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368 1ST ST RESO19-0006 REPL DECK ON GRADE RESIDENTIAL OTHER PERMIT PERMIT NUMBER if) RES019-0006 a: Vr CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 3/21/2019 19r ATLANTIC BEACH. FL 32233 EXPIRES: 9/17/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL •RK MUST CONFORM TO THE CURRENT 6TH EDITION1 OF i ' CODE, OF BEACH CODEOF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. 1013 ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: RESIDENTIAL OTHER SINGLE OR 368 1ST ST TWO FAMILY RESIDENTIAL replace deck on grade $2500.00 OTHER TYPE OF • ZONING: :D • • • GROUP: 169750 0000 ATLANTIC BEACH COMPANY: ADDRESS: ROBERT GWALTNEY INC P 0 BOX 49028 JACKSONVILLE FL 32240 BEACH • ADD ' WOODS JEFFREY C 303 6TH ST ATLANTIC BEACH FL 32233-5347 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF • . • Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. Issued Date:3/21/2019 1 of 2 RESIDENTIAL OTHER PERMIT PERMIT NUMBER J i\ CITY OF ATLANTIC BEACH RES019-0006 �~ 800 SEMINOLE ROAD ISSUED: 3/21/2019 9" ATLANTIC BEACH. FL 32233 EXPIRES: 9/17/2019 2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 4 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking must be removed from job site by Contractor. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $65.00 BUILDING PLAN CHECK 45S-0000-322-1001 0 $32.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00 TOTAL: $151.50 Issued Date:3/21/2019 2 of 2 ri�Ly;y+ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.)_ 800 Seminole Road /_F C p l Cl 0000 Atlantic Beach, Florida 32233-5445 G J Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM , I s Property Address: 3 �� - --Department review required Yes No Buildin Applicant: -�nL Planning &Zoning Tree Administrator Project: (�Q�LR- �Q�L�- V� «r Public"Works ublic 0tilities Public a e y 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. of applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 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 City of Atlantic Beach APPLICATION NUMBER S )t� Building Department (To be assigned by the Building Department.). r n 800 Seminole Road r' Atlantic Beach, Florida 32233-5445 G J 1 V (J Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.usDate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Sfi Property Address: 3 4 � 1 �� ment review required Yes No Building Applicant: VJC4 �� l�v , L Planning Zoning \ ,I Tree Administrator Project: (L2Vit L ,� �Q�_L �j n G� (l( Public"-w�o—rps_ (-Public Otilities Public a e y 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 by:v� /� Date:3^ r t " t ci 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 -1% I i , City of Atlantic Beach * APPLICATION NUMBER 9� Building Department 3 (To be assigned by the Building Department.). +n 800 Seminole Road //� CC Atlantic Beach, Florida 32233-5445 MAR 1 1201 f G J� C1 00 Phone(904)247-5826• Fax(904)247-5845 E-mail: building-dept@coab.us Date routed. t� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM S Property Address: 3U ( .. �� - De ar#ment review required Yes No Applicant: 1 __bbk t 1J!n)ej 4, _JAL Planning &Zoning Tree A ministrator Project: (awL L yA <7P=2i oris ublic tilities Public-aae y 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: 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 City of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 v Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ( J� De artment review required Yes No �) ildin Applicant: C, , L Planning &Zoning Tree A ministrator Project: (�Q�� C C k C)A J(J (-Pubic( s` ublic Utilities Public a e y 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: BUILDI PLANNING &ZONING Reviewed by: Date: 1 201 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 Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department "ALL INFORMATION �< <r 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: :� c 4e 6 ( +. Permit Number: ��iS 0 Legal Description Lo'- 2 1 13100 Z Wy,� Nh- UA 14 SQL 2 RE# Valuation of Work(Replacement Cost)$ 2_,, 50o Heated/Cooled SF cz, Non-Heated/Cooled • Class of Work: 91,ew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool [`_]Window/Door • Use