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275 SHERRY DR - PAVERS ACC18-0051 \ �;0,A./r, City of Atlantic Beach APPLICATION NUMBER _i$ F. i\ Building Department (To be assigned by the Building Department.) "1 , - 800 Seminole Road J e Atlantic Beach, Florida 32233-5445 de Phone (904)247-5826 • Fax(904)247-5845 •Peart 04 E-mail: building-dept@coab.us Date routed: Z - City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 5 r Property Address: Z 7 S 1,'�ER p_y 6 0 Department review required Yes No �uJing V Applicant: 73 E4 \i‘( etjv C RICK p1/4,0G4_nning &Zoning ) Tree Adminisfor Project: P_ w a Columu• is Works y1 _ ublic Utilities ° ` t RE RPublic Safety II Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date QA — of Permit Verified By Florida Dept. of Environmental Protection Glnn Florida Dept. of Transportation 0,013 %.._10 St.Johns River Water Management District ( p V6- Army Corps of Engineers � Division of Hotels and Restaurants �% C Division of Alcoholic Beverages and Tobacco �O Other: \ APPLICATION STATUS Reviewing Department First Review: Approved. Venied. I !Not applicable (Circle one.) Comments: - :UILDIN PLANNING &ZONING Reviewed by: Date: /0 �� TREE ADMIN. Second Review: )C(Approved as revised. r]Denie ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES 'M PUBLIC SAFETY Reviewed by: / , r) Date: /i's/6"-'r FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Js.tok-.' CITY OF ATLANTIC BEACH iF �SJ 800 Seminole Road - r4 Atlantic Beach,Florida 32233 ..,:)v1 REVISION REQUEST/ CORRECTIONS TO PLAN REVIEW COMMENTS Date /jL/M Revision to Issued Permit Corrections to Comments Permit# Ne_C`g-Uvs 1 Project Address :,2-7r JX-�`^ f" G� '�T/G ?'� /i y1-2�y Contractor/Contact Name ' f 04e� Rre^-1' ( // 4 Phone 70 )-26- 2221 Email ‘i/OeplA64,11(Aci— Descriptionescription of Proposed Revision/Corrections: Permit Fee r ue $ 561- O 7 1ijec.tc 4r ' etsv(om-J'li eAtk ecef„4-.c,i 5 ),^ 7--Dlfbce 414._.ei ee /c i(7GAJ/ e.wiAc eli.J' / �4...t_r'" e/'q p aLi'cr 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 X Denied Not Applicable to Department Revision/Plan Review Comments De,a t. -nt Review Required: eui •.,, � /r Planning &Zoning Reviewed By Tree Adminis r. •r e---Irublic Work p/ Public Utilities /k16 -10 Public Safety Date Fire Services 45? !, ' •, ,P CITY OF ATLANTIC BEACH - S', 800 Seminole Road 41 lay)? J Atlantic Beach,Florida 32233 c REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date 1/-/4(-4 Revision to Issued Permit Corrections to Comments Permit# 1\CCk 0-005 l Project Address i , /'^ I/1744- ?.. dlt.--(-2- Y -2-33 Contractor/Contact Name (, f `�'e.V :rerS (eXE/ r% Phone `76sy-' -2-24— 2Z ( Email e"(a ‘VeDeenza4.0(Acf Description of Proposed Revision/Corrections: Permit Fee Due $or __./X:C.Ajec, Al 4 r•C"--r ?et-vii5 X I r�7e� eA- 41ieA. 74),- �'C7e/' , A-04, 1 /Y+.c"e C4 /6 7-D r'OC-€ClA-‘'el; / C'_ re-<- C if/ e, !A��74&f / /ri. - r//l/ le ,o r 6tJ'toi� J 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 De artment Review Required: Planning &Zoning > Reviewed By Tree istr ublic Works j Public Utilities / — I F.— I e Public Safety Date Fire Services cJ 6I1.e i `-J<-l/ s E(ev<_z4 o z.S red- £ /( < ,\,il( � -d .�� s'L "lye.- /11)i-es-DC/L. z 8,7 < kiK// U4/A,/ki sk,e-fic c°07A6tAj 6i -S9 17 // 4 cavc47w,:ts62 r /o&. /1 c l�l�h f G.>-c�( (�f .214 (% ///e:5/7z 7 7A:If.c e7 ,f(0,4,e Aq/e eo/A,m,iy- 4/-e. e Jo l( ii(e * rt,_,,,,,, � TREE & VEGETATION AFFIDAVIT ___ ___ 4"'- City of Atlantic Beach F' 4 s) Department of Community Development t; - Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 n �� roo C U;tl9'" N �.J (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION �wner(s) (- Legal Authorized Agent" NAME OF APPLICANT ) f5Z¢ 6,q 4�._ NAME OF COMPANY ADDRESS OF COMPANY 2 )S 5i* gy - / ,/&' PHONE 3,2_03—‘5-- CELL EMAIL .tea t _•6,4 OW 44_4 --.CERTIFICATION NUMBER ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY 1 7 5 ' k r r-c-C r--- ll on address has not been assigned to this property,contact the AB Building Deportment at(904)247-5826 to request an address. LEGAL DESCRIPTION 1V\1 be r-4- L4o m e ss .s/, L0+ 3 LOT BLOCK SUBDIVISION REAL ESTATE NUMBER I t6' 8b Z -0000 LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL V 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 nd/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently,I affirm that no ulated trees and no regulated vegetation will be damaged,destroyed and/or removed from the above-d•scrib•- .r•dj• • t prop ies in conjunction with this project. 