130, 134, 138 SANDY BEACH - TEMP CERTIFICATE OF OCCUPANCY \ CERTIFICATE OF OCCUPANCY
TEMPORARY
issue Date: 4/22/2016
RE Number: 173414-0215
Address: 134 SANDY BEACH LN
Zoning: RMD-B
Owner: BEACHES HABITAT FOR HUMANITY
Contractor: BEACHES HABITAT FOR HUMANITY
Application Number: 15-SFAT-1288
Description of Work: SFAT TRI PLEX
Construction Type: 5-B
Occupancy Type: R-3
Approved: )� �-►i. .s
1
4 Building Official
I
VOID UNLESS SIGNED BY BUILDING OFFICIAL
,,- CERTIFICATE OF OCCUPANCY
TEMPORARY
Issue Date: 4/22/2016
RE Number: None
Address: 138 SANDY BEACH LN
Zoning: RMD-B
Owner: BEACHES HABITAT FOR HUMANITY
Contractor: BEACHES HABITAT FOR HUMANITY
Application Number: 15-SFAT-1290
Description of Work: SFAT TRIPLEX
Construction Type: 5-B
Occupancy Type: R-3
Approved: awl �'1rZ)A
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
rte. f,�s CERTIFICATE OF OCCUPANCY
Ss s}
rl
TEMPORARY
Issue Date: 4/22/2016
RE Number: 173414-0220
Address: 130 SANDY BEACH LN
Zoning: RMD-B
Owner: BEACHES HABITAT FOR HUMANITY
Contractor: BEACHES HABITAT FOR HUMANITY
Application Number: 15-SFAT-1287
Description of Work: SINGLE FAMILY TRI-PLEX
Construction Type: 5-B
Occupancy Type: R-3
0
` k.'."1""AelMr2SAL
Approved:
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
I
0
334 ) 2o2—
To if
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY W4RKS.H.,E.ET
Date Requested:
Contractor Name: 2 o / /1' '9/PO - B'14-C A t S 1-17) Id-�r"nrr
Permit #: ,/ r
Property Address: Q /J 7 �v�?I d/9m y Et??/2 /7?
Legal Description:
Improvements to the above-described property have been completed in
accordance with the terms of the permit and are certified to be ready for
occupancy as:
Single-Family Residence
❑ Commercial
VV Other: 77/, l�
Lowest Floor Elevation:
Required As Built FFE '
The following must be completed before issuing Certificate of Occupancy:
Department Date Notified Date Approved Approved By
Fire-Dept. —
Public Works /g :7Y16.
,,�Public Utilitiesj {� QBuilding
Planning
Tree Mitigation
Satisfied it*
Final Survey with FFE es No
All Re-Inspect Fees Paid Yes No
Termite Treatment ✓Yes No
Graham, Shirley
From: Reeves, Derek
Sent: Wednesday, April 20, 2016 2:03 PM
To: Graham, Shirley
Cc: Gindlesperger,Toni
Subject: RE: 130, 134, 138 SANDY BEACH LN
Zoning approves
Derek W. Reeves
Planner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904) 247-5841
dreeves(a�coab.us
From: Graham, Shirley
Sent: Thursday, April 14, 2016 1:19 PM
To: Williams, Scott; Moore, Kayle; Clemons, Malcolm; Walker, Chris; Hubsch, Jeremy; Reeves, Derek; Jones, Mike
Cc: Arlington, Daniel; Daniels, Freddie; Brown, Emanuel; Gindlesperger,Toni
Subject: 130, 134, 138 SANDY BEACH LN
BEACHES HABITAT IS REQUSTING A CO FOR THE PROPERTIES ABOVE ..RON CAN BE REACHED AT 334 1202.
Ski.rLej rakavu.
