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109 Sylvan Dr DWAY23-0016 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: WHITE CECIL JR 109 SYLVAN DR ATLANTIC BEACH FL 32233-4045 COMPANY:ADDRESS:CITY:STATE:ZIP: 2 MEN CONCRETE INC.1001 OLD SAINT AUGUSTINE RD 2110 JACKSONVILLE FL 32257 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170650 0000 SALTAIR SEC 03 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 109 SYLVAN DR DRIVEWAY SINGLE OR TWO FAMILY DRIVEWAY Replace concrete driveway $5100.00 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. Any digging in the ROW requires calling 811 to have ALL public utilities located. KNOW THE LOCATION OF YOUR WATER METER AND DO NOT DISTURB IT. MUST CALL SUNSHINE 811 TO LOCATE ALL UNDERGROUND UTILITIES. 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: 11/21/2023 PERMIT NUMBER DWAY23-0016 ISSUED: 11/21/2023 EXPIRES: 5/19/2024 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 3 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. 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 ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during 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 SLAB DRIVEWAY REMOVAL INFORMATIONAL Notes: Slab and driveway to be fully removed. 10 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL Notes: Maximum driveway width within the City right-of-way is 20 feet. 11 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 12 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 13 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 2 of 3Issued Date: 11/21/2023 PERMIT NUMBER DWAY23-0016 ISSUED: 11/21/2023 EXPIRES: 5/19/2024 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: $150.00 14 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 3 of 3Issued Date: 11/21/2023 PERMIT NUMBER DWAY23-0016 ISSUED: 11/21/2023 EXPIRES: 5/19/2024 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 r''' ''-.- Building Permit Application Updated 10/9/18 jCity of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY i3- IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us R/ 2 Job Address: )© l IVQ.,7, „()Hv 7 1W 1k Vt4 Wermit Number: D- 7 t'1'1/Z_J-001 162 Legal Description ` o, l0 t r E?C. 3 P-.C t- 721 •72"-z_ RE# \ / O V OOO O r` Valuation of Work(Replacement Cost)$ xii,•‘to Heated/Cooled SF_ Non-Heated/Cooled Class of Work: :Mew Addition Alteration Repair Move Demo Pool 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) No Describe in detail the type of work to be performed: ri ])) 4 C zr t'—-d(.,4-Pk ) ,n t1 C) Florida Product Approval# for multiple products use product approval form Property Owner Information Name ( C.}1 V\)ti Tt r Address toot S,,/ l v'o-an jY City f t-4 , State El J Zip ;39--2 3 3 !Phone c :)2-± &btf--CI '_ E-Mail L' t-tf4"S12C-3X[C ,yk2C C)e C. "1"T Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Qr.—C.a wuil'{_ 'Jr', Contractor Information Name of Company l , MC/" 60 AI ET6 Qualifying Agent Address 11001 d $1 4J() fl4 k City 5ACKwf t/1 jIC State FLoAfty-Zip .3A0(,S 1- Office Phone `7c)4 1j0 LI 6 'f3'cj Job Site Contact Number 7,73(i I1/ /1/VN6> State Certification/Registration# E-Mail SOA i34241162(1} (JL,,q,L.Co' Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer 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 LENDE' 'OR AN ATTORNEY BEFORE WORDING YOUR NOTIC OF COMMENCEMENT. A /",1 Al 'II Signature of 0 n or Agent)Signature of Contractor) ned.and sworn t• • •i•' •,r• ^ before .e this _ 4;ay of Si: •-d and/sworn to(or affirmed)before me this Z( ay of 4 I Zoz3 b 44 '''- MY COMMISSION#GG 3 l a l.)0AO U 1oi 1.i EXPIRES:Octobe -•.