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732 Selva Lakes Cir DWAY23-0018 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: GRONDIN KEVIN W 732 SELVA LAKES CIR ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: Reef Pavers 604 Barbara Lane Jacksonville Beach Fl 32250 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172027 5848 SELVA LAKES UNIT 03 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 732 SELVA LAKES CIR DRIVEWAY SINGLE OR TWO FAMILY DRIVEWAY Replace existing driveway with pavers $11000.00 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 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 3Issued Date: 9/6/2023 PERMIT NUMBER DWAY23-0018 ISSUED: 9/6/2023 EXPIRES: 3/4/2024 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 3 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. 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 MAXIMUM DRIVEWAY INFORMATIONAL Notes: Maximum driveway width within the City right-of-way is 20 feet. 9 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 10 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 11 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 12 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 13 PUBLIC WORKS IMPERVIOUS AREA INFORMATIONAL Notes: No new or additional impervious area is approved with this Permit Application. 2 of 3Issued Date: 9/6/2023 PERMIT NUMBER DWAY23-0018 ISSUED: 9/6/2023 EXPIRES: 3/4/2024 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 14 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL Notes: Must use same layout - see attached documentation. 3 of 3Issued Date: 9/6/2023 PERMIT NUMBER DWAY23-0018 ISSUED: 9/6/2023 EXPIRES: 3/4/2024 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 Replace existing driveway with pavers 732 SELVA LAKES CIR Reef Pavers DWAY23-0018 S: s-'''-,. Building Permit Application Updated 10/9/18 rtilt J'S i City of Atlantic Beach Building Department ALL INFORMATION Ji , 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY t`9' IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us 73 V i i— Permit Number: PIN IA'( L3 `UVI 4jJobAddress: S U Legal Description tH-(QO i(,-2s-24 5eIva(Alai U44-3 (.O}- I3S- RE# 11.2027-5(6b2- Valuation of Work(Replacement Cost)$ \\ Heated/Cooled SF Non-Heated/Cooled Class of Work: Aew Addition Alteration Repair Move Demo Pool Window/Door Use of existing/proposed structure(s): Commercial Oesidential If an existing structure, is a fire sprinkler system installed?: 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: jP iQC 4F :?<csT c2 op 1 '— ti ``i-<<-{- Pt--2-5 c.V i--- H- /A C 0- --4-5.-c- /rJ 5(7 Florida Product Approval# for multiple products use product approval form Property Owner Information Name VOL' 4-i,'In -i'6-,eve'0 i rV Address '? t1 L/± -AS c` • City A P State XL Zip 3-.7 Phone 6-7445- a6-7 E)E-Mail ItvC.,-leo (Un)IDi C G'O • cVI • -‘) Owner or Agent(If Agent, Power of Attorney orcggency4Lefter Required) Contractor Information Name of Company LC/ (`5 1 t" - Qualifying Agent 7- _ S Address cf'' h'1. J City ,,., (C4 State Z_ Zip 7:2s—' Office Phone 1-17 I 0 C( Job Site ContactqN aper 1).S State Certification/Registration# e-.),r6./1 la 1 7) E-Mail k5,- yree.40 -ei c G .,'-? Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exemp" Expiration Date - 2 . ` 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ORNEY EFORE RECORD NG&YOUR NOVICE OF COMMENCEMENT. Signature of Owner or Agent) Signature of ntr ctor) ned and sworn to(or a ir, ed)before me this J day of Signed and sworn to(or affirmed)before me this y day of r.'