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331 7th PaversCITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND 800 Seminole Road Atlantic Beach, Florida 32233-5445 PLEASE SUBMkI,�*COM/PLETE SETS OF PLANS WITH APPLICATION. Date %/ / TA � 7 JobAddress 33f ? iCrF.� Si 3rrACH F� 32z3fPEIRMIT# ISSUED RY THE CITY Permitee: TortN �Slo�acT Telephone # Permittee Address: '3 3 / 77-'4 s i ,4Tz-At4-^LL-_ aC,-ac�,( mac. a JUL 2 8 2014 �AITL+ 7-5800 Requesting Permission to Construct: 72-cP444ac �'x25T�vy �2zv i*y wynl &,o C, NA�N [fit;' "�6Rvxbug .� 1'r.,,p62y��,S PA✓E2S Location: (Reference to Cross -Street) �-r M STl1-E E�Sr cmc sem' 72 A654--/1 Applicant declares that prior to filing this application he has ascertainedthe location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) No ( ) Date: 2. 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 of 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. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of * . 5,674 `-' CoL4ZA)S (Cont actor's fiir7 's Project Superintendent) located at 331 7-r" Sr 47-zo.srre ,36�H� 3 e#: 4 F:2z33 Telephon1 J - 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. 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. 6. 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 anv increase in impervious :rea on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 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. 8. 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. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNF) Signed: Date: 7 :i�ll Y Before me this / - day of in the County of Duval, State Of Florida, has personally appearedSv N N c, S req c7 �' My 00140M tFF 051075 Notary Public at Large, State of Florida, County of Duval. * « EXPIRES: SOM W 15, 2017 My commission expires: S� r . es Z-17 X Personally Knotl4 , M BMYd1liryAwprtlVarryllMtlal Produced Identification: BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH F l L E COPY 800 Seminole Road, Atlantic Beach, FL 3223 - �w-:,�. .�..�,•..;....-�..° Office (904) 247-5826 Fax (904) 247-584( Job Address: 33/ `?-r" Sr , R7Z4A­rW 8,CAe H 3 2z3 -1 Permit N t�r r z r� rr P`4r t-� Legal Description-rr4r, _ 4 c w t U Y �i A YVLl 6'kL%1" vlva.A.i •. --I-- Valuation of Work S I *& k Proposed Work heatedlcooled non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/pro u sed structure(s) ((circle one):Commercial esidenti If an existing structure, is a fire sprinkler system installed? (Circle one): es N /A Florida Product Approval # /jdia r ,6 9�Id v "dy-' For multiple products use product approve form {, Describe in detail the type of work to be performed: Ae-k-YRAb inD�w, T Ivo irz o-ar wets bf -'hj 1,,6&1 Name: -�Ybdtu C>S aa( --r Address: 331 7r" S'7r' A City ._ ATt W✓,'Wt r3'6+4 t'! Stated Zip _3 a3_Phone E -Mail or Fax # (Optional) Contractor Information: Company Name: Hr�+" 13vLLbLyZ5 Tice - Qualifying Agent: 6-iAle4CS HOa44 Address: ti215- sr��#n+s ac_st-� �+� City encs �icc' State FL, Zip 3 ��1 (6, Office Phone (2y" 2y7� y Job Site/ Contact Number snv V 3 ax # - State Certification/Registration # C <11 C -c) ::� Architect Name & Phone # rJ FLt�+ ttQca r�r�c� ZA: VEIL" � 94Y y Engineer's Name & Phone Fee Simple Title Holder Name and Address Bonding Company Name and Address w