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1648 Atlantic Beach Dr Residential Walkway Pavers Permit s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES018-0012 Description: INSTALL PAVERS FOR WALKWAY Estimated Value: 1040 Issue Date: 4/17/2018 Expiration Date: 10/14/2018 PROPERTY ADDRESS: Address: 1648 ATLANTIC BEACH DR RE Number: 169505 1100 PROPERTY OWNER: Name: SOMMERS JODY LYNN Address: 1648 ATLANTIC BEACH DR ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CONSTRUCTION SOLUTIONS & Address: 5225 EDGEWOOD CT SUPPLY 1041 FOX MEADOW TRIJIM ROMEKA JACKSONVILLE, FL 32254 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. City of Atlantic Beach APPLICATION NUMBER . � Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233 5445 Phone(904)247-5826 • Fax(904)247-5845 ?01� E-mail: building-dept@coab.us Date routed: �— City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I&n1L ��U( D AAja.& 1paElLpent review required Yes No Applicant: Tree Administrator Project:- is or s qc ' t' Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Vpproved. []Denied. []Not applicable (Circle one.) Comments: BUILDING s PLANNING &ZONING Reviewed b4( ate, TREE ADMIN. Second Review: ❑Approved as revised. []Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 S1a,y;y� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r ` 800 Seminole Road Atlantic Beach, Florida 32233-5445 1`F�x J (�-- Phone (904)247-5826 • Fax(904)247-58 I E-mail: building-dept@coab.us Z)R 0 5 2018 Date routed: ! City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (L �,. ��� Q ApadMent review required Yes No Applicant: n i Tree Administrator Project`: <10luvic Utilitie Public Safety Fire Services Review fee $.f Dept Signature ,�� Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: []Approved. ❑Denied. of applicable (Circle one.) Comments: BUILDING PLANNING &ZONING ,,✓/ Reviewed by: Date: ��' TREE ADMIN. Second Review: []Approved as revised. ❑Denied. ❑Not applicable PUB _ ORKS� Comments: P LICJrJT�ITIES (f r � PUBLIC SAFET Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 .L V %-11 v J-./Zal 1e 1 A..,j LJ 111 V .l_! 1 LOT 152 AS SHOWN ON PLAT OF ATLANTIC BEACH COUNTRY CLUB UNIT 1 RECORDED IN PLAT BOOK 67, PAGES 52-54 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNT GRAPHIC SCALE 30 0 15 30 W% ( W nrr > tv A � 1 inch = 30 ft, N '59'56"W 51,63'(P) 25. •(P) ;t 5.00 PLAT UNE +•IG ys.p4 U U. LINE TABLE y_�.--•� r r STC�Y p m ,i j UNE DIRECTION i.EN37H t.L7 5.00' N u cAARYBot s .� Yj i(PXM) S75'32'm-w 60.00 !' IyOL1`. �. - ,,,,,..yy►► i . N75'32'35'E 60.00 N z XPXM) p� 1g 06 5,00 'dPERV10US COVERAGE �'�. \7 5'00 ���° NOUS 5q. Ft. LOT 5q. Ft, i X �. 'A o R� x $9 Sq.Fi- 5,400 Sq. Ft, ; 65X 0. 0`1 Lo 3- rn 3.00' � DENOTES BRICK DENOTES CONCRETE El DENOTES 4"X4" CONCRETE tO 154 b Tool- MONUMENT oolMONUMENT LB 3848 O DENOTES FND 1/2" I.P. �11 � LB 3848 — DENOTES TELEPHONE HAND HOLE l DENOTES WATERMETER t — DENOTES IRRIGATION METER }` — DENOTES IRRIGATION VALVE — DENOTES DRAINAGE MANHOLE — DENOTES BACK OF CURB — DENOTES EDGE OF PAVEMENT "SETBACKS- FRONT- 20 FEET FROM FACE OF GARAGE TO BACK OF RIGHT 15 FEET FROM BUILDING FACE OR PORCH TO BACK OF R3GHT Of EXCEPT CORNER/00LIBLE-FRONTAGE LOTS. FOR WHICH THE NOh FRONT/SIDE MINIMUM YARD SHALL