79 Shell St DWAY21-0034 Paver DrivewayOro.
A'' ., DRIVEWAY PERMIT PERMIT NUMBER
s
rr,CITY OF ATLANTIC BEACH DWAY21-0034
ISSUED: 9/14/2021V
800 SEMINOLE ROAD
EXPIRES: 3/13/2022U,ti>' ATLANTIC BEACH. FL 32233
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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
DRIVEWAYSINGLE OR TWO
79 SHELL ST
FAMILY DRIVEWAY
paver driveway 12000.00
TYPE OF REAL ESTATE
ZONING:
BUILDING USE
SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169583 0000 OCEAN GROVE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
EARTH WORKS DESIGN &
12501 BEACH BOULEVARD JACKSONVILLE FL 32246
MAINTENANCE, INC.
OWNER:ADDRESS: CITY: STATE: ZIP:
BOLE BRUCE S 79 SHELL ST ATLANTIC BEACH FL 32233-5834
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\
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.
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.
Issued Date:9/14/2021 1 of 3
otfir,, DRIVEWAY PERMIT PERMIT NUMBER3
r CITY OF ATLANTIC BEACH DWAY21-0034
800 SEMINOLE ROAD ISSUED: 9/14/2021
4``';„
ATLANTIC BEACH, FL 32233 EXPIRES: 3/13/2022
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.
3 PUBLIC UTILITIES RT1 SEWER CLEANOUT INFORMATIONAL
Notes:
A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade
and visible.
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 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.
7 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
S PUBLIC WORKS DOCUMENT IMPERVIOUS AREA INFORMATIONAL
Notes:
Strongly suggest thorough documentation of impervious areas be recorded.
9 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
10 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
11 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
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
Issued Date:9/14/2021 2 of 3
0LAN'rf, DRIVEWAY PERMIT PERMIT NUMBER
siti DWAY21-0034CITYOFATLANTICBEACH
s
800 SEMINOLE ROAD
ISSUED: 9/14/2021
31 ATLANTIC BEACH, FL 32233
EXPIRES: 3/13/2022
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 I 0 100.00
TOTAL:$150.00
Issued Date:9/14/2021 3 of 3
RECEIVED
By Jennifer Johnston at 4:16 pm,Aug 27,2021
Building Permit Application Updated 10/9/1S
i City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
rss
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 9 S 1{6(,L 51 (Lef.,1
J
Permit Number: DWAY21-0034
Legal Description L.-o sg `3 LoG IL.. }_ l G J - Gaztic STT hEu 14 ? S 8 3 -0006
Valuation of Work(Replacement Cost)$ Lama et OHeated/Cooled SF Non-Heated/Cooled
Class of Work: CNew DAddition )Alteration URepair DMove ODemo DPool DWindow/Door
Use of existing/proposed structure(s): DCommercial )Residential
If an existing structure,is a fire sprinkler system installed?: UYes ,)4No
Will tree(s)be removed ins3ssociation with proposed project? [JYes(must submit separate Tree Removal Permit) lJNo
Describe in detail the type of work to be performed:
PAtom. P.49%-"-c t? Osl a C C--6`444\c Imo, -a-vt rV
Honda Product Approval If for multiple products use product approval form
Property Owner Information
Name t4 c RA,k+ Addres .
132-1
I cit.1
City Z sG t
igK. _ State FL Zip 3 a,3 Phone ` lj 6I tct
F-Mall c..e aa[1e a/- e..* _,.as/e 1
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company ef4/l_ k t-06.124 Qualifying Agent ,3 ,F F /NO L
Address /Z s 6 1 / rl LR 1(• City_WA6I41f L e State_L Zip
Office Phone Q ) .• I 64 63 C(,' --Job Site Contact Number
State Certification/Registration q E Mail ;"L'c(1rt. CAC4 40.1 OC'{440,G3•Mat .43m
Architect Name&Phone it
Engineer's Name&Phone it
Workers Compensation Insurer "[lilts. 3937105 OR Exempt n Expiration Date I-2.$'•Z'Ze__.__-__
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, Pt UMBING,SIGNS,
WEl l S, 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
RECORG YOUR NOTICE OF COMMENCEMENT.
Nikk
Signature of Owner or Agent) Signatj Contractor)
Signed and sworn to(or affirmed before me this 2 7 day of Si ted and sworn to(or affirmed before me this day of
19V6U,S7 ?- 121 ,by . A KcG Z3o4r U u5-t anal by ,...Ta56Ytx-F-Ftle
Sig ature of Notary, y _ i2na1Lre of 11.9tary).... _
Se's*:MANDI FUTCH
CHRISTIAN GILES rs,r,ally Known OR
MY COMMISSION GG 206983
personally Known OR :.+ Q: EXPIRES:April 12,2022
IdY C01.161ISSION fl HH 117153 1 Produced Identification 'f,•,o.,gig''Bonded umProducedIdentification : ; w. ' Notary Pubic tinderr+tta s
i:;Sr o;; EXPIR6S.Apn1 13,2025 I pe of IdPnti(iration:_ Type of Identification: yr,+;,pY,• Bonded if777y HrbNc°rondos
L
DWAY21-0034
14 REVOCABLE ENCROACHMENT AGREEMENT
City of Atlantic Beach ALL INFORMATION
11, HIGHLIGHTED IN GRAY800SeminoleRoad,Atlantic Beach,FL 32233
IS REQUIRED.1°4niF c:
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
kcicE "&b4 E 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 ?AV lmsPI f4(,I+ C, Gax42C? DfOxiittatt .t j
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 .7 it S1(LL. 1, A't Litw12. ?1 4 ,rt.