Cit j of AtLa v'ttc Beacli
Building Permits Technician
Atlantic Beach, Fl 32233
904 247 5800
sgraham@coab.us
Graham, Shirley
From: Clemons, Malcolm
Sent: Monday, April 18, 2016 10:38 AM
To: Graham, Shirley; Williams, Scott; Moore, Kayle; Walker, Chris; Hubsch, Jeremy; Reeves,
Derek; Jones, Mike
Cc: Arlington, Daniel; Daniels, Freddie; Brown, Emanuel; Gindlesperger,Toni
Subject: RE: 130, 134, 138 SANDY BEACH LN
Backflow inspection OK. Malcolm
From: Graham, Shirley
Sent: Thursday, April 14, 2016 1:19 PM
To: Williams, Scott; Moore, Kayle; Clemons, Malcolm; Walker, Chris; Hubsch, Jeremy; Reeves, Derek; Jones, Mike
Cc: Arlington, Daniel; Daniels, Freddie; Brown, Emanuel; Gindlesperger,Toni
Subject: 130, 134, 138 SANDY BEACH LN
BEACHES HABITAT IS REQUSTING A CO FOR THE PROPERTIES ABOVE ..RON CAN BE REACHED AT 334 1202.
sKrt,ej c,rahavt
C.to of AtlaHttic Beach
Building Permits Technician
Atlantic Beach, Fl 32233
904 247 5800
sgraham@coab.us
1
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved I,w/ Conditions
Review Initials/Date: /'I?, K. as/C (Ar
Development Size
Habitable Space /lye S. F Non-Habitable / \,
Impervious area r•/-
Miscellaneous
„
Miscellaneous Information
Occupancy Group ke-3
(\k
Type of Construction 6
Number of Stories 2
Zoning District Q pi 0- (3
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone i/4
Conditions/Comments:
Iria Turner
"!"7 Pest
M Control
TERMITE CERTIFICATE
INFORMATION REQUIRED AS PER FLORIDA BUILDING CODES 104.2.6 & 1816.1
CONTRACTOR: Habitat for Humanity
797 Mayport Rd
Atlantic Beach, FL 32233-3425
SITE LOCATION: Building D
130-138 Sandy Beach Ln
Atlantic Beach, FL 32233
PERMIT#: 155FAT1288
DATE OF TREATMENT: October 22, 2015/April 8,2016
AREA TREATED: 175 LN
IDENTITY OF APPLICATOR: Rashawn Clark,JE 218783
PRODUCT NAME: Boracare/ Premise Pro
CHEMICAL NAME: Disodium Octaborate Tetrahydrate/Imidacloprid
(DIFFERENT FROM PRODUCT)
(FOR BAIT SYSTEMS-LIST CHEMICAL NAME THAT WILL BE USED IF TERMITE ARE DETECTED)
PRECENT CONCENTRATION: 0.23%/0.05%
(FOR BAIT SYSTEMS-IF YOU DON'T HAVE THE%=TELL HOW MANY STATIONS PER FOOT)
NUMBER OF GALLONS: 3 gal/ 15 gal
(FOR BAIT STATIONS-ENTER a OF STATIONS USED)
FINAL STATEMENT:
THE BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE PREVENTION OF SUBTERRANEAN TERMITES.TREATMENT IS IN ACCORDANCE
WITH THE RULES AND LAWS ESTABLISHED BY THE STATE OF FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. I AGREE
THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE.
X
AUTHORIZED SIGNER FOR PEST COMA
TURNER PEST CONTROL LLC
8400 BAYMEADOWS WAY,SUITE 12
JACKSONVILLE,FL 32256 904-355-5300
GENERAL TERMS AND CONDITIONS
This agreement provides for Turner Past Control to perform en initial treatment and any subsequent treatments as deemed necessary by
Turner Pest Control to the structure If e live infestation of the specified subterranean termite(s)is found in the structure during the effective
period of the agreement.
Turner Pest Control will make such repairs as necessary to correct NEW DAMAGE with ive infestation subject to the'deriving conditions
Damage was caused by the specified subterranean torn ite(s).
Turner Pest Control finds the damaged area(s)with a live infestation of the specified subterranean termite(s). Unless live
subterranean termites)are found h the damaged area(s),the damage mo bo considered OLD DAMAGE and will NOT be covered
under the terms of Inas agreement.
