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1727 PARK TER W - FENCE ..._ ,.,),m-,...,,, i.�+� 1J ,,,,.,__ CITY OF ATLANTIC BEACH , ' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 '�0;319' INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0079 Description: install 6-ft. fence Estimated Value: 2500 Issue Date: 8/22/2018 Expiration Date: 2/18/2019 PROPERTY ADDRESS: Address: 1727 W PARK TER RE Number: 172020 0372 PROPERTY OWNER: Name: STANFORD MELANIE ALEXANDER TRUST Address: 1727 PARK TER W ATLANTIC BEACH, FL 32233-5611 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. 01.A1.i,1,1 City of Atlantic Beach APPLICATION NUMBER Js „ Building Department (To be assigned by the Building Department.) 800 Seminole Road j- a4impAtlantic Beach, Florida 32233-5445 JJ(kt T �D Phone(904)247-5826 • Fax(904)247-5845 ... 0' E-mail: building-dept@coab.us Date routed: I L $l L City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM (� SO O i — 3 14 Property Address: ilia-4 W -t'Gy k -112-411 . De artment review required Ye/ No Applicant: k n S}pit l l to_-‘-No J-- tt f u arming &Zoning TreeAdministrator Project: 0 t.) r J—( P a ii atio 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: 0en;_er/ loy P(aYl- Agar\., t.vgi4- fame. 4.1„..e, ' i't UILDI = I'JQ'prcvaJ PLANNING &ZONING Reviewed by: Date: 7'3/ '! O TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . ❑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 *loco BuildingPermit Application RECEJP\1E0 pp City of Atlantic Beach ,,,, 800 Seminole Road,Atlantic Beach,FL 32233 JULf Phone:(904)1247-5826 Fax:(904)247-5845 f Lq 2011 Address: l i 27 Paris I e rr. .e. IAA's f Permit Number: 9- ( p ( I g Legal Description Rat-aiding nDepa�en Valuation of Work(Replacement Cost)$ 00 Heated/Cooled SF otii R ADli,.i Beach, FL • Class of Work(Circle one): New Addition Iteration)epair 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 N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Des ribe in detail the type of work to be performed: ad;} 0 n G �'+ �e n ce a+�ci q a - o n not �►� Ste yard) adjacent- -t'o c_ of the ofinsao. house Florida Product Approval# for multiple products use product approval form Property Owner Information / Name: efctq � S-i-n -T�re, Address: 172 7 Park Terretes Lks f City ;fi . , e State FI Zip 3`L2.73 Phone 44) 3+9—I11-97 E-Mail Ce.i1 ..5' n o _AfghQz.ecrrl Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name& Phone# Engineer's Name&Phone# Workers Compensation 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. 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. 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 ner or Agent) (Signature of Contractor) (including contractor) S i ned and sworn to(or affirmedi before metIlis �i day of Signed and sworn to(or affirmed)before me this day of `A,Lt.k 'a-0 1s,by k L1 Lrt. t ,by .ignature of Notary) (Signature of Notary) [ ]Personally Known OR [ ]Personally Known OR [sCroduced Identification . [ ]Produced Identification Type of Identification: F L l✓-f v An( L L ellV Type of Identification: 01.APJ City of Atlantic Beach APPLICATION NUMBER r .4:,* ,,. Building Department (To be assigned by the Building Department.) 