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1763 ATLANTIC BEACH DR - NEW HOME PERMIT S rV1:r �° ''H J CITY OF ATLANTIC BEACH � , ;; : . ;a 800 SEMINOLE ROAD j ` ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r:,J131>r SINGLE FAMILY DWELLING NEW MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-SFR-54 Job Type: SINGLE FAMILY RESIDENCE Description: NEW HOME DRIVEWAY Estimated Value: $620,978.00 Issue Date: 1/27/2016 Expiration Date: 7/25/2016 PROPERTY ADDRESS: Address: 1763 ATLANTIC BEACH DR RE Number: None ---------------- --- GENERAL CONTRACTOR INFORMATION: Name: GLENN LAYTON HOMES Address: 517 Canal RD Phone: 904-758-4380 PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD $100.00 BUILDING PERMIT FEE $1,921.96 STATE DCA SURCHARGE $28.83 PLAN CHECK FEES $960.98 SEWER SDC-SYSTEM DEV CHG $4,050.00 STATE DBPR SURCHARGE $28.83 UTIL REV RESIDENTIAL BLDG $50.00 WATER NECT(IO(l1 WANCE3)j0.11)all. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BI 1LDING CODES. 6' ;4/" , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 WATER SDC-SYSTEM DEV CHG $1,140.00 WATER CONNECT/TAP & METER $370.00 Total Payments: $8,700.60 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc # 2015213901, OR BK 17305 Page 1030, Number Pages: 2, Recorded 09/17/2015 at 12:15 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 This Instrument Prepared By: employee of Sheffield & Boatright Title Services, LLC 6101 Gazebo Park Place North, Suite 101, Jacksonville, Florida 32257 Permit No. Tax Folio No. 169399 -0000 File No.: 2015-1133 Commitment No.: 3414320 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF Duval THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: Lot 35 of ATLANTIC BEACH COUNTRY CLUB UNIT 2, according to the Plat thereof as recorded in Plat Book 67, Page(s) 132 through 137, of the Public Records of Duval County, Florida. 2. Address: 1763 Atlantic Beach Drive, Atlantic Beach, Florida 32233 3. General description of improvement: Construction of single family home. 4 Owner information: a. Name and address: James F Marlier, Jr and Carla Fey Marlier 2810 St Augustine Rd, Jacksonville, Florida 32207 b. Interest in property: Fee Simple c. Name and address of fee simple titleholder (if other than owner): 5. Contractor: Name and address: Glenn Layton Homes, LLC 4314 Pablo Oaks Ct Jacksonville Fl 32224 b. Phone number: (_) c. Fax number (optional, if service by fax is acceptable): 6. Surety : Not Applicable a. Name and address: NIA b. Amount of bond: S N/A d. Fax number (optional, if service by fax is acceptable): 7. Lender: a. Name and address: Branch Banking and Trust Company 11331 San Jose Blvd, Jacksonville Fl 32223 Attn: Construction Division b. Phone number: 904 - 361 -5213 c. Fax number (optional, if service by fax is acceptable): 999- 242 -0023 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in section 713.13(1)(a)7., Florida Statutes: a. Name and address:_ _— - - - - -- — — l 1 3 r- 0.AN City of Atlantic Beach APPLICATION NUMBER ° i N1 Building Department D (To be assigned by the Building Department.) 800 Seminole Road RECEIVED k ,Iw r� Atlantic BeachFlorida 32233-5445 -S f e - .67 Phone(904)247-5826 • Fax(904)247-58AAN 0 8 2016 / / .�=�0F1 yr v E-mail: building-dept @coab.us Date routed: / / //p City web-site: http://www.coab.us ay: /III ✓ APPLICATION REVIEW AND TRACKING FORM Property Address: /16 3 ."' ' _. 