1805 MAYPORT RD - PERMIT COMM18-0012 CITY OF ATLANTIC BEACH
AP
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
r INSPECTIONTHONE LINE 247-5814,
COMMERCIAL - OTHER COMMERCIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: COMM18-0012
Description: replace pavers &gravel in parking lot
Estimated Value: 10000
Issue Date: 6/13/2018
Expiration Date: 12/10/2018
PROPERTY ADDRESS:
Address: 1805 MAYPORT RD
RE Number: 1721850000
PROPERTY OWNER:
Name: Chelsea Leonard
Address: 1520 Francis Avenue
Atlantic Beach, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date,routed: SLI I
Cityweb-site: http://vvww.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: Deoartment review required Yes No
111(t4 Po'
Applicant: 0 11� ":'Planning &Zoni
Tree Administrator
Project: k f�St-Ct P&UL(sl e4CMA <4- Rg0Y®r s
n0C_'( U-VQ_ �-01
';���afety
Review fee $
DepLS�ignature
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
N
Reviewing Department First Review: [2]Approved. FIDenied. ONot applicable
(Circle one.) Comments:
BUILDING
NNING_&_ZON1�!GJ Reviewed by: Date: Ozlt
TREE ADMIN. Second Review: []Approved as revised. []Denied. ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 OM A4 t
Job Address: Mwmr+ Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost)$ Heated/Cooled SIF Non-Heated/Cooled
0 Class of Work(Circle one): New Addition Alteratio Repair Move Demo Pool Window/Door
M
Use of existi ng/pro posed structure(s)(Circle one): < %§�'
0 A�ommerqii Residential
0 If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
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:
6- mve W
cnciit4c 4bf P"- kr' L6-T
t
Florida Product Approval# for multiple products use product approval form
Propertv Owner Information
Name: , Address: I'-5:2-o r 'I S
city 'Be_n State Phone
h - I R. zip
E-Mail c"'W 1 _C'-'(a cc!kll�. a Q.E
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 0 E=n MIA Ir!
Contractor Information %L.%.OL.1 V "W
Name of Company: Qualifying Agent:
Address City State Z'
Office Phone Job Site/Contact Number 2018
State Certification/Registration# E-Mail
Architect Name&Phone#
Engi neer's Name&Phone# Building Department
Workers Compensati.on City of Manfic BeaGh.
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
en ia q
a
=1
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.
(Signature of Owner.or Agent) (Signature of Contractor)
(including contractor)
- - ---- _4441- --I%before me this day of Signed and sworn to(or affirmed)before me this day of
1�"NNIFI�R X_*�JT6�,by 1�
6" ............. by
0
0
MY COMMISSION 1!22
Bonded Thru Notary Public L[Rivifflit.-
EXPIRES:October 27,2020
(Sib�ture of Notary) (Signature of Notary)
]Personally Known OR Personally Known OR
M'15'roduced Identification Produced Identification
Type of Identification: E_
Type of Identification:
RECEIVED
CITY OF ATLANTIC BEACH
MAY 17 2018 800 Seminole Road
Atlantic Beach,Florida 32233
BuIlding Depoftent
City of Agando Beach, FL
REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS
Date Revision to Issued Permit Corrections to Comments Permit
-V/-
Project Address mo&On f-A
Contractor/Contact Name
Phone C104 -- 631; - 7 Lf 317 Email re �ien 4 -nx
Description of Proposed Revision Corrections: Permit Fee Due $
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
Depa rtment Review Required: 00
ZI-1
Z i-Zi—,
iL<21 �annin 6nin Reviewed By
Tree Administrator
4 Pucc Works
u I c;Wt jo,irti�ess
PUu 11111
Public Safety Date
Fire Services
City of Atlantic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road MAY 14 2018
Atlantic Beach, Florida 32233-544P
Fax(904)J�Z:��45
Phone(904)247-5826
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
s:
Property Addres Department review'required Yes No
Planning &ZoningE'>
Applicant:
Tree Administrator
Project: f�St-Cl P&Q us i CLO
O-D 1)C, Lk I C)f P
Review fee $ Deijt Sidnature
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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 Depar'tment First Review: DApproved. [dDenied. ONot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by- Z& Date:
_Y� wz�� - 0 .