4 ' 800 Seminole Road L -}�t j�. . , JUL Atlantic Beach, Florida 32233-5445 ?Pi " �� 1 T Phone(904)247-5826 • Fax(904)247-5 ? P_o; >a E-mail: building-dept@coab.us BY'_. Date routed: 9 l 1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1"U l a-a ,1\ Q t---n • D ent review required Yes No �rBuilding j Applicant: • .01 n(/�t 1e id to t Ida/13 Pia enng &Zonin. ` II Tree Administrator Project: t N5i-a ll �— t I V icQ -ubf k ^� Pub is Utilities 1 n U n-V \i, may' 4 Public a e y Fire Services Review fee $ if- Dept Signature K—rAL-_ 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 A �/ � T -3 j Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ❑Not applicable PU WO �_�zv -�K Rments: .pi BLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER _ Building Department (To be assigned by the Building Department.) i800 Seminole Roadn.Eca: r jJ� ( V_ Atlantic Beach, Florida 32233-5445 U Phone(904)247-5826 • Fax(904)247-5845I p 10;31'>� E-mail: building-dept@coab.us ' JUL 9 ..„ Date routed: l p ` City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM SO O 4 I Property Address: 'PG-/ . -1-24{1f . De artment review required Yes No Applicant: .%.n ¶ c/t l —VQO� 1\42_rI L mining &Zoning.)Tree_A minis or Project: 0 vJ n J—( CP • 'r:113410 (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: APP ICATION STATUS Reviewing Department First Review: Approved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDING / Q PLANNING &ZONING Reviewed by�1 Date: 7'o (7 ' 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 r REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation organized and existing under t a law f the tate of Florida,hereinafter referred to as"CITY"and Malan l e Sig)1-. 0 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 for the purpose as described in the City of Atlantic Beach. This work is generally described as -41CP sale add `' ie r . Any facility maintained, repaired, erected, and '/or talled in the exercise of the p lege granted remains subject to relocation or removal on thirty(30)days' notice by CITY to USER said notice to USER shall be given by certified mail, return receipt requested,to the following address 1727 Par k `Her, w, 40I F2 I, 32.133 • 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 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 easements,public right- of-ways 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. Date t /14 p /p, Prope tyOwner/Agent(sign in pYesence of NotaryPublic) STATE OF FLORIDA,COUNTY OF DUVAL G The foregoing instrument was acknowledged this L ! day of t4 L�� ,20 I A , by }k QAct_ct ,L 8-Van-fly ( ,who personally appeared before me and (printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. 'kg Si: re o o ary Public,State of Florida Department Approval: Personally Known L Produced Identification(Type) (5- ¢1 S L l - -fl -- �i � Y // �*+ • Scott Wil i.ms, ublic Works Director R4'p JENNIFER JOHNSTON Kayle Moore,Public Utilities Director H:\Master Forms\Public-U it&rs .1?r(k¢*lorrr a IPPM h(r1r��2gg�4Agr rment 2.5.18.docx Revision Date:2/5/18 EXPIRES:October27.Z020 ;::��.°; Underwriters o;...0 Bonded Thru Notary Public • t. s. Ir4V . OFFICE COPY P- r. a 1 i CITY OF ATLANTIC BEACH • ,7- .. OWNER / BUILDER AFFIDAVIT *It., v I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: V STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED Q N ^Z...CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT = J Z .