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916 HIBISCUS RFNC21-0034 /r/ Building Permit Application Updated 10/9/18 >" . . 0ity of Atlantic Beach BuildingDepartment **ALL INFORMATION N 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY ',L°i" IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us [� / Job Address: -�iL 1417>L4 C U 5 Permit Number: R e2 t - %E%JC�� Legal Description ix-3c-Ii 7-2S-296 SCC it"ill AN"rest itc,IJ £.j CK & L I ' RE# 1 7UGU -U(v�4C20 Valuation of Work(Replacement Cost)$ 0-4'6 Heated/Cooled SF Non-Heated/Cooled • Class of Work: )17New ❑Addition ❑Alteration ❑Repair ❑Move [Memo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial pftesidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes pNo • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) 121No Describe in detail the type of work to be performed: I^"t aw> c -' e /.✓$7 -i ti'e<_) Lo ' 770'4 e,LiR,+c:..„4, Florida Product Approval# for multiple products use product approval form Property Owner Information "/� Name �L� /4ESTKGL y Address q/4,Nie/ G 1/S City 14 re:rA 61 fie- j�' AGW State ft- Zip 37433 Phone 904 Zl(rt Oto,-;7_, E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information n Name of Company I 1 T ) Ct,1 5Y F e/44-0 Qualifying Agent` jp�4�is 4A) 5)1 cat I)` 5'' Address 121 &:',06-4 -V o E4 C el-�/ !� , City /Ola. e.(4 State Ft_ Zip 3ZZ33 Office Phone luZ/ 7e if 77 CC Job Site Contact Number State Certification/Registration# E-Mail C "%'e-C 617'f.4'G • CEJ,--ti Architect Name&Phone# Engineer's Name& Phone# Workers Compensation Insurer OR Exempt Expiration Date 7/1 Z 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. _.------ ___,/�/ f(es11h £4 _�__,..G.-- -c_': ---2 (Signature of Owner or Agent) (Signature oContractor) iY LkR \(=jibi_t..-1 )C-.1/47/{/a N 7)L:L c'. U; 57- Signed and sworn to(or affirmed)before me this 23 day of Signed and sworn to(or affirmed) before me this Z3 day of —r t , ' 2 • i-t6 KEs EL.Y Fa-c3 , • b • _ _ tam-. ` llb CA...)ksT Sy' V dr (Signature of Notary) .�wig Notary Public State of Florida Roberta D Carlisle r rd Commission GG 251658 ersonall Known R [+Personally Know y ( Y ►v Notary Public State of Ronda d� Expires 09/t 5/2022 Produced Identific iaR �+ Roberta D Carlisle [ ]Produced Identi a to " [ 1 Type of Identification: . Type of Identification: My Commission GG 251656 00%. ExN,cam 09115/2022 ./Vs."/ �"r-�, Fence Addendum Updated 1/14/2021 • 11' A r City of Atlantic Beach Building Department `�j* v 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: gad 14- I c cvs ztz3 /2 , Property Type: Lot Type/ Features: ® Rroesidential ❑ One Street frontage (interior lot) ❑ Commercial 'More than one street frontage(corner lot,through lot, etc.) ❑ Swimming Pool Fence Material: Fence Height (select all that apply): )"Wood ❑ Four Foot(4ft) ❑ Chain Link ja'Six Foot(6ft) ❑ 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) l 'No Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal Permit) VI 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. I. ,o.. Inn Fidelity National Title at t ; ♦ ""i 11111 of Florida Inc. i ! _ o 9. .==9 PROPERTY ADDRESS:916 HIBISCUS STREET, ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER:FL2012.3353 FL2012.3353 BOUNDARYSURVEY DUVAL COUNTY I/2' F1RC1#0 ) 1.7•' f>I 1.--b6 I @i-6,";7,c,,_ / TP t LOT 5 BLK 158 (O /„, o$ LOT 5 2° / BLK 1 w w . i LOT 5 N 88°35'53'E I 10 OI.90(M) K B 59 N 88°5000°E 102.00(P) b N zs.° it, tIO 1D U)N wM w'�//«<JJJ`"'i' 17 ON—7, ^ 1/2' FIR. ' y' m NO ID iKj pi ,p 29.9' & 6 O y� 6 OF. O _ i O V j • 00 0 LOT 6 '- k- b o 18.8� 00 SO BLK �58 • V �� ON n t`t` Nc Cw w oo 33 . -Jr 7:" l9 b CONC. u $ 7j tj�tJ) r ON mO 39.8' NIII /- 1 u J — I m C N% —_ ..V ZZ 4m 23.5' /1 • HJ'Piw k O.i ON I __ . � , A. UTRRY POLE —�� .— 0111 01-ii,--------0,1L-----777,?, Z NO I� 5 88°56'00"W 102.00'(P) IL g 5 88°37'07'W 101.81'(M) Cw e.c. /ri • • V . 1 0J! 30 0 15 30 f �SURVIVORS 1401E5: io ppm p , vt; LOT AFPe TO 6t/tRVICED BY CITY WATER AND StwER. GRAPHIC SCALE (In Feet) FENCE 01NltFritllP NOT DETERMINED. inch = 30' ft. SURVEYORS CERTIFICATION: POINTS OF INTEREST: NONE VISIBLE J S I hereby certify that this Survey of the lands ,�G$N Se 76 described hereon was made under my direct C 47. 