1723 E Park Ter RESO24-0024 PermitOWNER:ADDRESS:CITY:STATE:ZIP:
JOHNSON DEREK 48 CORAL ST ATLANTIC BEACH FL 32233-5825
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:
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 $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 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
RESO24-0024
ISSUED: 3/21/2024
EXPIRES: 9/17/2024
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
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
4 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.
5 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
6 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
7 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
8 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
9 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 at final inspection.
2 of 2Issued Date: 3/21/2024
PERMIT NUMBER
RESO24-0024
ISSUED: 3/21/2024
EXPIRES: 9/17/2024
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
s?
jJ'J . BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
0 •City of Atlantic Beach Building Department PERMIT# C - Z` (JZ F"
a%i'/
800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address [1 al PuciL 'Ttcrti e, RE# '1 (2Dat) --O o0
Legal Description 19 - qS - 061 -).6'al
Valuation of Work(Replacement Cost)I 0 IC Heated/Cooled SF Non-Heated/Cooled SF
Class of Work: ( [ New Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial DResidential • 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 ( the type of work tobe performed:
In 511,-R 1 pI41 AT 11 (RLIG( 101 OA 6'0 ijej.s of rc.,j,'dc,
S OO s'1
Florida Product Approval# For multiple products use Product Approval Information Sheet)
Property Owner Information Name Phone 1 O-7 . (1 Q
Address li/a,3 puy-j I#-r 1'.City/ .14,clfiG (,GL State 7Zip ;a33
Email Du{.(C Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
r1
Contractor Information Name of Company (Of Uy f (..i)(n 1p Phone 1 0(1. is-t.La-U'13
Address al b ! 1 J jL4L City Q B I State FL. Zip laa 3
Qualifying Agent 1L,u U
StateC+ertification/Registration#
Email a6 0Dirt d4 ui F (b/yip df6,1 „LOA' Job Site Contact Number
Worker's Compensation Insurer OR Exempt Expiration Date
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 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 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 and zoning.
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 BEREC$RDED AN , POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST
JSrPECTlON. IF YOU,6! D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TTo ' .:47:EFORE RECORDING YOUR TIC OF COMMENCEMENT.
gim,A,"
is .ture of Owner or Agent) // 44 Signature of Contractor)
Signed and swor • (or affirmed)before me this LO day of Signed and sworn to(or affirmed)before me this
Leh
day of
MG{0A , .2 by VY ,\ MC YC(1< , Z724 by O tY. ":1- 1(1Y)W)
Signature of Notary `- Signature of Notary jt\r r\/-
Personally Known OR roduced Identification Personally Known OR oduced Identification
2JTypeofIdentification: \>v5 - Type of Identification•. -Y _,C'
7 I M 1 I
t4`1"1:., LADAYUANICHOLS f+ ^'; LADAYUA NICHOLS
MY COMMISSION 8 HH 226065 loi ,; MY COMMISSION#f H 228065a:.`ic? EXPIRES:February 8,2026 s poi EXPIRES:February 8,2028c+? fiQr
o,, MAP SHOWING AS-BUILT SURVEY OF
CURVE DATA Cl GI LOT 2 BLOCK 14 AS SHOWN ON MAP OFN04'48'19'W I 7) 4-).CH = 99.41' I I SELVA MARINA UNIT No. 8
R 4744.65'
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A 99.41' I BLS K 14 I FENCE till;
BLOCK 14 THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY FLA.
D = 172'02' 138.73' (A)
1138.41BEARINGBASE) I138.4'7r (P)11.3) 01 CERTIFIED TO: DEREK JOHNSON
N868'07'E REGIONS BANK DBA REGIONS MORTGAGE
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n _ L G T 1 FOUNDATION.F.F.E.,W.0./106445:02-23-2021 (FIELD)
4 4 9 I BLOCK 14 THIS SURVEY WAS PERFORMED WOHOUT THE BENEFIT OF A TITLE COuwTNENT.
b I THERE MAY BE AOgfgNAL EASEMENTS AND/OR RESTRICTIONS TINT ARE NOT SHOWN
ON THIS SURVEY THAT MAY BE FOUND W THE PUBLIC RECORDS OF TILS COUNTY.I(
VA MARINA UNIT No. 6 1 UNDERGROUND ENCROACHMENTS NOT LOCATED
r. THE LAND SHOWN HEREON IS IN THE SPECIAL FL300 HAZARD ZONE'X"AS SNOWN
E I Bpa( 34, PAGES 51-5T8 -' ON FLOOD INSURANCE RALE IMP 0407 J FOR DUVAL COUNTY.FLORIDA.F.I.R.u INDEX DATE I1-02-18
ALL AMERICAN SURVEYORS OF FLORIDA, INC.1
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UNDER MY RESPONSIBLE SUPERVISION AND R 11 TITM1AS; P'4Oi
LOT SIZE 13,2672 50.FT. ir2 ) Pt. THERE ARE NO ENCROACHMENTS ETS 3)1
9yl YfTAt
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RIGHT-OF-WAY LENGTH 99.41 R. nj u SURVEY NOT VI11D U1(1j33 O BY;5OF FLORIDA.
TOTAL IMPERVIOUS AREA 5,8672 SO.FT. 438
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ATE 03-02-2020 NRI" B
F.B. SKETCH D.C. 07627-194964 DR. BY TH D,+, P:\2020(673R2)\CHESAPEAKE CUSTOM\S VA MARINA ORDER Na 194964-FNL LE 87627