Turner Pest Control personnel verifies the evidence before It is altered or destroyed.
Al repair work will be performed or supervised by Turner Pest Control personnel only unless otherwise agreed upon in writing by
both parties.
If damage Is discovered to be a result of conditions other than subterranean termites)or when conducive conditions have
contributed to the presence of subterranean tennito(s),customer agrees to actepl the respanibilty In such cases for the cost of
repairs performed by Turner Pest Control.
Turner Pest Control Mil repair only the specified areas damaged by the specified subterranean termte(s)according to the
conditions slated herein. Turner Pest Control wilt not be responsible for matching of existing wall coverings,floor coverings,
Custom moldings.paneling,tire,or other cosmetic work.
Damage which appears to be,In the opinion of Turner Past Control cosmetic and non-structural will be repaired but not
necessarily replaced. If this customer requests removal of any malarial,because of suspicion of hidden damage Turner Pest
Control will be responsible only It damage Is bund to compromise the structural Integrity of the covered premises.
This agreement does not cover,and Turner Past Control wit nal be responsible err
Wood docks,wood steps,wood fences,wooden walk-ways.or other wood structures outside the foundation perimeter of the subject
structure covered under this agreement,or any area(s)of the structure where wood members are in direct contact with ground.
Re-treatment or repairs to any area(s)where stucco,coquina,styro-foam or any other material is applied In a manner conducive to
infestation or is In direct contact with the ground.
Re-treatment or repairs to any area(s)where moisture conditions conducive to Infestation exist.such as but not limited to faulty
plumbing,roof leaks,moisture seepage from showers and through floors,gutters,down spans,poor drainage,cracks In watts
and/or seepage around windows,soil elevations above slab levels such as planter boxes or any other conditions that supply water
to termites allowing them to survive arroyo ground.
IMestation resulting from moisture coed tions Including but not limited to fungus
Damage to plants,bees,flowers and/or shrubs adjacent to the structure
Personal expenses including but not limited to lodging,meals.transportation or loss of use incurred as a result of treatment,and/or
re-treatment,or damages therein
Indirect expenses or consequential damages relating to the existence al temrles or termite damage.
Re-reatment to any areas where Turner Pest Control has documented conditions conducive to inlestation that have not year
corrected by the customer.
Re-treatment or repairs to any areas where Turner Pest Control has documented conditions conducive to infestation that have not
been corrected by the customer
Customer warrants lull cooperation with Turner Pest Control during the agreement period and any renewal and agrees to maintain the structure free
from any factors or conditions contributing to re-infestation by the specified subterranean termite(s) Il Is the customaries responsibility to correct any
conditions that inhibit proper inspection and/or treatment deemed necessary by Turner Pest Control This may Incudo the removal of stucco coquina
or other exterior siding materials to a minimum of four inches above the outside grade level This may also Include the removal of floor covering materia
such as wood,marble.ceramic tile,vinyl or any other permanent floor coverings Nat are placed over concrete stab floors. This may also include
removal of planter boxes,cabinets,bathtub enclosures,or other obstacles to allow Turner Past Control to gain access to the area requiring treatment
The customer agrees to pay ail expenses to make an non-accessible areas accessible for treatment and/or Inspection an doomed necessary by Turner
Pest Control.
Turner Pest Control is not responsible for the repair of either visible or hidden damage existing as of the data of this agreement Because damage may
be present In areas which are Inaccesslb e to visual Inspection Turner Pest Control does not guarantee that any damage disclosed herein represents
al of the existing damage as of the date of this Ireatmont
In the event the structure of the covered premises Is modified,altered or changed or before any soil Is removed or added around Cur foundation or
under the structure customer wi'notify Turner Pest Control for en inspection to determine if additional treatment is required by the changes. Failure to
do so will terminale this agreement automatical yes of the date of the change etc Turner Pest Control reserves the right to charge for additional
services adjust the annual renewal fee,or terminate this agreement II required by any structural changes or modifications
In case of non-payment by the customer of renewal fees,cost of repairs performed by Turner Pest Control caused by conducive conditions contributing
to Infestation or any other fees,Turner Pest Control has the right le terminate this agreement.
n the event of a change in the existing law as it relates to this agreement Turner Pest Control reserves the right to adjust the annual renewal lee,
amend the terms of this agreement endfor terminate this agreement_ Florida law controls the operation or thIs agreement.
