2314 Barefoot Trace DWAY23-0036 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
CLAUSEN KEITH E 2314 BAREFOOT TRCE ATLANTIC BEACH FL 32233-6603
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 0602 OCEANWALK UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2314 BAREFOOT TRACE DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY
Replace concrete driveway
with pavers $16500.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING NOTICE OF COMMENCEMENT INFORMATIONAL
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
2 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 2Issued Date: 8/10/2023
PERMIT NUMBER
DWAY23-0036
ISSUED: 8/10/2023
EXPIRES: 2/6/2024
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
TOTAL: $150.00
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 2Issued Date: 8/10/2023
PERMIT NUMBER
DWAY23-0036
ISSUED: 8/10/2023
EXPIRES: 2/6/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
1"
BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
0"4• City of Atlantic Beach Building Department PERMIT# PN '-1 2-3--O:3c
800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to processft-
ti Phone: (904) 247-5826 Email: Building-Deot@coab.us
Job Address 11 I " P3face ftO+Trace i9'4'(4fx 6c1,1 ft JZZ73 RE# Ho4L. vJ '0(OU2
Legal Description 42-13 08-2c.._2_'t 01*-25-2 E 37-25-NE- OCityktialk umi.4-2 Lo+ SD
Valuation of Work(Replacement Cost) $ fc)cvLj
J
Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: New Addition QAlteration ERepair EMove Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial E Residential
If an existing structure,is a fire sprinkler system installed?: Yes EN-0
Will tree(s)be removed in association with proposed project? Eyes(Must submit separate Tree Removal Permit) Et<
Describe in detail the type of work to be performed:
ge laces oiAutC4-e, Cir iveHJkw ,pa-Vel-5. 0 ego f- r -ov ._ co, -ti-1C.
delve. t +mss 1 tl pcwe,.-s• 41_ oe S,N.uik ck .•.-t of I a -I- ,,,-e:,.ct — 2.1-
odo,^y n0,r,+1 ea,'e, Q Sa-tcti $ po hw o f- s,.i41.1 e e. q-{- L w; ecf- bu s e_,
Florida Product Approval# For multiple products use Product Approval Information Sheet)
Property Owner Information Name Kms;4-tn GlavSe vl Phone a 014 —607-6/1/3
Address 231 Li awe t frowe city
y,4-. (a 0 he /Pact. State rL Zip 3 27 3 3
Email Owner or Agent(If Agent, Pqwer of Attorney or Agen y Letter Require,
Kcic .R.--7 6r-ay,v isagw r/Y.,AAnl,-14i . (-7
Contractor Information Name of Company Li.../+-e-1.--1 L.UnIccy e d eir)" Phone 0i - 1i 24 -4 i.5I
Address 5 f v 3 Lf7 7/ S, 1--.,X becct., 3 i.?q)City JA-y 13c1!State r-,_ Zip 322_ so
Qualifying Agent A, V,, State Certification/Registration# b 3 3 7-s 7 3 j 7
Email 1 (,ite 14e9 ci 1-t-, N e +Job Site Contact Number
1
Worker's Compensation Insurer OR Exempt [Expiration Date I Z 1 3( I Z-OZ 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
ATTORNEYB C E DING YOUR NOTICE OF COMMENCEMENT.
dSignatureofOwnerorAgent) ignature of Contractor)
Signed and sworn to(or affirmed)before me this 13 day of Signed and sworn to(or affirmed)before me this 13 day of
aAL(202-. by K-ec+k (cLvixMit 2023 by M .4.0 .Wre..n
Signature of Notary Signature of Notary
Personally Know OR [ oduced Identification Personally Known OR [vroduced Identification
Type of Identification: FL ii)L. Type of Identification:-b 1
VANESSA ANGERS
VANESSA ANGERS
MY COMMISSION 8 HH 244118
i:MY COMMISSION 8 HH 244118
p; EXPIRES:March 23,2028 a.
f di d: EXPIRES:March 23,2028
Aumiripmpli-
s . HIGHI-uF-WAY/ EASEMENT PIRMIT APPLICATION ALH INhukNHH"UI
A 5
3 City of Atlantic Beach HIGHLIGHTED IN GRAY s.!
n
800 Seminole Road, Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
lob Address _'2-3 )'t Jc;,' /zv) -r-i--„,
43Z- 33 Permit Number
Contractor I1ifolination
Company W fe , .-7 1/'C{1C4iC'_ PC-Xi-re-1 Qualifying Agent /14/1€ eve,'/
Address$c( '3 q-t-ti ,iir x:,rT City f C'4c,[,\ State t. Zip 51 Z5 o
Phone cleft - ii'a /1- `- z-057 Email cMewi" ,17/6)cd,cic
State Certification/Registration# 6'33 3 7_S-7 3c,`/
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurer OR Exempt t Expiration Date /2/3)/ZZ3
Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial
and underground and the accurate locations are shown on the sketches.
Whenever necessary for the construction, repair, improvement, maintenance,safe and efficient operation, alteration or
relocation of all,or any portion of said street or easement as determined by the Public Works Director, any or all said poles,
wires, pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said
street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the
Permittee unless reimbursement is authorized.
All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the
supervision of 1//ce G42,-.n.4,1 Project Superintendent)
with(Company Name) G i -'•1 ,ct--idfe.c.,
i (S(y ,) Phone
All materials and equipment shall be subject to inspection by the Public Works Director.
All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the
manner satisfactory to the City.
A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit.
Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with
this application.
The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60
days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no
changes have occurred in the area that would affect the permitted construction.
