1603 W Linkside Dr DWAY21-0054 PaverOWNER:ADDRESS:CITY:STATE:ZIP:
LEWIS SUSAN E 1603 LINKSIDE DR W ATLANTIC BEACH FL 32233-7318
COMPANY:ADDRESS:CITY:STATE:ZIP:
Terra Nova Pavers &
Hardscape Solutions 8685 Baymeadows RD E #229 JACKSONVILLE FL 32256
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172374 6290 SELVA LINKSIDE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1603 W LINKSIDE DR DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY PAVER DRIVEWAY $6765.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal
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.
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: 1/12/2022
PERMIT NUMBER
DWAY21-0054
ISSUED: 1/12/2022
EXPIRES: 7/11/2022
DRIVEWAY 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 UTILITIES RT1 SEWER CLEANOUT INFORMATIONAL
Notes:
If sewer cleanout is present, 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.
6 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 MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
9 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
10 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
No additional impervious area can be added to this property with this permit.
2 of 2Issued Date: 1/12/2022
PERMIT NUMBER
DWAY21-0054
ISSUED: 1/12/2022
EXPIRES: 7/11/2022
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PUBLIC UTILITIES PLAN REVIEW COMMENTS
APPLICATION TRACKING COMMENTS
Check Box
to Add
Comment
Check
Box to
Print
Underground
Water Sewer
Utilities
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.
x x
Meter Boxes
Sewer
Cleanout
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade
and visible. x x
RT1 Sewer
Cleanout
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.
x x
RPZ Backflow
A reduced pressure zone backflow preventer must be installed if irrigation will
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.
Sensus
Touch-Read
Meter
Plans note the building will be unsprinkled. If plans change, any fire line
installed must be metered with a Sensus touch-read meter in a properly sized
vault and an appropriate backflow preventer installed. Backflow preventer
must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Fire Sprinkler
Backflow
Requirement
If fire sprinkler system is provided, call 247-5878 for backflow requirements.
At a minimum, will require a double check backflow preventer.
Fire Line
Meter
Fire lines must be metered with a Sensus touch-read meter. Meters larger
than 2” must be installed in a vault as noted in JEA specifications.
Utility Map See attached Utility Map.
Disconnect
& Cap
Disconnect and cap water and sewer lines at City Right of Way.
Inspection
Prior
MUST call the Inspection Line at 247-5814 to request an inspection of the
disconnected and capped water and sewer lines PRIOR to demolition.
Utility
Inspections
All water & sewer utility connections must be inspected prior to cover up.
Please call the inspection line at 247-5814 to schedule inspections 24 hours in
advance. Failure to schedule utility connections may result in failed
inspections and additional fees, and delays in utility services.
x x
System
Development
Fees
All fees must be paid for water & sewer connections before meters will be set.
Please call the finance department customer service line 247-5816 to
coordinate payment of fees.
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
srs=`
y'r 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
ft-
on 9r
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
2 ? ii ,, ' \.t r". < wJA.Z ( - Oc 4JobAddress: J L.Ny ri Permit Number:
Legal Description 1,-(Yr,30 ..X C ' ,61/4. ,,\„„,„ DVI f . RE t.o3 u- f p2D
14') A-1.4144r1-- Q.N
Valuation of Work(Replacement Cost)$(p, R-b-Heated/Goolon- ea Weil
ko
Class of Work: New Addition 11.14-teration Repair M ve Demo Pool Wind /Dg4 C 1
Use of existing/proposed structure(s): Commercial esidential
UU 2021
If an existing structure,is a fire sprinkler system installed?: Yes 1±1Vo BY
Will tree(s)be removed in association with proposed proiect? Yes(must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed:
gr----a-Ptal,sk Co C 1E .j(Z`J fi3 i Tt4.- PAJ
Florida Product Approval# for multiple products use product approval form
Property Owner Information
n ,(
Name 0..i J t Addresse....3 .Ils - t i 2
LNCitykgStateZip3 3 Phone Qp —3_'-1 f7b
E-Mail /pc
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
f 1
Name of Com fly Q Vv Pc A\f-e-AS Qualifying A ent
Address R W S e "t" City State fi- Zip 3,Q,7/6-4-
Office
6
Office Phone 9Q ) 66 9 Job Site Contact Number
State Certification/Registration 4 1000058 L{ab E-Mail tr1'D•C(1aD1 (-j (DAN1
Architect Name&Phone# {•Si J
Engineer's Name&Phone# N R
Workers Compensation Insurer .s 0 ._ {'DR 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 Ti •UR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LEND ' O' At ATTORNE :EFORE
RECORDIIG YOUR NOTICE OF COMMENCEMENT.
46,,,,„Signature of Owner or Agent) f Contra sr)
Signed and sworn to(or affirmed)before me this ((f' day of Signed and sworn to(or affirm d)before me this`, Fi day of,
vt,G , 2-0-1,by . UScin E. i, S 12 P_cBft6C (9q7 1 ,by -0k ,CVi(._R 0-.D.5
Signature of Notary) Signature of Notary)
r'r_r w. w I 1 1
CHRISTIAN GILES CHRISTIAN GILESPersonallyKnownOR
MY COMMISSION#HH 117153[ 'Produced Identification
R "'*.'
