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594 COASTAL OAK LN ACC21-0002 J ://, Building Permit Application Updated 10/9/18 • ( )' City of Atlantic Beach Building Department **ALL INFORMATION ..Y/' 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email`/: O Building-Dept@coab.us� ' / ] IS REQUIRED. Job Address: ✓ ' 0945�4a 0 a L'tL e Adz w��4+'Pa rmitNu!be P Q2 % — 0O0 7--- Legal _Legal Description 1' V JZ Of-2-9 v ►c RE# (A SOS- /21)7.-D Valuation of Work(Replacement Cost)$ (Dc---\0 0. 0 C) Heated/Cooled SF Non-Heated/Cooled • Class of Work: ENew ,�dAddition ❑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?: ,vices EINo • Will tree(s)be removed in association with proposed proiect? ❑Yes(must submit separate Tree Removal Permit) etlo Describe in detail the type of work to be performed: NM� p v el7r� v o p y� © -E e �- � \1L 1c1� v / Y)at lasftet Pi F- Florida Product Approval# for multiple products use product approval form Property Owner Information 1 e Name r(�VvilfA‘ .i �t lmY 4. 1). C Sr. Address 5`i4 Cpc/4 q��,( f)C4 �-Gam',-(.. _City • se tate 11-- Zip 3 `ZZ 7 3 Phone g o-( , 1 2j- \ c E-Mail rn Gyp if a mill.,.,b\ Owner or Agent�lf gent, Power of Attorney or Agency Letter Required) Contractor Information �,,� Name of com`p� 1I l Le s Qualifying Agent (7d �''`— -e+rii/► Address I(Q'-1' C L PXf�,Le .� City �t`t1. 9 Cti State Zip .. ."7:2.2--, ) Office Phone qV �33 ( Sj 0 g Job Site Contac rer t( £13 I c2O S State Certification/Registration#046,D i to 517 431 E-Mail taAOm cervi Cl-.. C TrY\ Architect Name&Phone# Engineer's Name& Phone# Workers Compensation Insurer•!-kW00/ l4-t)a-I'tY1 4-11c OR Exempt❑ Expiration Date t/I I -2°7/2 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 REI! ' ► YOU N TI E OF COMMENCEMENT. ►ri A -7„Z- , zi- (Signature of Owner r Agent) (Signature of Contractor) J All Signed and sworn to(oraffir Y before me slily_ day of Si d and sworn to�i affirmed for e,Xhii 5 day of _, •- ,E •. ._' A h 'ia , 2� f i 11111,2161111111 a ,P0.7ture of •! (Signature of Notary) �tihM •pso P4', TONI GINDLESPER� �r Notary Public State d Florida Rosemarie C Perry Personally Known OR _* N• •..; MY COMMISSION#GG 353178 ersonall Known OR ' • 146"N EXPIRES:October 6,2023 [ Y MY Corrwnis•ion GG"52" [ ]Produced Identificati.