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Permit R/W pavers 2248 Barefoot Tr 20111 � , ` s , CITY OF ATLANTIC BEACH - 800 SEMINOLE ROAD V) - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Mil > Application Number 11- 00002680 Date 12/06/11 Property Address 2248 BAREFOOT TRAC Application type description RIGHT -OF -WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REMOVE CONCRETE AND REPLACE WITH PAVERS Owner Contractor BRETT, DONALD OWNER 2248 BAREFOOT TRACE ATLANTIC BEACH FL 32233 Permit DRIVEWAY PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 6/03/12 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. Full right -of -way restoration, including sod, is required. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to the start of construction. Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 PERMIT IS .{'PRUf31DTCt '.IN ACCORDANCE WITIBliLLOOTY OF ATLAMICCEGEACH ORDINANCVD.®ND THE FLORIDQ00 BUILDING CODES. a CITY OF ATLANTIC BEACH ? 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 f y Application Number 11- 00100061 Date 10/18/11 Property Address 2248 BAREFOOT TRAC Application type description SUB APPL FOR WAIVER Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc circular driveway Owner Contractor STERNFELD OWNER 2248 BAREFOOT TRACE ATLANTIC BEACH FL 32233 Permit SUB APPL FOR WAIVER Additional desc . Permit Fee . . . 150.00 Plan Check Fee .00 Issue Date . Valuation 0 Expiration Date . . 10/18/11 Special Notes and Comments approved to process check only Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ' , 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 f p INSPECTION PHONE LINE 247 -5814 Application Number 11- 00100061 Property Address 2248 BAREFOOT TRAC Date 10/18/11 Application type description SUB APPL FOR WAIVER Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc circular driveway Owner Contractor STERNFELD OWNER 2248 BAREFOOT TRACE ATLANTIC BEACH FL 32233 Permit SUB APPL FOR WAIVER Additional desc . Permit Fee . . . 150.00 Plan Check Fee . Issue Date Valuation .00 Expiration Date . . 10/18/11 0 Special Notes and Comments approved to process check only Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES MIS/ - _ - • • V MAP SHOWING BOUNDARY SURVEY OF LOT ` S BLOCK __. _ AS SHOWN ON MAP OF OCE.Q•A! u/.4Gl‹ -- CIA/Tr Tpva . AS RECORDED IN PLAT BOOK d i c e PAGES /S .-4W OF THE CURRENT PUBLIC RECORDS OF DUVAL CO., FLA. FOR' •x..e /6.4' CL Az asvc fr'o.lee'S' NOTE : BEARING DATUM g/// HEREON 1,4NO. ON THE V RT /CIt 0.414/N Of /!t1 NOM: El.EKOAG ARE d Pe,40 - 4 Z, /fps 14 - i"r z oo _I Z . - 7 • 3 1 A OI•. ✓. LS N / P4 .T/tf,Jw.! fej .4‘°,, uTi� /T.t1,, 1lwltl v h o w 3 V I', N i.O r 4 S' vauG ory h k t v ; • J.7' r 3 C W in b ,fC.PSe.vty i h � Q ` 4 M 1 /tv , ` . {yoo0 elc.f, ! •e" �' exs .r ` \ _) 1 S.l '� siis 1 /76 77" /19.41. /2.9 1 y, tom, IN i • it /t.r• d V \I , ~ M / I_ i 1 : 1 3 V z w/ /d ".GavtS of _ W ZW Y Ns 2rfd • G 1 Q W 1 , 4 Q . „ Rim M�iioa)..aw.f..�e t� % i 4 Z 1 1 • ! .S eNIAP .1 ' f»f t�ay. A. • /2. Z .� r w ►.•tJ 'J1 Q V b ^ N.9 ~ 0 %:1' Q Al ° • V ' V e �i i.s' ti ?■ a v P O o � U t (k k t , V : M t l ap • 0 4 V • F • \ I . Aet. d /. / t 01 y V • �_� YJ.d• './1.6 /[G• LS.41 1 W • i....ao .eiw cs. •• .use v s. �7° / 3. o 7 If -- 90.0Oc ) DEG T.I. 3./6•oe'.' R /577.75 j A 8 A , cEF0 0 7" 7 —....r,--...-7.-;;..7.::,-_-_-_- 'e- •w. -:, - ...� ✓L�%-1_�1/_ _4 - .... ---- . -- AZ re: /r[1!