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Permit 2025 Beach Avenue y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000360 Date 4/01/10 Property Address . . . . . . 2025 BEACH AVE Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 -------------------------------------------- Application desc CONCRETE TO PAVERS --------------------------------------------------- Owner Contractor ------------------------ ------------------------ REICHLER THIS OLD BEACH HOUSE INC 2025 BEACH AVENUE Q/A:QUICK, MICHAEL B. ATLANTIC BEACH FL 32233 3869 GRANDE BLVD. JAX BEACH FL 32250 (904) 249-2904 ------------------------------------------------------ Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Expiration Date . . 9/28/10 ------------------------------------------------------ Special Notes and Comments Ensure all meter boxes, sewer cleanouts, and valve covers are set to grade and visible . A sewer cleanout must be installed at the property line if not already existing. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . ----------------------------------------------------- Fee summary Charged Paid Credited Due ------ ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. II Crty of Atlantic Beach moi}' .- .i APPLICATION REVIEW } ND ' O* l 5 464 Nmaant __ W . ii r - - .-- 5 CXbw Agammy Rsvbw or Pan'v* or Rs=** Daft Of it r Fkwkk Dept no SL Mwer ', J._ ! _ __ APPU"TiST.ATM I ,1c ct Fr Hh one-) 1 i BUIUMNG TREEADUK RRE SERVICES a Rmrkw. ■ ■�as e ■li } Cbnmmnt ti Revie -! s DaL-- ViSed a I , CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 37233-55445 Fax 904-247-5845 PLEASE SUBMIT(3)CT77-,' ES TS OF PLANS WITH APPLICATION. Date !b -- PERMIT# Job Address // ISSUED BY THE CITY L Permitee: J Q -Y {I/ A Xb C- r4 �~' 9 D0 e ephL14 r C Permittee Address: Requesting Permission to Construct: Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utliities/Municipalities: Jacksonville Electric Authority Yes( ) No ( } Date: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes( ) No ( ) Date: Comcast Yes( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent)located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. 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 showing any increase in impervious area on owner's lot or in the city Right of Way are to be Included with this application 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the 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 of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again Immediately upon completion. OWNER Signed: Date: S/,fA �� v Before me this day of 1Giie County of` Eli 3��Gt State Of Florida,has pe any appeared -ic'u'—of Notary Public at Large,State of Florida,County of fBeval.n/ SS. My commission expires: '7—2-9—2-n 0 ersonalty Known. -� Produced Identificat Now Pdk-ft*of raft �iM1rM��Nolr!►Awl. CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 a y% Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMP TE S TS OF PLANS WITH APPLICATION. Date Z a PERMIT# ISSUED BY THE CITY Job Address ' f3 . 4. J � f. Permitee: s `� �� £- Telephone# k C Permittee Address: •--c- -�' Requesting Permission to Construct: vC cacti a Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ) Date: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes( ) No ( ) Date: Comcast Yes( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. 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 showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the 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 of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: 5/,IA D Before me this day of in the County of�aeFt.S�ClGG2 State Of Florida,has perso ally appeared v`� &&k' .Kkt � Notary Public at Large,State of Florida,County of Banal.IVASS 41f, My commission expires: —1q--2-Q!, ersonally Known: Produced Identificati •uu MA1 �r�"� NEMA PWM•IMAM M Fbft W #00 Nr12 loWW7hV*PIk Na1grAMN. R.O.W.Permit Attachment of for R.O.W. Permit# issued ,200_ Atl4A4 Beakh, FL 332233 Owner's Name: <L 1 J� Property Address: 2G2 ��.