Permit R/W Driveway 1708 Park Ter W 2011 6 . << CITY OF ATLANTIC BEACH
SA 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001528 Date 1/25/11
Property Address 1708 W PARK TER
Application type description RIGHT -OF -WAY PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
remove concrete install pavers
Owner Contractor
MITRICK, JOE ENHANCE OUTDOOR, INC
Q /A:GUIDI,DAVID E.
ATLANTIC BEACH FL 32233 ELINOR RD
JACKSONVILLE FL 32257
(904) 296 -7777
Permit DRIVEWAY PERMIT
Additional desc . .00
Permit Fee . . . 35.00 Plan Check Fee .
Issue Date . . . Valuation . . . . 0
Expiration Date . 7/24/11
Special Notes and Comments
Avoid damage to underground water /sewer utilities. Verify
vertical and horizontal location of utilities. Hand dig if
necessary. If field coordination is needed, call 247 -5834.
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.
Cleanout must be covered with an RT1 concrete box with
metal lid. Cleanout to be set to grade and visible.
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Container cannot be placed on street overnight. Must be on
homeowner's property.
Other Fees STATE DCA SURCHARGE 2.00
ENG REV BLDG MOD OR ROW 50.00
STATE DBPR SURCHARGE 2.00
UTIL REV MODIF OR ROW 25.00
Fee summary Charged Paid Credited Due
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
PERMIT IS XP�PK ED`MYIC q
RDANCE WITi Q LC C ITY OF ATLA71409EACH ORDINANCEQ 9kND THE FLORIDA° 0
BUILDING CODES.
$ q y CITY OF ATLANTIC BEACH
-' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Page 2
Application Number 11- 00001528 Date 1/25/11
Grand Total 114.00 114.00 .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
. l7 0 d C-4/ ?�. - �
c__ , V , Permit Number: � `7 ��2 [1
0
Job Address:
Leal Descri tion Parcel #
g p Floor Area of Sq.Ft. q• t •' �
Valuation of Work $ / 0 Proposed Work heated /cooled A) l non- heated /cooled _-
. /
Class of Work (circle one): New Addition lteratio Repair Move Demolition j I' i
Use of existing /proposed structure(s) (circle one): Commercial ' -sident' -
If an existing structure, is a fire sprm er system installed? (Circle one): - No !') JAN 0 5 2011
.4
Florida Product Approval # A.
For multiple products use product approval orm e
Describe in detail the type of work to be performed:
Property Owner Information: -�-�
Name: --- t, ,4 L 4 i 4, Address: /7 afizk- ✓L:er - et " 1 'r`
City 441 2 -' -h- State Zip :22'y Phone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: epee 0 rPer& Qualifying Agent:
Address: /01 .7hd .- Lc r 2 City State fL Zip 3-2c 7 7
Office Phone '7% — 7`77 - 1 Job Site/ Contact Number 3?3 - i y 3& Fax #
State Certification /Registration # L /37 of7df3
Architect Name & Phone # .--
Engineer's Name & Phone # ---
Fee Simple Title Holder Name and Address
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. 1 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 beconzes null
and ork is commenced. o menced. of I under stand that separate per must be secured for Electrical Plumbing, Signs, a Wells, Pools, six tu months
Boiler any
s, time
Heat
Tanks and Air Conditioners, etc. Signs,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owne i_ ` Signature of Contractor — _Ali
Print Name ce a r .4. 6/ ( ._ Print Name , A' z to
Sworn to_ and subscribed before me Sworn t and subscribed before me
thi- Day of ,4-r''!�i� L. / , 20 /," .__. .•........._ - -t Day of — 'l , 207/
�.. r� �JIEt t T523' �, A
,, + r `• ` F y +• B 1 �� _ iii � y. 'ON F7 GUM 1
Notary 'ubhc Y ▪ "� _ �1Y c Ll start' 'ublic a° �, MY COMMis510N # DD917
▪ YH a•• U USt ( 'I
►'' , Fx�i ES A g __ "' Es August 18.
-(.41.31-,,,' fV ICf CL (ll 1::,,:;'
NV ��` J�Ol.L.1J1V
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Flerioahlo;ary .. ._
0T) 3"�5.••• - � (407)393,• ..
Ot53 FloridaNOtaryService.coi
..6
4 N ,. CITY OF ATLANTIC BEACH
,._ a a CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
�� 904- 247 -5800
800 Seminole Road Fax 904 - 247 -5845
'rst) Atlantic Beach, Florida 32233 -5445
PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION.
