Loading...
475 SKATE RD DWAY24-0014 Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: Jeff Newman 377 7TH ST ATLANTIC BEACH FL 32233-5433 COMPANY:ADDRESS:CITY:STATE:ZIP: SOUTHERN TURF CO 3571 FAR WEST BLVD #152 AUSTIN TX 78731 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169944 0000 SHERRY TERRACE R/P JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 377 7TH ST RESIDENTIAL OTHER SINGLE OR TWO FAMILY RESIDENTIAL OTHER ARTIFICIAL TURF $14900.00 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: 3/25/2024 PERMIT NUMBER RESO24-0030 ISSUED: 3/25/2024 EXPIRES: 9/21/2024 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 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $129.00 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. 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 at final inspection. 9 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL Notes: Cannot bridge any existing water retention. 10 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL Notes: Must dig down into any water retention and keep volume area. 2 of 2Issued Date: 3/25/2024 PERMIT NUMBER RESO24-0030 ISSUED: 3/25/2024 EXPIRES: 9/21/2024 RESIDENTIAL OTHER PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 City of Atlantic Beach Building Department PERMIT# REso?4 -0030 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process Phone: (904) 247-5826 Email: Building-Dept(E coab.us Job Address 377 74-1,, SS•- 1-re.4.1. RE# r1C ccL1UU_ ' Legal Description Valuation of Work(Replacement Cost) $ )y oat,db Heated/Cooled SF Non-Heated/Cooled SF Class of Work: ® New [Addition Alteration URepair Move Demo Pool Window/Door Use of existing/proposed structure(s): [Commercial Residential • If existing structure, is a fire sprinkler system installed?:Des No Will tree(s)be removed in association with proposed project? [ Yes (Must submit separate Tree Removal Permit) I No Describe in detail the type of work to be performed: Tut.cie. a 2.014S G' Pvr4-, or% o- }1,G (oo.cAL yova . Aiso -}'yr cine 0% 37 )0.9 pvr.f:or, o•P 44,s. upper .creM yt. . b) . - ga' y • an v s ,,..) I+svrt • ,,,e: wno Florida Pro uct Approval# ao 614r14.s4.0el For multiple products use Product Approval Informaion Sheet) Property Owner Information Name 5" -C-C. New fVN" Phone 30S - 31) - )ctIz-f Address 377 "71-k sa- City Ano~n;,G t (.jy State FL Zip 3 as 33 Email ics.c 3 0, w wr.r Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Infor it Naa of Company sa *\ r A 4-u c-c- Co Phone C17 ..s`(o .. 99S 5 Address 35 7 1 t- r. r W CS* DlvO o IS a_ City A ../5 4: State 1 v Zip 7K 73 Qualifying Agent C or-q6.‘1.- Q ra.„7 b,^ N.)0.1 c.State Certification/Registration, Email Fsr.rkov" © 600N -,fin Job Site Contact Number Worker's Compensation Insurer OR Exempt [ Expiration Date Architect's Name N A Email Phone Engineer's Name fl 18 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 BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDE N ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEM Signature of Owner agent) 2 , ,,,- Signature of Contractor) ' . S n d an sworn to(or . it ed)bef. e this day of S. sworn to(or a'• med) beforeme this day of I:'A 1 Com_ °-'34` , Z 1 by r CI1`'!N t'. .a t_, 1\ C•t.J'0\ , 2.'` by .4 c._. )L,..me iggiPi— Signature of Notary Signature of Notary Personally Known OR [ ] Produce dentification Personally Known OR [ ] Prod -, Identification Type Qf i tification• [ ' 1_ ' Type of Identification: i,' • 4.' A' •,, TONI GINDLESPERGER S pYPy TONT GINDLESPERGER a.. MY COMMISSION#HH 407122 yi ' MY COMMISSION#HH 407122 r.P EXPIRES:October 6,2027SofF4: EXPIRES:October 6,2027QFi 1 I PART OF BLOCK 9, ATLANTIC BEACH9MPERVIiUSC, 262 ATiGN PLAT BOOK 5, PAGE 69TOTALAREA8,252 SQUARE FEET h PERVIOUS AREA. 2,495 SQUARE FEET-30% 35 I_ @:.3.)