of existing/proposed structure(s): ❑Commercial 1 Rsesidential I�AR - 5 2019 • If an existing structure,is a fire sprinkler system installed?: Dyes ❑No !, • Will trees be removed in association with proposedproject? ❑Yes must submit separate Tree Removal Perrrrit -bJ o Describe in detail the type of work to be performed: i Florida Product Approval# ) for multiple products use product approval form Property Owner Information Name 01a_V c7 U-)on L Address S� City . CkN State J:'�L Zip 3 Phone `IO'li • 2141 -99-73 E-Mail O tc) ` Owner or Agent(If Agent, Power of ttorney or Agency Letter Required) 71 Contractor Information u ,,�GT�/t y !A�L l / Name of Company Qualifying Agent Address K v. Q ox 014 O 2- f City ISL State�_Zip 3 LLS a Office Phone el 014 17 3 (v / S-0 Job Site Contact Number State Certification/Registration#C-6Cuyy s5-7 E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR ExempAwDExpiration Date 2-040 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 regulating 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 YOYR PROPERTY. IF Y INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 0 ATTO NEY B FO E RECO RDING YOUR NOTICE OF COMMENCEMENT. / (S nature of Owner or Agent) (Signature f Contr tor) Signed and sworn to(or a irm for me this 5-day of Signed pnd sworn to(or affir )before a thisI day of,.. 6 a/kc)h 20\01R9NA 9-6q 1 ignature of N tary) °.KiI I" '4MM9fAMff*kL c/ #r ;>>mmission#FF 218261 �• f* €mi.esA tl17,2019 [ ]Personal) ia2i"" TONI ONDLESPERGER [ ] ersonally Known OR �R„ dad ThN Troy Nin leMxance 8003B5JOt9 `= .- MyC044MISSION0FF924951 �roduced Identification [ ]Produced": fon EXPIRES:October 6,2019 ` �.11►5���y�-�.-. Type of Iden iCt{tiiJ"'' g �F Type of Identification: ,WALK . BEARING REFERENCE 4.7 •:: :.tes�.•.�. ... 50.0 (R) (R) _(—_ --- - ".`:•• •.:: 4 5.00 TO EAST COAST DR. Ci51V�RETE =. DRIVE Abbreviation : ,:.�.•.: N Table Abbrev. Code Descrip Y':-.. . " , •�d CONCi ETE PC PRINT • pRIVE CURVAT PT POINT ti 16.0 86 w TANGEP Ld POC POINT —0- 62 n D CURV 11 38.9-\ �. ORV OFFICI O I N RECOR: VOLM' O R/W RIGHT OF ONE STORY WOOD & i r? ROW RIGHT OF ONE STORYMASONRY RESIDENCE #368 X38 8.6 BK BOOK WOOD & 374 LLI N I PG PAGE p0 31 a POB POINT X BEGINNI II 4' 1_1/4 A/C N COV'D COVER[ O 18,8 \UA, WELL 16.0 M STRUCTI O APPROX APPROXIN 6'2 Z BLDG BUILDII �� CONC CONCRE 4/r 00 �-1-t' , R RADIO' C n. -Cu �X 1 '�l Q SEC SECTIO /�fO JJ ET ELECTR LOT 23 �l TRANSFOR BLOCK 2 Y AC AIR CONDITIOI Z M CH CHORD LEI `16.b cI_---- `_ L ARC LEN( 0 wOH OVERHE/ z w WLOT 1EST 9 2 EAST 1/2 TR E TRACT 0 Lu OT 19 w o LOT 21 i F BLOCK 2 z BOCK 2 PT POINT E TANGENC a 3 BLOCK 2 l a J MNTSNOT PLAT BOI io a a IRON PIF w g b SECOND: ' p AIR "2 io CONDITIOt` TO SCNTRAL AI Synbol Tnble 0 50.0 R 25.0 (R) 0, Cade Description syf* ( ) 6' WOOD FFNCE LP LIGHT POLE -- VAMVS WATER METER MV 0'0, i ELPME I a S89°38'13"E 75.03 DEED j Hatch Tabte ERAL NOTES: i LOT 22, BLOCK 2 LOT 20, BLOCK 2 LOT 18, BLOCK 2 CONCRETE UNDERGROUND UTILITIES OR STRUOTURES LOCATED. STEPS UTILITIES LOCATED EXCEPT AS MAY BE SHOWN HEREON. ATTEMPT WAS MADE TO LOCATE JURISDICTIONAL WETLAND LINES COVERED R TO NOTIFY THE PROPER AGENCIES. STRACT OF TITLE WAS NOT FURNISHED TO THE UNDERSIGNED. COVERED GRATE 2TICAL DATUM BASED ON THE N.A.V.D OF 1988. y- Synbol Table 3 /„8l ✓ S`�: Code Description synb ED USE AND DISCLAIMER lY(/ i VATMET VATER METER USE OF THIS SURVEY, YOU AGREE TO BE BOUND BY THE TERMS WRITTEN ON THIS FP CPIPF IRON PIPE f. CPDF • iIS SURVEY IS INTENDED FOR SOLE USE OF THE PARTIES CERTIFIED HEREON. GRT GRATE 3 PARTY SHALL ASSIGN THIS SURVEY DRAWING OR ANY INTEREST OR i;-FC SIG 3LIGATION HEREON WITHOUT THE PRIOR WRITTEN CONSENT OF THE UNDERSIGNED. CTL CONTROL JY REPRODUCTION OF THIS SURVEY IS PROHIBITED. OY�'G\ >Ps ]SET r Ra oeea> BANKS&BANKS I HEREB Y CERTIFY TO. CONSULTING, INC. JEFFERYANDCAROLYNWOODS '' 83 WEST 9TH STREET ATLANTIC BEACH,FL THAT THIS SURVEY MEETS THE STANDARDS OF PRACTICE AS SET FORTH BY THE (904)-6852800 FAX(904)-686-2345 FLORIDA BOARD OF SURVEYORS AND MAPPERS UNDER THE DEPT OF AGRICULTURE AND CONSUMER SERVICES,PURSUANT TO SECTION 472.027 FLOR, A GEOSPATIAL COMPANY STATUTES AND CHAPTER SJ-1Z�50 FLORIDA ADMIN/S77RATIVE CODE BANKSANDBANKSCONSULTING.COM - q IFIn. ��