Loading...
598 SEASPRAY AVE - FENCE � CITY OF ATLANTIC BEACH • ' 800 SEMINOLE ROAD yr ATLANTIC BEACH, FL 32233 'PtD;i>>%' INSPECTION PHONE LINE 247-5814 FENCE WALL OR BARRIER - FENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: FNCE18-0100 Description: 6' Fence Estimated Value: 0 Issue Date: 10/5/2018 Expiration Date: 4/3/2019 PROPERTY ADDRESS: Address: 598 SEASPRAY AVE RE Number: 170703 0432 PROPERTY OWNER: Name: LEPPO JOSEPH L Address: 598 SEASPRAY AVE 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$7,500. NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. FFNCE 18-0100 Tax Folio No. State of Florida County of Duval To whom it may concern: The undersigned hereby Informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: 35-64 17-2S-29E SEASPRAY LOT 33 BLK 4 Address of property being improved: 598 SEASPRAY AVE ATLANTIC BEACH,FL 32233 General description of Improvements: FENCE /' i Owner LEPPO JOSEPH L ,1v Address 598 SEASPRAY AVE ATLANTIC BEACH,FL 32233 \� Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor 5Arvt or 4 5 /nt16- —a-,nfiCrZ IFISEIPI{ 'L• LEA'D Address Phone No. Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.08(2)(b),Florida Statutes.(Fill In at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date Is speciified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: .. DATE 10/5/2018 Before me 5 day of Of`TORF' —.- - I e Cou ty of Duval S: ,of Florida,has. :.. ,erein by, E D.SMS Doc#2018237978,OR BK 18554 Page 1258, S I �' himself/herself ar•e rine that all s;:marts tl•'> e Number Pages: 1 are we end accurate r �# W CO issoN 5 Go 255331 Recorded 10/05/2018 09:34 AM, •-:::•-.pry EXPIRES:September 5,2022 i f t;.• . ... Nt>fary RID1C lhtderwrRers RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY ` _ �,,,,;, \ `0AP RECORDING $10.00 ,� / Not: u.lic at Large,St of s s- mot IJWI.1 4ti mission expires: ep ems ,.02i ally Known or ced Identification Fi.171. Permit Conditions Page 1 of 1 Enter Permit Number FNCE18-0100 View Report ya 4 1 of 1 i> P0)1 f} 100% v Find I Next iii4' ii, a �(11T`Tj Permit Conditions l '- f) u - ___} City of Atlantic Beach Permit Number: FNCE18-0100 Description:6'Fence Applied:9/7/2018 Approved:10/4/2018 Site Address:598 SEASPRAY AVE Issued:10/5/2018 Finaled: City,State Zip Code:Atlantic Beach,Fl 32233 Status:ISSUED Applicant:<NONE> Parent Permit: Owner:LEPPO JOSEPH L Parent Project: Contractor:<NONE> Details: LIST OF CONDITIONS SEQ REQUIRED . SATISFY NO : ADDED DATE : DATE DATE TYPE : STATUS : DEPARTMENT : CONTACT: REMARKS: 1 9/12/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 2 9/12/2018 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 9/12/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 4 9/12/2018 FENCING REMOVED INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All old fencing must be removed from job site by Contractor. Printed:Friday,05 October,2018 IP TFINGT 1 of 1 http://atlanticbeach.trakit.net/trakit/DocumentV fewer.aspx?&report=/Documents/PERMIT... 