1985 Mayport Road COMM24-0004 PermitOWNER:ADDRESS:CITY:STATE:ZIP:
1985 MAYPORT LLC 107 Tallwood Rd JACKSONVILLE Beach FL 32250
COMPANY:ADDRESS:CITY:STATE:ZIP:
FLORIDA TURF COMPANY 210 Mayport Rd ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172194 0000 DONNERS R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1985 MAYPORT RD COMMERCIAL OTHER
COMMERCIAL Artificial Turf $6000.00
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 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.
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: 3/21/2024
PERMIT NUMBER
COMM24-0004
ISSUED: 3/21/2024
EXPIRES: 9/17/2024
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PW REVIEW COMMERCIAL BLDG 001-0000-329-1004 0 $150.00
ZONING REVIEW COMMERCIAL AND INDUSTRIAL USES 001-0000-329-1003 0 $350.00
TOTAL: $500.00
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
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.
2 of 2Issued Date: 3/21/2024
PERMIT NUMBER
COMM24-0004
ISSUED: 3/21/2024
EXPIRES: 9/17/2024
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
p / BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
J
et
l'! City of Atlantic Beach Building Department PERMIT# C,0)(14nil ? -VW-
800 Seminole Road, Atlantic Beach, FL 32233
j,i ,
ALL information required to process
Phone: (904) 247-5826 Email: Building-Dept@coab.us
JobAddress 1985 Mayport Road RE# 2,14L1-0e0 rI
Legal Description Dormers r/p PT Block 23 recd o/r 14106-1188
Valuation of Work(Replacement Cost) 4 t U Heated/Cooled SF Non-Heated/Cooled SF
Class ofWork: (\New Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial Residential • If 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 ofwork to be performed:
Artificial Turf
Florida Product Approval#For multiple products use Product Approval Information Sheet)
Property Owner Information Name Alexander Ertel Phone 904424-5741
Address 107 Tallwood Road City Jacksonville Beach State FL Zip 32250
Email alex@floridaturfcompany.cc Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company Florida Turf Company, Inc Phone 904 758-8873
Address 210 Mayport Road City Atlantic Beach State FL Zip 32233
Qualifying Agent Alexander Ertel State Certification/Registration# n/a
Email alex@floridaturfcompany.com Job Site Contact Number 904 424-5741
Worker's Compensation Insurer Amtrust North America OR Exempt Expiration Date 7/18/2024
Architect's Name Email Phone
Engineer's Name Email Phone
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 aseparate 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 befound in
the public records of this city/county, and there may be additional permits required from other governmental entities such as water
management districts,state agencies, orfederal 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 andzoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TTOR EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LA 00'r
Signature of Owner or Agent) rp,
4)-- -----------(Signature of Contractor)
Signed and sworn to(or affirmed) before me this 4 day of Signed and sworn to(or affirmed) before me this I-'3 dayof
L 02'4 by CPoCir 7 tcti' i by (ONO Cr
Signature of Notary 6siiiktf Signature of Notary 0- a--
Personally Known OR (Produced Identification jxj Personally Known OR [ I Produced Identification
l 723' uTypp ;;I ti icatlgrd 2 Type of Identi a COLETTE J POORE
Notary Public-State of Florida S 1 y NotaryPublic-State o Florida
y<k1,44...; Commission#HH 056368CommissiontHH056368M1MyComm.Expires Nov 12.2024xM1dMyComm.ExpiresNoyt2.2024 ( P
Bonded through National Notary Assr.Bonded through National Notary Assn.
AJ'6r; REVOCABLE ENCROACHMENT AGREEMENT
ALL INFORMATIONs1CityofAtlanticBeach
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing under the laws pf the Stat of Florida, hereinafter referred to as "CITY" and
P l C X C,n (a ( e. 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 CityofAtlantic Beach.
This work is generally described as /
1-(1--( C I C I4 ( Jr 1- I/)S4`,1( Ill()'N
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 byCITY to USER,said notife to USER shall be given by certified mail, return
receipt requested,to the following address 1"( ; u ?o(`C (z d A Iti,,i ( c ',CI' FL 2;2.23,)
In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter
I 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 tothe 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 bythe USER from any of the work herein under the terms of this permit and that all of said liabilities are
her y assumed by the USER.
Date (- ( ( — '92y
Property Owner/Agent (signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL rC\'
The foregoing instrument was acknowledged this I ? day of a f 1 20 't4- ,
by A--(e rz-_—_-•Y printed name of Signer), who personally appeared
befor- me and acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
pvDN.:-- TONI GINDLESPERGER
V MY COMMISSION#HH407122
EXPIRES:October 6,2027F01F•
Department Approval:
Signature of Notary Public, Stat; of Fl•rida
Personally Known
I Produced Identification (Type) Public Works Department Date
Revision Date:05/09/2023
0-Al•r RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION ALL INFORMATION
tie7 City of Atlantic Beach HIGHLIGHTED IN GRAY IS
y
4
r'
f 800 Seminole Road,Atlantic Beach,FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address V1"0S MAI() bit- gj Permit Number I'LO Iv 00D1-1
l
Contractor Information
Companyan -P 0r d't
lT
hpfcoIAL, L-6-Qualifying Agent Lit/)
iviiic( o /u+ ,1- P City/41-(r,.it {1( ai Z State F( Zip ,Zn233
Phone qv.( - Lt fr 1k Email GdG)( 6 I i Dt°•fuVf,_,_,M dqr Loit,
State Certification/Registration#
Architect Phone Email
Engineer
1
Phone Email
Workers Compensation Insurers //,'Vt+ Ut•1- 4pca /-ft&-l'AOR ExemptjExpiration Date
Permittee declares that prior to filing thisapplication 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 ofall,orany portion ofsaid street or easement as determined by the Public Works Director,any or all said poles,
wires,pipes,cables orother facilities and appurtenances authorized hereunder,shall be immediately removed from said
street oreasement or reset or relocated hereon as required by the Public Works Director and at theexpense ofthe
Permittee unless reimbursement is authorized.