Any daim or complaint of dissatisfaction under the terms of this agreement must be made in writing to Turner Pest Control. Turner Pest Control is
only obi gated to perform under this agreement provided the customer allows Turner Peet Control access to the structure err any purposes
contemplated by this agreement included but not limited tore mspeetion whether the inspection was requested by the customer or considered
necessary by Turner Pest Control
No building or structure other Man those herein specified shall be Included in and under this agreement Only such agreements as are clearly set forth
herein shat be binding upon the parties hereto It Is understood and agreed that Turner Peal Control shat not be held responsible for any loss,
damage or delays occasioned by war fire earthquake floods or other causes beyond the control of Turner Pest Control.
This agreement s assignable al the discretion of Turner Pest Control Customer may not lransler or assign this agreement in whole or in part without
the written consent of Turner Pest Control
Ea Turner MAIN OFFICE:8400 BAYMEArOWS WAY,SUITE 12•JACKSONVILLE,FL 32256-8248
11R1,PI+Pest PHONE:904-355-5300•(FAx)904-353-1488 •Tou FREE:800-225-5305•WWW.TURNERPEST.COM
So.MARYS,GA.-912-576-1300 Ocun,FLA.352-351-4386
M Control DAYTONA BEACH,FLA. -386-788-8303 PORT ST.LUCIE,FLA-772-621-7905
MELBOURNE,Fu.-321-961-3325 TAMPA,FLA-813-681-6381
CERTIFICATEOFCOMPLIANCE FOR TERMITE PROTECTION
BUILDER: Al 6,{--,4" tan! �,�r. , ; , PERMIT NUMBER: ISS/4T
LOT NO. BLOCK SECTION // SUBDIVISION
ADDRESS t L\ So4-t b'.;,cte. LA%
Method of Termite Prevention Treatment L'OOO e., eve4
(soil barrier,wood treatment,bait rystem, other)
Pursuant to Section 104.2,7 of the Florida Building Code and Chapter 482 Florida Statute 482.226
This building has received a complete treatment for the prevention of subterranean
termites.Treatment is in accordance with the rules and laws established by the Florida
Department of Agriculture and Consumer Services. An annual inspection and re-
newal of the annual termite protection contract is necessary for continued protection.
Call the numb bove for inspection and contract renewal j
Authorized signature of Treatment Date Date
(Must be original signature)
Call Turner C 1-800-225-5305 for your Lawn,Pest Control&Termite needs today.
•
®Turner MAIN BEEICE:8400 BAYMEADOWS WAY,SUITE 12•JACKSONVILLE,FL 32256-8248
� PHONE:904-355-5300•(Fax)904-353-1488 •Tat FREE:800-225-5305•WWW.TURNERPEST.COM
A..4�L. Pest ST.MARYS,GA.-912-576-1300 OcALA,Fu.352-351-4386
Control MEL�tNE,RAF.-321-95,788-8303 PORT ST.LUCIE,FLA-� TAMPA,FI 813-681-63811-7905
CERTIFICATE OF COMPLIANCE FOR TERMITE PROTECTION
BUILDER: .t.S,�,�� 1r�r 1,,,�.N 'r), PERMIT NUMBER: I S-'SF-4T 1 X 6
LOT NO. BLOCK SECTION SUBDIVISION
ADDRESS 1 rt clIt'°`(-L L ti
•
Method of Termite Prevention Treatment (moo( ��'" /I^e."
(soil barrier,wood treatment, bait rystem,other)
Pursuant to Section 104.2.7 of the Florida Building Code and Chapter 482 Florida Statute 482.226
This building has received a complete treatment for the prevention of subterranean
termites.Treatment is in accordance with the rules and laws established by the Florida
Department of Agriculture and Consumer Services. An annual inspection and re-
newal of the annual termite protection contract is necessary for continued protection.
