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2333 Beachcomber Trail DWAY23-0017 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: POLAND R MICHAEL 2333 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-6608 COMPANY:ADDRESS:CITY:STATE:ZIP: WRENN LANDSCAPE DESIGN LLC 584 34th STREET JACKSONVILLE BEACH FL 32250 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169463 0148 OCEANWALK UNIT 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 2333 BEACHCOMBER TR DRIVEWAY SINGLE OR TWO FAMILY DRIVEWAY Replace existing driveway and rear patio with pavers $8000.00 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 ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL Notes: See Revocable Encroachment Agreement regarding driveways/pavers and public utilities in the ROW 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: 6/20/2023 PERMIT NUMBER DWAY23-0017 ISSUED: 6/20/2023 EXPIRES: 12/17/2023 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES 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 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. 9 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL Notes: Maximum driveway width within the City right-of-way is 20 feet. 10 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 11 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 12 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 13 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 2 of 3Issued Date: 6/20/2023 PERMIT NUMBER DWAY23-0017 ISSUED: 6/20/2023 EXPIRES: 12/17/2023 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 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 3 of 3Issued Date: 6/20/2023 PERMIT NUMBER DWAY23-0017 ISSUED: 6/20/2023 EXPIRES: 12/17/2023 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION Replace existing driveway and rear patio with pavers DWAY23-0017 2333 BEACHCOMBER TR WRENN LANDSCAPE DESIGN LLC r, Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department ALL INFORMATION 4 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. f ua_/ a7—as- arc 0 c,e;„,.rL-0+ 1 lam. Job Address: ) VII 3 (80/9 c% x fin r Tf 4. 4 32231 ermitNumber: , vA .12 --OI1 Legal Description 5% 4 f -r/r , `! A >v / p /RE# lT 51 Valuation of Work(Replacement Cost)$ ( Heated/Cooled SF__Non-Heated/Cooled N jCoea0 Class of Work: New Addition CiAlteration IY epair Move Demo Pool Window/Door Use of existing/proposed structure(s): OCommercial 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) No Describe in detail the type of work to be performed:iJ h`viio`'c 2" ,.,/ fe(/Ree c>( l54' ii 4 ; ve, war / IC{/ r'e9,c j24 f e a w I 4 2,4 vn'S Florida Product Approval#for multiple products use product approval form Property Owner Information n y. Name P-cl9e., ” M ic-cite( PC1/1-14V Address )_3 33 6 Q 4LGLj G/JWl. City 4 f-j' ft c; ae2' c- CI State /-1-7 Zip 7;2_4 3 3 Phone 904/-ty j 5" 70a E-Mail Gl ocQ-c polariGYC.5eika1 1• C_C7t21/4- Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Comcpa y (.(.)/, <41 1.,--4Y 4cApe, i0 S,y •1 Qualifying Agent 14 1 ( C. f J'7 In 5Address V' 3 `f 4-`` i4vt-e City mai f cJ- State PL- Zip 3 a-a--5 Office Phone 9Cc1 5L,l(/L `fly/ Job Site Contact Number State Certification/Registration333'1S`? 3G9 E-Mail Architect Name&Phone# A7Q / Engineer's Name&Phone# i )/j`] Workers Compensation Insurer /OR Exempt Li/Expiration Date I "f/.31-- 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 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.1/‘4-14& 72-‘__/e/ Signature of Agent) h 'O f j4 ilil.P l stignature of Contractor) igned arid sworn to(or . 