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1691 Atlantic Beach Dr FNCE20-0016 fence permit FENCE WALL OR BARRIER PERMIT PERMIT NUMBER FNCE20-0016 s> CITY OF ATLANTIC BEACH �~ 800 SEMINOLE ROAD ISSUED: 3/18/2020 ATLANTIC BEACH, FL 32233 EXPIRES: 9/14/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • DA BUILDING CODE, OF • OF ORDINANCES . ALL CONDITIONS OF . . PLEASECAREFULLY. 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: SCRIP�TION-.�I 1691 ATLANTIC BEACH DR FENCE WALL OR BARRIER FENCE install 4-ft. aluminum fence $2342.00 TYPE OF ZONING: : • • CONSTRUCTION: NUMBER: G 169505 1375 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: ADDRESS: SUPERIOR FENCE AND RAIL OF NFL 5470 HIGHWAY AVE JACKSONVILLE FL 32254 • �■ ADDRESS: STEVEN AND BARBARA 1691 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233 TUFTS 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: 3/18/2020 1 of 2 FENCE WALL OR BARRIER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH FNCE20-0016 800 SEMINOLE ROAD ISSUED: 3/18/2020 EXPIRES: 9/14/2020 -- ATLANTIC BEACH, FL 32233 ZFM^^ PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off 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 FENCING REMOVED INFORMATIONAL Notes: All old fencing and debris must be removed from job site by Contractor. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50 FENCE 455-0000-322-1000 0 $35.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$81.50 Issued Date:3/18/2020 2 of 2 >.s�iryCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road // j s� Atlantic Beach, Florida 32233-5445 EN C 61� wI 6 Phone(904)247-5826 • Fax(904)247-5845 �rDate ;31�r r E-mail: building-dept@coab.us routed: I�� od-0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: lfiC- gC&d1 �(. Department review required Yes No u in Applicant: 5 {ipf1(� �. I Planning &Zonin II Tree Administrator Project: I (ZS��. I I �— - [qft'. �Public Works Public Utilitie Public Safety Fire Services Review fee $ Dept Signature S A � 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. ElDenied. ❑Not applicable (Circle one.) Comments: (BU�LD PLANNING &ZONING Reviewed by: Date:2lZ I2C) TREE ADMIN. Second Review: ❑Approved as revised. ❑Den d. ❑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 �Sd Building Department (To be assigned by the Building Department.) c 800 Seminole Road Atlantic Beach, Florida 32233-5445 FAJ C 6�0~0ol//Lei Phone(904)247-5826 • Fax(904)247-5845 "!f!1;ilt E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I � �`��CLt'1�1L CL0 Department review required Yes No g2.0-n- Applicant: Sm_clof R-ft(Q. � Utt< I Plannonin ing &Z �f G Tree Administrator Project: 1 (1,5�� ( � _`— 1 rt - '1&UVL'A1( Public Works Public Utilitie Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date 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. ElDenied. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. []Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 rS_a.Tr, City of Atlantic Beach APPLICATION NUMBER �S "o Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 / FN C U O 091(n 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: ' "� ` tC'��l(�11� gckd Dpartme ent review required Yes No (-� i ui m Applicant: S�•QQftl)f .R- UPlanning&Zonin Tree Administrator Project: 1 (15��{ I — - ��U��/L�( Pub is Works Public Utilitiesi Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or ReceiptDate of Permit Verified B _ PAFlorida 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. V