2213 Alicia Ln ACC19-0051 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
DENNIS MANAGEMENT
TRUST 1490 BENT CREEK DR SOUTHLAKE TX 76092
COMPANY:ADDRESS:CITY:STATE:ZIP:
EARTH WORKS DESIGN &
MAINTENANCE, INC.12501 BEACH BOULEVARD JACKSONVILLE FL 32246
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169519 0750 TIFFANY BY THE SEA
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2213 ALICIA LN ACCESSORY SINGLE OR TWO
FAMILY ACCESSORY
PAVER PATIO, DRAINS AND
GRADING see RES21-0057 $35000.00
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.
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: 7/12/2023
PERMIT NUMBER
ACC19-0051
ISSUED: 7/12/2023
EXPIRES: 1/8/2024
ACCESSORY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $230.00
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $428.63
BUILDING PLAN CHECK 455-0000-322-1001 0 $115.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.18
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.45
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00
TOTAL: $857.26
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
3 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Shapells, Inc., Republic Services, Donovan Dumpsters,
Phillips Containers, JDog/Dennis Junk Removal, All American Roll Off, WCA Waste Corporation). Container cannot be placed on City right-of-way.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
5 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
2 of 2Issued Date: 7/12/2023
PERMIT NUMBER
ACC19-0051
ISSUED: 7/12/2023
EXPIRES: 1/8/2024
ACCESSORY 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
PAVER PATIO, DRAINS AND GRADING
2213 ALICIA LN
EARTH WORKS DESIGN & MAINTENANCE, INC.
ACC19-0051
C CL Jedl c-(rn - fl!ZC
GfCle n0111- n0 coo rkln
4 Building Permit Application Updated 12/8/17
u City of Atlantic Beach E..M A-L(---€ C Z`l 4/Z a
4tqw,
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
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Job Address: a a i 3 n1'l U a, L
1L1 1L ``Permit Number: hl - 0050l
Legal Description 4CP-9L137-as-a9E T'-ffan3 6T44,15kA Lo+gRE# ICP 1siq-47fO
AAr7
Valuation of Work(Replacement Cost)$ /3 j 000 Heated/Cooled SF
in Non-Heated/Cooled KA
Class of Work(Circle one): New Addition (Alteration)Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s)(Circle one): Commercia
Resident
ti1',`
If an existing structure,is a fire sprinkler system installed?(Circle one): -Yes NoN/A
Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: a,.eti-t o d ra yt,
Ex C_CkVa.*.i.m-t.. 0-F Pa> r area rY ia.r k- d Y1 d esisn . Gi ad-e_
properly• 5e-I-draJns and pipeto ri&v -F-Fin sa.id°--eas. Ins+attpaLiersipiaa,-l-erwaU4
4 `:rePite.(e4.
Florida Product Approval# I1)A for multiple products use product approval form
Property Owner Information a) i c I•a L
Name: S4&r1je y Deem Address:
City R+I OYri-i c. Chea'-t-I" State FG Zip 3 a.a33 Phone g/ 7— 1103— tP
E-mail s+anley9 d'n-n-16P_vrYucl k-Cowl
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:0-r4-I'1 j,OOr 5 Qualifying Agent; SUkt" aCG k IOri E'i q
I.
Address 1 asci( Qco.c - 431vd City act'sm'Vi Ice, State FL Zip 3 aatic
Office Phone 9 b9- 99 ho- MI`d., Job Site/Contact Number 9 09-3119-Q Sort
State Certification/Registration# SI DI I 0 31$ E-Mail m -a. d':.e ar+hwork s*C QYVl
Architect Name&Phone# /'-/4
Engineer's Name&Phone# 1v4
19- N I I a+0
Workers Compensation L.)C- 5t'n- (I"`7 y --05 4(1'
Exempt/Insurer/Lease Employees/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 hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetthestandardsofallthelawsregulationgconstructioninthisjurisdiction. 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 • :TAIN Fl t.NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REC•.•IN, YOU' OTICE (lc COMMENCEMENT.
0"' (
Signature of Contractor)
0
Signature of Owner or Agent) i/
including contractor)
Signed and sworn to(or affirmed)before me this y-day of Signed and sworn to(or affirmed)before me this day of
3-1-•rye. , .Q0/9 ,by `J'fcui l e,y .1),0414.tJ0 Sta.+,.n.- , 1 O t q ,by Ta_s 01/1 Dur n. -.
g n' Si nature of Notary)
i MANDI FUTGH r'..! '. I+IANDI FUTGN
R'a P/ersonally Known ORter
Personally Known OR9,', kV COMMISSION€GG 2069.? [ Jl'COMMISSIOtJ#GG 206983
Produced Identification
o EXPIRES:Apn112,2022
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icatiolcatip . .
Q_' EXPIRES:April 12, O
Type of Identification: `•'!`°.' Bonded Ttru Notar"v"b4i' Type of Identification.ae s
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WORK DATE: 12/31/2013 REVISION DATE(S):(REv-o 12/31/2013)
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Earth Works, Inc.
12501 Beach Blvd
Jacksonville 1224
Stan Dennis
2213 Alicia Lane
Atlantic Beach, FL 32233
904)229-5070
Date: June 24, 2019
Drawing Scale: V=24' (KS
Designed By: Earthworks, Inc
Revisions:
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12501
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Stan
Dennis
2213
Alicia
Lane
Atlantic
Beach,
FL
32233
904)
229-
5070
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Date:
June
4
2019
Drawing
Scale:
V=
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Designed
By:
Earthworks,
Inc
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12501
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Blvd ^
Stan
Dennis
2213
Alicia
Lane
Atlantic
Beach,
FL
32233
904)
229-
5070
i
Date:
June
4
2019
Drawing
Scale:
V=
25' (
K
K)
Designed
By:
Earthworks,
Inc
Revisions:
SHEET
TITLE
Dimension
Pla
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SHEET
Note: 0
This symbol indicates that these light
will not be installed due to the light
interfering with the sea turtles.
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Up light (4)
COMMUNITY DEVELOPMENT
APPROVED
Earth Works, Inc.
12501 Beach Blvd
Jacksonville, FL 32246
L enniscia Laneh, FL 322339-5070
Date:June 24 2019
Drawing Scale: 1"= 24' (K R)
Designed By: Earthworks: Inc
Revisions:
SHEET TITLE
Removal Plan
L- 3
SHEET
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PUBLIC WORKS
PPROVED
DENIED
NOT APPLICABLE TO DEPT
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Earth Works, Inc
12501 Beach Blvd
lack.-onville_ Ft 3274(3
ac
Date: June 4, 2019
Drawing Scale: 1" = 10' (KSR)
Designed By: Earthworks, Inc
Revisions:
SHEET TITLE
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SHEET
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Earth Works, Inc.
12501 Beach Blvd
Jacksonville, FL 32246
F nnis
aLane
FL 32233
5070
Date: June 4, 2019
Drawing Scale: V=10' (K R)
Designed By: Earthworks Inc
Revisions:
SHEET TITLE
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L- 2
SHEET
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Earth Works, Inc.
12501 Beach Blvd
Jacksonville, FL 32246
F nnis
aLane
FL 32233
5070
Date: June 4, 2019
Drawing Scale: V=10' (K R)
Designed By: Earthworks Inc
Revisions:
SHEET TITLE
imension Pla
L- 2
SHEET