/ND ALL /ROWS. __ Doc # 2007055850, OR BK 13817 Page 624, Number Pages: 1, Filed & Recorded 02/15/2007 at 08:30 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Document Prepared By: Steve Q. Galiano ReconTrust Company, N.A. 1330 W. Southem Ave. MS: TPSA -88 Tempe, AZ 85282 -4545 (800) 540 -2684 When recorded retum to: BOB E STERNFELD, JANA RAY J STERNFELD 2248 Barefoot Trce Atlantic Beach, FL 32233 DOCID#00035996012005N SATISFACTION OF MORTGAGE KNOW ALL MEN BY THESE PRESENTS: Mortgage Electronic Registration Systems, Inc. the owner and holder of a certain mortgage deed executed by BOB E STERNFELD, JANA RAY J STERNFELD bearing date 02/01/2002, recorded on 02/20/2002 in Official Records Book 10383, Page 954 , Instrument # 200248948 in the office of the Clerk of the Circuit Court of DUVAL County State of Florida, securing a certain note in the principal sum of $179,000.00 Dollars, and certain promises and obligations set forth in said mortgage deed, upon the property situated in said State and County hereby acknowledge full payment and satisfaction of said note and mortgage deed, and surrenders the same as canceled, and hereby directs the Clerk of the said Circuit Court to cancel the same of record. ..��� _ �NiC a �� IN WITNESS WHEREOF the said Corporation has caused these - 7• °: 1 presents to be executed in its name, and Its corporate seal to be (40 ; ' EAL) � 1 1 1 hereunto affixed, by its proper officers thereunto duly authorized, the 02 W o°GORPORg7. �1 ► day of February, 2007. $ � I SEAL z % s li4F 1999 Q ,�l ' 1 I I 1 � o �� o0 0. y� < * `= _r ATTEST: Mortgage Electronic Registration Systems, Inc. Stella Romero Assistant Secretary Signed and delivered in the presence of: By Ai a Linares Mil -y'% o. =z, • uthorized Officer Witness Ass tan ecretary STATE OF ARIZONA COUNTY OF MARICOPA On 02/02/2007, before me, Susan J. Ballard, Notary Public, personally appeared Mileybi Lopez personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. Witness my hand and official seal. usan J. Ballar8, Notary Public Expires: 10/13/2009 OFFICIAL SEAL r .�.. SUSAN J. BALLARD 1 r ; NOTARY PUBLIC . ARIZONA pp trtt4. My Com MARICOPA COUNTY / m, F Oct 13, 2009 Nationwide Title Clearing 101 N. Brand #1800 Glendale, CA 91203 Telephone: (818) 243 -7900 Fax: (818) 546 -5957 BOB E STERNFELD 2248 BAREFOOT TRACE ATLANTIC BEACH, FL 32233 RE: Loan: 1937069896 Name: BOB E STERNFELD AND JANA RAY J STERNFELD Addr: 2248 BAREFOOT TRACE ATLANTIC BEACH, FL 32233 Dear Sirs; Enclosed is the original recorded Satisfaction or Release of Mortgage. Please retain the enclosed document for your records. Thank you for doing business with CHASE MORTGAGE SERVICES, INC. Sincerely, Customer Service Representative Nationwide Title Clearing for CHASE MORTGAGE SERVICES, INC File Locator 26432 CHAS5 1937069896 ltrab.ddf 0 ���� City Of Atlantic Beach 1:` s r I�• � (To assigned by the e Bui din ment.) r ' .a Building Department R be s Building Dep art toil Seminole Road SEP ) ) - - " / Atlantic Beach, Florida 32233 -5445 ; P, M,� ' i 5 v u Phone (904) 247 -5826 • Fax (904)124 -,5845 • l ' - F-1`1" E - mail: building- dept @coab.us Date routed: /// City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �', ,. =,' , i i ik , , , , r'r Department review required Yes No Building ' / / / , ' , �/`1 r ,4 ::/, `a , 1li . S: , z)) /tw'i� Planning &Zoning Applicant: r t f :, L Tre mistrator �Acim. - -� .� — s , Project: c' Aft;1, t-,. t" ' ,S1 )/1c` (/7 1')t`vf l f. b1ic Ut , 1 1 / v" I V I)/ - /.' st. /f r ' ., 1 - t' ' 1 u mbiic `Barry Fire Services Review fee $ ' , , . MV t E'p ` do 't !"k 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: 5fApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: se5.i Date: 4 / TREE ADMIN. Second Review: Approved as revised. ❑Denied. p;' i • - K — Comments: f : LIC TILITIES ..,_Z �� Reviewed b PUBLIC SAFE by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH iii _ CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS Itif 800 Seminole Road 904 -247 -5800 Atlantic Beach, Florida 32233 -5445 Fax 904- 247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date / - /9 - ol /6! PERMIT# 7 /f n .