725 Redfin Dr paver driveway permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RIGHT OF WAY PERMIT
MUST CALL BY 4PMI FOR NEXr DAY INSPECTION: 247-SS14
JOB INFORMATION:
Job ID: 16-ROW-2639
Job Type: RIGHT-OF-WAY PERMIT
Description: remove existing concrete driveway and replace with pavers
Estimated Value:
Issue Date: 12/6/2016
Expiration Date: 6/4/2017
PROPERTY ADDRESS:
Address: 725 REDFIN DR
RE Number: 171277-0000
PROPERTY OWNER:
Name: HEALEY, KRISTINA MARIE
Address: 725 REDFIN DR
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 atthe property line.Cleanout must be covered with an RT1
concrete box with metal lid. Cleanout to be set to grade and visible.
Full erosion control measures must be installed and approved priorto beginning any earth disturbing
activities. Contact Public Works(247-5834)for Erosion and Sediment Control Inspection prior to start
of construction.
All runoff 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 Recycling, Republic Services,Shapell's,Sunshine
Recycling and Waste Pro).
Full right-of-way restoration, including sod, is required.
All runoff must remain on-site. Cannot raise lot elevation.
RIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Any plan change must be submitted as a Revision to the Building Department.
FEES:
Fenoe/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORMA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of 7-\rx�ack Counlyof bvwekk Tax Folio No.
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
UaAjL.4
AScItess of property being improved: r� DC-,,
General description of improvements: 6c%P
Owner: )6lSi--�n. K)Aen�� Addresslil�
kOZr's interest in site of the improvement: 'pe\lreq, &XPt.)c:, ,6
F
F impole Titleholder(if other than ovister):
Name:
Contractor: -SO P4L)-e[-!>MAZ—
Address: \Zk-JA RiVl,�-;t� fl� . 177)nx z
Telephone No.:%':�j a4l; 9xi 112, Fast No:
Surely(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address o on making a loan for the construction of the improvements
Name:
Address:
Phone No: F�No;
Name of person within the State of Florida, other than himself, designated by monist upon whom notices or other documents may be
served: Nwne:- , t<,arir� kk&\4:
Address:"*Zr-:, ?,-eA&o %�K- XL 5LA2`�
Te1.p&.nsNo:'?bXA %ZIA 33h6 Fax No:
to 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: Flix No:
Expiration date of Notice of Commencement(the expiration date is one(1)yew from the date of recording unless a difficarcant date is
specified): kk�;a I.az %a
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed �-,,A Dow. %d)
Before me this /-K dayof W�)AAA&,, �01 inthcCa.�!I�uval,gone
OfFlorid�hopmonallyapp�d_rp�CTi�A M- E f
Goo#2016277W,OR 8K 17799 page 1862, Personally Kno. or
Wancer Pages I Produced Id i caon:: L, L-
6 aft J0145 AM. deaN
Recorded IZ06001 Notary Pub ic, - - - - - -
Romwe Fussell CLERK CIRCUIT COURT DUVAL
MycommisS5QQ-5ky4ms: -7 1
o' Notory Public-State of Florida
commission#FF 904308
My Comm.Expires Aug 7,2019
COUNTY
RECORDING$1000
City of Atlantic Beach DECEIVE
Building Department NOV 2 8 2016
800 Seminole Road
Atlantic Beeoh,Florida 32233-,44, n
Phone(904)247-5826 Favc(904)AV
E-mail: building-dept@wab us
City web-site: htp:1Mww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: —lasetAlr� Department review required Yes No
duilaing
Applicant: __ 060(\" Planning&Zoning
Project: 660jLoa�.j Tree.. inistrator
Public Utilities
Public Safety
RFireSeNlces 77
Review fee 2r-
Dept Signature �4�
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept.of Environmental Pmteti,,
Florida Dept.OfTransportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacoo
Other.
APPLI ATION STATUS
Reviewing Department First Review: pproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Date: 1,/
TREE ADMIN. Second Review: []Approved as revised. ElDenied.
WORK Co ments:
PUT#�T I ES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: []Approved as revised. ElDenied.
Comments:
Reviewed by, Date,
Re�N�d 05114109
City of Atlantic Beach APPLICATION NUMBER
Building Department NOY 2 8 2016 (To be assigned by the Building[)apartment.)
800 Seminole Road ID
Atlantic Beach,Florda 32233-5441BY6
Phone(9G4)247-5826 - Fax(904)ir7-�5845
E-mail: building-dept@wab.us Date EEMUted IL t�'31)10
City web-site: httiWA�.coalh.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: r, iB)U!M meW review required Yes No
Applicant: Planning &Zoning
I Tr��mjnjstrator
Project: 4"" LOLOaA
(;4ublic Utilities
I Public Safety
Fire Services
Review fee $__ Dept Signature
Other Agency Review or Permit Required Review
of Permit='By Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Carps of Engmeers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: EVApproved. []Denied. 611—,7?
(Circle one.) Comments: Jeer #41Q eifolmaj
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREEADMIN. Second Review: [:]Approved as revised. E]OyKied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: E]Approved as revised. E]Denied.