Call the • •-.er above for inspection and contract renewal
SAuth - i U- 7.Y- 15—
Authorized
orized signature of Treatment Date Date
(Must be original signature)
Call Turner Cu 1-800-225-5305 for your Lawn,Pest Control&Termite needs today.
MAIN OFFICE:8400 BAYM WAY,SUITE 12•.JACKSONVILLE,FL 32256-8248
ma Turner PHONE:904-355-5300•(FAx)904-353-1488 •Tou FREE:800-225-5305•WWW.TURNERPEST.COM
Pest ST.MARYS,GA.-912-576-1300 Oc+w,Fu.352-351-4386
Control DAYTONA BEACH,Fu. -386-788-8303 PORT ST.LUCIE,FLA-772-621-7905
MEteouRNE,RA.-321-951-3325 TAMPA,Fu-813-681-6381
CERTIFICATE OF COMPLIANCE FOR TERMITE PROTECTION
BUILDER: . c} c- �J M�• PERMIT NUMBER: 157.959T
LOT NO. BLOCK SECTION SUBDIVISION
• ADDRESS / 315 ScAn� Zee.c.L, L. II
Method of Termite Prevention Treatment C.AV00
(soil barrier,wood treatment, bait ystem,other)
Pursuant to Section 104.2.7 of the Florida Building Code and Chapter 482 Florida Statute 482.226
This building has received a complete treatment for the prevention of subterranean
termites.Treatment is in accordance with the rules and laws established by the Florida
Department of Agriculture and Consumer Services. An annual inspection and re-
newal of the annual termite protection contract is necessary for continued protection.
Call the nu above for inspection and contract renewal
/O )--1 s zi-Jl ie
Aut prized signature of Treatment Date Date
(Must be original signature)
Call Turner C 1-800-225-5305 for your Lawn,Pest Control&Termite needs today.
Graham, Shirley
From: Williams, Scott
Sent: Friday, April 15, 2016 3:29 PM
To: Graham, Shirley
Cc: Gindlesperger,Toni; Moore, Kayle
Subject: RE: 130, 134, 138 SANDY BEACH LN
Shirley,
PW has done the CO inspection for 130, 134, & 138 Sandy Beach Lane. Everything was good to go with us.
Scott Williams
Deputy Public Works Director
City of Atlantic Beach
Office: (904)247-5834
swilliams@coab.us
From: Graham, Shirley
Sent: Thursday, April 14, 2016 1:19 PM
To: Williams, Scott; Moore, Kayle; Clemons, Malcolm; Walker, Chris; Hubsch, Jeremy; Reeves, Derek; Jones, Mike
Cc: Arlington, Daniel; Daniels, Freddie; Brown, Emanuel; Gindlesperger,Toni
Subject: 130, 134, 138 SANDY BEACH LN
BEACHES HABITAT IS REQUSTING A CO FOR THE PROPERTIES ABOVE ..RON CAN BE REACHED AT 334 1202.
sh�rte� Graham
of Atlavvtic geach
Building Permits Technician
Atlantic Beach, Fl 32233
904 247 5800
sgraham@coab.us
Graham, Shirley
From: Brown, Emanuel
Sent: Friday, April 15, 2016 1:42 PM
To: Graham, Shirley
Subject: RE: 130, 134, 138 SANDY BEACH LN
All good including Malcolm backflow inspection performed by myself
From: Graham, Shirley
Sent: Thursday, April 14, 2016 1:19 PM
To: Williams, Scott; Moore, Kayle; Clemons, Malcolm; Walker, Chris; Hubsch, Jeremy; Reeves, Derek; Jones, Mike
Cc: Arlington, Daniel; Daniels, Freddie; Brown, Emanuel; Gindlesperger,Toni
Subject: 130, 134, 138 SANDY BEACH LN
BEACHES HABITAT IS REQUSTING A CO FOR THE PROPERTIES ABOVE ..RON CAN BE REACHED AT 334 1202.
