700 AMBERJACK LN DWAY23-0051 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
JONES ELLIOT 700 AMBERJACK LN ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
W. GARDNER, LLC 4929 ATLANTIC BLVD Jacksonville FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171125 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
700 AMBERJACK LN DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY
Demo existing concrete
driveway & replace with
pavers
$2400.00
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:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is
needed, call 247-5878. State Law requires calling Sunshine 811 to have ALL public utilities located BEFORE beginning the work.
2 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL
Notes:
See Revocable Encroachment Agreement regarding driveways/pavers and public utilities in the ROW
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: 9/29/2023
PERMIT NUMBER
DWAY23-0051
ISSUED: 9/29/2023
EXPIRES: 3/27/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
3 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
4 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.
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 TOPO SURVEY INFORMATIONAL
Notes:
Must provide a topographic (TOPO) survey with water retention for final C.O. Inspection.
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 WATER RETENTION INFORMATIONAL
Notes:
Water retention areas must be sodded prior to inspection.
2 of 3Issued Date: 9/29/2023
PERMIT NUMBER
DWAY23-0051
ISSUED: 9/29/2023
EXPIRES: 3/27/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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 of 3Issued Date: 9/29/2023
PERMIT NUMBER
DWAY23-0051
ISSUED: 9/29/2023
EXPIRES: 3/27/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
i o-APb-,,, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
tt City of Atlantic Beach Building DepartmentslPERMIT# 1,1 x`123 -0051
800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process
3''' Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address 700 Amberjack Lane RE# 171125-0000
Legal Description 30- 60 17-2S-29E.18 ROYAL PALMS UNIT 1 LOT 1 BLK 2
Valuation of Work(Replacement Cost) 1 2 400. 00 Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: New N Addition Alteration Repair Move NDemo Pool Window/Door
Use of existing/proposed structure(s): Commercial IJResidential
If an existing structure, is a fire sprinkler system installed?: Dyes ONo
Will tree(s)be removed in association with proposed project? Eves(Must submit separate Tree Removal Permit) ED No
Describe in detail the type of work to be performed:
Demo existing concrete drive way. Replace and add to the exising driveway with pavers.Addition to coverage to be 2365!#t. kala 7 91
5-g.•47`•
Florida Product Approval#For multiple products use Product Approval Information Sheet)
Property Owner Information Name Elliot D.Jones Phone 904-497-3857
Address 700 Amberjack Lane City Ft. Pierce State FL Zip 32233
Email elliot@gardnerland.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company WW. " "' NE(Z.i LLC
r
Phone (9o4) 417-365 7
Address 41Z1 / l (L4..1 TQC Lv 7 City //J V( cLE State FL Zip 32267
Qualifying Agent EL(,Y d T JC iJES State Certification/Registration# C(J( 122 54 22
Email tUOT p etivoN otLA-ry D, COPA Job Site Contact Number C9o' ) 4/7-3'aS7
Worker's Compensation Insurer 'WAD c1Er.:---1 jr LD OR Exempt Expiration Date 4- 1 -2024
Architect's Name Email Phone
1
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 F E R RUING YOUR NOTICE OF COMMENCEMENT. ,..,"
IIV
re of Owner or Agent) e of Contractor)
Signed and sworn to(or affirmed) before me this -'day of Signed and sworn 1 affirmed)before me this 2g day of
kli9vit , 202; by lit Of V'YleJ A1(9VS+ , 2023 by -Oleel
Signature of Notary Signature of Notary
rsonally Know OR [ ] ed Identification vrsonally Kno OR [ ] Produced Identification
Type of Identification: Type of Identification:
i?:'"
r"*
VANESSA ANGERS VANESSA ANGERS
r MY COMMISSION#HH 244118 i*: 'a' * MY COMMISSION#HH 244118
EXPIRES:March 23,2026 EXPIRES:March 23,2026FOPi.fi i;..
r.'+z- z - --r.or arr—a.
L,,,,RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION ALL INFORMATION
OE City of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED.