1 ,.. Illk f S ' SIG . URE OF OWNER SIGNATURE OF OWNER Signed and sworn before on this j(day of l 0 ,2001P)by State of '�1 jac=brCZ. LCA I i'-‘.Q(--- County of oOQ. Identification verified: C-,4 Z r IPP— r, co- / z- Oath sworn: r Yes r-- NQ ( �� / • ...... 10N1 GINDLESPERGER >g�Y , NotarySignature :, �a ;+. MY COMMISSION�FF 924951 9 EXPIRES:October 6,2019 My Commission expires: REV iiwiiiLi z 8andod Thru Notary Public Underwrters 7-Cs (-- /*-e_Ai't, /10 --(C.- [ , j;.-1141 _, L /14-lie l--(`--.& I PROPERTY L AA-e_. _____ " CPE v/oiAS ?caraGglk. i V - ' _. --STOP WAL ii II \ ! \ i \ I \ \ \ j � ` I \ -4 `-d eat,re,s7( 8' x 8' SPA ii 10,4.444,, F: I e� � I , G)/D-Ft% \ N., ,� �l �/�' ` 2 DECK .. --;-:;:z,...,, p veA-1 S-1f` it 54., 4 ; DRAIN r r, — .. ,u-/-<-( e)7NrieJ (1 ; -10 l i 1 [ DOWN SPOUT , 7f, t52-->) -.7e ' � W/ DRAIN '�'�< DOWN SPOUT EXI: ,,. W/ DRAIN WOOD 1 I j I Iiij „ ..•••••■•••""""” #ontg-0/4rittit ': 0 7( 64/(11at _ ___ c_— ---- - ( PROPOSED t 10 )( / 0 EGATE 6" —> I FRENCH DRAIN 1 i ---, _-,- ". ...`' I 0 4N"--- - --SITTING WALL r7Nlir 7__ ' - V- /( OAK V _ • / 46" X 30" A COLUMN \) / ___ / e , .. _., 1 i IL 1 -' 1 t - Li. ,... ....30r-FIREPIT-- 1 ,/-- Eix i .e...1 ria•rea. I 1 ' I lb ep.e.:(eKM>i,d 1 I i. i e-ts 1 \ i Are* ( - 1 k 0,--i --------- t STING DECK-- 10:(et( ?1 0-re-7) DOWN SPOUT - \ I 1 WI DRAIN 6Z-- —fi,1-)41 (PeApr/b1A-..5" ( r/ex._5- i 1 1 1 I I 1\( 1 ' 1 . t I • !-"1,`J Jel '1 f CITY OF ATLANTIC BEACH C. ,) 800 SEMINOLE ROAD !J ATLANTIC BEACH, FL 32233 (904) 247-5800 1.71.Jlfl9 BUILDING REVIEW COMMENTS Date: 10/1/2018 Permit#: ACC18-0051 Site Address: 275 SHERRY DR Review Status: denied RE#: 169802 0000 Applicant: BEST VIEW BRICK PAVERS Property Owner: BILL GALLAGHER Email: chadelderbv@comcast.net Email: WILLIAM.GALLAGHER34@COMCAST.NET Phone: 904.226.2221 Phone: 2032784512 THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Corre tion Comments: 1. Create a site plan with the locations of all items to be built/installed. . Submit elevation drawings of the work to be done with dimensions of their sizes. . Submit detailed information on the size and heights of the columns. 4. Submit all information of the wall/sitting system from manufacturers, installation procedures and engineering if available, to incl�uule footers or soil preparation. J/- / 6- 1' Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 904.247.5844 Email:mjones@coab.us Erna ded Review Cvryi 0Aperir lD-f- 01 S /11 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 „:f!r:LYYjn i ,.. RIGHT-OF-WAY/EASEMENT PERMIT 91,111r4 1.� Permit#Issued by the City of Atlantic Beach PERMITTEE RE PONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES/ Job Address �� )1= 711{4- , �� gee/ez Phone d63- 2128- 4/4r7 2_ 3.1223 Permittee 1 \Vk G G a\`o 5ti`(/ Email A--)/ (/I • 651/34v--31def d VA-f � !�Requesting Permission to Construct �vee'("?..2740 Location(Reference to Cross-Street) 3 ” — l • 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. • Whenever necessary for the construction,repair,improvement,maintenance,safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works,any or all said poles,wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of Atlantic Beac or Florida ,epartment of Transportation Standards and be performed under the supervision of ,� /- (Project Superintendent) /with Company Name , e i'4 R Yey£f�� Phone "14 D..14—222-( • All materials and equipment shall be subject to inspection by the Director of Public Works. • All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the manner satisfactory to the City. • 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. • The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are 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,damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again immediately upon completion. /1"1,0 (e� �� 1%' Date Gif 1;1 k ( t Permittee(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this2 I day of eljfie 4.6� y,20 l p , by LN j1 +( cvi C Go.