'i med) before e rrSe this2 eLciay of Signed and sworn to(or affirmed)before me this 2 day of b /2-. ! -c, , e .. . ,/ Mcu' , 202-3 ,by Micinix42.1 Erne Wrenn ra'v,?u TONI GINDLESPER t ':. S,_ stay) tn lets._ INV i*.':.. '`•'= MY COMMISSION#GG 353 ••Y VANESSA ANGERS l,Q: EXPIRES:October 6,2023 i n :•1 NY COMMISSION#HH 244118 FOf `(ficmivitot i• .,, werwriters ersonally Known OR 04Z., EXPIRES:March 23,2026 Type P. Eer'i.R, uce. I.entification Produced Identification l T e of Identification: f. UC. jar T e of Identification: Type rA,yy j REVOCABLE ENCROACHMENT AGREEMENT t r ALL INFORMATION 1L\City of Atlantic Beach HIGHLIGHTED IN GRAY 1 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED. REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and exist g under the laws of the State of Florida hereinafter referred to as"CITY" and a(. e-lr 01 i'c e-1 As /,q.-,,LV 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 a5.-- OA.V e.%... ,4 1<i 4-0..d cPr i i e ry 4 Any facility maintained, repaired, erected, and/or installedsin the exercise of the privilege ranted 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 .2.3 33 6 z koc'" (0 e Yom' A.'( ( r 4 31-2 32 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. 2 Gr4 JwY Date r PropertOwner/Agent(signed in presence f Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL f t The foregoing instrument was acknowledged this Z 9 day of 4" --pt( ( 20 , , by )c.,-) LC—' I V\ . -PQ:)1_ Q /\__ C (printed name of Signer),who personally appeared before me and :c. owledged at he/she si ned the instrument voluntarily for the purpose expressed in it. i4 sYP6', TONI GINDLESPERGER 41.6. ije C. : ‘CE(PlREsIctobere2o23 MYCOMMIN#GG353178 col :,; TOF ;° BondedihruNPubte Underwriters 414141 Department Approval: Signature of Notary Public,State of Florida Personally Known Produced Identification(Type) I Public Works Director Date Revision Date:4/6/2023 MAP SHOWING SURVEY OF LOT 72, OCEANWALK UNIT ONE. AS RECORDED IN PLAT BOOK 42, PAGES 1 and 1ATHROUGHIF, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. LOT 66 LOT 65 LOT 64 20' EASEMENT FOR DRAINAGE, UTILITIES AND SEWER 90.00' 800"03'00'V LAKE1 1E_o 4a SCALE: 1" - 20' N Q, coI r 1aV E'•:4-(s„Aq)N nb O PAVENS '/F" \ _ _ TOP OF a.aPE 40236'41"E 88.99'(FIELD) Pilo 4.— n3S.e HE FONIO i/2'RW a ins' PPE NO CAP d > 7.s a Rf+" n LOT 71 2 STORY BRICK I LOT 73 RESIDENCE 151' I No. 2333 I 7.D' 7.2' 1 0. :i - '.5%.',.. .'IT 4.8 re) PAVERSnn In To-,RI 4 m i a pZ Z z 62' 23.3• 1 4L4, p v51. 7 g 2,1 CONCRETE FOUND18St21/2'-nON FOUND qr MEN wvE — NO2'33'29"W 41.00'.--- 4 1.00' N0213129`W 87.32` H02'43'15"W 87.11'(FlELD)\ BEACHCOMBER TRAIL 50• RIGHT OF WAY PAVED PUBLIC) NOTES: 1. THIS IS A BOUNDARY SURVEY. 2. BEARINGS BASED ON THE SOUTH UNE OF LOT 72 BONG NORTH 89'46'55' WEST AS PER PLAT. THIS SURVEY WAS MADE FOR THE BENEFIT OF3. NO BUILDING RESTRICTION ONES AS PER PLAT. MICHAEL POLAND THE PROPERTY DESCRIBED HEREON UES IN FLOOD ZONE"X'(AREA OF MINIMAL FLOOD HAZARD) and FLOOD ZONE "X"(SHADED)(AREA OF 0.2 PERCENT CHANCE FLOOD HAZARD IN COASTAL ZONE)AS WELL AS CAN BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP NUMBER 12031C0407J, REVISED NOVEMBER 2, 2018 FOR DUVAL COUNTY, FLORIDA. DONN . AMISH T, P.S.M. NOT vAue wTnwr THE aaNATWE AND NE aRaNAi FLORIDA UC. SURVEYOR and MAPPER No. LS 3295SEALOFAFICRDALICENSEDSURVETORANONAPPER• FLORIDA UC. SURVEYING &MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE:DRAWN BY KLW NOVEMBER 20, 2020 FILE: 2020-1404 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 CF 1 NOTICE OF COMMENCEMENT State of O dTax Folio No. 7.,99 / C0 3 —6/Xe County of 1 J U Jo- 1 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. 