Mortgage lender Name and Address C" (,a Application is hereby made to obtain a permit to do the work and instaffations as i'ndicateaR t certify that no work or installation has commenced prior to the issuance of a permi! and that elf work wily be performed to meet the standards of all Laws regulutfng construction in this jurisdiction. This permit becomes Huff and Void tf work is not commenced within six (b} months, or if construrtian or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. f understand that separate permits must be secured far Electrical Work, Plumbing, Slgns, We!!s, Pools, Fkrnaces,nllers, Healers, Tanks crud Air Conrfitloners, eta 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. I here b certify that ! have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pravtsrons of any other federal, state, or local law regulatr' g construction or the performance of construction. 44c,� Signature of Owner Signature of Contractor Print Name Print Name ©,H N.........t7S�a�4GT.............................-.............. [ter ..�.............._ ....... ........... ....�........ Sworn to and subscribed before me thisz3 Day of 7 ^' , 20 l5/ Notary Public PATRKK RICH * ICY Comm iSSION # FF 054475 EXPIRES September '15,2017 Sworn to and subscribed before me this m3 Day of ---SmA i— F 20 /y Notary ' PATFOCKRICH Revised 01.26.10 My COMMISSION # FF 054075 EXPIRES-. September 15,2917 S 83'52'12" W 49.94' (MEASURED) 50.00- (PLAT) 7th STREET (40' RIGHT OF WAY) Ray Thompson SURVEYING, Inc. [� Me DISTANCEE 4613 RAp Hbhwey, SL*A 210 1 i.EGEND: ROAR 0 -= . MAP SHOWING BOUNDARY SURVEY OF STA PSM061" &a LOT 12, BLOCK 9, PLAT No. 1 SUBDIVISION "A' ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, FU)NO 1/2' rlv" 111K PT - PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. PRC - POINT OF RLARSE. CERTIFIED TO: L( E- 4%4" CMKW-1E MONLWENT PCC - WILLIAM H. WULFING A/C - AR CONDITONERCURVATURE-X- JAX FEDERAL CREDIT UNION 0 - CONCRETE GUARDIAN TITLE &TRUST, INC CHICAGO TITLE INSURANCE COMPANY f-fz LOT 11 LOT 13 BLOCK 9 LOT 9 BLOCK 9 SEP 5 2014 BLOCK 9 50.00' (PLAT) N 83*28'06" E 49.72' (MEASURED) y x x- -nn 4 :- . 1 1 .4 .8i 3.6 LOT 12 fBLOCK 9 FRAME Im ' - 1. - GARAGE .4 -7-0- lJr. Pj. got -6mv v S fpb&20!500*4e r R Wki (TYPtCAQ o Do' C' 'Zcr- V) F-- �r- NEW POOL 4 N < ) (low )q < Jim lipon W < - -1 M Cl 04L-A4 jz�cp- poc L 4-t .12 0j45rrP- LOT 10 A 1,L, c� BLOCK 9 0 n COVERED PATIO W, LOT 14 5:0, 17-3, 5 UMI TS OF DRAINFIELD AREA BLOCK 9 u TWO STORY FRAME POSTED #331A, CD P Co Q. 0 A/4 PADC M I V) LO 0 z 4.8' 4 a2' CL 5.0' 20. 2� COVERED F- CL V) ois PAVERS CL V) z S! 0 < LSI e II 2-%W (PLAT) 242.95'A (MEkSURM) 0.4! v S 83'52'12" W 49.94' (MEASURED) 50.00- (PLAT) 7th STREET (40' RIGHT OF WAY) Ray Thompson SURVEYING, Inc. [� Me DISTANCEE 4613 RAp Hbhwey, SL*A 210 1 i.EGEND: ROAR 0 -= STA PSM061" &a PC - PT OP CURVATURE M FU)NO 1/2' rlv" 111K PT - PON' OF TANGENCY NO MWICATIO PRC - POINT OF RLARSE. CuM.M u4awASE Nf)T0) CURVATURE E- 4%4" CMKW-1E MONLWENT PCC - PMT OF ONNUM A/C - AR CONDITONERCURVATURE-X- - FENCE 0 - CONCRETE GUARDLkN TME & TRUST, INC LMIX Sur-rcN ?L&JM amsom 1001 CIO Y. "' J r x 7 oo � ca an II i P I S:O � U rp V}C[7 H � m 12 L Q v LL W {j 3: m a Q C: 0 00 T Lu CIO Y. "' J r x 7 oo � ca an II i P I S:O � E m y H � R• a w 7 00