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1330 Ocean Boulevard ACC20-0005 Detached Garage/New Contractor ______ PERMIT NUMBER (g....14„---,t;��, ACCESSORY PERMIT r t\ CITY OF ATLANTIC BEACH ACC20-0005 �`�" �" ISSUED: 1/9/2020 ,' 800 SEMINOLE ROAD 'oji� ATLANTIC BEACH. FL 32233 EXPIRES: 7/7/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC,AND CITY OF ATLANTIC BEACH CODE OF 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1330 OCEAN BLVD ACCESSORY SINGLE OR TWO DETACHED GARAGE -TOOK $0.00 FAMILY ACCESSORY OVER ACC19-0048 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: i {.; NUMBER: GROUP: 171847 0000 MANDALAY COMPANY: i ADDRESS: CITY: , STATE: ZIP: DUVAL CONSTRUCTION 13221 Mendenhall PI JACKSONVILLE FL 32224 INC OWNER: ! ADDRESS: CITY: ' STAT : s ZIP: ROBERT EBENER 1330 OCEAN BLVD ATLANTIC BEACH FL 32233-5744 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. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. s � „ -- r : < est, t - .;, '4'' ra r e 4, ,�, p DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322 10000 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 . 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $59.00 Issued Date: 1/9/2020 1 of 2 ACCESSORY PERMIT PERMIT NUMBER fJ ;-• CITY OF ATLANTIC BEACH ACC20-0005 800 SEMINOLE ROAD ISSUED: 1/9/2020 \, 9r. ATLANTIC BEACH. FL 32233 EXPIRES: 7/7/2020 Issued Date: 1/9/2020 2 of 2 rSvf` Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION V• 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY tor:pr IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us A cc z /V, Job Address: 1�� t) 1'C Lti'n b`�) KnCLn\\L f CC1,'F1.3Y}3�Permit Number: 0-- 0 O_ Legal Description \\A CerY1C& .y L' `� b��C �j1� RE# `1) g91- 0000 Valuation of Work(Replacement Cost) $ 1 (0 0)006 Heated/Cooled SF Non-Heated/Cooled • Class of Work: New Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial Residential • If an existing structure, is a fire sprinkler system installed?: ❑Yes vaAlo • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ❑No Describe in detail the type of work to be performed: t u ck q Gtift2 f ov-ex Fe)(m►+ AlE61`1 - 4 - Florida Product Approval# for multiple products use product approval form Property Owner Information Name 1.0 t ,d t",1Ob �i4oeeCa'( Address 953C4 Mun-kC'/f'el $Gt, Dt • City acY- i)(\111iV State 11.- Zip 20")-..)- Ph Phone 011- 11 10 -31 Vi E-Mail 1 cI4A-4ie/tY•V e ra:A. Cti61 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 12K--(2L4- t'\oc''V'C Contractor Information Name of Company D1JA/a\ COY\S'fi(•keii0 C V' ZC Qualifying Agent E V 0i't74, Address i3") i r-Aetuke,r,kAttAl C-\aCL City etcic..5Cm\kV State tom- Zip 3;-3��{ Office Phone `I C`1- 8-0 - ' -O 3`1 Job Site Contact Number `f 01- ?7 V-State Certification/Registration# GGic I 9.H1?-0 E-Mail a"^JMCo NAV UCi&ohC''c>'a1\ b"" Architect Name&Phone# Engineer's Name&Phone# / .ot Workers Compensation Insurer , t? OR Exempt k 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 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 IMPROVEMENO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDE:� s + AN ATTORN � B ORE RECORDING YOUR NOTICE OF COMMENCEMENT. /-" (Signature of Owner or Agent) (Sig ature of Contractor) Q Signed and sworn to(or affi med 'before me this g day of igned and sworn to(or a irm d)before me is day of 50-+'1 • , • b G