1753 MARITIME OAK DR - NEW HOME PERMIT ri ,,ll s f CITY OF ATLANTIC BEACH
r _ 0 800 SEMINOLE ROAD
\\,,, .., 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-1546
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW HOME/PAVER DRIVE
Estimated Value: $461,376.00
Issue Date: 7/31/2015
Expiration Date: 1/27/2016
PROPERTY ADDRESS:
Address: 1753 MARITIME OAK DR
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 $782.06
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $1,564.13
STATE DCA SURCHARGE $23.46
SEWER SDC-SYSTEM DEV CHG $4,050.00
STATE DBPR SURCHARGE $23.46
wmiER o {enit p ,w pEraNcE votmi. crry or All.n\TIC BEACH ORDINANCE, AND THE FLORIDA
!WILDING CODES.
, 1;‘ ‘,.f CITY OF ATLANTIC BEACH
L A s) 800 SEMINOLE ROAD
J ` .• , ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1,140.00
Total Payments: $8,153.11
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL MY OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
�'f� r 1 ;ab,,;..: \�f,s
� CITY OF ATLANTIC BEACH
`:.=M =:_ rt1 PUBLIC UTILITIES
J
v
1200 Sandpiper Lane
��;10 ATLANTIC BEACH,FL 32233
(904)270-2535 or(904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: - 9--/5 Project Address:/75-3 / f f j Q i)c--
No. of Units: I Commercial Residential V Multi-Family
New Water Tap(s)&Meter(s) Meter Size(s) 3/ j "
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaimed Water Meter
Size*f New Connection to City Sewer
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application# /5—SFiQ—/rY(
Water System Development Charge $ O. Od V
Sewer System Development Charge $ ,OSD.06_✓
Water Meter Only /f3 S 00 V
Reclaimed Meter Only $ /8.r. 00 v
Water Meter Tap (notes)
Sewer Tap $
Cross Connection $ so Qv v
Other $ /
TOTAL $ 5 t,,o. 00 ✓
APPROVED: Kavle Moore,PE 5( gi-k
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
t.: I . iii. City of Atlantic Beach
j '•Y‘
Building Department (To be assigned ed by the Building Department.)
'' 'f 800 Atlantic Seminole Road `�_ 5r' ✓/���
(„ ;. Atlantic Beach, Florida 32233-5445 /
Phone(904)247-5826 • Fax(904)247-5845 / /
�a J we E-mail: building-dept @coab.us Date routed: ( 2 6//c
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
h
A
Property Address:/7.$ A 4„e/ /7'/n Od1 L/ D- I - r I ent review required Yes No
Applicant: / iJi o `j ! Planning &Zo
1 lV �i �m/ — t?vI,
Tree dministrator ==
Project: �j ublic Wor
danmillair
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: NiApproved. ['Denied.
(Circle one.) Comments: �t urG c i
P S0` 10 fe4tck
BUILDING
PLANNING&ZONING / J
Reviewed by/ 45.4...,„/ 0 5/is-
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
l
I
s; s.a;Iry City of Atlantic Beach RECEIVED
Building Department T APPLICATION NUMBER
�,? "f� 800 Seminole Road JUN 2 9 2015 ( o be assigned by the Building Department.)
Atlantic Beach, Florida 3223315445 `5 — ��/V �'����
Phone(904)247-5826 • Fax k 247-58.45 k/.2
_on lye E-mail: building-dept @coab.us --�� Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
A •
Property Address:/7S g 4reIvi/fm 0 g D_. . . ent review required Yes No
Applicant: / ii 1VO s !Planning & o
Tree ic •ministrator
Wor Project: �6& Th m/ - vii" !',Y =_=-
Public Safety
Fire Services
Review fee $ Dept Signature ")C
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: " Date: A, /
/�
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
%0:LIC W RKS Comments:
PUBLIC UTILITIES
UBLIC SAF Y Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach RECEIVED APPLICATION NUMBER
91 pr. t • Building Department �U (To be assigned by the Building Department.)
. 800 Seminole Road
y r' Atlantic Beach, Florida 32233-5,45 JUN 2 9 2015 /S' Jr/�
�,v. Phone(904)247-5826 • Fax(' : 47-5845 /
run 0- E-mail: building-dept @coab.0 ■ . Date routed: (Q/2 s c
City web-site: http://www.coab.us f
APPLICATION REVIEW AND TRACKING FORM
A
•
SJ¢
Property Address:/, � glie/-ji fig D E D - • , ent review required Yes No
Applicant: /oi ,r0 `j i Planning &Zon .•�
A / ///� Tree A dministrator ==
Project: /V g� /n-)6 " T yJ v� 14-, ,public Wor
Public
Public Safety y
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: ja /94 le a 4(
BUILDING
PLANNING&ZONING Reviewed by:Z 9 i Date: 6 I
TREE ADMIN. Second Review: [IA roved as revised.
pp ['Denied.