Denied. []Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by r � Date: TREE ADMIN. Second Review: TApproved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: i PUBLIC UTILITIES PUBLIC SAFETY Reviewed tty;� _Date FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05119/2017 ALL Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED ON HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 °iS1J( Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: (< zc Project Address: Contractor/Contact Name: py P`c'✓ c e Contact Phone:-"—lD s Z l I Email: >�Q✓1C v ��^ T 5 T s(►^� xc-,, r Description of//Proposed Revision �/Corrections: I�-'rC�C`iii ICSZ�/G�w�� ✓�-C��kG� ►�-e...'� Cin (` I affirm the revision/correction to comments is inclu ' mei misedl ges. (printed name) C �l v� • roposed revision/corrections add additional square footage to original submit MAR 16 2020 20 ❑ Yes (additional s.f.to be added: • VN propos vision/corrections add additional increase i ulldin value to original submittal? o 1,I7*Yes (additional increase in building value: $ ) (contractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) Lip Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building Planning,&Zoning 'AvReviewed 11y =Works or Public Safety Date Fire Services Updated 10/17/18 1JaL!] 4 �jri4� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) s 800 Seminole Road // Atlantic Beach, Florida 32233-5445 FAJ C 6 Q D^��tai Phone(904)247-5826 - Fax(904)247-5845 / 0r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: l � kltCllfiL_ 6C 4&t Department review required Yes No uin Applicant: S Qp--rlbf R_A U "� �L Planriing EZ �f II Tree Administrator Project: ( (ZS�� I ( -`— - 'q`qAV.. Public WorksY,, Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date 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. MNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b . - �� Date: ZC7- TREE ADMIN. Second Review: A roved as rev' ed. Denied. ❑ pp ❑ ❑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 PUBLIC WORKS PLAN REVIEW COMMENTS Date: ,,;( �/(/.iZ�*? Application#: ProiectAddress: �h `7 / �i�. )O�/ ,J*;16 CORRECTION ITEMS Check Box to Select CSMP Provide construction site management plan including location of silt fence, dumpster, portable toilet. ❑ Right-of-Way Permit is required if using right-of-way for construction parking. DPLN Provide drainage plans showing site topography (flow arrows, etc.). ❑ ESCP Provide erosion and sediment control plans with installation details. ❑ IMPS Provide impervious surface calculations for entire lot(existing and post construction). ❑ Section 24-66(b)of the Land Development Regulations requires on-site storage for increased run-off LDCS if adding 250 SF or more impervious surface. Provide Delta volume calculations and on-site retention ❑ required per Section 24-66(b). REPM A Revocable Encroachment Agreement must be submitted. RMRO All runoff must remain on-site. Cannot raise lot elevation. ❑ RWPM A Right-of-Way Permit must be obtained. ❑ TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land ❑ Surveyor,showing 1' contours. CUT Provide manufacturer cut sheets for 50%credit on Turf Block pavers. ❑ DW Maximum driveway width within the City right-of-way is 20' (circular driveway width is 12' maximum). ❑ PAV Provide paver installation method (must meet I.C.P.I.). ❑ WRA Provide a detailed plan of water retention area and how water runoff gets to water retention ❑ areas and then to street. WR Provide detailed plans showing proposed water retention. ❑ SID Concrete sidewalk