175 Seminole Rd DWAY21-0044 Paver Driveway, Patio, Walkway ‘419
S1y�'' DRIVEWAY PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH DWAY21-0044
J800 SEMINOLE ROAD ISSUED: 10/27/2021
ATLANTIC BEACH. FL 32233 EXPIRES: 4/25/2022
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.
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.
JOB ADDRESS: PERMIT TYPE: ' DESCRIPTION: VALUE OF WORK:
175 SEMINOLE RD DRIVEWAYSINGLE OR TWO PAVER DRIVEWAY, PATIO
FAMILY DRIVEWAY AND WALKWAY $3200.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: i GROUP:
170607 0000 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
Turicane Pavers 6121 Collins Road #185 Jacksonville FI 32244
OWNER: ADDRESS: CITY: STATE: ZIP:
BIRDSONG GREGORY ET AL C/O JAY STEVEN BIRDSONG ATLANTIC BEACH FL 32233-4140
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If"
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is
needed,call 247-5878.
2 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL
Notes:
Ensure all meter boxes,sewer cleanouts and valve covers are set to grade and visible.
Issued Date: 10/27/2021 1 of 3
DRIVEWAY PERMIT PERMIT NUMBER
Ic CITY OF ATLANTIC BEACH DWAY21-0044
ISSUED: 10/27/2021
800 SEMINOLE ROAD
s v ATLANTIC BEACH, FL 32233 EXPIRES:4/25/2022
3 PUBLIC UTILITIES RT1 SEWER CLEANOUT INFORMATIONAL
Notes:
A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade
and visible.
4 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.
5 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
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.
7 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
8 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
9 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
10 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
11 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
12 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
This permit is Approved with Conditions for repair and replace pavers from sidewalk to house only.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
Issued Date: 10/27/2021 2 of 3
,137,N DRIVEWAY PERMIT PERMIT NUMBER
r A ``a CITY OF ATLANTIC BEACH DWAY21-0044
800 SEMINOLE ROAD ISSUED: 10/27/2021
F ATLANTIC BEACH. FL 32233 EXPIRES:4/25/2022
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL:$260.00
Issued Date:10/27/2021 3 of 3
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Check Box Check
APPLICATION TRACKING COMMENTS to Add Box to
Comment Print
Underground Avoid damage to underground water and sewer utilities. Verify vertical and
Water Sewer horizontal location of utilities. Hand dig if necessary. If field coordination is x x
Utilities needed,call 247-5878.
Meter Boxes Ensure all meter boxes,sewer cleanouts and valve covers are set to grade
Sewer
Cleanout and visible. x x
A sewer cleanout must be installed at the property line. Cleanout must be
RT1 Sewer covered with an RT1 concrete box with metal lid. Cleanout to be set to grade x x
Cleanout and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will
RPZ Backflow be provided or if there is a private well on the property. Backflow preventer ❑ ❑
must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Plans note the building will be unsprinkled. If plans change, any fire line
Sensus installed must be metered with a Sensus touch-read meter in a properly sized
Touch-Read vault and an appropriate backflow preventer installed. Backflow preventer 0 0
Meter must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Fire Sprinkler If fire sprinkler system is provided,call 247-5878 for backflow requirements.
Backflow 0 0
At a minimum,will require a double check backflow preventer.
Requirement
Fire Line Fire lines must be metered with a Sensus touch-read meter. Meters larger ❑
Meter than 2" must be installed in a vault as noted in JEA specifications.
Utility Map See attached Utility Map. ❑ 0
Disconnect
&Cap Disconnect and cap water and sewer lines at City Right of Way. 0 0
Inspection MUST call the Inspection Line at 247-5814 to request an inspection of the
Prior disconnected and capped water and sewer lines PRIOR to demolition. ❑ ❑
Utility All water&sewer utility connections must be inspected prior to cover up.
Inspections Please call the inspection line at 247-5814 to schedule inspections 24 hours in
advance. Failure to schedule utility connections may result in failed x x
inspections and additional fees, and delays in utility services.
System All fees must be paid for water&sewer connections before meters will be set.
Development Please call the finance department customer service line 247-5816 to 0 0
Fees coordinate payment of fees.
0 0
•�tL�i ,, Building Permit Application Updated 10/9/18
r... - 0 City of Atlantic Beach Building Department •`ALL INFORMATION
HIGHLIGHTED IN GRAY
ii
800 Seminole Road,Atlantic Beach,FL 32233
�� IS REQUIRED.
