1747 Maritime Oak Dr RESO23-0116 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
ALLEN BREON G 1747 Maritime Oak Dr Atlantic Beach FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
SOUTHERN TURF 102 PINE ST NEPTUNE BEACH FL 32266
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169505 1795 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1747 MARITIME OAK DR
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
Artificial Turf $2365.00
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 (904-247-
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: 1/8/2024
PERMIT NUMBER
RESO23-0116
ISSUED: 1/8/2024
EXPIRES: 7/6/2024
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
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: $125.00
2 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
3 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.
4 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
5 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
6 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
7 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
8 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
Use base material with <10% fines only. In-progress inspection is required. Must submit receipt of artificial turf material being used to Building-
Dept@coab.us prior to final inspection.
2 of 2Issued Date: 1/8/2024
PERMIT NUMBER
RESO23-0116
ISSUED: 1/8/2024
EXPIRES: 7/6/2024
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
t! Building Permit Application Is; .City of Atlantic Beach Building Department ALl]NF
800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHT
r 15 RE
P hon e7: (904)247-5826 Email: Building-Dept(7coab.us
rn/ `
y_
lob Address:_' /-/ MAItItlfw /\ D f"400 L -'7pp,. 7,
K _ Permit Number: l p {
Legal Dcsription RFS (jobs; e4C t, l Sr^-
Valuation of Work(Replacement Cost)S- 00 Nealed/Cooled Sf
Non-Heated/Cooled
Class of Work: ONew CiAddition Ctlteration ORepalr OMove ODemo Pool OWindow/Door
Use of existing/proposed structure(s): OCommerdal "4esIdentlal
ti'it• if an existing structure,is a fire sprinkler system Installed?: OYes $N0
e occ?aY• u: • ' s .rate Tree Rem•val Permit ' y•Will tr s b re owed i .dation wi h•r... , e l/V/Describe in detail the type of work to be performed: rinAM2,/ 61c o L Sy fJit
telgii P vii
i .6 . .-' , Y '. , .d .
re,,,,p'i Del:.SU,9tQ.i,)A-tvrA 1
Florida Product Approval b /1 for multiple products use product approval form
Property Owner Information
Name % a 4ZA) Address
0 a1..
city 40( If State FI Zip 3223 _Phone ,yp '" . -
A—
E-Mail II -/j/ 41. • , :,.i 4
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Com.any y Jih. 4 U -r Qualifyi g Agente /.
Address 1 ia , City Y.N1A/G Kip• StateL_2ip
Office Phone
i]
rly+lt sl,- . Job Site Contact N tuber
State Certification/Registration a /d E-Mail f irle, OIj
Architect Name&Phone a if/ /J
Engineer's Name&Phone ti-P
Workers Compensation Insurer rte9tAY 1/2
t
OR Exempt o Expiration Date 6 r
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
til r ppficable laws regulating construction and zoning.
L :WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
f RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Yr UR PROPERTY.IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER O' 1 , •TTO%.EY BEFORE
f'r' : RECOR P G YOUR N•T,C OF OMMENCEMENT.
I . I —
i r,• S': ature of Contractor)
i Signatur• Owner or Agent)
ned and sworn to(or affirmed)before me this iyqday of Signed and sworn to(or affirmed)before m this ,7 day cSIBAiovA42by_-r 0.11•r'i
11111 1 OA gna • e of Notary)
Signature of Notary
trCrsonally Known OR
1/Personally Known OR Produced Identification
J Produced Identification Type of Identification:
Type of Identification: _._.______ .- ___
V.':**,:;„.VANESSA ANGERS
i ` '*: MY COMMISSION#HH 244118 •
na e EXPIRES:March 23,2026
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