6,-- i 6-(-- De• - .'ent review required Yes No Applicant: (Mr' n / 0 VI ping&Zoning= m'� �ee A;11 nistrator Project: Nat)�-t) 1dThl1 ' (I V E �/4'\ ,.. IA/4'y .c-Utility 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: APPLIC TION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: i"t Date: l/!/4 TREE ADMIN. Second Review: Approved as revised. ❑Denied. dpp,T C WOR S Comments: -UBLIC UTILITIES PU:LIC SA E Y Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING YERMI I'APPLICATION CITY OF ATLANTIC BEACH , 800 Seminole Road,Atlantic Beach, FL 32233 - "f/ ' ,5"-Y Office (904) 247-5826 Fax (904) 247-5845 Job Address: 163 Il77 -A0C- /360CH 6t2.�4Z_ ,.H,12.. Permit Number: Legal Description • _ - it ." 77C- i 'x ! .11- - Parcel# 140 9195--/li oor • rea o q. t. ZZ q. t Valuation of Work$ G(24 91t?.Y(Proposed Work heated/cooled 3,z16, non-heated/cooled Wit ? Class of Work(circle one): Ne Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one):. Commercial Resi• - • •; If an existing structure,is a fire sprinkler system installed? (Circle one): •es No N /A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: A10,1 KoME CoN s-rz .C77o�1‘ g/s k .E -1='ern 11-g, bET 6)COVEY eMe y )enti-VNED 1-7e-o9.a.e Propertyy Owner Information: �1 Name: ;l,rr1 4 Cihet,s3- iryJR�t..L e72 Address: 2f/0 Sr /7NGum ia. City 1-H2, _s opt✓i ct.E States Zip 3 1Z67. Phone 911• `/yY. ,?m E-Mail or Fax#(Optional) Contractor Information: Company Name: 6tExini Ll r,&1 -He**,eS Qualifying Agent: (T/,4 J,1 (Z ' Address: 413/41 PA-SW DRics CoiA.R.T City 3ICY_S&4Vtt_LE State R- Zip 3222Lf Office Phone -"f3 Pt Job Site/Contact Number 4)11k1 Hfheius 211-2s17-Fax# _.- State Certification/Registration# G A G D 3 J 2 Architect Name& Phone# i(LftYC�cy f A-5SW- 90 it- 027a.533/ Engineer's Name&Phone# fteEx IH 9D`1. ex•5.24).0 Fee Simple Title Holder Name and Address l Bonding Company Name and Address Mortgage Lender Name and Address i 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 ci 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 ElectricalpWork , 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 cer7h that I have read and, amined this a plication and know the same to be true and correct. All provisions oj•laws and ordinances gov ruing this type of work will be complied with e er s.eci ied herein or not. The granting of a permit does not presume to give authority - violate or ,crncel the provisions of any other federal, te, . loco• re: •ting onstruction or the performance of construction. J Signature of Owner .mw • 6 Signature of Contractor Print Name f ' gd,41 esp .... ..• , .IQ,/-- Print Name gig JQ 1- 4-x f iJ Sworn o and subsc ybe• befo•e me . Sworn t• and subscribed befpre me this id Day of .' • ,' ., ... 20 .5 this.AP?' say of f , 20 t A i' .f►.a..� ./r- I �4� •L �.i. _ • ! "'' ' "•' •KLEIN Not/ Pub is JIWAN •-.ANOKI.EIN ;.7• '. NOTARY PUBLIC NOTARY PUBLIC f rr STATE OF FLORIDA : STATE d t'L' t l.26.10 - 1i:rla/i Comm#EE828475 ,0L`!�,_Comm#EE828475 . .r..',. •oApr. CITY OF ATLANTIC BEACH ' 800 Seminole Road Atlantic Beach Fl 32233.5445 h � Phone#904-247-5816 \Y Fax 904-247-5877 I MO* Email:customerservice@coab.us Web:www.coah.us APPLICATION FOR COMMERCIAL UTILITY SERVICE Business Name: ASTIMAC L/CHTCM PC/MET Service Address: ! 