- N83°41'28I"E S: LKO7Gel:TTO` s93'42 OD"E fi5.D0 (P) I D' 37 RCS PI[ 7jjj``` P 31, 0' TANOJAPOOOFENCE , OUR!a .. .-0.J• b; ,,, i LB 6508•. iw a. ki IRON DIRE. 0' T - 41-Urc y9 x t NO ID, FOUND 51r IRON ROD x 57XX5 j AND CAP LB 6'WOOD FEN.:: , '• 20 0RL ' III 0.4' REAST6 • 0.3'SOU TH SHERRY -TERRACE t'` FOOLuapMEr:r PCCL PLAT BOOK 20 PAGE 45 AS Ai avu •1' fiery_ ;4 =11.05 tr V'8'00"W, 12700 (P1 CF:I- y PART OF BLOCK S. J NOO°18'00"W 128.99- 's ' s.99. PLAT BOO) S ala N iymbol Legend 3h3'ACDAc re I oNm 6''WOO)FENCE Ns. m:i Dau --- 0 l._. 377 71H STREET '7I VE 2 STGRY STUCCO J I r'OPBRCPAF.F.E=11.53 1 r 'tiC))STORM C{k,LRP31NG \ ' 1'8-4'. O MAN IDC FROM CONSTRUCTION' ` i a_ i, NA_L Boxp p01rn e-1 NFTF4 C2-....)'\1 TELE'I+ONE IRISERFOUNDIQ*w 1h GAaAcE U('LITYPOLE IRON PIPE TOOL' d, I — , t— T G,F.F.E— j fi"\Y004FENCE NO ID. ti . ,' iY FF FiNAI ROOD CC F.F4ATIaN ARM•IALT k r I Gtt X5.99' IFE GARAGE DRIVEWAY s 20'671 r`'1?' ... L ENATION fes v s :::•:; •. S SHQV:E SEWER a 4..u.'. PY kCCK OUND 117. PROPANE t _FANO JT i xS7><aq DRl'!EWAT: IRON PII.:F ac vQ ID. INV,FIF. -A.2_"C_— is b a-m 3 9s 7e ''.00NOR • 27.65 F0t1No1r2'N83.39'14,>E 100.1: Legend IRON PIPE Nt13-42"30°E ioo.ov' (3) totes: EDGE OF r S83°33'28"1P 64.97SITEBENCHMARK: PAVEMI7N1 _-- v F PE AS NC-E0-EU 0MAGNAILANDDISKJ/' SP. a2',^,0" ' 6t.00' (P) STAMPED'ELEV LB 65o8'• r'SITE BENC m Roo As naT D ELEV.=7.35(NAND-$8)0.. MAG NAIL SEVENTH STREET STAMPED' ELEV. =7,C r O 40' RIGHT OF WAY 9 NOTICE OF COMMENCEMENT State of 1 o r Tax Folio No. j JJ 141 - 000G County of Ov ./a To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is this NOTICE OF pMMENCEME JT. Legal Description of property being improved• c,)..5 .1.F-(0) Address of property being improved: r31 5 41-/-)an i, L D c a r1, F) 322 3) General description of improvements: iq)d. ^p, _ .c; \ A"r C A O -cc O v..cV Yrt } Owner: Sr CC Na n Address: 377 74.. 54- Owner's interest in site of the improvement: 14,)•. ,. dI21,44 Fee Simple Titleholder(if other than owner): Name: Contractor: or\ N A4-o.l f Address: 10 woo.4I oJr e,c. 6 c Telephone No.: SW - 39(0 -Tell)3 Fax No: Surety(if any) 5 c,v41 tri+ 'Lr C o Address: 1S'1 'r..1' W os l- ( MVO 3# IS Z Amount of Bond$ Telephone No: 713- too - u ZO Fax No: Name and address of any person making a loan for the construction of the improvements Name: nl)a. Address: WA Phone No: A!/A 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: c.r+i)o., (Unl ale Address: 10 Woo, ia.r.) c ,Cv..s Dr Telephone No: S6) - 39G -loos 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: eN /v n4-0,42: Address: IO WopAlo— grCers br • •e- Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year frdlifililltigrMilligrrtt date is 1" specified): Pv' B TONI GINDLESPERGER rr MY COMMISSION#HH 407122 THIS SPACE FOR RECORDER'S USE ONLY OWNER OF F%.,, EXPIRES:October 6,20 7 Signed: Date: , '11'1 noc#2024050952,OR BK 20975 Page 1607, Before me this 2 day of pi\ ZOZ4the County of Duval,State Number Pages:1 Of Florida,has personally appeared re` of•J . iJ M n Recorded 03/14/2024 10:42 AM, Notary Public at Large,State of Florida,Cou of Du al. JODY PHILLIPS CLERK CIRCUIT COURT DUVAL My commission expires: COUNTY RECORDING $10.00 Personally Known: Produced Identification: L- r,,, Revision Request/Correction to Comments ALL INFORMATION City of Atlantic Beach Building Department GRAY IS REQUIRED. j 800 Seminole Rd, Atlantic Beach, FL 32233 HIGHLIGHTED IN j Phone: (904) 247-5826 Email: Building-Dept@coab.us e.c- 3 ---13(- (=' Revision to Issued Permit OR Corrections to Comments Date:`( ArAcCet I ,a1 t Project Address: -\ --\ rj \4(-1\ \ El (2 C> Contractor/Contact Name:------ C:.:)',-...