616 TIMBER BRIDGE LN - NEW HOME PERMIT City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assig› by the Building Department.
r 800 Seminole Road
15 —' Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 • Fax(904)247-5845
?,t.n; 0- E-mail: building-dept @coab.us Date routed: ✓
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / // y a 12 De•artment review required Yes No
Applicant: 0 I, -Ere �C 'fanning&Zoni
'' tt —
Tie Administrator
Project: Mk) Ih i-m " PavEr cnJ uc..yl(na
r( t(4 .i;1R• 'c Utili ie
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
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 Reviewed by:•�'�'"`Z Date: .925/4f
TREE ADMIN.
Second Review: ['Approved 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 07/27/10
e 0 1j11-1:1416
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ap)
7 Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-SFR-1545
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW HOME- PAVER DRIVE
Estimated Value: $511,145.00
Issue Date: 7/31/2015
Expiration Date: 1/27/2016
PROPERTY ADDRESS:
Address: 616 TIMBER BRIDGE LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: TOLL BROS.,INC
Address: 250 GIBRALTAR RD STEVEN R MERTEN
Phone: - -
PERMIT INFORMATION:
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $851.15
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $1,702.29
STATE DCA SURCHARGE $25.53
SEWER SDC-SYSTEM DEV CHG $4,050.00
STATE DBPR SURCHARGE $25.53
nivAvER;GorkmacTrriApt,weveRNcESgRe.pm, (TIN OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
A - : CITY OF ATLANTIC BEACH
A so, 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1,140.00
Total Payments: $8,364.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH AI.I. CITY Y OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
----�-�"` BUILDING PERMIT APPLICATION
(; L� �� ' CITY OF ATLANTIC BEACH
t
� 2 6 t 800 Seminole Road,Atlantic Beach, FL 32233 FILE COPY
`
`� Office (904)247-5826 Fax (904)247-5845
Job Add /-=�'
•- •ri•ge Lane: Atlantic Beach, FL 32233 Permit Number: /5 SIR -
Legal Description Lot 167 Atlantic Beach Country Club Unit 2 67-132-08-2S-29E Parcel
Floor Area of Sq.Ft.Valuation of Work$ 511,145 Proposed Work heated/cooled 4,372 non-heated/cooled ooled 692
Class of Work(circle one): 4120 Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(9(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): oC N/A
Florida Product Approval#See attached
For multiple products use product approval form
Describe in detail the type of work to be performed:New Residential Construction
Property Owner information:
Name: TOLL FL VI LIMITED PARTNERSHIP Address: 160 Cape May Avenue
City Ponte Vedra State FL,Zip 32081 Phone 904 217-0739
E-Mail or Fax#(Optional)arogers @tollbrothers.com
Contractor Information: CONTRACTOR EMAIL ADDRESS: a rogers(li tollbrothers.com
Company Name: Toll Bros.,Inc.Qualifying Agent: Steven R.Merten
Address: 160 Cape May Avenue City Ponte Vedra State FL Zip 32081
Office Phone 904 217-0739 Job Site/Contact Number 904 386-6472 Fax#
State Certification/Registration#CGC 1510225
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. 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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any fime
after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers,
(Heaters, Tanks and Air Conditioners,etc.