skirLera 1cn &
Citta of AtLa wtic Sea ch
Building Permits Technician
Atlantic Beach, Fl 32233
904 247 5800
sgraham@coab.us
•
=1=` TY OF ATLANTIC BEACH
-.;•
, Y ;1'�. CI
:' 1a5 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
civ �1 ; 'se..� s5
}_�,
„�f. -"` 800 Seminole Road •
•'-a �z Atlantic Beach,Florida 32233-5445
904 247-5840
PLEASE SUBMIT COMPLETE SETS OF PLANS WITH APPLICATION. Fax 904-247-5845
Date 44- 1 -.- 1(
Job Address " PERMIT#
� 13 a^� � ht ISSUED BY THE CITY
to l me. as✓k C.n sA-n.cfir., vn.w
Permitee: �t,g. .f
Telephone#—9 o y _ 3 y.. i' to
Permittee Address: '1 -1
I Z
Requesting Permission to Construct:
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existin utilities,
both aerial and underground and the accurate locations are shown on the sketches. 9
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority
Bell South Telephone Company Yes( ) No ( ) Date:
Ferrell Gas Yes( ) No ( ) Date:
Comcast Yes ( ) No
( ) Date:
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 or Florida Department of Transportation Standards and be
performed under the supervision of . et* Pf.n-%
(Contractor's Project
Superintendent) located at i W ..-4-
4. All materials and equipment shall be su ect to inspection by the Director of Public cpWork or hhone#: is
s designee.
5. All city3V- mo-t_
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 an increase in im•ervious area on owner's lot or in the cit
Right of Wa are to be included with this a. .lication.
7. This permittee shall commence actual construction in good faith with
days. the datis
more than 60 days from date of permit approval, then permittee must review the perim t with the Diirrector 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 ain
and a
immedia ;ly upon completion. •
g
OWNER
litik
/5KYLE MURRAY
Signed: alp4Ilk ' ' /7 ''� •'� MY COMMISSION 8 EE18S723
Before me this Da
�/ day of 'r Duval,
in the County of EXPIRES April 02,2016
State Of Florida,has personally appeared "
Notary Public at Large,State of Florida,County of Duval. , �� �FloraNatelylleroloscentMy commission expires:
PersProduced Identification:
onally Known:
Permit Attachment of for
Permit# issued ,20 Atlantic Beach,FL 32233
Owner's Name: tr.A.t .cs 1,. ,.} Property Address: t 30 --> i3 Tr 54.4,11
R.E. #:
Subdivision: 6 Lr- �.(.,� Lot#/Block#: 404- 1 2 3 131e alt 14 Z
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 ( des glad„ d
hereinafter referred to as"USER". of Atlantic Beach; Florida,
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/Fasement permit numbers noted above(copies attached).
This work is generally described as: t H s-6k t t P'` tek el r;ue,W4z .�,��` � R. 0. tJ
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:
nil Y►'ulfev-l- Q1, 441.,.vik Rt.* 61. 'H. 32_1.33 •
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
afier 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 byy the USER.
D, ' ED and SIGNED this// ' day of4)-vi2015
�1
By: I-• 's.
Property Owne
(to be signed in presence of the Notary)
STATE OF FLORIDA
COUNT OF DUVAL
/A rC
this day of -VA ►' �
On , 20� )
and for said County Pand State, , persona lly appeared before me, a Notary Public in
the property
er of
,Atlantic Beach, Florida,known to me t 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 purposes therein mentioned.
KYLE MURRAY
MY COMMISSION p EE185723
Notary Public in for said County and State � � EXPIRES Apra 02.2016
FkmasNorosamo„com
CITY OF ATLANTIC BEACH, FLORIDA, a
municipal corporation:
Approv
Aw,
Doug on,Public Work/Director
For Permits where city sidewalk is impacted,
City Manager approval required:
Nelson Van Liere,City Manager
Page 2 of 2
April 14, 2015
Ms Donna Kaluzniak
Public Utilities Director
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
Dear Ms Kaluzniak,
I have submitted a building permit application for a house at: Blk.#2,Lot#3-#2-#1;
#130, 134, 138 Sandy Beach Lane, COAB Beaches Habitat will not be installing a fire
sprinkler in this structure. In addition, pursuant to our HOA documents, we will be
installing an irrigation system.