TREE ADMIN. Second Review: VApproved as revised. [-]Denied. F]Not applicable -
P U-B L"I GWOR K, Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed b - 4aW,4"4 4C -Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied. nNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
RECEIVED
CITY OF ATLANTIC BEACH
MAY 1 7 2018 800 Seminole Road
Mlantic Beach,Florida 32233
BuNdIng Department
City of Agande Beach, FL
MAY 24
REVISION REQUEST CORRECTIONS TO PLAN REVIEW`: COMME TS
Date Revision to Issued Permit Corrections to Commentsi Permit#
F . I
Project Address mck�j On
Contractor/Contact Name
Phone 'I Oq 63'� 4 37 Email (YICOY-e-
Description of Proposed Revision Corrections: Permit Fee Due$
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:
qMlanin �St�Zor�ing 'L-R-eWeWWTy----
Tree Administrator
::R-u�bfi c M-o�rk s J Ir-7v
Public Safety Datfe v
Fire Services
CITY OF ATLANTIC BEACH
Department of Public Works
1200 Sandpiper Lane
Atlantic Beach, FL 32233
(904) 247-5834
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: 5/29/18 Applicant: Chelsea Leonard
Permit#: COMM18-0012 Email: moore.chelsea@att.net
Review Status: DENIED Site Address: 1805 Mayport Road
THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS
Correction Items must be submitted to the Building Department at 800 Seminole Road.
Submittals that respond to only one or a few correction items will not be accepted.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions must be submitted to the Building Department and must respond to EACH department review.
PUBLIC WORKS CORRECTION ITEMS: I
APPROVED /3,0V
• Section 24-66(b) of the Land Development Regulations requires on-site storage for I
runoff if adding 400 SF or more impervious surface. Provide Delta volume calculations and
on-site retention required per Section 24-66(b).
• Provide a detailed plan of water retention area and how water runoff gets to water retention
area and then to street.
• Provide actual type of paver being used.
PUBLIC WORKS CONDITIONS OF APPROVAL:
(The following comments will be printed on your permit as Conditions of Approval)
• All concrete driveway aprons must be 5"thick, 4000 psi, with fibermesh from edge of pavement
to the property line. Reinforcing rods or mesh are not allowed in the right-of-way.
• Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact the Inspection Line (247-5814)to request an Erosion and Sediment
Control Inspection prior to start of construction.
• All runoff must remain on-site during construction.
• If on-site storage is required, a post construction topographic survey documenting proper
construction will be required. All water runoff must go to retention area and retention overflow
must run to street.
• Full right-of-way restoration, including sod, is required.
• Provide construction site management plan, including location of silt fence, clumpster, poftable
toilet. Right-of-Way Permit is required if using right-of-way for construction parking.
Scott Williams, Public Works Director swilliamsCcDcoab.us/904-247-5834
Page I of 2
0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\COMM18-0012(Leonard).docx
Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a
revision by way of completely encircling the change with "clouding". The revision shall also be identified as to the
sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the
cloud. The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block
for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit
pending,all sheets with revisions shall be inserted into each set of drawings. The original sheets must be clearly marked
"VOID" but are to be left within the set of drawings. Complete new sets of drawin�s will not be accepted. ADDITIONAL
ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR
REVIEW.
