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1785 BEACH AVE RFNC21-0120 f''="`'>,. Building Permit Application Updated 10/9/18 J ii,,,) City of Atlantic Beach Building Department **ALL INFORMATION /. / 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY �L0>>"` IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: I i 9 S Cj eec tit t]x' Permit Number: :\I- `-` < <-L. / / LGA ' Legal Description 7 c/D 09 _ 2S —2. t Al 1GNJ•i'c 13(�adi (,�✓?f �! RE#j Valuation of Work(Replacement Cost)$ 2D.' — Heated/Cooled SF Non-Heated/Cooled • Class of Work: ©flew Addition eAlteration Rftepair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial Qfrsidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes C3fGo' • Will tree(s) be removed in association with proposed project? ❑JYes(must submit separate Tree Removal Permit) L-N'o Describe in detail the type of work to b(e ppeerformm eed: t)f ►ti�� ) r i-'vc-C i) i,�,Qe`'i y LI �C.., �/(/S of t' 1" Ivf�t1 -r-t- G/Cc— IR c �� 0 1 c! Florida Product Approval# for multiple products use product approval form PropertxOwner Information Q � Name 1Jok / G/ly I.,CaN,bl. Address 178.5 /Sea t 4 I City /i f lot ✓v C 6-eC4C (.t State tel Zip Phone g Oe/ 6,5"Z 7 ?c7 E-Mail d iesdija. yeiNnoo . Gales Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company Se I T Qualifying Agent Address City State Zip Office Phone Job Site Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ Expiration Date 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 FEC DING Y.UR NICE OF Co MENCEMENT. (Signatur- of Owner or Agent) (Signature of Contractor) Signed a d sworn to(or affirmed efore m.- this` !day of Signed and sworn to(or affirmed)before me this day of 'j(_ , by , - , , by ilMIL CRIT .tu' -e€-Pt. (Signature of Notary) BY P!i 2�•• :••m��-: TONIGINi�ERGER .: ;a MYCOMMISSION#GG35 It e..nall Known OR [ ]Personally Known OR ; Y [ ]Produced Identification '.",Fa F o? EXPIRES:October 6,20213]Pr.! uced Identification i Bonded Thru Notary Public UndervT K ] Identification: Type of Identification: ;:.;,s 'ir Fence Addendum Updated 1/14/2021 City of Atlantic Beach Building Department osWO) 800 Seminole Road, Atlantic Beach, FL 32233 PERMIT# Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Date: I ? e0te h j yG r/1 / 2 Property Type: Lot Type/ Features: B'Residential Q'One Street frontage (interior lot) O Commercial ❑ More than one street frontage(corner lot,through lot, etc.) 0 Swimming Pool Fence Material: Fence Height (select all that apply): ❑ Wood fur Foot (4ft) ❑ Chain Link CeSTICFoot (6ft) inyl ❑ Other ❑ Block/Stone (Plan details required for footings and/or retaining walls) O 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) C3'l o Will tree(s) be removed in association with proposed project? ❑ Yes (must submit separate Tree Removal Permit) • o 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 & TIDAL WATER SURVEY OF [\`j A�TNATL AT PART Or LOT 36.NORTH ANTIC BRACB UNIT NO I.ROB J CORPORATION,AS RECOROm O PIAT BOO[le,PACS 10 Or THE0 ,• 4 , c• • yy CUOmIt PUBLIC RECORDS Or Olnu COUNTY.rIDRIDA LTBG MISTILY OF Tip 0NIDON CONTROL IDR A ESTABU!