Date ` 2-- /2 -k PERMIT#
� ISSUED BY THE CITY
Job Address (7 dig ��d`�C /
Permitee: Jo e LAi`' ' ' -4-cc `e Telephone #
Permittee Address: r 7(7 f 4''L 'c Yeop e &be J L •
Requesting Permission to Construct: a ar � v-s-c f C rr t ve t /A./v / Z p ie �`" lt7 al i1 ,i,
% if /0 ,x.r..r
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: Lac.
Jacksonville Electric Authority Yes (j) No ( ) Date: (-o'x ,Q454 ;'
Bell South Telephone Company Yes ()c) No ( ) Date:
Ferrell Gas Yes (k) No ( ) Date: 1.
Comcast Yes (x) No ( ) Date: i
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 6- Kc �so�l xl (Contractor's Project
Superintendent) located at 10 ! > .10 - ` , Cy ere-,Ys Telephone #: Z3 (v - 7 777
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 // vFU PEYTON GIJIDI
Signe / _Date: ;�':gc�c , r
Y County MY COMMISSION # DD917623
L.
Before me this day of in he Count of Duval, ±` ' _ fl' EXPIRES August 18, 2013
:'
State Of Florida, has personally appeared eu �wl L(� ,
(407,3_,,, yg FluridaNOtaryService.com
Notary Public at Large, State of Florida, County of Duval.
My commission expires: Nx 11si- 14 , ?Cf3 Personally Known:
Produced Identification: i
A/11/1/kk, /i14---
R.O.W. Permit Attachment of for
R.O.W. Permit # issued , 200_ Atlantic Beach, FL 32233
Owner' s Name: e
* t li ± to k
Property Address: t7 14- €
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: rc `'�`'� °'`` �e C 4, 6 4 4- 1 { u v e r
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 mail, return 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 make 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 (30) days after the day of completion.
This permit shall insure 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.
DATED and SIGNED this vhf day of .Jre - T , 2001.
By• ��-- ---- , k
roperty Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this day of 'I , 200, personally appeared before me, a Notary
Public in and for said County and State, NivA- l , 0 al% of the property owner of
t- Pi 4 k , Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
executed the same freely and voluntarily and for the uses and purposes therein mentioned.
3 — - Ah',:k4, PEYTON GUIDI
e4\ �_
- , ` �,.-� , : ,,, E MY COMMISSION # DD917623
Notary P Odic in for said County • nc7 , : e
EXPIRES August 18, 2013
(407) 398 -0153 FlondallotaryService. corn
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Approv 2 ....,, , , ,_
i(///
Ricky L. C per, Public Work Director
For Permits where city sidewalk is impacted,
City Manager approval required:
f-/-7,
Jim Hanson, City Manager
Page 2 of 2
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NOTES: ACCEPTED BY:
LEGEND:
R = RADIUS — x — = FENCE
L • LENGTH CD s CONCRETE
REVISIONS
NOTES: N 49'26'51" W_ ALONG THE
1. BEARINGS ARE BASED ON THE PLAT BEARING OF
SOUTHWESTERLY BOUNDARY LINE OF LOT 15, BLOCK 10 SELVA MARINA UNIT NO. B. X
AS SHOWN ON THE
DATE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL non)
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT & /OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER 111LE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED.
4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. — GALE : 1 = 30'
JOB # 1991 DATE OF FIELD SURVEY: 7 -19 -97 DISK # ZIP 3 ___
CERTIFICATE
923 peninsular Place, Suite 1 I HEREBY CERTIFY THAT TIPS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
��� �' • Jacksonville, Florida 32204
(Phone) 904 -354 -1141 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET RICH BY THE FLORIDA
�� i�!I BOARD OF PPOFESSIOAAL SURVEYORS AND MAPPER IN CHAPTER 61017 FLORIDA
�� - ( ADMINISTRA1 PURSUANT Tr: SECTI 1 47 2, rt.0 IDA STATUTES.
(Fax) 904- 354 -125 fi t / '
J u riv i n Inc MICHAEL !. t 4 8
REGISTERED SURVEYOR AND M '•'EP' 48'? STATE OF rLOR'' 4.
