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581 TIMBER BRIDGE LN - NEW HOME PERMIT ,( i1 ,-- Is\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J \ 10 ATLANTIC BEACH, FL 32233 -� INSPECTION PHONE LINE 247-5814 '\�lil9r SINGLE FAMILY DWELLING NEW MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFR-1900 Job Type: SINGLE FAMILY RESIDENCE Description: NEW SFR AND DRIVEWAY Estimated Value: $468.226.00 Issue Date: 8/26/2015 Expiration Date: 2/22/2016 PROPERTY ADDRESS: Address: 581 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 $792.34 UTIL REV RESIDENTIAL BLDG $50.00 BUILDING PERMIT FEE $1.584.68 STATE DCA SURCHARGE $23.77 SEWER SDC-SYSTEM DEV CHG $4,050.00 STATE DBPR SURCHARGE $23.77 Tgrip ymp18,ME IRNCEWQIOU.L CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BI II-I)IA(.( O1)I:S. \`tt,' CITY OF ATLANTIC BEACH s 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: $8,184.56 4 I'ERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A'T'LANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. /s~ sPR - 19O0 FP! 7 f'(',77.• \../ NOTICE'OF COMMENCEMhne r • State of: FLORIDA Tax Folio No. 169505-2065 County of: DUVAL To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Lot 161 Atlantic Beach Country Club Unit 2,67-132 08-2S-29E li Address of property being improved: 581 TIMBER BRIDGE LANE,ATLANTIC BEACH,FL 32233 General description of improvements: NEW HOME CONSTRUCTION Owner: TOLL FL VI LIMITED PARTNERSHIP Address: 250 GIBRALTAR RD. HORSHAM,PA 19044 Owner's interest in site of the improvement: FEE SIMPLE Fee Simple Titleholder(if other than owner): Name: Contractor: TOLL BROS.,INC. Address: 160 CAPE MAY AVE.PONTE VEDRA,FL 32081 Telephone No: 904-217-3852 Fax No: 904-460-2683 Surety(if any) Address: Amount of Bond$ 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): 06/30/17 / 1J THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: (4'2S1:5' Doc#2015146983.OR BK 17214 Page 960, . Before , this 25 day of in the County of Duval,State Number Pages:1 Of Florida,has personally appeared Sieve i'1/l ,�(ter' Recorded 06/26/2015 at 10:38 AM, Notary Public at Large,Stat of Florida,County of Duval. Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expires: c i l \ COUNTY Personally Known: { or RECORDING$10.00 Produced Iden• 'cation: si.7'pT'k•\ MELISSA LIEBERMAN MY COMMISSION#FF055605 :,q t ;• ••;'eoff,oP:• EXPIRES September 18.2017 (407)39./3.0153 FloridallotaryService.com BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH A 800 Seminole Road,Atlantic Beach,FL 32233 I i.�L copy Office(904)247-5826 Fax (904) 247-5845 Job Address: 581 Timber Bridge Lane: Atlantic Beach, FL 32233 Permit . /5 f? " 9DO Legal Description Lot 161 Atlantic Beach Country Club Unit 2 67-132-08-2S-29E Parcel Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 468,226 Proposed Work heated/cooled 3,970 non-heated/cooled 1,467 Class of Work(circle one): 41, 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): — o 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: aro<aersna,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 certifr 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,Poo s, 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_41 Print Name Steven R.Merten,Division Sr.Vice President Print Name Steven R. Merten Before me Before me th. 24 Day of ' Jul , 015 thi 24 Day of, \ Jul _ 2015 As It g 1415M .JAI 1 Notary t u.lic . Notary 'hb is • �,. , ' _ , CYNTHIA KUGLAR ,o�`,`,,,uaa,,� CYNTHIA KUGLAR 4.