Please give me a call (904-241-1222, or 334-1202) if you require any additional
information.
Sincerely,
Robert Peterson,
Construction Manager
FILE COPY
Julianne N . Overby, RA
Architectural and Interior Design Consulting Services
Julianne N. Overby, R.A.
2452 Pullian Street
Jacksonville Beach,Florida 32250
904 704 8628
Email: jnoverby@att.net
FL.AR-0017060 • FL.ID-4621
February 27, 2015
TO: Mr. Dan Arlington
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
RE: Beaches Habitat Townhouse Units
To whom it may concern:
I have reviewed the structural drawings for the submitted projects and agree that they follow the
architectural design intent. All structural design and specifications are the responsibility of the
structural engineer of record for this project.
Thank you.
Sincerely,
Julia i ne N. Ov-rb , RA
Architect/Inter.•r I-sig ner
aTurner MMM OFFICE:480 EosEw000 AVENUE,SowH, JuxsamLE,Fuwm 32205
on Pest ala 1114.-161:530•F+K 804.353.1W•Nis M*utot 888• 5:334b•www.TvpMrnresr,com
Control Si. ,liw-912.876.1308 ouu,F .-352-3514335
Dsyro.0 BEAM,Fu.-338.78841303 Par ST.Luca,Fu.-7724529078
What's Bugging You? Hamm,Fu._321-951.5325 TAMPA,Pu.-3188814381
NOTICE OF INTENT FOR PREVENTATIVE TREATMENTS AGAINST TERMITES
as re.uir ed/by Floriad Building Code.FRC 104.2.6)
Address: d �2'�v.s4.. ._J Lc-CL 14"h L-/
Lot: j 4 Block: 7 Date: /1-3 /! f
ALL STRUCTURAL CHANGES
BORA-CARE-1 riniticidc(Wood Treatment) ARE TO BE REPORTED
Product Used FOR RETREATMENT
J)isodium()elaborate Tctcaliphate 23%Active Ingredient
Chemical used(active ingredient) Percent Concentration
Application will be performed unto strsictura.H_otrll Al dried-in stage of coliatt Iry(ii;11
Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area)
BORA-CARE'Icrmiticide application shall be applied according to LPA
rcgistratedlabe[ircctions as stated in the Fluridauilding Code Section 18lf)11
(INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE
OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION)
®Turner MN.O.Pafti 480 EoGEw000 AVENUE,SOUTH,JACESO MLLE,FLORIDA 32205
PM Pest piioM 804.355.5.3D0•F*o 904-353.1488*IDA FHu:99 2Z573305•vrww.n+aacaresr,pom
Sr.Nun,GA.-912476.1300 Oowl,Fu.-352-3514386
[3 Control 0snolu Bum,Fu.-386.7684303 Port ST.LUCIE,Fu.-7724924078
yy , What's Bugging You? Masount,Fu.-321-951-3325 TAsPA,FLA..-8134814381
lad rei Vy teri NOTICE OF INTENT FOR PREVENTATIVE TREATMENTS AGAINST TERMITES
as re•uired by Florida Building Code.FBC 104.2.6
Addreu: 13 k( vJ c 1. I e.E,e _A2`/Q..�t G 644c-
Lot: a Block: Z Date: y//3AL—
ALL STRUCTURAL CHANGES
11OItA_ ARE l nniticidc(Wood'Lica tq)s:gt) ARE TO BE REPORTED
• Product Used • FOR RETREATMENT
))isudium Oci;ihoratc Tctr_tl)•ilratL 23%Active Ingredient
Chemical used(active ingredient) Percent Concentration
Application will beperfurnwd onus structural woIEtl RIE dried igstage ofcousu u)ljon
Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area)
MORA-cAIt1 l'ermiticide application shall be applied according 451EPA
registrated label directions as stated in the Floridanilthui Code Section I8I6.I.ti,
(INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE
OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION)
MilTurner MAIN OFFICE:480 EDCEw000 AvwAk,SouIH, J*crsoxviuE,FLORIDA 32205
Pest Pell 994-3553390•fns 994-353-1488•TD«Jat• .0 ;?25.539b•www.TvaKRgPRwT,epM