jleLAs f e �a(\ 70Z CA 4' 9 �- — -• _ , - ••a a of _ aignatu - .f No ry • 41?Vi ' T• I GINDLESPERGER �P TONI GINDLESPERGER "; MY COMMISSION#GG 353178 [ ]Personally Known OR v?..rye, ) • rsonally Known OR _ • �• [ ]Produced Identification _ g ��� :* MYCOMMISSION#GG353t�[ ,duced Identification ;�� ;;es..off: EXPIRES:October 6,2023 IRES:October 6,2023 6_� FoP: Type of Identification: f-A ��!,, �+f Identification: ,. Bonded TlvuNotary PubGcUnderwrlt�� OF 1M1 Notary ruu., Ga tid xy o h v-13`t L v) s u n)0 c4. x ji S i 5(1), c ow 5A.\\KA ,‘,06 0,7 x 4, 4 a'il PQM �M '5)(11,7 yni \ rYW v1.0 P`\ \.-ViVOcl l l° )4\ Vl 4u Wi,\A ?AN " i.0'')9-4\h --)ci,n s 5‘i, 1 Iia r\A-4 uO S tq q(1Z "V n 4\A(79 vin _s)\.1\ YOS Ne? w - WrddMN a-1\n e� -2 ,1,V FA\ \Y-10 0 4_1rd-dud Jon.Q (2\\A f`'\0\k A -110 \ � CL' 1U,W\A Vwr) �. ( -amu U V14\I � 1J.,,OVM . f-� 1 til:1// - City of Jacksonville PERMIT NO. Planning and Development ACC.90 ©� r Building Inspection Division it t ONY`0s OFFICE USE ONLY Application for: Approved by: Destructive Roofing-In-Progress Inspection Date Approved: ROOFING-IN-PROGRESS INSPECTIONS A Roofing-In-Progress Inspection is a required inspection per the Florida Building Code—Existing Building (FBC-EB). The purpose of the inspection is to confirm any required deck nailing has been completed and proper installation of a secondary water barrier as required by Rule 9B-0475. This required inspection was not requested by the contractor prior to completing the shingle installation for the above referenced permit, and now a Destructive Roofing-In- Progress inspection must be performed by removing certain portions of shingles and/or underlayment to insure compliance with state law. Not complying with this requirement could affect your insurance coverage for storm da mage. Owner Affirmation I understand that the contractor, for the reason listed below, was unable to acquire a Passed Roofing-in-Progress Inspection. I also understand the Destructive Roof in Progress Inspection will require the Contractor to remove and replace shingles and/or underlayment as required by the City of Jacksonville Building Inspection Division to verify work is in compliance with all state and local codes. (► Before me this/2 day of gt.G.' fi the .un of Duval,State of Florida, • has pe .. ' - 1' herein by himself ptftikd affirms alifft t$ M declaratio .herein are true and Signed: PAAAANCAINIV1/4.") _ accurai..; t Notary Public,State of Florida Property Owner NotaryPubiicat Large;ytate,ofg• 7RB49ty 44__L,_ Persons _ - ID Type:Contractor Affirmation Company: L'JV(/ 6O1/� Address of Project: /330 ©C-"t d", 82vo Requested By: /) Reason for Request: 40/ 0 O `ice &F art-(7/AJ ,/ , understand City of Jacksonville Building Inspection Division procedures as outlined in Bulletin G-04-08. I also understand the Destructive Roofing-in-Progress inspection is not part of those procedures and is an exception to the procedure. In addition, I understand that any non-code compliant work identified during this inspectio •sult in the assessment of additional re-inspection fees. Sig d: /� Date: ,, A proved Copy of this Application Must be On-Site at Time of Destructive Roofing-In-Progress Inspection RECEIVED By Jennifer Johnston at 1:59 pm, May 04, 2020 Revision Requ t/Correction to Comments **ALL 1NfO "`TiO" �`f' t `y4 RIGHLIGFnEDiN ai. . r" • City of Atlantic Bea Building Department clam is REWIRED, "-" 800 Seminole Rd,A antic Beach, FL 32233 Phone:(904)247-5 6 Email: Building-Dept@coab.us PERNerr#: /-"C.