470 Garden Ln RESO21-0070 Privacy Wall RevisionRevision Request/Correction to Comments ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
Vilifir 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Buildin -Det coab.us elf i -wlcp@PERMIT#: 11
Revision to Issued Permit OR Corrections to Comments Date: 06/?0.12oz
Project Address: I-10 61,0,OEc zs3
Contractor/Contact Name: 13 1VIh15 C v,v•,
Contact Phone: (C;CP • °141 • oCs)%1 Email: TT 1.1/4)1/Qs c G/r n%‘
Description of Proposed Revision/Corrections:
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I ( J 1 v\ •-) affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
Will proposed revision/corrections add additional square foots a to original submittal?
No Yes (additional s.f.to be added: 40 met
Will proposed revision/corrections add additional increase in building value to original submittal?
No R.Yes (additional increase in building value: $ICrr Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due$
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
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RECEIVED
By Jennifer Johnston at 1:19 pm,Aug 09, 2021
1 RES021-0070
BOUNDARY SURVEY JOBtiSOP
PLAT LIMITS
589'Wf461M
nIS89°08'46°W 56.19'
150°
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1 GARDEN LANE
60' R/W(IMPROVED)
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SURVEY NOTES C-1 R=25"00'CONCITETETTTIVE CROSSING INTO RPNONSOUTHERLYSIDEOFLOT. L=9«941
THERE ARE FENCES NEAR THE BOUNDARY A=22°46'49"OF THE PROPERTY,
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SURVEYORS CERTIFICATE
I HEREBY CERTIFY THAT THIS' dJiVBDARY 5ClRVE Y TARGETISATRUEANDCORRECTR.EPRFSENFA1CHOFA W..,,.
SURVEYINGLLCSURVEYPREPAREDU^ER DIRECTION
NOl VALID WITHOUT ANAUTHENTICATED ELECTRONICSTATEOF ' SIGNATURE MD AIRHENTICATED ELECTRONIC SEAL
LB#7893ORARA15EOEMBOSSEDSEALANDSIGNATURE.
Kenneth J Digitally signed by SERVING FLORIDA
Kenneth J.Osborne
giOsborneDate:2W0.05.13
1 . ' '
KENNETH J OSBORNE
0Ek801741.0PROFESSIQNALSURYEYOqANDMAPPERA64`, STATEWIDE FACSIMILE 18o0j T41OQ,78rCDkTPtxr rtlPiCInFc t4 r
WEBSITE:hill)„'Iatgelstaveylnyt
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $50.00
RESO21-0070 Address: 470 GARDEN LN APN: 172020 5220 $50.00
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
TOTAL FEES PAID BY RECEIPT: R17123 $50.00
Printed: Tuesday, September 14, 2021 11:06 AM
Date Paid: Tuesday, September 14, 2021
Paid By: IVINS THOMAS J
Pay Method: CREDIT CARD 511899749
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17123