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1721 SEMINOLE RD - DECK ,.:11..m.,...,r, `'� ' „ CITY OF ATLANTIC BEACH � ''` s 800 SEMINOLE ROAD �� v~ ATLANTIC BEACH, FL 32233 , o;3 r-) 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: RESO18-0051 Description: Deck& Screen Porch Addition Estimated Value: 10000 Issue Date: 9/21/2018 Expiration Date: 3/20/2019 PROPERTY ADDRESS: Address: 1721 SEMINOLE RD RE Number: 169643 0010 PROPERTY OWNER: Name: James S Scott Address: 1721 SEMINOLE RD ATLANTIC BEACH, FL 32233-5832 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. Permit Conditions Page 1 of 2 Enter Permit Number RESO18-0051 View Report U 4 ,j 1 of 1 O. i a 100% V Find I Next IA• i;., kj s • Permit Conditions \'\ City of Atlantic Beach Permit Number:RESO18-0051 Description:Deck&Screen Porch Addition Applied:8/20/2018 Approved:9/20/2018 Site Address:1721 SEMINOLE RD Issued:9/21/2018 Finaled: City,State Zip Code:Atlantic Beach,Fl 32233 Status:ISSUED Applicant:<NONE> Parent Permit: Owner:James S Scott Parent Project: Contractor:<NONE> Details: Homeowner/Builder LIST OF CONDITIONS SEQ REQUIRED SATISFY NO ADDED DATE : DATE DATE TYPE : STATUS : DEPARTMENT: CONTACT: REMARKS : • 1 8/23/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 2 8/23/2018 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell"s,Inc.,Republic Services,Donovan Dumpsters). Container cannot be placed on City right-of-way. 3 8/23/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 4 8/23/2018 DECKING REMOVED INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All old decking must be removed from job site by Contractor. 5 8/23/2018 EROSION CONTROL INSTALLATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: http://atlanticbeach.trakit.net/trakit/DocumentV iewer.aspx?&report=/Documents/PERMIT... 9/21/2018 Permit Conditions Page 2 of 2 'Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247- 5814)to request an Erosion and Sediment Control Inspection prior to start of construction. /\ Printed:Friday,21 September,2018 MGT 1 of 1 http://atlanticbeach.trakit.net/trakit/DocumentV iewer.aspx?&report=/Documents/PERMIT... 9/21/2018 (cL , LCity of Atlantic Beach APPLICATION NUMBER t�� Building Department (To be assigned by the Building Department.) 800 Seminole Road /q�U/�j` OO5, / c) v_)_, . ,, Atlantic Beach, Florida 32233-5445 0 ✓( l\ Phone(904)247-5826 • Fax(904)247-5845 Z3 Z / o.r11 :- E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 32 1 Seim n C l De. .rtment review required Ye No Buildi . Applicant: F,brae 1 W r\e, 'fanning & Zonin.1 Tree Administrator Project:1ed< t ?bailAcie((-176n ubl. ublic Utiliti Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required 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: i BUILDING PLANNING & ZONING Reviewed by: {�� Dater �2�� TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: /7)1) Date: 9- 20-2©G FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie . ❑Not applicable Comments: Reviewed by: Date: -wised 05/19/2017 „ ,,� , OFFICE COPY CITY OF ATLANTIC BEACH q `� 800 Seminole Road ter'`Y �� Atlantic Beach,Florida 32233 REVISION REQUEST/ CORRECTIONS TO PLAN REVIEW COMMENTS Date q_ 10 /,c' Revision to Issued Permit Corrections to Comments Permit# Q-C SO / - epos / Project Address "7 2- / S1---/) 1 /g Le— /ed Contractor/Contact Name cJt--)1 1 e S cz5 L o rt- Phone Phone Sb C --O/i6O Email Ga i�--T AJP LZC L , a,,-• Description of Proposed Revision/Corrections: Permit Fee Due$ ---CD �- 1” c c/ Yi 1 it J c cL /A) I 7.5---,--- Ale- L-- Additional Increase in Building Value$ //C6, Additional S.F. By signing below,I .zf�� / ee 3 --SCin affirm the Revision is inclusive of the proposed changes. (printed name) i„,:4_,..,e[� e-10 — /5K Signa 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: Building Yrtn Planning & Zoning Reviewed By Tree Administrator Public Works d Public Utilities ?- 2U ' 2c, f O Public Safety Date Fire Services • Yittw`•� Building Permit Application®FFICECP Od2/8/17 ; � City of Atlantic Beach �«, 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 /� /l/l Job Address: / ? a I Sern rtio Le Rd Permit Number: Rib /3-005 I Legal Description Ie C" e akar/ /&L/t r.✓1 7:( I ecba. RE# Valuation of Work(Replacement Cost)$ 0 V 0 0 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New .dditioi Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Resident • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No din • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in dexailZthe typ of work to bei performed; nrgL at o' p4X>2.4:41) 2- �? 70 Eiarm/e /Z2eJC P//��(( / .crld $ ;Eh !Z 2` feur G r ���ray.. ,Beni i.✓ �e,ee e� h,&,c-6i /4s e /AT & !o ".2Le(c4Ted - Ar/Z'./ Florida Product Approval# for multiple products use product approval form Property Owner Information pp Name: _I-4 e5 S Je,C77' Address: /721 SCC ,htlesLe I . City fI7LA/JTic 0e74e.4 State FL Zip 3Z Z 33 Phone 949 t/– 8'6 -e17 61) E-Mail j r .q@ a LC L , Loin Owner or Agent(If Aleent, 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. (l1(UNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all ,,fit}.asps ;able laws regulating construction and zoning. t : =`!. AeNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY " VESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND Er]TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE #1CDRDING YOUR NOTICE OF COMMENCEMENT. lii .ze....„,„4 J_ n. G) (Signature of Owner or Agent) (Signature of Contractor) 2 2 (including contractor) /� VS' red and sworn to(or affirmed)before me this �l Jay of Signed and sworn to(or affirmed)before me this day of • , 1.15"\ , of 0\ , by Gl ri .l S- S C , by ilk ft ei?ature o Notary) (Signature of Notary) [ ]Personally Known OR [ ]Personally Known OR kktsroduced Identification [ ]Produced Identification Type of Identification: a_ t(,J J_I. ��L n S=Q Type of Identification: - ,,v.`Ti OFFICE COPY �: �jb CITY OF ATLANTIC BEACH J .. ®WNER / BUILDER AFFIDAVIT Ost U'' 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: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE 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. /721 emovuLt, let_ 9.044-86d--1)76o ADDRESS PHONE NUMBER &S .S, 6�o11- PRINT NAME SVIATURE DATE Before me this D day ofksi 20J'in the county of Duval,State of Florida,has personally app ared herin by himself/herself and affirms that all statements and declarations are truerand accurate. (1 I Notary Public at Large,State of ` L ,County of 0� Ck U 1 ❑Personally Known t • 3.Produced Identification- F� 1-4�V v� S Q-OS�_ ?o"":FiZi..