`�':?9;. .P= ",, Exgres 01/08/2024 Fd= ... bonded Thru N�>aryPublic Underwriters [ ]Produced Identification , Type of Identification: _ Type of Identification: 1Y' NOTICE OF COMMENCEMENT State of -F1`.)fl Tax Folio No. County of 1D1AW To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information i tated in this NOTICE OF COMMENCEMENT. n Legal Description of property being improved: Al h 6'Y\ t7 f n�i p air] b UA) n tutu,t-rA,i G�Glc fit-C 5-1/1—'d- /� 1 Address of property being improved: W vl �1 . k L M � 7-)77:3--6 _ r Def � • �� w General description of improvements: Owner: I a 6 Ii�1 °� A4J44 61r' Address: 5"b 1 ii S ?i Q c _1M - j 713Z2 Owner's intere tin site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: ( ��CL �/ S p _ Address: 1 LIvW�' t 1 c e, alio+ Telephone No. O / /L70 ► Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements ; Name: '\/o'V L Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the d e.gtggrdingTAtlha19kfiffiErRaiRiate specified): %„ MY COMMISSION#GG 353178 EXPIRES:October 6,2023 •,i ..,, Bonded Thru Notary Public Underwrtters !:, THIS SPACE FOR RECORDER'S USE ONLY OWNER l "' l =' Signed: /r✓� Date: I lD Z ` Before me this day of _ _ in the County of Duval,State Of Florida,has personally a Z2-:red M Notary Public at Larg• Sta .f Florid.err r" Duval. My commission expires: Personally Known: or Produced Identification: 4 (--- BOUNDARY SURVEY LOT 145 AS SHOWN ON PLAT OF ATLANTIC BEACH COUNTRY CLUB UNIT 2 AS RECORDED IN PLAT BOOK 67. PAGES 132-137 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL. GRAPHIC SCALE 30 0 15 3O #594 ( IN Erni ) COASTAL OAK LANE 44 1 inch = 30 1G (R/'R VARffS) `'��c+ "m 1i 4 amt R Flo a 245.36'(P)�►+�) a N U.Ca.a=n w La �� FLA NAGE a9L �-(�- L55BPGe 565'35'25�`N �, � Ll 245.T CURD . arms "OM.10 MCA OF OCLIT�_ .- 1. roc Fola ^-:TAr% .9xWALR my Am is MT ri.IMMO ',GEE on.1-4011.03 �e121I.4.ARYN1Pa y ��_� Ilit .) ______- atalOc C.a w eCr'mn iL 1-- 1�R� ` n I T.5'1AE. or err.. , ■` DENOTES CONCRETE ••�T�t��. � ® i 1,..0.121."L". 415' ® DENOTES PAVERS ..I - O DENOTES FND 1/2• REBAR !..-4,LS 3848 A- z © - DENOTES CABLE RISER N MU. mama, -P3k moi I� N 0 - DENOTES WATERMETER N 67,......... e.oy y © - DENOTES IRRIGATION METER ear .. P„ L1190 ���+, -P EAI BOC - DENOTES BACK OF CURB Er v.y�y c. g O.- 1 w LA,„ EOP - DENOTES EDGE OF PAVEMENT �. m • .as▪ WALI-3 f d w DENOTES DIRECTION OF FLOW ca a ® 9T11Wo • in €(AP v ®DENOTES EXISTING ELEVATION <A. 1/1uTmE Boum 9oam I EO d F.C.E11y.1 00 N GARS 550 7r; ":47.30)1;;-i N LN[) 8. ''''''�� (\ w 8 IC41IL n IMPERVIOUS COVERAGE e ) �\ T 39..04 "J° i4P[A44AS Se.FL LOT Se.FL S OP \A ` 9Ci al.' 4�_.1� 111 A.440 54 FL 144A So.rt 1073 $(L())1 () t .J'� y ••er I 9 V `',\(v//'�-/J 3 $ !!I FFC-LLL to yes' 1 •0.,_-_--attlf .um ®to E w �)) IMF (� UNE TABLE smB � ' tom 11 1 4 201E wU9111)) _- ,: tt14�-me" I (pLR fF11A 4445) LNE aeEnmN LEOGM (Pa'1D'N) .7 a e.4R J 4.1(454) 51Sas'os w 154.27 ICNE S L4(LOCATED e/SO/09 441154) S91515.25-T47400 lea MR.4415) to l3(P) SW'3Y50'E mm Loll 146 13(C) 058110101E RP • SIALeFVPnE),,er 00575'25'04 7000 1. 