1 0/5/2018 1 s?SXLyf�r, City of Atlantic Beach APPLICATION NUMBER d � t, , *, Building Department Et '� (To be assigned by the Building Department.) (� 800 Seminole Road E P• t le 01 O0 . ;, Atlantic Beach, Florida 32233-544 nJ ir) Phone(904)247-5826 • Fax(904 7- 10 2018 - q !J;31s)'' E-mail: building-dept@coab.us Date routed: / 7/fp City web-site: http://www.coab.uso APPLICATION REVIEW AND TRACKING FORM Property Address: 578"g S2SYt2i,/ e Department review required Yes No Buil in Applicant: 440 Me, 0 Planning &Zoni Tree Administrator Project: t (ublic Work 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. I 'Denied. Not applicable (Circle one.) Comments: % � BUILDING �/ PLANNING &ZONING ���(^ Reviewed by: Date:9ll�/� TREE ADMIN. Second Review: roved as revise App ❑Denied. [Not applicable PUBLIC WORKS Comments: . PUBLIC UTILITIES ' PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. I (Denied. [Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach APPLICATION NUMBER ::II::II:I/1 Building Department (To be assigned by the Building Department.) 800 Seminole Road I�Nc_El 00 Atlantic Beach, Florida 32233-5445Phone(904)247 5826 Fax(904)247 5845 /7�'E-mail: building-dept@coab.us Date routed: // City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 5 (ff Seaspi1 Ave. Department review required Y No Bui Applicant: 'NQ me U 1lfn _, _P anning &Zoni / Tree 'dministrator Project: l9 � Public Works Public Utilities Public Safety Fire Services 'Review fee $ Dept Signature I 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: I ''i pproved. ['Denied. nNot applicable (Circle one.) Comments: UILDIN PLANNING &ZONING Reviewed by: Mr)/ Date: Vol 0k TREE ADMIN. Q Second Review: Approved as revised. I (Denied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES ' PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. I 'Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 iL:.Lyfje, City of Atlantic Beach APPLICATION NUMBER 6' , ,, Building Department (To be assigned by the Building Department.) (, 800 Seminole Road �( �.. _ ,2 Atlantic Beach, Florida 32233-5445 �Iv�� 01 0d -��. .. . Phone(904)247-5826 • Fax(904)247-5845 timet q ^�o;; 9? E-mail: building-dept@coab.us Date routed: / 7//k City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 578"8" Sasppt1 � De artment review required Yes No Buil Applicant: 440 Me Ottinee., Panning &Zoni Tree dministrator Project: i FejiCe- Public Work Public Utilities Public Safety Fire Services ;Review fee $ Dept Signature 1 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. I (Denied. [Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING q p Reviewed by: .11-4— Date: / -7 r I O TREE ADMIN. Second Review: Approved 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 ! % Building Permit Application Updated 12/8/17 $ ' City of Atlantic Beach VW, 800 Seminole Road,Atlantic Beach,FL 32233 G Phone:(904)247-5826 Fax:(904)247-5845 A )�/ Job Address: 5q0 SSS Y AV Permit Number: !v w�/��v160 Legal Description L 3� BL,. 4SOe4 1 RE# / tC 03 --b 932- Valuation of Work(Replacement Cost)$ 252x) 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 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 work to be performed: to PAe--/ 12--ErtAto E1c1ST/L)(j 6 ' Pe)v&c / t . 3oCKYA€P Florida Product Approval# for multiple products use product approval form Property Owner Information Name: - O3 'l-1 1-• LPPV Address: 590 - Seg--4-`i A-Vg. City ATL.AArTtL &4 // State FL- Zip 32Z 33 Phone gc ' z42 — E-Mail Lf Fo'SL( i-10NI4 L. . C-Dfl.I Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) CYW#VCS. Contractor Information Name of Company: Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Nur State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation xempt/Insurer/Lease Employees/Expiration Date Application is hereby made to obtain a permit •. do the work and installations as indicated.I certify that no work or installation has commenced prior to the issuance of a per and that all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction. I