It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,
title and interest in the land to be entered upon and used by the holder,and the holder will,at all times,assume all risk of
and indemnify, defend and save harmless the City of Atlantic Beach from and against any and all loss, damage and cost of
expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
The Public W ,Dire vshall be notified 24 hours prior to starting work and again immediately u on completion.
Date '7 I 5 ZU 1.3
Permittee(signed in presence o Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this 1,g day of cUA,t„/20 Z
by KLI-)-yl C((,hiSe,r'\
I ,
who personally appeared before me and
printed name of Permittee)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.VANESSA ANGERS
7 `:•1 MY COMMISSION#HH244118
EXPIRES:March 23,2026
Personally Know
Signature of ary Public,State of Florida ki4roduced Identification(Type)It-l)1-
H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
7n-
c_517--ii;,,,., REVOCABLE ENCROACHMENT AGREEMENT
41:Li. ALL INFORMATION
City of Atlantic Beach
HIGHLIGHTED IN GRA\j-,?)800 Seminole Road, Atlantic Beach, FL 32233
IS REQUIRED.
r,
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized ar,i
existing under the laws of the State of Florida, hereinafter referred to as "CITY" and
A e I Yh C (u J itV 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 th,
property for the purpose as described in the City of Atlantic Beach.
This work is generally described as j As{-ct[l A e..--Li p * ..i _v' dr , v;G,...dai
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 2- 14 ga r.C.I ' t Tc«cc /91-/ .- h c / ccLA }=c, T2Z 3'3
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 US • from any of the work herein under the terms of this permit and that all of said liabilities are
herebyseR •y t e USER.
i//Date 7 1 Si 2023
Property Owner/Agent (signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this (3 day of " JLy 20 g
by KeA-k4. C'Ic&Use-v) printed name of Signer), who personally appeared
before me and acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
ti1 VANESSA ANGERS
f•E it MY COMMISSION#HH 244118
7&•'e-' EXPIRES:March 23,2026
e?,•,•;,10,/
Department Approval:
Signatur-e-OrrNotary Public,State of Florida
Personally Known
v]Produced Identification (Type) Ft. (lu Public Works Department Date
Revision Date:05/09/2023
06/25/02 13:51 FAX 904 241 7786_ _ Prudential 002
Jun • 25 , 2002 1 . 1PM Kurstar Construction Inc . sNo.7655.P' """"""""'I
MHr .rruwnvc. BOUNDARY SURVEY OF:
LOT 50, OCEANWALK UNIT TWO. AS RECORDED IN PLAT BOOK 42, PAGES I
13 THROUGH 13D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
I".
lerP3 E
Ce
6 LOT 51
FOUND 1/7.'nom
PMI FSS OW
9 Ito
a I
liI
crl-•
522.000' 551'34'16T 157.90'Hxwo 1/2•pow
I9tPo'IRON I'"{F TO IRON PON7.
9
ow IYtOKEN '
1- n.aagil Qf;dC;i{ IIS
d j h L
N
C La C n rci
III o _...r.
p T a b rn
Tr y
4I•Aar
p
1---- f
ci 3) Z a i i III A t
ar .
t1:1••-• `f r' OV> N,0 8 3
1 l':;.:.:•, C 1 }
OS X 9 ,
t •2 !row FRAME.
ply
R
W RESIDENCE Pi" r
r4.,.1:- .71.:...i '..&;:.4...
i}};, '
choi'/f.!_,
1'. •
J.1
j,-
CI
3L.
f7
oa • Ili
blit
414:1...i.c r ri-•t;.•. r ti
S -tl S
t)
INIt v:
6." l S S
sOIS 19CTomo1/"ION/4 NE f'34.'16'W 150.17' we R OWouROD
a k D K t LOT 49 4 Z
c.
y
I c i75", 1d
Sct
S' = - 1 A d,ylvf-' LLT
t
r..-
d
4.
1 f— 166 -F4- i
Z i SNOG& iL___-2±
j _
Th I 4-- :
5-)
kt°
1 0-
D THS II OPGR1Y!YS W HOW 70NE 'X'dY MOOD MAP
I- _i_ OM w0 AUm 14 us cowman* W I.NO. UMW CERTIFIED Ms
Lk' v- (, co xmmamma uSlm OU TIE NORTIICRLY LINT. DF Lor 30 KL•IIH E. & JUDY A. CLAUSEN
t
AT BONO a sr 4' le E MUM MOltif:ACk GROUP. INC.
a 5 (-4 <— 0 +R +L1 ur 1 F10ELIT' NATIONAI Thu. INSURANCE OF NEW YORK
1 MERE WY SE AMalrrw.RESTRICTIONS MST ARC NOT SHOW r s ROBERT A. R rRN
1 J TINS aORKr um WY or mum)IN THE Mix i oett i d'
I httdyy softy t1Nt Iliki.airway..wt.tlN
SURVEYING AND
fl**U{.r t..di. .t.,,d.ido r old fart,by
tha Florida Board d Lama p.r„ant to
Boothe wad Chaproir
1111117 .
MAPPING, INC.j
0160 L.neolar Rena
Judmaroi"R Florida 37911
NO4) 1R4••bbUa Fax 72t-7815 Itoao.raRlplm * Rs aim
UCENatD BUSINESS N0. 8696
n.uo mark Jr
SEINED_..,ANI; 74, 704y2
SCALL: __.T:.s.20
THIS SURVEY NOT VAUD U)LE 1ws PRINT IS EMBOSSED MTN OM sE/L, OF NE/mow SWIM B-1633