®BT NIT BOON 36. ,• S- 'I V PACES 60,SNA AND 006 Or SAID CURRENT PUBLIC RECORDS. , PART Or*MON R TOWNSHIP 2 TU11T11.RANGE 20 LASE,DUVAL COUNTY.1DI®A TMINGLOO MORS PARTICULARLY DNC95tD AS TOWH9 FORAII t 1 a ' 'it., POINT Or Rnor COIB®ICS AT THE NOR1nuecml.Y CORNER.0Or IDT R.NORTH MANTIC BEACH UNIT NO I.RC BD.CORPORATION.A _, "rail3 ■ _ • WORDED Al NAT 9001 56,PAGE 10 OF THE CULO✓f 1 PUBIC 0, DMB Or AFORESAID DUVAL.COUNTY,THENCE ROURI RP 6.5'15•SLS.ALONG t 4� , 1R ♦ ~ .•1' t , �� :�I�' -- •f@fOaT PROJECTION OP 11R 0CARSNORTHERLY PP W YD LOT>e,A DISTANC1 01 96.01 IRT TO A TOOT ON THE felCtl.T RIGHT 01 EAT 1 • ••• RAE OF RICH AVENUE(FOR1110 P GARAGE APPROACH ROADWAY):NTHION SOUTH ON REAR'S.LTT.ADAM10040 SAD■S9Tt0.Y RIGHT M TAT IDR,A r •';: .1 • ,1�` DISTANCE OF 30D0 FEET TO THE WRIT or BM16 IG.THENCS CONTINUE SOUTH OI 204"EAST ALONG SAID WG!TERI.T MITT Or SAY N.£ A •',I. ■ { �I • • DISTANCE Or 26.09 IRT mama SOUTH BP 5116'MIT.ALONG A.RnM.Y PWYLCIIO1 OP THS Or LAE Or Ar01R91ID LOT 96♦ ` MISTING[Or 60.0 FRY THENCE NORTH OP D04'REST,PARALLEL 1111 SAID VSESERLY RIGHT Or DAT UNE OF BRACH ATIXl1E AND ALONG 1 d �� .... �1 MX NAR IAN 0►IP J.MLN GROVE-UNIT NO' S RR11511 B P1 T 005E TD,PAGE O0 Or N O IFOT 16, CURRANT NIBSC o.rat.A !�.\'�' LEE TABIF{AW) THE P .O 040.0 ITT:TilnN:E NORM LAX 66'15 EA9I,PARALLEL 1tTf1 SAID 101TE.T PROIBLTah 01 UN 5e,A DISTANCE A 10 W 4047 TO I }, • I LITE LEMON WARM Ilii POOIT A 1.01311C003. - • _ lT MITI 9W']522t IFN®T0:DM5 O.I0OMA1D AND STRUT 5.1000NMD:RATION TTL 15114121 or N ti,INC..MD REPUBLIC NATIONAL MIR INSURANCELI 49.92 922•34E0rm .� -U MT] RrWGTR COPARr:MOR2Ar 1[AIRET PRIVATE BANE NA 6AOA/AT1MA ,i I '4_ II SI '-i LI 1914 Nem-gro 1, RCAIl i•_S0. DATE 10/22/20 4 ... I,�I �IllI LJ 19 1 NISE10'072 .(.. 4. ! Le 27.56 5114.50'0 - - .! I all•Rte. F• L7 20.71 50,315.22'E R • 1 t d 140 TAB1I(04 10TH T ' 11, •I UNE LElIG1N EAa (4•R/,A) •503,F (971-31F06.10S' 0j _ _ I y 1, .-' 1 . L2 2001 satl•451. - ••1• ,.I. MSS - r I-- NSF -11■ a L3 50.01 RR1915 W "Lid ♦ r a. L. 20.06 L5 5000 TNS3S 7T 1 1,.i... -. A,I� � �; i �■ w-, L. 25.01 1695615'6 \ I -®i ,% . .. 4 V 30.32 SOJ'35'22'EWIElium .,.,..,>.„...1...,41-..0:-.i..--'i. M. . •.��'EL V ■�� • g1 \- • I.- 1.4 I NOStt MAP I (NOT TO SCALE) PONT 6 REFERENCE EROSION CONTROLII I AWOL] LOT JA RIME PER RAT BOON 0 I NO11R61f16T CORNEA 35 PACES 59,590-5FB 73 I Q LOT]E I T iSp NCA NJ *1 edl 1 MBY'AO'SYEr 199.10' I 1 1 p•� Le _ ,., M. E,wsIDri RQ I 126.51' a I E� \\\1;1 Tr 7. • .Om R9m@. --- 9 `r 4.561504 Y Hah 50116. 