262 SEMINOLE RD RESO22-0034 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
BOSSY DENISE I 262 SEMINOLE RD ATLANITC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Golden Pavers 3870 WINDRIDGE CT Jacksonville Fl 32257
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170513 0000 SALTAIR SEC 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
262 SEMINOLE RD
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
TRAVERTINE PAVERS $6460.00
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 ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 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.
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: 7/6/2022
PERMIT NUMBER
RESO22-0034
ISSUED: 7/6/2022
EXPIRES: 1/2/2023
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: $125.00
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
4 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
5 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
6 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
7 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
8 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
2 of 2Issued Date: 7/6/2022
PERMIT NUMBER
RESO22-0034
ISSUED: 7/6/2022
EXPIRES: 1/2/2023
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ft-' , Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
tit 9'
IS REQUIRED.P/hh/one: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Or(2c rn,r70/e ,OCt4 Permit Number: kE C). 4
Legal Description N i0 -Y it)-,2S- 1C PYAGA4 SEC. 0. ild, Lot' zoo RE# I-70S/3 -0006
Valuation of Work(Replacement Cost)$ 4 2/60. 00 Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition EVklteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial ((Residential
If an existing structure, is a fire sprinkler system installed?: Yes ®No
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) IgNo
Describe in detail the ty e of work to be performed:,
fI 1
Wp/Gtce ta) 5 A s +i ver f' T i -a-ver'll'le 12tiuel3 Tv (illrti Cwi
v 2'r w+ / a hn cc v c'rs'.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name DE'.ir5 0 Address 2(o L Sc'rirrwvle KL
City 4#14.n >f)c G State PG Zip 3aa 3, Phone Coo-•I) 72/- /..22"/
E-Mail (ten,Se. boss (-ill ed,,
Owner or Agent(If Agent, ower of Attorney or Agency Letter Required)
Contractor Information
Name of Company 6:0/dtP,, f`a.vers, LLC Qualifyin Agent C,i & J 4 jos
Address 'q.3.5 C/iZetIt'l-11 Gas IIr,e City 1tso•ti%Ile State FL Zip 34.22x-7
Office Phone f9c'i 332/ -/S3 s`• Job Site Contact Number
State Certification/Registration# E-Mail 9o/cerl,.pcoicr5@) 3c>,hcO?, c e".-
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer t<1 A-C.i ( (' 4 OR Exempt Expiration Date 02I4,2 y 1,2 0.:2 3
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
RECOR ING YOUR NOTICE OF COMMENCEMENT.
C-r11-.0 (
j i i, -
Signature-6f Owne or Agent)
ur .' (
Signature of C. tractor)
c/
Signed and sworn to(or a, it -.)before me this 2/ day of igned and sworn to(or a p rd) before me this Z day of
I_ •I'2Z ,y CY(LI,j o,-\ S
P4B. TONI GINDLESP •- Me i'
l ,: MY COMMISSION# vle StuC mtu =teff+)o; EXPIRES:October 6,2 r•-
FOF Ft° Bonded Thru Notary Public Underwriters j ;ot; eyc TONI GINDLES• RGER
PersonallyKnown OR Personally4KnownOR l' ` dm - MY COMMISSION#GG 353178
v"Produced Identification Produced Identification •' • -1*
o EXPIRES:
Type of Identification: t Type of Identification: F„ ' BondedThruNo'
aryPuOctober
6,
blicUn2023
derwriters
S ray;A i
jtsVCITY
OF ATLANTIC BEACH
DEPARTMENT OF PUBLIC WORKS
4) 1200 Sandpiper Lane
j Atlantic Beach,FL 32233
TELEPHONE:(904)247-5834
www_coab_usS-?;.95119'9-/
Impervious Surface Calculation Formula
Calculate the square footage of the following:co ee r '
lnoOs 7s06
eo efed Concfe 1-e = c211°. iso
House Footprint=I,5-C2. 6 S
Driveways : Hoa -+-1 LH =611'
Sidewalks
Walkways and Stepping Stones : qc - 21q1-0, 31
Detached Garages = 3a0),s6
Detached Sheds
Patios , i o--
Decks sDecks
a A/C Pads = 11112c
Pool Decking and Water (50% credit for Water)
Add the total square footage of the areas listed above, then
divide the sum by the total lot area of the property.
