1723 E Park Ter RESO22-0083 Renewed permitOWNER:ADDRESS:CITY:STATE:ZIP:
JOHNSON DEREK 48 CORAL ST ATLANTIC BEACH FL 32233-5825
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172020 0400 SELVA MARINA UNIT 08
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1723 E PARK TER
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
ARTIFICIAL TURF - renewed $10000.00
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.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during 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 3Issued Date: 3/6/2024
PERMIT NUMBER
RESO22-0083
ISSUED: 3/6/2024
EXPIRES: 9/2/2024
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
3 PUBLIC WORKS POST CONSTRUCTION TOPO SURVEY INFORMATIONAL
Notes:
If on-site storage is required, a post construction topographic survey documenting proper construction will be required. All water runoff must go to
retention area and retention overflow must run to street.
4 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
6 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.
7 PUBLIC WORKS DOCUMENT IMPERVIOUS AREA INFORMATIONAL
Notes:
Strongly suggest thorough documentation of impervious areas be recorded.
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 INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Owner.
12 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
Water retention areas must be sodded prior to inspection.
13 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Owner.
2 of 3Issued Date: 3/6/2024
PERMIT NUMBER
RESO22-0083
ISSUED: 3/6/2024
EXPIRES: 9/2/2024
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $110.00
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: $235.00
14 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
Artificial turf must be type on approved list as stated on submitted application documentation. This will be verified at inspection.
3 of 3Issued Date: 3/6/2024
PERMIT NUMBER
RESO22-0083
ISSUED: 3/6/2024
EXPIRES: 9/2/2024
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $110.00
RESO22-0083 Address: 1723 E PARK TER APN: 172020 0400 $110.00
BUILDING $110.00
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $110.00
TOTAL FEES PAID BY RECEIPT: R26409 $110.00
Printed: Wednesday, March 6, 2024 3:44 PM
Date Paid: Wednesday, March 06, 2024
Paid By: JOHNSON DEREK
Pay Method: CREDIT CARD 10151306504
1 of 1
Cashier: AG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R26409
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
r sYtIS REQUIRED.Phone: (904) 247-5826 Email: Building-Dept@coab.us
j
Job Address: 17 P L-4_ Tter 4s(-) A- , cL 322,33 Permit Number: \t SO Z Z--(508,-)
Legal Description Sc-1Jct AA okr,41a OA 1-- 9 I Log' 1 ALK I(-, REU 117\0A O —6 100
Valuation of Work(Replacement Cost)$ 10)(3 Q0
pd Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition ®Alteration Repair ElMove Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial fylResidential
If an existing structure, is a fire sprinkler system installed?: Yes No '7A
Will treels) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) iJNo
Describe in detail the type of work to be performed:
le6-1-u11 i iir4- ( 41.4( riCt'`'‘,l
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name terek 0(4v. 6 l Address /72,3 akAk iCtt cel
City j C-F 11 cQ WIC?.( O1 State (=L Zip 3 z233 Phone q0!/ - 7“ ^ UROQ
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
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 LENDER OR AN ATTORNEY BEFORE
REC•. 'ING YOU`io 0 - OF COMMENCEMENT.
G`
gnature of Owner or Agent) Signature of Contractor)
Signed and sworn to(or affirm •)bet. Z.-!--)a thisday of Signed and sworn to(or affirmed) before me this day of
b'-C 1vG_.14.2(-)Z' , by 42-;r6---)0i4"-1-`•40-11 • by
e of Notary) Signature of Notary)
Notary Public State of Florida
Carol StreeterPt-Personally Known OR
g•
Personally Known OR
Produced Identification 14aM1di My Commnson GG 98t83t Produced Identificatione.p re os tanoza 1
Type of Identification:Type of Identification:
Owner Builder Affidavit ALL INFORMATION
HIGHLIGHTED IN7CityofAtlanticBeachBuildingDepartmentGRAYISREQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER
OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: 1'7 2,3 fa,gc Trer- easy-, j4-4 37_?33
Owner Name: pi ((_ Jo-'' Phone Number: q oit 713 Oq o'
Mailing Address: p0 r' City: A- State: ft Zip: 32g3
Notarized Signature of Owner
The foregoing instrkment was acknowledged be .fe me this Z - day of ,A_ -, ,201, in the State of Florida, County
of ', -k_. ;j'.`„ ,
C.
Signature of Notary Public —
Personally Known OR [ ] Produced Identification
Type of Identification: t . C
Updated 10/24/18
TONI GINDLESPERGER
k.. :,; MY COMMISSION#GG 353178mu: .
