1660 Sea Oats Dr DWAY23-0057 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
GRAFF WILLIAM J 1660 SEA OATS DR ATLANTIC BEACH FL 32233-5836
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:
172020 0228 SELVA MARINA UNIT 06
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1660 SEA OATS DR DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY
Replace concrete driveway
with brick pavers $15000.00
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 METER BOX SEWER CLEAN OUT INFORMATIONAL
Notes:
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
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: 10/23/2023
PERMIT NUMBER
DWAY23-0057
ISSUED: 10/23/2023
EXPIRES: 4/20/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
3 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL
Notes:
See Revocable Encroachment Agreement regarding driveways/pavers and public utilities in the ROW
4 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.
5 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.
6 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.
7 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
8 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.
9 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
10 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
11 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
12 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
13 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 3Issued Date: 10/23/2023
PERMIT NUMBER
DWAY23-0057
ISSUED: 10/23/2023
EXPIRES: 4/20/2024
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: $150.00
3 of 3Issued Date: 10/23/2023
PERMIT NUMBER
DWAY23-0057
ISSUED: 10/23/2023
EXPIRES: 4/20/2024
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building DepartmentJ ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
N-p_i_
IS REQUIRED.Phone: (904) 247-5826 Email: Building-Dept@coab.us
r
E
Job Address: I (OO ...,Qkf (5/(' ( (}1((j.
f
Permit Number: DVI Ag23 VO57
Legal Description
SUH 51 ( l '-')
5 ,
7.4k 1''/t'`,m` '',.;- it J*"Z , RE# 112- ()I j> _" .
Valuation of Work(Replacement Cost)$ `5 , Or)J Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition Alteration URepair LJMove Demo OPool Window/Door
Use of existing/proposed structure(s): Commercial Residential
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) ONo
Describe in detail the type of work to be performed:
1-,rill (i ek-r /a- I 1i.
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Gr O-- Address / ('9L L
City 'I State E- Zip ...:L1 33 Phone C'-g1C: -1`247 ,
E-Mail -f Ti ph, G c•04,t_y-I-. 'li'
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
p
Name of Company ?J Tiefi,Qualifying Agent / Al *'
Address ecif t;
Om
eco, City . State Ft Zip
Office Phone '
7'1r Job Site Contact Number
State Certification/Registration# E-Mail . f 44/x1 - A, /An,.
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer 44-
r OR Exempt 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 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 PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORIVU NAE OF COMMENCEMENT.
T•:-cam
Sig Lure of ner or Agent) Signature of Contractor)
Do-l-ki
Signed and sworn to(or affirmed)before me this )
IlvI(
day of Si ned and sworn to(or affirmd)before me this— day
CiAthre:f , 202-3 ,by .itia'
s.
rr.i'"1— ot0d 3, 6,,,21____,-1.. oI
ighature of Notary) Signature of Notary)
oti Yp TABITHA MESHAW
VANESSA ANGERS P 4O' Notary Public-State of Florida
I I Personally Known OR '•i MY COMMISSION#HH 2441181 Personally Known OR Commission 4 NH 22744
1Sroduced Identification ."--;;""41".1.: Produced Identification =t',,,,,° My Commission Expires1FoF•Fro, EXPIRES:March 23,2026 July 22, 2024
Type of Identification: Ttoe of Identification:
s..,v;; REVOCABLE ENCROACHMENT AGREEMENT
ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY
J/J_?/)
800 Seminole Road,Atlantic Beach,FL 32233
IS REQUIRED.
x-)I:)
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation organized and
existinunder the laws of the State of Florida, hereinafter referred to as"CITY”and
1-4-G/ .,:
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 i IfeAw '.
ge
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 64 f a.' /"
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
Iiabiliti s are h re y a umed by the USER.
Date t0 iiiItJ
s
Prope Owner/A ent ig in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this i! day of bCr 20 2 . ,
by V' 1Vctw\ b C`lrci who personally appeared before me and
printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
Department Approval:
Signatur o Noory Public,State of Florida ;'4.-• •"rd•:, VANESSA ANGERS
MY COMMISSION#HH 244118
Personally Known s••°' EXPIRES:March 23,2026
Fa«;e, Scott Williams, Public Works Director
roduced Identification (Type) ' l 1
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
515,,,,.,,,, RIGHT-OF-WAY/EASEMENT PERMIT APPLICATION ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED.
px 0-
PERMITTEE RESPONSIBLEIFOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address ILO O5 061.4-'S Lr. Permit Number DOI kif23-0057
Contractor Info}r mation
Company V`e4e) SNC • Qualifying Agent ) C n e/
Address I 4 O 6i-ytOvr} ed • City AT ICvU41'.. geac_in State F 1-- Zip .,3„,V.33Gr
Phone 10 I--3 7) '/17 4' Email IAfo (i ` ell lgC-- Cx. .-1
State Certification/Registration#
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurern 7Tw1 NS1 OR Exempt Expiration Date //3142
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 Beacp or ilorida Department of Transportation Standards and be performed under the
esupervisionoff t Project Superintendent)
with(Company Name) l 6ti 1 C-• Phone CPI ''_i77 i
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 ba 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.
T
PI
W•rkI ir- or shall be notified 24 hours prior to starting work and again immediately upon completion.
ii rDate 100/1/1,4. s
Permittee(signe in . esen e .f Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this 11414 day of
ober 20 Z3
by Ji lli avvx. - G1 ralcP-
printed name of Permittee) 4.04 VANESSA ANGERS
MY COMMISSIONS HH 244118
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in i, ;,,`e.
F oc' EXPIRES:March 23,2C2fi
Personally Known
Signature of N ic, tate of Florida lv'Produced Identification(Type)-FL 0 L--
H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s' ATLANTIC BEACH, FL 32233
904) 247-5800
j/
SURVEY AGREEMENT
NOTICE
All new projects creating more than 250 Square Feet of impervious surface or requiring on-site storm water
retention, including swimming pools, will require pre-construction and post-construction topographic surveys,
as required by COAB, Section 24-66 and described in Bulletin 2-18, Surveys. The surveys must be new
original documents, from a licensed surveyor, signed, sealed, and dated.
Other small projects, such as fences and construction less than 250 SF,will not require a new topographical
survey, but a current original-size survey with all relevant details is still needed. These surveys,when included
as part of a building permit application, must be complete, up-to-date, and original size and scale, as produced
by the surveyor.
Copies of old surveys lacking details or copies not of original size cannot be accepted. Building permit
applications with unacceptable surveys cannot be reviewed and the application will be returned to the
applicant.
Thank you for your cooperation in this matter.
AGREEMENT
I have read and understand the Notice above and affirm that the outdated survey I am
submitting is still accurate and complete, and all structures and impervious surfaces on the
property are shown on the survey.
I further understand that, if the survey is found to be inaccurate or incomplete, a $50.00 Plan
Resubmittal Fee will be charged; or if the permit has been issued, a Stop Work Order will be
posted with the associated $110.00 Fee.
JOB ADDRESS 16 0 Sec-v oaLc- T-+7S IG,NT l je'c IVL .)--3
OWNER or CO RACTOR (Print) wlvl I 1\a G-t
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