Phone: (904)247-5826 Email: Building-Dept@coab.us
DWAY21-0044
Job Address: 175 Seminole Rd Permit Number:
Legal Description 10-8 17-2S-20E SaitairSeel Lot 629 RE# 170607-0000 -_
Valuation of Work(Replacement Cost)$ 3,200 Heated/Cooled SF N/A Non-Heated/Cooled N/A
• Class of Work: ONew ❑Addition ❑Alteration 1S)Repair OMove ODemo ❑Pool QWindow/Door
• Use of existing/proposed structure(s): OCommercial NResidential
• if an existing structure,is a fire sprinkler system installed?: ❑Yes MNo
_ • Will treejs)be removed in association with proposed project?Lives(must submit separate Tree Removal Permit) N.No
Describe in detail the type of work to be performed: Replace warn&broken Driveway,walk way and porch concrete with pavers.
j Work is not in the ROW and is Like for Like in size.Install from the sidewalk to
I the house.Total is 500 SOFT.
Florida Product Approval# _ _ for multiple products use product approval form
Property Owner Information f
Name .S,•-1'! 11o.,, rt. Address !•/i• /t/ Cfo;:`uAt (/,f<)
City?• i1-,l,t, r'.e L State --c Zip ')--"L i) Phone `?OY h3 el /62.4E-Mail C� ({ . ,v,i�. ?,. li,i• 'V•ni.f- S:,e'il"e t-, /150tt.I... , t
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company /,1 C I re-..4-1e, ro,v e r S Qualifying Agent.hfl,sifea& Li n-,l1
Address (1I a.j ('elLI - 1 fs� w� City___ c_!S> eetji1e State L Zip ,a)..ry
Office Phone Job Site Contact Number 9041-7 OC)- L,6z,. .-
State Certification/Registration# (-12(02 7y$?ice E-Mail TO r;Co.nPTQ-/ECS 6i)q^rn I.['Or,
Architect Name&Phone#02c;b}inre�l Mo q nu-20D.-1t pulnjr or 7-3ci ne
Engineer's Name&Phone#
Workers Compensation Insurer_ OR Exempt Expiration Date n i/�s/7 027
Application Is hereby made to obtain a permit to do the work and installations as indicate 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
REC0RDJW YOUR NOT OF COMMENCEMENT.
(Signature of Owner or Agent) — Signet of Contractor)
Signed and sworn to(or affirmed)before me this.e day of Signed(��and sworn
rttoot(or affirmed)before me this IIS"day of
,Pont ,bySLAF-1 - vi& . lP-A_t'Y--Ar t L.l''�Y (Mr iCW-Q(a�usi
b i_
(Signature of Notary) (Signature of Notary)
BRANDI MCKINNON "w BRANDI MCKINNON
` •': 1 I Pe sally Known OR _1
(J Personally Known OR ,•�•'�,Commission#HH 068724 ,,,''•..;:Commission S HH 088724
f—oduced Identification ‘.2.;:,01,,.::...W• Expires April 3,2025 ced Identification '•icy:y Expires April 3,2025
f,..7
?:o:v.ry°�. Thu Insurance 5:.3t •",..�yto7• Bonded TNulroy Faininumcee°C485.7019
Type of Identification:l` (-i_ ... Bonded .dentificatlon: L�
NOTICE OF COMMENCEMENT DWAY21-0044
State of El GI;d i_ Tax Folio No.
County of '),,j ,I;L a/Prw41 1(11)649 a"d
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 16-c 1Q-2S -29 f S//ti I/t _L Ley 6 2,y"
Address of property being improved: /7 5 S(l n1rna(e.�d Ri Lair I( e a ck rL 322”
General description of improvements: (p/a CQ WO.Xit chitet,,i wkik(4,4/i p1), ec'C{e-r•
W riA pQ,ie(S } (O M Std 2 t' t L /115 . l Lll�� —
Owner: `_>CMf( �jtf( r A[� Address: t://, C(Y/I U/>( /( I4iti A.e be 4 Ch
Owner's interest in site of the improvement: (VCS w44/ u/�lky/0 y Yip�rl� rre/I'J'.p �-(-
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Uf ICctneo p vprSS I-4-C r'kri5�i-1u. re-.