3 N I=. YARN6 ARE BASED a TE MOM.OF 9DASTK 0411 LANE AS BONO S65'Ab1.. ORAaAGE > y 2 DRAINAGE ELEVATORS 9004 WRFC.ARE BASED LA NALO 1854 N EASEMENT Dy 1 PLATON a 111E LAN05 SN1.N 4EREN 4E NTw«nm EOAE Y(s0)1)'A9 owcTra 00 INE taw-r N t`\ CASE 115-04-•naw DATED MAY.lots THE RERANUO semi IRREN LE LIMN FLOOD EOE-7 5 - \V\ 0(91704)'AS OFACTED ON TIE FLOOD 8,044 . RAZE AIM(FLC4.)CaNUMTY MASER 12010)1 PANG W wasp 0.05E 04450 NONN®r 2,2a4 ME RDOG SACS 94004 ON 045 SasEY ARE SCALED COT Cr TAI OI F.E4.A FLA.RAPS Aro ARE Fat 42 1* 74 ONLY.THE FJA)A II 041101 Aro OELRIEAII141 111 TMS o /•� SURAT ARE RAW 074 FOR DATES 1 10 AR01NOWK ANE 500 1544 SWYEY.DIM RAY 21 DEER ' 9v55Earal 4MVarf ArTOF MS DATE MAT RRL 90010E SAO*0410 7O Noun.91A.AD BE RADE "0 \V'/�, m ME WWA.NIres rla0 PLANE 1IARAGE4ERT REP0910 1 5EPARIVENT Cr FROM DORIQ .ROW RAPS REFERENCED HERON ARE BASED N RAW 1855 5NO UOt 01 011ND F111DA11aLA MITES ES R Ia WPRa1SVENS 041 011MAR E CA MOSE 94050 ACLOCATED ME UNDER SCOPE OF Tey 0 4 18 ..00. 4 0OEIFTON5 0m/0N/01 Y 1701.41019.1.41019.1.41019.110% 45 Yap AO04 TO 11AR NO/CR AEPORT.5 P1Ni4 ARD IS NOT 0 O M 1T.07EDE 9001 9A17401t AP E NT3ID0 m DC 0E.1D.T A SUIS E I'-SD'a SA4LER • D.nes •PAD.DEPICTED AS EVTD4ND IMO IRE LRALDNO RESTCIIN MDR HOST RERAN IPCOKRa NOT ENCLOSED 9.UPLAND SOFIERS ADJACENT TO WETLANDS ARE 10 REVAN NATURAL LECRATIK AND I40 80IKD. H0.TMS SUR..IS BEND PROWLED SMELT FOR 10E USE Cr K CUM.PARTES APO NO C[IITI448.N AS BEER WEA1ED.EYPREA a 1IP11[D.TO COW 145 5a4lp.W SUNNY.ro 1S NM TRANSFERABLE. AU COPIES Or TRIS 0107 5( 91RNY Tai MC LI=400 N ARr 1541 0040 aANSAcrars 91µa 0f 5)0 L3 4v�.0 R 410 DO 004 SEAR ME 0�0W54 RAISED SEK OF TE 900416 SI.J17 04 .IE YY 11 9/01 J • ODA1ERTs TRANSACTORS 4290E5 ME 904.0 WM..11 ARY 11101 MAc15 DF UMW,'Or ANY SRBSIOU047 I.114( ARU IS 0100 van UP TO 50 DAYS.FIER TE LAST RELOON 10ATE II.110EN1NS ARE N RET M0 Mom PARTS MOCer. I1 TMS SURVEY IS DRY FLA TE LAP.AS 0EAmm.17 15 NOT A COLFCOTE Cr TME.ECM.EA.SEE1an LOT 164 Ca/107717071)4 $21 Or WAS*01 N� LOT 165 Il 045 SURVEY WAS NOT 111DIEM.15TO 0El1NFATE LA OEFNE ANY WORMS. BRON MICLY SD19M REAS.1UDLSE HARRATS a 14050111140 L�Q M.N.STA1E.RECO.a LOCAL.0011 LOT 186 (IMPROVED) Boom.ARD C[590 a O11ER WIN Aro WIRY RESILING TpEiRW IS Na TIE RE90N9BlITY OF ME UNDERCNE0. 