1227 VIOLET ST CONCRETE DRIVEWAY S, CITY OF ATLANTIC BEACH
A j 800 SEMINOLE ROAD
j+4 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: 16-DWAY-1106
Job Type: DRIVEWAY
Description: CONCRETE DRIVEWAY
Estimated Value:
Issue Date: 5/26/2016
Expiration Date: 11/22/2016
PROPERTY ADDRESS:
Address: 1227 VIOLET ST
RE Number: 171009-0000
PROPERTY OWNER:
Name: HSBC BANK USA NA, hsbc
Address: 385 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: SOLAR HOME DEVELOPERS LLC
Address: 2425 Bentshire DR
Phone: - -
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.
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, Shapell's, Sunshine Recycling and
Waste Pro).
Full right-of-way restoration, including sod, is required.
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-S 1r\1`f -
f-----,..„Jam'
\st, CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
j---L-D1119?
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
s! g , City of Atlantic Beach r 1` -----
C —FIv�,L APPLICATION NUMBER
:; , • �� Building Department
,,, MAY (To be assigned the Building Departmen .}
1 • �- 800 Seminole Road 016 (J/ �l9
•;.., _ D
+�� �r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
. oaw E-mail: building-dept@coab.us` _ Date routed: BF ..,
City web-site: http://www.coab.us _
APPLICATION REVIEW AND TRACKING FORM
Property Address: /2 7 /d 1:7- ST Department review required Yes No
Building
Applicant: , , j_' f, e1 Planning &Zoning
. Tree Administrator
Project: OP / V (,() h Public Works
Public Utilitie
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:
APPLICATION STATUS
Reviewing Department First Review: Approved. FiDenied.
(Circle one.) Comments: c(Ge ,4 c/(// (. iu
t4
BUILDING
PLANNING &ZONING Reviewed by: / / 0, DDate: 4,j)(
TREE ADMIN. Second Review: nApproved as revised. .4enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
rty�� City of Atlantic Beach �` � APPLICATION NUMBER
IA Building Department MAY '� (To be assi ed by the Building Departmen .)
800 Seminole Road '� 3 2016 l / -�5k)/4 - d
Atlantic Beach, Florida 32233-5445 VV
Phone(904)247-5826 • Fax(904)247=5845
'<01.119E-mail: building-dept@coab.us —_-- Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /2 � 7 /a /.17- Department review required Yes No
Building
Applicant: SQ14 1h lig. Planning &Zoning
Tree Administrator
Project: i9 Public Works
Public Utilitie
Public Safety
Fire Services
Review fee $ / Dept Signature ICS
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:
APP (CATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: f
/
i "1, /mow Date: /16 i4
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
1IC WORDS Comments:
PUBLIC UTILITIES
PUBLIC`SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
i F
LAAN,,r- i..
:;s�' , BUILDING PERMIT APPLICATION
Sd
CITY OF ATLANTIC BEACH
Jar
800 Seminole Road Atlantic Beach FL 32233
-J'i)�'' Office: (904)247-5826 • Fax: (904)247-5845
Job Address: 1 )- l VI u(r' S-} €e* Permit Number:
Legal Description RE#
}
Valuation of Work(Replacement Cost) $ I t(700 Heated/Cooled SF WA Non-Heated/Cooled h//A
• Class of Work(Circle one): New gdditio Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidentia
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes & l/�-
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
10 et". 0f 1vewoy O \-})12>1 0,.5 Shown on peovtA:e- S(kr vq
Florida Product Approval# for multiple u�tArmsapp�py�tl�„r�
Property Owner Information D ti�i l� U �`7 lam. ��
�u�c,ck Giz1•e�LLQ
F
Name: L Address: 7.ctScd 1(\n)4 i fl L MAY 1 ? 2016
r j
City \kor�,QS\P State VI-Zip Phone
E-Mail ...J
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required) f<f•'✓./) Pict e 4 i n r
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.
Contractor Information:
Name of Company: ;cot-r \A ome V''ef ppL
y.y, LC.QualifyingAgent: Ke-v,'n n(1 L.�}...N
Address: .4 -S Re 4\�ir2 V),,vsZ. Cityac, sor oi)11 e State ZipL
J 'C
Office Phone Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name &Phone#
Engineer's Name&Phone#
Worker's Compensation
Exempt / Insurer / Lease Employees / Expiration Date
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 ofsix(6)months at any time after work is commenced. I understand that separate permits must be secured for Electric l Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Heaters Tanks at Conditioners,etc.
