1598 Atlantic Bch Dr concrete for statue CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
COMMERICAL ALTERATION/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-COTH-511
Job Type: COMMERCIAL OTHER
Description: CONCRETE FOUNDATION TO SUPPORT TURTLE STATUE
Estimated Value: $10,000.00
Issue Date: 12/8/2014
Expiration Date: 6/6/2015
PROPERTY ADDRESS:
Address: 1598 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MAIER DEVELOPMENT SOLUTIONS
Address: 12786 N HUNT CLUB RD DOUGLAS GEORGE MAIER
Phone:
PERMIT INFORMATION: UTILITY DEPT.:
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.
Manhole and all valves must be set to grade, visible, accessible and operable.
FEES:
BUILDING PERMIT FEE $100.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $50.00
STATE DBPR SURCHARGE $2.00
UTIL REV RESIDENTIAL BLDG $25.00
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
INSPECTION PHONE LINE 247-5814
Total Payments: $179.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
APPLICATION NUMBER
be assigned by the Building Departi-
800 Serninole Road iient.
Atlantic Beach, Florida 32233-5445
COM-151
Af Phone(904)247-5826 - Fax(904)2j!7i5'
City web-site: http://w%Atw.ci)ab.LIS I �Date routed:
NIV 2 6 2014 L
APPUCAT90NIREVOEW Afj\\AD TRACI-,,' ING FORM
lAe.A%
Proper�ry A d( dress-.171 De ar�,Wroo�mt re 8" IV ired Yes N
4 BUildina
Appfican'�(': Pfannin(r. Zonin
1 ree PICII'llinistraltor
ub i Works
Pub i L .T'::-�s
AOTPM. tur P b i S,
Fire Servl,ces-,
Revievv fee Dept Signature
..........
1-IONTRACTOR Elf-IWAIL
C'ONTRACTOR CONTAC'�' ,.;1"
APPLOCATIONI STATUS
Reviewing Depailment First Review: n_ wrnved. nDenie,
(Circle one.) Comments:
BUILDING
DLANNING &ZONING Reviewe zyv.
TREE ADMIN. Date:----------
Second Rev!,-w: []Approved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:___
FIRE SERVICES
Third Revi(-.vtf.', E]Approved as revised. UlDenied.
Ccroo-orrienks:
Reviewed by:_ Date:
EVO 09252014.4
BUILDING PERmIT APPLICATION
CITY oF ATLANTIC BEACH
4-,
800 Seminole Road.Atlantic Beach,FL3:)2233)
Office (904)247-5826 Fax(904)247-5845 VJIVOV 2
Job Address:-549-Atlantic Beach Drive
Legal Description See Attached -Phase I Plat-Book 67 Pa
Paicel# Ze 53-Tract Q
FlooTArea of Sq.Ft. Sq.Ft
Valuation of Work$10,000 Proposed Work heated/cooled NIA- BOB-heated/cooled NIA
Class of Work(circle one): X RTeq Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): X 1��ommercial I Residential
If an existing structure,is a fire sprinkler system installeP(Circle one): Yes No N/A
Florida Product Approval NIA
For multiple products use product approvaTT-orm
Describe in deWl the type of work to be performed: Concrete foundation to Wport turtle statue
Property Owner Information:
Name: Atlantic Beach Partners.LLC
City 414 Old Hard Road.Flemin Island State FL Zip 3200':� Phone 904-264-6553
E-Mail or Fax#(Optional
Contractor Information:
Company Name:MAIER DEVELOPMENT SOLUTIONS.LLC Qualifying Agent:Douglas G.Maier
Address:'12786 Hunt Club Road N. City Jacksonville-State FL—Zip 32224
Office Phone 904-759-l':'95 Job Site/Contact Number 904-759-1395 Fax#904-821-8188
State Certification/Registration#CGCI 510122
Architect Name&Phone# Kellv Elmore,Euthenics 904-333-7483
Engineer's Name&Phone 9 Alex Acres,Taylor&White Engineering 904-346-0671
Fee Simple Title Holder Name and Address Atlantic Beach Partners,LLC 414 Old Hard Road.Flemin d.FL 32003
Bonding Company Name and Address N/A
Mortgage Lender Name and Address NIA
A ad ob o do he 'Or'a d ins'alla s "nd or insiallation has commencedprior to the
io ? , ihisjurisdiclion. Thispermitbecomesnull
0 o"
rk eriod of six(6)months at ai�v time after
h t�
fie 0 t e in ape mi" dtom e stan
plica'io 's r ha w�llrb orme
P
1, e ap �mit n a 0 k e e -ell ajAdis Fools,Furnaces�Botlen Heaiers
am )month r I _s_',
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*'rk is "c' I�" rl, I, r P r
c�� d. nd tha epa a e � mil,m i
ndA"C"*ionem ea
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 Y61jk NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this application and know the same to be true and correct. 11prov'ions qflaws and ordinances governing this
nting of a pervii no.presun to give thority to violate or concil the
jype p�work;vill be coTplied with whether speciftid herein or not. The graz - jwmance 0 0 ion.
0 f
th P ro c
Provisions,ofa)tv otherfeilerah state.or local lawregulating construction r e C7
Signature of Contractor
Signature of Owner—4�� 1 g ut
Print IZ CC
PrintName J arn In
Sworn tq and sub ribed belore me t a d subsen-bed bef9re me
,in
A., AjOU" thisT M�-of a
this 424' D OM ive.. swo-N— f 11;51 I-C
Z/2
Notary K—b—lic Notar�Public Revised 01.26-10
.. ...........
--';�O 74
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
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 Nolegber 24, 2014
ffPERMI,T.4y
ISSUE TY
ISSUED BY THE Cl
CITY
Job Address 41*9 Atlantic Beach Drive
Permitee: Atlantic Beach Partners, LLC
Telephone 904-264-9786
PermitteeAddress. 414 Old Hard Road, Fleming Island, FL 32003
Requesting Permission to Construct: Foundation for turtle statue monument
Location: (Reference to Cross-Street) Atlantic Beach Drive & Timber Bridge Lane
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 00 No Date:. 11-24-2014
Bell South Telephone Company Yes(V No Date:
Ferrell Gas TECO Yes No Date:
Comcast Yes N No Date:
reference# 328404775
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 Beac4,or FI rida epartment of Transportation Standards and be
performed under the supervision of uougl?as l6aier
Superintendent)located at Sanip —(Contractor's Project
4. Telephone#:904-759-1395
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 showin crease In I a on owner's lot or In the city
-a any In mpervious are
Rlqht of Way are 0 1 clude uAth-1- 11catlon.
7. This permittee shall commence actual construction in good faith with 30 days. If the beginning date i
more than 60 days from date of permit approval, then permittee must review the permit With the Director s
Public Works to make sure no changes have occurred in the area that would affect the permitted constructionof
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's fight,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 ol I 1111111
sP EIV^
Signed: Dat
Before me(his
day
State Of Florida,has personally appeared 6 he Co ly of Duval,
Notary Public a[Large,State of Florida,County of Duval. 0010
My commission expires: ?ersonally Knji0i
=;-ersor
OT
Produced Idenfificalio&—
pue v
1116111.0
R.O.W. Permit Attachment of for
R.O.W. Permit# 200
— Atlantic Beach, FL 32233
Owner's Name: Atlantic Beach Partners,LLC
Property Address: 548 Atlantic Beach Drive
Subdivision: Atlantic Beach Country Club
Lot#/Block#: ABCC Phase I Plat Book 67
Page 53 Tract C
R.E. #:
RE'VOCABLE E NCROACHMENT PE RMIT
,,J41S REVOCABLE ENCROACHMENT PERMIT, issued oil this
209,11 _y Atlantic Beach, Florida, a municipal corporation organized and exis_2L/ day of November,
ting under the laws of the
State of Florida, hereinafter referred to as "CITY"and Atlantic Beach Partners,LLC, of Atlantic Beach,
Florida,hereinafter referred to as"USEW1.
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the
light 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 perinitnunibers noted above(copies attached).
This work is generally described as
su porting foun ation.
Any facility maintained, repaired, erected, and/or installed in the exercise of the Privilege granted
remains subject to relocation or removal oil 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 hereill granted and shall at all times maintain said facility in good and sa
condition. fe
In tile event it is necessary for tile 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 I 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 peri-nit shall ijiure to the benefit of, and be binding upon, the USER and their respective
Successors-arid.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 req e le its a id use limit io s/r u I f
-of-way and other public land. USER ftirther agrees that the CITY and its officers and
public rights uir 11 1 1 at n eq iremei ts o
employees shall be saved harmless by the USER fi-oin 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 day of ev-
By:
Property Owner
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this lq� day of Pelsona)ly appeared before me, a Notary
Public in and for said County and Siate IV the property owner of
dgillNjCla 11 , Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that lie or she
executed the same freely and voluntarily and for the uses and Purposes therein mentioned.
S P'�� 1,1z
..........
Notary Public in for sai Co
luity and State �.;zr
f MY Comm'
lum4.200
CITY OF ATLANTIC BEACH,FLORIDA,a rkoe9m
municipal corporation:
10 ci
Approved: OF f
Dou"o,
i, Public W s Director
For Permits where city sidewalk is impacted,
City Manager approval required:
��ClsOn Va`nLier�eCiV�Manager �
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