All work shall meet City ofAtlantic Beach
torr
Flortir_id?Department of Transportation Standards and be performed under the
supervision of 6 1"-.'Tl Project Superintendent)
with(Company Name) F(bet 01, TA-F Lo pi p44 a Phone guy -q,2,4,ty 71(
All materials and equipment shall be subject to inspection by the Public Works Director.
All city property shall be restored toits original condition asfaraspractical,in keepingwithCity 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 showingany increase in imperviousarea on owner's lotor intheCity right-of-way are to be included with
this application. c
The permittee shall commence actual construction in good faith within days. If thebeginning date is more than 60
days fromdate ofpermit approval then permittee must review the permit with the Public Works Director to makesure no
changes have occurred inthe 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 ofthe 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 ofAtlantic Beachfromand against any and allloss,damage and costof
expenses arising in any manner o the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
Pu is rks Direct a I be notified 24 hours prior to starting work and again immediate) upon com letion.
Date — M.—
Permitte signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL r
The foregoing instrument was acknowledged this 1 day of Q., 20 Z-‘6.-
by 4.1a x.a. •e r' e-- who personally appeared before me and
piiirinted name of Permittee)
ack owl:raged that he/ ne• he instrumentvoluntarilyfor thepurposeexpressedan.ir;;,;P.••..e,,•; TONI GINDLESPERGERA: MYCOMMISSION#HH407122
r•••ado?: EXPIRES:October 6,2027FO
rson tvilCi1it11vr];
Signatureof Notary Public,State of Florida I Produced Identification(Type)
H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
i
A-r 1-). R C(4 ( IOr.P--
rn 1_ i L.trojc.
7 ---b s 1U 4/y ECIG t
MAP SHOWING SU VEY OF
THE NORTHERLY 100 FEET EXCEPT THE EASTERLY 0 POET OF DLOCE 23, moula'sREPLAYASRECORDEDINFIATDOOR19, PACES 6 6 166 OF THE CURRENT pUELIC
RECORDS or DUVAL COUNTY, FLORIDA.
ficze7 ia,9v, .
V II,'IZ•/0•'. .. *V5.*,
7.--
v/.;;-:,...;.* , ...in.i.,;,,,••• % _4..J....c.o./ff.. ;„_. s.. .• / arct4, , ci.1 •
5...1••hi:15'W . .•...,.. I '1 • • 11----8-A.5:4,.. ......• :cN., w tv••1 I .:
I--:/i:-':/
z-
r,,:, ::;-
7'';'mZ
IA1
Wovorply01PG
il ret04:X4 . ror5- do••,....Vkj
II.
kl. N.,...W.,I," .t2•VA! Iff
Lave.
1‘,f Ih. 64.04.•no 4,411,
i....; I .N i LOCK23 -------- • . 114,,,--i• lel .
LI •- 7 •.5.4.? Y
I
L___.- -) Ar4,k,•
r-71--I----ae:---
H719-:z 1 e•0 r -5 I •
1.-. .1 ezoc,r_i zo
I HEIIEDy CENTIFY THAT THE PROPERTY SHONE HEREON IS IN FLOOD ZONE 'CAS SHOWNONTHEFLOODHAZARDUOUNDARYMAPFORTRECITYOFATLANTICBEACII, FLORIDA.
I HEREUY CENTIFy TO WILLIAM AND DERLETTA.UROUNART THAT I HAVE SURVEYED THELANDSASSHOWNINTHEAOOVECAPTIONANDTHATTHISNAPISATRUEANDCORRECT.
REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEETS '
THE MINIMUM STANDARD REQUIREMENTS ADOPTED DY THE FLORIDA STATE HOARD OF PRO-
FESSI)NAL LAND SURVEYORS CHAPTER 21-1111 AND THE FLORIDA LAND TITLE ASSOCIATION.
NO",in..mommie,.OFPr pew, .11,..17.not
DONN W.DOATWRIGHT, L.O.
FLORIDA RED.LAND SURVEYOR No.3200
SCALE: ,',30•DOATWRIONT LAND SURVEYORS.INC. Via:•onAwts OY:..4......_-..— 1301 PENMAN ROAD SURE 0 . •IllIFFT , MP •
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED. City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________
Revision to Issued Permit OR Corrections to Comments Date: ________________
Project Address: ____________________________________________________________________________________
Contractor/Contact Name: ____________________________________________________________________________
Contact Phone: ______________________________ Email: _________________________________________________
Description of Proposed Revision / Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
_______________________________ affirm the revision/correction to comments is inclusive of the proposed changes.
(Printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
No Yes (additional s.f. to be added: _____________________________)
• Will proposed revision/corrections add additional increase in building value to original submittal?
No *Yes (additional increase in building value: $____________________) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: _______________________________________________________
__________________________________________________________________________________________________
(Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due $_______________
Revision/Plan Review Comments_______________________________________________________________________
__________________________________________________________________________________________________
Department Review Required:
Building _____________________________________________
Planning & Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities _____________________________________________
Public Safety Date
Fire Services Updated 10/17/18