\\G 91A(/' ,who personally appeared before me and (printed name of Permittee) acknowledged that he a signed the instrument voluntarily for the purpose expressed in it. t e/1 t 4/.71 '•rsonall Known :nature of Notary 'ubli ,State of Florida �+c+ -� tion(Type) . 4? MY COMMISSfON GG 255331 1::;....144.g..$ EXPIRES:^ tember •.; �.no; �P 5,2022 Bonded Thru Notary Pubic Underwriters r REVOCABLE ENCROACHMENT AGREEMENT oa1'9 REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized W(/a d exi tng under t la o�f/the State of Florida,hereinafter referred to as"CITY"and kJ/ 4/- &"(( ki..- 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. 1 This work is generally described as --f-11J- 't 1 4 ve _ C'o 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 �Lice to US sha be en by certified mail, return receipt requested,to the following address ). ,,er J 1 M (JY• O( '~1t� ._ ten l' . .2 7,c' .31131 • 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. 74-)/174-)/1 «o"iDate I s' 1 I V Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL cl —�- f�I��� ,20 1 0 , The foregoing instrument was acknowledged this 2:1 day of e-p by t..AMi 4n C G•a\e 4 S `e/ ,who personally appeared before me and (printed name of Signer) acknowledged tha a/she signed the instrument voluntarily for the purpose expressed in it. 1Ik,. nature of Notary Pib ic, State of Florida Department Approval: Personally Known lb Produced Iden"- :° JAMIE D.SMITH * it. := MYCOMMISSION#GG255331 Scott Williams, Public Works Director • .r 4; EXPIRES:September 5,2022 .Fdr f Bondod Tin Notary Public Under t tern O:\Public Works\ Revision Date:8/31/18 aS'=U.%, City of Atlantic Beach APPLICATION NUMBER �S Building Department (To be assigned by the Building Department.) r 800 Seminole Road S -r) Atlantic Beach, Florida 32233-5445 _ - _ l Phone(904)247-5826 • Fax(904)247-5845 Q D"4\-PfilYto;31g E-mail: building-dept@coab.us Date routed: ( Z g 7( g City web-site: http://www.coab.us III APPLICATION REVIEW AND TRACKING FORM r ri Property Address: Z 7 5 S k 0i2DePartment review required Yes No n (uil ing L A plicant: ( E.51_ \i t evo 61,_0Le___ l' Pk-0C anning &Zoningp � Tree Adminis ra or Project: P= LLD rt c_o L o \ u is Work y� ublic Utilities) ") t(L Pt ( -� Public Safety I Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date _•1ICA of Permit Verified By Florida Dept. of Environmental Protection � Florida Dept. of Transportation ©� Q c St.Johns River Water Management District ` c 11 VV Army Corps of Engineers l Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco . 0 Other: APPLICATION STATUS Reviewing Department First Review: (Approved. /1/Denied. [(Not applicable (Circle one.) Comments: �� ` /� BUILDING L/ . 4,SiffeyAt- T � it> PLANNING &ZONING Reviewed by: 66' Date: 0-2 I8' 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 c,r.Ne Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 j�hone:(91,)2, 58 6 Fa (904)247-584547 /� Job Address: ?� C(/� "f` � ¢/�G Permit Number: �C I V O , Legal Description 2_ I— 3 e I6 c^ a E/ i S RE# ' " Valuation of Work(Replacement Cost $ /-Sf COO Heated/Cooled Non-Heated/Cooled • Class of Work(Circle one 450 Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Cesidential • 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 Describ 'n detail the type of work to be performed: ' is•(�--Gl 70._vet-- 4i b/, ..1-7 ` : Zv�L//j a(a- 74-e../z;71 Crfytry�,.. ef.) Florida Product Approval# for multiple products use product approval form Pro sea Owner Inform..,,.n / Name: / /` i C -- Address: 7.5— ,rI ej" ..