408 Irex Rd DWAY22-0014 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
ISLEY RALPH JR 408 IREX RD ATLANTIC BEACH FL 32233-3904
COMPANY:ADDRESS:CITY:STATE:ZIP:
Earthscapes Design Build 3232 Old Kings Road Jacksonville Fl 32254
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171419 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
408 IREX RD DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY PAVER DRIVEWAY $10000.00
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.
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: 6/27/2023
PERMIT NUMBER
DWAY22-0014
ISSUED: 6/27/2023
EXPIRES: 12/24/2023
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $150.00
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: $300.00
2 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.
3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
4 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.
5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
6 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
7 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
8 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 2Issued Date: 6/27/2023
PERMIT NUMBER
DWAY22-0014
ISSUED: 6/27/2023
EXPIRES: 12/24/2023
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Permit Number: DWAY22-0014
Site Address: 408 IREX RD
City, State Zip Code: Atlantic Beach, Fl 32233
Applied: 3/2/2022 Approved: 3/2/2022
Issued:
Parent Permit:
Parent Project:
Applicant: <NONE>
Owner: ISLEY RALPH JR
Contractor: <NONE>
Description: PAVER DRIVEWAY
Finaled:
Status: APPROVED
Details:
LIST OF REVIEWS
SENT DATE RETURNED
DATE DUE DATE TYPE CONTACT STATUS REMARKS
Review Group: AUTO
3/2/2022 3/2/2022 SUBMITTAL
COMPLETENESS Permit Tech APPROVED
Notes:
ONE ATTACHMENT
3/2/2022 3/9/2022 3/16/2022 ZONING Zoning DENIED
Notes:
Maximum driveway width at and through the right-of-way is 20 feet.
3/2/2022 3/9/2022 3/16/2022 PUBLIC WORKS Public Works DENIED
Notes:
Once driveway application is approved and construction can begin, the driveway must be installed to City code.
Maximum driveway width within the City right-of-way is 20'.
3/2/2022 3/7/2022 3/16/2022 PUBLIC UTILITIES Public Utilities APPROVED
W/CONDITIONS
Notes:
Printed: Tuesday, 15 March, 2022 1 of 1
Permit Reviews
City of Atlantic Beach
Yoh- ', Building Permit Application updated 10/9/18
Y City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
408 IREX RD ATLANTIC BEACH FL 32233 LI ZZ - C5'j14
y
Job Address:
I
Permit Number. 1
Legal Description Ou CL,[ pct`.61 S( ry. t Z\
I Lbk• Z 1 K l (, RE# f 7 1 44 lot - 0000
Valuation of Work(Replacement Cost) S i r)/00 CD Heated/Cooled SF Non- Heated/Cooled
Class of Work: . New :Addition DAlteration i =Repair Move [Memo Pool Window/Door
Use of existing/proposed structure(s): Commercial Residential
If an existing structure, is a fire sprinkler system installed?: L.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:
REMOVE CONCRETE DRIVEWAY & REPLACE WITH PAVERS
Florida Product Approval#for multiple products use product approval form
Property Owner Information
Name RALPH ISLEY Address 408 IREX RD
City AI LANTIC BEACH State l-L Zip '2,211 Phone (904) 246-2997
E Mail RISLEYJRL#AOL.COM
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Earthscapes Design Build Qualifying Agent Michael Serig
Address_151 College Drive,Orange Park FL 32065 City State Zip
Office Phone_904.620.0626 Job Site Contact Number _904.620.0626
State Certification/Registration # E-Mail mike@earthscapes.earth
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer_ OR Exempt o Expiration Date
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
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
RECORDINy N9VCE OF COMMENCEMENT.
t ^`
Signature ofOwnef or Agent) l
Signature of Contractor)
ST
Signed and sworn to(or affirmed)before me this a day of Signed and sworn to(or affirmed) before me this ( day of
s}oe-i,by 2_0 or--N 1\16n1 L ft, 2' yZ by MtC- t-4)- L 5> tv
L.C-
5?nature 4 N, taL.vi OLUBUNMII.EYIMU
COLLEEN HICKEY
MY COMMISSION#HH 203374
Commission HH 182228
f• •f1 7 p Expires October 6,225
P rsonally Known iR Personally Known OR ro;`or•ff r,•o: EXPIRES:November 30,2025 Banded Thu Troy Fein Insura..;e R045.7010
N.I roduced Identification "••',o':F:O Bonded Tin Notary Public Underwriters Produced Identification
Type of Identification: I'r1 oe of Identification: L (- t /c;•-- 5 t r`{Ct
1=''' ,. REVOCABLE ENCROACHMENT AGREEMENT
4\ ALL INFORMATIONCityofAtlanticBeach
800 Seminole Road,Atlantic Beach, FL 32233
HIGHLIGHTED IN GRAY
IS REQUIRED.
moi g9%
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
RALPH ISLEY 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 REMOVAL OF CONCRETE DRIVEWAY&REPLACED WITH PAVERS
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 aos IREX RD,ATLANTIC BEACH,FL 32233R
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.
4.P4(/ Date 1\1 c,rcih D 40 d
Property OwnerrfAgent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of P*w--C\20 'a -)-
by 1 P Lei) S LI /
who personally appeared before me and
printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
0':':',;,, ,..COLLEEN HICKEY1 \
JL i i., ,, MY COMMISSION#HH 203374
Department Approval:
EXPIRES:November 30,2025
Signature of Notary Public, State of Florida Z fr:f:?P,; Bonded rnruNotary Public Underwriters
I Personally Known
Produced Identification(Type) \T \sr— LI(. (,\ ,___ Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
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