� M �{ f, / � Job Address ,92 f $ g FQir / �`S /� 14ii7/MK. ISSUED BY THE CITY Permitee: e f /i4/2te Gy /LL /'mSOti m45,0001 one, Telephone # 9)I/ - .� 4 «f2 Permittee Address: )9l5 Nef'e // 8 /1/0i .Tn '. Re ;221 Requesting Permission to Construct: /4 /l/Bw iav,sre Owe g twiago"V Location: (Reference to Cross - Street) e/le/tit/NaGk 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 (L4 No ( ) Date: Bell South Telephone Company Yes (14 No ( ) Date: Ferrell Gas Yes (✓4 No ( ) Date: Comcast Yes (v 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 tW i 4 J"; 1YiI //4 I � (Contractor's Project Superintendent) located at 7C* ( /TE 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. 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. 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 2 / � A 9 • Signed: • _ - D. • ; : Before me this - " day of ABi.€4 2.) ih he C o q * , State Of Florida, has personally appeared //4 Notary Public at Large, State of Florida, County of Duval. My comr7jss a Qirgs: Personally Known: 11 �JC. -`° Wrpduced Identification: AMANDAM .�" "sue., pm ION # EEO 573 4) /1 '�� EXPIRES: May 21, 2015 ! i � Underwrite:. ��..a Bonded ?hru Notary Public 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 diction 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 this 2 ch of 2 ) , 20 J BY:) Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this ''" day of � , 2011 personally appeared before me, a Notary Public is and for said County and State, , the property owner of • Atlantic Beach, Florida, known to me to be the person(s) - and who executed foregoing instrument: who acknowledged to me that he or she - th - : ., a - «, .,, vol and for the uses and purposes therein mentioned. Public in for sal ,• , ty and State CITY OF ATLANTIC BEACH, FLORIDA, a bc0 160 municipal corporation: Ply P� % M! ` e i.e � „ 00 ,P A ved: ti`” �sy e ' s• , ��P { „races Ricky L ape', Public Works Director For Permits where city sidewalk is impacted, City Manager approval required; Tim Hanson, City Manager Page 2 of 2 5/5 d £ « St9S AtZ .4daa Buipiing 90 :9L 6O-Z6-L60Z NOTICE OF COMMENCEMENT Permit No. Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description): j 1 9 - ' _07 4 ac�� W /7 �ry� a) Street (job) Address: a7: t - %n! • i 2 2.General description of improvements: / P 1•WititL U 4/15t7/(/ exiyir corrt2 Th D,'I(i ikl efac DQI IVfy g ct;e (4/I17/ l',v4C 'iE1 P, 'AQ5, 3.Owner Information a) Name and address: /II/? d` MRS' Sl'6/I JP 2 b) Name and address of fee simple titleholder (if other than owner) c) Interest in property Ca`t//i/OR 4.Contractor Information a) Name and address: OA I yill <r�iY1 0/1 14/45Wri ef/ b) Telephone No.: ' , Fax N (Opt.) 5.Surety Information a) Name and address: AV/ b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender / a) Name and address: /7 /1 Phone No. 7. Identity of person within the Stat Florida dessi ated by owner upon whom notices or other documents may be served: a) Name and address: Ch QL/�s ✓� /L / s 4' `! b) Telephone No.: It— 05 cm" Fax No. (Opt.) 9)4 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA .. COUNTY OF,REIRCIAAS 10. Del v 4-1- Signature of 0 r Owner's thorized Officer/Director/Partner/Manager Prim Name The foregoing instrument w4s acicnowledged before me this 23 day of , 207 ( , by ",L!