„) j' _ City i ¢h C sc2 JState P` Zip 3.2 3 Phone ©3" 2'Z8 YSIZ E-Mail Zvi' /`*7irc..- ?ccq y 0 CP,Ane4d - Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Informa h , i 7 Name of Company: �51 .i /4 e'��'` Ae Qualifying,ent: 5<4,"" Address —sS �'QL'evi /(e. �� City �/K>C' State t"4- Zip .?2.-2-/�, Office Phone _224-2221 Job Site/Conl'mer a - - 2)a State Certification/Registration# E-Mail ff/ Cb41V41-e A. 7( Architect Name&Phone# Engineer's Name&Phone# Workers Compensation r-it/'-''?1-A f 'r & 2- 2C 20 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 YOURCgOTICE OF COMMENCEMENT. a,:fei____ R ,Z4- ';j) (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Sineol and sworn to(gr affirmed)before me this 97 Vf Siga'ed ndj�worn to(or affirmed) �° m�- day of f;�,V., Zu\1 by t�•'0 � A\ aJ%. V140,-, o.t , by Llii`." 1ilko.-- ~_ !`� 4,-. .,__ Si:nature o Notary) ...1 PAW mei S(•- ., JAMIE D.SMITH ,� [ ]P nallyKnow t :,__ MYCCMMiSSION#GG255334 [ ]Per onallyKn•' 1i;_, ' JAMIED.SMITH I. • ; i= ;,: MY COMMISSION#GO 255/1' f-diorroduced Identifi • •: ►•�•P5 EXPIRES:September 5,2022 roduced Ide,4 ;,„,k,..•P<s ARES,Sp� Type of Identificatio• ." ,""' BondedihrUNotaryPubfcUnde if, 1 Type of Identific.''rori 2!;AOP•' Bonded P mber5,2.,., --------� itxu�Public Undc:�•:.' � ;, RIGHT-OF-WAY/ EASEMENT PERMIT r L' �t .r Permit#Issued by the City of Atlantic Beach PERMITTEE RE PONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address W JD)? 047,„,"f Phone d 63- 2 f) S- 54f 12- 31233 / e Permittee 1\V%a . G c �\d 5.\"(. Email , X )/ 4,-. o:/ .-2 6 e. /� ARequesting Permission to Construct �`,,- ,�vee � Location(Reference to Cross-Street) 3 "e_ l • 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. • Whenever necessary for the construction,repair,improvement,maintenance, safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works,any or all said poles,wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of Atlantic Beac or Floridaepartment of Transportation Standards and be performed under the supervision of / - er- (Project Superintendent) with Company Name , k i'u /c/ a vey:f'/,� Phone /OIL a..14-222( • All materials and equipment shall be subject to inspection by the Director of Public Works. • All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the manner satisfactory to the City. • 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. • The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are 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,damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again 'immediately upon completion. ///(a C/ ���' �%' Date 7(Z`i 1( r Permittee(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL � II The foregoing instrument was acknowledged this ZI �day of _ ,M b ,20 (g , by W‘}1(1( A/''' C G0\\G 9 .-‘(./ ` ,who personally appeared before me and (printed name of Permittee) acknowledged that h- e signed the instrument voluntarily for the purpose expressed in it. 4 1/l t ik, '-rsonall Known'— j 'nature of Notary 'ubli ,State of Florida �: i —" tion(Type) l.- ,; .4k •._ MY COMMISSION#GG 255331 •e EXPIRES:;eptember 5,2022 • .,a.n,,, Bonded rnru Notary Public Underwriters ,ter% 7 REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation organized a9d exi tg under tiOt laws o,f/the State of Florida,hereinafter referred to as"CITY"and t(( 4 - 7 4 fey' 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 h-T' 4(,) 41'e )Z 4- 74.0 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/saidIle to US sha be en by certified mail, return receipt requested,to the following address 2 7 J JM:, ". Z' l C. 6e4c1 (&-2- .27s' .P2?3 • 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 � i assumed� by the USER. 74'1/'1 ( aso" Date q i `'-Ni i V Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 2:1day of Se-ptC 1j-.