-C- —(10115 fr i oy PeVr►i.--1- CC Iq-0018 °Revision to IssuedPermitOR ®Corrections to Comments Date: 413 Ao Project Address: i 30 0 c3\v 3 O gel C )'Fi 3--9.33 Contractor/Contact Name: tt't& V i-OL 11)kIW & GU7\ A-T AC7� (\ )\m"Vir 1,yk„ Ais'2h Contact PhonCe: 104^.%'%. 1 ` au I Email: coke'ek v' &t e.,fl '1"�1,C'�1 b'i'1 ,c L.41-t ra ' o4- ?1D-- 3-7b7 T 1OvU Ae rlexernt.\.c�M Description of Proposed Revision/Cor ons: _3v1/4-41rAe*S 'to cisil i7c11r-tu __________1) h-o r}-t Porch Dec{& 3 0 fl-. 0�9/ a br (v ' WI cte ► I _ hi h Ail tb S°, 'i' €3o r k C> IC.Wt nA VI;a{ Sp . i1}-fie ee N((a0 I', I:1‘Y) ?��I, 1-t a.-- t t;-vve*F �lt4 $13-11-N v it i F oryl os Ct%( ileac_ 6 Trex) Jtit, 3,.;;ih:lmi i. ck$ iv 44 I 1160- L-x( cno1Fl(wrre staht ge er3he('sIk) 1' / Lr'✓:.c:;r���"-^nC'-t' affirm the revision/correction to comments is inclusio of the propose canges. (printed name) ,.:"'"N,rope revision/corrections add additional square footage to original submittal? • Yes(additional s.f.to be added: ) • r pro./ •`evision/correctio add additional increase in building value to original submittal? No 0 es(additional incr ase in building . �:' 'as b 0 -3 00 (co dor nuet sign if increase in waaareo,) *Signature of Cont Ictnr/Agent- /l 0w IVA' : 0 0 C ,/...,, (Office Use Only) r Approved ❑Denied 0 Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building ! —1\—Zr‘O'lfz-------(a63-( "8.‘ ^-'---- Planning&Zoning - Review Tree Administrator Public Works Public Utilities S.--.3-2 0 Public Safety DateFire Servir b t t,r 4v-i.. : , .., r Iii. 1:W y-tiT`'tt 4 '4 k.r, 4� � � �� �: . K �+ '4',...,1 **--'"'-'.'-1, A'°^'° p ' ' 'S ..3: � 4Y ., i 5 ^S - -- I LJ I nLvILvv ..VIVIIVItrg I S (Revised 3/6/20) . . Date: ,...r- ,�j J 6.-G 0 .--40 t). f '��� Application#: Project Address: /3'7( d k CONDITIONS OF APPROVAL TO PRINT ON PERMIT Check Box Drivewa All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from edge of pavement to select y to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. ❑ Apron (Commercial driveways—6" thick). Erosion Full erosion control measures must be installed and approved prior to beginning any earth Control disturbing activities. Contact the Inspection Line (247-5814) to request an Erosion and Sediment IV' Control Inspection prior to start of construction. Onsite Runoff All runoff must remain on-site during construction. n/ Post Const. If on-site storage is required, a post construction topographic survey documenting proper '� TOPO construction will be required. All water runoff must go to retention area and retention overflow 0 Survey must run to street. Pool Pool—Wellpoint (if used) must discharge into vegetated area 10' minimum from street or drainage Wellpoint feature (swale, structure or lagoon). ❑ Roll off Roll off container company must be on City approved list. List can be obtained at the Building Container Department at City Hall. Roll off container cannot be placed on City right-of-way. ROW Restoration Full right-of-way restoration, including sod, is required. 