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1464 JASMINE ST - DRIVEWAY
j -1 s, CITY OF ATLANTIC BEACH ° 800 SEMINOLE ROAD j . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DRIVEWAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DWAY-2277 Job Type: DRIVEWAY Description: concrete to concrete Estimated Value: Issue Date: 10/1/2015 Expiration Date: 3/29/2016 PROPERTY ADDRESS: Address: 1464 JASMINE ST RE Number: 171081-0030 PROPERTY OWNER: Name: RAMIREZ, JAMIE W & TERESA J, * Address: 1464 JASMINE ST PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from the edge of pavement to the property line. Reinforcing rods or mesh area not allowed in the right-of-way. Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. All silt must remain on-site during construction. Roll off Container Company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and Waste Pro.) 4 Full right-of-way restoration, including sod, is required. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. PERMIT IS APPROVED ONLY IN ACCORDANCE WITH Al 1. CITY OF ATLANTIC BEACH ORDINANCES AM) 771E FLORIDA BUILDING CODES. r J, f CITY OF ATLANTIC BEACH A s) 800 SEMINOLE ROAD r:• z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA 13111L1)ING CODES. riLt 10)1 rtig;„,_ 4,144d �yrr 3 � Y.z / luei Y3a,e qsei 4z2 ,--4 — 1,2 X a 2, k batOge44..rX bi,Ar z zwk.r 4144, PrrGh 144-'CSC 6ir 4(41( L44/ Ai'g- 16-r0 c:r790 CITY OF ATLANTIC BEACH lI — CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road F` - Atlantic Beach,Florida 32233 5445 904-247-5800 J'S' Fax 904-247-5845 PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT# Date 9-.)8-/' ISSUES BY THE CITY Job Address / ( L.1 joN5rn it t.., .54 E-mail Permitee: i—lif /\a�vXi'C•ZZ Telephone# c2 37 i(f Permitee Address: /9 6 Li J� �, C Requesting Permission to Construct: LcJ4i yj 4rl eehettre- 6170/-i rE Location: (Reference to Cross-Street) ii- 's'h . G LA LCD, /ed. 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. g A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes( ) No( ) Date: Comcast Yes( ) No( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permitee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 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 showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four(24)hours prior to startin work and again immediately upon completion. ,� -.. ,., 4,ts ,4`0 f• . ate of Florida .,i7am OWNE /{�J Q' v '�', •1111,54. FF 086990 �+ • �2 i �� xe:•::9 02'14.118 Si • Date: Before me this day of in the • of D al, State Of Florida, has personally appeared Ask Notary Public at Large, State of Florida, County of Duval. My commi ditr p - A Personally Known: '_!,. - Produced Identification: ' 2 89 - 6 Revised 7/29/15 f CITY OF ATLANTIC BEACH 0 WNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. /LI / (-I j c-Se--»0(, ,54-. 2.-.17- S&IC' ADDRESS PHONE NUMBER PRINT NAM ' �j RE Q/� / '�? $IG,NATURE DATE Before me this Z day of _Sy C ,216in the county of Duval,State of Flori a,has personally ppeared herin by himself/herself and affirms that all statements and declarations are truer and accurate. _ Notary Public at Large,State of /- L/ ,County of ( V , ❑Personally Known AR° �'S. q Produced Identification- 11 •.4"si)� ,,9 rh NI t%'rye Public State of Florida ' lir:,,y L Graham �, w<' a`° Ny Ccmm/14/2 FF 086990 ,w� Expires 02/14/2018 Notary Signature: \ 1 - F!DL[Xi%Owner-Dailder Affadavie REVISED' 4 6/2009 l,tJ IIrILU IU: JAMIE W. AND TERESA RAMIREZ FIRST UNION STEWART TITLE OF JACKSONVILLE, INC. WATSON AND OSBORNE, P.A. LOT 4 BLOCK 251 50.00' (PLAT) iV x 00.06110" E FOUND 1/2" IRON PIPE SET 1/2" REBAR 50.36' (MEASURED) 0.1.--\ CAPyDESTROYED STAMPED "ACM LB 6702" .5 X — X 0.7' 0.1' LOT 4 BLOCK 250 a 76' 23.0' 1 x.---.. 