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1545 MAIN ST COMM24-0007 Permit and AppCOMMERCIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 PERMIT NUMBER COMM24-0007 ISSUED: 3/22/2024 EXPIRES: 9/18/2024 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. 1545 MAIN ST COMMERCIAL ALTERATION ASPHALT OVERLAY IN $70000.00 COMMERCIAL PARKING LOT 172325 0010 SECTION LAND COMPANY: ADDRESS: CITY: STATE: ZIP: A ATLANTIC ASPHALT 12574 FLAGLER CENTER BLVD JACKSONVILLE FL 32258 • ADDRESS: PAR PRO LTD PO BOX 330177 ATLANTIC BEACH FL 32233-0177 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. Issued Date: 3/22/2024 1of3 Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 ZONING ZONING NOTES INFORMATIONAL Notes: Permit approval is only to asphalt over existing. 2 ZONING REMOVAL OF TREES INFORMATIONAL Notes: A tree removal permit is required for removal of any trees 8 inches in diameter at breast height and greater. Removal of trees without a permit will result in double mitigation and application fee. Issued Date: 3/22/2024 1of3 Issued Date: 3/22/2024 2 of 3 COMMERCIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH COMM24-0007 ISSUED: 3/22/2024 800 SEMINOLE ROAD EXPIRES: 9/18/2024 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 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. 6 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 7 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. 8 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 9 PUBLIC WORKS TOPO SURVEY INFORMATIONAL Notes: Must provide a REVISED 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 DEBRIS REMOVED INFORMATIONAL Notes: All construction debris must be removed from job site by Contractor. 12 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL Notes: Any damage done to infrastructure must be repaired by Contractor. 13 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL Notes: Planned curbing needs to be placed on existing asphalt edge. 900+/- SF of impervious area added should not count against your % impervious ratio. Curbing outside existing impervious envelope not allowed. Issued Date: 3/22/2024 2 of 3 Issued Date: 3/22/2024 3 of 3 COMMERCIAL PERMIT PERMIT NUMBER r s> CITY OF ATLANTIC BEACH COMM24-0007 ISSUED: 3/22/2024 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 9/18/2024 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PW REVIEW COMMERCIAL BLDG 001-0000-329-1004 0 $150.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SU RCHARG E 455-0000-208-0600 0 $2.00 ZONING REVIEW COMMERCIAL AND INDUSTRIAL USES 001-0000-329-1003 0 $350.00 TOTAL: $504.00 Issued Date: 3/22/2024 3 of 3 BUILDING PERMIT APPLICATION FORINT I�NALOFFICEUSEONLY City of Atlantic Beach Building Department PERMIT # l �q - bUU 800 Seminole Road, Atlantic Beach, FL 3223347 Phone: (904) 247-5826 Email: Building-De"ALL information required to processnt@coab.us Job Address _ 1S LIS Ain 3, &}6AI'L &r ch. RE# Legal Description GOV-t LO• Y 4.-t—04R1isy 6� Gac4 P ;nci ;?,rGg`5 Valuation of Work (Replacement Cost)y O, ppp 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 ❑Residential • If existing structure, is afire 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: rnui iud rruuuct Hpproval 8 (For multiple products use Product Approval Information Sheet) Property Owner Information Name �o�r tJP _ Phone 50y - `109 - Of 76 2 Address /s'ys �Y, ,'n City A4 -1C, i� �9 State - Zip 320 33 Email 1pascc � 99oi+A cOwner or Agent (If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company A t/ fie r1 i i G Gs -L Phone �Q0 �>6 a- %fes Address a S � lq CPQ City Cx(- State L Zi Qualifying Agent State Certification/Registration# �SOS�lot�yc� Email �� ®'le�/. Job Site Contact Number � Oa . ZO. 1/1?091 Worker's Compensation Insurer o�?>l i I'iSurervC,Q- OR Exempt ❑ Expiration Date ! c7 a1-4 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, 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 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent Signed and sworn to (or affirmed) bef jre. mq this '�- day of Signature of Notary _ L4TI [ ] Personally Knovr�n OR [ /Produced identification JENNIFER KRi iH Notary Public - State of Florida �a Commission # HH 152381 ` My Comm. Expires No, 7, 2025 Bonded through National Notary Assn. (Signature of Contractor) Signed and sworn to (orafir ed) befor met is IT da f C14-1---- 14 by 111 C?, Signature of Notary [ ] Personally Known OR [ ] Produced Ide cation Typ TONI GINDLESPERGER My COMMISSION # HH 407122 +P EXPIRES: October 6, 2027 •.f OF F��•' State of FL Tax Folio No. County of DUVAL 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 stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improve Address of property being improved: 1545 MAIN STREET ATLANTIC BEACH General description mprovements: ASPHALT OVERLAY Owner's interest in site of the improvement: � %� Fee Simple Titleholder (if other than owner): Name: EDWARD BURDEN Contractor: ATLANTIC ASPHALT Address: 12574 FLAGLER CENTER BLVD JACKSONVILLE FL Telephone No.: Surety (if any) Address: Telephone No: Fax No: Fax No: Amount of Bond $ 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 from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Doc # 2024047911, OR BK 20974 Page 629, �r ` �U� Number Pages: 2 Recorded 0311 112024 1 1:04 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 signed: Date: 3/8/2024 Before me this � day of March in the Count of ' State Of ��ahas personally appeared VICtOr ROdrICIUeZ hest e Notary Public at Large, State of��, County of ��. Chesterfield, My commission expirel�' Personally Known: or ^-��••--� ��'entification: Florida Driver License NotaryCam Doc ID: d6dOde2d-1396-455e-80b7-4e7a44ed5044 Certificate of Acknowledgement Commonwealth of Virginia city/county of Chesterfield 3/8/2024 b Kelle M William personally appeared, Victor Rodriquez On efore me, y , proved to me on the basis of satisfactory evidence to be the persons) whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument the persons) or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my hand and official seal KELLEY MARICA WILLIAMS Electronic Notary Public Commonwealth of Virginia Registration No. 7961837 Signature (Seal) My Commission Expires Aug 31, 2025 J Commission Exp. 8/31/2025 Completed via Remote Online Notarization using 2way Audio/Video technology NotaryCam Doc ID: d6d0de2d-1396-455e-80b7-4e7a44ed5044