7 Utility Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid Road Cut 10' in each direction from the center of the cut. Repair must be shown on the plans. Construction Provide construction site management plan, including location of silt fence, dumpster, portable Site Mgmt. toilet. Right-of-Way Permit is required if using right-of-way for construction parking. ❑ Runoff All runoff must remain on-site. Cannot raise lot elevation. IV Document Impervious Strongly suggest thorough documentation of impervious areas be recorded. 0 Slab Slab and driveway to be fully removed. Driveway 0 Maximum Driveway Maximum driveway width within the City right-of-way is 20'. 0 Circular Driveway Maximum circular driveway width within the City right-of-way is 12'. 0 Grass Full site to be grassed. 0 TOPO Survey Must provide a topographic (TOPO) survey with water retention for final CO Inspection. ❑ Revision Any plan change must be submitted as a Revision to the Building Department. 0 Fencing Removed All old fencing and debris must be removed from job site by Contractor. 0 Decking Removed All old decking and debris must be removed from job site by Contractor. 4^5/ Infra- structure Any damage done to infrastructure must be repaired by Contractor. 0 As-Built Contractor must submit As-Built plans to City within 30 days after completion of project. 0 RECEIVED By Jennifer Johnston at 2:00 pm, May 04, 2020 ACC20-0005 IMPERVIOUS CALCULATIONS. ' r.–._ II'0' 6' 8" tfet•, l Iti1,i 'ilI ter.,. 77 . I; I Ni“, *4.1a-4t,iA h11)0 ��rlai`y� TOTAL 1.07 G,250 SQ FT I / t ,i Il{i'r;}'i;!1 HOUSE/PATIO: 1,545 SO FT �}i Q"P 1•M'-$h h4S t•jit,it�11 j .4" II t r-« �1i I111l; 1 GARAGE/STEPS: 405 SO FT a,'\ 1'•' j �,�:, �II,I11�I,�1; DRIVEWAY: 859 SO FT 3; ` - -- TOTAL IMPERVIOUS: 3,109 SQ F tI '� .. ISR: 50% ! s .r_r�5.p° — THIS PLAN TO CORRELATE WITIi SAFETY BARRIERS: ' i I. ^•*; • 1, PERMri'SUBMITTED BYE FENCE&HOUSE/WINDOW ALARMS j L— 5, 5' . _-- t UP TO P_QOL Sr1FEIY CODE___..__ _L--._ p —L_- !f151ti hCY�_---. , EQUIPMENT ALARMS TO MEET CODE UL2017. i •I I ' POOL I SPA COPING ONLY. 1 j j 'NO DECKING BY SURFSIDE. I._ -_ __- 1 tio>�Se COMMUNiTYpFlfiDF1yENT m SETBACK MEASUREMENTS TAKEN FROM EDGE OF WATER TO j APPROVE() I61 1 PROPERi'Y LINE. ', oc� i 1 11QM/ (<+r i 0. ,',•91,1111 tiof , r8 5.1i., ! V.) F 30it >wI I�- a4 reat YX l S! -Ft __ ._.__J 'SCALE:1120"__1 ' II . A4a new clec4(5 . k 04-1if j�. �j •� (y� y� �,,((( SITE PLA,f�! -_. T� v 1 Y C/ S�il /I.T 1�1 11)�� *AL{�. -/f aw,__ -I �, 15o St,-4 I * If% higK •,. a {� 3 o i h bilk --- -------------------- l '''_L2 G1-t hu�reit PC1(4 J S1 CW111 have a ;if,p111 cr, hctfi iLkS) 41, fsu-i-h 0.4\ ke pe-c- v I LAIC; fe ''o.. " 50.00' '' f c o .WALL . nS • Z SS F*°. _G D < SET 1/2" 'L, r SET 112" SCALE Pi .,a�; Q _I- e n IRON ROD o N IRON ROD 1"=25' Nz s m rn 2 Am "1 o LB#7893 T ° $ LB#7893 _ ^a n - as �Z r' LOl '°47., A T coo , rn i • �+ �a� • n mn BLOCK 54 ' -- pz A OW was ream u v eco m Z 24.5' 5 .1' ( See G�1rQ(/�1\C C�k�(1,�L���M1 TT-,%fim c co U p <n in L_ '- u �x�"1 1t.'� v��ll� } < g 3, �' BUILDING T-\ V( c�- y v � r ; , 24.5' 5.2: 83- '� f // 77 11.9' • _r« — 'I A 1.11 I ~ 1 30.3' omt ; BLOCK -- o -- K 0 - -=>,--X N 'r� ' O C 1 i�i LO I. ,Z �� OCK 5-I N@mRA O_ C -f" x, m Aom t. Tin oZ r, BUILDING 4 >Z = F } #1330 - o c c� `/? oma --:' 0 11.4'! 30.3' 2-9-'SET o k, i �; 1 OND .I- T t "_ -' FOUND 1/2" SET 1/2" SET 112" L R1 $ IRON ROD �° ,'' IRON ROD IRON PIPE Co ftr, LB#7893 �'b• ."' .-` LB#7893 NO I.D. rn cn WALK ___..