1201 GLADIOLA ST RFNC21-0014 Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
rl'il� IS REQUIRED.
Phone: (904) 247-58262Email: Building-Dept@coab.us
Job Address: ILO l' lac1l Dk S'V 9 C T Permit Number: to Z ( "00 4
Legal Description I2 -34 1 - 23 - 2cl e StC N Mioukk h LCA- RE# L--+ `WC°
Valuation of Work(Replacement Cost)$,� )U' Heated/Cooled SF 2i)0(-) Heated/Cooled
• Class of Work: Vew EAddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Vesidential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s) be removed in association with proposed project? ❑Yesmust submit separate Tree Removal Permitt kNo
Describe in detail the type of work to be performed: neer ,O3-i&I(ad(Dn r nAsa C 1 bets c rcoAc{
tC S 5 -zotikisalboi`l lYl`slctl�citi bn
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name r4Vl)l Rl"l( c-=s Address Sitio
City State FL Zip 3 2233 Phone g oq-31(c, -C10-3-(4
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company lot-ckla Lary,Sa.pe SCYvi(r LLC Qualifying Agent
Address\Uq 5 c 1)elc to prav� J City TLLX State Zip327.Z4-
Office Phone Cf O-1-3L --341-1 q Job Site Contact Number q -Co q(sLo
State Certification/Registration# E-Mail Jo-11- .C.Aela LG.,,Cl C trY1
Architect Name&Phone#
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempt( Expiration Date ' ,_9 - 2022-
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 Y R N TICE OF COMMENCEMENT. �'
Y pct j **.
nature of Owner or Agent)/� ) ( (Signature of Contractor) 7�
Signed and sworn to(or aff -d)before me ,A is �a J).'
day of S ned and sworn to(or Mill, ed)before e this `-�—day of
,7c92 ( ,b id 14. * c 20/ , iy
- •Aiikra
YP 'r•nature o ota (Signature o otary)
���.`��• TONI GINDLESPERGER ry)
t; •,- MY COMMISSION#GG 353 78
EXPIRES:October 6,2023 .2c"•;;••mac'
;<Pp�°U'• TONT GINDLESPERGER
'' .`.f�er kpltl'VIt1ry6fDiic .••-rs [ ] Personally Known OR .-' ,•� _ MY COMMISSION#GG 353178
'ro.uce. .en i ica i.n / [ ]Produced Identification a. , EXPIRES:October6,2023
Type of Identification: F:bFF c'
Type of Identification: � � YP '•. n• . I .. • . ..•..,r.-..
Fence Addendum
�S r Updated 1/14/2021
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# RR(�;C ZI —
Phone: (904) 247-5826 Email: Building-Dept@coab.us c 14-
Job Address: Date:
(201 Cl lar (olc/ $free I — 2 - 2 02i
Property Type: Lot Type/ Features:
'Residential VOne Street frontage (interior lot)
❑ Commercial More than one street frontage (corner lot, through lot,
et .
❑ Swimming Pool
Fence Material: Fence Height (select all that apply):
❑ Wood C"J Four Foot (4ft)
❑ Chain Link ❑ Six Foot(6ft)
Pf Vinyl ❑ Other
❑ Block/Stone (Plan details required for footings and/or
retaining walls)
❑ Other
Fence Location:
Please submit an accurate and current boundary survey showing all existing improvements (including building footprint,
driveway, swimming pool, etc.) and location of fence/wall and any gates. Plan details required for block wall footings and/or
retaining walls and any portion or fencing above 6ft in height.
Will the fence be built in an easement?
❑ Yes(must submit separate Revocable Encroachment Agreement)
IS/No
Will tree(s) be removed in association with proposed project?
❑ Yes (must submit separate Tree Removal Permit)
4V No
Conditions of Approval:
• Roll off container company must be on City approved list. Roll off container cannot be placed on City right-of-way.
• All old fencing and debris must be removed from job site by contractor or homeowner.
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.
MAP SHOWING BOUNDARY AND FINAL—AS—BUILT SURVEY
OF LOT 6 BLOCK 211 AS SHOWN ON MAP OF
SECTION 'H" ATLANTIC BEACH
�n 1� -, RECORDED IN PLAT BOOK 1B PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COIN'%. FLA.