% JENNIFER JOHNSTON S,r. 'a' :i MY COMMISSION#GG 042984 T. ria: �� d: EXPIRES:October 27,2020 ,'•F.,F.�P,', Bonded No Notary Signature: r Public Underwriters F:BLDG/Owner-Builder Affadavit;REVISED:4/16/2009 ----1 I 1 , i , , . - : I I, h 1- 1 REVISION-H , , , , , 1 I 1 NA-rytel.s .S, :Tr i , , , 1 L •111 i - L _ 1 , . 1 I I 1 , 7 SIGN , i [ ____ _ c_ Jr__ 1 1 1 1 1 i , . I 1 I I : , . 1 . , . -----i 1- i 1 j ' 1 1 T . I i --• ' Oil"- ' - 10 ., 1 4, , . . • 34_xo posr j , ,_ r exi *74- i t /' ... 0• ' . ' L_ • reb**1- a 1 r i 17-1-7-1 0 p„Ii --- - -----H-- 1 . , i • 1 * . 6 • 11 _kik/it I 1 . ' 77--- , i ( 1 1 ee Ai I i I 1 iti Al Iles-.r • 1 ----' 4 —-- '':.9elke_cl 1 Ipn T )4 ill' I - • ' ,L.A. 1 , .. L ! ' sl allillil . • 1 1 Era iii . Nostirms , . in I_ , • 1 • - .17 1 . , ' t r or A In Crki) iiiiiMI : 1111111111 • -, --t i ---- - um NE R ' 16)40 4115..i ,1 I II 111 II. .. 111,4 i Min -4 • . . iiiis Li- L , ,___ _ _ k • - I Ai 1 ma. _ 1 al 1 1 i ii &lc. 1 L MI 1 i ! 1 • _, 1 • 111 1 __1 i L___ ' , I 1 I - - - � - i ( tOlg, Ai '' _II Z / Se_Al//Va1 ---&- _, --8!O 0 744 — 1 ' 1 1 ' ,_-- -1 SIGNEI}� d �- — L i , • L _ 1 40-1 51111 I 'Y L , r I l III ( I i I R i I -- I - - -L - - - �- _I I i— I I ' —' — —L— ._ , ! 1 1 1 tri 1 1 ! ; I • 'w ' - - - -I -I i 1 1 ! geworrel _, i I—I- 1 I _ —t — — L 1 Ldilll - _ _ 1 i 1 1 ■ i � O l— i � 1 1I i I ! III I I -I ' I ► ■ 1 I _ j � i MIN � � , ,G• JC.L _ I Cc, a I i in I _LI 1_ 1I X11■ x& /I 'illi 1 i 1 - i1T■IIII ® -4, ! I I - - I l- I I I I I I I I 1 I F1 . i • ...L...... _ ... . pp , , , : i;)'‘.; "7"----7/. ' i - r- i• : ..' . , -1141.J-Itl )14.3 ' .• 1 i • f 1 I , \. ''v i ` , i i I ' I i i , i .. . I. . .., _ ! • e i , ! i : ... _ _ . . . -. .. �. `f I I ; { i ,_ 5. „.., \ • 1. .,i I • i1.? I t / i I I '. • 1 "� I I I ' i m4t a lin9h(- �� "�' I . ..rti.l. .4 T , , 4 ; I 1 I ft.1,406 . ) r ss I 41.1.11111111P— ' ..Ilr i I ' I I 411141 ft i , i I j I j � I I _ I 1 I I I— I , I j , . 1 I I I::i . 1° Ad00 30IA JO F , ,! 9 ! g .fri. . . , 4 ._ 4. j. i '.. I , I I • nets_ •.a.9t'Z ; _1 Iio'a• i I}'r - . , _� dgJZ4+ ' 0),A4j•r City of Atlantic Beach APPLICATION NUMBER ,j' ' Building Department (To be assigned by the Building Department.) 'ii `� 800 Seminole Road / 1;::: -_ :r Atlantic Beach, Florida 32233-5445 PESOIg— 0 05 Phone(904)247-5826 • Fax(904)247-5845 2 0 / G —r;3 !P E-mail: building-dept@coab.us Date routed: O City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 172- 1 Senn n 0 (c De• •rtment review required Yes No ,, y� Buildi • Applicant: 1,bme. oV31\U •lannin• &Zonin•• � , Tree Administrator Project:�ec.EC t P6 rc h Ada(-7-1 on ubli ublic Utilitie Public Safety Fire Services R,eview'fee $:.4t. 11r,- ;,'''V. " t- ® ;9, uIfr� 4 ; Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. enied. I 'Not applicable (Circle one.) Comments: BUILDING s g /lee PLANNING &ZONING Reviewed by: -s! Dater 12- 18 TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 i 's`' ► CITY OF ATLANTIC BEACH 800 Seminole Road /,► Ire) Atlantic Beach, Florida 32233 ` { i REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date ` LI !' Revision to Issued Permit Corrections to Comments I/ Permit g 5 1& cA l Project Address 