BE 10 FEET FROM GARAGE C FACE TO BACK OF RIGHT OF WAY ml ARE BASED ON THE.CENTERLINE OF ATLANTIC BEACH DRIVE AS BEING S1427'25•E. ELEVATIONS SHOWN HEREON ARE BASED ON NAVD IM S SHOWN HEREON UE WITHIN FLOOD ZONE `X(SHADED) AND AE(6)• AS DEPICTED ON THE FLOOD INSURANCE RATE MAP(F.I.R.M.) COMMUNITY NUMBER 120075, PANEL NUMBER 0408H, DATED.,AtNE 3, 2013, THE.FSI IVEY ARE SCALED OFF OF INE F.E.M.A. F.I.R.M. MAPS AND ARE FOR REFERENCE ONLY, THE F.I.R.M. INFORMATION AND DFUNEAno N'S ON THIS SURVEY ARE VAUD ONLY FOR DATES UP TO AND INCLUDING THE DATE OF EEN SUBSEQUENT REYSIONS AFTER THIS DATE THAT MLL SUPERSEDE SAID INFORMATION. INQUIRIES SHOULD BE MADE TO THE COMMUNITY'S FLOOD PLANE MANAGEMENT REPOSITORY, DEPARTMENT OF PUBLIC WORKS, SPS REFERENCED HEREON ARE BASED ON NAVD IMS, tGROUNO FOUNOAnONS OR UTILITIES&NO 9MPROVEMENTS, OTHER THAN THOSE SHOWN WERE LOCATED UNDER THE SCOPE OF THIS SURVEY. Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 A p R -v4 2018 ��e Job Address: 1648 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233 Permit Number:� —("01 Legal Description 67-52 16-2S-29E ATLANTIC BEACH COUNTRY CLUB UNIT 01 LOT 152RE# 169505-1100 Valuation of Work(Replacement Cost)$ 1040.00 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Iteratio Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esidentia • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes. No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: INSTALLING PAVERS FOR WALK WAY ON PROPERTY Florida Product Approval# for multiple products use product approval form Property Owner Information Name: SOMMERS JODY LYNN _ _ Address: 1648 ATLANTIC BEACH DRIVE City ATLANTIC BEACH State FL Zip 32233 Phone 410-991-8521 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: CONSTRUCTION SOLUTIONS&SUPPLY LLQZualifying Agent: HARLEY BRYAN Address 5225 EDGEWOOD CT City JACKSONVILLE State FL Zip 32254 �y— Office Phone 904-389-2700 Job Site/Contact Number 904-370-0664 DAVE KLOTZ State Certification/Registration# 1331244 E-Mail CHRISTINAC@CSSJAX.US Architect Name&Phone# Engineer's Name&Phone# CON Workers Compensation Exempt/Insurer/Lease Employees/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 regulationg 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 FI LACING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC$RDING Y R NOTICE OF COMMENCEMENT. _.J (Si ure of Owner or t) tsignature 40 ntractor) (including contractor) 1111 �,✓ ped and sworn to(or affirmed)before me this013 day of Signed and sworn to(or affirmed)before me this 2_1' day of by rrA J tj ZQJA YrGS Ni�1 It ,by 6ke1 � FP.O Public S be Notary� Judy ANissio s Si ture of Notary) MyCommission FF 974 ( g�f ,,o� Expires 05/0212020 '- J .� owAy°its Notary Public State of Florida s [ ersonally Known OR = �' Judy A Wilkerson roduced Identification C 1, l� J,�, c� [ ]Produced Identification c My Commission FF 974414 Type of Identification: �'bL J StY� t�-w+'Jr'o'0 Type of Identification: ?a�dP Expires 05/02/2020 v �;,, :, -• �- � ,� .- ; �� �� � �� z 'i .. _ f r� ---�,. :; i.„� ��., '. �, - ; ; �:: _� y•r rt .�.1 ' r r '.'f, � .�y f i i�il'.e 4 t1V J1���1'{(7bn�� l,!•' - , .� •� w�il�:'!A Ftp J, � ti m �. i;i. dam.!+.,�,r ' rTr: arf �'� ��. r . _ � �"' .s .:. .,� a- -'ate--'-... - -. .,.