Comments:
Reviewed by: Date
R.V,..d 06114109
LIO 4 ju e
-UK Z6,
xl- y /,I,
a ki 1-2 "'r
R.O.W. Permit Attachment of for
R.O.W.Permit#—issued. '20 Atlantic Beach,FL 32233
Owner's Name:
Property Address:
Subdivision:
Lot#/Block#:
R.E. #:
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
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: Ve�ryy eW
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 C7 ,by cerlif, d mail, return receipt requested, to the following address:
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 my 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, my 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 I 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 inhare 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 my 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 a". dayof K1hhDftbQC 20_\_-p
By)�A �-� , �
property Ownei
(to be signed in presence of4e Notary)
STATE OF FLORIDA
COUNTY OF DUVAL
On this 7-9 day of 20 R� pers"nall appeared before me, a Notary
Public in and for said County and State, kj)JAA_ jN1 N . V� , the property owner of
-7 2 '�-(Wr m Dit. , Atlantic Beach, Floridai known to me to be the person(s)
described in and who executed thekoregoing instrument; who acknowledged to me that he or she
executed the same freely and voluntarily and forthe uses alp,
j s 'u"
8 ,.',',Y'P b'111
A .5 commission#FF 904388
ic khnfor said�County and�Statc " �4 Ay Comm.Expires Aug T.2019
1 "'4W
CITY OF ATLANTIC BEACH, FLORIDA,a
municipal corporation:
Approved:
Ata�
Donald D.Ja bovj&,P.E. Public WTrks
Director )16
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Licre, City Manager
Page 2 of 2
CITY OF ATLANTIC BFACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Semmoke Road 904-247-58DO
.jr V. Atlantic Beach Florida 32233,W5 Fa. 904-247-5845
Date PERMIT#
Job Address —415 s$=3 ISSUED BY THE CITY_
Permitee: Telephone#
PermitteeAddress:
=Permission to Construct: �p
u) f4A� YAi Ile O�
Location: (Reference to Cross-Street)
I Applicant declares that prior to filing this application he has ascertained the locaition 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 D:1
Bell South Telephone Company Yes No D t:�
Ferrell Gas O\\ 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 Permiftee 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 Mh4ui (Contractor's Project
ki
Superintendent) located at I
4. All materials ano 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 pennniftee shall commence actual construction in—good faith with 15 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 night, 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 finom 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
Sigm-c!*A—�tf Date V�Zl t'.
Before me this f - - - - - -
---k,VA-da9 Of n the County of DqvaL
State Of Florida,has personally appeared 0, 41PA LZ
Notary Public at Large,State of Florida, �yunjMp�val. JrEY14PN�'FIER I.BENOETTI
My commissione re : A k ii blic-State of Florida
3 8
Personally Known: or ...lesion#Fle D904388
ug 7 019
Produced dmn r�Lr My Comm.Expires Aug T.2019
CITY OF ATLANTIC BEACH
OWNER / BUILDER AMDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW.
DISCLOSURE STATEMENT FOR SECTION 489.101 FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU RAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMIPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUS
SUPERVISE THE CONSTRUCTION YOURSELE, YOUMAYBUILDORIMPROVEAONE-OR
TWO FAMOLY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL 13UILDING 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 BUILDI14G YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER TEE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF TIES EXEMEFTION. YOU MAY NO
ERE AN UNLICENSED EMON 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 REQUIRED BY STATE LAW AND BY COUNITY OR MUNICIPAL LICENSING
ORDINANCES.
It. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
HE 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 AN
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,GOO PENALTY UNDER FLORIDA STATUTE NO.
4551 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.
ADDRESS PHONE NUMBER
)6' 'i
PRINT�M.
DATE
Tzlix�- �,'VxJi
Before me this I- � day 0 N OZ&ACIS- 20 In the county of
Du.l,Same of Fli has peremally appeared herin by himself I herself crown.that
all statements and declarations am,two and accurate, - - - - - - - - -
Now,Public at li Shifts of counhof W., JENNIFER L BENDETTI
kles story Public-State of Florida
COMMISS[DnOFF904388
.wflcel
My Comm.Expires Ad 1 2019 1
Noury Sigrouture
MAP SHOrINC BOUNDARY SURVEY OF
LOT 4, BLOCK 8, ROYAL PALMS UNIT TWO AS RECORDED IN PLAT BOOK 30, PAGES 94 & 94A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CXRrlFrED TO.
KRISTINA M. HEALEY
FIRST PLACE BANK
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
RICHARD T. MOREHEAD T17LE & ESCROW, INC.
LOT 16 LOT 19 LOT 20
BLOCK 8 BLOCK a BLOCK 8
S 85*54'11" E 80.18' (MEASURED)
S 85�7'27" E 80.65' (PLAT)
LOT 4
BLOCK 5
pw
ONE STORY
MASONRY
POSTED If 725
LOT 5 pd
. M LOT 3
BLOCK 8 R: BLOCK 8
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ul
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u X� N 85-37-27- IN 80.65' (PLAT) w
N 86*06'50" IN 80.89' (MEASURED)
I goo 6'rj'j�* REDFIN DRIVE
pabo J;i, (ftg' R�W WAY)
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