under .nd that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS,FURNACES, BOILERS, ATERS,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 Owner or Agent) (Signature of Contra • (includin ontractor) ►� Signed and sworn to(or affi )before me this / day .f Signed and sworn to(or affirm-. before me this day of ,2 ,b O O-%I L ' • 1a .. (:2) 4741111k (Signature o Notary) (Signature of Notary) [ ]Personally Known OR Produced Identification ( y'' p-qweitifiltEMEWfitificati Type of Identification: I_ J a EXPIREAS:October 6x26 : I ;P °.' Bonded Thru Notary Public Underwriters 01,1-v ffr, City of Atlantic Beach APPLICATION NUMBER d ti•:,fr�-:,i, Building Department (To be assigned by the Building Department.) '`',(1J • 800 Seminole Road �1�'� At /O� ..ta Atlantic Beach, Florida 32233-544 �` • ' _. P/v�l O1 Phone(904)247 5826 Fax(904) 7 5845 / ,k,._01110-. V E-mail: building-dept@coab.us O j z} Date routed: 1 /7 City web-site: http://www.coab.us APPLICATION REVIEW-AND-TRACKING ACKING FORM Property Address: 5 /ff SeQspf2 / Pale- Department review required Yes No Buildi Applicant: 4-101)16 0 Panning &Zoni Tree dministrator Project: t ReliCe Public 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: I 'Approved. Venied. I 'Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b ate: ,...42.4 TREE ADMIN. Second Review: ✓Approved as revised. ['Denied. ❑Not applicable PUBLIC WORKS Comments: . PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:��ea,derfee,,,,,x. Date: 4-2�1� FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 �- i* ��� ECM; TLANTIC BEACH i-•. ' `;d,�J VV 800 Seminole Road -",,t,_ ,- t OCT Q Atl c Beach,Florida 32233 ;� 201 ',ortW REVISION REQUEST I CORRECTIONS TO PLAN REVIEW COMMENTS Date C112k'113 Revision to Issued Permit VCorrections to Comments Permit# r h,lce 0 -DI 00 Project Address Sib SeA SP12Ay I V►_ Contractor/Contact Name Phone ' ( ; ) 2-Li 2 - `f b g ci Email r0 S t— e Tri A tiL. C-0 fn Description of Proposed Revision/Corrections: Permit Fee Due$ RAJ F. KJcc 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: , Building � 1 - Planning &Zoning eviewed By ministrator Public Worcs u is hies 4.—.70—/e Public Safety Da Fire Services REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as"CITY"and bs'PH L. LE--PD 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 Fet.)C Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege 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 SR 9ft-SPR 4-`1 Ave • 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. 1 Date Z$ L C-.-- Property r/ gent(signed in presence of Notary Public) 25 STATE 0 IDA,COUNTY OF DUVAL � The foregoing instrument was acknowledged this day of SP--12 76i F32 ,20 1 , by �oscr-hft 1 L6-°PO ,who personally appeared before me and (printed name of Signer) acknowledgedth a/she signed the instrument voluntarily for the purpose expressed in it. gnature of Notary ublic, State of Florida Department Approval: Personally •• Produced 4 H@yon(T�p • s ' /� :.: t : MY COMMISSION 0 GO 256331 `f. .47,41e....)dieded.....