1103 I C. 60+04 De. Mailing Address: I/3 i I Met() IVP(I L_T-)� ON V (...t.4", � 3,2 l If different from Service Address Service Start Date: (Monday—Friday onlyy))�/ Authorized User on Account: $'L24/'Ti t t L/- 7 iJ `�„ " ''6'e Print Name 1 Title Applications by firms,partnerships,associations,and corporations shall be tendered only by their duly authorized agents and the official titles of such agents shall be included in this application. G Q 2 Drivers License# kii —i/c21- 1-i- /39-6 State r L DOB /�l/' T 7 Business Tax ID# r2 I - y3//?0 .60 Cell phone 0 / /0'1. 57o Work phone /51 / 3 8" E-Mail Address 1 1Il # 9 inn la.94bAliootx S • exNn THE CITY OF ATLANTIC BEACH IS NOT LIABLE FOR ANY DAMAGE CAUSED BY LEAKS OR FAUCETS LEFT ON WHEN WATER SERVICES ARE CONNECTED. PLEASE CHECK YOUR PROPERY TO INSURE THAT ALL FAUCETS ARE TURNED OFF PRIOR TO WATER SERVICES BEING CONNECTED. I HEREBY MAKE APPLICATION TO THE CITY OF ATLANTIC BEACH FLORIDA FOR UTILITY SERVICE TO BE SUPPLIED TO THE SERVICE ADDRESS ABOVE AND AGREE TO ADIDE BY ALL ORDINANCES,RESOLUTIONS,RULES AND PROVISIONS OF THE CI re IN REGARDS TO ITS SERVICE OF THE UTILITY SYSTEM AND AGREE TO PAY FOR SUCH SERVICES IN ACCORDANCE WITH RATES AND REGULATIONS IN EFFECT AT THE TIME OF DELIVERY OF SERVICES.I WILL BE PERSONALLY RESPONSIBLE FOR THE PAYMENT OF THE UTILITY BIL ENDERED UNDER THIS ACCOUNT. / �i irO nature ,, DATE ) 7 iI `{ Customer Sig If mailing or using fax,please attach a legible photocopy of State Identification, Driver License.Applications are considered public documents according to Florida Statutes and are subject to public inspection. Also enclose a check or money order in the amount shown below. If paying by Visa or Master Card please call back after faxing application with Visa or Master Card. Office Use only below this line Customer if Location Deposit $ Reviewed by Service Charge $ 20.00 Reviewed by Total $ • y1 / � ' j� CITY OF ATLANTIC BEACH f PUBLIC UTILITIES fit, .)J� V~ 1200 Sandpiper Lane ATLANTIC BEACH,FL 32233 \J,3l> (904)270-2535 2535 or(904)247-5874 NEW WATER/SEWER TAP REQUEST Date: 1ild J(J Project Address:116___A+16L WI l C 6 taus a Y. No.of Units: ` Commercial Residential V Multi-Family New Water Tap(s)&Meter(s) Meter Size(s) 3(4" New Irrigation Meter Upgrade Existing Meter from to (size) New Connection to City Sewer Name:G-L MO / "kW mJS, Li-( Applicant Address: I / i / / I / City' r i State: Zip: 2 , Phone Number: 'tM Cell Number: t 4 ' - /02 Email Addres ' . "/ /J . it I t Fax: ' P4 (,P - -3 ,,f.,� �. ' :Corn Signature: (Applica CITY STAFF USE ONLY • Application# Water System Development Charge S_ Sewer System Development Charge $ Water Meter Only $ Water Meter Tap $ Sewer Tap $ Cross Connection S Other $ TOTAL $ (notes) APPROVED: (Utility Director orAuthori.ed Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED „ r _:a,yr City of Atlantic Beach APPLICATION NUMBER �v s\ Building Department DDTT (To be assigned by the Building Department.) 800 Seminole Road RECEIVED ,/ ,J -r Atlantic Beach, Florida 32233-5445 /� fe `j' Phone(904)247-5826 • Fax(904)24 -5845 JAN 0 8 2016 / e,on v�- E-mail: building-dept @coab.us Date routed: / 7/11 City web-site: http://www.coab.us $'i';_ APPLICATION REVIEW AND TRACKING FORM Property Address: 06 3 ;4y „ 6C- II A-r-- De. - - ent review required Yes No Applicant: (if/ n Il / f 6 r') P'a Wing &Zoning% ree A.H. istrator Project: / RI Imo'- V E 4 - r . .c-Utilit 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: a ” APPLICATION STATUS Reviewing Department First Review: Approved. .