407 SARGO RD RFNCE21-0019 rev 2-5-21 Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
torA City of Atlantic Beach Building Department GRAY IS REQUIRED.
kip, 800 Seminole Rd, Atlantic Beach, FL 32233 ` �\
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: \t C_ -LIO ( Cs
❑ Revision to Issued Permit OR Corrections to Comm nts Date: Z/ CD/z
` � /
Project Address: 4 0'7 �Qr 0-A0
Contractor/Contact Name: r M l r L om b 0(1 _
C
Contact Phone: 2_ 4 — 97 6 3 Q Email: X-
Description of Proposed Revision/Corrections:
OC_OLA "C e_
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
❑No ❑ Yes (additional s.f.to be added:
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
A
•
(EXACTA
www.exac[aland com I office:866 735 1916 1 tax:8667442882
PROPERTY ADDRESS:407 SARGO ROAD, ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER:2011.1913
20111913
BOUNDARY SURVEY
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SURVEYORS CERTIFICATION: POINTS OF INTEREST:
1.4'CHAIN LINK FENCE OVER 5'DRAINAGE AND UTILITY
S I hereby certify that this Survey of the lands EASEMENT 2.RESIDENCE OVER 25'SETBACK LINE
Cy G8- �•V44A. described hereon was made under my direct
‘ �,„p supervision,and to the best of my knowledge
6132 R and belief is a true and accurate representation
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of said lands and meets the Standards of
/ Practice set forth in Chapter 51-15.050 through
7F.y.,,..� -'J -- 5J-15.053,Florida Administrative Code, Florida Land
.s •rc pursuant to section 472.027,Florida Statutes. AFFILIATE
' This survey is not valid without the signature and Title Association
QMEMBERS
F STATE OF �r original raised seal of a Florida licensed surveyor�FLTA--
d4;� FLORIDA S� and mapper,except when the electronic
A' ... . .o signature and seal of a Florida licensed surveyor
and mapper is affixed hereto. .
RAYMOND J.SCHAEFER EXACTA
Sao W FS,Ca Preksa nal Surveyor and Uwe,
lanae Number 6112 . t.se 8251
OHlce 666 73619,61 Paw.866).42862
•19.10 PMr..ay Lakes°rive Swte 1 tort Myers.PL 33913
DATE OF SURVEY: 11/19/20
FIELD WORK DATE:11/11/2020 SEE PAGE 2 OF 2 FOR LEGAL DESCRIPTION
PAGE 1 OF 2-NOT VALID WITHOUT ALL PAGES
REVISION DATE(S):(REV.0 11/19/2020)