� Vao LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS O. a Z j YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST 2 w _ a SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR 0 (Y] ~ Z TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR U V CI V G IMPROVE AA COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING W H Q MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. 0 Z CCZ IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR 0 Q 0 < AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT U J LL 0 ...k. IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT Cr Q H Z HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST 0 E w BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS V' LL a YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE 0 O a. cc w2 m LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING W 5 W ORDINANCES. W V N W OC w II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, L j w THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE CC Lu PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 1797 Ark 1 er 9 -3419 -1'1 q 7 ADDRESS PHONE NUMBER Meta nie _SIA n ora PRINT NAME 7//IA SIGNORE DATE _. Before me this t O day of v LL l 20it the county of Duval,State of Florida,has personally appear herin by hims /herself and affirms that all statements and declarations are true and accurate. (� Notary Public at Large,State of "{ L_ ,County of `D ' �P�ersonally Known (� 0-( ' 3 ,9-4`:\ 1 `L Q ::::: JF�JNIFER JONPISTON `' ` ` o '............ ION#GG 04Bonded roduced Identification- tu �1�^ __ :+= �COMEXPIRES: 2884r O Octobe127.T020 NO_Y Pubfx Urwderyx{p� Notary Signature: ...- � �2J F:BLDG/Owner-Builder Affada '' ISED:4/16/2009 MAP SHOWING SURVEY OF LOT 17 , BLOCK 12 , SELVA MARINA UNIT NO. 8 , AS RECORDED IN PLAT BOOK 34, PAGE 185 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. .3)'\ c G , *-\-- 0C-- be ovak 1 xc -\--c)1, . ,e, Np,)of dov)(\ Ce L ti �%El�' x 6'Nhao Fence. )C,,,��� ,<o�%.io iso 3 3'0 ' /O"pi/ f /2' k' 'oeivo#.40.7 .b,______322.71,.._71-7 .757_11---1(Sk A b ',4 ., . - !• • .._ r ' 31 /6,5'I \ CP J �• ,y L I v-1(64P • • . ei \ .< \e/k_:,'01\ \ ,,,t.... ‘,.:. :.• w‘ • C4jLkr‘ . 14' i hs 0 z s7z�fzy i , .�'' W '''I• m F.Q,Q,�.rE ti T 0tO � .� : X— yea• qtri �t • Po.4.c..4, 6- .9 w l , . V-:.`�:. .. 5' BU .ZV v�, MU' ,V1 RE3Tit/cT�.�/c�•vE � t_ I 0 .�' 2.55- .9Y PGAT> NI Qo7 • „-.....• • , .. ,,,, .. as T' '• . •• •• ' Y\ kA S. 5W/1" �/ 566).48 m m Pc //.54/2• foL/NO 4..mKO.4-/ NOTES - 7 A-' TER'e,4C4 l vEs'T' roa .cam/.- 1 . THIS BOUNDARY SURVEY COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH IN �,p R q\ g.g",\ CHAPTER 61G17-6 FLORIDA ADMINISTRATIVE CODE. FA s,c ''" ` Ck�� Q yAI, 2 . THE BEARINGS ARE BASED ON THE EAST RIGHT-OF-WAY v',.0'.‘* i LI E OF PARK INN ACCORDANCE WRITHC PLATCE ST AS BOOK BEING 4, PAGE 3853 10"E 0 '\ . a f /' filer /. 3 . THIS LOT IS IN FLOOD ZONE "X" ACCORDING TO FEMA ( ,i • ' -l'_-I' COMMUNITY PANEL 120075 0001 D DATED APRIL 17, -_� :4,,,'e'' =f 1989 . ZONE "X" IS THE AREA DETERMINED TO BE % „K ,c=., ' OUTSIDE OF A 500 YEAR FLOOD. Y �. 4 . ALL OF THE CORNERS WERE FOUND 1/2" IRON PIPES WITH NO IDENTIFICATION.' „�,abr,iwn ono muu UR) TFTT OF: MAP OF BOUNDARY SURVEY DESCRIPTION: LOT 28, PARADISE LANE ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 57, PAGE(S) 31, 31A. 31B AND 31C, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. F.I.P. 1/2' LN ATTER PART OF SECTION IN TMS 2S, RANGE 29E LB 1704 0, • S77 08.31 E 55 / // F.I.P. 1/2' N 4' VINYL FENCE n FrFw F DIPICAU c t io ;y ryru s , :i 1 : j22.1' r • $ 16,8. 