870 SEMINOLE RD FNCE20-0129 Building Permit Application Updated 10/9/18
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} City of Atlantic Beach Building Department **ALL INFORMATION
4101, 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
..rt IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us 7n
Job Address: '6"70 Seam;ytol. Ra 4t 4;C-IJP+ Ft 322.33 Permit Number: rfvr C. C�11"Q 1 'act
Legal Description 0(00 S;„,1., F...•„Iy RE# 17 19Scf — 0000
Valuation of Work(Replacement Cost)$ 9;1 2:3- Heated/Cooled SF Non-Heated/Cooled
• Class of Work: XNew ❑Addition DAlteration XRepair ❑Move ❑Demo [(Pool DWindow/Door
• Use of existing/proposed structure(s): [(Commercial Residential
• If an existing structure,is a fire sprinkler system installed?: DYes .KNo
• 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: 1
1
Florida Product Approval# _ for multiple products use product approval form
Property Owner Information�
Name (Lv;s+afL, - 1 kow5k ► Address ''70 $ew,!ncjl. R.) _
City N+]orrt;c 1.. .....c...1, State F 1 Zip 32233 Phone
E-Mail C,Inv;5 lotAkmiSi•C, G ca,ma;l . corn
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Cj,4?c,vcAr f",,,,cc.. anal Qualifying Agent 2-Of,CIA Pe,y+c.S _
Address 51l70 N;,1,1./ y Ayr City 5.•�ksonv;llam. State ;G 1 Zip 3Z2S1-I
Office Phone qO-1 683 G31-41 Job Site Contact Number
State Certification/Registration# I C S$Sd1 E-Mail RAN„i, P6) „,�lJ h� a�RrSunv;1k cowl
Architect Name&Phone#
Engineer's Name&Phone# _
Workers Compensation Insurer Fe,�1,,; Akthk.( 8147503 OR Exempt u Expiration Date S(//5/ZcrL I
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.
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[ aie”,, LPL ...-i...-i--,y. . '
�! 1-5IgTature of Owner or Agent) ( ignature of Contractor)
Si ned and sworn to(or a 'd)before me this 9 day of Signed and sworn to(or affirmed)before me this y,day of
,2020 Izt •
5 �1 - eta . 114-3„e.„,b4-, ; P
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.ii: -. Ira . *o (Signature of Notary)
•'. --'•• ._.'-_ ')_�. YSY Notary Public State of Florida
I ]Personally Known OR kr.•.�q 1L N.vliri)r._�P�t. ER Personally Known OR �P gritani M Norman
. TY. MY COMMIS°,ION#GG 353178 I Produced IdentificationI. Y M Commission HH 011346
( J Produced Identification t.• ;_ y
Type of Identification: 7.7. _-' ,-�`•'IRES: ,..;..3r 6,2023 T e of Identification: 7o,Or Expires 08/16/2024
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'•• Bonded I ftc I :ary ru c ers
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TARGET
SIJRVEYIlVG j,T+c
6250 NORTH MILITARY TRAIL,SUITE 102,WEST PALM BEACH, FL 33407 - (800)226-4807
WWW.TARGETSURVEYING.NET
LAND SURVEY PREPARED FOR
870 SEMINOLE ROAD,ATLANTIC BEACH, FL 32233 t.
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�C S ide Rotary tB Oceansd3t�GZfithsREQUESTED
BY:
9oog a
GIBRALTAR TITLE SERVICES
375 ATLANTIC BLVD
ATLANTIC BEACH, FL 32233
PH.904-672-4364
t
/11.- LEGAL DESCRIPTION AND CERTIFICATION
Lot 1,Block 7,SELVA MARINA UNIT NO.3,as recorded in Plat Book 29,Page 27,of the Public Records of DUVAL County,Florida.
Community Number:120075 Panel:0409 Suffix:J Flood Zone:X Field Work:9/6/2019
Certified To:
;GIBRALTAR TITLE SERVICES;;
Property Address:
870 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Survey Number:384438
Client File Number:TBD
ABBREVIATION DESCRIPTION:
SYMBOL DESCRIPTIONS:
A.E. ANCHOR EASEMENT F.F.EL. FINISH FLOOR ELEVATION O.R.B. OFFICIAL RECORDS BOOK
AJC AIR CONDITIONER F.I.P. FOUND IRON PIPE (P) PLAT
B.M. BENCH MARK F.I.R. FOUND IRON ROD P.B. PLAT BOOK ICEIII =CATCH BASIN =MISC.FENCE
BR BEARING REFERENCE F.P.K. FOUND PARKER-KALON NAIL P.C. POINT OF CURVATURE
(C) CALCULATED (L) LENGTHP.C.C. POINT OF COMPOUND CURVE =CENTERLINE ROAD 0 =PROPERTY CORNER
A CENTRAL i DELTA ANGLE L.A.E. LIMITED P.O.B. POINT OF BEGINNING ACCESS EASEMENT p,0 C. POINT OF COMMENCEMENT ® e
�=COVERED AREA ' =UTILITY BOX
CH CHORDDL.M.E. LAKE MAINTENANCE EASEMENT P.R.C. POINT OF REVERSE CURVE XX=EXISTING ELEVATION C P
(0) DEED'DESCRIPTION (M) MEASURED I FIELD VERIFIED p T. POINT OF TANGENCY +X ci2i =UTILITY POLE
D.E. DRAINAGE EASEMENT M.H. MANHOLE
D.H. DRILL HOLE N8D NAIL&DISK RNV RIGHT-OF-WAY V =HYDRANT E9WM =WATER METER
DIW DRIVEWAY N.R. NOT RADIAL (R) RADIAL!RADIUS .S =MANHOLE 0 =WELL
E.O.W. EDGE OF WATER N.T.S. NOT TO SCALE S.I.R. SET IRON ROD
F.C.M. FOUND CONCRETE MONUMENT O.H,L OVERHEAD UTILITY LINES T.O.B. TOP OF BANK =METAL FENCE =WOOD FENCE
U.E. UTILITY EASEMENT
s n
PAGE I OF 2 PAGES
¢.. (NOT COMPLETE WITHOUT PAGE 2) ._
a GENERAL NOTES:
i LEGAL DESCRIPTION PROVIDED BY OTHERS
2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER " � p (`�
RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT SURVEYING,i .! .'W✓
/ TARGET
3) UNDERGROUND PORTIONS OF FOOTINGS.FOUNDATIONS OR OTHER IMPROVEMENTS
WERE NOT LOCATED.