0 LA LiJ Q w J a w w °- o.. o LOT 5 c\i I� x - (Ni LOT 3 BLOCK 250 ° CO Ko0 BLOCK 250 m 0 r ONE STORY o FRAME POSTED # 1464 I— 0.1� Li i X Lii 3 n w a p x0 (n W C C 10.5' � O _ ° O 7.5. — X O I-- 5 p O *ct c7 (T) ___,— 4 0) c‘i r— o Z (1) 0 22.0' _ f-. '• •• 10.5' 4Z."• • F,45 1. 4 a,4. • • N 149.90' (MEASURED) 1 . 149.64' (PLAT) ° 4' 0.2' FOUND 1/2" IRON PIPE FOUND 1/2" IRON PIPE FOUND 1/2" IRON PIPE NO IDENTIFICATION NO IDENTIFICATION S 00'06'10" W STAMPED "RLS 4242" 50.36 6' (MEASURED) 50.00' (PLAT) JASMINE STREET (50.0' RIGHT OF WAY) ' NOTES: ACCEPTED BY: LEGEND: —x— = FENCE O = CONCRETE NOTES: REVISIONS 1. BEARINGS ARE BASED ON THE _ASSUMED__ BEARING OF _ S 90'00'00" E THE NORTHERLY BOUNDARY UNE OF SUBJECT PARCEL. DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS UE WITHIN FLOOD ZONE X AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL 0001 D 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. . -..,.- ..,,...T.. .•.a .,.•,n u",'uni,'r Tuc cu oncccn ccei nF TI-IF CrPTIFYINl2 CI IRVFYITR . ..,., .«.. ., .,. ..,.,.,b.,, ...4.4t,,t rage 1 of 1 .0 He Maps 1460 Jasmine St ,. \ -'1-Y 9#:4' '1 #NAT j ^- .S., f •, w i•1, Yoh' .: - I ° r y ,:, • rl. F • Google Image capture:Dec 2014 ©2015 Google Atlantic Beach,Florida Street View-Dec 2014 1464 Jasmine St c httpS://Www_ roocrie enm/manc/nlapP/1 AAd�T.,,.:..o_LC+ n+1.......:., 1 l• -__t. . rr N k!1 O t �=� r� 0 O •4 o N C) ---••411h -.7. ..''`' - ' . i , . ,. • . 0 ---.. 00 r.- O \ *0....:„,-'-•••... - , • ' .I), E 00 • i ., • •csIl , ' . 0 . ' ' III+ L f' . ' .' , , 0 rr) co CI) - 7--,. 'NI;-' - i : s: ' i • • cn @..) ' ■ . ■••• - ,ilf r . ilk . • 9 ; 41I en • i I. \ `*. LT. t-:.tt,;L T ',4,.. t. •of .{ CO CCS CCI X 4 • e ' '01.9 Z 'f • ! ' • _ �L •SS cd • 44. A,-. { tip' - r O •$ y1 c,„. . , 11. -,.., ,, ,. _i_. 7,.07 i-+ v., . ... 3. c .... -14.:-.1r c.) 'Al„ _ ':. ♦. ' y 1, , CloM Cl. _.. . . cn /I ` �' `4. 0. CCS ct 2 O r. Q) _...� r�.. - P pr ' ` 1 \ .. , C7 j. t ', 1 k: �' 0 3 ti'0,.:>>' s, City of Atlantic Beach `� ,t : •,� Building Department APPLICATION NUMBER 800 Seminole Road �/� ? ' by,, (To be ass'.ned the Building Department.) r 1, Atlantic Beach, Florida 32233 5445 (� — � Phone(904)247-5826 • Fax(904)247-5845 •. 277 is �� E-mail: building-dept @coab.us �' Date routed: /0" " City web-site: http://www.coab.us ,`,ice APPLICATION REVIEW AND TRACKING FORM Property Address: /V6 / i, — __ Department review required Yes -No 40/V&A- Building Applicant: Planning &Zoning Tree Administrator Project: e/ -rJ' 7E VL /, )I ublic Work �i w y ublic Cltttitl7 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: pproved. ❑Denied. (Circle one.) Comments: / ll,// /� c--(U Y'' GOeRed. BUILDING PLANNING &ZONING / Reviewed by: `O 11111kv C— Date: 9/9,7s- TREE s TREE ADMIN. % / Second Review: DApproved as revised. Denied. .PUBLIC WORKS Comments: ,( LpUBLICV ILITIES PUBLIC SAFETY Reviewed by:- ------— Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: evised 07/27/10 �S oLAL , . City of Atlantic Beach OA � AP ,:3 Building Department APPLICATION NUMBER ii,r 800 Building Roar (To be ass' ned the Building Department.) u 4' Atlantic Beach, Florida 32233 5445 ��— � - 2277 iii Phone(904)247-5826 • Fax(904)247-5845 l 22 7 7 L�sil�� E-mail: building-dept @coab.us � Date routed: !RV/A— City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM • Property Address: / /(, / i ` - — __ i4 G Department review required Yes required No �4)/V&/` Building Applicant: Planning &Zoning Tree A. inistrator Project: eM etirE 'DO V )� -ublic Works w y "ubhc v - Fire Services Review fee $ 2 r 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: APPLIC: -ION STATUS Reviewing Department First Review: G'Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING 1� Reviewed by: �� /�,/f Date: TREE ADMIN. ----- — — — Second Review: L]Approved as revised. ['Denied. er,,,:,..„ W�ORK� Comments: �UB C UTILITIE PU L 5 SAFETY _ --- Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ODenied. Comments: Reviewed by: Date: tevised 07/27/10 z