. - t , WZ3 ,by('i ail.ei .Lid C7dvleS F....,•4v:4.,',,•4:,„, TO I GINDLESPERGE' - i MY COMMISSION#GG Si- , ign, a 1 EYP, Iii ature of N tary)VANESSA ANGERS 4\ "•V,‘...9 EXPIRES:October 6,2023 MY COMMISSION#HN 244118 rf& F`3e' t cnde'l Thru Notary Public Underwriters EXPIRES:March23,20?.6nownORFOt,6:rrson Known nR Produced Identification I r tifica nuceen Type of Identification: Type of Identification: ft DL. (r,l/W'i°J SIc( ;Tale-4Z s=AJ—v„,RIGHT—OF—WAY/ EASEMENT PERMIT APPLICATION ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY IS 800 Seminole Road,Atlantic Beach,FL 32233 REQUIRED. 73.L PERMITTEEPERESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address ^ 4'JL 7L2-\J A / - G14 Permit Number bwa1(23 —G0(S Contractor Information f T Company X11 Pt-S 1 - gqQ, udalifying Agent 3 • Address ()O`1 nkl- - t a - City 7* QC ' State 4--L Zip -3"AVi s U Phone gr"-Y • ci ] ) . — Email 4_5 @ ize_criro1/4/,Pr3-,elV4 j State Certification/Registration# 2&0223473 Architect Phone Email Engineer Phone Email G Workers Compensation Insurer OR Exempt Expiration Date L ` .. 14 ' 'Z$ 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 At lanY ach or FloridaCDepartment of Transportation Standards and be performed under the supervision of l e3_ c .A-i f Project Superintendent) with(Company Name)FreF P.AJ't -5 I ti-C Phone C Z ` g l k S 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 6 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 P blic Works Dir r shall be notified 24 hours prior to starting work and again immediately upcompletion. iv+ Date 5(4 Z3 Permittee(signed in presence of Notary Public) l STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 4day of ( AQ,r 20 2.-3, l"by 1 N GRDNV,/J who personally appeared before me and printed name of Permittee)z c:= - TONI GINDLESPERGER ackno ,ged tha he/sh gned the i strument voluntarily for the purpose expressed in it: ,. ''s•1 MY COMMISSION#GG 353178 EXPIRES:October 6,2023 F Bonded Thru Notary Public Underwriters Q— Personally Known Signature of Notary Public,State of Florid Produced Identification(Type) H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 1-70ir REVOCABLE ENCROACHMENT AGREEMENT s~ " ALL INFORMATION 1,,City of Atlantic Beach HIGHLIGHTED IN GRAYJ800SeminoleRoad,Atlantic Beach,FL 32233 IS REQUIRED. REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under he laws of the State of Florida, hereinafter referred to as"CITY" and ev 1N G 720N p ifJ 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 ?(}veR "PR)dEw,9i/ 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 73 2. .S EC 4 L9Kir-s. CIK, 4.3 32 23 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 assu ed by the USER. L,, 4 (______-Date t Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL Iii The foregoing instrument was acknowledged this =—'...%• day of IN ..Q 20 Z 3 , by K e v ( n G ©n cit tl printed name of Signer), who personally appeared before me and acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. PCS TONI GINDLESPERGER 4 I=,: ., MY COMMISSION it GG 353178 j-,`'.,;•,,,,', :', . EXPIRES:October 6,2023 yf`,°:‘• Bonded Thru Notary Public Underwriters Department Approval: Signature of Notary Public,Stat orida t ]Personally Known Produced Identification(Type) Public Works Director Date Revision Date:4/6/2023 LOT 127 7 S.I . N 06,022' W 97.93' (M) N 06' aA18'00" W 97.44' (R)I2N • . • 1 : • •o Ea w I al 2 STORY STUCCO k FRAME Z v t •_ RE90E1 NO. 72S 9r f 27.E•v co i/- ' 1 & 2 STORY STUCCO & FRAME J S' . Sri r1 O y j/ 34.* V RESIDENCE N0. 7S2 P p 3 . g 3" 2.1' SA. gi RC"; 21' ,4'it Se rr m c- 3Z Ito CA 47.3' 1/7:///'AC 9.9' 2a.1' a cot co PAO N `•° w 7c/I 1 LOT 128 s,.--i. go A. 1, E L' °. ' . NKR s I IQ 40 10. 04..1' I S 06' 18'00" E 107.75' (R) sra.. EIA I S06,0,3• E10744" (M) y4A I LOT 129 44 u DWAY23-0018