1 12 I Se-Kt-no Lt-no`e. Contractor/Contact Name J ftm TT Sc.O Phone g LOO --0-1(e O Email Description of Proposed Revision /Corrections: Permit Fee Due$ 2 01\ t CO M MeiS S- Mr*. LT T S/`T' 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: ,," :7: 71_____ Buildi anni Reviewed By Tree Administrator Public Works 9-5--- /8 Public Utilities Public Safety Date Fire Services LA,, TREE & VEGETATION AFFIDAVIT_____ 4- 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 (c1Owner(s) r Legal Authorized Agent* NAME OF APPLICANT 1..)4 /M45 , a c'p rr NAME OF COMPANY ADDRESS OF COMPANY PHONE CELL EMAIL CONTRACTOR CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II -SITE INFORMATION STREET ADDRESS OF PROPERTY /72 / Sem,WoLe / d' If on address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION P�2 a Y" oa I LOT l BLOCK SUBDIVISION_IA/ 21V GRmo. r1 2 REAL ESTATE NUMBER LOT OR PARCEL SIZE: Z r3q.' r q � 3 SQ FT / S 7 1 AC RESIDENTIAL ✓ COMMERCIAL OTHER(SPECIFY) I affirm that I 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 thbtnd 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. 41. IJe.49�SIGNia.4 RE OF OWNER SIGNATURE OF OWNER Signed and sworn before me on this a-day of r �- , (Q,by State of F"(� 5c 0% Cl it L. S t tv-cis J { County of e Identification verified: FL EL- Oath sworn: (- Yes r" No 11,4111JOHNSTON JE 2984 Notary Sign ure '' ' . MY be er27,2020 EXPIRES: Public Unden"^ters ° BondedTtwNotary REV-TVA-v10.12 My Commission expires: Q, � ' (-- -=-,,_ 1,\, J. City of Atlantic BeachAPPLICATION NUMBER ' � Building Department (To be assigned by the Building Department.) 9 800 Seminole Road _ . - 1255o/2'— O05( Ir.� s Atlantic Beach, Florida 32233-5445 : Phone(904)24,7-5826 •• Fax(904)247-5845 AUG 21 2018 $12-� `ij,'il9r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us I .! APPLICATION REVIEW AND TRACKING FORM Property Address: 172.. 1 Senn l n,0 l Department review required Yes No ,•, ,, �/- (uildit Applicant: ,bme. 6 W 11 G► Manning &Zonin r Tree Administrator Project:rDeCg e ?torch Aciel H •ubl. A . •ublic Utilitie 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 PLANNING &ZONING Reviewed b Date: ,si, TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: - Date: Revised 05/19/2017 S1--vi-rjr, City of Atlantic Beach APPLICATION NUMBER JS _ Building Department '' `Rem x- (To be assigned by the Building Department.) `' ,� 800 Seminole Road pEsoig- 0051 0 Atlantic Beach, Florida 32233-5445 Phone(904)247 5826 Fax(904)247:5:1411r—‘ 47 58 G 2 � 2W8 Q• / J;3 �'.? E-mail: building-dept@coab.us a Date routed: V/2�/ it? City web-site: http://www.coab.us - 1/I APPLICATION REVIEW AND TRACKING FORM Property Address: 172. 1 Sem n o l e' De• •rtment review required Yes No Buildi • Applicant: 1 t,bme 0 UJ 1\er Tanning &Zonin•► ��vv , Tree Administrator Project:1ed< e P6rch Acid(j,6p 'ubl' A . 