1793 ATLANTIC BEACH DR - NEW RESIDENCE PERMIT CITY OF ATLANTIC BEACH
it ) 800 SEMINOLE ROAD
0 7 �! "": ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
x 13 9'
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-SFR-624
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW SINGLE FAMILY RESIDENCE
Estimated Value: $298,637.00
Issue Date: 3/31/2016
Expiration Date: 9/27/2016
PROPERTY ADDRESS:
Address: 1793 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: TOLL BROS.,INC
Address: 250 GIBRALTAR RD STEVEN R MERTEN
Phone: - -
PERMIT INFORMATION: UTILITY DEPT.:
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.
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $537.96
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $1,075.91
STATE DCA SURCHARGE $16.14
STATE DBPR SURCHARGE $16.14
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
` s CITY OF ATLANTIC BEACH
j r A
800 SEMINOLE ROAD
15—:: ; -. ATLANTIC BEACH, FL 32233
z
INSPECTION PHONE LINE 247-5814
SEWER SDC-SYSTEM DEV CHG $4,050.00
WATER CONNECT/TAP & METER $370.00
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1,140.00
Total Payments: $7,406.15
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one): FILE COPY
• pprov-% Disapproved Approved w/ Conditions
Review Initials/Date: /29 �jlOV/6
Development Size 00
Habitable Space,25-3 I Non-Habitable ?5--(2 S F'
Impervious area
Miscellaneous Information
Occupancy Group e-3
Type of Construction ti 1
Number of Stories 2
Zoning District A 6G-C--
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone /Y
Conditions/Comments:
i3. Pei rn 1 1G SF=', —
NOTICE OF COMMENCEMENT FILE COPY
State of: FLORIDA Tax Folio No. 169505-1495
County of: DUVAL
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: Lot 40 Atlantic Beach Country Club Unit 2,67-132 08-2S-29E.152
Address of property being improved: 1793 ATLANTIC BEACH DRIVE,ATLANTIC BEACH,FL 32233
General description of improvements: NEW HOME CONSTRUCTION
Owner:TOLL FL VI LIMITED PARTNERSHIP Address: 250 GIBRALTAR RD. HORSHAM,PA 19044
Owner's interest in site of the improvement: FEE SIMPLE
Fee Simple Titleholder(if other than owner):
Name:
Contractor: TOLL BROS.,INC.
Address: 160 CAPE MAY AVE.PONTE VEDRA,FL 32081
id1)( Telephone No: 904-217-3852 Fax No: 904-460-2683
Surety(if any)
Address: Amount of Bond$
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
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: Z Sci7/6
Doc#2016050837,OR SK 17483 Page 483, Before me this /2'Y day of 7/Mi r in the County of Duval,State
Number Pages:1 Of Florida,has personally appeared f p(,Q '. t-
Recorded 03/07/2016 at 08:23 AM, Notary Public at Large,State o F orid County of Duval.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expir . /
COUNTY Personally Known:1 or
RECORDING$10.00 Produce $ tific0 _ . A
o:''
-�� MY COMMISSION#FF055605
EXPIRES em 18,2017
(407)395.0153 FloridallotaSe tryService.ber com
rim
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: 1702 Atlantic Beach Drive
Atlantic Beach, FL 32233
Subdivision: Atlantic Beach Country Club
Lot#/Block#: 40
R.E. #: 169505-1495
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
!. 7 f,,,, --- .,
r
The USER, prior to making any changes from the approved plans and/or method, must obtain
written approval from the City of Atlantic Beach, Public Works Department, for said change. The
USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change
within thirty (30) days after the day of completion.
This permit shall inure to the benefit of, and be binding upon, the USER and their respective
successors and assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY
laws and/or specifications, to include utilities locate requirements and use limitations/requirements of
public rights-of-way and other public land. USER further agrees that the CITY and its officers and
employees shall be saved harmless by the USER from any of the work herein under the terms of this
permit and that all of said liabilities are hereby assumed by the USER.
DATED and SIGNED this i"T day of / /1V4 , 2016
By:
Stev M n, Toll FL VI, LP.
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this 14 day of March , 2016, personally appeared before me, a Notary Public in and for said
County and State, St. Johns, Florida , the property owner of 1793 Atlantic Beach Drive, Atlantic
Beach, Florida, known to me to be the person(s) described in and who executed the foregoing
instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the
uses and • noses therein mentioned.
.-.° MELISSA LIEBERPJIAN
No . y P,blic in for said County and State -;s .AJL MY COMMISSION ;tFF055605
V0,j,:o''. EXPIRES September 18. 2017
CITY OF ATLANTIC BEACH, FLORIDA, a .(407)398-0153 FloridallotaryService.corn
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
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0„arirj City of Atlantic Beach .4 APPLICATION NUMBER
s i Building Department (To be assigned by the Building Department.)
800 Seminole Road MAC 1 5 2016 � S C.,.� 1 ��
' r? Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
! E-mail: building-dept @coab.us =_-Date routed: B1 E S
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1793 1-"Gic}j J T I C> S6411 ".......kment review required Yes No
Applicant: O(..(... R O"Z'•E4 RF s ', Planning &Zonin.
NEW Administrator
Project: � V E l la S(f' G( P M i C �/ public Works
GSlossr -DCG -ublic aey
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. (Denie
,,d.
(Circle one.) Comments: fey `�l�4gi et4
BUILDING ly�Y
PLANNING &ZONING
Reviewed by: '2 e ►-✓ ^-- Date: 3/2%5/14
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: A roved as revised.
❑ pp nDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
A , City of Atlantic Beach ✓ APPLICATION NUMBER
Building Department {- era be assigned by the Building-Department.)