{/ ,20 1 0 q• , by \1 4A C a\\ c:5 ,who personally appeared before me and (printed name of Signer) acknowledgedO,ç1 e/she signed the instrument voluntarily for the purpose expressed in it. Ilk, e.nature of Notary PO , State of Florida Department Approval: Personally Known r'- Produced Iden •____._ ' _ - _ II -- --,� JAMIE D.SMITH „ MY COMMISSION#GG 255331 '-.74•--40.-R EXPIRES:September 5,2022 %'FOR„° BordM Tin Notary f'�rbift Undon�tkers Scott Williams Public Works Director O:\Public Works . k......:.-:-. ..___- ------- - Revision Date:8/31/18 MAP SHOWING BOUNDARY, TOPOGRAPHIC & TREE SURVEY OF: �4/4 /0, LOT 3, MILBERT HOMES SUBDIVISION. AS RECORDED IN PLAT BOOK 21 , PAGE 38 OF THE / CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA IN SECTION 16, TOWNSHIP 2 SOUTH, RANGE 29 EAST OF SAID COUNTY. LI LOT I CERTIFIED TO: 01 --Ca d-)S SJ_ JWB REAL ESTATE CAPITAL �/ LINVILLE F. YOUNG ox11.65 384 3RD STREET MILBERT HOMES SUBDIVISION agt/e.re• ATLANTIC BEACH, FL 32233 PLAT BOOK 21, PAGE 39 -0 ((// RE ID. 169800-0000 ORB 585, PAGE 508 11.10 S j 0.25 0:3) 6'WBF_r -- DN0 NAIL ISK LB3604AND ' 3223) FOUND I/2"I P. NO 60. MI5 m' CAP (UNDER FENCE) ET6'PLASTIC( -6 FENCE 11E-0.3 .., t HENCE /..1''''''. 1'11N24"OAK TIN �m n X0.18 Ip ♦ i AL m Zm o ���( 't/ 00 +. 12.2. �y--u' 6.5' Sl DECK 12.3 v -v!2o•BSL -• 11 7.5' 14.2' 0 31 .0'• LOT 4 D m r -n ,2.:1 WrprIZ�T. LOT 3 12./4 z 3.5' A/C LEANT Tom -N` 7 -ori i, Z T . 2 STORY WOOD FRAME �'' 'o N_rmr+l=*'' 0 oma770 . _(0°,rn BCEL 5 LLC rn • oN 12.00 wsA= ro' LOT 2 o ° °?-.36 275 SHERRY DRIVE -Op' 0 1, :IN . LAP ATLANTIC BEACH, FL 32233 N ^o mat-- RE e o o n 1v ORB 1743969PAGE 2009 m ooNm_ rT'' !, t o ` rrn `4 FINISHED FLOOR ELEVATION 12.80' m FENCE TIE: w O a m vm . � 3'X3' 0.5'N ,3 I�•+z r' ✓v ..),--.:-.1 PATIO 2.7' v -' - Ln 11.0' A lor)oicim 03 9 o, o 7.5 m ."��ox FENCETIE:'S 2.7. r 20.4' 8.3 ++ N nos py, 16-PALM 7.5' 2'2, t 112.0 rcl„- nmm l: +(t11.39 gra t +10'PA M , m _ o - �p w N 12.221+t 16.3' 20_gSL,^-- NJ 1 wI _ 12,09 mVlb`(W p 0 _•.27 L---12.08 GRAVEL ++ t ln ,a 21"CEDAR+ 1093 6(0.2---1- up - `-4 FENCE TIE: 0.1'N 11,54 111.3 ' --'-'---- -0 h HPALM_. .- -o CONC. DRIVE r m4 ENCHMARK- • 12 d+1M 11.43 `6•3 lP1J WALK ONE( FOUNDAR X-CUT CU a 50'p0"W GRASS RA R9b9 9.59CONC. &E CAP 'LT B 3604' 1 MOO '''' 102 GRASS 10.46• t P ONE 12'WPP WITH :/OWE 8 83 m .WAS �^ CI-HOLLY TRAMS.,UGE "8184 1 -' /r 16.3' 8.64 LEGENDT ONE BiCK OF ARB "� CLF CHAIN LINK FENCE 960 f ` T9.61 C�4C, 8 : L...----_, PAVEVENT ASPHALT CONC. CONCRETE TELE.RISER EDGE EL. ELEVATION GRASS L LOT 3 PLAN 2500 LEFT ' FL FLORIDA _ 8.48 IRC IRON ROD IEAND CAP 8.56-7-....:7------ ASPHALT Y RIVE LOT SZE 6,346± SF. 595± S.F. ORB OFF ICIAL ELECTRIC CBOOKE 8.36 O`D 60 NR w B1 PCpT 1 1D51 FLOOR Y TLIVING R/W 1,668±S.F. FRONT ENTRY 551 S.F. RE ID REAL ESTATE IDENTIFICATION NUMBER R/W RIGHT-OF-WAY FRONT WALK 46± SF. TELE. TELEPHONE A/C PAD 21± S.F. TRANS. TRANSFORMER SIDE PATIO 9± SF. UGE UNDERGROUND ELECTRIC LINES WBF WOOD BOARD FENCE GARAGE 407± S.F. WPP WOOD POWER POLE TOTAL IMPERVIOUS AREA 2,801± S.F.44% NOTES: I. BEARINGS SHOWN HEREON BASED ON THE PLAT OF MILBERT HOMES SUBDIVISION. AS RECORDED IN PLAT BOOK 21 PAGE 38 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA WITH THE BEARING ON THE EASTERLY RIGHT- OF-WAY LINE OF OLD SHERRY DRIVE BEING NORTH 12°50.00" WEST. 2- ELEVATIONS SHOWN HEREON BASED ON NORTH AMERICAN VERTICAL DATUM OF 1988 PER TRIMBLE VRS NETWORK WITH AN ORIGINATING BENCHMARK BEING A FOUND X-CUT IN CONCRETE WALK WITH AN ELEVATION OF 10.47 FEET (SHOWN HEREON/• 3. THIS PROPERTY APPEARS TO LIE IN FLOOD ZONE UNSHADED "X" WHICH IS AN AREA DETERMINED TO LIE OUTSIDE THE 0.25 ANNUAL CHANCE FLOODPLAIN, ACCORDING TO COMMUNITY PANEL 120075-0409-H OF THE FLOOD INSURANCE RATE MAPS FOR THE CITY OF ATLANTIC BEACH, DUVAL COUNTY, FLORIDA, DATED JUNE 3, 2013 AS PUBLISHED BY THE FEDERAL EMERGENCY MANAGEMENT AGENCY. 4. THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A TITLE COMMITMENT. THERE MAY BE EASEMENTS AND/OR RESTRICTIONS RECORDED IN THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY FLORIDA AND NOT SHOWN HEREON. 