-:') V C-k\ ‘ i J1 C-A\tr7 c--1,f Contact Phone: q 0`A —' k"C?):4.-1-1 Email cc c e,J C.%'-Q„kt,.. 901FNN\`C'C's'' Description of Proposed Revision/Corrections: w -7-6. Cfi-,-- - ,\,A t-vf--11 V c C -s eat_ - o a e- ,A 11.11 A 111 S car L. t (0e 1 cam. Pc_T\.', 0 Q.AQ -A% L...'( .' -i id \cavA tt._, 1oc)C=' 7- - .k`D'L -1 c '"\-)1.(:)C-)`01• -- 50-54-0 e(:)C-)` c 5tA 5X4-0 TAN affirm the revision/correction to comments is inclusive of the proposed changes. Printed name) ill proposed revision/corrections add additional square footage to original submittal? No E Yes (additional s.f. to be added: ill proposed revision/corrections add additional increase in building value to original submittal? No C*Yes (additional increase in building valu . p Contractor must sign if increase in valuation) Signature of Contractor/Agent: L-6 6--,--)d(7 - ea.) 0-?/o11 r_____ Office Use Only) Approved Denied C Not Applicable to Department Permit Fee Due$ 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 Jn 7J -,d 7Jy b 4- y 5 o 6..0 i p i-. 0 p i- C a L Ct1 D G j) z_ r I)4-L' 91 9T1 o c - s) 0 a oi 0 ) N 1, 0 6 0 c (1) c),,, 75- i: 0 ' E o? I " 1.- 9% S A Q n 9 __ cT'- D P I- g3 L9 0 rt' to E to : _ 7 )t G Ps a bT 0 pJ.15 `11 0 01 u V 5- dini d's n c---., ,f) -gq - 5. 3 0 -0 Li!Er-, .,-i.,_ q_ 1_- 0 b s) 25) 2 1 I 0) - L r '71 1.).-1, 10-vi C : 1$ ----... 1, L , o, x D. 0 (. I-, o l' ii- C? q-a 6 V - 4-- 47--- 0 t-i l 3?4)- r r4af t If- 7--i 'l (-) Z G 0 FA i/ 3,n 1- T rr:-flz) c-.)r• p 7. 0 G 1 C t e. 14. a) fl.--- Pi jY,d Tl oy d 3 LJ A) 0c Permit Reviews 1511, Cit of Atlantic Bea h Permit Number: DWAY24-0014 Description:CONCRETE DRIVEWAY Applied:2/29/2024 Approved: Site Address:475 SKATE RD Issued: Finaled: City,State Zip Code:Atlantic Beach,Fl 32233 Status:AWAITING CORRECTIONS Applicant:<NONE> Parent Permit:."—R C)‘,S43 Owner:LANDRY PROPERTIES LLC Parent Project:j 'I jAl€ CR00 Contractor:<NONE> jCk,k, %;9( Details: LIST OF REVIEWS SENT DATE RETURNED DUE DATE TYPE CONTACT STATUS REMARKS DATE Review Group:AUTO 2/29/2024 SUBMITTAL Permit Tech COMPLETENESS Notes: 2/29/2024 3/7/2024 3/14/2024 ZONING Zoning DENIED Notes: Please show additional square footage of impervious surface. Projects that add over 250 square feet of impervious must provide on-site stormwater retention. 2/29/2024 3/8/2024 3/14/2024 PUBLIC WORKS Public Works DENIED 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. Provide drainage plans showing site topography(flow arrows,etc.). Provide erosion and sediment control plans with installation details. Provide impervious surface calculations for entire lot(existing and post construction). Section 24-68(b)of the Land Development Regulations requires on-site storage for increased run-off if adding 250 SF or more impervious surface. Provide Delta volume calculations and on-site retention required per Section 24-68(b). All runoff must remain on-site. Cannot raise lot elevation. Provide a detailed plan of water retention area and how water runoff gets to water retention areas and then to street. Provide detailed plans showing proposed