Page 2 of 2
0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\COMM18-0012(Leonard).docx
omp. By: S/W
Date: 5/31/2018
Public Works Department
City of Atlantic Beach
Permit No: Comm 18-0012
Address: 1805 Mayport Road
Required Storage Volume
Criteria:
Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion,and Land Development Regulations
requires that the difference between the pre-and postdevelopment volume of stormwawter runoff be
stored on site. Volume of Runoff is defined as follows:
V=CAR/12
Where: V=Volume of Runoff
C=Coefficient of Runoff
A=Area of lot in square feet
R=25-yr/24-hr rainfall depth (9.3-inches for Atlantic Beach)
Predevelopment Runoff Volume:
Lot Area(A) = 12,146 ft'
Runoff Coefficient
Area Lot Area
Description (ft) (ft) I.C., Wtd"C"
Impervious 5,268 12,146 1.00 0.43
Pervious 6,878 12,146 0.20 0.11
Runoff Coefficient(C) 0.55
Runoff Volume
V= 0.55 x 12,146 x 9.3 12
V= 5,149 ft3
Postdevelopment Runoff Volume:
Lot Area(A) = 12,146 ft'
Runoff Coefficient
Area Lot Area
Description (ft) (ft) Wtd"C"
Impervious 5,513 12,146 1.00 0.45 %ISA 45.4%
Pervious 6,633 12,146 0.20 0.11
Runoff Coefficient(C) 0.56
Runoff Volume
V= 0.56 x 12,146 x 9.3 12
V= 5,301 ft3
Required Stora-ge Volume
DV= Postdevelopment Runoff Volume-Predevelopment Runoff Volume
DV= 5,301 5,149
DV= 152 ft3
Retention Mayport Road 1805 5/31/2018
Comp. By: S/W
Date: 5/31/2018
Public Works Department
City of Atlantic Beach
Permit No: Comm 18-0012
Address: 1805 Mayport Road
Provided Storage:
Elevation Area Storage
(ft) (ft2) (ft)
0 BOTTOM size
0 TOB size
Elevation Area Storage
(ft) (ft) (ft)
0.0 0 0 BOTTOM
0.0 0 0 TOB
Elevation Area Storage
(ft) (ft) (ft)
0.0 0 0 BOTTOM
0.0 0 0 TOB
Inground storage=A*d*pf
A=Area= 0.0
d=depth to ESHWT= 6.5
pf=pore factor= 0.3 NO WATER RETENTION
Inground Storage= 0.0 ft3 REQUIRED
Required Treatment Volume= 0 ft3
Supplied Treatment Volume= 0 ft3
Retention Mayport Road 1805 5/31/2018
MAP SHDWl'NG BDUNDARY SURVEY LIF.,
LOTS I AND 2, BLOCK 19, DONNER'S REPLAT, AS RECORDED IN PLAT BOC-K !9,
PAGE 16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
N
0 T 6,9ZOCK 19
Ix
lb e, 7ron Jl�l
.,Zl
t.- e-p car-as, 'Alp 49)
IZ7 36'44clu4l) 7
Iqg. 57'I&CorLy OX
awsany
60-45),dr
<)
A)
1.4
e;-,I i
\x
(� I . . :7
LOT 2
0
slab LOT
PQ
/01
1-5;rORV MASCIVIFY 64111-DING IC91147M)
/Vo. 1805
6 W, -j� .- 1/01
.2
a Un,
7.IV
aear y4j'
LJ
--c,- /72.24 ravfkY 114%017
.0 1 5
- - e:9"17'.15"Yy-
'v
? 4' ?,
OF-141A Y
NOTES
Joe loo,
140 BUILDING RESTRICTION LINE BY PLAT, 13UT THERE MAY BE
RESTRICTION LINES OR.EASEMENTS THAT AFFECT THIS PROPERTY pea te
BY ZONING OR RECORDED IN THE PUBLIC.RECORDS OF THIS COUNTY
THAT ARE NOT SHOWN ON THIS SURVEY.
THIS PROPERTY APPEARS TO LIE IN FLOOD 7ONE"X"BY FLOOD MAPS
REVISED 4/17/1989, COMMUNITY-PANEL NO.120075 0001 D.
.*BEARINGS ARE BASED ON THE NORTH RIGHT-OF-WAY LINE
OF STANLEY ROAD AS BEING S.89017'35"W.
----------------
v4pirr or '--"eop'vz-w'
REVOCABLE ENCROACHMENT AGREEMENT
REVOCABLE.ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation
organized and existing under the laws of the S of Florida,hereinafter referred to as "CITY"and
QN-\,AEA2A. L-Qb= of Atlantic Beach,Florida,hereinafter
referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable b.asis as described herein the right to enter upon the
property for the purpose as described in the City of Atlantic Beach.