� N �• Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 200_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and 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 of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: t0`XC%4 : et ri irmt -1 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 by CITY to the USER, said notice to USER shall be given by certified snail, retunl receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly snake any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described 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." Page 1 of 2 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. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(3 0) days after the day of completion. This permit shall inure to the 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 public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. �n DATED and SIGNED this 2_1A, day of 01'tm ,206 . By: 04 �Gj4 Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL 16 On this Z- day of (t� %-, ersonally appeared before me, a Notary Public in and for said County and State, �� the property owner of Atlantic Beach, Florida, known to me to be the person(s) describe,a in and who ex cuted the foregoing instrument; who acknowledged to me that he or she ex ed ' sarm reely d voluntarily and for the uses and purposes therein mentioned. •1�ry,'. SHIRLEY L GRAHAM otary Publi in fora County and State I. .= MY cOMMISSION#DO 957750 EXPIRES:February 14,2014 'Jpf Bonded Thru Notary Public Underwriters CITY OF ATLANTIC BEACH,FLORIDA, municipal corporation: Approved: Ricky L. Carper, Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 Fr°=� ATI.I%N'rlC OGCAI+.I _ a r..•.v� r '4J f'k rl c+ U p c0 G.G.G•4.tN� � -- '— 111 � �• � ---- EwTKY � L`'C BtiQ� i Exec irl� � �11� .- -. ;FN u 111 111 NJ� z Vi DoT �a NoQTM -► UNiT N 3 eEf.cN, d v d Rpr 14 04 03: 22p RCM SURVEYING 904-389-6175 p. 1 Tj II ` I i VI it I } II � I ig pit �„,i..,p'� ►,� I � 9 I I Q A k!i••Sis I �^ 9UP y e i � 7.i sW'M'♦ uJ=Mw(•�xt —' f}ii�� j _ _ -' -!r" (Tri•++` ! • �� ` ✓< ti `, : ` / .. ! ,• r r""" ''+��k"..4 L; �`. �b'c ID'S / ~►, ••..::' •.!•r.• y,h� 1 tai'' :Z Y •,i Zt b � �+ p+r n i � 1 � � I r Rpr 14 04 03: 22p RCM SURVEYING 904-389-6175 p• 1 II III . IIS 011 tit 29,5w t �tt m I � PUT c s tl icy p•tua .r �i > � ! / �:��� ���•..;;y':,•�; ••4�\kms'• '`��. ;tic ��s Val jp A riz s, � X• tG &�� �:� i 3ZZ44 i �, CITY OF ATLANTIC BEACH , 800 SEMINOLE ROAD ± ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000447 Date 4/14/10 Property Address . . . . . . 2025 BEACH AVE Application type description IRRIGATION/SPRINKLER Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc irrigation ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REICHLER EARTH WORKS DESIGN & 2025 BEACH AVENUE MAINTENANCE, INC. ATLANTIC BEACH FL 32233 11111-70 SAN JOSE BLVD # 297 JACKSONVILLE FL 32223 (904) 268-4866 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/11/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 62 . 00 62 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION � r Date: J)o Property Address: v ) 5' g e ei c h �g.ve j w,(,, Owner: ► C f1 1�r I Telephone#• Contractor: �p�f• (c jrl �}-► � _ Telephone#: �J�C1 -b'-1l , Contractor Address: /I 5 i iseQcj-, (�(��. �y{� 'Fax#• 2/ -e),-1) 9 In consideration of permit given for doing the work as desc0ed in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice fisted therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, d' New list the building permit number: 0 Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Others toN Fees 5�5 Qb Permit Issuing Fee: $ -4 d 0 © O Total Fixtures: _ X$7.00 + $35.00= 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904) 247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beach.fl.us raj k I1 ]r CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000439 Date 4/26/10 Property Address . . . . . . 2025 BEACH AVE Application type description SIDING PERMIT Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 22250 ---------------------------------------------------------------------------- Application desc REMOVE/REPLACE CEDAR SHAKES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REICHLER THIS OLD BEACH HOUSE INC 2025 BEACH AVENUE Q/A:QUICK, MICHAEL B. ATLANTIC BEACH FL 32233 3869 GRANDE BLVD. JAX BEACH FL 32250 (904) 249-2904 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 165 . 