'kB,e_'cA,p supervision,and to the best of my knowledge 6132 Vr and belief is a true and accurate representation of said lands and meets the Standards of Practice set forth in Chapter 5J-15.050 through .,5 . ' 5J-15.053,Florida Administrative Code, Florida Land AFFILIATE or pursuant to section 472.027,Florida Statutes. 1, 0 q� This survey is not valid without the signature and m. Association MEMBERS .4 STATE OF 4. original raised seal of a Florida licensed surveyor -,p FLORIDA 6 and mapper,except when the electronic C11 SURV, o1 signature and seal of a Florida licensed surveyor and mapper is affixed hereto. . RAYMOND J.SCHAEFER •EXACTA Stale of Florid.Pm6wbrl Surveyor and Mapper Dame Nun6re132 . Lau 92'31 Office:866.73519161 Fax 666.744.2882 11940 Fairway Lakes Drive.suite 1 I Fort Myers.FL 33913 DATE OF SURVEY: 12/23/20 FIELD WORK DATE:12/21/2020 SEE PAGE 2 OF 2 FOR LEGAL DESCRIPTION PAGE 1 OF 2-NOT VALID WITHOUT ALL PAGES REVISION DATE(S):(REV.0 12/23/2020) PROPERTY ADDRESS:916 HIBISCUS STREET, ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL2012.3353 JOB SPECIFIC SURVEYOR NOTES: THE ASSUMED BEARING REFERENCE OF SOUTH 1 DEGREES 22 MINUTES 00 SECONDS EAST IS BASED ON THE WESTERLY RIGHT-OF-WAY LINE OF HIBISCUS STREET,LOCATED WITHIN SECTION ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 18,PAGE 34 OF THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. LEGAL DESCRIPTION: LOT 6,BLOCK 158,SECTION"H"ATLANTIC BEACH,ACCORDING TO THE MAP OR PLAT THEREOF,AS RECORDED IN PLAT BOOK 18,PAGE(S)34,OF THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. GENERAL SURVEYOR NOTES: 1. The Legal Description used to perform this survey was 6. Dimensions are in feet and decimals thereof. 11.Points of Interest(POI's)are selected above-ground supplied by others.This survey does not determine nor improvements.which may appear in conflict with boundary. imply ownership.Unless otherwise noted,an examination 7. Any FEMA food zone data contained on this survey is for building setback or easement lines,as defined by the informational purposes only.Research to obtain said data of the abstract of title was NOT performed by the signing was performed at www.fema.gov and may not reflect the parameters of this survey.There may be additional POI's surveyor to determine which instruments,if any,are most recent information. which are not shown or called-out as POI's,or which are affecting this property. otherwise unknown to the surveyor.These POI's may not 8. Unless otherwise noted SIRC indicates a minimum 1' represent all items of interest to the viewer. 2.The purpose of this survey is to establish the boundary of diameter,18'long iron rebar with a cap stamped Lef8291. the lands described in the legal description provided and to 12.Utilities shown on the subject property mayor may not depict the visible improvements thereon.This survey only 9. If you are reading this survey in an electronic format,the indicate the existence of recorded or unrecorded shows improvements found aboveground.Underground Information contained on this document is only valid if this utility easements. footings,utilities and encroachments where not located on document is electronically signed as specified in Chapter 13.The Information contained on this survey has been this survey map. 5117.062(31 of the Florida Administrative Code and Florida Statute 472.025.The Electronic Signature File related to this performed exclusively by and is the sole responsibility of 3. If there is a septic tank or drain field shown on this survey, document is Exacta Land Surveyors,LLC.Additional logo's or references the location depicted hereon was either shown to Exacta prominently displayed on the invoice for this to third party firms are for informational purposes only. Land Surveyors,LLC.by a third party or it was estimated by survey which is sent under separate cover.Manually signed visual above ground inspection only.No excavation was and sealed logs of all survey signature files are kept in the 14.Pursuant to F.S.558.0035,an individual employee or agent performed to determine the location. office of the performing surveyor. may not be held Individually liable for negligence. 