•`1;c. Notary Public-State of Florida ,,, • 44). _ � `': Notary Public-State of Florida iii �E My Comm.Expires Feb 5,2017 ., •y p,; My Comm.Expires Feb 5,2017 '•;;F (5 • Commission # EE 870496 iA "' • �'s dfi•� Commission# EE 870496 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 Job Address: 581 Timber Bridge Lane: Atlantic Beach, FL 32233 Permit Number: Legal Description Lot 161 Atlantic Beach Country Club Unit 2 67-132-08-2S-29E Parcel Floor Area of Sq.Ft. Sq Ft Valuation of Work S 468,226 Proposed Work heated/cooled 3,970 non-heated7cooled 1.467 Class of Work(circle one): 430 Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Re Commercial sidential installed?an existing structure,is a fire sprinkler system nstalled? (Circle one): fires- No 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: aroi ers(u,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=(6)months at any time a_„ller 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 ap lication 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 Print Name Steven R. Merten,Division Sr.Vice President Print Name Steven R.Merten Before me Before me th.- 24 Day o Jul , 015 thi 24 Day of, ` Jul i 2015 AA$Lull Ad Wl%./ .JAI / !�� Notary lie • Notary b tc • \HIIINI/ . �,o;,rY•�e,„,, CYNTHIA KUGLAR ,.�,',,,, __•'"1•°'? Notary Public-State of Florida �e' CYNTHIA KUGLAR Notary Public-State of Florida -o• ;to * My Comm.Expires Feb 5,2017 s+y •, p,.- „ My Comm.Expires Feb 5.2017 ( ''•.',�eo�,d;, Commission#EE 870496 Commission # EE 870496 4 I 1 1 I O. 1 © 4t R u 0 W I J • Cl S (r1 ' N oe 00 V — — . czs a) R'' ei. s...0 (\ M V'. 06 N C 'p w oo N to �n d' N - <X._ 0 '3 a� v - to — °o oo - a I OG ` o �' 0 in LI-1 U L w U- w u U. C.L. O °A w c o # >- on tVI > w$... o d La o ° w a o I CO c °^ � _ z + r Z L -- H 8 os Q L O Y• 'O C a E ° ' _ 0 C� C7 L O o °O o 0 0 o -a U t Y 0 E °o :a 0 3• ,E 3 3 3 W L � in a� 3 ul � °- `� C n o N X on 0 c ( o _ E c x H o a u w 0 `N° c c in 0 i,. b I y c c b al 0 0 3 w ¢ >• > > ¢ 2 v w •° 0 a. 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E •Q — z - 1 ti to Y X cis w w I o cu I , 1 1 E , w 0 0) 0) .O ._ CU U i w I 00 U C L U an - 0 N 1 2-0 N b C 0 > O ^ Q ci T ., CI, E■ ^ CO r es o > c� .. 2 o 00 , 0. fl z Cl; a N (Ni 1 0 L —o 0 a. 0 °� i o a 7,5 v i °' � � > o i °' «� .fl 2 V U 0 > E y C E 6� y� O C C � z CO b a z z v Q C o *�, c cYLc fl. c o a -0 C Y _ 0 a) , U `n U U V Fes- U II ._ ^ .� �. ,, City of Atlantic Beach ?, Building Department r -- APPLICATION NUMBER ," -- s• 800 Seminole Road r t �. (To be assigne by th \ ,^, l �j �D / y e Building Department.) J� Atlantic Beach, Florida 322335445 —,11/c-/ _ /�O Phone(904)247-5826 Fax(904)217 O 2015 . .,.,V;■s,.' E-mail: building-dept©coab.us i City web site: http://www.coab.us routed: 4 /Q 45 APPLICATION REVIEW AND TRACKING FORM -- Property Address: 5' / 7;44 kr xticilli Deptment review re uir..--2-- ar required Yes No ..--2-- Applicant: D L G _ / Planning&Zoning n- Project: � /�'1 i�r"`_gin pis ra or �- -r �CPublic Safety _ Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District _ of Permit Verified By Date IIIIIIIIIIIII Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: i- -- ---__--- APPLICATION STATUS Reviewing Department First Review: ❑Approved. Lienied. (Circle one.) Comments: / atej k •BUILDING PLANNING &ZONING Reviewed by: �cc� Date: //f3/r TREE ADMIN. in� pp Second Review: -- — f7A roved as revised. //''De led. G PUBLIC WORKS Comments: sae *444 6ntiria PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:,____.d / �_ M� Date: 74 / " FIRE SERVICES Third Review: ['Approved as revised. y Denied. Comments: Reviewed by: Date: wised 07/27/10 • Reeves, Derek From: Ashley Rogers[arogers @tollbrothersinc.com] Sent: Friday, August 14, 2015 2:56 PM To: Reeves, Derek Subject: RE: ABCC Zoning Review Follow Up Flag: Follow up Flag Status: Flagged Hi Derek— Didn't take long to respond back! For 581 Timber Bridget the height measure from the grade is: 31'.5" For 1696 Atlantic Beach Drive the height measure from the grade is: 30'.0'A" Thanks, .Ashley Rogers Project Administrator-Atlantic Beach Country Club Toll Brothers, Inc I FL North Division 160 Cape May Ave. Ponte Vedra, FL 32081 Office:904-217-0739 Fax: 904-460-2683 C.te%tO,y Pr,, • A ICA'S MOST TRUSTED- zoo : From: Reeves, Derek [mailto:dreeves coab.us] Sent: Friday, August 14, 2015 1:42 PM To: Ashley Rogers Subject: ABCC Zoning Review I am reviewing the plans for two projects at the Atlantic Beach Country Club, 581 Timber Bridge and 1696 Atlantic Beach Drive. Both plans have height measured from finish floor, but we require height to be measured from grade. I am fine with a email response for both but if you have to reprint some pages for the Building Department then go ahead and make the change on there too. Thanks, Derek W. Reeves Planner City of Atlantic Beach 800 Seminole Road t%1 Atlantic Beach, FL 32233 (904) 270-1605 ,� dreeves a(�coab.us i 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: 581 Timber Bridge Lane Atlantic Beach, FL 32233 Subdivision: Atlantic Beach Country Club Lot#/Block#: 161 R.E. #: 169505-2065 REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of ,20 ,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. 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 • 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 liabilities are hereby assumed by the USER. DATED and SIGNED this day of , 2015. By: Ste erten, Toll FL VI, LP. (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this 24th day of July , 2015, personally appeared before me, a Notary Public in and for said County and State, St. Johns, Florida , the property owner of 581 Timber Bridge Lane, 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. I ,. ,`'": °��, CYNTHIA KUGLAR 1 c �\ to Notary Public-State of Florida / 1 �, �I` �i My Comm.Expires Feb 5,2017 Notar 1'ublic in for said Co { +j and State %;F,q'f d,, Commission #EE 870496 CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Doug Layton, Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere, City Manager • Page 2 of 2 F CODY . DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes:.2010 FLORIDA BUILDING CODE Review Result (circle one): Approve Disapproved Approved w/ Conditions Review Initials/Date: "" 69--/ • Development Size . Habitable Space 3' 7X S•F Non-Habitable /Y6 2 S_F Impervious area Miscellaneous Information Occupancy Group R---? Type of Constructions- i3 Number of Stories Zoning District /9{.') Max. Occupancy Load Fire Sprinklers Required Flood Zone /PA- Conditions/Comments: Pryor e , h , I "4 c,cc_. e/(/0/.o)-- { ,4401 Nlyv ...✓3 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: 581 Timber Bridge Lane Atlantic Beach,FL 32233 Subdivision: Atlantic Beach Country Club Lot#/Block#: 161 R.E. #: 169505-2065 REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of ,20 , 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. 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. :: I 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 l 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 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 liabilities are hereby assumed by the USER. DATED and SIGNED this day of 2015. By: .,‘,0 Ste•- erten, Toll FL VI, LP. (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this 24th day of July , 2015, personally appeared before me, a Notary Public in and for said County and State, St. Johns, Florida . , the property owner of 581 Timber