water retention. Water retention must have a minimum offset 10'from any living structure;a minimum offset 5'from any side property line;a minimum offset 2'from any front or rear property line. 2/29/2024 2/29/2024 3/14/2024 PUBLIC UTILITIES Public Utilities APPROVED W/CONDITIONS Notes: Printed:Monday,11 March,2024 1 of 1 CENTRALSQUARE OWNER:ADDRESS:CITY:STATE:ZIP: LANDRY PROPERTIES LLC 603 15TH ST N JACKSONVILLE BEACH FL 32250 COMPANY:ADDRESS:CITY:STATE:ZIP: TAYLOR CONCRETE SERVICES 603 15TH ST NO JACKSONVILLE BEACH FL 32250 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 171521 0000 ROYAL PALMS UNIT 02A3.00 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 475 SKATE RD DRIVEWAY SINGLE OR TWO FAMILY DRIVEWAY CONCRETE DRIVEWAY $3100.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL Notes: Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5878. State Law requires calling Sunshine 811 to have ALL public utilities located BEFORE beginning the work. 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: 3/25/2024 PERMIT NUMBER DWAY24-0014 ISSUED: 3/25/2024 EXPIRES: 9/21/2024 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL Notes: Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. 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 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. 6 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. 7 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration, including sod, is required. 8 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. 9 PUBLIC WORKS GRASS INFORMATIONAL Notes: Full site to be grassed. 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. 2 of 3Issued Date: 3/25/2024 PERMIT NUMBER DWAY24-0014 ISSUED: 3/25/2024 EXPIRES: 9/21/2024 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PU REVIEW BUILDING MOD OR ROW 001-0000-329-1007 0 $25.00 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: $150.00 13 PUBLIC WORKS WATER RETENTION INFORMATIONAL Notes: Water retention areas must be sodded prior to inspection. 3 of 3Issued Date: 3/25/2024 PERMIT NUMBER DWAY24-0014 ISSUED: 3/25/2024 EXPIRES: 9/21/2024 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 vi BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach Building Department PERMIT# f31)3 A`1Z4-Ob ( 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address 14--i5 5 K f-ik(& &OQp RE# Legal Description Lij t lbC ` CD f41-1 a,p l 'PM\ r Valuation of Work(Replacement Cost) ,C;e3. a° Heated/Cooled SF I B Z.. Non-Heated/Cooled SF Class of Work: New ID Addition Alteration Repair Move EDemo Pool Window/Door Use of existing/proposed structure(s): Commercial Residential • If existing structure, is a fire sprinkler system installed?:Yes*o 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: ids Dee O O\d i‘-lw"'-1 -4- o e} 7o LI/ J C ije 1 f pW i.-3 C Z c o4 t o r r+1 -a- Qr t c V't'' gp cK -P o rol jit*.c.4( O kr, c_o•leccekr c 4 Skke 4.1 Q"t. f?..e i1 1 " Florida Product Approval#For multiple products use Product Approval Information Sheet) Property Owner Information Name L gal c-0 rtes Phone 104-11( -1t I Address GD 3 l S ¶ c City cg ,o,State'R.I Zip 3, S' a Email py\r IS D(ANA•G4ve r or Agent(If Agent, Power of Attorney or Agency Letter Required) Name of ComContractorInformation pany t timi-04. CD,JQ T,e,.tUCsi' Phone 901 •:&.1.9V-0(06) Address 1.00 3 \c&tik p ,,,,,1 34-1,2‘ City QesaC.\ State F l Zip 3 So Qualifying Agent 'p i,--, 1 NJ cr co 2 State Certification/Registration# Email oitoc Q c4'J cry,A, eOrr Job Site Contact Number 901-1 - ).461.