This work is generally describ ea as ()OY\,e ke - W�l 0 f
Any facility maintained,'repaired, erected, and/or installed in thAxercise of the privilege granted remains subject to
relocation or removal on thirty (30) days' notice by CITY to USER, said notice to U R shall be given by certified mail,
_�JSP
return receipt requested, to the following address
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 easement or 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."
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 within 30 days after the day of completion.
This permit shall inure to the benefit of,and be bindin
.g 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 easements, public right-
of-ways and other public land. USER further agrees that tlie' 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.
Date
Pr. oWty Owner/Agent(signed in presen�e of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of 20
by Lun who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
Sigr allt re)oWtuy—Public,State of Florida
Department Approval:
Personally Known
Produced Identification(Type) J A=L
-9-50tt- . ai s, ublic�d/cs A?Aife0'2u1FRr7
VP JONIFERJOHNSTON
My COMMIsSION#W 04299
Kayle Moore,Public Utilities Director
stertMRt&13dDtRnRT@?WrksF ms\Revocable Encroachment Agreement 2.5.18.docx
i0B.Ww1waywry Pubric UO3 rs
RIGHT-OF-WAY EASEMENT PERMIT
Permit Issued by the City.of Atlantic Beach
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
JobAddress- ISOC) Phone %4-6635 - 9q53
Permittee Email
Requesting Permission to Coristruct__Ccqcff,� CLPV6y1_
Location (Reference to Cross-Street)
0 Permittee declares that prior to filing this application they have ascertained the location of all existing utilities,
both aerial and underground and the accurate locations-are shown on the sketches.
0 Whenever necessary for the construction,repair;improvement,maintenance, safe and efficient operation,
alteration or relocation of all,'or any portion of said'street or casement as determined by the Director of Public
Works,any or all said pioles,wires,pipes,cables 'or other facilities and appurtenances authorized hereunder, shall
be immediately removed from said street or easem' ent or reset or relocated hereon as required by the Director of
Public Works and at the expense of the Permittee unless reimbursement is authorized.
0 All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of (\Useg�, L-P-r)Lr_�," (Project Superintendent)
I
with Company Name S�Oak% Phone—tA J 15--5-1
a All materials and equipment shall be subject to inspection by the Director of Public Works..
a All c'ity property shall be restored to its original condition as far as practical,in keeping with City specifications
and the manner satisfactory to the City.
0 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.
0 The pen-nittee shall commence actual construction in good faith within So days. If the beginning date is more
than 60 days from date of permit approval then pprmittee must re iew th e permit with the Director of Public
Works to make sure no changes have occurred in the area that would affect the permitted construction.
0 It is understood and agreed that the rights and privileges herein set outare 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,darnage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of
the aforesaid rights and privileges.
. 0 The Director of Public Works shall be notified twerity-four(24).hours prior to starting work and again
immediately upon completion.
(-A� ( ' - Date 149
Permittee(s-igned in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this dayof Kav 20 A-
by ,�Ccl UZ[\af who personally appeared before me and
(printed name of Permittee)
acknowledged lelsle signed he irstrument voluntarily for the purpose expressed in it.
Personally Known
Signat®r of*1�a�Iublic, State of Flori D-A,--A A entification(Type). �ql�s �Colll�t
JENNIFER JOHNSTON
JL MY COMMISSION#GG 042984
EXPIRES:October 27,2020
Bonded Tim Notary Public Underwriters
....... APPLICATION NUMBER
City of Atlantic Beach
Building Department 1� (To be assigned by the Building Department.)
h 14 NO
800 Seminole Road MAY
WJ
9 Atlantic Beach, Florida 32233-541.511 16
Phone(904)247-5826 - Fax(904%24�,�-_5845 ____
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
rope rty Addret
P _s: .1 WS Dqpartment review required Yes No
"Plannk
Applicant: inj.�_�nin
Tree Administrator
Project: kf�st-CW PauL(sl eiao�A QL- 29_122,_,0�0__
P4210
P
���afety
'Ria -ge t
'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. E]Denied. []Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
_z,
TREE ADMIN. Second Review: F]Approved as revised. [—]Denied. F]Not applicable
P WORK Comments:
_A"
BB I'@,i%1.TjIEITI1E
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. ElDenied. ONot applicable
Comments:
Reviewed by: Date:
Revised 06/19/2017
RECEIVED
CITY OF ATLANTIC BEACH
MAY 17 2018 111 leminole Road
k-t-laritic-Beach,Florida 32233
Building Department
City of Agande Beach, FL
REVISION REQUEST CORRECTIONS TO PLAN REV ONIMENTS
Date Revision to Issued Permit Corrections to Commentsi Permit UP4,vt
ProjectAddress 1!61) s Mo&0nCf
Contractor/Contact Name
Phone Ot 63 C; — ?Lf Email mcp re- C 0
Description of Proposed Revision Corrections: Permit Fee Due$
Lck'"A 5axa--Q=�;� Cka a I
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:
la n n i n�&Z o nii n g Reviewed By
Tree Administrator
,fmv,
e PU�`VC0 Itt ities-
D��tfflt I e�S- 51
Public Safety Date
Fire Services
LU
V-) ti7
Ul
Qj
IVo
-74
1P,
tu a
O.-p.
FIELDWORK DATE:3/27/2018 REVISION DATES: (REVI 415/2018)
oa�
CROCKETT—LAW P.L. G(,"Cl 8�v
REAL ESTATE LAW f8033109
BOUNDARYSURVEY
DUVAt COUNTY 471
�Aver
12-
M_ Cr
yp4FV_ 'B0Q_M2_ A0V LAQDpG-tS
30 0 15 30
11805 MAYPORT ROAD, ATLANTIC BEACH,FLORIDA 32233 -
(P) GRAPHIC SCALE (In Feet)
----------------------------------------------4
112'FIPC 1 inch 30' ft.
ILLEGIBLE
THE NOPTh 40'OF
LOT 2
NOT INCLUDED
C
1/2' 916tri-lir
1/2'FIF La
5 88'1 7`i�If 143.37'(M) NO f1l)F'
NO ID r3r,
0.1-ON
CLIENT ORDER NUMBER:2018-28
1 8)�/ .. :.. !'-, - LOT 2 9mr—
BUYER:CHELSEA LEONARD,JEFF LEONARD,AND GLORIA MOORE ."I 2=1=
NORTH 40 FEET THEPEOF)
25.0 on.—
SELLER:ROBERT K.DETWILER
----------------------------
2 M =W
CERTIFIEDTO: LOT 3 WM�_
CHELSEA LEONARD,JEFF LEONARD,AND GLORIA MOORE; R) BLOCK I a go=-
CROCKETT LAW P.L.;OLD REPUBLIC NATIONAL TITLE
INSURANCE COMPANY 15TY.
131-Dr. 505
L OTS 1 AND 2,(EXCEPT THE NORTH 40 FEET THEREOF),BLOCK
Ii. M_�
19,DONN ERS REPLAT,ACCORDING TO TH E PLAT TH EREOF AS R-1 'b
ED IN PLAT BOOK 19,PAGES 16 AND 16A,OF THE C.C,
RECORD �0 J21.3
PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA.
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MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO
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BELOCATED IN ZONE X.THIS PROPERTY WAS FOUND INTHE MAIM RZVIEW FENCE LOCATION ON DPAMNG.
CITY OF ATLANTIC BEACH,COMMUNITY NUMB ER 120075,
DATED 06/03/13.
I hereby%9OVoy Nkpt ��ve)dthe hereon desaffiedproperty has been made under
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IWAY LINE OF STANLEY ROAD, ."r 2=0
DONNERS REPLAT,AS RECORDED IN PLAT BOOK 19,PAGES 16
AND 16A,OF THE PUBLIC RECORDS OF DUVAL COUNT)�
FLORIDA. zi.
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Use ofthis sun,ey,ther than Intended,without written verification,will beat the user's sole risk and without liability to the suna,YDr.Nothing hereon shall be construed to yNe ANY rights or benefits to anyone other than those certified.
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