must continue through driveway. ❑ 45 Documentation shows impervious areas are over the 45%allowed by City code. ❑ Revised 2/26/19 PUBLIC WORKS PLAN REVIEW COMMENTS Date: �"'�9" Application #: Proiect Address CONDITIONS OF APPROVAL TO PRINT ON PERMIT Check Box to Select All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from edge of pavement Driveway to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. ❑ Apron (Commercial driveways—6" thick). Full erosion control measures must be installed and approved prior to beginning any earth Erosion Control disturbing activities. Contact the Inspection Line (247-5814)to request an Erosion and Sediment ❑ ontrol Inspection prior to start of construction. Onsite Runoff All runoff must remain on-site during construction. 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 ❑ 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 Full right-of-way restoration, including sod, is required. Restoration 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. ❑ Document Strongly suggest thorough documentation of impervious areas be recorded. ❑ Impervious Slab Slab and driveway to be fully removed. ❑ Driveway Maximum Maximum driveway width within the City right-of-way is 20'. ❑ Driveway Circular Maximum circular driveway width within the City right-of-way is 12'. ❑ Driveway Grass Full site to be grassed. ❑ TOPO Must provide a topographic (TOPO) survey with water retention for final CO Inspection. ❑ Survey Revision Any plan change must be submitted as a Revision to the Building Department. ❑ Fencing All old fencing and debris must be removed from job site by Contractor. Removed Decking All old decking and debris must be removed from job site by Contractor. ❑ Removed Infra- Any damage done to infrastructure must be repaired by Contractor. ❑ structure Revised 12/16/19 REVOCABLE ENCROACHMENT AGREEMENT City of Atlantic Beach **ALL INFORMATION Y 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED GRAY IS REQUIREE D. REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as"CITY" and t3 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 �e�C 1 6k ,v C4 Any facility maintained, repaired, erected, and/or installed in the Jxercise of the privilege granted remains subject to relocation or removal on thirty(30)days' notice by CITY to USER,said notice to USER shall be given by certified mail,return receipt requested,to the following address_ _( G otI AA-kt,b,r c k [�r • 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. ` Date 3 JAG�LQ Property Owner/,'gent(signed in presence of Notary Public) i STATE OF FLORIDA, COUNTY OF DUVAL The foregoing instrument was acknowledged this day of 20 � by V{1� ��` �ts who personally appeared before me and (p nted name n ) ackno ledged thata/sh i ned the instru untarily for the purpose expressed in it. TONI GINDLESPERGER epartment Apprqval: Signature of Notary Public,State of rids !;.: .- MY COMMISSION#GG 353178 [ ] Personally Known z1 EXPIRES:October 6,2023 / I FPF, 'P Bonded Thru Notary Public U Rte., [ ] Produced Identification(Type) l.