Y
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 700 Amberjack Lane,Atlantic Beach,FL 32233 Permit Number
Contractor Information
CompanyV° • 'LI-D .jfL • LLC Qualifying Agent ELLI bI ..,b/U F•5
Address 412.,°I Al -tJ ft < 6LV9 City J45ON IL(,E State FL zip 322d7
Phone (q04) 417- 3'657 Email Gt'tO ( 'A-12.0NEQt.461-1.117. CdPl
State Certification/Registration# C U C I ZZ S 4 21
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurer I I Bei DUEFI EL - I (t(
oS O7I a OR Exempt f Expiration Date 4'1"Z4Z-
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 is t,107 Joni E5 Project Sugerriintendent)
with (Company Name) W . 6 Q-2DNFiQ I
I-C Phone (B 04) 41/- Jp 57
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 36 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 i .ny -.nner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
T ub c Works l irector shall be notified 24 hours prior to starting work and again immediately upon completion.
G
t Date v -z/ -ZG2 S
PermittJe(signed in Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this 2etv‘ day of
J
Uf'I— 20 23
by 0i Ii'0+ Joyi-eS who personally appeared before me and
printed name of Permittee)
iat't:; :'-. VANESSA ANGERS
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. .: ;•= MY COMMISSION#HH 244118
P: EXPIRES:March 23,2026 'fOF z.0:'
4
Personally Known
Signature of Not ublic,State of Florida I Produced Identification(Type)
H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
s..... i;;; REVOCABLE ENCROACHMENT AGREEMENT
ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY
r 800 Seminole Road,Atlantic Beach, FL 32233 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
FALL ,01 j oAn--5 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 riW p14V Q 0Q-(v G WQr 1
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 140 AA &E Li A-C(c (,N
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 assumed bthe USER.
rif...,Date $- 2-7 -Z0 23
Property Owner/signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this $day of1)t1JJ11Sk 20 23
by 0 It pt- Jcv e-•S• printed name of Signer), who personally appeared
before me and acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
r
Y"" •: VANESSA ANGERS
MY COMMISSION#HH 244118
1;7. c>°, EXPIRES:March 23, 2026 '4OF FSO.`
Department Approval:
Sig9ature Notary Public, State of Florida
orPersonally Known
j Produced Identification (Type)Public Works Department Date
Revision Date:05/09/2023
0J LU 02"L 31.54
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I GENERAL PPOSTP1Ht1 .I )ITIONI s)s'•TOTAL IMPERVIOUS 2443.03 i `_A
4 TOTAL.ARFA OF LOT 7904.13 25'BR(= -- 1 1 THIS IS NOTIMPERVIOUS30,1er. 900 A;P;,,
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Length/Area Calculation Length/Area Calculation
Layer: Report Regions Layer: Stripping Areas
Lines (1): New Pavers Lines (2): Region-1
Line Length:103.453 Feet 34.5 Yards Line Length: 96.867 Feet 32.3 Yards
Slope Length: 103.453 Feet 34.5 Yards Slope Length: 96.867 Feet 32.3 Yards
Horizontal Area: 266.993 Sq. Feet Acres 66 . 9q3 Horizontal Area: 40.200 Sq. Feet Acres
y0 . anv
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700 AMBERJACK LANE NEW PAVER DRIVE WAY
By Toni Gindlesperger at 1:46 pm, Sep 20, 2023
700 Amberjack
Material Details
All Classes (5) - All Phases
Mon Sep 11, 2023 08:46:23
Page 1 of 1
Material Structure Phase Class Measure Section Multiplier Quantity Unit
Demo Pavers Demo Pavers Ph 1 2D 23.42 1.0000 1.00000000 23.42 SF
New Pavers New Pavers Ph 1 2D 409.73 1.0000 1.00000000 409.73 SF
14.98 ft23.1
3 ft
20.0
1 ft3.03
f
t
31.0
8 ft
Existing Impervious - 2534.62sf
Total Area Of Lot - 7,904.13sf
% Impervious - 32.07%
Post Driveway Addition
Total Impervious - 2,920.93
Total Area of Lot - 7,904.13
% Impervious - 36.95%
Existing 13.5'x4' AC/Pump
Pad
2.07 ft3.06 ft3.06 ft
1
0
.
0
0
f
t
Retention area is
12'x20' 240sf and
4" deep
767sf of diverted
roof drainage going
to retention area via
downspoats and
under drain (orange
lines).
1
3
f
t
12 ft
20.03 ftBy Toni Gindlesperger at 1:48 pm, Sep 20, 2023