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2233 Seminole Rd Unit 1 RESO18-0034 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: SCOTT SILVER 2233 SEMINOLE RD ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: KETTELL INC.1860 MAYPORT RD ATLANTIC BEACH FL 32233 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169519 0102 OCEAN VILLAGE ONE CONDO JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 2233 SEMINOLE RD UNIT 1 RESIDENTIAL OTHER SINGLE OR TWO FAMILY RESIDENTIAL OTHER Remove Patio Replace w/ Pavers $3110.00 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 (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: 9/8/2023 PERMIT NUMBER RESO18-0034 ISSUED: 9/8/2023 EXPIRES: 3/6/2024 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PU REVIEW RESIDENTIAL BLDG 001-0000-329-1007 0 $50.00 PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00 TOTAL: $150.00 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, Shapell's, Inc., Republic Services, Donovan Dumpsters). 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 must be removed from job site by Contractor. 2 of 2Issued Date: 9/8/2023 PERMIT NUMBER RESO18-0034 ISSUED: 9/8/2023 EXPIRES: 3/6/2024 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 Remove Patio Replace w/ Pavers 2233 SEMINOLE RD UNIT 1 KETTELL INC. RESO18-0034 SyLvf City of Atlantic Beach APPLICATION NUMBER A , Building Department EClJ J To be assigned by the Building Departm nt.) A - 800 Seminole Road Q Eso/O',.,6 j 3 D_.,. r Atlantic Beach, Florida 32233-5445 JUN 14 2018 1\ Q w Phone(904)247-5826 • Fax(904)247-5 ry j3? E-mail: building-dept@coab.us Date routed: 3 l 0 ab. s BY 1`City web site. http/www.co u APPLICATION REVIEW AND TRACKING FORM Property Address: 27-33 '--1 4Ar :Department review required Yes No Building Applicant: J<t4eJi. l Planning &Zoning l r, Tree Administrator Project: Recy'vvc Pa 1 O i Peptace, Pa',.., l l( ic , i V ,r3 Public Safety Fire Services Review fee Of K Dept Signature ,--N Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. Denied. Not applicable Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 4-76 It/ Date: 6//C/1 i TREE ADMIN. Second Review: Approved as revised. Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Sr1/JrJ City of Atlantic Beach IZCEIVE APPLICATION NUMBER Js Building Department To be assigned by the Building Departm nt.) A ;.) 800 Seminole Road JUN 14 2018 R EEo Ig'.-v a3AtlanticBeach, Florida 32233-544 Phone(904)247-5826 • Fax(904) -5845 Yr of ? E-mail: building-dept@coab.us Date routed:3///r. City web-site: http.//www coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z7-33Department review required Yes NopY Building Applicant: Ke. *e.,1t l ,Ci Planning &Zoning 1 Tree Administrator Project: Remove Pc:Lilo/ Pp1ac is J/ pa,tiers Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: 14proved. Denied. Not applicable Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:LIC1a2)1g 6o,Z Date: TREE ADMIN. Second Review: Approved as revised. Denied.Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 m LEGE11V 1]0%0''y Building Permit Application JUN 1 u`dp 82/8 A City of Atlantic BeachSAP, IW 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: 22 ?, 3 _C/Yr/qj'!Q h r/ Q41.4.if Permit Number: t Legal Description ©q S_Vq k 0(04, V+ Hat. un17 1 to Om itri IRE# /(4 -/ -0/ z Valuation of Work(Replacement Cost)$,3110. 