P EXPIRES:October 8,2023F°F,F`;0, Bonded Thru Notary Public Underwriters
GLOBAL SYN-TURF
GREENING PLANET EARTH
41,G,G1 , _,
Product Specification Sheet
S Blade-SO root,
fie
DDoo USES S-SHAPE BLADE
I. Landscape 2' SPECIFICATIONS
I. Lawns
Pile Height: 1-5/8"
Playgrounds Turf Gauge: 3/8"
Traffic Medians Face Weight: 50 oz./yd2
0.- Pet Areas Backing Weight: 27 oz./yd2
Total Weight: 77 oz./yd2
Commercial or Residential
Stitch Rate: 12/10cm
Light-Heavy Traffic Stitches/M=: 12600
Material/Dtex: PE10000 + PP4500
15 Year Manufacturer's W
Color: Emerald Green and Olive Green with
8 Year Manufacturer's High Traffic Warranty Brown and Green Thatching
Type Of Fiber: PE Monofilament and PP Curled
rel Flo-Rite Drainage Technology
As Thatch
Infill Amount: 1.0 lb./psf.
Primary Backing: Premium GST Backing
GST Grass Tuft Bind: 13+ lb/force (ASTM D1335)
Blade Type: S-Shape Blade
Infill ---" ; ,,V, ; Permeability: 47.2 inches/hr. (ASTM F1551)
Weed Ramer• __Melting Point: 150 aC (ASTM D2859)
R o.Go+Do..da.od. alittrGrab Tear MD: >200 lb./force (ASTM D5034)
aClass IlRoad Bn• x•`,.
D. Grab Tear CMD: >200 lb./force (ASTM D5034)
2-2',Base Rock m
Roll Width. 15 ft
Wiry Weak•_ _...____. i .t E Roll Length: 100 ft
Sod(ground) Sq. Ft. Per Roll: 1500
Total Roll Weight: 822 lbs
dirt
5960 Inglewood Drive, Ste.150. Pleasanton, 94588, USA
Telephone 510-732-2300 rax 510-732-6188 I Toll Free 877-SYN-TURF(796-8873)
ww. globalsynturf.com I Email: info@globalsynturf.corr
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GLOBALSYN-TURF 4 t . .
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GREENING PLANET EARTH f t
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Product Specification Sheet I` t
Pro Putt-44 A P _'
88 USES SPECIFICATIONS
Putting Green Pile Height: 1/2"
Driving Ranges
Turf Gauge: 3/16
Face Weight: 44 oz./yd2
O Bocce Ball Backing Weight: 13 oz./yd2
Tennis Court Total Weight: 57 oz./yd?
Stitch Rate: 34/10cm
1.- Landscape
Stitches/M2: 21420
Medium-Heavy Traffic Material/Dtex: PP6000
Color: Medium Bi-Color Green
Type Of Fiber: Polypropylene Monofilament
IV15 Year Manufacturer's Warranty Infill Amount: 1.0 lb./psf.
8 Year Manufacturer's High Traffic Warranty Primary Backing: Premium GST Backing
ry Flo-Rite Drainage Technology Tuft Bind: 8+ lb/force (ASTM D1335)
Permeability: 71.0 inches/hr. (ASTM F1551)
Melting Point: 150 °C (ASTM D2859)
Grab Tear MD: >300 lb./force (ASTM D5034)
GST Grass Grab Tear CMD: >200 lb./force (ASTM D5034)
r Roll Width: 15 ft
4
r.Ass s =r `sn.t Roll Length: 100 ft
0,-rJ harrier' kV ., y_."I r.
At 4 i Sq. Ft. Per Roll: 1500
i aGranite
Cllassss II Total Roll Weight: 686 lbsURoadBas.
2-2%Base Rock 1,11#1.,
a, - -ip It:t',,,°x
Sod(ground)
ALL AMERICAN SURVEYORS OF FLORIDA, INC. MAP SHOWING BOUNDARY& TOPOGRAPHIC SURVEY OF
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137.77 (P) YARN'DRA TYPICAL ELEVATION DROP SHALL BE 4 INCHES, Let I
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7) I 3. CONTRACTOR SHALL BE REQUIRED TO BE WITHINe
0 I (TYP, L 0 T 1 0.1 FT OF DESIGN ELEVATIONSioBLOCK14
DRANALL T E(OND 224 G0 4 PROPOSED SPOT EL
REVISIONS
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SELVA
MARINA UNI51N
51B
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GARAGE 6' 5' 12' 5' 5' 5' 4' 15' 4' 5' Q TREE PROTECTION
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