' $� D8 QyP-C a y - i:i ID6NTIFiCAnON
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NNO2� 2
Am" s s
FOUND 1 /2' IRON PEE " p � y
NO IDENTIFICATION ft� 1 1J
.1.' ri J �7ai `!
LOT 15 �-� " 0.0
o t , , .` LOT 14
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NO IDENTIFICATION 21 �, �" p J l
S
NOTES: ACCEPTED BY:
LEGEND:
R = RADIUS — X — = FENCE
L „ LENGTH O - CONCRETE
REVISIONS
NOTES: N 49'28'51" W_ ALONG THE
1. BEARINGS ARE BASED OH THE _ PLAT BEARING OF DATE DESCRIPTION
SOUTHWESTERLY BOUNDARY LINE OF LOT 15. BLOCK 10 SELVA MARINA UNIT NO. 8• X AS SHOWN ON THE —
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED A
DNP LANDS i9 FLOOD ZONE
NATIONAL FLOOD INSURANCE RAANCCE MAP DATED APRIL 17, 1989, 9, , COMMUNITY MUNITY NUMMBER 120075, PANEL nnni n
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT k /OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. : 1' = 30'
JOB # 1991 DATE OF FIELD SURVEY: 7 -19 -97 DISK # ZiP 3 SCALE: E
CERTIFICATE
923 Peninsular a
Place Suite Suite 1 I HEREBY CERTIFY 1HAT 114 SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
j % Ile -- Jacksonville, Florida AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
(.� J
`, BOARD OF PROFESSIOAAL SURVEYORS AND MAPPER IN CHAPTER 61017 FLORIDA
( \�`��� (Phone) 904 - 354 - 1141 ADMINISTRATIVE PURSUANT TC sECn 472, DA STATUTES. �
(Fax) 904- 354 -1255
s l� L � Inc MD Y
MICHAEL J. pC U;7
REG45TERED SURVEYOR V FLCRIC; a
YOR IA 8, 7 STATE v^
4 STATE
1 1; City of Atlantic Beach RECEIVED APPLICATION NUMBER
,!s Building Department (To be assigned by the Building Department.)
s JAN 0 6 2011 800 Seminole Road !�
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) BW9845
E -mail: building- dept @coab.us Date routed: //
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
i Department review required Yes No
Property Address: /17o 8 �P
Gr✓ ,� 1�-'t p p
�� /l ---- Building
Applicant: %3 /T d6 6� Planning & Zoning
Tre inistrator
Project: ' AU oVi en2ertre`
Public Work
�ubliC Utilities ,
6eiP // 7flYE1; Public Safety
Fire Services
�a, 1 z tp �r !�. r � e ,w • -�"+� yr,. i t t j, +P r i�y ; `^ s*h�' `�i -� a b ;t'�'�.° '
Rev . ..,
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [Approved. EDenied.
(Circle one.) Cooment • / / ntvcri---(2-c C NOr rQE. et} f t,9 r-' S ;t j r
BUILDING fl (/ fic.) 6P
PLANNING & ZONING Reviewed by: - Date: 14P
TREE ADMIN. Second Review: DApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
IttCEIVED
, ;iv ay ;ye , City of Atlantic Beach JAN 0 8 2011 APPLICATION NUMBER
J
s �`' Building Department (To be assigned by the Building Department.)
800 Seminole Road _� `� —Z
6 v Atlantic Beach, Florida 32233 -5440 BY:.
Phone (904) 247 -5826 • Fax (904) 247 -5845 Date routed: ��
-ca 9r E -mail: building - dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
roperty Address: / 0 8 7,0 / 't 727/ Department review required Yes No
e:n Buildi ng
/ - 6 6 6 1. o y - Planning & Zoning
pplicant: TreeAdministrator
'roject: (' 0VI L C7) (Jt re `Public Works,..:
p blic Utilities
0] 71/ ;Dft( Public Safety
Fire Services
Review fee $ X ----- Dept Signatur
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Date: r!O -�1
Reviewed by:
TREE ADMIN. Second Review: ❑ Approved as revised. ❑Denied.
P .:' -5; Comments:
• • BLIC UTILITI
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: [Approved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 05/14109
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1708 W PARK TER Atlantic Beach FL 32233
Building Type 0101 - SFR 1 STORY SOH
Year Built 1974
Type Gross Area Heated Area
Addition 252 252
Base Area 2377 2377
Finished Open Porch 30 0
Finished Garage 541 0
Total 3200 2629