Bridge Lane, 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. �pu�Uryi / ,, CYNTHIA KOLAR � ° Notary Public-State of Florida Notar ublic in for said Co and State 4,;11, ;,' My Comm.Expires Feb 5,2017 X44 OF Ft Commission*EE 870496 CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Doug Layton,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere, City Manager Page 2 of 2 :.,.,, City of Atlantic Beach Building Department APPLICATION NUMBER `.i.;'s 800 Seminole Road (To be assrgne by the Building Departrnent.) y Atlantic Beach, Florida 32233-5445 r-��/ !9 /S Phone(904)247-5826 • Fax(904)247-5845 v ' ���� g coabus E-mail: buildin de t . i /O '" p @ Date routed: 45 City web-site: http://vww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6 '/ ; It(f' /, Y/d Z Dement review required o 9 0 L d �� • Applicant: -- / G di Planning &Zoning Project: /VG W m in )7,-/�/�'A f+ - .I_ra or -- ` Public Safety == Fire Services _- Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: APPLI 1 TION STATUS Reviewing Department First Review: Approved. (Circle one.) Comments: ❑Denied. omments: UILDIN PLANNING &ZONING Reviewed by: Date: 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: vised 07/27/10 A:::.,,..,,,, City of Atlantic Beach APPLICATION NUMBER -,,:', Building Department (To be assigne by the Building Department.) 4- — ' `;. 800 Seminole Road / c/ / ^D� � � i Atlantic Beach, Florida 32233-5445 ..J ., Phone(904)247-5826 • Fax(904)247-5845 t Email: building dept @coab / /j ' J'" .us Date routed: A IV City web-site: http://www.coab.us — APPLICATION REVIEW AND TRACKING FORM Property Address: - • / , 1• Iii / , e Department review required Yes No Applicant: /0 Le- gy 0 5 d Planning&Zoning f�/ )Yi•vtiiJ / r�t / ' (� m / ra or Pro ect: � Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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�sry,�y,�_�� Date: eLf* TREE ADMIN. Second Review: ! II ` QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ['Denied. Comments: • Reviewed by: Date: vised 07/27/10 — City of Atlantic Beach i APPLICATION NUMBER ( - •-•:-. Building Department , P (To be assigne by the Building Department) • - \ir .:1) , 800 Seminole Road / Atlantic Beach,Florida 3223345445 , ,... fi Phone(904)247-5826 • Faxi(904)2475f345 0 2n ic .ui../ I •-k- "AMO E-mail: building-dept@coab.us Date routed. 0 /c City web-site: http•//www.coab.us mom" APPLICATION REVIEW AND TRACKING FORM ae .. Property Address: le I 7t Jr' i 4£ De,- ment review required—Yes F1(71 -- ewe _Applicant: / 4 -tanning&Zoning - — - -7i 11 i IS ra Project: /1/e fti zny eith9 n..orsb -or---- ------------- -- lA ..wrogitagetiP Public Safety _ ._______ Fire Services Review fee $ Dept Signature ___ Review or Receipt Other Agency Review or Permit Required Date of Permit Verified B 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: - ---J .___ APPLICATION STATUS --- — I Reviewing Department First Review: DApproved. 9(Denicq I (Circle one.) Comments: Jee /Wd 4)ex nak BUILDING PLANNING&ZONING e -- Reviewed by: .4,,i, 4afGjelt.---- Date /(3ijs-- ---- ---- --- TREE ADMIN. II ' ------- -------------- ,. Second Review: DApproved as revised. lb Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ODenied. Comments: Reviewed by: Date: — — — ---1 viseel 07/27110 _ _ ., • :i�.��%i City of Atlantic Beach ��" dk• APPLICATION NUMBER .