-0106) Worker's Compensation Insurer 1 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 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 ATT EY B OR RECORDING YOUR NOTICE OF COMMENGcMENT. CAl-t. a.,,,,z--L. Signature of 0 r or Agent) nature of Contractor) Signed an. sworn to(or Au, ed)before me this 27 9ay of Signed and sworn to(or . ed)before me this 27 day of 4 .y : D A 1 Q__b 11W4 b va _(.....A- affSignatureofNotarydi. 4ftW Signature of Notary diPersonallyKnownOR [ ] Produc•• • -ntification I Personally Known OR [ ]Produced . •ntification Type of Identification:7-- - L-- Type of I TONI GINDLESPERGER N Pyr TONI GINDL:: 4200727122MY COMMISSION#HH 407122 MY COMMISSI'N#HH in, 1.1'p rob2r 6, aN i EXPIRES:October 6,2027 Q; EXPIRES: fbvg°; F OFF ' I-- /1, y ri, am ! Si ' '- - II , NI II IIIWWIF II t lar _ P EG;1 C A j 0 7;>1 ' 0 c)F)1 P Z Ti Ti o J Cv r 1 : G b 0 P- 0' kri R tAgt1 i) i g7 --5 lic.I zi_ f) s r 2 1E 1 ij n, 0e MAP SHOWING BOUNDARY SURVEY OF LOT 2, BLOCK 18, REPLAT OF PART OF ROYAL PALMS UNIT TWO-A, AS RECORDED IN PLAT BOOK 31, PAGES 16 THROUGH 16-D, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: LANDRY PROPERTIES, LLC CROCKETT LAW, PA OLD REPUBLIC LOT 24 LOT 23 BLOCK 18 BLOCK 18 10' EASEMENT FOR DRAINAGE & UTILITIES S 07'16'02" E 80.65' (PLAT) t.0' S 07'20'57" E 80.51'7MEASUREDF 29' D.0' 0 W LOT 2 0 D BLOCK 18W N a W c t+1 C3 aly_` o' PAD O m C '_-9,7- 1 4• „I.-COVERED- w ENTRE o WELL V rn 45.3' 15.1' 0) LOT 1 BLOCK 18 LOT 3 3 P' ..,,,,_ 5 ONE STORY BLOCK 18 BRICK b w POSTED #475 3 ci 3 0.2 1.2 Q) c t^^ 55.7' lC1' tl^ lo iv CV 1 {25' BUILDING a) M RESTRICTION LINE N Z y A ao 00ZI m n N 61' (PLAT) 108.25(MEASURED) BLOCK N 07 0'10” W 80.70' (MEASURED) N 07' 6'02" W 80.65' (PLAT) SKATE ROAD 60' RIGHT OF WAY) LEGEND: Q = SET 1/2 REBAR PC = POINT OF CURVATURESTAMPEDPSM/6146 FOUND 1/2• IRON PIPE PT POINT OF TANGENCY NO IDENTIFICATION PRC - POINT OF REVERSE UNLESS OTHERWISE NOTED) CURVATURE 4•x4• CONCRETE MONUMENT PCC - POINT OF COMPOUND A/C = AIR CONDITIONER CURVATURE X— = FENCE O - CONCRETE Ray Thompson REVISIONS SURVEYING, Inc. DATE DESCRIPTION Going the DISTANCE for You M1-- CROCKETT LAW P.L. 1825 University Boulevard West L REALESTATE LAW Jacksonville,Florida 32217 Phone)904-448-5125 Fax) 904-448-5178 JOB # 25993 I DATE OF FIELD SURVEY: 1-24-2015 1 SCALE: 1" = 20' NOTES: CERTIFICATE 7.- ,.1: BEARINGS ARE BASED ON THE PLAT-- BEARING OF --N-$Z'4 @ E___I HEREBY CERTIFY THAT THI' , N c %IN&,'64a NDER MY RESPONSIBLE CHARGE ALONG THE NORTHERLY BOUNDARY UNE OF SUBJECT PARCEL. AND MEETS THE STANDAR, . 'PRACTICE Ag "-' ORTH BY THE FLORIDA 2: BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE BOARD OF PROFESSION ••VEYORS.AN® MAPP1.• IN CHAPTER 5J-17, FLORIDA X "AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP, ADMINISTRATIVE Co: • ••DANT TO SECTION 47 ORIDA STATUTES. DATED: JUNE 3, 2013, COMMUNITY NUMBER: 120077 PANEL D4Q8-11_ . 3: THIS SURVEY REFLECTS ALL EASEMENTS & RIGHT OF WAY AS PER RECORDED agf _ — PLAT &/OR TITLE COMMITMENT IF SUPPUED. UNLESS OTHERWISE STATED. NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. AYMOWTHOMP fr 4: THIS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SUR •44,.' FIND MAPP,E' 6146 STATE OF FLORIDA AND AUTHENTICATED ELECTRONIC SEAL. LIC `CI.=S'9.W-p • . 7469 LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS I / / Y t\ ir-z." 1t , t \ 55 5.gf 0 ID i; --;t)._ a 0 i , I, Z, 6 b ,c a A k i; 6 5 6 1g -t. L i 4 3 b eX- iv 1:-1 ci 1Qa 0