02,64Lj l °0 7,s0o = d. 39x3
Section 24-68(b) of the Land Development Regulations requires
on-site storage for increased run-off if adding 250 square feet or
more impervious surface. Provide Delta volume calculations and
on-site retention required per Section 24-68(b).
Radio q : 99 s-F + 3R.-S= 33,-7c
0
3i o$I. S6 0/ 7coo = O, y l 0 8
I
MAP SHOWING BOUNDARY SURVEY OF
THE SOUTH 1/2 OF LOT 469 AND ALL OF LOT 470, PLAT OF SECTION NO.1,
SAL IJ ACR
A SUBDIVISION AS RECORDED IN PLAT BOOK 10, PACE 8 OF' THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: DENISE I. BOSSY AND GILES R. WILLEY, GIBRALTAR TITLE SERVICES,
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY AND
BANK OF ENGLAND.
LOT 458 LOT 457
1/2- 75.20'(w) l/2-
IRCN PIPE 5` IRON PIPE
IN f00TER o 75.00' (R) DEEP)
i.,....--
os'BETWEEN,. ,.
0.2. 50'(R) 25 (R) 1, `\,.._\-43.3'O3/4 0.T I.
n 7.4' `1.2'IRON PIPE L
1.92'SW mob 41v ....----
ft
L_(T'71.4'
31$ ; 11 r
I PAVERS 1; I<3
16.0'
24.3' I' 14.4' I e.B'
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4
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1 & 2 STORY FRAME g8g/ S p p
RESIDENCE c `5*. 2
NO. 262 n $ Q U
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s
16.0 , 30.6'
5 1.r y
o z'— a.e' • t $
ovum }•/: ... :,te.e' Q
CONCRETE / ,\. W
END'ANA f
Bili• !.%-.0'...FENCE
LOT 470 1.1'
i_ I w sirs'
1%.• R®AR
0.1'
IIo1
q0 I K o I 1.1'BASE OF PAUL
LL.—._.----_.
SO•(.)--._.—. I `e5•(R--' 25'(6) 1'DEEP)
z
o IRON
ns.3e'(u) 175.00'(6)I—
1 IRON PIPE o
R
LB 1704
t
75.00' (R)
74.96'(N) CONCRETE
i SEM/NOLE ROAD
R;
70'R/CHT OF WAY)
EDGE OF PAVEIIENT
F1000 ZONE Y-ARIAS CS1170rRD TO BE QRAOE TIE 0.271 ANNUAL CNANEE 8000 PLAIN/ROW ZONE 7R(9UDEDr.ARIAS Of CL22 ANNUAL OWICE FLOM MEAS Of II AMNK
G RANO RN AVERAGE DO'TN5 Of LESS RIAN I FOOT CR MTh DRAINAGE MCAS LESS DUN I SQUARE HIL AND WAS PROTECTED BY LEWES 1RCY ID ANJAJAL CHANCE now.
V E Y 0 4, GENERAL NOTES:
J R % s I.ANQLS ARE SNOUN ON TIES AMITY.
2 STRUCTURE NO.212 SWAN NEREUE UES MMN ROW ZONE Ir AS MI OETTERNT EDFRpIfLY.A 11000 YIDS PANEL N0.GATED OB-DIDf_
o ASSOCIATED SURVEYORS INC, ;MA gY SOMME APEAS
N„
T.NOT ,LAND & ENGINEERING SURVEYS TMs SURVTT.L':-.
41
J J.TNA AJR.TY BASED ON LEGAL DESORPTCWS FURNIAIED. TIC PVR1C WOOF=ROM
3846 BLAH DING BDDLEVARD NOT SEARCHED Dr TNA SDRVETCR FCR EASUIDITS.TITLE WND(MTS,nIL'S
JACKSOVILL . FLORIDA 32210 RRanecnolEz CLOSURES.TAONGS DR OIfD01ANCEI ETC.
