1941 SEMINOLE RD DWAY22-0054 .i Ur#t4 Building Permit Application ared10/9/18
` City of Atlantic Beath Building Department 'OALLINFORMATION
i► ,1 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
.+il.t;i IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
i ' ` r-
Job Address: 1941 Seminole Rd Atlantic Beach,'FL 32233 Permit Number: 1--) A� Z Z-- � )
Legal Desuiption. l2-014 09-2S-29E Beachside Lot 5B BLK1 OR BK 6653-1032 RE# 1695420520
Valuation of Work(Replacement Cost)$ 11,500.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addttion L]Alteratlon ❑Repair OMove ❑Demo OPool OWindow/Door
• Use of existing/proposed structure(s): OCommerclal ❑Residentlal
• If en existing structure,iso fire sprinkler system installed?: ❑Yes ONo
• • ' •ate •.• •11• -• .1 . • . •1 , •r... •. .p • ? • . ill s u b m t • .1. 1.11.• • •' 11 1 •t 0
Describe In detail the type of work to be performed:
Remove existing concrete driveway&walkway and replace with brick pavers.Replace concrete sidewalk to City of
Atlantic Beach Code Section 19-7(hl,
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name David 0 Lucas Address 1941 Seminole Rd
Cly Atlantic Beach State FL Zip 32233 Phone 904-382-9621
E-Mail delucas2Q12abotrnall.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) David 0 Lucas
Contractor Infocmatlon
Name of Company The Enhance Companies Qualifying Agent David Guldi
Address 2I20.Rome,a Point Lane city Fleming island State FL .Zip 32003
Office Phone' 9Q4-296-7777 Job Srte Contact Number
State-CeRiflcatiort/Reglstratlon# CRCI329743 E-mail DayidPenhanceComoanies.com
Architect Name&Phone It
Engineer's Name&Phone#
Workers Compensation Insurer 'Se01, 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 CONDmONERs,etc. NOTICE:In addition to the requirements of this
penTUt,there may be additional restrictions applicable to this property that may be found In the public records of this county,and
there may beaddltional permits required from other governmental entitles 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 ATT• : - EY B • •E
RECORDING YO NOTICE COMMENCEMENT. Air
,--- _
(Signature of Owner or Agent) (Signature of Cont . .r)
Si ned d sworn to(or aff 1,d)before e this Z-5 ay Qf Signed and sworn to(or affirme• before me this 25 day of
a - .VI_ •v AL. ,f • �c L_l/f�-4C 0c 2oZZ. C O
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i .,•A.,;,74.:,, TONI C3Il.DI E9'- t11•!►��1 _weft-Try),
IIi4k myc0144.5310Nfi- �°`""4 PEYTON GUIDI
4'':` WIRES C1gher8,2023 MYCOMMISSiON#HH190949
i' r r Banded ityl tz,D y Pubic,Unorprtalt I j
r _ [personally Known OR ‘o!Rde EXPIRES October 25,2025
l i Produced identification T L. [ I Produced Identification
Type of identification: t-� Type of Identification:
REVOCABLE ENCROACHMENT AGREEMENT
City of Atlantic Beach
**ALL INFORMATION
HIGHLIGHTED IN GRAY
a:. r� 800 Seminole Road,Atlantic Beach,FL 32233
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
David 0 Lucas 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 Remove existing concrete driveway&walkway and replace with brick pavers.
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 1941 Seminole Rd, Atlantic Beach, FL 32233
• 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.
�cz.reiiv)) Date / d~75--z2
Property Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL a `_
The foregoing instrument was acknowledged this day of C_) C' _ 20 2._
by o-v L 01 KD e o.-1 L.V Cr\ S ,who personally appeared before me and
(• 'nted name of Signer)
ackno le.ged tha he/s, - signed the instrument voluntarily for the purpose expressed in it.
* _- v411 'v •. TONI GINDLESPERGER Department Approval:
c'- MY COMMISSION#GG 353178
Signature of Notary Public,State o çlda *=
. �.P EXPIRES:October 6,2023
[ ] Personally Known FQ;F'O° Bonded Thru Notary Public Underwriters
[ ]Produced Identification(Type) ott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
3
Detail Description of Walkway Expansion
The footprint of the concrete driveway will be used for placement of the brick pavers in the
driveway, but the walkway will be expanded from 36"wide to a 60" walkway. See attached
marked-up Map Survey for location(orange highlighted areas). The highlighted area is less than
50 sq. ft. of ground coverage.
MAP SHOWING SURVEY OF
NOT 513, BLOCK 1 , UCACIISI I)E, AS RECOI?DED IN PI..AT 1300K 42 , PAGES 14 , 1 4A,
1413 AND 1 4C Or TIlE CURRENT I'UIiLIC RECORDS OF DUVAL COUNTY, FLORIDA.
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I hereby certify that this survey meets the
minimum technical standards as set forth by
the Florida Board of Land Surveyors, pursuant
lir N. A. DU°DEN to Section 47ZoZ7 Florida Statutes.
& ASSO IATESINC _,�_�
LAND wwu�aro .Uwv■ w wo.J/��nom.
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SIGNED `��HJ C 19c
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THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED.
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