780 Amberjack Ln DWAY23-0034 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
NOTTMEIER ERIC 2055 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
MARCELO PAVERS, INC.14901 BULOW CREEK DR JACKSONVILLE FL 32258
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171132 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
780 AMBERJACK LN DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY
Remove concrete driveway,
replace with rocks & paver
border
$4000.00
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 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.
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: 7/18/2023
PERMIT NUMBER
DWAY23-0034
ISSUED: 7/18/2023
EXPIRES: 1/14/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
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 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.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
5 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.
6 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL
Notes:
Slab and driveway to be fully removed.
7 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
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 3Issued Date: 7/18/2023
PERMIT NUMBER
DWAY23-0034
ISSUED: 7/18/2023
EXPIRES: 1/14/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $150.00
3 of 3Issued Date: 7/18/2023
PERMIT NUMBER
DWAY23-0034
ISSUED: 7/18/2023
EXPIRES: 1/14/2024
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
Remove concrete driveway, replace with rocks & paver border
780 AMBERJACK LN
MARCELO PAVERS, INC.
DWAY23-0034
1f;
L BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
t' City of Atlantic Beach Building Department PERMIT# ' `1'Z-(, }
800 Seminole Road, Atlantic Beach, FL 32233
ALL information required to process
Phone: (904) 247-5826 Email: Building-Dept@ ab.us
Job Address ' -reje-. obse) --.< SQ ) 1RE# 1 I S Z-- D C)
Legal Description _Rot-(0-1 Qiins 0Ir'\
J-
k _( I cD4 EL 7"--
Valuation of Work(Replacement Cost) i 7 Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: aCi Addition Alteration Repair Move emo Pool Window/Door
Use of existing/proposed structure(s): Commercial esidential
If an existing structure,is a fire sprinkler system installed?: Yes Ado
Will tree(s)be removed in association with proposed project? Eyes(Must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed:
P-- -.51\r-Li ZL CSCi`Y. ) 1
C — QJ ` 1CNZ S Zi tel('c 01 er
Florida PIle-
Q11..0—
o ct Approval# For multiple products use roduct Approval Information Sheet)
Property Owner Information Namej1•,L-ft. SI.QI`(\__ Phone ;Zzj3 — J 3
Address City State Zip
Email Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company i .e A W Nikr` '. `Phone 4q‘%.@""\ - e ".23-73
Address S a ALL j4k 1 I, V t!to City ` !
titt
f tate`Zip jz a .
i -
Qualifying Agent State Certification/Registration#
Email m eq 4q ,Glob Site Contact Number 9,(j-t - ekt Z3-
Worker's Compensation Initrer OR ExemptExpiration Date
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
ATTORNEY :EFO• ' •• • •ING YOUR NOTICE OF COMMENCEMENT.
101/- _ 1 iik0, A A
7 at re of 7 ner or Agent) 1.
f Signa ure o Contr.c . )
S ned nd sworn to or affi • ed)befo t5 me this ( day of Si ned and sworn to(or affir rlied)before me t is day of
7v._ UibyAEU. • R (---( ckN eccs.j 7023 by C1at\ZoS en1
Signature o otary I ;__.--Signature of Notary
I Personally Known OR [ ] Produced Identification Personally Known OR [ ] Produced Identification
Type of Identification: 1 Type of Identification:N L- _
20
Y.*, TONI GINDLESPERGER
k•• .'•,.
MY COMMISSION#GG 353176
2q !Py TONT GtNDLESPEEXPIRES:October 6,2023 RGER
tletery Public Underwriters u ;+ MY COMMISSION#GG 353178
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6,2023
c;
Fo„`o;y' EXPIRES:October
t, .f,G.• Bonded 7hru Noary Punts n
202_.
r`- -, REVOCABLE ENCROACHMENT AGREEMENT4,r),,-,
City of Atlantic Beach
ALL INFORMATION
ff HIGHLIGHTED IN GRAY
l 800 Seminole Road,Atlantic Beach, FL 32233
j IS REQUIRED.
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
ems .S - YTha 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 C r6,,(_\ C ----)
Any facility maintained, repaired, erected, ar1m/or installed in the exercise of the ilege 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 -1 '3 f\v-.\-Th h4 V(•- (.A C C I cL_ A 0 -f----t_.--- ): )
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 t• SER from any of the work herein under the terms of this permit and that all of said liabilities are
hereb • .• ed by the USER.
Date -7 / -/,4
Property Qv,ner/Agent (signed in presence of Notary Public)
STATE OF FLORIDA COUNTY OF DUVAL
The foregoing instrument was acknowledged this 7 day of J l L 20 Z
by I C^ ` r"C.Lf printed name of Signer), who personaiiy appeared
before me and acknow' dged that he/she signed the instrument voluntarily for the purpose expressed in it.
1:01•64
c, ONI u:PvU E:a ERGEP,
MY COMMISSION#GG 353178
EXPIRES:October 6,2023
F°F.f,..0 Bonded Thru Notary Public Underwritersk___,iDepartment Approval:
Signature of Notary Public, State of Florida
j Personally Known
Produced Identification (Type) b, I
Public Works Department Date
Revision Date:05/09/2023
MAP SHOWING BOUNDARY SURVEY OF
LOT 8, BLOCK 2, ROYAL PALMS UNIT ONE, ACCORDING TO THE PLAT RECORDED IN
PLAT BOOK 30, PAGES 60 AND 60A OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA.