I 4) WALL TIES ARE TO THE FACE OF THE WALL AND ARE NOT TO BE USED TO RECONSTRUCTo . LB#7893
,=
BOUNDARY LINES.
5 ONLY VISIBLE ENCROACHMENTS LOCATED. SERVING FLORIDA
'. 6 DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN.
7 FENCE OWNERSHIP NOT DETERMINED. 6250 N.MILITARY TRAIL,SUITE 102
8 ELEVATIONS INDICATED HEREON ARE IN FEET AND DECIMALS REFRENCED TO N.G.V.D.1929 WEST PALM BEACH,FL 33407 t
„ 9) IN SOME INSTANCES,GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE PHONE(561)640-4800
CLEARLY ILLUSTRATE RELATIONSHIPS BETWEEN PHYSICAL IMPROVEMENTS AND/OR LOT LINES. STATEWIDE PHONE (800) 4807
IN ALL CASES DIMENSIONS SHALL CONTROL THE LOCATION OF THE IMPROVEMENTS OVER STATEWIDE FACSIMILE (800)741-0576
SCALED POSITIONS ,
WEBSITE: hrip 1targetsuroeying net
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BOUNDARY SURVEY
(A)= BLOCK
CORNER
r? FOUND 1/2"
IRON ROD
filiS NO I.D.
(B)=COVERED
CONC.
BLOCK
(C)= CARPORT CORNER
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LOT 2 z
w _ BLOCK 7
Q SET 1/2"
(3 !I N IRON ROD .
-0' .- LB#7893 , 50.0
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S83°42'00"\14 275.00' I.�i o Crl
- 1.2' �A/C 44.0' o
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'4 BUILDING 26.8N °
80.4'± #870 w I O
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,� w w' r WALK o o i,; r
COVERED r._;_,...... 5.6''
- L 9?"-'1 CONC. • 6.7! - .,, 1, Ir I
Q Bi K 7 r , w 0.5 ( . I.1 ,la, I 7d
2. J in 01 1 I 24.2.- °; 24.7' t -37.B. 0
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o m // /I 'o WOOD BUILDINGONC.; , ;,a�C 0.4' I�
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SET 1/2"OD `..___�ti ---,------1' %-` -- ;,, .
IRON Y __ .
o LB#7893 �_.. .-... _
Bow) or- pOFtRD
_ - THE PLAZA )(-
80'WO/ (IMPROVED) X� y "PlctS"r
SURVEY NOTES
CONCRE 1 E U NE AND CONCRETE WALK
CROSS THE PROPERTY LINE ON EASTERLY SIDE OF LOT.
THERE ARE FENCES NEAR THE BOUNDARY
OF THE PROPERTY.
BUILDING CROSSING INTO THE PLATTED 45'BUILDING
SETBACK LINE ON EASTERLY SIDE OF LOT
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L, 0 1 , F I C. 6 0 ,
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`_`4, No. l Fpm SURVEYORS CERTIFICATE
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= I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY ""
"' SURVEYORS
A TRUE AND CORRECT REPRESENTATION OF A SURVEYING,T T (1
SURVEY PREPARED UNDER MY DIRECTION. LIC
NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC LB#7893
''" STATE OF ? SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, 4^„.�.W
'°roar o R l o F o p e ORA RAISED EMBOSSED SEAL AND SIGNATURE.
FLORIDA
sup e' Kenneth/ ..4_R._ Digitally signed by SERVING N.MILITARY TRAIL,SUITE 102
Kenneth Kenneth Osborne WEST PALM BEACH,FL 33407
Date:2019.09.06 PHONE(BEACH,561) FL 33
(SIGNED) Osborne 15:51:50-04'00' 00
STATEWIDE PHONE (800)226-4807
KENNETH J OSBORNE PA(;F (IF 1A�FC STATEWIDE FACSIMILE (800)741-0576
PROFESSIONAL SURVEYOR AND MAPPER E6415 (N L TE WIT OIJT ATE I I WEBSITE: http://targetsurveying.net