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2316 BEACHCOMBER TR RESO23-0104 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: ADAMEC CHRIS R 2316 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-6607 COMPANY:ADDRESS:CITY:STATE:ZIP: BEACHES FENCE DECK & PERGOLA LLC 844 MAJESTIC CYPRESS DR JACKSONVILLE FL 32233 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169463 0068 OCEANWALK UNIT 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 2316 BEACHCOMBER TR RESIDENTIAL OTHER SINGLE OR TWO FAMILY RESIDENTIAL OTHER Resurface existing rear deck w/ Trex Deck material & railing $25651.00 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 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: 10/23/2023 PERMIT NUMBER RESO23-0104 ISSUED: 10/23/2023 EXPIRES: 4/20/2024 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $180.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $90.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.05 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.70 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $401.75 2 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL Notes: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (904-247- 5814) to request an Erosion and Sediment Control Inspection prior to start of construction. 3 PUBLIC WORKS DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL Notes: Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code. 4 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 5 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 6 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 7 PUBLIC WORKS DECK BOARDS INFORMATIONAL Notes: Deck boards must have 1/8" gap or 3/16" gap between all boards to be considered pervious. This will be verified at inspection. 8 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking and debris must be removed from job site by Contractor. 2 of 2Issued Date: 10/23/2023 PERMIT NUMBER RESO23-0104 ISSUED: 10/23/2023 EXPIRES: 4/20/2024 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 JOB COPY JOB COPY Building Permit Application Updated l0/9/18 City of Atlantic Beach Building Department ALLINFORMATION TED IN GRAY 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGIS RHQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us p C.iL t t.Permit Number: f-V)OZ --(AC Job Address: 2---2:31 .r7 C Gl-1 C1" lZ , 13 7 o.vw KU.„ i (-Ul3 L' RE# /04163 (.96) .7'S Legal Description Y/7- 25 -96 ©" Valuation ofWork(Replacement Cost)$ 2 (<7 I Heated/Cooled SF Non-Heated/Cooled Class of Work: New Addition /Alteration Repair Move Demo Pool Window/Door Use ofexisting/proposed structure(s): Commercial pitesidential If an existing structure,is a fire sprinkler system installed?: Yes 1Z')No Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) ..121/No Describe in detail the type of work to be performed: V.c?5U rz- 4C E-X/5't."-)6-(2--eA P_P=C m Cu 1-72c-x" 7C jh.F' e A 4-fA `t 0-A 14 .-)G— Florida Product Approval# for multiple products use product approval form Property Owner Information Name Ceixe.A A A"'t C— Address 2.7/ l Tdt'rVC&7y,,2tQ TOL-- City ITL L 7 C State Zip Z 23 3 Phone WOX 77 g i3c1 E-Mail !,/A Owner or Agent(If Agent, Powerof Attorney orAgency Letter Required) Contractor Information Name ofCompany h iC-E C7f j r91QualifyingAgent Jr/A-) nCu'-' /S Address $Y4/ /'f74JGti< e V C $ DC J City •J Ae- ',s;,vNviLte State Zip 32 2-33 Office Phone LY 5-9c7 Job Site Contact Number State Certification/Registration#7-76E-Mail fi(i'r z:,S' !-b // lyq' /L , Architect Name&Phone# Engineer's Name& Phone# Workers Compensation Insurer 5 OR Exempt o Expiration Date r ` / - 2 iT Application is hereby made to obtain a permit to do the work and installations as indicated. Icertify that no work or installation hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetthestandardsofallthelawsregulatingconstructioninthisjurisdiction. 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: Inaddition to the requirements of this permit,there maybe additional restrictions applicable to this property that may be found in the public records of this county,andtheremaybeadditionalpermitsrequiredfromothergovernmentalentitiessuchaswatermanagementdistricts,state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify thatall theforegoing 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 RECORDrO NOTICE OF COMMENCEMENT.C i - z/r Signature of Owner or Agent) Signature of Contractor) cte is OA_ ScNa1,-1—rist,h Signed and sworn to(or affirmed)before me this .2 day of Signed and sworn to(or affirmed)before me this a day of Oc be.r , .oa3 t fora Uc.4 hef , , Ud by S5:C ci D l f Signature of •t. Notary Putxic State of Florida Notary Public State ofFOdda 4 Jessica ADdquist EE isl142217HH142217 25 Produced Identifica• • I Produced Identificat -n opa Type of Identification: I Type of Identification: JOB COPY 4, r"---43-4:11 a r 23 lk 34' 1-{m 2 V£4>c Ac ' ---)Cr e f$77/J e: 7 Cc A '- /2,41 S At4) €2-4' - ' ti G- P r -' fir, (/ L L^'G' 44S 340 " 1-i 1 G C;PP 3" JOB COPY y , REVOCABLE ENCROACHMENT AGREEMENT ALL INFORMATION 0City of Atlantic Beach HIGHLIGHTED IN GRAY 11800 Seminole Road,Atlantic Beach,FL 32233 ISREQUIRED. ir /REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach Florida,amunicipal corporation organized and AtlanticunderhelawsoftheStateofFlorida,hereinafter r of CITY" and Beach, Florida, hereinafter referred to as"USER". WITNESSETH: That the CITYdoes hereby grant the USER permission on a revocable basis as described herein the right to enterupon theproperty for the purpose asdescribed inthe Cityof Atlantic Beach. This work is generally described as —Oil:CV &9()?-f14 G'•1 eat_AC.1-)1.-°N-N>S7At t,- Cr-- 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, toUSERshall egiven bycertifiedmail,return receipt requested,tothe following address 7 \l0`6 In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enterupontheabovedescribedeasementorpropertyoftheCITY,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 ofthe CITY or franchise utility provider.The facilities allowed by the permit shall meet the current requirements ofthe City Code, Building Codes, LandDevelopmentCodeandallotherlanduseandcoderequirementsoftheCITY, including City Code Section 19-7(h)which states"Driveways that cross sidewalks: City sidewalks may not be replaced with other materials,but mustbereplacedwithsmoothconcreteleftnaturalincolorsothatitmatchestheexistingandadjoiningsidewalks."The USER, prior to making any changes from the approved plans and/or method, must obtain written approvalfromtheCityofAtlanticBeachPublicWorksDepartment, 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 ofthis permit and to all of the applicable State and CITY laws and/orspecifications, to include utilities locate requirements and use limitations/requirements of easements, publicright-of-ways and other public land. USER further agrees that the CITY and its officers and employees shall besavedhar ;less by the USER from any of the work herein under the terms of this permit and that all of said liabili = Aid hereby assumed by the USER.A/L Date /0//02/06a3 Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL 20 a3. The foregoing instrument was acknowledged this 1A day of ( 4csbe by who personally appeared before me and printed nameof Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. HoWy Put ICStale ofFlorida t.4ja c1 0.7r- SlyCHH 142217 Department Approval: nature of Notary Public,State f Florida 11) E''°a Personally Known ScottWilliams, PublicWorksDirector 8-Produced Identification(Type) H:\Applications&forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 JOB COPY JOB COPY