( (/vet c as /LJbJ / % �L( i (type of authority, e.g. officer, trustee, attorney in fact) for / (name of party �� b • h If of who in rument was exe ted). / / • // Personally Known OR Produced Identification Notary Signature it/ Type of Identification Produce Name (print) \ OR Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. .Pin %''' DEBORAH AMANDA WHITE Foanrsmoc,.v>azoro ' MY COMMISSION #EE057349 Si I 10 , in ry" r. " Signature •• •:^ ; Thru Note 'uu. • nderwnters 4F.A ,.? - 5843 4 i=,mr,,, City of Atlantic Beach APPLICATION NUMBER S . ; � Building Department (To be assigned by the Building Department.) % ` . p 800 Seminole Road # ' 0 4 0 Atlantic Beach, Florida 32233 -5445 7364 Phone (904) 247 -5826 • Fax (904) 247 -5845 r 9; E -mail: building- dept @coab.us Date routed: l �, City web -site: http: / /www.coab.us -P i mot'"' APPLICATION REVIEW AND TRACKING FORM / Property Address: 226' ooT 7R--Q Department review required Yes No �/ Building Applicant: Planning & Zoning Tree Administrator Project: — E'' °, 1 F' , i/6. w Public Works Public Utilities 427/0 V to Ex & 6V) • Public Safety Fire Services t J 6 �.�� i:"�" "r ` ,, � g f i '� to {ryry(�y�. ^�;�' 7 (' h "c�t^D't � � a Rev n�.« fi fl - ,' # r �hw- ,Dept Sig"" at reed i� y� t i a` - ca 6h ", . k Review or Recei Date Tic, nor O ther Agency Review or Permit Required of Permit Verified By ot Florida Dept. of Environmental Protection , /,A.1PO t lL Florida Dept. of Transportation W 0 St. Johns River Water Management District n Army Corps of Engineers 9 Division of Hotels and Restaurants Otatki (G Division of Alcoholic Beverages and Tobacco b n Other: 1111 APPLICATION STATUS Reviewing Department First Review: ['Approved. ['Denied. (Circle one.) Comments: FI CCPy BUILDING ■ PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: ['Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES F 1 E PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: COP FILE Reviewed by: Date: Revised 07/27/10 BP250U01 CITY OF ATLANTIC BEACH 12/05/11 Application Tracking Step Selection by Revision 11:28:19 Application number . . . : 11 00002680 Address : 2248 BAREFOOT TRAC RE number : 169463 -0592 - Application type : RIGHT -OF - WAY PERMIT NCR OLD ACCOUNT NUMBERS . : AB19614 Tenant name, number . . . Type options, press Enter. 2= Change 4= Delete 5 =View 6 =Fast log 8= Action log maintenance 9 =In /out maint Path - - -- Key Dates - -- - Action Summary - Opt Agency description Rev Step Req In Est Cmpl Last Type By PUBLIC A 01 Y 09/28/11 10/14/11 09/2/11 AP LS PUBLIC WORKS A 01 Y 09/28/11 10/14/11 2/05/11 AP LS Bottom F3 =Exit F5 =Land inquiry F6 =Add F7= Revisions F8 =Misc info inquiry F9= Corrections report F1O =View 3 F11 =Sort by agency F24 =More keys Graham Shirley From: Carper, Rick Sent: Monday, December 05, 2011 8:10 AM To: Graham Shirley ;'jrsternfeld @comcast.net; cwilliamsonll @comcast.net Cc: White, Debbie Subject: RE: Driveway Permit Application Notarized Revocable Encroachment Permit Application (faxed copy) received; approved by PW this morning. Rick From: Graham Shirley Sent: Friday, December 02, 2011 10:27 AM To: Carper, Rick; 'jrsternfeld @comcast. net'; cwilliamson11©comcast.net Cc: White, Debbie Subject: RE: Driveway Permit Application Charles, I have called Mrs. Sternfeld to ask her to stop by today to get 1 more signature ...fingers crossed we can get this issued no later than Monday. Shirley Graham Building .Department 800 Seminole Rd Atlantic Beach, Fl 32233 904 247 5800 sgraham@coab.us From: Carper, Rick Sent: Friday, December 02, 2011 10:17 AM To: 'jrsternfeld@ comcast. net; cwilliamson11(acomcast.net Cc: White, Debbie; Graham Shirley Subject: Driveway Permit Application « File: RevEncPermit AP.pdf» JR & Charles, attached Revocable Encroachment Permit received from Building Department is incomplete. 