'ublic Utiliti- Public Safety Fire Services Review fee $ 8 Dept Signature _ el'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. ❑Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b . Date: G —2 —/t8 TREE ADMIN. Second Review: I /Approved as revis . ❑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 1 ■■.111■■■■1111■■■■ ■■■■■■■■■v■■■11 ■I■■■1111■■1111■1111■1111■1111■■■ . _ , ■�■■■ ■I■1111■■■■■■■■■■■■■ ENGAG . - cam •■ ■1■■4■■1111 1111■■■■■■ ■ EN • �■ miliiM � ■■■M■■■ ■■■■11■�■ ■■■N■■■■■■■ ■■■ 111111111111111511111111111,11111111111111111 1111■■■ ■1111�11■■111111■■■■ 1.11 11■■ 6 n 111111 ., ■■■■■ �il1111■ �_ _ �. , moms - ■ UM ■■■Bii11 , AMMONIUM ■■11■■ 11111111.11111 [J■■/A■■r�:�■■■ 11■■ ■■■■■!M`i■■1111■ i■■■ uu■ ■■■1111■■�11■■■r�■■:�,It11■ MEM1111■�■1111■■■■■■y■■02111111■ • ■■■ - _ ■III•i■■1111■■■■"' ■1111■■■■■ 1111 ■■11111110111111111111111131111111111111111111 i■■ ■ !!1111■■■■■■■■v ■EMri AIM Ell111111111111111111111111111111•1111111111111111111111 111111111111111111111111111=1111111101111111111111111 11111111111111111111111111111111111111111111111111111 MEM 1111 Pi■■■■■■■■■■■■■■■■■ ■■■■i 1=11111111111111111111111111111111110111111111111 ' 11111111111 _ =i 1111■i 1■■■■■11IS11IS11M■■■1111 , •i ' 1111■u■■■■■■1111w11N■■■■■B.,, 1111■■ ■■■t4 1111■■■■M111111 1111■iia a ■■ ■ 11■i■■■■■1111111 ■■■i11■■■■11■u■11■■■■1111■ 11 ■a 1111111111111111111111111111■■■11111■1111■■■■■■ 11■■.1111■11■■■ 111 III u N■■W■W■■uu■■■■■ i■■■ -- U PP■1111 �_■11 :;1111■■■P(1■■■■■ ■i 111111111111111011111ii1\11111■■11■11■■■■■ PIH■1111■■■■it■1N11i1111■■■■ ■■■■ . E1■■■/1 1■■11■NiM■■M■■■■11■M■■■■■ _ ■■ir';a■4MNP IMN■H11■■■■■■■■■■ ■11■■M■ii1111II■ !■■■■N■■■■■ ■■■ ■■■■4■E11■■s ■■■■■■ ■■■n- ■■ ■ ■■11■■■16■■■■■■■■ --�--- 1111 a ■■ ■11■■11■■■■■■■■■■V ,'�� ■ ■■1111■1111■■■■■■■■ _ = ■■■■■■■■■■■■■■■■ r III . 11111111111111111111M11111111111111111n ■■■■■■■■ 1 ■■■■■■■ ■■■■■■■uu i 1 1 I 1 OFFICE COPY i MAP OF BOUNDARY SURVEY DESCRIPTION: 1 rl 2- 1 A PART OF LOT 51, OCEAN GROVE UNIT N0. 2, AS RECORDED IN PLAT BOOK 20, PAGE 20 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF BEGINNING COMMENCE AT THE SOUTHWEST CORNER OF LOT 51, SAID POINT BEING THE INTERSECTION OF THE NORTH RIGHT OF WAY LINE OF SEVENTEENTH STREET SOUTH, AS NOW ESTABLISHED AS 50 FOOT RIGHT OF WAY WITH THE EAST RIGHT OF WAY LINE OF SEMINOLE ROAD, AS NOW ESTABLISHED AS A 100 FOOT RIGHT OF WAY (FORMERLY KNOWN AS SEMINOLE BEACH ROAD, COUNTY ROAD NO. 608); THENCE NORTH 06 DEGREES 53' 19" W., ALONG THE SAID EAST RIGHT OF WAY LINE OF SEMINOLE ROAD, A DISTANCE OF 39.43 FEET; THENCE N. 83 DEGREES 16' 02" E. A DISTANCE OF 125.90 FEET; THENCE S. 03 DEGREES, 46' 42" E., ALONG THE LINE DIVIDING LOT 51 FROM LOT 18, A DISTANCE OF 39.67 FEET TO A POINT OF INTERSECTION WITH THE AFORESAID NORTH RIGHT OF WAY LINE OF SEVENTEENTH STREET SOUTH: THENCE SOUTH 83 DEGREES 21 ' 04" W., ALONG SAID RIGHT OF WAY A DISTANCE OF 123. 74 FEET TO THE POINT OF BEGINNING. �� WISED _1 L I �1 8' A4"E ,27.93'(P) I I I • :v. N82'29' I I I� F. P.,/2• o NOIO_ I I I` 6-r�' I OF LOT 51 I~ �I REMAINDER CO IIIA 0 ci -':.':.::::::.: I o F.I.P. 2'NO IO I Iri .'3• o � . \\ FLUSH LITH O F I \AOJACENi UNIT \\\,, Iw J CC 1::':::.'....'• \�\i B3 125,90'(0) �•. Q %1-' I e ;•... .... 02"E 0.:: ^I 1018 - I/TEHION LEON WALLS NOT LOCATED 0 kI 91 m i. v 11 II-L OF T-174rT1 WU1 11�� c, I / 11=1111= ° MALL / =11- m�,, 6' BLOCI(EPAW :::::::"..... mA/C ; .2 wl. .'.'` FINEHYpNANi 'R F.L P.B/2' 583'21'04"W, f2N.I4 (D&P)x ILLE62BLE $83 24 O6'O' ::•:••. : w �� {ii•:�:.i•:. CATCH BASIN ❑�� . •••r••+i•:is '::....:::::.::::::::::•rr:r:'r.r:i U*:•::::.::'rr.:. .........:::::a'.':•rrr:(ii':i•ri:',..0.ii- .... • ASPHALT PAVEMENT:•r:•::i•i:i:•:((r:r. i:•::r:i. i•r: r:::':r:•.:i::7:iir:::iir:r.:�::i•rir:•r:•::('.