3.3a33
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.
Date 21 Atj 4 D.--t
Property Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this 2.'"7 day of A11Uc 20,2 I ,
byIX/kat /3o who personally appeared before me and
printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
frM'lr S"VfOlt-t— 0Der w1 CHRISTIAN
Department Approval:
Signature of Notary Public,State of Florida we cosansioN
Personally Known
t - its 117153
Apy 13.2025
j Produced Identification(Type) I 8mdSdnal Ptele Ulidarabh• tt Williams,Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docz Revision Date:8/31/18
DWAY21-0034
NOTICE OF COMMENCEMENT
State of rt./on-74,0 . Tax Folio No. I (' ? 5'8 3 -- dd 0 O
County of vf^v k L-
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: L c.-7 g s(,OC-IC. 1 O C eav< Uf,12 r
NO.
Address of property being improved: 79 S STQ r1
General description of improvements:a V tf L
Owner: 'IZ(,tGC d (. to Address: 7 R 5 PTS:U S 72c: R AJ12 C
Owner's interest in site of the improvement: Q Vn —.cl
Fee Simple Titleholder(if other than owner):
Name:
Contractor: A(1 f LU
2
Address: ' go 1 2 i L4 81-V 0 1 A LG jo/uj -c-e 3 2 o 9
911. 169'Telephone No.:d 3 Cte Fax No:
Surety(if any)
Address:Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served:Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: ei3Date:a 11-(4 2 `
Doc#2021724483,OR BK 19885 Page 336,
Before me this 2.7 day of /1UG UST )O2Jin the County of Duval,State
Number Pages 1 Of Florida,has personally appeared Pecs-01100y k V10 W n
Recorded 08127i2021 10 07 AM, Notary Public at Large,State of Florida,County of Duval.' t
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL My commission expires: I A.d../t
COUNTY Personally Known:or
RECORDING 510.00 Produced Identification:
r
10 Ti EXPIRU April13,202255
1 • Bonded Thy ttIIf ,.
RECEIVED
oa By Jennifer Johnston at 4:16 pm,Aug n,2021
MAP SHOWING BOUNDARY SURVEY OF
DWAY21-003'-
LOT 8 BLOCK 7 AS SHOWN ON MAP OF
c_ _. -)A.J Gi cJVE, uv/7 4._).. I
AS RECORDED IN PLAT BOOK /5 PACES 60 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED FOR: /Do —..A5 /)0AVc- • A _E,t.I(-At./ 4/100--rA & Gd f/7~A C, • /)oil .4 /oo
70 4f-/O9 5"-.734LL_/ ATT0 !Z 4YS T/ 7L,E• .J . v '-
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Q . U. vv'RECEIVED
MAR 51999
qm
U. City of Atlantic Beach
Nt,
j E LL T. Building and Zoning
THE PROPERTY SHOWN HEREON APPEARS TO LIE 141 7111,AL FLOOD HAZARD ZONE X AS SCALED FROM FLOOD
INSURANCE RATE MAP / FOR THE CITY OF /41-.4.i.0 4..4 FLORIDA, DA 7E0 4- i"1-6? AND
e.•r••••••,,, n•u v 'Ian, nnrc nnri` AtfTn ITT A r•COTC/`A T/1A1 !)C cilia-
J
RECEIVED
Anal.Johnston 01'11,,Auo n.ro
1 DWAY21-0034
i
t
All pavers going in place of existing
hardscapes, no change to existing
permeability.
Remodel Paver Pad
Paver Drive/Walkway
1470 s.f.
6x9 Paver Border
294 Lf.
250 s.f.
23 I.f.
60Is.f.