6 0 Heated/Cooled SF Non-Heated/Cooled ---- Class of Work(Circle one): New Addition Alteratio Repair Move Demo Pool Window/Door Use of existing/proposed structure(s)(Circle one): Commercial Residential If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A Submit a Tragi 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: Pqmetihi-e (ve/I-e ARID 4 ve,r5 Florida Product Approval# for multiple products use product approval form Property Owner Information Name: S.air Si Address: Si„•,,.- !.S SQA City State Zip Phone y y3 Cu/ IL 3Z E-Mail Scot-5, S.l L/ Q G,1 .'f. co.,- Owner o. - Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information ` 1NameofCompany: i'`(J4/(/(II 7 r Quali ing A ent: Address 0 j0O /y pt r4- a0p j City n 1C, State EL. Zip Office Phone /1/-if 3ID ?2zG Job Site/Contact Numb r - r a State Certification/Registration# E-Mail ;,,,,4 10 P"'e' ,1%( • 1 Ph•, Architect Name&Phone# Engineer's Name&Phone# Workers Compensation On 1"-6.„ 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 has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg 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 PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC•RDING )1? • NOTICILQF-OMMENCEMENT. liki'1 iiirl----77 Sign. ure of Owner or Agent) Sig tyre of Contractor) inclu s contractor) Signed and sworn to(or affi -d before e :h"s da of Signed and sworn to(or af'c41ed)befo a me thi• i day o U j t by A.&', i 1 5'&, , 2;)/ . . i a , 1 lainifina , Ilii - Signatur• • Nota ) Si: a ' A.NotarytjNIGINOI E0ER r MY COMMIStIOL Ff 924951 q. .TONT G I PER ER o; EXPIRES:October 6,2019PersonallyKnownORrsodallyKnownORFF h. = MY COMMIS • #FF 24 eT d ';rf °"' Bonded Thru Notary Public Underwriters I ]Produced Identification rte EXPIRES:October 6,2b9odc ed Identification Type of Identification: F_Jt-" Bonded ThruNo;aryPublicur t 0Qf I,:ientification: I SMITH APPRAISAL SERVICES MC. fftl- F t2 ' 3* <S7' tx..t,- ( ' 1( t Crit ex`-p7` Project Layout 5 iY. 61 LI,LAY" tri DNc S 11 Lb#-) I,:!•:: t; ;171.4 tl1'ic OetAA/ }: ,• ..Of F1CiAL RtGORQS: s• •• ; Nia mitt g Ma Mr VP( •°, . , t41•It ". 1 c• Iwtrwrslimye, al . •i,• jt.l .ri•w. ..—.r....la'...." ...." 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SP :L 1 JI...ci..1 E., ea I i o•'S I t 1 a•••t..-- r.•+.r r•..•r.1w..+...w.1•.1 n.••••,..n....met........‘msMv sWss Y...M....'.•.•....T Tlsnflfl' rrw..s..w.•. r•.vs..n+•n....wi. .SM•M•.w—..An w.• w•w..••••••••••••••M•.rM••Va 9 1 MINNOW 5=1-\nrr, TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY s 41 sJ City of Atlantic Beach PERMIT# Community Development Department 800 Seminole Road Atlantic Beach,FL 32233 0:3 s (P)904-247-5800 SITE INFORMATION ADDRESS ZZ 33 t9/ ADS u„1- SUBDIVISION 06.e '/x'11 L BLOCK I/277-PILOT RE# /b4f 5/ f- Wz- SIDENTIAL COMMERCIAL OTHER APPLICANT INFORMATION NAME 5a Vire/ PHONE# i ADDRESS 3 :moi d1, ` D!iZ C4II CELL# I qv/ /4 3 Z CITY 47 3. t STATE ZIP CODE EMAIL Stv# SG Sac, e 6,16,./. 0%, N •WNER LEGAL AUTHORIZED AGENT I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", of the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre- application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described property and/or adjacent properties including right-of-way. 1 I HEREBY CERTIFY THAT AL IN RMATION PROVIDED IS CORRECT:Sign ture of Property Owner(s)or Authorized A ent ccS-C -.- T Ltirv_De 6 16 S-lGIsATURE! P CANT PRINT OR TYPE NAME DATE SIGNATURE OF APPLICANT(2) PRINT OR TYPE NAME DATE Signed and sworn before me on this 13 day of t by State of County of 1. V cx-i Identification verified: S 4-LCd=788"sG-zz4 -D Oath Sworn: Yes No 11, TONI GINDLESPERGER 4--C-4s(::::)'-----Notary Sign. •re y;k.',.1: MY COMMISSION#FF 924951 1,.... .i31 EXPIRES:October 6,2019 My Commission expires P F 4'' Bondod Thru Notary Public Underwriters 04 TREE AND VEGETATION AFFIDAVIT' .• .