__.._ .. .,, &my rp) f m m g n r CONCRETE•' C m go�_F DRQ CD N - v m'hmZ�� < rilt 5.4 a--,-:-„v20 r 50'RNV(IMPROVED) � w= (� OCEAN BOULEVAR`J N cu a.' Sm o N V \ ' n D D o FOUND 1/2" n �� IRON PIPE No NO 1.115,,,. o gu i 1..01. ._C)! 50.00'(P) LOT p 1 BLOCK 5 fit nr� " N 0 N Co J ,-/a,�i;y City of Atlantic Beach APPLICATION NUMBER jS r�`. Building Department �1 (To be assigned by the Building Department.) 1s 800 Seminole Road ECE.V i C Atlantic Beach, Florida 32233-5445 ��� r t_�`l`1 Phone(904)247-5826• Fax(904)24 45 JUN U 4 20,9 6 ,„„. 9r E-mail building-dept@coab.us Date routed City web-site: http://www.coab.us BY:__ APPLICATION REVIEW AND TRACKING FORM Property Address: i �?j( , EC € K PLQDr1ment review required Yes No \ uildin ) Applicant: (\ -J 1\i LAND-it L' SD(C E__4:- tannin &Zonin Tree Administrator Project: I e_l pk_o l-kC--f C2\ Q--PC- . cWi in�cs� (Public Utili if' , Public Sa ety 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 r /I : Date: t 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 /fJ'V 2teij I1c( /9r °c'I , L45L /0 kre aro �leve ,r3 Pbec 30. 3X R = 6.2y2 � MI/ 444, gy...rX fir. y 37? ) Ada 743 gf e grl ljt7 !Y16? i ; 6 ite7 . . c N BOUNDARY SURVEY , EN LI j 111L .:4 cr, ar, , ',.s•Z 0 C 9\NI ci I 1 ..•-•x---:1 z Z Z 0 ix u... Sc 3 1 cl: rt o 0 IC -4, I—C.) •1 T 1 . .• • ,&j i . [;--(..) 1 Ecrozc. 6 ccl . 125.00' 02OFF 25. i_., 25.0' ) LCi !sti) PK( 31.4' 1 .7' - • • •_11,_1 . , ,_`'4, '• k • 15.5' _ ,, ;. II i 8.: < ( 53.0' ...7 ---- "'It 1 ', • ,./,.. . ›' • -.--,4 '.'1 I-Z 5 . • En 9 ,**1 410, 71 . -----,-- 0 I i— .1": ...,, E—iu r(,'4 Do • , 5? 5i'. 4# .I 7 • CX i ....) L4y 51i , • O- a, g ' a) . .• •„. ..• --) , "so. --- 53.0' , I • • ad 1.1 . . .. 1 29i-6' Z • 11 .< ., 01.9FF \ ..... -........—.7...!..___,.t..., . •-...I. ...1.-.L ..!..Clar!...„.T..7.7...._._.e.,.. ...1 ,t . -•' .; • 4 -- 5.17- - 125.00' ri V-• 0.107F' ..z.ocn .....) 0 I u)o c_13 tr, Ngca . ... 1 0 0 CO SURVEY NOTES CONCRE IE DRIVE CROSSING INTO RJW ON EASTERLY SIDE OF LOT. THERE ARE FENCES NEAR THE BOUNDARY OF THE PROPERTY. / WIIIIIMIIMOIN*1.611" i, • 4,:„, .74.- ..... ...,, \, SURVEYORS CERTIFICATE Ctr A: R El 1. I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY 7.'' /: IS A TRUE AND CORRECT REPRESENTATION OF A f' SURVEYING,LLC ., SURVEY PREPARED UNDER MY DIRECTION. NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC LB#7893 \4"\ SIMI OF 1/ SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL. \•\, l•4, OR A RAISED EMBOSSED SEAL AM SIGNATURE .\€ 1;•-t_tti.t.,-10 SERVING FLORIDA .f. Suall!.......," . KENNETH 019R:illy signed by KERNE'H 6250 N.MILITARY TRAL,SUITE 102 OSBORNE WEST PALM BEACH,FL 33407 _ • OSBORNE Date:2018 10.26 092020 4400' PHONE(561)640-4800 (S/OWED) STATEWIDE PHONE (800)226-4807 KENNETH J OSBORNE (Nk6taffilad1Warti)) STATEWIDE FACSIMILE(800)741-0576 PROF ESS1OHAL SURVEYOR MD MAPPER 4441s WEBSITE: http://largelsuNeyirignet 144114: ....m•si BOUNDARY SURVEY J_ - - 1. c, �� ' yp l-1 V a a kJ 0 C C__1— Z Le 2d Q wJ G Q �• 1 coO 125.00 S. �' .1) 31.4 -- __ CA -J �!_. S 1 gad' c�a I i. —I W L- _ Z q . _ HU R 9e" ii r"----- _�-_ a O at al z , cia /I j .1/4-1-. ' J ;I 4 — L 53.0 .. ►ter+ aim ' vier,'" . . �1•IMP N 43 14 5.oa ?;: U rm ui8e0 ,i- / ff. . '`t U 31 )i CI �_ v w SURVEY NO1ES LOACRETEDRNE CROSSING INTO RNJ ''' ON EASTERLY SIDE OF LOT. THERE ARE FENCES NEAR THE BOUNDARY OF THE PROPERTY. • r , R ' '\' TARGE"I` ./v NO.BIM • � SURVEYORS CERTIFICATE /ar • I HEREBY CERTIFY MAT THS BOUNDARY SURVEY '. 