%' •r led. (Circle one.) Comments: ia1q1'4 4'1444�� BUILDING PLANNING &ZONING Reviewed by: —me" ' 2` Date: /A ! /i. TREE ADMIN. Second Review ❑Approved as revised. t 14 Hied. PUBLIC WOR Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ElDenied. Comments: Reviewed by: Date: Revised 07/27/10 CITY OF ATLANTIC BEACH J CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS S 800 Seminole Road 904-247-5800 �;S o''' Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date PERMIT# Job Address 1 h _ 2 T n r ISSUED BY THE CITY__ 7(yJ ►7/UTIVPC / H be_ Permitee: r.,auftf l MAI t'10/ 1E-S Telephone# 11--(13 ArD Permittee Address: L7 31 q PA7$LO rr eaver) T�(C5()11 iliu-r PL, 3e o2'{ Requesting Permission to Construct: A Rare SI144 u= Fi4Y»r[..5/ bengi2'4-1 E CDy eMvty, 3E 1&t 64}-2A4 Location: (Reference to Cross-Street) /het'Arne EACH UL. r f41L0 ?? . ge4e.41 t2 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: 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 Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach �.-.Florida,Qepartment of Transportation Standards and be performed under the supervision of \JOHN 7t2ebs (ContractRrs Protect Superintendent) located at LOT 3S /4- n, , cre C. C. Telephone#: 2-1 -2577-- 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 starting work and again immediately upon ompletion. OWNER 1��..C-• JILLYW GIOROnNO IQ pN �. _ /� NOTARY PUBLIC Signed. Jr�� w't� Dat-: 7/Z`�/� _;� _STATE OF FLORIDA Before me is - XMI day of ,,, . L_ in the Co my off Duval, �+:'•-,• EE828475 State Of F•rida,has per II appeared �. 1/0.� p �-. Y pp B'�l la Expires 8/20/2016 Nota Public at Large,State •f Florida,County of Duval. My v. • .ission exp',�s: P?011(0 Personally Known: /A • III -TAM - Of ._ Produced den i `s CITY OF ATLANTIC BEACH w_. , PUBLIC UTILITIES 1200 Sandpiper Lane Js3ic.)'' ATLANTIC BEACH,FL 32233 (904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date: /-/2 - /Co Project Address: . _i,. , ' (Di- No. of Units: ( Commercial Residential v Multi-Family New Water Tap(s)&Mete r(s) Meter Size(s) _ / New Irrigation Meter ✓ Upgrade Existing Meter from to (size) ti New Reclaimed Water Meter Size 3/g New Connection to City Sewer v Name: Applicant Address: City: State: Zip Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) / CITY STAFF USE ONLY Application#/4 -s�2 - S 7 Water System Development Charge $ 1, /110. 00 Sewer System Development Charge $ V.Ora cr Water Meter Only $ /gr. cr Reclaimed Meter Only $ /8 S-, CO Water Meter Tap $ Sewer Tap $ (notes) Cross Connection $ 3V,pv Other $ TOTAL $ , (,,D 0b APPROVED: Kavle Moore, PE 164-\ (Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED BUILDING YERMI'1'APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 /6 — ,/4 Sy Office (904)247-5826 Fax (904) 247-5845 Job Address: /R3 / c H L. !1"/Z_ / -1,F Permit Number: Legal Description .. _ fir[_' t c_ i 'c., .n' Parcel# "b,9195--/11 76 oor • rea o q. t. q. t Valuation of Work$ 4 t2O; 8 91' .y'j Proposed Work heated/cooled 5.z non-heated/cooled /Li& 9 Class of Work(circle one): Ne Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one):. Commercial Resi I - • If an existing strucure ,is a fire sprinkler system installed? (Circle one): •es No N/A Florida Product Approval# For multiple products use proms approval form Describe in detail the type of work to be performed: /ELJ Home Lbni sf u.c 7or.1 i g f j t,E -Fa9rn I LYE Dent to COvg2ej EA/02y) _�vHeb t , 6 Property Owner Information: Name: J,ni 4 e r r et.,n- IY1 rtr2u E - Address: ao O Sr. Aic tS77N k . City ri✓r tc.S Staten—Zip 3 1Z4 L Phone 9,72 - '/'/4'.1 ,p/r) E-Mail or Fax#(Optional) Contractor Information: Company Name: w rni LRK rtAl T`etilES Qualifying Agent: 6LENAJ R Li94.I Tct3 Address: 4/3/y Pfri3LC tclia a a4.4e:r City acts(AM uc State FL Zip JZ22I7/. Office Phone 751.