la Control Si.MARTS,6A.-912476.1300 Oaau,Fu.-352.361-4386
DAYTDIM Buss,Fu.-386.718.8303 Porn Si.LuCE,Fu.-772.892.0078
What's Bugging You? Mesopic,Fu.-321-951-3325 TAMPA,Fu.-1134814381
NOTICE OF INTENT FOR PREVENTATIVE TREATMENTS AGAINST TERMITES
as re.uired by Florida Building Code,FBC 104.2.6
COPY Address: 130 S l) dgeae t., 1.-44-►e
E„+I irr
Lot: 3 ___ Block: .2. _Date: 4//131 /S
ALL STRUCTURAL CHANGES
BOR A- ARL'-I ruritiridc(Wood TitcatIiJ ft) ARE TO BE REPORTED
Product Used • ' FOR RETREATMENT
Disuslium()elaborate Tetrakyslratc 23%Active Ingredient
Chemical used(active ingredient) Percent Concentration
Application will be.pc1lurntcil unto ctjuctur:ll woOl..o dried-in stage of cosi t
Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area)
BORA-CA RF,'Icnniticide applic_atipo shall be applied according to EPA
registratcd label directions as stated in the Florida jiuilding Code Section 181(..1.$
(INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE
OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION)
frier f / ,3 — - , -) /d 9o)
4;ri I 8�-
NOTICE OF COMMENCEMENT FILE COY
State of Florida Tax Folio No.
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 :38-2S-29E-7.41 B De Castro Y Ferrer Grant PT Recd OR/16531-2248
( Block 2-Lot#1-#2- #3)
Address of property being improved:#130 ,#134,#138 Sandy Beach Lane,Atlantic Beach, FL 32233
General description of improvements:construct 2 story single family attached triplex
Owner: Habitat for Humanity of the Jacksonville Beaches Address: Atlantic Beach, FL 32233
Owner's interest in site of the improvement: 100%
Fee Simple Titleholder(if other than owner):
Name:
Contractor:201 Mayport Construction Management LLC (FL State Certified General Contractor#CGC1506666)
Address:2768,Atlantic Beach, FL 32233
Phone No.: 904-334-1202 Fax No.: 904-241-4310
Surety(if any):
Address: Amount of bond$:
Phone 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: Robert Peterson, c/o 201 Mayport Construction Management,LLC
Address:2768 State Rd A1A,Atlantic Beach, FL 32233
Phone No.:904-334-1202 Fax No.:
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:
Phone No.: Fax No.:
Expiration date of Notice of Commencement(the expiration date is one(1)year form the date of recording unless a different date is
specified):
Warning to owner: Any payments made by the owner after the expiration of the notice of commencement are considered improper
payments under Chapter 713, Part 1, Section 713.13, Florida Statutes,and can result in your paying twice for improvements to your
property. A notice of commencement must be recorded and posted on the job site before the first inspection. If you intend to obtain
financing,consult with your lender or attorney before commencing work or recording your notice of commencement.
THIS SPACE FOR RECORDER'S USE OWN
Signed: • Dat : —f� S
Before me this/' day of in the o n of Duval,
State of Florid, has personally appe red�O9N/V1 )(
Notary Public at Large, State of Florida,County of Duval
My commission expires: -
Personally Known: tM1 or
Produced Identificatio
sit111 KYLE MURRAY
�': MY COMMISSION#EE185723
Doc#2015089380,OR BK 17138 Page 232, • -d EXPIRES April 02,2016
Number Pages:1 "et •
Recorded 04/21/2015 at 08:32 AM, _007)398-0153 F�corn
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00