MY COMMISSION#HH 117153ProducedIdentification
A 113,2025 max-:o`= EXPIRES:Apri113,2025EXPIRES:T ie of Identification: r;Type of Identifications
1
t-;,-,-;:it',..r `EFrt BontlenscUrro 'uNICInaerwiH•ta
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RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road, Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES (
Job Address ( 33 Ir`1 5E. Permit Number -L'F I 0OJ
Contractor Information
Company t \oui•N- Qualifying Agent
Address C SUP ±c_City State j- Zip
Phone (`1o)4) ibc Ijcf l / Email tiitioSQ, otlJ pcpa, , CO
State Certification/Registration# \9000 5 I-I ;-6
Architect l•-•\ )'/c Phone Email
Engineer t /i6k Phone Email
Workers Compensation Insurer 5 t ivy s.-QR Exempt Expiration Date
Permittee declares that prior to filing this application they have ascertained the location of all existing utilities,both aerial
and underground and the accurate locations are shown on the sketches.
Whenever necessary for the construction, repair,improvement,maintenance,safe and efficient operation,alteration or
relocation of all,or any portion of said street or easement as determined by the Public Works Director,any or all said poles,
wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said
street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the
Permittee unless reimbursement is authorized.
All work shall mee ity of Atlantic Beach or Florida Department of Transportation Standards and be performed under the
supervision of4<0 >> O'V Project Superinnt ndent)
with(Company Name) t 1(s Phone CC/WO La— V I
All materials and equipment shall be subject to inspection by the Public Works Director.
All city property shall be restored to its original condition as far as practical, in keeping with City specifications and the
manner satisfactory to the City.
A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit.
Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with
this application.
The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60
days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no
changes have occurred in the area that would affect the permitted construction.
It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,
title and interest in the land to be entered upon and used by the holder,and the holder will,at all times,assume all risk of
and indemnify,defend and save harmless the City of Atlantic Beach from and against any and all loss,damage and cost of
expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
The Public Works Director shall be notiked 24 hours prior to starting work and again immediately upon completion.
E.• Date 124169 /z i
Permittee(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this I CO day of Dt_G EIV\Utp. 20 Z 1
by tl 5Q n e V 1-5 who personally appeared before me and
printed name of Permittee)
CHRISTIAN GILES
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.r . MY COMMISSION#HH 117153
EXPIRES:April 13,2025
iV / y, j
r,V;'" Bonded TTru Notary Public Underwriters
iti (/I/ " l 1 Personally Known
Signature of Notary Public,State of Florida oduced Identification(Type) JL•b. L.. -
H:\Applications&Forms\Word&Excel Document Originals V01801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
REVOCABLE ENCROACHMENT AGREEMENT
r \City of Atlantic Beach
ALL INFORMATION
1-,?800 Seminole Road,Atlantic Beach, FL 32233
HIGHLIGHTED IN GRAY
l IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing under the laws of the State of Florida, hereinafter referred to as "CITY" and
of Atlantic Beach, Florida, hereinafter
referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon
the property for the purpose as described in the City of Atlantic Beach.
This work is generally described as
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirty(30)days'notice by CITY to USER,said notice to USER shall be given by certified mail,return
receipt requested,to the following address (,(0 1)
In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense,
any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or
adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land
Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h)
which states"Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must
be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks."
The USER, prior to making any changes from the approved plans and/or method, must obtain written approval
from the City of Atlantic Beach Public Works Department, for said change within 30 days after the day of
completion.
This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and
assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or
specifications, to include utilities locate requirements and use limitations/requirements of easements, public
right-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be
saved harmless by the USER from any of the work herein under the terms of this permit and that all of said
liabilities are hereby assumed by the USER.
Date ! a - 16 `d o R,
roperty Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this I Lo day of DF C &IVSL L ,20 Zk ,
by tt S 0. _ E • L who personally appeared before me and
printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
J1u/Z ,1//) fi'"'' CHRISTIAN GILES Department Approval:
tr t/ 'f; ' MY COMMISSION#HH 117153SignatureofNotaryPublic,State of Florida jI EXPIRES:April 13,2025
Personally Known Bonded ThruNotaPubcUnder Nn_
roduced Identification(Type) F --D Nilliams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
MAP SHOWING BOUNDARY SURVEY OF
LOT X38 BLOCK AS SHOWN ON MAP OF
SEL VA 2/MHOS/DE'G/All T 2
AS RECORDED IN PLAT BOOK 47 PAGES g5- es BOF THE CURRENT PUBLIC RECORDS OF DUVAL CO. FLA
FOR CENTEX /i'O,NES COA,PDRAT/DA/
NOTE: BEARINGS SHOWN HEREON ARE BASED ON THE ABOVE MENTIONED PLAT.
VOTE: LEY/177O7VS ARE JNOK/N T//Z./.6: (/3.75) AND REFg,' rD NNt/DN/QL GE"DOEr/C VERTic,Q /OA le/Ai Of 7929
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