I 7 LI
r—
Scale:1/10"=1 ft
Version Tracker Approval
ULIENT NAME Bruce Bole
Version pare live(the undersigned)have reviewed this plan and
ADDRESS: 79 Shell Street Ong 08/24/21 approve it as correct within reasonable tolerance.Any 996-0712LanseapePlantingPlanchangestothedesignmustbecompletedbeforeEarth
CITY' Atlantic Beach Works breaks ground on the projectliwe understand that 12501 Beach Blvd.Page 1
any changes made after approving design will result in a EARTH www.earthworksjax.com
ZIP/POSTAL CODE. 32233 change
additional cost
change order.that typically delays the project and/or result
WORKS
DESIGNER NAME: Jarred Taylor
RECEIVED
By Jennifer Johnston at 1:03 pm,Sep 03,2021
Revision Request/Correction to Comments ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
cm)%.Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: DWAY21-0034
Revision to Issued Permit OR El Corrections to Comments Date:09/02/2021
Project Address: 79 Shell Street Atlantic Beach FL 32233
Contractor/Contact Name: Bruce Bole
Contact Phone: Email: bole2000@comcast.net
Description of Proposed Revision/Corrections:
Current driveway is solid concrete on the entire surface. I plan on replacing the current concrete area with more porus
surface (pavers). The driveway approaching the right of way is 19 feet in width. No addditional square footage to the
current foot print. Will again drop off the survey and
I Bruce Bole affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
Will proposed revision/corrections add additional square footage to original submittal?
EINo Yes(additional s.f.to be added:
ill proposed revision/corrections add additional increase in building value to original submittal?6 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
RECEIVED DWAY21-0034
By Jennifer Johnston et 1:04 pm.Sep 02,2021
V•I.
Q
iI
All pavers going in place of existing
ti 10
hardscapes, no change to existing f•
permeability. Paver Drive/Walkway 10 1
1470 s.f.
6x9 Paver Border I`
294I.f.5–
Remodel Paver Pad 250 s.f. cZ
i
23I.f. d`
360s.f.
1::>)
vz,Lii
1.____....
A '',
e -0\
art
9,142
r
dt
Scale:1/le"=1 ft
CLIENT NAME: Bruce Bole
Version Tracker pprova
Version
08/2
we(the undersigned)have reviewed this plan end
ADDRESS: 79 Shell Street orl9 oalza/zl approve it as correct within reasonable tolerance.Any
996-0712LandscapePlantingPlanchangestothedesignmustbecompletedbeforeEarth
CITY: Atlantic Beach Works breaks ground on the project. I/we understand that 12501 Beach Blvd.Page 1
any changes made after approving design will result in a EARTH www.arthworkslas.com
ZIP/POSTAL CODE: 32233 change order,that typically delays the project and/or result
additional cost. WORKSNAME: Jarred Taylor
x
RECEIVED
By Jennifer Johnston at 1:06 pm,Sep 03,2021
Building Department 904-247-5805 p.2
l
DWAY21-0034
MAP SHOWING BOUNDARY SURVEY OF:
LOT 8,BLOCK 7,OCEAN GROVE,UNIT NO.I,AS RECORDED IN PLAT 800K 15,PAGE 02OFTHECURRENTPUBLICRECORDSOFDUVALCOUNTY,FLORIDA..
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NOTES:
Legend
NO BUILDING RESTRICTION LYSE BY PLAT,BUT THERE MAY BE BRC Deno,CS Bu!/d/y,4/,,Lira,LneRESTRICTONLINESOREASEMENTSTHATAFFECTTHIS
PROPERTY BY ZONING OR RECORDED W THE PUBLIC RECORDS K Deno/LS Oak 77-re
OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. P Deno/r5 Pa/m rr<x
L)
THIS PROPERTY LIES IN FLOOD ZONE"X''BY FLOOD MAPS
REVISED 4/17/1989,COMMUNITY PANEL NO.120075 0001 D.
3)BUILDING RESTRICTION LINES SHOWN HEREON ARE BY ZONING
PER CLIENT REQUEST.
RECHFCKT0 8-15-98 TO 9NOWLPEf5 G"41A70
L.4R6fR CERTIFIED TO:
Odl< . 470,s,,-",'
ATTORNEYS'TITLE FTLEINSURANCEFUND,INC.:
ay® DONAHOO,DONAHOO 8 BALL.FLA.
4 AI - aGy c43-x.)c.zei _
PC ,7.-k16 r,.1 14 14 w70/146-
RECEIVED
sr.rw...w......n..,q V.rrr
DWAY21-0034
Ail pavers going in place of existing
hardscapes, no change to existing
permeability. Paver Drive/Walkway
f, 1.470 s.f.
6x9 Paver Border
294 if.
Remodel Paver Pad 250 s.f.
23 I.f.
60 s.f.
r_______/,/
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Sole:1/10'.1 ft
CLIENT NAME Bruce Bole Version Tracker Ap.royal
Version Data Ihve(the undersigned)have reviewed this plan and
ADDRESS: 79 Shell Street Ong 08/24/21 approve it as correct within reasonable tolerance.'Any
Landscape Planting Plan g«mthedesid r the
t.
tiedbe,
Earth 996-o Z2
CITY: Atlantic Beach Works breaks ground on the project. Vwe understand that 12sn a.,,3 Mia.Page 1
ZIP/POSTAL CODE: 32233 any changes made alter approving design will result in a e.,.w r .Kl,
change order,that typically delays the project andlor result
WORKSDESIGNERNAME: Jaded Taylor to add00nel coat.
x