} ., Building Department 'l' 800 Seminole Road , 4,i 1>�� (To be assigne by the Building Department.) :; 3 Atlantic Beach, Florida 32233-544 b. Q t2 / �-�/� l /Q Phone(904)247-5826 • Fax(904)2475845 ?016 j e �7:;. ;�;-f• E-mail: building-dept @coab.us Date routed: er /0 45 City web-site: http://www.coab.us / APPLICATION REVIEW AND ACKING FORM Property Address: 6' i 7t ,-' �,'y Department review required Yes N /-- 9 No — ! O d'in Applicant: 0 Z G 5 Planning&Zoning u� /n Arnit •■■ aistrator Project: • �� rte_. Public Safety Fire Services Review fee $ 3----d Dept Signature_ ��v\ Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: I Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING 5�5774:_ Reviewed by: Date: D y TREE ADMIN. Second Review: ['Approved as revised. ['Denied. f� •• • Comments: / P BLIC UTILITIES ` riM1/ie- PU:LIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 . s CITY OF ATLANTIC BEACH w.. s� PUBLIC UTILITIES 1200 Sandpiper Lane .. ATLANTIC BEACH,FL 32233 Js31ar (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: 8_/6-,5--- -/v-/5 Project Address: ,s-g/ // i3& ./ .3e-Lb 6F- No. of Units: Commercial Residential v./ Multi-Family New Water Tap(s) & Meter(s) Meter Size(s) 3/y ,, New Irrigation Meter V Upgrade Existing Meter from to (size) New Reclaimed Water Meter Size `3/y 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# 15— 5FK-/900 Water System Development Charge $ D. Sewer System Development Charge $ dSO. 0() Water Meter Only $ /R5`.OD Reclaimed Meter Only $ /85:00 Water Meter Tap $ (notes) Sewer Tap $ Cross Connection $ 5b, DO Other $ TOTAL $ S 6/D. 00 APPROVED: Kavle Moore,PE 2L4" (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED 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: 581 Timber Bridge Lane Atlantic Beach, FL 32233 Subdivision: Atlantic Beach Country Club Lot#/Block#: 161 R.E. #: 169505-2065 REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 20 , 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. 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 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 liabilities are hereby assumed by the USER. DATED and SIGNED this day of ,2015. By: 414 Ste•- erten,Toll FL VI, LP. (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this 24th day of July , 2015, personally appeared before me, a Notary Public in and for said County and State, St. Johns, Florida , the property owner of 581 Timber Bridge Lane, 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. ,,,,,,,,,,,'� CYNTHIA KUGLAR C ( ? { Notary Public-State of Florida ��� Al My Comm.Expires Feb 5,2017 Notar ublic in for said Co y and State 4 ,,,, ' 'Commission EE 870496 IPTermirgipmpmpliipowerwoupnipull CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: Doug Layton, Public Works Director • For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere, City Manager Page 2 of 2 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: 581 Timber Bridge Lane Atlantic Beach, FL 32233 Subdivision: Atlantic Beach Country Club Lot#/Block#: 161 R.E. #: 169505-2065 REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this i3'r`=day of �4we► •S , 20 /<-,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. 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 • • 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 liabilities are hereby assumed by the USER. DATED and SIGNED this /fie day of G&' 5 , 2015. By: Ste'-erten Toll FL VI LP. (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this 24t1i day of July , 2015, personally appeared before me, a Notary Public in and for said County and State, St. Johns, Florida , the property owner of 581 Timber Bridge Lane, 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. r 1 Al�'" CYNTHIA KUGLAR C , Notary Public State of Florida 1 .