Address: eela1_L'ADM. hd lig,S L'.�'`��[�,ti lie t-e' . ?? 5(y Telephone No.: 9OLI-?Clp-/ (p?3 Fax No:
Surety(if any)
Address: _ Amount of Bond$ _
Telephone No: Fax No: Doc#2021273585.OR BK 19964 Page 194,
Number Pages:1
Name and address of any person making a loan for the construction of the improvements Recorded 10/18/2021 03:54 PM,
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
Name: COUNTY
--- ---- RECORDING $10.00
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served:Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:_
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER \
Signed: V"• �:t'�.n.yt Date: /O•/g^.2
Before me this_ ( clay of B v F,e r y� In the County of Duval,State
0 orida,has personally appeared 'ice t{- 131 rd 502,-yS-
..�.- - otary Public at Large,State of Florida/County of Duval.
J: p`C ENRIQUE A.FLORES My commission expires: 1• LSI Zen,
En Notary Public,Stale of Florida Personally Known: or
Commission#GG 328087 Produced Identification: FlQ 41Wrt. �1'i t,�lv''-t Cf/\K..
"�" My comm.expires Apr.28,2023
r
•
MAP SHOWING BOUNDARY SURVEY OF
LOT 629, SECTION NO. 1, SALTAIR, AS RECORDED IN PLAT BOOK 10, PAGE 8,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
GREGORY BIRDSON & SCOTT BIRDSONG
WATSON MORTGAGE COMPANY
• STEWART TITLE GUARANTY COMPANY
RICHARD T. MOREHEAD, P.A.
SEMINOLE ROAD
(70.0•RIGHT OF WAY) 50.00' (PLAT)
N 44'53'17" E
. 50.01' (MEASURED)
•• CORNER OF INTERSECTION MARFOUND 1/2'IRON FIVE• •••i' S I 0 E x A l K - row*, MON PIPE FOUND 1/2' AR
NO IDENRFICATI. • f . row*,1/2'STAMPEO 'BURDEN 1048' STAMPEo"ACM LB 6702'
•
0.E3or
6' 0.6' 200.00' (PLAT)
N 44.49'52'C
7r I 199.72'(MEASURED) I—
LSJ;
o •"o W 3
4' /Y/
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y COYEREb bony •" ^ p RI 1.7
CI I '7.5' 35.0' 7.6' n >'o
L W a
CD
ONE STORY $ (�/)
I-. < MASONRY & FRAME « Q6 W I-
EL M POSTED # 175 M a
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LOT 630 i.. LOT 628
o-o1, ' 05 p
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s 0.0'-, t
s} -x x - 0
ON 7.7 24.5' 0
• N �, 0 O
' CONDITIONERPAD U)
Z i N
H
LOT 629
•
FOUND 1/2-Max Pip( 0.3 x x, x x FOUND 1/2'MON PIPE
1.7 NO IDENTIFICATION
NO IDENTIFICATION S 44'50'19" W
LOT 644 I 50.18' (MEASURED) LOT 642
I 50.00' (PLAT)
LOT 643
DWAY21-0044
I
NOTES ACCEPTED BY:
LEGEND:
R RADIUS —x— - FENCE
L - LENGTH O . CONCRETE
NOTES: REVISIONS
1. BEARINGS ARE BASED ON THE ASSUMED BEARING OF S 45'00'00' E ,ALONG THE
NORTHEASTERLY BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOWZONE x AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 1989.COMMUNITY NUMBER 120075.PANEL _ 0001 0,
3. THIS SURVEY REFLECTS ALL EASEMENTS&RIGHTS OF WAY AS PER RECORDED PLAT&/OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED.NO OTHER.TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4. THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB N 23528 1 DATE OF FIELD SURVEY: 03-03-04 DATE OF ISSUE: 03-05-04 1 SCALE: 1" = 20'
CERTIFICATE
P€M
2522 OOV Street 1 HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARCE
JacPSPnviIIT.Florid° 32704 AND MELTS THE MINIMW TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
(Phone)904-389-5989 BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61017-6.FLORIDA
(Fox) 904-389-6175 COOK ADMINISTRATIVE ���yRRR$UANY TU 2!..O 00rr{{472072 LOROA STATUTES.
r....
sunvEuin0 Inc 1 CHARLES K. MC INTOSM
LICENSED BUSINESS/6702 REGISTERED SURVEYOR AND MAPPER /5502 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS