1684 Atlantic Beach Dr RESO21-0006 paver patio permitOWNER:ADDRESS:CITY:STATE:ZIP:
FISHE RAYMOND PATRICK 1684 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169505 1715 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1684 ATLANTIC BEACH DR
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
PAVER PATIO $5000.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247-
5814) to request an Erosion and Sediment Control Inspection prior to start of construction.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR 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.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 2/9/2021
PERMIT NUMBER
RESO21-0006
ISSUED: 2/9/2021
EXPIRES: 8/8/2021
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $125.00
3 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
5 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Homeowner.
7 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Homeowner.
2 of 2Issued Date: 2/9/2021
PERMIT NUMBER
RESO21-0006
ISSUED: 2/9/2021
EXPIRES: 8/8/2021
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
Job Address: 1(084- PI-1-144-1 t C ' 'AGS 1 Permit Number:
Legal Description Lb+43t'1' Pt+\ANI-Vi G BEACI4(awl-y ars UNrr 2 RE# I 6o/J`-05) Ii 5
Valuation of Work(Replacement Cost)$ Sj 0A7._ Heated/Cooled SF Non-Heated/Cooled
Class of Work: New 17Addition Alteration Repair Move Demo Pool LiWindow/Door
Use of existing/proposed structure(s): Commercial OResidential
If an existing structure, is a fire sprinkler system installed?: Yes ONo
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed:
CoNS'TRva- A ---AJ R. 'Fg\-"1D PC-Xi-11.0 OJTD KlST(ts1 --PAVER-'RCT-10 ui(J() RAV_R5
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name 1-dAN/M01`1!7 t H. ISttE Address f '-+ )AN+rC
City Pr}- N,1-\c , 13F,Ach State 'L– Zip 322 33 Phone 0I f-I 91 -)g Z I
E-Mail re\,,--ISki G MAI e .Civ
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)MOr\r P rk: 1S+E
Contractor Information
V ENameofCompanyQualifyingAgentCCE
Address City State jiP/ . 1 9 ?2OfficePhoneJobSiteContactNumber
State Certification/Registration# E-Mail
Architect Name& Phone#BY:—
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempt o 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
RECORDING UR NOTICE OF COMMENCEMENT.
Signatu-- o Owner or Agent)Signature of Contractor)
Signed and sworn to(o affi med) before me is ZQ day of Signed and sworn to(or affirmed)before me this day of
I - by
G
AUB•EY r
A
o = a9 Notary Pu !!c, "
FIFA
ettr: of Signature of Notary)
Commiss. ' GG 259-73
117411 ,Iy comm.exp,res Sept.17,2022
rers• 'nown 9 R Personally Known OR
Produced Identification Produced Identification
Type of Identification: 1 z L- Type of Identification:
RESO21-0006
Owner Builder Affidavit ALL INFORMATION
HIGHLIGHTED IN
f"--' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER
OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: l(o'4 i4-1-1A "'I-
Cr
c Ach`-27R .
Owner Name: - /(\46IJ 17 )-I. s)-} . Phone Number: QU-1—`JI `1-1,3Z)
Mailing Address: 1 (OSS}' 0A-IAN.14 C CZEAc 1 . City: {QN-h c &i46,-) State: f1-- Zip: 32233
Notarized Signature ofOwner
cam
The foregoing instrument was acknowledged before me this L' d. of 0.n • , 20 I,, in the State of Florida, County
of Tjvval
Signature of Notary Public • L
1 Personally Known OR [)Q Produced Identification
AUBREY M.LITTLES
T
8"
p
Notary Public,State of Florida Type of Identification: y L.
ii!r Commission#GG 259573
1 My comm.expires Sept.17,2022
Updated 10/24/18
RESO21-0006
Atlantic Beach Country Club Homeowners Association,Inc
414 Old Hard Rd Suite 502
Fleming Island,FL 32003
Phone: 904-592-4090
Fax: 904-269-2729
Raymond Patrick Hamilton—Fishe and Patricia Gilbert Fishe
1684 Atlantic Beach Dr
Atlantic Beach FL 32233
ARCHITECTURAL APPROVAL
1/14/2021
1684 Atlantic Beach Dr
Dear Raymond Patrick Hamilton—Fishe and Patricia Gilbert Fishe:
We thank you for your above referenced architectural submittal, and are pleased to inform you that same has been
approved. You may proceed according to the information provided with your application made part of this approval, the
Community Guidelines,and following conditions:
1)Paver patio additions on both sides ofexisting patio as described in specifications and as shown on drawing
submitted by owner, attached and made part ofthis approval.