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 cert fy that 1 have read and examined this application and know the same to be true and correct. All provisio of laws and ordinances governing
this type of work will be complied with whether specified herein or not. The granti provisions of 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 Owner Signature of Contractor
Print Name Steven R. Merten,Division Sr.Vice President Print Name Steven R. Merten
Beforrp-jpe Before me
this LY Day of ,2015 thisV Day o 2015
��y� �
Notary ubli Notary alg
Revised 01.26.10
•
o. A•et, MELISSA LIEBERMAN
'•; MY COMMISSION#FF055805 o�'a °°�"':. MELISSA LIEBERMAN
''•.'.QOf flo EXPIRES September 18.2017 •(407)398.0153 MY COMMISSION#FF055605
FloridallotaryService.com t*,
\." ,,,t. EXPIRES September 18.2017
(407)398.0153 FloridallotaryService.com
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date: 2-‘)/7 s- /1 FILE COPY
Development Size
Habitable Space '.39 . Non-Habitable /5;2 7 s.F
Impervious area
Miscellaneous Information
Occupancy Group e-3
Type of Construction `/- a
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
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•
NOTICE OF COMMENCEMEN FILE COPY
State of: FLORIDA Tax Folio No. 1 1,f2(1 —2136;
County of: DUVAL
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 stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: Lot 167 Atlantic Beach Country Club Unit 2,67-132 08-2S-29E
Address of property being improved: 616 TIMBER BRIDGE LANE,ATLANTIC BEACH,FL 32233
General description of improvements: NEW HOME CONSTRUCTION
Owner:TOLL FL VI LIMITED PARTNERSHIP Address: 250 GIBRALTAR RD. HORSHAM,PA 19044
Owner's interest in site of the improvement: FEE SIMPLE
Fee Simple Titleholder(if other than owner):
f(� Name:
^' ' Contractor: TOLL BROS., INC.
Address: 160 CAPE MAY AVE.PONTE VEDRA,FL 32081
Telephone No: 904-217-3852 Fax No: 904-460-2683
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: 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: STEVE MERTEN
Address: 160 CAPE MAY AVE.PONTE VEDRA,FL 32081
Telephone No: 904-217-3852 Fax No: 904-460-2683
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:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified): 4/30/18
THIS SPACE FOR RECORDER'S USE ONLY OWNER /
Signed: / Date: .)2111/S
Before me is 23 day of rZl L 'n the C unty of Duval,State
Doc u 2015110444,OR BK 17166 Page 210, Of Florid. has personally appeared
Number Pages:1
Recorded 05/14/2015 at 09'14 AM, Notary Public at Large,State If F •rida,County Duv
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expires: '1
COUNTY Personally Known: or
RECORDING$10.00 Produced Identification:
• v •iv rrvo •
EXPIRES September 18.2017
(40:')3?f!-oi53 FlortdallotnrySarvico,com
property Appraiser- Property Details Page 1 of 1
de-
TOLL FL VI LIMITED PARTNERSHIP J Primary Site Address Official Record Book/Page Tile#
250 GIBRALTAR RD 0 TIMBER BRIDGE LN 17008-01692 9408
HORSHAM, PA 19044 Atlantic Beach FL 32233
0 TIMBER BRIDGE LN
Property Detail Value Summary
RE# 169505-2095 2Q14 Certified 2015 In Progrg;ti
Tax District GS Value Method CAMA CAMA
Property Use 0000 VACANT RES Total Building Value $0.00 $0.00
#of Buildings 0 Extra Feature Value $0.00 $0.00
67-132 08-25-29E Land Value(Market) $0.00 $259,000.00
Legal DesC. ATLANTIC BEACH COUNTRY CLUB UNIT 02
Land Value fAaric.l $0.00 $0.00
Subdivision 06884 ATLANTIC BEACH COUNTRY CLUB UNIT 02 Just(Market)Value $0.00( ) $ $259,000.00
Total Area 11534 Assessed Value $0.00 $259,000.00
The sale of this property may result in higher property taxes.For more Information go Cap DHf/Portability Amt $0.00/$0.00 $0.00/$0.00
to Save Our Homes and our property Tax Estimator.'In Progress'property values, exemptions $0.00 See below
exemptions and other supporting information on this page are part of the working tax
roll and are subject to change.Certified values listed in the Value Summary are those Taxable Value $0.00 See below
certified in October,but may include any official changes made after certification
Learn how the Property Appraiser's Office values property,
Taxable Values and Exemptions—In Progress
there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value
Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value
No applicable exemptions No applicable exemptions No applicable exemptions
Sales History;_.J
Book/Page Sale Date Sale Price [Peed Instrument Type Code Oualified/Unqualified Vacant/Improved
17008-01692 12/12/2014 $4,783,500.00 I SW-Special Warranty Unqualified Vacant
00067-00132 11/21/2014 $100.00 I PB-Plat Book Unqualified I Vacant
Extra Features
No data found for this section
Land&Legal t..J
Land rgal
LN g Use Description Zoning Front Depth Category Land Land Land N Legal Description
Units JYpg Value _
.. _. _. .. .. .. ,. _..,. 1 67-132 08-2S-29E
RES POND LD 3-7 UNITS PUD 70.00 120.00 Common 70.00 Front
1 0190 $259,000.00 ATLANTIC BEACH COUNTRY
PER AC Footage 2 CLUB UNIT 02
3 LOT 167
Buildings II
No data found for this section
2014 Notice of Proposed Property Taxes Notice(TRIM Noticel
Property Record Card(PRC)
The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the year listed.