� co illiams, Public orks Director H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 This form is a statement of final loan terms and closing costs.Compare this Closing Disclosure document with your Loan Estimate. Closing Information Transaction Information Loan Information Date Issued 3/16/2020 Borrower Steven D Tufts and Barbara Tufts Loan Term 30 years Closing Date 3/16/2020 114 NW 114th Way Purpose Purchase Disbursement Date 3/16/2020 Gainesville,FL 32607 Product Fixed Rate Settlement Agent Gibraltar Title Services Seller Ann Marie Clair and William J Clair File# GTS-2020179 1691 Atlantic Beach Drive Loan Type Z Conventional ❑FHA Property 1691 ATLANTIC BEACH DR Atlantic Beach,FL 32233 OVA ❑ ATLANTIC BEACH,FL 32233 Lender Bank of England Loan ID# 11141912414395 Sale Price $1,010,000 MIC# Loan Terms Can this amount increase after closing? Loan Amount $808,000 NO Interest Rate 3.25 % NO Monthly Principal&Interest $3,516.47 NO See Projected Payments below for your Estimated Total Monthly Payment Does the loan have these features? Prepayment Penalty NO Balloon Payment NO Projected Payments Payment Calculation Years 1-30 Principal&Interest $3,516.47 Mortgage Insurance + 0 Estimated Escrow + 1,269.22 Amount can increase over time Estimated Total Monthly Payment $4,785.69 This estimate includes In escrow? Estimated Taxes,Insurance ®Property Taxes YES &Assessments $1,325.89 ❑x Homeowner's Insurance YES Amount can increase overtime Monthly ❑x Other:Homeowner Association Dues NO See page 4 for details See Escrow Account on page 4 for details.You must pay for other property costs separately, Closing Costs $39,203,61 Includes$22,984.00 in Loan Costs+$16,219.61 in Other Costs-$0 in Lender Credits.See page 2 for details. Cash to Close $213,553.00 Includes Closing Costs.See Calculating Cash to Close on page 3 for details. CLOSING DISCLOSURE • GTRIDCDWS_S 0617 Y Page 1 of 5-LOAN ID#11141912414395 03/13/2020 01:27 PM PST GTRIDCDWSS(CLS) REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH JOB COPY SEE PERMTS FOR ADDITIONAL t REQUIREMENTS AND CONDITIONS ' rn f 2S 12v REVIEWED BY: DATE: ____.____ o � `�ca'T�`gox rptF CSE $g, QS 1 D, f"5; 124,fl a !J y BRIAS.CK i-`A w" A m�^Zv "'- 1 PA 6 -J1 0 i ►i r ; t - O N y B 0 N BRICK ( SjUGCO c , PA,--R$Cx Y ' PAVER Z SF IDENCE z F BRICK F (pP ° WALK DDRE55109 sY As Z J t A 0.5 ) t 23.5 0-T 1 rn Sc `*`4' r8� N A/C i y C a PAD W/ 0.A ! WALL STUCCO61 Qcan) WALL � — � _9RL 235 iso , F7�}Fi „W 1ZQ.4�, lti 7 �p 9 r' I HAVE REVIEWED THIS SURVEY AND UNDERSTAND THAT THERE QULQ - EAST FLANGE BOLT ON F3R:- ARE EASEMENTS ON MY PROPERTY HYDRANT IN FRONT OF LOT ALONG WITH ENCROACHMENTS 1 ELEYATION:(12.16) ASDOWN IN YELLOW ELEVATIONS SHOWN HEREON X L REFER TO NAYD OF 1988 �f CERTIFtC+tT10A;5 08/30/16 (OFFICE) FOUND 08/10/16 (FEW) l OTERMowNHVzEQ ,147306; 11-25-15 (FIELD) KEOLIT (GO04-SEI F.F.E.): W.O.f147057: 11/10/15 (FIELD) Wu - (}EMOTES WATER METER CRe - DENOTES CABLE RISER Box x-RFOP.mED mTHOUT THE BENEFIT OF A. TITLE COMWTMENT• WV - DENOTES 'MATER Aft-TER ,�ITIONAL EASCuaITS AND//OR RESTRtCnONS THAT ARE NOT S14OWN THD+ _ U£NOTES TELEFt-ivNE NAND HOLE BE FOtiND IN THE PUBLIC RECORDS CIF TMS COUNTY. TtiE LOT S!jQtnI HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE -X- AS SHOWN tt FLaOO f4SUP/V4CE RITE MAF' 04-36 H FOR THE CITY" OF dA.CKSONVILLE, FLORIDA, DATED 06-03-13 ILL -A-Ad ERlCAN SURVEYORS t YORsOFFLORIDA, INC. OWLCa 'IAl.l f!TL,u"S 37iJt Yt�Y v{�JC!< Yi11�i�s a{n!c 1 - "4CA-- FLORZ J222x 7 -^ 90417Y- -" MWVSW bWO gU .FS W. W;F 2/13/2020 Tufts Survey.JPG I t 7 o ; i At hi A black aluminum 2 rail t1a heritage st-8 le fencingw cow CSR a y fir.Z, r yJ r PAR mo Zo L .p 3 70 ORM IS-Nrco PAVERS Y PAVERS, po" 2 SF-55 AO' � B91 WAUC Avn AVE15 C, �ES I O.S�+ S Y �t7 C7 yn Sc A/ 'S ✓ � Q PAD W/ 51U000 5t.5 mid 1 57534' wide gate � ; T too o 1 I HAVE REVIEWED THIS SURVEY AND UNDERSTAND THAT THERE ARE EASEMENTS ON MY PROPERTY HYDRANT IN RONTT OLT OF Lo ALONG WITH ENCROACHMENTS 1 ELEVATI0PTc(1Z16) AS S OWN IN YELLOW! ELEVAR NS SHOW HmEc. �( (,"'-i b 7%t 4.c- REFER 10 NAYD OF 1988 iF CETRMATTONS: 08/30/16 (OFFICE) 0 tou"D /a- ONSLa ci ;s. 08/10/16 (PIELD) R HAM # J147306. 