--/3r0 Job Site/Contact Number 4)H wheuS 2t1-zs17-Fax# State Certification/Registration# G G G 031 at)2 Architect Name& Phone# KLANF 2 f 4 SSAC. 9o'/• 02 7.2.5,'3 9 Engineer's Name& Phone# sik, fhoE)O 71tH 90'f. gal• t Fee Simple Title Holder Name and Address .— Bonding Company Name and Address � --' (- t� 3640_Le vn sines .CO Mortgage Lender Name and Address �' G 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 l 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. 1 hereby certify that I have read and -amined this a plication and know the same to be true and correct. All provisions of laws and ordinances goy ruing this type of work will be complied with e er s•eci lied herein or not. The granting of a permit does not presume to give authority . violate o• once! the provisions of any other federal. t • Iota•w re: •ting construction or the performance of construction. Signature of Owner i!! /.I 4 - a'C Signature of Contractor , / 4r-#4. Print Name\T ^ Q y... ... , /I'. L4jar- Print Name '.t.ext4 JQ, e->4-'ir,�J Sworn o and subsc ibe• befo•e me Sworn to and subs gibed bef re me thisr,�'. Day of ., A ,' A, .e. 20 . this_,AY' •ay of e �l -b� , 20/S Notat. Pu..:,.,--• '+ ' • ' •SIN Not./ Public JILLIAN 0-.ANCIQEIN t „ ', NOTARY PUBLIC r f•. ' NOTARY PUBLIC ,6t„ _STATE OF FLORIDA : STATE rL a1.2 6.10 4i..ts?Comm#EE828475 .1,1,64 •-,' Comm#EE828475 I. Cv..i.,....II"A WM•o. sL.arir City of Atlantic Beach APPLICATION NUMBER s Building Department (To be assigned by the Building Department.) ,�• Jl 800 Seminole Road /6 —Sf n — C. / Atlantic Beach, Florida 32233-5445 �'/ �f Phone(904)247-5826 • Fax(904)247-5845 f �ox1>r E-mail: building-dept @coab.us Date routed: / / City web-site: http://www.coab.us ✓ APPLICATION REVIEW AND TRACKING FORM Property Address: 063 i 6c Ai De• - ent review required Yes No Applicant: (' /' yin / f) <P-ning &Zoning– �,/l � � ] '- ree Admire s rator Project: DU j � ) I VE W4\ �.•_- — J , Utilit Pub iTc—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: Date: 0 0‘ TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 163 #44,1,6 i6 1 ",e -ry to 7:54444741- .�6.i 2 MrG PO 6 -11,--41 ) Cv R.O.W. Permit Attachment of for J463 1- uit.rn 1 *CH Dec. R.O.W. Permit# issued , 200_ dunk Beach, FL 32233 Owner's Name: Jtrvt t Cpht t Property Address: al Airitinc_egAcm D e. Inc ,FL 32233 Subdivision: krtergt L eiPACki °auSW—'.j Cu.&. Lot#/Block#: 35 R.E. #: I V/57)5— I`{ REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 200_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and An * allbw erL. 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: fieA. Thyyl Cc 1s1(_u_Cn ON) SN6 Jig Tenn PI . 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: I'1-( 3 t1-nc �? 