No Information available
•To obtain a historic Property Record Card(PRC)from the Property Appraiser's Office,submit your request here: 1_..1
More Information
:pntact Us I Parcel Tax Record I GIS Mao I Mao this property on G000le Maps I City Fees Record
http://apps.coj.net/pao_propertySearchBasic/Detail.aspx?RE=1695052095 4/28/2015
`s, CITY OF ATLANTIC BEACH
,,-:;?, si.";= .—.-, ''� ' PUBLIC UTILITIES
1200 Sandpiper Lane
1r3 i�;" ATLANTIC BEACH,FL 32233
(904)270-2535 or(904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 6-24—/S' Project Address: (p/(o ��/egcx ' se C--pq,l1/4.)L
No. of Units: I Commercial Residential ✓ Muiti-Family
New Water Tap(s)&Meter(s) Meter Size(s) 34{ K
New Irrigation Meter Upgrade Existing Meter from to (size)
Y /
New Reclaimed Water Meter v7 Size �`f New Connection to City Sewer L7
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax:
Signature: 1
(Applicant)
CITY STAFF USE ONLY
Application# /5-5F/e—I SYS"
Water System Development Charge $ 1. /-/O. 00
Sewer System Development Charge $/,0, , CO
Water Meter Only $ 185;00
Reclaimed Meter Only $ / S,2j
Water Meter Tap $ (notes)
Sewer Tap $
Cross Connection $ cam. 00
Other $
TOTAL $.5 (a/0 , 06
APPROVED: Kayle Moore,PE
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
ol,A,v- City of Atlantic Beach j�F Y-, r---•D APPLICATION NUMBER
6$ ., Building Department (To be assigne by the Building Department.)
- ` 800 Seminole Road �UN E O�� /�(, " ,��� " /�1 �
15 el' - Atlantic Beach, Florida 32233-54 5 pI
Phone(904) 247-5826 - Fax(9 247-5845 /_ ,c.
�, ;at>r E-mail: building-dept@coab.us )� Date routed: 6I 24 1/✓
City web-site: http://www.coab.us ----
APPLICATION REVIEW AND TRACKING FORM
• / A
_,
Property Address: j/ / 41 i i De•artment review required Yes No
Applicant: 6 1/ 2. a S //)e, 'tanning &Zoni .
C11 ' Tl e Administrator
Project: MA./ rn£ ! V r ul
.a:!1. .c Utih ie
1-f•tr4 Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
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. 1nied.
(Circle one.) Comments: J e #7�4,,� 'I
BUILDING
PLANNING &ZONING Reviewed by: (CL— Date: 7//,�-
TREE ADMIN. VApproved„4----
Second Review: as revised. ❑Denied. •
PUBLIC WORKS Comments: JG.47 Ihilvdd
WIwyk iKl
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: C p
— Date: 7/2 7/-17
FIRE SERVICES Third Review: Approved as revised. enied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach ,Vii t1'
APPLICATION NUMBER
'
`� Building Department lj
(To be assig by the Building Department.
