol — ?s 7 .7( 7`l 9' Job Site/Contact Number 9b` —' r7K O State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/Le- e Employees/Expiration Date Application is hereby made to obtain a permit to do the work ane nstallations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all wo will be performed to meet the standards of all the laws regulationg construction in this jurisdiction. I understand that a separ. e permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS, . d AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicab •to this property that may be found in the public records of this county,and there may be additional permits required from oth• governmental entities such as water management districts,state agencies,or federal agencies. 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 Y R NOTICE COMMENCEMENT. nature of Owner or Agent) (Sig ) (Signature of Contractor) (includ ng contractor) fJS' ed and s 'orn to(or affi es)befor- ---this, r/ day of. Signed and sworn to(or affirmed^before me this day of 3"ZJ01 by f e c'^ -e..I - t2 e�--- , ,by r_______ TONI GI,.MY CO�bMISSION#FF^.gnj at •o otary)--ws'VAIFSIA (Signature of Notary) `' EXPIRES:October 6,2019 [ r �ty Ki465Mii['Wotan/PublicUnderwriters [ ] Personally Kno n OR [ 'rosuce. sent, [cation [ ]Produced Identification Type of Identification: Type of Identification: BOUNDARY SURVEY Date Of Field Work-03 1912017 Drawn By-0.1.1 Order#:1030076973 A 457 Sailfish Dr, Jacksonvill9, FL 32233 1� (VI ' 7 \ -- 201--3(7-7F-10 RitiR�. , ' ''' i SCe._r 1'=, } ,-L } AERIAL PHOTOGRAPH ,,3- FOUND 5i8" �o?y�F-.z V i (H07-TO-SCALE) 4 lirf IRON ROD -\ i sf LB 5480 ` r//7:0E--°141,4.3- 1 Sg>, rq\ 1y ' 44S( --___,J \ 11 11 I2s-,9c'D FOUND 1!2" Z 1 , \SFT„t OINO / i`;, ,, IRON ROD k L. 1z(� \I',, � 1�I ° cn P. 1 —. m °' 1 LOT 1 Of/r . `Cl) 01 �m- BLOCK 27 15 FENCE al .�= N Zj 0.6'W az - Irt i4:1 ,1 0 1 al _� ,, N 1.0' RESIDENCE o' k N _ 111..,,.< l l LIMITS V.-=_-_--..---.7: ,. i.--`26'2�..":6.8' #457 11 rll O F PLAT .': (A ` _ (D 111 48.4'. N 2fi.2' .• 0 NC FENCE 1 j —4 ,-A--Pew 1s'w 1 _. /�,( FENN j ..1. 6 -cev►'-1.8. FOUND 5/8" • 0.2'E 1 S82° 4 58"W g9 88 `1 1 IRONRODO ,, ;'!J 30.0' "- (.,4 c } Oftai TI FOUND 1!2", ,Y/I D IRON ROD LOT 2 D�' L opMF BLOCK27 �� !�� Ni p -ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED SHEET 1 OF 2(SKETCH OF SURVEY)-SEE SHEET 2 OF 2 FOR LEGAL DESCRIPTION•AND OTHER SURVEY RELATED DATA.SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS '�•"�•�_: '+yam PHONE:561.508.6272 THE 'APPEARINGogrHIS o 'P- NEX61 -1A- N1FAX:561.508.6309 �' WASAUfHORIl�DBY_C ©. W16N L LB 8111 *. SURVEYING, LLC. :,\-.PSM 2881 1' 5601 CORPORATE '`, --.ON31210017.;",.i WAY, SUITE 103 WEST PALM BEACH, FL 33407 '" f NexgenSurveying.com :; •