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178 BEACH AVE - DRIVEWAY PAVERS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �J r 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-2550 Job Type: DRIVEWAY Description: pavers Estimated Value: Issue Date: 11/5/2015 Expiration Date: 5/3/2016 PROPERTY ADDRESS: Address: 178 BEACH AVE RE Number: 170210-0000 PROPERTY OWNER: Name: 178 BEACH AVE LLC Address: 6 E BAY ST SUITE 500 PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS: Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. 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. 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. '''RAiloff A)r4-@r(Cirh ilIrly 4i4..8't‘be'oN lattyVitOrkiJetliii41 ttti1l1 Cro alfi r( 4rlibtQf ri+++a>+Nf(Owr.ti. 41 r v.,s CITY OF ATLANTIC BEACH N ss1 s 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J�319`� City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and Waste Pro.) Full right-of-way restoration, including sod, is required. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 711E FLORIDA BUILDING CODES. `: CITY OF ATLANTIC BEACH r 4 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 t It o/ Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date (a 1 Lc-'I.c PERMIT# �d �_ ISSUED BY THE CITY Job Address rib ) '4Q-f njj Permitee: R.,:xi .-— Svc -iz>S Telephone# cio(--33 '(- I Ld'‘o Permittee Address: 1,15( Ecxxcit 4v Requesting Permission to Construct: it csw.c,re4Q /-tpb'vrv_ FILE COPY L e � Location: (Reference to Cross-Street) 0 � 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. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ) Date: 6 c l Bell South Telephone Company FILE Yes( ) No ( ) Date: Ferrell Gas cop Yes( ) No ( ) Date: Comcast Yes(1 ) 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 a:.determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or FlQyida Depart Rent of Transportation Standards and be performed under the supervision of I?.src.•, $'ll-m t} 11,-. (Contractor's Project Superintendent) located at CI b O ait Ave, Telephone#:Qo V- 3 3 Y-i24, 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 4 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 starting work and again immediately upon completion. OWNER I S $ . - '' ach V1 C.L C-' Y P STEPHANIE W.CASSIDY �taR vex ' g'r° 1`�= Notary Public-State of Florida ' Signed: Rate: /l'`9 /� s ` e My Comm. Expires Jan 16.2017 261 Before me this �l� day of ,//1, in 9ounty of f vat, ""s,;,�� o. Commission#EE 842635 State Of Florida,has personally appeared .I r/i at,e: Gr 5 ''%° ::�'�� P Y Bonded Through National Notary Assn. I Notary Public at Large,State of Florida,County of Duval. owomerwoNpoipmereweipeemegreweigeelle My commission exp' s; Personally Known: �'/ �,,,, e,,,,�rak roduced Identificati9e5 LL7�f Cr--1-p BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH G 61 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 Job Address: [7 S &• i4 re Permit Number: Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work $, 30D0-` Proposed Work heated/cooled non-heated/cooled' Class of Work(circle one): New Addition Alteratio• Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial esid installed?an existing structure,is a fire sprinkler system nstalled?(Circle one . es No N/ Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: 4 vi- T .l.- (-9e/KS eft"✓ r2S ice, talc �. oft_ / rep 6ce a rc.Q ( Qscegfti wow. 4.1441. ��r__ Property Owner Information• Name: <0\04-(4 rice _Address e k Ave City 4-1-1c• ��ci'L Stat&LZip 32210 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: 1, uer t/ 1 '411.— Qualifying Agent: Address: .-ov. City_VAX_ State r L< Zip JZZ-S$ Office Phone Job Site/Contact Number IA K-33 ii-lz&(o Fax# _ State Certification/Registration# 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. 1 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 cqnstniction 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. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners,etc • ' , 0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF R r, y� N 1r,..+, +7. ,. .. ,.: • ESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS •�c�, JRt4 MWE .UNUU 1 YOU INTEND TO OBTAIN FINANCING, CONSULT WITH N, e Y. ' tb glireRaoR2A ' ATTORNEY BEFORE RECORDING YOUR NOTICE OF -;;fo-,�'p;.• fission EE 842635 COMMENCEMENT. Bonded Through National Notary Assn. I hereby certify that I have read and examined is application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will he complied with whether specified herein or not. The grantin of a permit does not presume to give authority to violate or cancel the provisions of any other federyi state,or 1 al law regulating construction or the performance of constnicfion. 1 18 672 A ve, L L Y C `\\ Signature of Owner � .� Signature of Contractor Print Name KJC(0. 1, t�,...-c ieh Print Name 5( -'- 1-AA- e Sworn to and subsea,'•-j,b-fore me Sworn and subsc ibe a re me this - Day of ' i /i A . 20/11 /,� / this Day of 20% IP'i , ,t_e_e_':1■ /‘ ee:(0--# /cff--/ P-'I' d '�' torte wow ON or �' FILE COPY °` , . �K mac mans Q watt mart Row y L 6pu✓rtP.s 5 ��m vmee..ifZ ^zolorr�I�ACi.'T/v'ft,r-e— 0 RC—,4 C. 4 U�1 v&. h 3 F( 3L 23 is:firrrri4. `:4,p g 3-1 y Cad (46577 01 - .°.. Meg- eetdr-it •4 „r 5'IS-1y28 01 p: will 1 N N x ....ns ei N 07 q.. V e . Q, .✓. Q 1 i 1,1,4 ler). 4.0,,, i id �-7.-.. �e� Cyr !NNW AMMO 077.4 ALIT/C if IC RAMA Mme` ANINIONE ARM Write&FOR aMOM AS • _ , . • ` INC. �qi tAgFAD • Mr /Q E. as s (md) rn-7 aPHIN ■„' M an MONO='•• Mt/0 S k . r3?1i37fy!! w s.r �M�((�III � .� .r L I. �t • .f7 iil tU .a ars .f.- MUM Int III INK i 13e City of Atlantic Beach APPLIC ATION NUMBER •/* "'.9 1 Building Department 0C V,� (To be assigned by the Building Department.) -_ >•;_ 800 Seminole Road r2g ,, ' "� �/ Atlantic Beach, Florida 32233 5445 8�. ?015 ! ,� ��'�/ •• Phone(904)247-5826 • Fax(904) 24 - �� !i J,t y% Email: building dept @coab.us Date routed: a ' �� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /9-C�j E Department review required Yes No Building Applicant: O tO — Planning &Zoning Admni istrator Project: 7it? Pubic Works ` ±1•nl tilities Public Safety Fire Services Review fee $ 2S— 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. nDenied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: ,4.../(---ht Date: 0 3 I r TREE ADMIN ------------ Second Review: nApproved as revised. ❑Denied. C WORK` Comments: PUBLIC UTILITIE / PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: evised 07/27/10 rs1..e;, City of Atlantic Beach APPLICATION NUMBER :>' Building Department s+� (To be assigned by the Building Department.) 800 Seminole Road OCr Atlantic Beach, Florida 32233-5445 2 9 20/5 • Phone(904)247-5826 • Fax(904)2'4Y-5845 / �;t or E-mail: building-dept @coab.us Date routed: `4 c>27 rs City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM r / Property Address: / Department review required Yes No Building Applicant: a fen Planning &Zoning - . .i.strator Project: 7i9 , Pub orks • 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: [pproved. ❑Denied. (Circle one.) Comments: fee Aida/ &fifeee,' BUILDING �W PLANNING &ZONING St// )// --- 11/1//c— TREE Reviewed by: /"" ►' Date: ADMIN. Second Review: ❑Approved 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: Revised 07/27/10