1 6 A TRUE A7D CORRECT REPRESENTATION OFA 406SURVEYING J T C SURVEY PREPARED UDER IIT DIRECTION. AlV at f NOT VALID%WSW'AN AUTNFNTIGTEO ELECTRONIC \' 88.478 co SIGNATURE ANOAU1/fMICATEOELECTRUMSEAL. LE1Br/893 ����iioi'� OR A RAISED P�v SSED SEAL ANO SIGNATURE \.I B A 1 SERVING FLORIDA • KENNETH °vitally signed OSBORNEnyKSNNE�1 WESSTPALMBEACI,N�9340TRAL,SIVE7O2 OSBORNE DW4 7018.10.16091010 04•00 PHONE(581)8184100 NpA01"NECJ _ STATEWIDE MOM MO)2264007 KE88 ET}i J OSBORNE 11 STATEIMDE FACSIMILE(800)741-0878 6 PROMINO V.ILIRW IVOR NO NMPFR MI6 QIOf i�Y Vd1QIX7A.� • 4YEE1SN7E: .IBC - Building Per it Application Updated 10/9/18 a . City of Atlantic Be ch Building Department **AU.INFORMATION ;. .- 8OO Seminole Roa ,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (904) 247- 826 Email: Building-Dept@coab.us Job Address:. 1.a3QO an Blvd. Permit Number: No_j9 C' Legal Description 19-11 16-28-29e mandatay lot blic 54 • RE#171847.0000 Valuation of Work(Replacement Cost)$ $40,000 Heated/Cooled SF 266 Non-Heated/Cooled" 266 • Class of Work: ONew OAddition JAlteratlon ❑Repair [Wove .tJDemo OPool OWlndow/Door • Use of existing/proposed structure(s): ❑Commercial PJResIdential • If an existing structure,is a fire sprinkler system installed?: DYes C 1No • Will trtelsLie fggved_Jn awslaUgueth pr000sed_irroiect7°Yes Imust submit separate Tree Removal Pe iltl i INo Describe in detail the tune of work to he performed: New construction of detached garage with bonus room second floor. Florida Product Approval# for multiple products use product approval form Property Owner Informatio+t Name Robert and Lags puns( Address 7854 Monterey Bay Drive CityJ I.on"• State FL Zip 32259 Phone E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor information Name of Company "r'"tlO d",Ino Qualifying Agent Robert Johnson Address • nsbnns►eer CItyN.oune Bench State FL Zips Office Phone as a Job Site Contact Number 04 n9- s2° State Certification/Registration#coc's"aO0 E-Mail r cobieplrpaansc.corn Architect Name&Phone# Engineer's Name&Phone# Workers Compensation InsurerE""'p' OR Exempt a Expiration Date" e Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installation has commenced prior to the issuance of a permi;and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATEFS,TANK ,,and AIR CONDITIONERS,etc. Nt' tarin addition to-the repi{irerne-nts di this permit,th.Ve maybe attdltion$l.:ri r49na fppllcaple to.hl;ort p#rty that.me•r be found In the public records of th)$.county,and there rmiy 1e rddi`ttortal;permits•required trot%other gov©rnrnatt itl:Qntities sudh es wN,aj$l',managementdistricts,state agencies,44.14041014 or? 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 Fl ► C1NG?CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR P • 0 ' e TICE OF COMMENCEMENT. f :' re of Owner or Agent) gnature of Contractor) Signed an`�vYprfi to(or affirmed)before me this,_•L•,day of ed and sw.Q n�tor afti before- met. - d i of 2:moi'=l ,by 7i.A er,( V+ � i �� Jby ' •/ally.. �� r, oda 4 • rir w::'14••• AuONAUSE H.t LEEN n of(Votary) ` t A 't�fi i nowt MJOSC a' {t• MY cOMMiSSION Y FF°24951 de _,. • Cemmtaaiot s 66107946 ri. .i'.{ QtNirrell Q�4B¢mR "�i�4'ali jM M�i�_Ur dervilor. ?;; PAod litlitlihrtilifk#06,t/00-3/,54019- ----. S-7 rppear raentmcatron: t� r. )., r _aj, ; 'type of Identification: z �o 74 " 443-0