1111SCALE: 1 " = 30 ' LOT 29 /o 6 � •6 pW 2 STORYYSncco ati © LOT 26 A. © ' A, LOT 27 1 1 2 4V ti cn ..::.;;;..•:,:::::.........::::4*.ilb if r ror 67• _.4...... ..-.;••.i a F I.P 1/2' ,asif' a>' .er.:4.1•' 4 5.p0 , . :f J LCA L9 1704 y :. ., '.• i.0 ne(2 1070 ' •• ..q 31w LB 1704. Si SURVEY NOTES: #1 BEARINGS ARE BASED ON PLAT WITH THE NEST LINE OF LOT 28, BEING N12'51'29'E. SCALE: 1 " = 30 ' #2 UNDERGROUND UTILITIES, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED BY THIS SURVEY. /3 ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY FIRM MAP PANEL NO. 120310 0408 H, EFFECTIVE 06/03/2013, CERTIFIED TO AND FOR THE THE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE 'X'. EXCLUSIVE BENEFIT OF: #4 THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT, BUCKY DAVIS TITLE SEARCH, TITLE OPINION OR TITLE INSURANCE. #5 DIMENSIONS ARE SHOWN IN FEET AND DECIMALS THEREOF AND ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE. STREET ADDRESS: 06 ALL EASEMENTS ARE PER PLAT UNLESS SHOWN OTHERWISE. 761 PARADISE LANE • ATLANTIC BEACH, FLORIDA /7 THERE MAY BE ADDITIONAL RESTRICTIONS THAT APPLY WHICH ARE NOT SHOWN ON THIS SURVEY WHICH CAN BE FOUND IN PUBLIC RECORDS OF SAID COUNTY. /8 THIS SURVEY DOES NOT GUARANTEE OWNERSHIP. OMNI #9 TEMPORARY, NON-PERMANENT IMPROVEMENTS AND/OR MAN-MADE ITEMS SUCH AS, BUT NOT LIMITED TO THE FOLLOWING; BUILDING MATERIAL, STORAGE PODS, PAVER BLOCKS, RUBBERMAID OR PLASTIC UTILITY BUILDINGS NOT ON FOUNDATIONS, VEHICLES ON BLOCKS MAY BE ON THIS PROPERTY BUT NOT LOCATED OR SHOWN. V 010 LEGAL DESCRIPTION PROVIDED BY CLIENT. NOTICE OF LIABILITY: THIS SURVEY IS CERTIFIED TO THOSE INDIVIDUALS SHOWN ON THE FACE THEREOF. ANY OTHER USE, BENEFIT OR RELIANCE BY ANY OTHER PARTY IS STRICTLY PROHIBITED AND RESTRICTED. SURVEYOR IS RESPONSIBLE ONLY TO THOSE CERTIFIED AND HEREBY DISCLAIMS ANY OTHER LIABILITY AND HEREBY RESTRICTS THE CLYDE 0. VAN KLEECK RIGHTS OF ANY OTHER INDIVIDUAL OR FIRM TO USE THIS SURVEY, WITHOUT EXPRESS FLORIDA REGISTERED SURVEYOR AND MAPPER NO. 2546 WRITTEN CONSENT OF THE SURVEYOR. NOT VALID WITHOUT THE SIGNATURE & THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. (F.C.N. - FOUND CONCRETE MONUMENT C.M. - CONCRETE MIMAMIENT SEC - SECTIONF/H FIRE HYDRANT OHE -OVERHEAD ELECTRIC ` F.I.R.C. - FOUND IRON ROD AND CAP P.T. - POINT OF TANGENCY TMP - Iv. IP WV - MATER VALVE C.L.F.-CHAIN LAM( FENCE va M.F. -WOOD FENCE F.I.R. - FOUND IRON ROD P.C. - POINT OF CURVATURE ROE - Ir . FND - FOUND C.R. -CHORD BEARING F.I.P. - FOUND IRON PIPE U.E. - TY EASEMENT P.I.- c pF INTERSECTION (F9 - PLAT NM -WATER METER S.I.R.C. - SET IRON ROD AND CAP D.E. -DRAINAGE EASEMENT A/C -A ' OADITIEN UNIT EB - ELECTRIC BOX NP -WOOD POLE F.N6D - FOUND NAIL AND DISK C 6 G - CURB 6 GUTTER NTS - NOT TO SCAL5‹ - CONCRETE LP -LIGHT POLE J ((M) - FIELD CALCULATED 4ENENT C/L - RIGHT TE OF MAY 4' C.L.F. CB - CABLE BOX �(C3 CALCl/LATEO MEASLA9EMENT C/L - CENTERLINE 6' M.F. — /—/ PB PHONE BOX M/H -MANHOLE rLOT FPIELD SURVEY DATE I FIRST COAST LAND l 'AN: ORDER PROJECT NO: INFOR26756/MATION 8512 BOUNDARY 03/23/2016-04/16/2018 SURVEYORS, INC. ORDER NO: 28746/29000 FORMBOARD 3161-4 ST JOHNS BLUFF ROAD S, JACKSONVILLE, FL.32246 DRAWN BY: KMP FOUNDATION PHONE (904) 779-2062 FAX (904) 779-7784 CHECKED BY: VAN \INAL 06/29/2018 / \,. CERTIFICATE NO. LBRV S225 NG / EVIEWED BY: HF WWW.FIRSTCOASTLANDSUEYING.COM / ` �S AN:r�e., City of Atlantic Beach APPLICATION NUMBER a' : Building Department (To be assigned by the Building Department.) ; id ,� 800 Seminole Road ! !_ _ 0D ��. �e Atlantic Beach, Florida 32233-5445 l -C Phone(904)247-5826 • Fax(904)247-5845 -+ I p E I. I .1'Z/ill c..):.=.c..):.=. E-mail: building-dept@coab.us Date routed: 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM SO I - 2- Property Address: I al- w -AGLl t_ •1.12-i4 . De'ailment review required Yes No Applicant: n Shit. I( kQ_-Voa- T\12_it Le ' a� nning &Zoning Tree A•ministrator Project: o v) n..2-{ P .irjrmiskii, 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. ['Not applicable (Circle one.) Comments: BUILDING eedS �G S�/47''' .- tj ee perrl*-PLANNING & ZONING Reviewed by: -- Date: 7-3 I— 1 8 TREE ADMIN. Second Review: Approved as revised. (Denied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:"0" a, Date: e/V" I g FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 mtykot • CITY OF ATLANTIC BEACH 800 Seminole Road ''''.•..tthip, i' ter; Atlantic Beach,Florida 32233 REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS Date V13/1ir Revision to Issued Permit Corrections to Comments Permit# FN CE. 1 8 -co Project Address / 7 7 Pa r k �e r l.„/, A+k.-+i c 8 ect,Ill F( 3 9.-Z.3.5 Contractor/Contact Name (7e c i ( fc1 n TO r cr( Phone q'jt]4 -349 -14q 7 Email Cerci E. 5+4v orCJ@ yctkoo .Co vY1 Description of Proposed Revision /Corrections: Permit Fee D e $ P € `�Q_f'Al,(A Pe a es u Additional Increase in BuildingValue $ / Additional S.F. By signing below,I Ce c ( $f4N4a rd affirm the Revision is inclusive of the proposed changes. (printed name) ��alr F43/l ir 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 5V4--)i ..-1---f-e (I / /e e re K ,4"- Department -Department Review Required: �/� / Building - -- Planning &Zonings Reviewed By r dministra or Public Works p Public Utilities _ 1' V- I D Public Safety Date Fire Services f • Cash Register Receipt Receipt Number City of Atlantic Beach R6038 DESCRIPTION I ACCOUNT QTY PAID PermitTRAK $125.00 TREE18-0051 Address: 1727 W PARK TER APN: 172020 0372 $125.00 TREE REMOVAL $125.00 TREE REMOVAL RESIDENTIAL APP FEE 00100003291005 0 $125.00 TOTAL FEES PAID BY RECEIPT: R6038 $125.00 Date Paid: Monday, August 13, 2018 Paid By: STANFORD MELANIE ALEXANDER TRUST Cashier: BA Pay Method: CHECK 2845 Printed: Monday,August 13,2018 3:59 PM 1 of 1 �R 1R T -S%-L`Jrjr, City of Atlantic Beach ;� APPLICATION NUMBER �s r •� Building Department ,� (To be assigned by the Building Department.) ' 800 Seminole Road � /J !_ t T_ c)D'�-� u z Atlantic Beach, Florida 32233-5445JUL —C Phone(904)247-5826 • Fax(904)247-5845 JUL 19 ?M3 ILg [ l � ,loci E-mail: building-dept@coab.us a Date routed: City web-site: http://www.coab.us is". APPLICATION REVIEW AND TRACKING FORM n SO 0 '41 - aCit Property Address: 1 z-4 J -PtLl t_ -le.-iii . De Bailment review required Yes No 'ul. Applicant: C,n ¶ 1 1 'Q 06--\- - n Le - arming &Zoning Tree Administrator Project: 0 tro n J_( P . .ruY„34 110 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 —._J Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. VNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONINGl✓ Reviewed by: Date: l TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. ❑Not applicable PU — WO-Z�RMS Comments: UBLI UTILITIES /i PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017