‘spe., +a - .'a' EXPIRES:Septeeiber5,21Y22 Scott Public Works Director ';','. ?,'•'•'-'RBonded Thru Notary Public Underwriters Williams, o:\publicWorks\ADMIN\Revocable Encroachment Agreement.docx Revision Date:8/31/18 ' CITY OF ATLANTIC BEACH Department of Public Works -- 1200 Sandpiper Lane Atlantic Beach, FL 32233 (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 9/12/18 Applicant: Joseph Leppo Permit #: FNCE18-0100 Email: leppojl@hotmail.com Review Status: DENIED Site Address: 598 Seaspray Avenue 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: • A Revocable Encroachment Agreement must be submitted. The form is on our website under Building Department - "Permit Applications and Forms" and also at the Building Department located at City Hall. APPROVED PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) a iv-%2'fe • All runoff must remain on-site during construction. • 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. • Full right-of-way restoration, including sod, is required. • All old fencing must be removed from job site by Contractor. Scott Williams, Public Works Director swilliams@coab.us/904-247-5834 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 drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. Page 1 of 1 0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\FNCE18-0100(Owner-Leppo).docx MAP SHOWING BOUNDARY SURVEY OF LOT 33 BLOCK 4 ACCORDING TO THE PLAT OF SEASPRAY AS RECORDED IN PLAT BOOK 35 , PAGE(S) 64 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 1/2" IRON PIPE 4"X4" CONCRETE MONUMENT d�� ��t \ ; ON UNE S go �1-Its. (4 �x.' WITH WALK �7IwA • W (R) 0.4' c--p'T-� ✓ela 0 I �, -4,4,Q00,- F , yCi V� R F� ?8 F O^ r I 1°.407). :�, it, 7.2 M0'6?) 'I Q 1 m N 0.4' , "K 2. . 4.. . so. C�h,F Z }--:f U •• R< n'.• �Sv - C�eit, F ^ H c1:12— JO C, •♦ IQO�i IF}y y Y N m s . o . . , . •j�j� A .-r4)-1. 1/2" 0 Z N z 37.0" • ���^�• Aq IRON PIPE U U Lk O as 1 I o t�� 1: LFR ON LINE 106 a W 0]a^ o _ °° ?06' �:�; WITH WALK O • �0+ w w y }o°° z F 1 - 5 cow. � •• o AREA `�6'` ti AHU �5F - /• °\ O CA.7 a e ''I_ 18.8' , 804),rbrO r ti 39- \7,,16, 44 S H W a H O1 1/ 2" I 9e • N•' H I-. REBAR o 0 H H 41 r7 m L85488I- S•0' ,ham' AC ,4' • co W H H ^ 3 • J �:/;1, PAD • PA P4 H i 4' : Li P4 3 F-I L N 1.3' C, •1 • z w v. O a • . vAy Z - ZW � ♦ • 3 '� <m .. 41.Try•Q, BLOCK 4 COMMUNITY MUNITY DEVELOPMENT N .. o LOT-33 „• Y BLOCK 4 • �, APPROVED m _ lo • 0.8' .. . L algSX- 190-e Tr: P,al,e/124i3OUlct PU i ai. UNE I 0• .; IRON PIPE 1.1'•--/ 7 i-9 _ n ■ a 1/2 I FENCE 20' EASEMENT FOR DRAINAGE,/ b *{tyJ r'N� REBAR I . IRON PIPE + r ONLINE ( — r r.8' r UTILITIES a SEWERS t-V LI-ow S A GTvp L, 0.1'-' I r— — — — r ?T U/oil /• S 82'26'50" W 41.72'6 (M) •` LOT-24 PeUP6 . � I s' 10' I S 82'28'36" W 1 I 41.71' (R) BLOCK 4 REFERENCE JOB NO. 66334 LOT-23 BLOCK 4 l_01-1) SELT/oAi DArHA4g0/1)4; 'rev j,0 IA./ FhZL ZD).3._ Huce,c,9 10V IA/. TREE & VEGETATION AFFIDAVIT City of Atlantic Beach I1, vI 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 Owner(s) r- Legal Authorized Agent* NAME OF APPLICANT L.. `- t' 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 5q 8 S.Sl3z'4y 4 v lion address has not been assigned to this property,contact the AB Building Deportment at(904)247-5826 to request an address. LEGAL DESCRIPTION LOT 3 3 BLOCK 4- SUBDIVISION Sf4ct4"1 REAL ESTATE NUMBER 11'6463 --0(/3 . LOT OR PARCEL SIZE: SQ FT 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 that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from t escribed or adjacent properties in conjunction with this project. SIGN URE OWNER SIGNATURE OF OWNER Signed and sworn before me on this day of 3sP ,2Ot ,,by State of County of Identification verified: L _ Z_ 7 0 8s0— 0 Oath sworn: Yes (- r No 4 09 TONI GINDLESPERGER 1,:';'''17;,-t,:‘ . MY COMMISSION if FF 924951 , Nota gnature - •.,x` ..a EXPIRES:October 6,2019 , 1 t Bonded Thru Notary Pudic Underwriters RE 144;16 � My Commission expires: