1680 N LINKSIDE CT DWAY23-0010 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
RIFKIN FARRELL TRUST 1680 LINKSIDE CT N ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Terra Nova Pavers &
Hardscape Solutions 9241 Wesley Cove Ct JACKSONVILLE FL 32257
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172374 6225 SELVA LINKSIDE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1680 N LINKSIDE CT DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY
Replace concrete driveway
with Pavers $10800.00
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 location of utilities. Hand dig if necessary. If field coordination is
needed, call 247-5878. Any digging requires calling 811 to have ALL public utilities located.
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 3Issued Date: 3/23/2023
PERMIT NUMBER
DWAY23-0010
ISSUED: 3/23/2023
EXPIRES: 9/19/2023
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
3 PUBLIC WORKS DRIVEWAY APRON INFORMATIONAL
Notes:
All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh are
not allowed in the City right-of-way.
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 DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL
Notes:
Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code.
7 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
8 PUBLIC WORKS DOCUMENT IMPERVIOUS AREA INFORMATIONAL
Notes:
Strongly suggest thorough documentation of impervious areas be recorded.
9 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL
Notes:
Slab and driveway to be fully removed.
10 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
11 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
12 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
13 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
2 of 3Issued Date: 3/23/2023
PERMIT NUMBER
DWAY23-0010
ISSUED: 3/23/2023
EXPIRES: 9/19/2023
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $150.00
14 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
3 of 3Issued Date: 3/23/2023
PERMIT NUMBER
DWAY23-0010
ISSUED: 3/23/2023
EXPIRES: 9/19/2023
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Ls-''-
4 %'
r Building Permit Application
n+
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
i `r IS REQUIRED.
rron
Phone: (904) 247-5826 Email: Building-Dept@coab.us
f
Job Address: 10W // LIP*si c/
k '
fir N 143/143Permit Number: D••wA`1 23-001 0
Legal Description or l -, • s•et UN4(D7 vM 2 RE# 1 .23 7,./—6,1,9..5
Valuation of Work(Replacement Cost)$ /0/goO Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition Alteration DRepair Movemo Pool Window/Door
Use of existing/proposed structure(s): Commercial esidenti
If an existing structure,is a fire sprinkler system installed?:s No
Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) ti1Qo
Describe in detail the type of work to be performed:
g(21la. 6V(426W Gr2i vrww)/ w/ PAvf 2
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name V }A `(_r Address t 60 U,N/?-c I 1 10
City idA(
1Ut /
U4(..-____State fL Zip 37-2 33 Phone 004-
35ttlfr
E-Mail e k 4n (1_01 . Ga/V
Owner or Agent(If Cgent, Power of Attorney or Agency Letter Required)
Contractor Information
nn`
Name of Comp ny amu; • > 'Qualifying Agent ' 4:) (7.--\a) ILCS
Address05',.5 -,'1. City State Zip c ac5q-
Office Phone L1,i2 4. -C ."lell Job Site Contact
r
Number LM)
State Certification/Registration# 1p(7b®5`al}olio E-Mail `t ui'Sc v )UU .., ru.. , i.A
Architect Name&Phone# 14A
Engineer's Name&Phone# fs l 1 Workers Compensation Insurer • 1,— - A .10 + • Exempt Expiration Date 0(,
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installatio 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 F NANCING, CONSULT WITH YOUR LENDER 6 - : N ATTORNE :EFORE
RECORD'j OU ' OT E OF COMMENCEMENT.
iI
N,
000.41111 -AlikifavieIL-111
Signature of Owner or Agent)Signature o o ia. r)
Signed and sworn to(or affirmed)before me this 7 day of Signed and sworn to(or affirm-d)Wore me this 7 day of
4'a h 2-0-2-7> , b 4 2v'. ' n Mardi , 1023 , by • 'ri,(n p_ G. a.
1i:
VANESSA ANGERS gnature of Notary) ig f -
MY COMMISSION#HH 244118y ' VANESSA ANGERS
EXPIRES:March 23,2026 ah, " . MY COMMISSION#HH 244118rn
7,,,,...!= " :,:
Ti• EXPIRES:March 23,2026ersonallyKnownORo?:
roduced Identification v]Produced Identification
Type of Identification: rt.cl. I2-1ZS-713-y2-32F'--0 Type of Identification: .FEDI, H(062-72-3 II-G`!b C-
1.----REVOCABLE ENCROACHMENT AGREEMENT
i. -
01 City of Atlantic Beach
ALL INFORMATION
HIGHLIGHTED IN GRAY
zi 800 Seminole Road,Atlantic Beach,FL 32233
IS REQUIRED.
uJ%
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
S 12-094/0 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.