` urea' .T Signat—of N. ary) jFO °Q bonded Thru Notary Public Underwriters - vvi;'• TONI GINDLESPERGE' MY COMMISSION#G:-= 1 I_ Personally Known OR z. J f Per dzilkGKn (QtOA,2023 41110ProducedIdentificationQ.!t; 1 EroEhio MlL ftii'it €ii e ''ters 1TypeofIdentification: V 0',.- .='.` `Ten i rcation:'r 0LA,v,,; RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION ALL INFORMATION 4, /1- City of Atlantic Beach HIGHLIGHTED IN GRAY IS 800 Seminole Road,Atlantic Beach,FL 32233 REQUIRED. PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES 32233 Job Address 10/ Sylvan >1---'tk C R FIA Permit Number D t J s'I 2 I(a Contractor Information Company Z t4e.,•c C.. e__ Qualifying Agent Address 1.1 C601 c t j e, ,,04City N.,74-:=..( 00-41r,State fit Zip-3 75-y Phone ( 4t04- 'OA? Email 1:7-kn Artatt3227 p__Ifil4 Cel State Certification/Registration# Hfy— Architect JV( A– Phone N/ 2- Email tA j I Engineer 1tyk Phone t•trk Email C/f Workers Compensation Insurer OR Exempt o Expiration Date 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 Project Superintendent) with(Company Name) Phone 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 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 Public Works Director shall notified 24 hours prior to starting work and again immediately upon completion. 4 Date 117/Permittee(signed in presence of Nota .lic) STATE OF FLORIDA,COUNTY OF DUVAL The fo oing instrume t was acknowledged this a day of--" Fc---i.- —, 20 Z , by e C C Lok\ ,4 E V who personally appeared before me and printed name of Permittee) 1) .Y,z H' `, TONI GINDLESPERGERacknwlededths.- gned the instrument voluntarily for the purpose expressed in iC{ 7II:,• ;,- MYCOYIMISSICN#GG 353178El EXPIRES:October 6,2023r, °`.f.°' Bonded Thru Notary Public Underwriters p Personally Known Signature of Notary Public,State of F rda Produced Identification(Type) ,VM H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 zrl:i;,:, p I I p J,' 1 o l'7`Cl/ (lI 66i ldM J0 1H01? ,0) si o =lil r^3nN3A V 1 NVf ialn s r i5";^. to 7s,,....________— eta) -: ---- -= =--71) L?'9)'1075 ; / 4 ' trBzi cyan bo'L)'311,d0 / n'-' M rs'r)'j M ANI AVM3Ala0 .JNOJ ZZ() dvJ ON) 6 1i 3eld Noar.Z/1 a-, . 072_13..,_ d. 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L 1 0 7 r_ irk. - k4 (•1 * 1 r : ,2 NOTICE OF COMMENCEMENT State of Tax Folio No. ( '7 0 (- -000 0 County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is state i9 this NOTICE Q.E,COMMENCEMENT, Legal Description of property being improved: SQ, C l C N C 3 DJ- I c 4 5 7 Z 7 27- Rec c I l8`Z (4.) s Address of property being improved: I 0 6 U o,,1l IBJ !` g lC( L General description of improvements: 0-0 (N.0r( ct- e__tDQ Owner:• Cee_st Address: 4 1 ,• • 1 u!..C: _ A /_ 4it" Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: M N ovca Address: //CC/ LLQ ,ST /4-C"— T i tiC / 1? SONVI'lIL- 3A0/5 Telephone No.: 9011 LIO 4 g Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served:Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year fro • •- • - • - .•. • • - •'• • -• date is specified): Pia . TONI GINDLESPERGER c MY COMMISSION#GG 353178 Doc#2023082876,OR BK 20657 Page 1125, OWNER ice.Po EXPIRES:October 6,2023 Number Pages: 1 BondedThruNotaryPublicU4derwrite Recorded 04/26/2023 11:16 AM, t:~ JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Signed:J i \moi Date: `"%• COUNTY Before me this Z. • day of a 2• to heCou ' of D vel,State RECORDING $10.00 Of Florida,has personally appeare• r P 1-\ J Lam` Notary Public at Large,State of Florida, noun y of ouval. My commission expires: Personally Known: or Produced Identification: VNO \ L