Signature of Propert • n . L--.. u, . Signature of Cont or:
Befo e�me
this I d• Day of _I t , Before me this D . e- : (V b
Notary Public: 4111 �- Notary Public: .I
,......„
______ie
4
I hereby certifi,t II , ' ': 4Ie read!' 's al.lication and know the same to 4--�,-:- - - laws and
ordinances gove t•tt)fie onti ied with whether specified her . , r C�9 ro!'x } '. cin does not
presume to give " d Thai ''
eI r to t&]4PiREsrfiklQ�talc�s n visions of any other federal, st :. cold ACCP ru /on or the
performanceofc f inEloededThru /Pubtwu� S..••-,�; EXPIRE :Octob, 6,2019
+,• tgo. Bonded Thni WW1 Piegndlnitin
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ti
A
OWNER'S AUTHORIZATION FOR AGENT
^e X106 Ma r-ri f) is hereby authorized to act on behalf of
pen jc bldoty r L.,/_( , the owner(s) of those lands described
within the attached application, and as described in the attached deed or other such proof of ownership as may
be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development
Permit or other action pursuant to:
❑ Zoning Variance ❑ Comprehensive Plan Amendment
0 Use-by-Exception ❑ Zoning Map Amendment
Building Permit Plat, Replat or Lot Division
❑ Sign Permit . Tree Permit
o S1 •or i-N t
BY: •7�-
.
Sia ate f Owner
Print Name
Signature of Owner
Print Name
35 a3o v°OO
Telephone Number
State of L
County of 1 Cl m"i DC C It
,•tri KIM6ERLY A.GREEN
Signed and sworn before me on this yss '� '- Notary p -State of Flalda
a �;My Comm.Expires Feb 25,2017
By_ RANI\ .k �1(? ,� ;; �„ :A- Commission#EE 873459
8^i ed through National Notary Assn.
Identification verified: 1 ,&erf\CL I ly (ALAn
Oath sworn: (/ Yes; No I
) - :EN I
Florida
b 25,2017 Notary Signature
�E 873459 / 5-1�
,l Notary Assn. a 1
�{ � My Commission expires:
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MAP SHOWING SURVEY OF
LOT 5, BLOCK 193, ALTANTIC BEACH SECTION "H", ACCORDING TO THE PLAT THEREOF
RECORDED IN PLAT BOOK 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA.
FOR: SOLAR HOME DEVELOPERS, LLC
WEST 14th STREET
(50.0 FOOT RIGHT-OF-WAY)
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LEGEND;
0 CONCRETE MONUMENT
1 .1j1
0 IRON PIPE OR ROD ECK LAND SURVEYORS, INC.
O/E OVERHEAD ELECTRIC 1660 EMERSON STREET
oft OVERHEAD TEt.EPHONE JACKSONVILLE, FLORIDA 32207
34
X CROSS-Cur IN CONCRETE FAX (904 )9396 39997
x-x FENCE
TOB TOP OF BANK I .
�
HIS NOT TO SCALE GENERAL NOTES; - I ft (�,(;•Ze.`"'
W4RLO Lt.,•'LYEJR. I
As best determined from an 1.) This is a: Boundary survey. Certificate(foI287
inspection of Flood Insurance Rate 2. No abstract of Title furnished. LOUIS J. EVERETT
Map: 120075 0408 H 3. Not abstracted for easements. Not valid unless Surveyor's Certificate No. 4099
doted 6-3-13. the lands/house 4. Basis of Bearings: N/A Official Seal Is embossed Professional Surveyors St Hoppers
surveyed Ile in Zone "X". hereon. State of Florida
SCALE: 1"-=20' DATE. 1 1/20/15 FIELD BOOK 734 PAGE 104 DRAFTSMAN. J A BA ORDER # 15-262 - A
/
•
MAP SHOWING SURVEY OF
LOT 5, BLOCK 193, ALTANTIC BEACH SECTION "H", ACCORDING TO THE PLAT THEREOF
RECORDED IN PLAT BOOK 18 PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA.
FOR: SOLAR HOME DEVELOPERS, LLC
WEST 14th STREET
(50.0 FOOT RIGHT—OF—WAY)
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LEGEND;
CONCRETE MONUMENT
0 IRON PIPE OR ROD ECK LAND SURVEYORS, INC.
0/E OVERHEAD ELECTRIC 1660 EMERSON STREET
0/T OVERHEAD TELEPHONE JACKSONVILLE, FLORIDA 32207
34
X CROSS-CUT IN CONCRETE FAX (904 )9396 39997
X—X FENCE ///�\\ ,
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TOB TOP OF BANK r V1 /'r
NTS NOT TO SCALE //1/ f1� �cr�/i/�+,
GENERAL NOTES; HARL6 • , 5R. ,
As best determined from anCertificate o 3287
1. This Is a: Boundary survey. �.,
Inspection of Flood Insurance Rote 2. No abstract of Title furnished. LOUIS J. EVERETT
Mop: 120075 0408 H 3. Not abstracted foreasements. NotCertificate No. 4099
dated 6-3-13 the lands house
valid unless Surveyor'sb
/ 4. Basle of Bearings: N/A Official Seal is embossed Profeeof FloridaSurvgors &Mappers
surveyed Ile in Zone "X". hereon. State of Fl
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