2)Patio additions to be surfaced with Tremron Mega Olde Towne style pavers in Oak Run as depicted in
specifications,attached and made part ofthis approval.
3)All improvements to lie within building restriction lines and to be located directly behind dwelling.
4) Utility locates are recommended prior to any excavation.
5) Finished patio surface to meet and match existing side and rear yard grade elevations so as not to affect drainage..
6)Any excess dirt to be removedfrom the premises. No alterations to existing grade elevations, lot swales,or lot
drainage is allowed or approved
7)Landscape plan approved as submitted.
This approval concerns only your submitted architectural plans. It is your responsibility to obtain any easements,permits,
licenses and or approvals which may be necessary to improve the property in accordance with the approved plans. This
approval must not be considered to be permission to encroach on another property owner's right to use and enjoy all
possible property rights. Approval of this submittal does not constitute a warranty or representation by the ACC,or any
developer or landowner,that the proposed improvements will be consistent with the development plans of any other
landowner.
Furthermore,this approval does not in any way grant variances to, exceptions,or deviations from any setbacks or use
restrictions unless a specific letter of variance request is submitted, and a specific letter of"variance approval" is issued by
the party entitled to enforce such setbacks or restrictions. This approval also does not constitute approval of any
typographical,clerical,or interpretative errors on the submitted plans.
1
Compliance with the approved plans is the responsibility of the OWNER oflegal record, and any change to the approved
plans without prior ACC approval, subjects these changes to disapproval,and enforced compliance to the approved
submitted plans.
In addition,you as the property owner are responsible for positive drainage during and after construction. No water
drainage is to be diverted to any adjoining lots. Also please note,you are responsible for contacting the appropriate
Utility Companies prior to any excavation or digging.
We appreciate your cooperation in submitting your request for approval.
Respectfully,
41
By: Herbert Boyett,Architectural Review`Coodinator
Floridian Property Management
For: Atlantic Beach Country Club Homeowners Association, Inc
2
cd Com`-z;7 tt
Atlantic Beach Country Club Architectural Review Board Application Form
Submit electronically to hbftlpm.company and by mail to
Atlantic Beach Country ClubArchitectural Review Board
c/o Floridian Property Management,LLC
414 Old Hard Road,Suite 502
Fleming Island,FL32003
Lot No. Street Address: /60 V kidA NJ-+CC, JEACJ't 274
Q
Owner's Names : AYlvloiJ 1) s !-FiR /,4 iSHe
Ar-
Address: i&/ A-I f4AJ+ic g640-1 PR -
Telephone:Home 094-517-16z1 Work db r -51 " 18Z
Cell: BDL+- .511 I g2) EmailAddress: tph-6511e, e q 101-,
Architect/Designer(ifany):
4v
Address: Phone
Contractor/Builder's Name: SE K1 1G S t1_5 f'2o t LAAigcA Cot(4$lES
State License#: Address:
Phone Cell:
Current Impervious% 6-4 $ Proposed Impervious%
0,'
Proposed commencement date: AOM P
Proposed completion date: ASAP+ 2.we<)r6
Check if Attached
Site Plan at a suitable scale and showing all trees(including trees within 5'ofOwner's property
line on neighboring lots)with a caliper greater than 6"inches ata height greater than 54"above
grade or a multi-trunked tree taller than 10' (e.g. Crepe Myrtle), existing and proposed lot
grades,location and basic dimensions ofthe proposed addition or modification to the exiting lot
showing all required setbacks, driveways, walkways, patios, pools, fences, columns, pilaster,
wall, easements
Exterior Elevations at suitable scale defining the exteriorofthe structure
required for any above ground structure or addition) 'P io is =a' Ta C7 20-I a c
W P(i iko4 off Ar16L£5
A description of materials,colors, patterns and their locations L:,
Photographs of the existing conditions at the proposed project location
Fee Check (see attached fee schedule)
Description of project(attach extra sheets if necessary):
This proposed patio addition will add needed outdoor living space to the
rear of our residence. It involves completing the rectangular shape of the
existing Tremron paver patio (29 s.f.) and adding additional matching
pavers (190 s.f.) to the southern side of the existing patio to allow for an
outdoor gathering space that facilitates additional distancing for visitors.