't, 2016
800 Seminole Road I r
r Atlantic Beach, Florida 32233-5445 `-` S 1 R , oz 4-
Phone(904)247-5826 Fax(904)247-5845
0 E-mail: building-dept @coab.us Date routed: �1 i, S/i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 79 3 'R 7L /V T le, Be• 3;`ment review required Yes No
B
Applicant: t ou_ E R Off'N N Planning &Zoning
Tree Administrator
Project: NE(4) S((\x'(E F-p-iy\ ILL/ ublic Works
c Utiu ies
SS CG Para—gar
Fire Services
S72). , , De i>SI nature
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 A TION STATUS
Reviewing Department First Review: fi pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:4�6=�' — Date: q(e/fi
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
i9 IC WO KS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
as=-L`ir City of Atlantic Beach
APPLICATION NUMBER
/s t �;•• Building Department- -- , :, 9 p - - --(To be assigned by the Building-Department.)
d _ 800 Seminole Road
5 , r Atlantic Beach, Florida 32233-5445 1(0` S FR — OZ 4
Phone(904)247-5826 • Fax(904)247-5845
_.„.y'„013 !a E-mail: building-dept @coab.us Date routed: B1 I 5/I
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 179 3 rc.Afv'r t C <SE• _, - ment review required Yes No
Applicant: t O(,l_ a R.QT 14 R. S i f0C , Planning &Zoning
�
r S Tree Administrator
li
Project: Elul) S((VG Lc PP-iY\ l LL/ ublic Works
c Utilities
t- ES l (J Etp C G Public Safety
Fire Services
Re view fee:$ Dept Signature . .. . a 444 ,._ .j
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: 3/2V/6
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 05/14/09
Frig
I A 1. City of Atlantic Beach APPLICATION NUMBER
4 Building Department (To be assigned by the Building Department.)
J ).: 800 Seminole Road L 6,- S R , oz 4-
r Atlantic Beach, Florida 32233-5445
.. Phone(904)247-5826 • Fax(904)247-5845 /
F9� E-mail: building-dept @coab.us Date routed: B i L 5/I`e,,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ' 79 s P TLAN.) T t a SE• '_' . ment review required Yes o
Applicant: i O(.l_ a R oT N se S I -- Planning &Zoning
Tree Administrator
Project: iN C(4) S ((QG LE• Pp_iy\ t LL/ ublic Works)
tic utiiities
R GS t D E j )C G Public Safe
Fire Services
MIS ::» ::n..>.0..,.».,.., a-a.h5,.w.,.. :-efi. ..�n�`3a«a
of
Other Agency Review or Permit Required RPermit eview or RVerified eceipt 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 TION
Reviewing Department First Review: pproved.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewe ` 6
TREE ADMIN. Second Review: Approved as rev
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed e:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
�'� CITY CIF AThANTIC BRACH
J,r` "r� ; PUBLIC UTmITI ES
Tj
X11
120E Sandpiper Lane
� 1�: ATLANTIC BEACH,FL 32233
(904)270-2535 or(904)247-5874
NEW WATER/SEWER TAP REQUEST
Date: 3-/ —/(, Project Address: /7 el 3 j ,4 0T/L i?tyj-
No. of Units: f Commercial Residential ✓ Multi-Family
New Water Tap(s)&Meter(s) Meter Size(s) `3� ,�
New Irrigation Meter Upgrade Existing Meter from to (size)
3/ „
New Reclaimed Water Meter Size t/ 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# /4-s r2- !a Z1/
Water System Development Charge $ / 0 40. CO
Sewer System Development Charge $ ,v, ,ISO
Water Meter Only $ 18S760
Reclaimed Meter Only $ '8,c ob
Water Meter Tap $
Sewer Tap $ (IIO )
Cross Connection $ ,Oa
Other $
TOTAL $45/0, o0
APPROVED: Kavle Moore,PE r,
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH FILE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1793 Atlantic Beach Drive; Atlantic Beach, FL 32233 Permit Number: F - G)y
Legal Description Lot 40 Atlantic Beach Country Club Unit 1 67-132-08-2S-29E.152 Parcel
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 298,637 Proposed Work heated/cooled 2,538 non-heated/cooled 850
Class of Work(circle one): 420 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): cs 11VV cCN/A
Florida Product Approval# See attached
For multiple products use product approval form
Describe in detail the type of work to be performed: New Residential Construction
Property Owner Information:
Name: TOLL FL VI LIMITED PARTNERSHIP Address: 160 Cape May Avenue
City Ponte Vedra State FL Zip 32081 Phone 904 217-0739
E-Mail or Fax# (Optional)arogers @tollbrothers.com
Contractor Information: CONTRACTOR EMAIL ADDRESS: arogers(a,tollbrothers.com
Company Name: Toll Bros.,Inc. Qualifying Agent: Steven R. Merten
Address: 160 Cape May Avenue City Ponte Vedra State FL Zip 32081
Office Phone 904 217-0739 Job Site/Contact Number 904 386-6472 Fax#
State Certification/Registration# CGC 1510225
Architect Name &Phone#
Engineer's Name &Phone#
Fee Simple Title Holder Name and
Address
Bonding Company Name and
Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I 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 pme
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 BE OM RECORDING YOUR NOTICE OF
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 re:ulating construction or the performance of construction.
4 Signature of Owner Signature of Contractor
Print Name Steven R. Merten,Division Sr.Vice President Print Name Steven R. Merten
Before me Befo - e
this 10 Day o' March , 2016 thi 10 _ Day of March , 2016
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Notary's,lic' To 4" ` .blic
Revised 01.26.10
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