14.Warn A CNA.RSN LS RADE.4GSSEO EARN. NM MURICES OFE0M LU ARE 1CAL NPLAT VALUES 45. MS TSURVEY IS 9ASE0 N FEOROATN AS PROWLED ay 104 CLIENT Ia.BULONC 00/PROVENOIT TIS AS Ml NOCK ARE Mg TO ME PARCEL PROPOTY LNCf UNLESS 01.11519 0(700 N01EA ALL M.D.1115 ARE S45 14 TO GEE 0111(1 05 17.PLEASE REFER TO ME FLAT'LA AO0111AL ITEMS 1 1 WYµRCT T6 LOT. It TRE PURPOSE Or TMS BOLD..SUNNY IS TO 940w ME'MAL 9TE 5VR044E9103 JAMES DAVIS CURY RAEGAN CURY REGIONS BANK dba REGIONS MORTGAGE Rr0sw1•40000 m0nt10wO°("n)/s)E010e/j1($°"') NEWTON & NEWTON PA PREPARED FOR:RIVERSIDE HOMES CERTIFIED To:CHICAGO TITLE INSURANCE COMPANY aro �... BARTRAM TRAIL SURVEYING. INC. [1.-..g1...▪ -r...,....=.::"�-8&� ''� 5:,, LAND SURVEYORS - PLANNERS - LAND DEVELOPMENT CONSULTANTS /lam/ _ 1501 COUNTY ROAD 315 SUITE NO. 106 (904) 284-2224 ��\ � Y-�� ' G1 EEN COVE SPRINGS. PL 32049 PAI(904 284-2268 EI CERTIFICATE OF AUTHORIZATION LB /89 1 COPYRIGHT® 2018 ..1:4• --.......=.„...÷÷7.2E-............ NOTATON: F1R.4.FL000 0(N/0)01 0(54ADED) e1.vIM ==1 a ▪ ^N '1 0EREBY CERTIFY.that ihia 9Nray V Wllkdly represent, The 9Rrwy hereon.W mOde elt.wt M..of A0atraet or l�A Ei�. N.reads of a Reid savoy mode under my reopansAle search of tone.GAO theretoe the ondrrslNed and Barbon PAIEL 120075 0.08J 11/2/18 n direction and compiles with the lotn)5tohd.40 of Troll SArveyog molt.no Certllkotkns 1.004170 Information 1.0017-F: 15-04-4218A, G ear . P� % a Practice kr Surveys n promulgated by the Florida State shown or not Mown hereon pertaining to ernents.doers REVAUDATEP. 11-pt-1761V ii. BeardOf Prol.00loo l Surwpn LAM M°ppem.Olapler of neem ten R1�1ts-of-.°y,setback Dn..ovv1Ns. m - "3:04 5J-17 .AC.:Pursuant to section 472077.Florida Boundary Line disputes.agreements.InNYatlms 11 other re/TD 131./1332/44 • - .e Values.shied to all notes and notations shown hereon. .4,0111 molten.hkh may N9.0 M N.abstract.04 011115.. Y�e® :...:47: "...'.. I- FI AUG U S T 10.2010 AUa 15.2058 ThIS sores n prepared ana certil)ed 1004 1110.1.9148400 use of 0474 spoils I SCALE 1'.30' FIELDM&f1p Cd/ptroED///ill yAP OR ALLY SCNED Is.dierW 110.1.0 114.0.ani tot 501017 01004 and 701111 of a�� ea-1O`WAR'N�� fL� �rl the copies thane 0e not Md.itheut the signature and MOILS Na: REW901L / 7 the original raised semi of°Florida licensed surveyor 040! 1348-18-021 TAI AS P.HUGHES,P.LS. 1.0011. STATE OF FLORIDA UCENSE NUMBER LS 3507 00010 8Y:RIG wECRE0 ern 1101 SHEET l OF 1 a 1 � <3 , '' � 3 �4., y * ..... � ,