1-1 bt., \1UtKInC $e4r 4., FL 3 223 3 • 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 insure 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 an' SIGNED this fr'7 day of , 20957 By: ar4. , 1 �-� Pro%erty Owner (t4 be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this 9_-` day of , 20personally appeared before me, a Notary Public in and for said unty and State,<! (Ykr1,` , the property owner of /or 35"Afi'n-i .04, Lity,4 adoAtlantic Beach, Florida, known to me to be the person(s) described in and who executed`fhe foregoing instrument; who acknowledged to me that he or she execu -d the same freely and voluntarily and for the uses and purposes therein mentioned. JILLIAN GIORDANO KLEIN r. NOTARY PUBLIC .ry Public in for said County and State ,�� STATE OF FLORIDA 016.�," Comm#EE828475 Expires 8/20/2016 CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: L-_ r, Public Work Director 'Dodd 045 e L A For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 IiUILI)ING YERMI'1 APPLICA'T'ION CITY OF ATLANTIC BEACH ,/6 800 Seminole Road,Atlantic Beach, FL 32233 — csi,e - ,�y Office (904)247-5826 Fax (904) 247-5845 ` Job Address: j7113 /1Z1 pJ11C. gageil Ne.//A2 at./,FL Permit Number: Legal Description 1 AFL' i i 'e _, ■ _g- __.- Parcel # 6 919 Jr'_ oor • rea o q. t. q. t Valuation of Work$ 1, 20 9�rr.y'jProposed Work heated/cooled 3,z 7i non-heated/cooled 141l0 9 Class of Work(circle one): N} Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Resi.- • i If an existing structure, is a fire sprinkler system installed? (Circle one): 'es No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Aigt,1 Koine C s r Z i no,∎1, 511,16cE -l=ftrn l L', D ED)CDvEY cuey ?Efl4 NEE) h6E Property Owner Information: Name: L rrl 4 Ci ICIA4- lin te L. ne. Address: 02f/0 Sr. / uS-7?n1' 14. City A S Doi✓t ce.E Statef?-Zip 3 2241 Phone 9iv • `/W I2 j-lm E-Mail or Fax#(Optional) Contractor Information: Company Name: 6LEr(tS Lim 1,1 -He✓hES Qualifying Agent: (tE■,J R LAj Tt Address: 4131N PPrBLc) tics CviueT City ixSa(Vtet State Ft- Zip ‘3Z22Lf Office Phone nk-13 ft Job Site/Contact Number cK•LI HAWS 2t9 2sr}Fax# -' State Certification/Registration# (16 G 03$U2 Architect Name&Phone# KLiW(3D2 f f'SSb... 90`r- 22 7.2•.53,39 Engineer's Name& Phone# .?kic fhopa TEN 9c)`f. .21. 5.c7 Fee Simple Title Holder Name and Address Bonding Company Name and Address --f Mortgage Lender Name and Address ,- Application is hereby made to obtain a permit to do the work and installations as indicated. I certifil 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. 1 hereby certiji'that 1 have read and, •cnnined this application and know the same to be true and correct. All provisions of laws and ordinances gov ruing this type of work will be complied with 14 e her s•eci red herein or not. The granting of a permit does not presume to give authority violate or ancel the provisions of any other federal, •te, • locate w re_ ating construction or the performance of construction. - ` <I Signature of Owner .� '�∎ Signature of Contractor Print Name j, -'...1 ' A 1ik '( Print Name . /N JQ 1--A-1Tr1J Sworn o and subsc ibed befo•e me Sworn t• and subs ibed before me thisN2k Day of ; • pi a, .e. ,20 is this,,O!' II ay of r .r , 20/S ' 1 ' 4 ' ' te,J ` • ' OKLEIN Notar Pu•. Not Public , JILLIAN •ROAN°KLEIN +.. �` :, NOTARY PUBLIC `a- NOTARY PUBLIC `STATE OF FLORIDA :. '-_-STATE d L [ l.26.10 ∎^1140 •'rZ Comm#EE828475 I Comm#EE828475 �,, , yrl,� TREE & VEGETATION AFFIDAVIT �s u, City of Atlantic Beach OFFICE COPY r s) Department of Community Development Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 J';ir)� (P)904 247-5800 (F)904 247-5845 PERMIT# SECTION I-APPLICANT INFORMATION ri/Owner(s) fl Legal Authorized Agent* NAME OF APPLICANT Glenn Layton Homes NAME OF COMPANY