5. THIS PROPERTY IS ZONED RESIDENTIAL SINGLE FAMILY (RS-2I WHICH PROVIDES THE FOLLOWING SETBACKS: FRONT: 20', SIDE: COMBINED 15' WITH 5' MINIMUM ON EITHER SIDE; REAR: 20' PER THE LAND DEVELOPMENT CODE FOR THE CITY OF JACKSONVILLE BEACH. 6. ALL LIVE OAKS AND LONG LEAF PINES ARE MARKED. ALL OTHER OAKS ARE SCRUB, WATER OR LAUREL. ALL OTHER PINES ARE SLASH OR POND. LEGEND: SCALE I"=20' I IIL'REar(CR11.'r runt 11115PURYRr M!L'IS IIIESIANDARDSYP . gal consultonts PRACTICE.AS SF7I FORTS RV 7110 ILMRInA BOARD nI SURVIVORS 1701 RIVCf�IiSS!ROYICVird Suite 900 AND MAPPERS PURSUANT TO CNA..*n ON OF TMC FLORIDA Jacksonville Florida3220/ SIAIUIIS AND SIV OF 1117 11 01.105 A,IMINISIEAl1YL COD, 904-363-II 904-363-1110 Fax) .U.P www.gaIconSu tanto-co1M JOS No. ,/')i ''1': CERT N0. LR3:9+ .FNGINACRING•M"ANNING•SURVIING• IJAFRVNTA B160030 DATE IUNE 25.201$ JOSEPH I£-.CEK Ft+1.__PS.Af CITRT .O.LS 6016 _._ NOT VALID WITIIOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED PROFESSIONAL SURVEYOR AND MAPPER i':Lp.if City of Atlantic Beach APPLICATION NUMBER �� �� Building Department (To be assigned by the Building Department.) 800 Seminole Road ECEIV ' l` U� —( s -6.. 0 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-584 �] / E Q x!,on �? E-mail: building-dept@coab.us SEP 28 2018 E1)Date routed: ( Z c / ( City web-site: http://www.coab.us ro tL APPLICATION REVIEW AN ING FORM Property Address: Z 7 S S kp- b,-2_Department review required Yes No uil ing 1 Applicant: �S� Y I EW is fItt� Ppwc /aring &Zoning pp /_ � Pi Tree Adminis ra or Project: la Wk. aoLum u is Works 1P-'- � ublic Utilities 1 ` L(2-C---- Pt y Public Safety Fire Services Review fee $ Dept Signature et.,..} Other Agency Review or Permit Required Review or Receipt Date eiQ{L of Permit Verified By nn Florida Dept. of Environmental Protection �`1v Florida Dept. of Transportation C©� 9 St. Johns River Water Management District Viu Army Corps of Engineers � Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco N0 ` Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. of applicable (Circle one.) Comments: `e BUILDING PLANNING &ZONING • - e----•/6----1----- Date:/€2-2-( Reviewed b 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 bd�'7J? lototer REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized a exi � under t la} of/�he State of Florida, hereinafter referred to as"CITY"and g k/'((i'��h. Al/`t /�►G� 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 h.r!4 aT 14 ve -{T O Any facility maintained, repaired, erected, and/or installede tin the exercise of the privilege granted remains subject to relocation or removal on thirty (30)days' notice by CITY to USER saidLice to U sha be en by certified mail, return receipt requested,to the following address 2.9$ f' M t r �A e4cA (<2 .27xr- - 322 ?? • 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. /e-1/-1 (2 3Date Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL }- I The foregoing instrument was acknowledged this 2'I day of Se_p 1�.�'vtl,-eV" ,20 ( , by kAM l 4n ( a\\ 4 5\e/ , who personally appeared before me and (printed name of Signer) acknowledged tha a/she signed the instrument voluntarily for the purpose expressed in it. ature of Notary Pdb ic, State of Florida Department Approval: Personally Known _ r.:` �J Produced Iden �( , ) JAMIE D.SMITH s MY COMMISSION#GG 255331 Scott Williams, Public Works Director A*• EXPO:Septet 5 2022 '''`.O« ;°•'• Bonded tan,Notary Pubic Underwriters O:\Public Works\ Revision Date:8/31/18 • ,a , - ;� RIGHT-OF-WAY/ EASEMENT PERMIT .+ Permit#Issued by the City of Atlantic Beach PERMITTEE RE PONSIBLE FORORNOTIFYING� 811 AND OBTAINING UTILITY LOCATES Job Address Y 1� )r. 7 4 O eAc/,q Phone ?03— 2 ri S" �r72 Permittee 1..� 1\\'‘G,,i G ct\\a 51"(/ Email .4// /44... 