800 Seminole Road / D
' Atlantic Beach, Florida 32233-5445 JUN 2 9 2115 /6y.
1 Phone(904)247-5826 • Fax(904) 47-5845 /_ ��//�
f pr — ;o jr E-mail: building-dept @coab.us By Date routed: /
City web-site: http://www.coab.us - ///
APPLICATION REVIEW AND TRACKING FORM
Property Address: _/ j/ a 12 De sartment review required Yes No
:uil.'.•
Applicant: 4 // a- s //)C, d'lanning&Zoni •
free Administrator
Project: Mk) 1 ✓EJr Du• •
.a,�17 c Uti i ie
r�.t(4 Public Safety
Fire Services
Review fee $ So Dept Signature .Y64 \
Other Agency Review or Permit Required Review or Receipt Date
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: [pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: *-24 l l
TREE ADMIN. Second Review:
['Approved as revised. ['Denied.
∎110 LIC WO omments:
PUJ8LIC UTILITIES
PUBLIC/SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
r
TREE & VEGETATION AFFIDAVIT
f,1 y,J`f ryes
�S r , City of Atlantic Beach
De artment of Community Development
'r n_ " z" Planning&Zoning Division
800 Seminole Road Atlantic Beach,FL 32233 PERMIT#
J;31�` (P) 904 247-5800 (F)904 247-5845
I
f
SECTION I -APPLICANT INFORMATION fx Owner(s) (- Legal Authorized Agent*
NAME OF APPLICANT Toll FL VI,LP
NAME OF COMPANY Toll Bros,Inc
I ADDRESS OF COMPANY 160 Cape May Avenue Ponte Vedra,FL 32081
PHONE (904)217-0739 CELL N/A EMAIL arogers @tollbrothers.com
CONTRACTOR CERTIFICATION NUMBER CGC1510225
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II-SITE INFORMATION
I STREET ADDRESS OF PROPERTY 616 Timber Bridge Lane,Atlantic Beach,FL 32233
if an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
LEGAL DESCRIPTION Lot 167 Atlantic Beach Country Club Unit 2,67-132 08-2S-29E
LOT
167 BLOCK A SUBDIVISION Atlantic Beach Country Club
REAL ESTATE NUMBER LOT OR PARCEL SIZE: 11,593 SQ FT AC
RESIDENTIAL X COMMERCIAL OTHER(SPECIFY)
I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation" of the Municipal Code of
Ordinances for the City of Atlan • Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those
regulations. Subsequently,I , I'm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed
from the above-describe. . •djacent properties in conjunction with this project.
SIGNATU: OF OW R SIGNATURE OF OWNER
Signed and sworn before me on this 2_4 day of Ln� , ?AIS ,by State of ft-
I 'k� Me #\ — County of 50()t1(1S
Identification verified: tVnd. k:r1
Oath sworn:i Yes r No '
" MELISSA LIEBEBMAN
l ' MY COMMISSION#FF055E05
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Notary lgf at,ur ...,:f.„,,. .:,... EXPIRES September 18.2017
(407)398.0153 FloridallotaryService.com
My Commission expires: •
REV-TVA-v10.12
ot-t v;. City of Atlantic Beach
Building Department APPLICATION NUMBER
s B
(To be assig› by the Building Department.
"3?t4 s 800 Seminole Road
Atlantic Beach, Florida 32233-5445 /c S�� •• f���
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept @coab.us Date routed: 6/24
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -/ j� y ,� �• De artment review required YrV40
uil •
Applicant: 0 // ; va l£ !40 fanning&Zoni
, 11 Tr&Administrator
Project: M i7) i9V i r" ul
.c U
Zt•�� .i; 1' tili ie
)r,
•�J Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
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: CA-41-1!''
S,3 Entrs-y � r rv1,x4{t,
BUILDIN e
PLANN 1 &ZONING
Reviewed by: Date:/' ZZ l
TREE ADMIN. Second Review:
['Approved as revised. ['De ' d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10