� My Comm.Expires Feb 5,2017 1 Notary•Public in for said Co It and State '.,;o,,, YCommission r re EE 870496 Pograpmergerowmpowommipormipiewoh CITY OF ATLANTIC BEACH, FLORIDA. a municipal corporation: Appr, -• /l / ( 6 `, Doug a on, Public Work: Director For Permits where city sidewalk is impacted, City Manager approval required: Nelson Van Liere, City Manager Page 2 of 2 37/ 71 ier Aire / o L0f- fCr x79 O 3a0 //owe M170 fl - ' r,oi?fU 2JX3 .r-X 3,ce %S'0/3 .rV- k/) `5 660 eIyd I xy k#'e 02 )142 = 64 f-§,/,- S' ,#q. OF 40017 ` ' Y ATLANTIC BEACH �� 1as.) $ 015 800 SEMINOLE ROAD J 'r 2!: ATLANTIC BEACH,FL 32233 JnA (904)247-5800 Revision Request Sheet Date: gf N 15 Received by: 1 Resubmitted: Permit Number: 'rj _s Fit - i c1 00 Clearance Sheet Number: t•( ' Original Plans Examiner: Project Name: Project Address: 5g I Ti m b.er Arid qe' Ail'fii L e Ch, FL ` 3 3 Contractor: "TID)( GYPS . , 1 n� Contact Name: i N • • +� IIP Contact Phone Number. q • ci D u I 0-I a L--.. Contact Fax Number: Revision/Plan Check/Permit Fee(s)Due:$ Description of Proposed Revision to Existing Permit: Pending Hold: JJVF C Structural: E- J c Plumbing: i ���(� 1 4 2015 II Mechanical: — f Electrical: Misc.: 7ub1 1-C- WorKS eoie-ReC#ior - "Pr i Ku ay w/ 3Pt Plan-e Or) both 5ideS Additional Increase in Building Value:$ (Q _ Additional Square Footage: Clearance Sheet/Site Plan Revised: _ Environmental Health Approval: By signing Belo iii tn..) } I P,1,{ R( S affirm that the above revision is inclusive of the propo.ed ch, gtt k____LowA I '3 I,- i s Signature of o i tractor/A:• ( ctor must sign if increase in valuation) Date - Office Use Only Date: Approved: Rejected: Notified by: Plan Review Comments: Plans Examiner Date Crated 08N5An jio BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904)247-5845 Job Address: 581 Timber Bridge Lane: Atlantic Beach, FL 32233 Permit Number: Legal Description Lot 161 Atlantic Beach Country Club Unit 2 67-132-08-2S-29E Parcel Floor Area of Sq.Ft. S Ft Valuation of Work$ 468,226 Proposed Work heated/cooled 3,970 non-heated/cooled 1,467 Class of Work(circle one): 40 Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/pro osed structures)(circle one): Commercial Residential If an existing structure ,is a fire sprinkler system installed?(Circle one): z� No 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(i 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,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 Print Name Steven R.Merten,Division Sr.Vice President Print Name Steven R. Merten Before me Before me th' 24 Day o ' Jul , 015 thi 24 Day of Jul 2015 A I I W/AA ,J. C Yr Notary C lic • Notary 'f b ic ' ,,1p y CYNTHIA KUGLAR „V„',,,, o , ;AV;•uB�,�" CYNTHIA KUGLAR =:•�1' Notary Public State of Florida :: °• Notary Public-State of Florida Ste. %�, My Comm.Expires Feb 5,2017 J•` My Comm.Expires Feb 5,2017 ''';'FO7;d;, Commission# EE 870496 ,, Commission # EE 870496 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904) 247-5845 Job Address: 581 Timber Bridge Lane; Atlantic Beach, FL 32233 Permit Number: Legal Description Lot 161 Atlantic Beach Country Club Unit 2 67-132-08-2S-29E Parcel Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ 468,226 Proposed Work heated/cooled 3,970 non-heated/cooled 1,467 Class of Work(circle one): CIO Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed installed?(circle one): Commercial Residential i If an existing structure,is a fire sprinkler system nstalled? (Circle one): o 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: arotersntolIbrothers.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, ,al'M T.,4c and dlr!'andHinner.etc. EF 11L, I�.e►YC..�A.„�Bt.,e.A� i ws"'[A`' -.wz...tH..,-s. - ,3_ t! a pia.,^.uww'Exf;!■sa trp 41' ); �.• jl GOIA 1,ppf.21918 Of NO.':1.i u r ''+.;� C.u4.UjV xtierva