L 6 UNLESS OTHERRISE STATED ALL ROA PPM FOUND NAVE NO R%NTVICATIOd.
rii,f 04-771-6468
7 LEGEND/ABBREVIATIONSJ / AC AIR COE0IT ICIER RS PROFESSIONAL LAID SlRYCYNR0SSV
CERTIFICATE OF AUTHORIZATION NO. LB 0005488 DUILI RES TR!C1101 LINE PTA PROFESSIONAL SORNEYOt I NAPPERIT
II
BT RJILDIK TIE R RADIUS
B IN BETNEEN R) RECORD
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY C R CwtIWATS I RESTRICT1OIS RLS REGISTERED LAM SUMTER
CN C10R0 RAI RITNT OF NAT
DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL , cAN wryEREAR 0 SET PON PIPE CR ROM
STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER 5J-17.050 cm crvERED Assoc AIRY CR LB 5.66
THROUGH 1 .052, FLORIDA ADMINISTRATIVE CODE, CHAPTER 472, F.S. o ELECTRIC 1Nffi MAO oro"PP[OR PN p,PI
n
ET CLECTRIC 1RA'6fECTOI t.PAD lOURND WwosTE RNIMNENT(CNN
A JACRSDf11LAE ELECTRIC ATKRlT7 • ODSS LUT OR DRRL NOLO
L LRCM OF ARC NAL 8 ERSC
LP LILTNSTS MANESS 11-R-R-I-R-Y-R-MAP LM(FENCE
BY:
LS LICENSED SURVEYER I-I-]-fes- w AL FDICEFENCEM) NCASIRED
CHA•LES B. HATCHER FLORIDA CERTI KATE NO. 3771 :: ClAIIRCCRDS Im
Fact
wmin rpm
CHARLES L STARLING FLORIDA CE FICATE NO. 4579 o oricc1AL
LADS
mu-NE 7
AD IfTILIrf
RAYMOND J. SCHAEFER FLORIDA CE IFICATE NO. 6132 Pcc PRINT r cOIIPORm LiRVE d
FIRE NYDRANT
PNCHE RSER
PEP PEEL ECJIPNEIT PAD RATER 14150
PI POINT OF INTERSECTIDI a UnLRY POLEJOBNO. 67057 DATE 06-07-2016 PRC POINT Cr REVERSE RRNE 0 DIANEnn •
PRN PERMA HENT RO'ERpEE NOiJ(NT f-. OJY ANONCRSCALE: 1- = 20' DRAFTER WF PT POINT Cr 1445E)cT
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
I l// 8933 Elizabeth Falls Drive
Jacksonville, FL 32257
PH: 904-339-1536
EMAIL golden_pavers@yahoo.com
June 21, 2022
Homeowners:Denise Bossy
Property Address: 262 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)874-1224
Email:denise.bossy(a,unf.edu
Project: Travertine Paver Patio&Walkways
Description of Project(including dimensions and all colors):
Demo and dispose of a section from existing concrete from Driveway—153 sqft
Pick up and dispose of existing pavers from Patio and Front Walkway—220 sqft
Remove landscaping,grass and soil as needed to make room for base material—139 sqft
Relocate or cap any Sprinklers as necessary
Level to grade and compact sub base to an estimated 95%modified proctor density
Install a compacted 2"crushed concrete setting base for pavers
Add 1/2-1 inch of mason sand leveling.
Install 1 ""thick Travertine Pavers(16"x24")
Install a concrete restraint under all bonders
Lay Polymeric sand between paverjoints
Clean up and remove all paver related debris
Area Product Dimensions Thickness Color
Patio& 16"x24"Shell Stone Tumbled 16"x24" 1-1/4" Shell Stone
Walkways Limestone Paver from Stone-mart
Expected Start-up Date: July 2022
Cyntia Santos
Golden Pavers, Llc
Owner
16x24 Shell Stone Limestone Pavers:
COLOR: Shell Stone
SIZE: 16"x24"
3,9'
T
55 R2
4'3"
V
6'
Redirect Downspout:15 ft —\\
7/—
Move sprinkler:10 ft
I 457 ft2
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $125.00
RESO22-0034 Address: 262 SEMINOLE RD APN: 170513 0000 $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: R20026 $125.00
Printed: Wednesday, July 6, 2022 2:31 PM
Date Paid: Wednesday, July 06, 2022
Paid By: Golden Pavers
Pay Method: CREDIT CARD 663930799
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R20026