5321'1 87E------' Ie6B6 5029'W� I B .ENP 2-STORY RA Rv ; Z � 01 SEPT.601.1933 661' SEASONAL NIGH WATER 12.,6' \ R 4.500E ® ��R� PARCEL 1 ♦ CI (SCALED FRd PLAT) LME.ELEVATION 10.10 y w •� d �/2RISWEIORY!LPN•a:�1��RAs WO I 1P LOT 36 O Y ro 1 NAVA.61060. MEAN HW WATER A I \vE-aEVATTah 2.21 -.I 585. • s W '-� $ ;50540 tit+ ... p ® I ,@l Q�A ; s.am. LoCAED w o./w/21 52456'02 E v Im -43 ..om. r. , n1 rm ma 41$: I {`• K ...+0. 40.34• I APPROXIMATE TAN09 .71• \ LOCA rtn ON GI/30/21 X, ANR G I 3.-HTn te.r _-- '�.1 1 tom a vTDETATEM E re; -■ t . ""g51."'-- • • --...•IN 5'--Mr wm 1 1B2.rr ill �5 •' L3p :d ■5d 25.a• NAM ...A 126.02' 8w I �• B {I� �'y 1Irm 1r.0 I. 'I 1 4 •4, RLI I {4 SEN'/0'ST'w 200.012'lc 11 1 Q 1 1 LOT 37 ($ 1 1 I '...1 ..�1 I IIS_COASTAL CONSTRUCTION COWBOY INE '��9 1I > 1 v to d e g 1 I • II '�� LOT _---- COASTAL CahSIROC1ah COITNOL 11E NO1FS SHOW NCM Ig1 1,100 UNE.*0000.4494 SATIN 11E O AL NOTES 1.COASTAL Cah61RUCDah CONTROL 111E PER ROLE 618-M-001 00015.O OS/D/T 1401 111.1016.MO��An01,uc;l0. 004 AM FE7EC11VF DALE 601/72/102 LOCATION RATED ah 1.THS MAP DOES NOT REPRESENT A ECONOMY SURVEY. ROImA OOMi1ENT 6 EMMIROMEIITK PROTECTION PONT NN10 AMW NAT E AYp110NK FIBMMIR ND/UR Rf30Clg0yAUT/A[NOT 90001 6LVIw4.l 91001 NOEON.R UIHI 122]02211.NATgIK LEORTI0 98101'Cahill.0Bah01NM „....7.,/,[10111•01.1. Nf AUP AUT TUT E 4001 N M II.14..5(01105\Aq'ACR pA01 1g5N119.0 NOT 40CA1W 1372 02201 NATIONAL GEODETIC SURVEY COIPRQ DESIOIATNI i1E LOT 91401 HIEah IS N ROOD ZONE Ir!'Ar BADE iL002(9 AS 91010 ah 8000 NSINMICF 2.TINS DK wATFA SURVEY COMPLIES WON CHAPTER 177, 1372 WIRE MR TRAP 11031 COW7 AL CIXMTY A OAT@ 11!02/10. PMT I.ROMA STATUTES ORS 2.NOPozahiK POSITION SM01 ON THIS SURVEY WAS OWED C & C LAND S F ORS C. 3 SOURCE NS SHORN EIS ROWA REFERENCED TO 6 'R{9700 ROAD IJ.956.4.0T. 7180 ENMRONAENTAL PROIECTNN PONT NNE 122300241.[LEVANON USMG 1IlO PFIOINETIT RGRI METw011c(MVO. ,ase N.AVD.6,9136 MAUVE N0E10A1C(RPB)ROGER00A LOTS 11010.D 6 CARLSah (■R•)1•dI 1401 I Ilal� T'9R0r `.. 13097 AIM CJJL501 T CW 1108 2 DATA WLECTOR.ONE A®1AmIm AU NAPPED FEATURES 91001 OT 1(2(4WOOEc u1c•4A A EU-YAWNS SHORN HEREON R6EREllCFD lb N.A.V.O.6 1986. P0911EINK AOOMN.Y 6119 LOCA110N IS 0.10 FEET. a Y `� .W` :H°"' ,NV QTS M 9TN10M10S ANL. MY WJY Y TC 5.MEAN NW RATER UNE LOCATED RIR iNAOUahAL TOOK 3. FLORA STATE PLANE COO DNAIES ELON REFERENCED TO _04 ri NOT WARD O�L�, J65N1 65�SA61bm1�1041 STAIg1 AND 007E COO*4.00 NORM NO6LAN 001101(IUD)60/90 M U.S.POET. O 010411 10021`10 SlA1IIgs'No MA0R9 50.17 w TTDICA....SNA,'M r!Ac; 6.WAN maiwATEA LPROVE.E0 ROMA 0EnavaIMT 0r PONT M 10 EA EAS M911ED PUBUSFICD PUBLISHED '•` RE . 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