�4 V CERTIFIED TO: RIGHT ANGLE BUILDERS
SEP 2 a 20.6
i
A END 1/2'
IRON PIPE
LB 36'2
U
0 END 1/2"
rr!! IRON PIPE
LB 3672
L 0 T 5 L 0 T 5
€ N A BLOCK 2 1 1 BLOCK 2 1 0
'I-1g O Dl END.S/8" I II
J 0 co IRON ROD LB
!y'I LB 3857 I I
�� FND t/Y RNN 1/T-
IRON 6'22 IRON PIPE
NO I.D.53J
LB 6696
g
(f,s) 019,22"W(f.6) N89'08�29RE Y�� 102.00' •'��(HELD AS WITNESS) I 15.06'-5 I
\ -- ' I ' 6.9'4 IS.4' 17't (86.94'I.R.TO I.R.)5'B.R.L _�3?l 14.3'±-
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INV' INV WOOD W/SLAT SIDING 2.3' m
(1.78) (1.06) 15.4' 17± -- ns' RESIDENCE rr
ADDREII, 01201 �O o
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TAY± z3±
o. n A rn
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�` ..,.4 m_ ' r ELEVATED � I.s'tOu' oD A/cPAD\ * p i� 1� OE`/ 6 65Ot.
y h OSGa — �2D. � 0'B.R.L. �I' Y'�n • FND
u ,————— •
—— _ NAIL k DISK FND 1/2”
� � EOW , � C� I LB 8696 IRON PIPE.
— 0 T C H e. MELD A5 WITNESS) LB 3672
\— —Ebw )f— N (NAIL S•ISN ESS)97.00')
U a` I ;9'08'29'W 102.00' I _ Eow J
"—� r•: TOB oa
N I I i'^ a
FND P)< EDGE OF ASPHALT c
FND PK NAIL IN I=wII
WOOD POWER POLE aS4',I AAPRONT
ELEVATION:(6.60) WEST PLAZA STREET
ELEVATIONS SHOWN (50' R/W) ^ 'I'
0. HEREON REFER TO
NAVD OF 1988 IIZo
REFERENCE BENCHMARK:
FND NAIL & DISK
LB 5488
ELEVATION:(3.05)
ELEVATIONS SHOWN DENOTES DIRECTION OF FLOW
HEREON REFER TO NAVD DENOTES FOUND 1/2'
0 IRON PIPE LB 6696
OF 1988 • UNLESS OTHERWISE NOTED
P -DENOTES SIGN'NO OUTLET-
FINAL;W.O. 0151629; 09-21-16(FIELD) 6----20,-DENOTES WOOD POWER POLE
LOT&HOUSE STAKE OUT(GOOD-SET F.F.E.):W.O. 0148515;03-04-16(FIELD) i w/610 ANCHOR
LOT&HOUSE STAKE OUT(GOOD-SET F.F.E.):W.O. 0147521; 12-15-15(FIELD) (00.0)-8-DENOTES TOPOGRAPHIC SPOT ELEVATION(GROUND SHOT)
ADDED MEAN HIGH WATER UNE AND PLOT PLAN;W.0.0144444; DATED 5-18-15 (OFFICE)
THIS SURVEY WAS PERFORMED WITHOUT THE BENEFR OF A TOLE COMMITMENT.THERE
MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN ON THIS
SURVEY THAT MAY BE.FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED
THE LAND SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE"AE" (EL.5)AS SHOWN
ON FLOOD INSURANCE RATE MAP 0408H FOR THE CRY OF JACKSONVILLE, FLORIDA, DATED 06-03-13
ALL AMERICAN SURVEYORS OF FLORIDA, INC.
LAND STJRVETORS-3751 SAN JOSE PLACC SUITE 15 -JACK5ONNLLC FLORL1t 32257-904/279-0008-LICENSED LAND BUSINESS NO. 3857
Le end - 5
- PRE M.FLOOR OOOOIWN THIS IS TO CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY RESPONSIBLE -
INo' P0150 covEREc CONDITIONER RR SUPERVISION AND DIRECTION,THAT THERE ARE NO ENCROACHMENTS EXCEPT AS SHOWN —4
E1EV ELEVATION LO. EERPIOII n -
CONc CONCRETE WRY. PERMANENT REFERENCE AND THAT THE SURVEY SHOWN HEREON MEETS THE MINIMUM TECHNICAL STANDARDS
Mp1 MONUMENTPT PYONUNENT
DIR10D0ICY SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS ALL
IA. IIRON PPE Poo P.C.P. PERµWU0 CONTROL POUR PURSUANT TO CHAPTER 472.027 / CHAPTER`61G17-6, FLORIDA STATUTES. AMERICAN
IS DELTA ANLL P.C. POINT Of CARET
P.R.C. N,a REVERSE DCURVECLAS SURVEYORS
A ARC LENGTH aC o cosou,D CU E SURVEY NOT VALID UNLESS EM90SSED BY SEALCALCOF FLORIDA,
e.RE. BUILDING POWER
J4Mv D. - ..AR., No. 2647
C) 0106 AFD ERR FLORIDA PONER R LRAM
MICHAEL A. , NO. 6643 INC.
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(A) "'�P" le -EMBED BUSINESS DATE / FL•'IDA R 'STEREO SU OR AND MAPPE _B
(W) -WITNESS -
F.B. DR. BY DEL DIR. P:\2015+78516\7:' 0- 629-FNL ORDER NO. 15162 FILE 78930