1LegalDescriptionofpropertybeingimproved: o. - / rl-c . - a 9 C OQh/Owatt C1 /fif 1 C Address of property being improved: c3 3 f _ c t! o i hi '( - f7aJ /1411 1 1 3 deJ General description of improvements: Pad e-f dore (,o fi Q C (1IA j i(ks k a 01[Jere k cls Owner:ik A g A. ,. DI / ` i Address: 0133 Cl G kco 19-v-7701 ji Owner's interest in site of the improvement: St( 3a a- 3 Fee Simple Titleholder(if other than owner): Name: r JJ Contractor: Oren v LUG1Grsca 5/5/A Address: 5 gt 3(1-4A'\ S Telephone No.: o f?( `i(3 ( 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 cJSigned: Date: r Doc#2023085205,OR BK 20660 Page 1379, Before me th s 28 day of Al)ri( 2p23 in the Cou ty of uval,State Number Pages: 1 Of Florida,has personally appeared C-yrt.-141;0.• ?0)0.Y\Gk Recorded 04/28/2023 03:46 PM, Notary Public at Large,State of Florida,County of Duval. JODY PHILLIPS CLERK CIRCUIT COURT DUVAL My commission expires: 3'23/2.-OZ&, COUNTY RECORDING $10.00 Personally Known: 414., Produced Identification: EL 01, ri?•.VANESSA ANGERS MY COMMISSION#HH 244118 EXPIRES:March 23,2026q„ EQ M1OP: Revision Request/Correction to Comments ALL INFORMATION s' S` 1`"\ HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 111.) f 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: V 1 Revision to Issued Permit OR Lam(Corrections to Comments Date: /(.(/'Z3 lProjectAddress: 333 1 C-V ryk.Ate/ / rat l r`!-1/iScif Contractor/Contact Name:VlJ (\CA IA Contact Phone004) ((act- Email: Description of Proposed Revision/Corrections: 64o b/ eX 00 ittry gOr fee3ft. Joto -diuntpgiv kA1( We 14ut fiu K6' I ( odJ yt 02 — A., _ a 0 L 0 1 —b--/ 4° b r, r c /a • wrs oil( /AS ,41 wltkrq omcr,t l 1 ' I I) Pot ec are (o ca ILLI.C 0(0(6L affirm the revision/correcti n to comments is inclusive of the proposed changes. printed name) WiJ,proposed revision/corrections add additional square footage to original submittal? No Yes (additional s.f.to be added: W_,il,proposed revision/corrections add additional increase in building value to original submittal? U'N° *Yes (additional increase in building value: $ Con or must si n if i crease in valuation) Signature of Contractor/Agent: CAD) -vA-tea 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: DWAY23-0017 Site Address: 2333 BEACHCOMBER TR City, State Zip Code: Atlantic Beach, Fl 32233 Applied: 5/2/2023 Approved: Issued: Parent Permit: Parent Project: Applicant: <NONE> Owner: POLAND R MICHAEL Contractor: <NONE> Description: Replace existing driveway and rear patio with pavers Finaled: Status: AWAITING CORRECTIONS Details: LIST OF REVIEWS SENT DATE RETURNED DATE DUE DATE TYPE CONTACT STATUS REMARKS Review Group: AUTO 5/2/2023 5/2/2023 SUBMITTAL COMPLETENESS Permit Tech APPROVED Notes: Uploaded 1 attachment. 5/2/2023 5/2/2023 5/16/2023 ZONING Zoning APPROVED Notes: 5/2/2023 5/11/2023 5/16/2023 PUBLIC WORKS Public Works DENIED See Attached Denied Documentation 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. A Right-of-Way Permit must be obtained. 5/2/2023 5/3/2023 5/16/2023 PUBLIC UTILITIES Public Utilities APPROVED W/CONDITIONS Notes: Printed: Friday, 12 May, 2023 1 of 1 Permit Reviews City of Atlantic Beach