1
This work is generally described as COIJ V Ay W e 447A
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/ .toUSER said notice,to USER` shall be given by certified mail,return
receipt requested,to the following address I&o r (_( IV fradtkiire, Int ft. 320.3
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
bilities are hereby assumed by the USER.
Date Aq-12,1PropertyOwner/A nt(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this 7 day of MCLIC v\ 20 23
by `JThV N Wl. El Fick N who personally appeared before me and
printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
VANESSA ANGERSa, Department Approval:
r `+: MY COMMISSIONS HH 244118Signatu - of Notary P •lic,State of Florida v,— .b/
j a,K, EXPIRES:March 23,2028
Personally Known
E;/jProduced Identification(Type) IL--cx. g125"-1134z-3zg-c Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
i 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 Lb ( - 5 G Permit Number 1v'Pr 23- Do( 0
Contractor Information
Company Company sa-0,_ t fl IPC1r<vk.= J Qualifying Agent I FSO Aural).YY i S
Address 9a 1 \,)... Q \fUQ— C City L ,, StateE - Zip 65Jai-
Phone Email \O. \,Ct_aLD o Co
State Certification/Registration# \,VDT . j'r , J
Architect I\.. ) W Phone Email
Engineer 1" ) K Phone Email
Workers Compensation Insurer l.)]Z J(7 c.(7 OR Exempt Expiration Date 01?-j0
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 meet City of Atl ntic Beach or Florida Department of Transportation Standards and be performed under the
supervision of (P.:0b ' (ertio-
re; -
Project Superintendent)
with(Company Name) i%)dr,` NDS A K Phone rte ._ ..
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 vr0 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 s. e harmless the City of Atlantic Beach from and against any and all loss,damage and cost of
e rising in any ma : of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
orks Director • I be notified 24 hours prior to starting work and again immediately up comple Son.
11 $ F, , Date 04 a
Per ' ee(si•ned in presen - • , - . •• )
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this '7 day of I lArtk 20 203
by RO1)I2-16o 4We-e-IR-OS who personally appeared before me and
printed name of Permittee)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. ;.;'p.:';:• ••, VANESSA ANGERS
c '•' : e MY COMMISSION 0HH244118
1 pa, EXPIRES:March 23,2028
I ]Personally Kno
Signature of No , 'ublic,S a of Florida Produced Identification(Type) ft- Dl, ti b62-723-11-096-C
H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
MAP SHOWING BOUNDARY SURVEY OF
LOT 125 BLOCK AS SHOWN ON MAP OF
BEL Kill LINKIDE UNIT2
AS RECORDED IN PLAT BOOK 47 PAGES 85-85B OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED FOR: it4Olu ie,e4i J. FA22E7._; STe..-77.<1,1 27 T/TLE /A- ,C0.) 61.4t) IAAvK
BuSCHt'—tJ, /a/aE12, nes c' f 4itiiie.s71_,AJ, _. .
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f SC ;T BCA^.S 'IC S7G'!,1'URC AND TUE ORIGYNAL P.4/SED SEAL OF THIS SURVEY DOES NOT REFLECT OR DETERMINE O*NERSHir.I
A FLORIDA LICENSED SURVEYOR AND MAPPER, TRIS MAP IS FOR
INFORMA770NAL PURPOSES ONLY AND IS NOT VALID. BEARINGS BASED ON RAV LINE AS SHOWN
THE PROPERTY SHOWN HEREON APPEARS TO LIE WHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD
INSURANCE RATE MAP 0001 FOR THE CITY OF ATLANTIC BEACH, FLORIDA, DATED 4-17-89 . AND
IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CER7/FCATION OF SAME.
TRI-STATE LAND SURVEYORS, INC.
8411 BA YMEADO WS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731—7235
LEGEND THIS SUI?''EY DOES NOT REFLECT OR DETERMINE OW ERSHIP.
CONC "'A" NUT VA'L 6 N ITPOUT THE SIGNATURE AND TI-IE ORIGINAL RAISED SEAL
IRON COR.OF A FLO1 IFMA LICENSED SURVEYOR AND MAPPER.
SET W7H CAP/LS 4144)
X-
FENCE111"
11
0 IRON COR.(FOUND)
0 CROSS CUT
B.R.L BUILDING RES7RICTION UNE
ESi1T EASEMENT LARRY G. EDDY, P.L.S. No. 4144
R/W RIG IT-OF-WA'' 1" = 30'
COV. COR D AREA SCALE:
CENTERUNE
A/C AIR CONDITIONING PAD REGIST R RWYORD MAPPER,
R) RADIAL DISTANCE DAA. 11-22-95 STATE(0 FLORIDA (LEC 21)
1 CONCRETE