4.This survey is exclusively for the use of the parties to whom 10.The symbols reflected in the legend and on this survey may 15.Due to varying construction standards,house dimensions it is certified. have been enlarged or reduced for clarity.The symbols are approximate and should not be used for new have been plotted at the approximant center of the field construction or planning.All measurements should be 5. Additions or deletions to this Survey Map and Report by location and may not represent the actual shape or size of venfied prior to such activity. other than the signing surveyor is prohibited without the feature. written consent of the signing surveyor. SURVEYOR'S LEGEND 1 LINETYPES Elevation i C/S-Concrete Slab FIR-Found Iron Rod ORB-Official Records Book S/W-Sidewalk Boundary Line Fire Hydrant CATV-Cable N Riser FIRC-Found Iron Rod&Cap ORV-Official Record Volume SBL-Setback Line CB-Concrete Block FN-Found Nail 0/A-Overall SCL-Survey Closure Line ---Center Line i • Find or Set CH-Chord Bearing ENDO-found Nail&Disc 016-Onset SCR-Screen Chain Link or Wire IMonumaM Fence F—• .Guyvdre arArrdar —. CHIM-Chimney FRRSPX-Found Rail Road OFF-Outside Subject Properly SEC-Section CLF-Chain Link fence Spike OH-Overhang SEP-Septic Tank —— Easement Manhole CME-Canal Maintenance GAR-Garage OHL-Overhead Utility Lines SEW-Sewer Edge of Water `e Tree Easement GM-Gas Meter ON-Inside Subject Property SIRC-Set Iron Rod&Cap • • Iron Fence ti Utility or Light Pole CO-Clean Out ID-Identification PIE-Pool Equipment SMWE-Storm Water t—Overhead Lines Ow Well CONC-Concrete IE/EE-Ingress/Egress Easement PB-Plat Book Management Easement Structure COR-Corner ILL-Illegible pG-Point of Curvature SN&O-Set Nail and Disc ABBREVIATIONS CS/W-Concrete Sidewalk INST-InstrumentSOFT-Square Feet --- Survey Tie Line (CI-Calculated PCC-Point of Compound CUE-Control Utility Easement INT-Intersection Curvature STL-Survey Tie Line • • vinyl Fence (Dl-Deed CVG-Concrete Valley Gutter IRRE-Irrigation Easement PCP-Permanent Control Point STY-Story Wall or Party Wall IFI-Field D/W-Driveway L-Length PI-Point of Intersection SV-Sewer Valve -ter•-••••—wood Fence (MI-Measured DE-Drainage Easement LAE-Limited Access Easement PLS-Professional Land SWE-Sidewalk Easement IP)-Plat Surveyor TBM-Temporar SURFACE TYPES _[ DF-Drain Field LBO-License No.(Business) y Bench Mark j/• As halt ISI-Survey OH-Drill Hole LEE-Limited Buffer Easement PLT-Planter TEL-Telephone Facilities P A/C-Air Conditioning ►OB-Point of Beginning DUE-Drainage&utility LE-Landscape Easement 708-Top of Bank Brick or Tile __ AE-Access Easement Easement LME-Lake/Landscape POC-Point of Commencement TUE-Technological Utility ^t •.+Cpncrete _ ANE-Anchor Easement ELEV-Elevation Maintenance Easement PRC-Point of Reverse Easement :• Covered Area ASBI-Accessory Setback Line EM-Electric Meter 1St-License No.iSurveyad Curvature TWP-Township k -Water B/W-Bay/Box Window ENCL-Enclosure MB-Map Book PRM-Permanent Reference TX-Transformer r//� BC-Block CornerMonument WoodENT-Entrance ME-Maintenance Easement TIP-Typical BFP-Backflow Preventer &SM-Professional Surveyor SYMBOLS EOP-Edge of Pavement MES-Mitered End Section &Mapper UE-Vtillty Easement BLDG-Building EOW-Edge of Water MF-Metal Fence PT-Point of TangencyUG-Underground `. Benchmark BLX-Block ESMT-Easement MH-ManholeUP-Utility Pole Center Line PUE-Public Utility Easement A. BM-Benchmark EUB-Electric Utility Box NR-Non-Radial p-Radius or Radial UR-Utility Riser Central Angle or gp-Beating Reference P1DB-Found Drill Hole NTS-Not to Scale VF-Vinyl Fence Delta R/W-Right of Way Common-- BR'.-Building Restriction Line FCM-Found Concrete NAVDBB-North American RES-Residential W/C-Witness Corner ©Ownership BSMT-Basement Monument Vertical Datum 1908 RGE-Range W/F-Water Filter Control Point _-. C-Curve FF-Finished Floor NGVDI9-National Geodetic ROE'nnol Overhang Easement WF-Wood Fence C/L-Center Line FIP-Found Iron Pipe Vertical Datum 1929 ■ .�&Badu ^ OG-On Ground RP-Radius Point WM-Water Meter/Valve Box C/P-Covered Porch FIPC-Found Iron Pipe&Cap WV-Water valve CERTIFIED TO: FLOOD ZONE INFORMATION: TYLER KESTHELY;FIDELITY NATIONAL TITLE;FIDELITY NATIONAL TITLE BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING INSURANCE COMPANY;NAVY FEDERAL CREDIT UNION MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF ATLANTIC BEACH,COMMUNITY NUMBER 120075,PANEL NUMBER 0408 DATED 11/02/2018. DATE OF SURVEY:12/23/20 BUYER:TYLER KESTHELY SELLER: DANA EDWARD GRANT AND ELLEN M.GRANT CLIENT FILE NO:52-20-0832 A TITLE COMMITMENT: ,EXACTA GG.//��/`'1 /`1 LOW 8291 SEE PAGE 1 OF 2 FOR MAP OF PROPERTY Office:866.73519161 Fax:866744.2882 PAGE 2 OF 2-NOT VALID WITHOUT ALL PAGES 11940 Fairway Lakes Drive.Suite 11 Fort Myers.FL 33913