4/54.? Fonicr-�y , Requesting Permission to Construct VI--1 a .i/e%- .Q--{-jb Location (Reference to Cross-Street) 3 • 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. • Whenever necessary for the construction,repair,improvement,maintenance, safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works,any or all said poles,wires,pipes,cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of Atlantic Beac or Floridaepartment of Transportation Standards and be performed under the supervision of �cft'/- (Project Superintendent) with Company Name , I /cttR vey'�J 4 Phone 'II- X1 C— 2221 • All materials and equipment shall be subject to inspection by the Director of Public Works. • All city property shall be restored to its original condition as far as practical, in keeping with City specifications and the manner satisfactory to the City. • 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. • The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are 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,damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again immediately upon completion. "kj/ , ( 1,17;Z-) ( r Date Permittee(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 2_I day of 19 dr ,20 1 , by 1'j'NI 1( slim C lTo\\\G 5LN C-' ,who personally appeared before me and (printed name of Permittee) acknowledged that he a signed the instrument voluntarily for the purpose expressed in it. I :A i kf- rsonall Known�— k__-t• L-- 0nature of Notary 'ubli ,State of Florida ,, �c •'—� . ion(Type) r, At. yi MY COMMISSION#GG 255331 t.7'4—, EXPIRES:September 5,2022 ,n°•'' Bonded Thu Notary Public Underwriters MAP SHOWING BOUNDARY, TOPOGRAPHIC & TREE SURVEY OF: il LOT 3, MILBERT HOMES SUBDIVISION. AS RECORDED IN PLAT BOOK 21 , PAGE 38 OF THE g/6/./4' CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA IN SECTION 16, TOWNSHIP 2 SOUTH, RANGE 29 EAST OF SAID COUNTY. °� �` LOT I CERTIFIED TO: o 64941 lfi" o (S J }: JWB REAL ESTATE CAPITAL ✓ LINVILLE F. YOUNG oo 1/.65 a4� 384 3RD STREET MILBERT HOMES SUBDIVISION � Q ATLANTIC BEACH, FL 32233 PLAT BOOK 21, PAGE 39 - RE ID. 169800-0000 -• ORB 585, PAGE 508 /,p S 10°25.45j P E 6 WBF - "� ENO DISK NAIL AND 32. 1 604' FOUND I/2"I P, NO 60.16 _ ---.1)/ 140 j 0, CAP (UNDER FENCE) - - 6'PLASTIC g ^' NCE TIE 0 3 N ',:� FEHCE ON LINE w -z uI CO- FF _'x 12.16` I`?' �m EISA 24"OAK N 44- jst //a . 1-pr18'lP1 1 . ALM m =m o 1. 65_=WOOD 12.3 DECK • T.5 ,. LOT 4 7.5' 14.2' -a 31.0' 0 " 12. $rnz�, 3.5' A/C PAD LOT 3 LEAN( T-Z -oT ; Z f 2 UNITS o o3 L^r- m Z m .I 2 STORY WOOD FRAME •'o N-mrrn 0CYp0 -am BCEL 5 LLC rn 0"1 12.00 0,i - ro LOT 2 o c: "-''•'�6 275 SHERRY DRIVE N 0 >,.., 0� 'ro - Ap ATLANTIC BEACH, FL 32233 _o mor-^-13 0 - 0 • �., •tJ RE ID. 169802-0000 -0 ` u00„nm- 0 "o p. ORB 17439, PAGE 2009 y V:n Zp ooN w TT o N m `1 FINISHED FLOOR ELEVATION 12.80' w FENCE TIE: u m vm �+ 3'X3' r 0.5'N gm ""- *--.� PATIO 2.7 -0 m ="o a _ ,r 11.0' p - -or'ofa co crMk-0 7.5' 0 co �Q r^..g' FENCE TIE: F" 20.4• 0 - A mo„mm 16"PALM 1.5' I: 1 13 11.39 or�c1' 1I0'PA M off -0 ca /2.2211111 16.3, 20'05L----- N w 11 - 12.09 °9.94 w 13 C '.27 1- -12.08~ GRAVEL 1 L ' s1p 21"CEDAR I 1035 0.39'. 1 '<VI•-T FENCE TIE: 0. 'N a IE'PAEM/1.54 // wa -0 26"CED R CONC. DRIVE C-l'IIn BENCHMARK- - !2-4.,M 11.43 ,- 1 Wim,, J --I FOUND X-CUT /.3)y� 6p 39`.P', ELE OHE EL (0.49' Op W ,_. ONE R�ER 9.59 SET 1/2'REBAR 1N,Q7 .. N iZ.50 - 9b9 & CAP 'LB 3604' 1 pGRASS DRIVE 46' K __A./- 10. 1 121YPP WITH / 8.83 W _- 'HOLLY TRAMS.,UGE BB4 O / -- E7 16.3' CURB T' 8.64 LEGEND: 9b0 r' 19.61 C 8..: BACK ppVEOENT, ASPHALT CLF CHAIN LINK FENCE DNC CONC. CONCRETE TELE.RISER EDOE OF FL FLORIDAON GRASS ` 8.48 LOT 3 PLAN 2500 LEFT IP IRON 856_lT------.2:-A PHALT �E LOT SIZE 6,3461 SF OHRE IRON ROD AND CAP OVERHEADEELEECTRIC LINE--B' 6o NAER�� �R T DRIVEWAY TONN/W 595± SF ORB OFF ICIAL RECORDS BOOK 0L� /11 1ST FLOOR (P) PLAT l FRONT ENTRY 55± SF RE ID REAL ESTATE IDENTIFICATION NUMBER FRONT WALK 461 S.F R/W RIGHT-OF-WAY TELE. TELEPHONE A/C PAD 211 SF. TRANS. TRANSFORMER SIDE PATIO 9t SF UGE UNDERGROUND ELECTRIC LINES WBF WOOD BOARD FENCE GARAGE 407t SF WPP WOOD POWER POLE 101k IMPERVIOUS AREA 2.8016 S.F. 44% NOTES: I. BEARINGS SHOWN HEREON BASED ON THE PLAT OF MILBERT HOMES SUBDIVISION, AS RECORDED IN PLAT BOOK 21, PAGE 38 OF THE CURRENT PURL IC RECORDS OF DUVAL COUNTY, FLORIDA WITH THE BEARING ON THE EASTERLY RIGHT- OF-WAY LINE OF OLD SHERRY DRIVE BEING NORTH 12°50'00" WEST. 2. ELEVATIONS SHOWN HEREON BASED ON NORTH AMERICAN VERTICAL DATUM OF 1988 PER TRIMBLE VRS NETWORK WITH AN ORIGINATING BENCHMARK BEING A FOUND X•CUT IN CONCRETE WALK WITH AN ELEVATION OF 10.47 FEET (SHOWN HEREON). 