Glenn Layton Homes ADDRESS OF COMPANY 4314 Pablo Oaks Court,Jacksonville,FL 32224 PHONE (904)758-4380 CELL EMAIL jillian @glennlaytonhomes.com CONTRACTOR CERTIFICATION NUMBER CGC031802 ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II -SITE INFORMATION STREET ADDRESS OF PROPERTY 1763 Atlantic Beach 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 35,Atlantic Beach Country Club Unit 2,accdg to plat book 67,pgs 132-137 LOT 35 BLOCK SUBDIVISION Atlantic Beach Country Club REAL ESTATE NUMBER 169505-1470 LOT OR PARCEL SIZE: 6098 SQ FT .14 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 e City of Atlantic Beach, FL and/or 1 have participated in a pre-application meeting with the Administrator of those regulations. Sub,-q -ntly, I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed from th- :.. e-d- ri.-d or adjacent properties in conjunction with this project. t ii c , c...._ SIGNATURE OF 0' ER SIGNATURE OF OWNER Signed an. sworn before me on thV./1-day of / ,by State of h ■Ti m 4 TIV- County of b14 yin_ Identification verified: pers. _ Oath sworn: V Yes E No /L/ / ` ..i I - _ „!. . ..:,...• I IN Not•ry Signature `� .�i . NOTARY PUBLIC tod ' STATE OF FLORIDA REV-TVA-v10.12 My Commission expires: j-; �.�-,, CORli mEE828475 Expires 8120/2016 rs-aJ` , City of Atlantic Beach APPLICATION NUMBER Building Department T \S,� (To be assigned by the Building Department.) J ; r:4. 800 Seminole Road w Atlantic Beach, Florida 32233-5445 k -�it _ 6"--1- s Phone (904) 247-5826 • Fax(904) 247-5845 / ''�irtl�'" E-mail: building-dept @coab.us Date routed: l 7//(�, City web-site: http://www.coab us 1111 APPLICATION REVIEW AND TRACKING FORM Property Address: NO /kr2 - �/C� A De• - ent review required Yes 10 rfflOMIrilliM Applicant: aWnn / , .j ._ij � ra -ping & G Z ( ree A..is.nis trator Project: 10,0 � . I V E � I " ,- __- Pu fc aety 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: [oved. ❑Denied. (Circle one.) Comments: ,r, . i .. :UILDING / (+ PLANNING &ZONING Reviewed by: Date: �� (6.16 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 BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 A ___ siz ,-y Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1163 / ]C BieH lJC,r"` BH,FE_ Permit Number: Legal Description Lir 3s /471.9afnc_ BAH £oy 6.466 Parcel# loor Area of q. t, 0425--/%76 ,F't Valuation of Work$ biz 91-X,y Proposed Work heated/cooled 3,Z lee non-heated/cooled /46 9 Class of Work(circle one): Ne Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Resi s- . • If an existing structure,is a fire sprinkler system installed?(Circle one): •es No N /A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: /VE7,4 KoME Cr*s Zt1,CfvnJ1 3 1€ L -Ft9rnICY, bErheil Eo)GD✓ crone y b E7* i—i b ,q-i e Property Owner Informatio/n�: /� Name: iJr/►') 4(MCI.* IVPntLL CIE Address: GAP/0 Sr. /7�lcurT IE iei, City l'AT,KS01VIct,E Stater-Zip 3 ZZUL Phone Q - ` V02 , 7m E-Mail or Fax#(Optional) Contractor Information: Company Name: 6(,EA(ni LiNTD),l 44 e✓hES Qualifying Agent: 61,E7Viki le. LA9rok) Address: 13/`! I* L) &US Co►dELT City act Scxkltu_e State Pt_ Zip Lyz,z2if Office Phone 15$-1311 Job Site/Contact Number 43KbJ Hazels 219-Zsl}Fax# / State Certification/Registration# G g C 0 31 2_ Architect Name&Phone# XLfh '&yZ t A-5 Std. 90 4 .?7 2.5339 Engineer's Name&Phone# d)bc fte4 TiMil 9c)c(. 0.1. 