The landscape has been changed to incorporate two tall Silvestris palms to
form a gateway to the rear of the house. We will also introduce low lying
rocks as used by a neighbor (577 Coastal Oak Ln) to separate our yard from
the rough behind the golf green on hole #8. Moss will be introduced to
soften the rocks appearance. Capping the northwest and southwest ends
of the patio will be clusters of azaleas to add seasonal color. A new
Podocarpus hedge will be planted to soften the property fence on the south
side and Maui ixora will be introduce around the main house. Celebration
Bermuda will be re-sodded in all other areas. The existing drainage grade
will be maintained so that runoff flows to the east along the south and
north sides of the house. Photos are attached showing the existing
conditions.
I (we)certify that the information either contained in or attached to this Application is true and correct,
and the project will be completed in substantial compliance with this Application.
Printed Homeowner Name Printed Homeowner Name
r\FA- 101rgy,L
Homeowner Signature Homeowner Signature
Date: l f Z / 28Z t
Patio Addition
Property Lines 1684 Atlantic Beach Drive
Lot #84 Existing Celebration Bermuda Grass
1 41'4"
15'6" 5'
i11iflrJtV :r 1<11"
Patio Addition
7 5 iwX3itsi%it-------- %titivX T::. ::.
011•10ORMMO--- Existing
Patio Addition 9 —Z SOpen-Air Patio
3'
t
Z
S11=OM MUM I
7'
Covered
I
Patio I
IStep
ON I3'><' Residence
Scale l
t A r I n n i 1
t 1 ft.
1sq.ft. 7'6"
r T 5"
Notes Impervious Coverage Calculation
Step Details Addition uses Tremron Old Towne Lot Size 6600 sq. ft.
Oale Run" Pavers to match existing Original Home 3374 sq. ft.
13" 1i patio; cutouts are for landscaping Open-air Patio 218 sq. ft.
Computing slope of 1/8"per foot,patio edge is 13"above
Sprinklers moved to match new Patio Addition (A) 190 sq. ft.
grade at corner with step. landscape plan as needed Patio Addition (B)29 sq. ft.Step is 7"below patio surface and 6"above ground surface. Proportional scale used to resetStepdimensionis12"depth,6'height,and 36"wide Impervious Coverage 57.7%
Step thread is made of Tremron pavers image size for printincl
Landscape Plan
Property Lines 1684 Atlantic Beach Drive
Lot#84 Existing Celebration Bermuda Grass
Ili•
k milr•4A.l'-,
ti,-;-:
4 ,
474 t•IF
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1111111•1111•MIMMINIINIMMIIMMIMM<IIIMMI1111.1111.01.111.• .:
Patio Addition r.r.r.r.r.r.r.rar•
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111011111.14.10111111111.110M .•
411111111.111111111•MMIL Existing ......1111111111•1111111•IMM• ' 1, 11.701.1.111...••••=1...<,<,.4,,,4.
FP MM11•1111••••=1 1 1•11.1•••=0•1111011••=11 . ,71.
aliVi. Patio Addition Open-Air Patio r-,—r—,---7—-----
111-:•.A.•in:-;• Li',,
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Covered Patio 1-,
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77.7711111MOMMIllnrIMMIX.C.7.1111111.01111,,IIIIMIIIMMEMINIMMIMUMBINIMO ,1,s,,,, _...........................-_-_............ 0 A Residence 1
N.44-11
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New
Legend V,.
Ci New Plants
re.
Existing Plants
015', Podocarpus Hedge(#10) Dietes Bicolor(African Iris)
roe,.
c•-•.---* Evolvulus Hybrid("Blue My Mind"#30) Pittosporum
A`
Maui Ixora(dwarf#12)
Sabal Palm
Walters Viburnum(#3)
11111 Azaleas(various colors#8)
Silvestris Palm(8-10'C.T.)(#2)
New Rocks with Moss
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $125.00
RESO21-0006 Address: 1684 ATLANTIC BEACH DR APN: 169505 1715 $125.00
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
ZONING PLAN REVIEW $100.00
ZONING REVIEW SINGLE AND TWO FAMILY
USES 001-0000-329-1003 0 $100.00
TOTAL FEES PAID BY RECEIPT: R14836 $125.00
Printed: Tuesday, February 9, 2021 2:33 PM
Date Paid: Tuesday, February 09, 2021
Paid By: FISHE RAYMOND PATRICK
Pay Method: CREDIT CARD 421796711
1 of 1
Cashier: JJ
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14836