2nd page must be filled out, signed by owner and notarized. Notary services are available at City Hall. All other requirements have been completed. Rick Ricky L. Carper, P.E. Public Works Director /City Engineer City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 rcarperc coab.us PH: (904) 247 -5834 1 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 1V7 g/l - ,5:f 26 tx c E I, h / % /C R'4- Permit Number: Legal Description tOrW O '/', z t a/UfrZ Parcel # /6 059'2 Moor Area of Sq.Ft. Sq.Ft Valuation of Work $ /7, 992,' Proposed Work heated /cooled non- heated /cooled Class of Work (circle one): digtO Addition Alteration Repair Move Demolition pool/spa window /door Use of existing/proposed structure(s) (circle one): Commercial es If an existing structure, is a fire sprinkler system installed? (Circle one): es No N /A Florida Product Approval # For multiple products use product appro form Describe in detail the type of work to be performed: krIn €U (%S/ 4/, - L'4 iC/da f ,( DtMF ditiV An0 "Miter to rti G'a/iralr. P/I ARS. Property Owner Information: Name Nam /OR i /ytltf 5' NFEG Address: »4/1 '/9�g UCH"" 7 e' City AyMirild 0 , 4 o f State AZip 7 1 1 3 3 Phone 9 - 5011 ° yq E -Mail or Fax # (Optional) /. /4 Contractor Information: Company Name: , //,4i 5 fraiminceri 1 # M / Qualifying Agent: ( S it41L / /mSO/I/ Address: aV SW /1 AV. „ City J/fastYUUYZG/ State / Zip Office Phone ` :, - , - .377 Job Site/ Contact Number )4' - ..7gi - j$ZC) Fax # ' W- yS < /. State Certification/Registration # N /f Architect Name & Phone # AV/4 Engineer's Name & Phone # /Y,4 Fee Simple Title Holder Name and Address / A Bonding Company Name and Address y 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 becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, eta 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. I 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. . 1 // ' Signature of Owner / Signature of Contractor i „it Print Name \✓ I,G}. ' ' I CJ=�Z -/a Print Name eyjl�w 37 /i t ahtfi 5DJ Swop' &id subscribed by ore e / Sworn t. •d subs • • - • - in Ilk this Day of 1 20 l/ ” = it k : - 20 ■■oller / 4;e: m fi b r■r d or 951W Notary Public ' ti D ''� #EE 0 ;' � �, jt, p = MY COMMISSION 2 015 of I E(pIRES. M Y eu nderw+nt ers Revised 01.26.10 '�, ::4;4.4' t onded -Nu Notary rum 7--(-,-P ', 3(/6- Zv Graham Shirley From: Carper, Rick Sent: Monday, December 05, 2011 8:10 AM To: Graham Shirley; 'jrsternfeld @comcast.net; cwilliamson11 @comcast.net Cc: White, Debbie Subject: RE: Driveway Permit Application Notarized Revocable Encroachment Permit Application (faxed copy) received; approved by PW this morning. Rick From: Graham Shirley Sent: Friday, December 02, 2011 10:27 AM To: Carper, Rick; 'jrsternfeld ©comcast.net ; cwilliamson110comcast.net Cc: White, Debbie Subject: RE: Driveway Permit Application Charles, l have called Mrs. Sternfeld to ask her to stop by today to get 1 more signature ...fingers crossed we can get this issued no later than Monday. Shirley Graham Building :Department 800 Seminole Rd Atlantic Beach, Fl 32233 904 247 5800 sgraham@coab.us From: Carper, Rick Sent: Friday, December 02, 2011 10:17 AM To: 'jrsternfeld ©comcast. net; cwilliamson11(acomcast.net Cc: White, Debbie; Graham Shirley Subject: Driveway Permit Application « File: RevEncPermit AP.pdf» JR & Charles, attached Revocable Encroachment Permit received from Building Department is incomplete. 2 "d page must be filled out, signed by owner and notarized. Notary services are available at City Hall. All other requirements have been completed. Rick Ricky L. Carper, P.E. Public Works Director /City Engineer City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 rcarcer(a�coab. us PH: (904) 247 -5834 1