11-25-15 (FIELD) WA1 - Gt-WES WATER YETE4 WEOM (0000-Wr F.F.E): W.0./14'7057: 11/10/15 (F*U) CPO - r.-WTES Z� RISER MIX PtWORMED M9TN.OLIT THE MNEM Of A TRE COMWTMENT, ff - DENOTES AAFS METER 'scmAL EASEMEFITS A?03/OR RESTWC"IS 'f}b5T ARE NOT SHOWN T171 _ GiN0TE5 ml rr.+ow gvio �x ,1T 17pY 6E FOUND IN E PUBLIC RECORDS OF TFBS COUNTY. ?NE LOT SHO" 14EREON is IN 71W SPECIAL FL000 HAZARD ZONE 'x'AS SNOriN -,N FLOOD INSURANCE RATE MAP D406 H FDR THE CITY OF `ACKSOFf'1ALE FLOR%. DATED OS-W-13 LL AMERICAN SURVEYORS OF FL_()RIDA, INC. LM,t7 >?CANS - )T5/ SNJ rK7SE P Aa& S!A'TE 15 - JACX5Vff LLt: tT[?N9 i1 12257 - W74%T7P�0" -- UV NSW AW &AS#AM W. -M*7 v..... ,� v.reonrY' D7AT YFiE JFx�YE ::,liOS 'NEf1E �ir141:1T77 UNOER N1' RESAtiNiSiFY F + https://drive.google.com/drive/folders/i IaZgxCvMYZNdOSx8TWZuQmhg_uihJdyv 111 ✓' ' Building Permit Application Updated 20/9/18 sl City of Atlantic Beach Building Department **ALL INFORMATION , 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY v - ai Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: i6,/ xjz.-flil-� � �j/ Lf % lq C&�i p �( �el Permit Number. O 0 G` L Legal Description /-1 e-:5114ell7ce RE# !VCt2) e-10"$jwIckv0N Valuation of Work(Replacement Cost)$ 2: Z Heated/Cooled SF Non-Heated/Cooled_ • Class of Work: 34,, ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/poor • Use of existing/proposed structure(s): ❑Commercial &K,,idential • If an existing structure,is a fire sprinkler system installed?: ❑Yes IV< • Will trees be removed in association with proposed ro•ect?E]Yes must submit separate Tree Removal Permit MNo Describe in detail the type of work to be performed: iAI/�7- zz 4';—"7' 7X66 Florida Product Approval# _ Property _ f Owner information or multiple products use product approval form ioon�s Address City 641,17-1,C f7�--Ilr {� State irZ- Zip Phone E-Mail E12/Q iytC�� Q1�'f7�i! f C� Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name Address Comn 1 'i�G/�C FC'�C�' Qualifying Agent 9 X7(9/t/ Y City 3Ig�i fCtate Zip Office Phone QY ' Job Site Conta Number State Certification/Registration# E Mail42 Architect Name&Phone# /Vjr^ Engineer's Name&Phone# Workers Compensation Insurer f;Z�= e/2/�j L' OR Exempt n Expiration Date ��5� j Q� 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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature o Owner or Agent) (Signatu Contractor) Signed and sworn to(or aft' e Qd e this / day of Signed and sworn to or cGf e this�/7day of A,yID lVtl�ttY- 11V $eP gnatu o ota� =_ �• = My CO Z-) ExPlHt=s SCN�"dam a; P1RES 5epte�N,�� tory) •i a�••� �lot�aok ari :`�• `#` NOtarl t,3 53 Flotida [ I fApnaif`t n OR [� 9 own OR [y'P uced Identification ��[ [ ]Produced Identification Type of Identification: �• Type of Identification: 1'rj lJ J� BeachCash Register Receipt Receipt Number City of Atlantic R12009 DESCRIPTION ACCOUNTQTY PAID Perm itTRAK $81.50 FNCE20-0016 Address: 1691 ATLANTIC BEACH DR APN: 169505 1375 $81.50 BUILDING $35.00 FENCE 455-0000-322-1000 0 $35.00 BUILDING PLAN REVIEW $17.50 BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50 PUBLIC WORKS PLAN REVIEW $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL11 • $81.50 Date Paid: Wednesday, March 18, 2020 Paid By: SUPERIOR FENCE AND RAIL OF NFL Cashier: CT Pay Method: CREDIT CARD 1 S Printed:Wednesday, March 18, 2020 8:39 AM 1 of 1 4