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316 4th St RESO23-0073 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: KROLCZYK ROSLYN A 316 4th St ATLANTIC BEACH FL 32233 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: 169813 0000 ATLANTIC BEACH JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 316 4TH ST RESIDENTIAL OTHER SINGLE OR TWO FAMILY RESIDENTIAL OTHER Overlaying exist concrete w/pavers. Replacing pavers in back $7500.00 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: 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. 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: 7/18/2023 PERMIT NUMBER RESO23-0073 ISSUED: 7/18/2023 EXPIRES: 1/14/2024 RESIDENTIAL OTHER 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 $90.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03 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: $264.03 3 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL Notes: See Revocable Encroachment Agreement regarding driveways/pavers and public utilities in the ROW 4 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 5 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. 6 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 7 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. 8 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 9 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 10 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction 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. 2 of 2Issued Date: 7/18/2023 PERMIT NUMBER RESO23-0073 ISSUED: 7/18/2023 EXPIRES: 1/14/2024 RESIDENTIAL OTHER 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 Overlaying exist concrete w/pavers. Replacing pavers in back 316 4TH ST WRENN LANDSCAPE DESIGN LLC RESO23-0073 o!--el1ji„ BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach Building Department PERMIT# 0M02--- ---L73 o v" 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process j 1)Phone: (904) 247-5826 Email: Building-DeptPcoab.us Job Address -S 14 4 7 5-f At( lit ` AI'4 /7 32 3 Y RE# itogal3 cues Legal Description S-`j/2- 2S_ ,zYE• di, it# ee„d f1Lfr L fi MK c azValuationofWork(Replacement Cost) )j 7 S e Heated/Cooled SF Non-Heated/Cooled SF Class of Work: E New E Addition WIteration Repair EMove Demo E Pool Window/Door Use of existing/proposed structure(s): Commercial ©Residential If an existing structure,is a fire sprinkler system installed?: EYes IgNo Will tree(s)be removed in association with proposed project? ['Yes(Must submit separate Tree Removal Permit) BI No Describe in detail the type of work to be performed: Over/A( ln( r°I(ISfij Co-Ciel kith_ pats 1fpIar i pave's ii- batk u./iL GI, frit ,Ich/A Color-. Florida Florida Product Approval# I For multiple products use Product Approval Information Sheet) Property Owner Information Name 7p&) K/'nit-"t 5k Phone 95-4 yes- S54 ' Address .314 ' City /9g State f/ Zip 3 2.z. 3 3 Email,P,N,M,-,_,I),, 0 q rAi f1, ner r Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Wirt,,,,,_ iii___ -).e4-1.0._ Phone 90 y--vz i. ,,z.;, Address c5 'f 3y7 ,4iJ. ( City l- aw_ State /ip. Zip -7L7is Qualifying Agent 411,24,-/ w/a State Certification/Registration# f i 7j- ;a ci Email /ft 4v f• w 6,Air, --r- Job Site Contact Number Worker's Compensation Insurer OR Exempt M--Expiration Date 17,--1--3 Architect's Name Email Phone Engineer's Name Email Phone 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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTO' r EFO'E RECORD,G YOUR NOTICE OF COMMENCEMENT. A.) i ignat•'f Owner or Agent) ignature of Contractor) Signed and sworn to(or affirmed)before me this 2 b day of Signed and sworn to(or affirmed)before me this J[' day of 5-wke_ , Z0•23 by Ih9[vin b . 4 ciCzyk jc..l4 7023 by i`'n1'CA1L1 ogenr 1 Signature of Notary Signature of Notary Personally Known OR[vvrProduced Identification Personally K OR [ roduced Identification Type of Identification: Fl 01. Type of Identification:FL 0C—C^ 00 `!%VANESSA ANGERSiyy, , VANESSA ANGERS c 4,_ MY COMMISSION 8 HH 244118 ' MY COMMISSION 1t HH 244118 EXPIRES March 23,2026 i'`'EXPIRES:March 23,2026 RVEY OF , IHT f:C-.- .• r . MAP SHOWING BOUNDARY ii i ci:7," s• ' -'• •. ! ••• ' :• • • 1 -'' IA,-•4 •.. • ' . . . CPR'I E F, T) 4TH STREET I i N 835230 E 4 2603 L., tr• . r. 0; MEASURED I 1--LA I. I 1 I I- I - - i f LU 1Leift(1 , 9/. iii pftvrrs- ot.in 1 2 1 i 4.12p 11' t3ti51)1f ..1Frtt •• 4,-•w° 1 t 0.7 cn I. C otr-rel . LI tJJ N 0. 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