NICERTIFIEDTO: TRACY SYNAN AND ERIC NOTTMEIER lv
COMMONWEALTH LAND TITLE INSURANCE COMPANY
ItRICHARDG. HATHAWAY, PA / PONTE VEDRA TITLE, LLC J
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LOT 9
GENERAL NOTES ABBREVIATIONS
A/c - DENOTES AIR CONDITIONER1. THIS IS A MAP SHOWING BOUNDARY SURVEY. BRL - DENOTES BUILDING RESTRICTION UNE2. BEARINGS ARE BASED ON THE SOUTHERLY RIGHT OF WAY UNE OF AMBERJACN LANE. BEING THE C) - DENOTES CALCULATED PER PLATASSUMEDBEARINGOF585'20'02"E, AS PER RECORD PLAT. CB -DENOTES CHORD BEARING3. THERE MAY BE RESTRICTIONS OR EASEMENTS THAT ARE NOT SHOWN ON THIS MAP THAT MAY BE 01 - DENOTES CHORD DISTANCEFOUNDINTHEPUBLICRECORDSOFTHISCOUNTYOREVIDENCEDBYTITLEEXAMINATION. CONC_ - DENOTES CONCRETE4. THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A TITLE COMMITMENT. D) - DENOTES DEED DIMENSION RECORD IN PUBLIC RECOROS5. THE PROPERTY SHOWN HEREON EMBRACED BY HEAVY UNES IS BASED ON A LEGAL DESCRIPTION FI) - DENOTES FENCE UNE INSIDE OF SUBJECT PROPERTY UNEPROVIDEDBYCLIENT.
F0) - DENOTES FENCE UNE OUTSIDE OF SUBJECT PROPERTY UNE6. THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.
FOL) - DENOTES FENCE UNE ON SUBJECT PROPERTY LINE7. THIS SURVEY SHOWS ONLY THE ABOVE GROUND INDICA, NO UNDERGROUND UTUTIES, FOOTERS, ID - DENOTES IDENTIFICATIONSTRUCTURES. OR IMPROVEMENTS ARE SHOWN ON THIS MAP.
IP - DENOTES IRON PIPE8. UNLESS OTHERWISE NOTED, ANY PORTION OF THE PARCEL THAT MAY BE DEEMED AS WETLANDS BY IR - DENOTES IRON PIN OR REBARSTATEORGOVERNMENTAGENCIES. HAS NOT BEEN DETERMINED AND ANY UABIUTY RESULTING
L- DENOTES ARC LENGTH DISTANCETHEREFROMISNOTTHERESPONSIBIUTYOFTHEUNDERSIGNED.
LB - DENOTES UCENSED BUSINESS
FLOOD CERTIFICATION M) - DENOTES MEASURED DIMENSION MADE IN FIELD OR SUBSTANTIATED
BY FIELD TRAVERSE MEASUREMENTS
ND - DENOTES NAIL&DISKBYGRAPHICPLOTTINGONLY. THE PROPERTY SHOWN HEREON LIES WITHIN ZONE: 'X" AS SHOWN ON THE ORB. - DENOTES OFFICIAL RECORDS BOOKFEDERALEMERGENCYMANAGEMENTAGENCYTCCua1unewanea. n new. ,.,...........
NOTICE OF COMMENCEMENT
State of /... Tax Folio No.
County of 2 UNI 0..\
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 informatio is stated in this NOTICE OF COMMENCEMENT.
Legal Z-
l
Legal Description of property being improved: (30 A vN' fNOc0 L-' 14 r C•
1 1 Pa 1 w.) v r\ — k 1--x-1- g iQ k Z
Address of property being improved: --iescAc-N(\'1' CesGc t Li- - L. IN--1 € L 3 ZZ3-I
General description of improvements: 31C\\I Lk cJ 'c V t Wo i
pp
Owner: \ C'Q.0\I no, sr, Address: -20`:).5". 13-c0,Cr >VA- A FL- 's-t-2,--s3
Owner's interest in site of the improvement: C29--, S‘r,r.QJ
Fee Simple Titleholder(if other than owner):
Name:
Contractor: a r CO O Po\N L r5 1 r1 C
Address: 1 y C) U CA-4 _, ^; 7
Telephone No.: 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 fro r4s'.1,c,::,.--' --LI.------ ate is
specified): 1;y:Pgs. TONI GINDLESPERGER
3' ,•± :,:
MY COMMISSION#GG 353178
trmi.
THIS SPACE FOR RECORDER'S USE ONLY OWNER Vii+ ;r `••.P EXPIRES:October 6,2023
DOFFS°' Bonded I hru Notary Public Underwriters
cigned: Date: a
Doc#2023139043,OR BK 20737 Page 1305, fore me thi { y ofd v 7c L- in the County of Duval,State
1
Number Pages: 1 Florida,has personally appeared rl n
Recorded 07/10/2023 09.56 AM,
otary Public at Large,State of Florida, o ty of,Bgval:' %JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY y commission expires:
Y c_j_RECORDING $10.00 arsonally Known: c, or
oduced Identification: 't- _ l___. J