PUBLIC WORKS Comments: Jt ` #411-id (cox*
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: I „/ �__- Date: 17
FIRE SERVICES Third Review: ❑Approved as revised. - Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
R.O.W. Permit Attachment of for
R.O.W. Permit# issued , 2015 Atlantic Beach, FL 32233
Owner's Name: Toll FL VI, LP
Property Address: 1753 Maritime Oak Drive
Atlantic Beach, FL 32233
Subdivision: Atlantic Beach Country Club
Lot#/Block#: 101
R.E. #: 169505-1800
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this 2 Y day of
\ f� ,201c- ,by Atlantic Beach, Florida, a municipal corporation organized and existing
under the laws of the State of Florida, hereinafter referred to as"CITY" and Toll FL VI, LP 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: Pavers in the Right of Way for the driveway.
l'I-t'1
044 1;44, m f fii?ye
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: 160 Cape May
Ave. Ponte Vedra, FL 32081.
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
r
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 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 liabili�ytiess.are hereby assumed by the USER.
DATED and SIGNED this Z'7' day of I/At , 2015.
By:
e en, Toll FL VI, LP.
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this 24th day of June , 2015, personally appeared before me, a Notary Public in and for said
County and State, St. Johns, Florida , the property owner of 1753 Maritime Oak Drive, 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.
MELISSA LIEBER14 MAN
.�'PY Pp�',•
Not Publi, •- for said County and State ;; My coMMlssloN FFO��ao�
EXPIRES Sep
o• tember 18.20
•'�'F',of
CITY OF ATLANTIC BEACH, FLORIDA, a (407)398.0153 FloridallotaryS
erviv-
municipal corporation:
App . . -d: '
. r/
Dou: ayton, Publi• Works Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere, City Manager
Page 2 of 2
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH " a
800 Seminole Road,Atlantic Beach, FL 32233 4..4/N s-,
Office (904) 247-5826 Fax(904) 247-5845 e 2� �S
Job Address: 1753 Maritime Oak Drive:Atlantic Beach, FL 32233 Permit Number: - . 1
Legal Description Lot 101 Atlantic Beach Country Club Unit 2 67-132-08-2S-29E Parcel �--,,..„
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 461,376 Proposed Work heated/cooled 3,965 non-heated/cooled 792
Class of Work(circle one): CIO Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial c1Residenti
installed? al
If an existing structure,is a fire sprinkler system nstalled? (Circle one): e, 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: aroaers(tr7toltbrothers.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 time
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 certify that I have read and examined this application 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 Owner Signature of Contractor__ k
Print Name Steven R. Merten,Division Sr.Vice President Print Name Steven R. rten
Before me Before me
this ZI-f Day of '• ,2015 this2L( Day f 1r.L' ,,2015
t t
Notary Pu•li Not ' Pu i
Revised 01.26.10
?+"re,'.: MELISSA LIEBERMAN
. - MY COMMISSION#FF055605
'.4 -.1.- EXPIRES September 18.2017
F J•, �pPV PVA..
••.. �°: ;a �:_ MELISSA LIESERMAiV
(4071398.01"x.' FloridallotaryService.com
.,?, r MY COMMISSION#FF055605
•••'tosil°,:"' EXPIRES September 18.2017
(407)398-0153 FloridallotaryService.com
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH G
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845 264 •..
Job Address: 1753 Maritime Oak Drive: Atlantic Beach, FL 32233 Permit Number:
Legal Description Lot 101 Atlantic Beach Country Club Unit 2 67-132-08-2S-29E Parcel
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 461,376 Proposed Work heated/cooled 3,965 non-heated/cooled 792
Class of Work(circle one): CO Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): 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: arogers(a�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 certi.6,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 time
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.
--_itt • an1'rink Tit ru 4 At•.i1 A I TT\ T\ • TT TTT 4' TT • ITA TT/OT A
i
',Sy,,,,�` TREE & VEGETATION AFFIDAVIT
jS rr , �s, City of Atlantic Beach
";•_- :, ;_ Department of Community Development
�10 - ~r Planning&Zoning Division
800 Seminole Road Atlantic Beach,FL 32233
`-`4_05319%" (P)904 247-5800 (F) 904 247-5845 PERMIT#
SECTION I -APPLICANT INFORMATION (x Owner(s) r Legal Authorized Agent*
NAME OF APPLICANT Toll FL VI,LP
NAME OF COMPANY Toll Bros,Inc
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
STREET ADDRESS OF PROPERTY 1753 Maritime Oak Drive,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 101 Atlantic Beach Country Club Unit 2,67-132 08-2S-29E
I LOT 101 BLOCK E SUBDIVISION Atlantic Beach Country Club
REAL ESTATE NUMBER LOT OR PARCEL SIZE: 8,418 SQ FT AC
RESIDENTIAL X COMMERCIAL OTHER(SPECIFY)
1 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 Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those
regulations. Subsequent affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed
from the above-descri' -.or adjacent properties in conjunction with this project.
//�SIGNAT,•E O' • ER SIGNATURE OF OWNER
Signed and sworn before me on this Lyday of sw _ , Zot5,by State of ft_
5 f-eiVe-- elil-P4 1 County of St-MVI S
Identification verified: pe hee-Lu. �
Oath sworn: Yes r No 1
-A MELISSA LIEBERMAN
` r 70:,--A-0;;;;,„
I my COMMic$Inni*FF055605
Nota Signatl ''v �e`. EXPIRES September 18.2017
REV-TVA-v 10.7
My Commission expires:
(40i}358-0153 FloridallotaryService.tom
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