•.^r': ........... . ...................... ...................... 01 BEARINGS Alit BAStU UN UttU wain int wtSI ant Ur Lill :u, 1 BEING NO6'53'19"W. . #2 UNDERGROUND UTILITIES, FOUNDATIONS OR OTHER • IMPROVEMENTS WERE NOT LOCATED BY THIS SURVEY. ii #3 ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY FIRM MAP PANEL N0. 120075 0001 D, EFFECTIVE 04/17/B9, SCALE: 1 = 3� THE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE 'X". #4 THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT, TITLE SEARCH, TITLE OPINION OR TITLE INSURANCE. CERTIFIED TO AND FOR THE #5 DIMENSIONS ARE SHOWN IN FEET AND DECIMALS THEREOF EXCLUSIVE BENEFIT OF: o AND ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE. VYSTAR TITLE AGENCY a #6 ALL EASEMENTS ARE PER PLAT UNLESS SHOWN OTHERWISE. VYSTAR CREDIT UNION FIRST AMERICAN TITLE INSURANCE COMPANY o 07 THERE MAY BE ADDITIONAL RESTRICTIONS THAT APPLY WHICH ARE NOT SHOWN GRETCHEN E. SCOTT AND JAMES S. SCOTT N ON THIS SURVEY WHICH CAN BE FOUND IN PUBLIC RECORDS OF SAID COUNTY. N STREET ADDRESS: 0 #6 THIS SURVEY DOES NOT GUARANTEE OWNERSHIP. . 0 1721 SEMINOLE ROAD m #9 TEMPORARY, NON-PERMANENT IMPROVEMENTS AND/OR MAN-MADE ITEMS ATLANTIC BEACH, FL 32233 ll' SUCH AS. BUT NOT LIMITED TO THE FOLLOWING; BUILDING MATERIAL, Cli o STORAGE PODS, PAVER BLOCKS, RUBBERMAID OR PLASTIC UTILITY 0o BUILDINGS NOT ON FOUNDATIONS, VEHICLES ON BLOCKS MAY BE ON 4 N THIS PROPERTY BUT NOT LOCATED OR SHOWN. v .- m #10 LEGAL DESCRIPTION PROVIDED BY CLIENT. // / S 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 n STRICTLY PROHIBITED AND RESTRICTED. SURVEYOR IS RESPONSIBLE ONLY TO THOSE CLYDE 0. V'"-LEECK CERTIFIED AND HEREBY DISCLAIMS ANY OTHER LIABILITY AND HEREBY RESTRICTS THE FLORIDA RE STEREO SURVEYOR AND MAPPER N'. 2546 RIGHTS OF ANY OTHER INDIVIDUAL OR FIRM TO USE THIS SURVEY. WITHOUT EXPRESS NOT VALID WITHOUT THE SIGNATURE 6 THE ORIGINAL RAISED a\BITTEN CONSENT OF THE SURVEYOR. O SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. Lv F F.C.M. - FOUND CONCRETE MONUMENT C.M. - CONCRETE MONUMENT SEC - SECTION F/H - FIRE HYDRANT OHE -OVERHEAD ELECTRIC \` F.I.R.C. - FOUND IRON ROD AND CAP P.T. - POINT OF TANGENCY TWP - TOWNSHIP C - CURVE C.L.F.-CHAIN LINK FENCE F. F.I.R. - FOUND IRON ROO P.C. - POINT OF CURVATURE RGE - RANGE FND - FOUND W.F. -W000 FENCE .- F.I.P. - FOUND IRON PIPE U.E. - UTITLITY EASEMENT P.I.- POINT OF INTERSECTION (P) - PLAT C.B. -CHORD BEARING L S.I.R.C. - SET IRON ROO AND CAP D.E. - DRAINAGE EASEMENT A/C - AIR CONDITION UNIT EL - ELEVATION WM -WATER METER F.N&O - FOUND NAIL AND DISK C & G - CURB & GUTTER NTS - NOT TO SCALE CONC. - CONCRETE WP -WOOD POLE N\'',...(M) - FIELD MEASUREMENT R/W - RIGHT OF WAY (PR)- PROPOSED ESMT - EASEMENT P & M -PLAT & MEASURED w \• /(C) - CALCULATED MEASUREMENT C/L - CENTERLINE (E) - EXISTING COR - CORNER M/H -MANHOLE PLOT PLANFIELD SURVEY DATE FIRST COAST LAND PROJECT INFORMATION wORDER NO: 22091 z BOUNDARY 10/04/2011 SURVEYING� INC. DRAWN BY: VAN KLEECK J FORMBOARD 1839-106 LANE AVENUE SOUTH, JACKSONVILLE, FL.32210 REVIEWED BY: TNP i',, FOUNDATION PHONE (904) 779-2062 FAX (904) 779-7784 CHECKED BY: VAN \FINAL / \ CERTIFICATE NO. LB 7261 f ` f