521?c7 Fee Simple Title Holder Name and Address Bonding Company Name and Address l 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 aperiod of six(6)months at any time after work is commenced I understand that separate permits must be secured for ElectricalWork,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•ramined this a plication and know the same to be true and correct. All provisions of laws and ordinances gov ruing this type of work will be complied with 1 e er s.ec/fl d herein or not. The granting of a permit does not presume to give authority , violate oriancel the provisions of any other federal, ste, • toes • regi ting construction or the performance of construction. - Signature of Owner .o>,I .L - g 1� � � - A. , Signature of Contractor Print Name.. ?..., AA' I Print Name glreNN. g L cktiTvAl Swor o and subsc jbe. befo e me . Sworn to and subs ibed before me this Ai Day of ., ,, . 20 S this....6", lay of _ ..s.,,,--- - , 20 i. 4 A 1. 41.4 .../.4r2111% / / I ", , .. 411,,,,,,:a,1 -' , i I - LS- Notal Pus.;•.,•• . '-T'• OKLEIN Not/ Public . : JILLIAN •RDANOKLEIN ,.7 ' NOTARY PUBLIC a. NOTARY PUBLIC 11 '' STATE OF FLORIDA ilf' STATE( *i l.26.10 mgt EE828475 "101641-0"-Comm#EE828475 Expires 8/20/2016 - Expires 8/20/2018 OFFICE COPY ' 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: g79-, /3‘-/ Development Size Habitable Space 3a% c. i Non-Habitable /96/ s'. 1: Impervious area Miscellaneous Information Occupancy Group R-3 Type of Construction V 6 Number of Stories 2 Zoning District Coy 1c y C�� Iv Max. Occupancy Load Fire Sprinklers Required Flood Zone JC Conditions/Comments: . I OFFICE COPY Atlantic Beach Country Club Owners Association, Inc. Architectural Review Board December 22, 2015 Mr. Glenn Layton Glenn Layton Homes 4314 Pablo Oaks Court Jacksonville, FL 32224 RE: Architectural Submittal for Lot 35,Atlantic Beach Country Club Dear Glenn, We are in receipt of your updated architectural submittal for the above referenced home site in Atlantic Beach Country Club. The Architectural Review Board has reviewed your architectural plans and finds them in general compliance with the Architectural Guidelines and Pattern Book with the following conditions: 1. Revise landscape plan as shown. Check impervious surface calculation. 2. Fencing must comply with community standard. See attached(Black only) 3. Provide spec and details for all exterior lighting. Picture referenced"outdoor option". 4. Provide Shop drawing on front door unit. Construction commencement is hereby authorized. Please provide the required additional information for review within 30 days of this letter. Compliance with all approved plans is the responsibility of the OWNER of legal record,and any change to the approved plans without prior Architectural Review Board approval subjects these changes to disapproval,and enforced compliance. Please refer to the Atlantic Beach Country Club Pattern Book and Architectural Guidelines for additional requirements. Both documents may be accessed on the web at www.atlanticbeachcountryclub.com Architectural approval is a limited approval and does not supersede requirements which may be mandated by other governing authorities. Please be advised that throughout the duration of the project, the developer has the right to amend certain guidelines from time to time if it becomes necessary. If you have questions or need additional information,please do not hesitate to give me a call. 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