3. THIS PROPERTY APPEARS TO LIE IN FLOOD ZONE UNSHADED "X" WHICH IS AN AREA DETERMINED TO LIE OUTSIDE THE 0.28 ANNUAL CHANCE FLOODPLAIN, ACCORDING TO COMMUNITY PANEL 120075-0409-H OF THE FLOOD INSURANCE RATE MAPS FOR THE CITY OF ATLANTIC BEACH, DUVAL COUNTY, FLORIDA, DATED JUNE 3, 2013 AS PUBLISHED BY THE FEDERAL EMERGENCY MANAGEMENT AGENCY. 4. THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A TITLE COMMITMENT. THERE MAY BE EASEMENTS AND/OR RESTRICTIONS RECORDED IN THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY FLORIDA AND NOT SHOWN HEREON. 5. THIS PROPERTY IS ZONED RESIDENTIAL SINGLE FAMILY (RS-2) WHICH PROVIDES THE FOLLOWING SETBACKS: FRONT: 20', SIDE: COMBINED 15' WITH 5' MINIMUM ON EITHER SIDE; REAR: 20' PER THE LAND DEVELOPMENT CODE FOR THE CITY OF JACKSONVILLE BEACH. 6. ALL LIVE OAKS AND LONG LEAF PINES ARE MARKED. ALL OTHER OAKS ARE SCRUB, WATER OR LAUREL. ALL OTHER PINES ARE SLASH OR POND. . LEGEND: SCALE I"=20' uu.oT"NMI c ruAI IDIS auRver Nsus,ii.f I ANOARDSUF (EAT NO 9d� COflSU�tOr'tS I•RACTICF AS SFT FORTH INV tui.Ft oRmA u•ARn CIF SDRVRTOPA I]01 R:vcrplace Boulevard Suite 900 AND HAVERS IDRSUANI TOFnAItLR 572 027 OF THE FLORIDA Jacksonville ackssobn)v illlhFlorida 32201 sulunv AND'nc ur nu 11051 a+,eINSIRAnvL eum 904.363-1113((Faa) J`-------�-� www.ga.consultISIS wl° JOB No "1 CO Jcoa •TNC11412RINLI•II.ANNINC•sulevrvtve..•CIISr R\ICES 8160030 DATE /UNE 25.2018 30S£P11K.L:EK FLA PS.kiERFF.NU LS6016 NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED PROFESSIONAL SURVEYOR AND MAPPER (0,,AP-74,-) Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 hone:(91,)2 58 6 Fa •(904)247-5845 Job Address: 021 2,r j4 t)--- ' ----pe-- 341P-Permit Number: Legal Description a- If" 3 0 1 b If- )_.- E-In`/- Ixf,,,s, io 3 RE# Valuation of Work(Replacement C,LS /37000 Heated/Cooled S 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): CommercialResidential • 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 Describ 'n detail the type of work to be performed: As-it:e 7!1 Ye-4- 40/ .r? Zv4- Cb( 74 y,�/2i;47LGaal L.. ,j Florida Product Approval# for multiple products use product approval form Property Owner Inform •' n Name: o / a`l4 /" Address: �-� %..r/ 1-',-Cy r City 1 t l-e� / State PZ Zip 2- f'' Phone • j - - 27& - YSIL E-Mail Zai' t'?ice -y-/(74e‘.- 21 ) cehnC.2d' Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Informat' a/ / Name of Company: ' (--�1:1✓ ` ieK 1'�44�'r Qualifying ent: E-(` �,'" Address 1-5-72 a,-aleevv l(e C--K- CityJK" State ti-- Zip ,?2 -/ Office Phone /D 124.--.2.12/ Job Site/Cont mer y' ' '2 a'- 2/11-0 State Certification/Registration# E-Mail /'� E/ C'/'bi' a-6,YE€ /-e___7`- Architect Name&Phone# Engineer's Name&Phone# / Workers Compensation 4-._x&i?LrA t (Ir &- 2- 2C 2C7 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 YOUROTICE OF COMMENCEMENT. eia- ef"- /114.4 ( ''i) (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(gr affirmed)before me this )7 ay of Signed J.nd)worn to(or affirmed) to -tem": • day of S� -t^ 2,u\I by >\ Aft cAT jt' Q 4,-, )-o.a! by L-Aa ® ai / l i Ire a. MNA Si_nature o Notary) ,ON, JAMMED. ,',.... .., JAMIE .. D.SMITH [ ]P Wally Known !. .,: MY COMINISSIONGG25533t [ ]Personally Km,I.4•__1, MfYCYNNMISS(ON# �, roduced Identifii 3i���oi�.i EXPIRES:September 5,2022 roduced Ide ';'Li,�_ �'2` ?' .'�`c�F EXPIRES:September S,2C;., +�' Bonded Type of Identific.I oiitORn. Type of ldentificatio+ Notary Yp �__ . _ . '- '3'..