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672 Ocean Boulevard RESO23-0039 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: OCONNOR MATTHEW 672 OCEAN BLVD ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: FLORIDA TURF COMPANY 1985 MAYPORT ROAD ATLANTIC BEACH FL 32233 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170136 0000 ATLANTIC BEACH JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 672 OCEAN BLVD RESIDENTIAL OTHER SINGLE OR TWO FAMILY RESIDENTIAL OTHER ARTIFICIAL TURF $20000.00 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 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. 2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 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: 4/27/2023 PERMIT NUMBER RESO23-0039 ISSUED: 4/27/2023 EXPIRES: 10/24/2023 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: $129.00 3 PUBLIC WORKS DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL Notes: Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code. 4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 5 PUBLIC WORKS CONSTRUCTION SITE MANAGEMENT INFORMATIONAL Notes: Provide construction site management plan, including location of silt fence, dumpster, portable toilet. Right-of-Way Permit is required if using right-of- way for construction parking. 6 PUBLIC WORKS CIRCULAR DRIVEWAY INFORMATIONAL Notes: Maximum circular driveway width within the City right-of-way is 12 feet. 7 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 8 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 9 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 2 of 2Issued Date: 4/27/2023 PERMIT NUMBER RESO23-0039 ISSUED: 4/27/2023 EXPIRES: 10/24/2023 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Srs- y'r,, Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY a3 r IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 6/2 aCC - I ' V d Permit Number: R'ES©23— 0 O Y d•F ASLegalDescription -) Vi v 7L pit nRE# n© i'6, OG A.Valuation of Work(Replacement Cost)$ 0 Y- Heated/Cooled SF Non-Heated/Cooled Class of Work: S.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 trees)be removed in association with proposed project? Oyes(must submit separate Tree Removal Permit) No Describe in detail the type of work to be performed: ricr f T -u- Florida Product Approval# for multiple products use product approval form Property Owner Information Name (,^1-6t,,/ UUifVlof Address O(-e4/1 QIii t City 10,1 1 t aLLiL State FE Zip a3 Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Ori d .4-Lit e CDPI Q Qualifying Agent A ii, tc( Address l`1'S trig' J; /L ' f City State f Zip 3,)3) Office Phone 1%,,..1 -(f J o, 7,3 Job Site Cont ct Number y Uy - L12-1-1' ,S 74t State Certification/Registration# E-Mail at t g- C Plot/chi i/( L i+IO' I . coA Architect Name& Phone# 1 Engineer's Name&Phone# Workers Compensation Insurer T{L,`iA;r,v T/)j.1ju^t. Co' OR Exempt Expiration Date -i (Uj-a3 Application is hereby made to obtain a permit Itol 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 RECORDING YONOTICE OF COMMENCEMENT. a j (IdiLfL Signature of Owner or Agent)Signature of Contractor) i Signed and sworn to(or affirmed)before me this 11 day of Si ned sworn to(or affirmed)before me t ' /0 day of F r i\ ,2_°_27,byt nd Q°aa3 ,by O v C. 46 P ignature oiNotary) Signatur of Notary) it/'...7-');:-... C...=• "_J POOR: Notar, .._ I State o. ride j C:-.-i5s,onNHH0!_A rrersbYi`;iy`Rnijsppov•2,2024 QPersonally Known OR /ti o'••.COLETTE J POORE P/• '' Notary Public State o(FloridaYd@! id6f'ry Assn. Produced Identification ( l' yy r C misslon k HH 056368 Type of Idents station: # t -1'1`6-0 Type of Identification: 3r uy Comm Frpire9 Nnv 12,7n74 1Bonded through National Notary Assn. MAP SHOWING BOUNDARY SURVEY OF LOT 5, BLOCK 17, AS SHOWN ON MAP OF PLAT No. 1, SUBDIVISION 'A " ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5 PACE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA. CERTIFIED TO: JOHN L. & KRISTIN L. FLETCHER/ MERRILL LYNCH CREDIT CORPORATION/GIBRALTAR TITLE SERVICES/ OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY SEVENTH S Qy PAB Sack 40 RI(HT OF Pleftnin9 Z°6119 ~ nt o s applicable 4 toning, subdivision and oth+r local land development regulation*,but dos net constitute approval for the IIsusnos of perm Compliance with Florida Budding Cods and MQhe r applicable local, State and Federal permMhtrequirements must be verlfisd by signature of the Cky of Atlantic Beach Building Mel prior be the uance of s I V BuildingMk>,Perm nY Al A 0444.7),Approved BY Common everat DirectorL06 ' 1) Dad. Y_ /.31S SU a N 6 I 4-- --2.p —---.16weJprfr,C:E 4' WOOD FENCE Ct CCM ° 3 ONL N84'23'00"E ' 115,00' °k, r 0,' FW-- Q 4'FHAIN 3'03' CONC. A.C. PADS= FOUND 1/2' Q i d a 6 20.0' LP. NO CAP> U 750 W ,,I- Crvi b w CO F- 0 2 STORY M PAVE- > 0 Q 0 0 WOOD SIDING j, BRICK >s,, O J Z m RESIDENCE #672 w'NON";