00 Plan Check Fee 82 . 50 Issue Date . . . . Valuation . . . . 22250 Expiration Date . . 10/23/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 165 . 00 165 . 00 . 00 . 00 Plan Check Total 82 . 50 82 . 50 . 00 . 00 Grand Total 247 . 50 247 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: Z07,5- B F_ac w A l/FF Permit Number: Legal Description 15-q3 I-ZS-241_ K. A 11_0,,�J TIC.&-Al Parcel# 1(g�70 ©000 oor Area of Sq.Ft. i .nr *3 ?T Sill Valuation of Work$...Z Z l ZS o Proposed Work heated/cooled L-o T r,a non-heated/cooled Class of Work(circle one): New Addition Alteration epi• Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: N a 5 Property Owner Information: Name: tcaa,rtb T\ EtaHlE2 Address: �Ec�c+t A► ->:r City�T�,,l ra l �c u ^_State Zip 3 -Phone Z Li Z-05o I E-Mail or Fax#(Optional) Contractor Information: Company Name: 141T S F�AcN LVS97. lo QualiYAX ing A ent: ��,�,�q�� �,r� Address: I-f _ 3+u' 5T" �r City c State J�Z_ Zip 322,5a Office Phone_(Q$S-Z(o(12__Job Site/Contact Number - Fax# &e5, -7 f!j State Certification/Registration#___ GCl C- l S1-T 5'8 Architect Name&Phone# Nq Engineer's Name&Phone# Fee Simple Title Holder Name and Address (Z _ Bonding Company Name and Address Mortgage Lender Name and Address 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 laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aper:od of six(6)months at any time after work is commenced. I understand that separate permits must be secured for E[ectrlca[ Work,P/untbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Condltloners,etG WARNING TO OWNER: TO RECORD A NOTICE OF COMMENCEMENT MAY RES N YOUR AYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU N2END TO TAIN FIN 1. TH YOUR LENDER OR AN ATT 11SEY BEF4 RECO UK INU �C ENT. I here b certi that I have read and FIL fy examined this plicati ame o e true and correct. rovisions o aws;,d ds ON ojywork will be complied with whether sppeecied here ordt ZD a g f a permit does not ruing this Provisions of arty other federal,state, or local law regulatin o®rrai� the rmance of corrstructia�9 o�ancel the V V°Ao 'er Signature of Owner d ignature of Contractor /Print Name /L,�l / / O ame r�-h.. w rint N w.� _... J '............................................. ........... U.i. 1�............................... .......... _.......... .... Sworn to and subscribed before me Q worn to and subscribed before me this 1 `_'Day of A P t{�I w is LINDay of__ APcG ill .201c7 o ublic o -.4 a,zo/ V K" DONALD C.CONRAD,m '6k DONALD C.CONRAD,IN MY COMMISSId�ItfJil9 O4)1. 10 �• .: MY COMMISSION M DD 913714 5 d EXPIRES:November 30,2013 EXPIRES:Nov~30,2013 Bonded Thru Notary Public Undenvritera or , Boned Thrill Notary Pu*Underwrkerl C€€y off Atlantic Beach APPLICATION NUMBER ..: Buf[din 9 Eie a_�e€rr€� cio be assigned by the Biding Department) . ; 800 Seminofe Road ? T Atlantic Beach,Florida 322335445 e J - Phone(904)247-582a - Fax(004)247--5845 �r:3 E-MaI buifding-dept cQx eoab us Date rdud4d ' Cify web-site_ hftP:1Ary r .c aab.us APPLICATION REVIEW AND TRACKING FOR "roierty Addrass• Z &dzl-) Alt, =PaR t.raview required YeaA No Building ILPPHCa&. J� Pfanning&Zoning "tee Administ7etor ;lr'q:!qCt: Public Works 1 Public Utiffies Public Safety Fife SBrvicaS - ---------.._. Review or Receiptdes AgencyReview or Perm Reg€agred b� of Pere�ere€red g� DaftDaftFlorida DepLLL of Environmenfaf Protection Florida Dept cf Transporfaflon St:Johns River Wafer Management District Amur Carps of Engineers DivWon of€iotefs and Rescauranis Dk sion of Alcoholic Ssvemges and Tobacco Other: PLICATION STATUS avlowi€ag Deparf hent First Review: �pmved. FICenied. (Circle one.) Comments: BUILDING I A.NNING&ZONING Reviewed by: Date: TREE ADNEiIht" Second ReviewA roved as revised_ pp Qi]enied_ PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Efate: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Revievived bv: Date- P3�,-6 Gv�kk£CY