Loading...
108 Seminole Rd RESO23-0022 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: RODNEY AND LINDA PETERS REVOCABLE TRUST 1349 GOLDENROD HILLSBORO KS 67063 COMPANY:ADDRESS:CITY:STATE:ZIP: SOUTHERN TURF 102 PINE ST NEPTUNE BEACH FL 32266 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170590 0140 SALTAIR SEC 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 108 SEMINOLE RD RESIDENTIAL OTHER SINGLE OR TWO FAMILY RESIDENTIAL OTHER Artificial Turf $2000.00 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 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. 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: 3/29/2023 PERMIT NUMBER RESO23-0022 ISSUED: 3/29/2023 EXPIRES: 9/25/2023 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 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $129.00 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 4 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 5 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 6 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 7 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 8 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL Notes: Must use base with less than 10% fines. 2 of 2Issued Date: 3/29/2023 PERMIT NUMBER RESO23-0022 ISSUED: 3/29/2023 EXPIRES: 9/25/2023 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 s-''%• Building Permit Application Updated 10/9/18 51,:,"• .:,, \ n\ City of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY N-1..);7.11:11.-/ IS REQUIRED.Phone: (904) 247-5826fEmail: Building-Dept(acoab.uS Job Address: i o S 6eMI&D1 k17Al y // Permit Number: PL,,V 2.3 -0022._ Legal Description 'I ``D11 bo f, f t`111Se( 7b,J JT4cave_ RE# f'7o 59 - 0110 Valuation of Work(Replacement Cost)$ .2,0470' GV Heated/Cooled SF A//A Non-Heated/Cooled di7' Class of Work: New Addition Alteration Repair Move Demo Pool DWindow/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) >IN° Describe in detail the type of work to be performed: Sp' S--SA?, ".?', I,5-I'kIIRI aA)c)P At-h(10M) ti's'-/ JA/STA§A/ .<v, t /1tt1,/A1- lv ci Florida Product Approval# for multiple products use product approval form Property Owner Information Name R 4 Pt-7--r12-.5 Address 1C4 Si /nM .i ( KC)Ael sCity # 8 State "A Zip , 2.2.3.3 Phone 6 26•' 3 8 /)t - V v'I E-Mail r©d,6 ' teise+,n,//1•G-01r1 Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company '0L/t , /2f Qualifying Agent I r Lbw leJtt'V Address f C 1 A/#' „ - j, City, 1 State_P4_Zip ?z- A Office Phone 9L y` 386 -5/75/ Job Site Contact Number <-4114/5/ L''' State Certification/Registration# NJNgAlho E-Mail "1":6 dC/'() Savfe/191`G/1 /'' •i-71),14 Architect Name&Phone# LIM Engineer's Name&Phone# A'!A Workers Compensation Insurer 1j/6elLt OR Exempt a Expiration Date c //— 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 O OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 111*TTOR Y BEFORE 1 ECO: 'ING YOUR NOTICE OF COMMENCEMENTrApts49 d. z ffi Signature of Owner or Agent) Signat re of Contractor)li/1t e Ta- Signed and sworn to(or affirmed)before me this 1day of Siggned and sworn to(or affirmed) before me this / J day of a z g MArCV% ,doa5, • .C9..% : _ • - - Mii t!1 , 26)23 , r 4` - • f o y Signature of Notary) gn.ture of Not ) SE3••i lc_ lit§ II" f*Personally Known OR Personally S':Known OR o,, [ ]Produced Identification c'Produced Identification s Z Type of Identification: Type of Identification: L Di- po c irn s-aL`r REVOCABLE ENCROACHMENT AGREEMENT r ` ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED. wool" REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the la of the State of Florida, hereinafter referred to as "CITY" and Od rs 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. f / This work is generally described as S/V5 //&7/AIL OfAati/(//4(, / 2./,4G 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 givenivby ertified mail,return requested,to the following address / Se/I2//-_i( e /G(. AUI Fl. 3 .133 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. t e -c,p Date 3 ~ P Y oZ Pro ert Owner Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 3'4 day of MpL.CGk 20 ..Z.5 , by ROAD t'ee,`rj who personally appeared before me and printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. PATRICIA A.FLYNN Department Approval: Si nature of Notary Public, State o lorida i Notary Public,State of Florida Commission*HH 78886PersonallyKnowniitMycomm.expires Mar.9,2025 Produced Identification(Type) 9 ott Williams, Public Works Director H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 iS.:1,yr Revision Request/Correction to Comments ALL INFORMATION g HIGHLIGHTED IN 4 City of Atlantic Beach Building Department GRAY IS REQUIRED. r) 800 Seminole Rd, Atlantic Beach, FL 32233 rPhone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:/Z$ 1 7 34' Revision to Issued Permit OR Corrections to Comments Date: 3 -Z(O - 2 0 Z3 Project Address: 1 d rj $ /f hit/01 RCC` Contractor/Contact Name: 50u+ii eitiv -ti)/2--r Contact Phone: 9 4 (/-'38b '' YIJ2 Email:6,/,./e ,Jihvik,,,,,,,,,.:) Description of Proposed Revision/Corrections: 1)(2, 6 J// 6/11 irofen-ty I 7 0d(,1 AI 1 affirm the revision/correction to comments is inclusive of the proposed changes. printe name) II proposed revision/corrections add additional square footage to original submittal? No Yes (additional s.f.to be added: Wil proposed revision/corrections add additional increase in building value to original submittal? No *Yes (additional increase in building value:$ Contractor must sign if increase in valuation) Signature of Contractor/Agent: Office Use Only) Approved Denied Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building Planning&Zoning Reviewed By Tree Administrator Public Works Public Utilities Public Safety Date Fire Services Updated 10/17/18 Permit Number: RESO23-0022 Site Address: 108 SEMINOLE RD City, State Zip Code: Atlantic Beach, Fl 32233 Applied: 3/6/2023 Approved: Issued: Parent Permit: Parent Project: Applicant: <NONE> Owner: RODNEY AND LINDA PETERS REVOCABLE TRUST Contractor: <NONE> Description: Artificial Turf Finaled: Status: AWAITING CORRECTIONS Details: LIST OF REVIEWS SENT DATE RETURNED DATE DUE DATE TYPE CONTACT STATUS REMARKS Review Group: AUTO 3/6/2023 3/6/2023 SUBMITTAL COMPLETENESS Vanessa Angers APPROVED Notes: Uploaded 1 attachment 3/6/2023 3/17/2023 3/20/2023 ZONING Zoning DENIED Notes: The plans/survey shows turf being installed past your property line. Please revise to only show turf being installed on your property. 3/6/2023 3/6/2023 3/20/2023 BUILDING Building NOT APPLICABLE TO DEPARTMENT Notes: 3/6/2023 3/14/2023 3/20/2023 PUBLIC WORKS Public Works APPROVED W/CONDITIONS Notes: See Conditions of Approval that will be printed on Permit. 3/6/2023 3/6/2023 3/20/2023 PUBLIC UTILITIES Public Utilities NOT APPLICABLE TO DEPARTMENT Notes: Printed: Monday, 20 March, 2023 1 of 1 Permit Reviews City of Atlantic Beach