2033 Selva Madera Ct driveway permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
n J,
DRIVEWAY PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-DWAY-2949
Job Type: DRIVEWAY
Description: paver driveway, patio, sidewalk, and walkways
Estimated Value: $13,800.00
Issue Date: 2/2/2017
Expiration Date: 8/1/2017
PROPERTY ADDRESS:
Address: 2033 SELVA MADERA CT
RE Number: 169506-1646
PROPERTY OWNER:
Name: WOLFROM, LEWIS J
Address: 6482 GRISTMILL SQUARE LN
PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing
activities. Contact the Inspection Line(247-5814)to request an inspection from Public Works for
Erosion and Sediment control inspection prior to start of construction.
All runoff must remain on-site during construction.
If on-site storage is required, a post construction topographic survey documenting proper construction
will be required. All water runoff must go to retention area and retention overflow must run to street.
Roll off container company must be on City approved list(Advanced Disposal and Realco Recycling).
Container cannot be placed on City right-of-way.
Full right-of-way restoration,including sod, is required.
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 RTI
concrete box with metal lid. Cleanout to be set to grade and visible.
PERVmF IS APPROVED ONLY IN ACCORDANCE WIM ALL CITY OF ATLANM7 REACH ORDINANCES AND ME �RIDA
BUIEDINC CoM,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
TMES:
Fence/ROW $35.00
UTIL REV RESIDENTIAL BLDG $25.00
Total Payments: $60.00
PERMfF IS APPROVED ONLY IN ACCOW)ANCE WEH ALL CUY OF ATLANTIC BEACH mWINANCES A" ME FLORMA
RVILDING CODES.
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233,5445
Phone(904)247-5826 Fax(904)247-5AN 09 2017
E-mail: building-deptlilwab.us
Cityweb-site: hffP:/Aww.coalbus
APPLICATION REVIEW AND TRACKING FORM
Property Address: -�'101% 96Q ci �Aa&4& C_-t DeNrIment review required
Yes No
Applicant: ow f\t-f, building
Planning Zoning
Project: jkwaq Tres. ummistrator
--ocu-i a)r�Q� u
\d OL Vf'W CL\k3 Public Utilities
Public Safety
Fire Services
-7
Dept Signaft,,e_,L, .8111116"
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Da
Florida Dept.of Environmental Protection
Florida Dept.of TransPortation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APP' "A T-'
Reviewing Department First Review: fjApproved. [:]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:
Data:
TREE ADMIN, Second Review: -]Denied.
ElApproved as revised.
C'WORK Com ents:
PUBLIC UTILITIES
/-C?-/7
PUBLIC SAFETY Reviewed by:_ Date:-
FIRE SERVICES Third Review: DApproved as revised. DDemed.
Comments:
Reviewed by:.Date.-
Revised 05/14/09
E EUVE
BUILDING PERMIT APPLICATION D E
CITY OF ATLANTIC BEACH JAN - 6 2017
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 - Fax:(904)247-5845
Job Address: 9033 &/;,'t A!V—ee� Cr- PermitNumber: 0-CSWA4-,5-q4j
Legal Description RE#
Valuation of Work(Replacement Cost)$ /3�60 0 Heated/Cooled SIR_Non-Heated/Coold
''"', "I-- M
L
Class Of Work(Circle one): New Alteration Repair Move Derno Pool
a��rlo Window/Door
Use Of existing/proposed structme(s)(Circle one): Commercial �idwug
If an existing structure,is a lhe sprinkler system installed?(Circle one): Yes Q> N/A
Submit a Tree Removal Permit Application if my trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
lk$4.�(( P v,,S -� do'iovw" �Is
Florida Product Approval# for multiple products use product appraval forur
Property Owner Inforntation
Name: te�;S --T. Wo Addrm- 4.3
ultY Ffn��L 6,�� State�, 1p 3-2A3& Phone -9`7
E-Mail e �Z jo
Uwnff OrAgent (MAgmtPo�ofAMmey�Agm�I�Requi
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 NOT013 OF COMMENCEMENT.
Contractor Inforntation:
Name alifying Agent:
Address: f Cit!v_;��,�-.�State Zip F, 320.
OfTiccPhcmejRV- C27.A40 umber W3,/.23
State Certification/Registration 4
Architect Name&Phone#
Engineer's Name
mpensation
uced
urisdiction.
aned ur
-91
mi as"N910 a"d ammed this application and Itnow the same to he true and correct. Allprovisions arlam and
W=k-01 I ,k will be complied with Whether SpeXed herein or not. The granfin, ofa permit does not
141l-9 OW kyAwv. ate r cancel the provisions ofany otherfe eral, state, or local law regulating consui action or the
a',
Rev.3/14/16
A& CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WrrH1N CITY-RIGFITS OF WAY AND EASEMENT
1301
Atlantic Beach,Florida 32233-5445 904-247-5800
Date Zor2 Fa- 904-247-5845
Job Addres 0� . e Cr
Perni e.�;s VT t< Telephone#
6.5 0
Permittee Address:.2033 —5" /1
-Z�A
Rt:�Img Pe,,m si: str�
�Zn
Location: (ReferencetoCross-Street) 20"1 Cr-
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 miled to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes(1�
Bell South Telephone Company - No ( ) Date CgniI
Ferrell Gas Yes (4 No ( ) DI& a'AJ 20 0`7
Comcast Yes(-I No ( ) Date� rAA1 ;1.17
Yes(,I No ( ) Date: C4,J 2�1-7
2. Whenever necessary for the construction, repair. improvement, maintenance, safe and efficient operation,
afteration 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, wines, 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 Dep ment of Transportation Standards and be
performed under the sugrv;sil, of Le�ij 061= (Contractor's Project
Superintendent)located at 53 e( 7.—fIr�441 ;c �Telephona# SiLY-3—CI
4. All materials and equipment shall be 5ubjec,10 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 sho"111"111 11111 111123,Increase in 11 ii I . rea on owner's lot or in the city
Right of y are to be inclucleci--ith this agglication. oe"lous area on owner's
7. 1 na Perri snail commence actual construction in good faith with days. If the beginning date is
more than 60 days from date of permit approva
a have occurred in the area that would affect the permitted construction.
Public Works to make sum no change 1, then permittee must review the permit with the Director of
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
firri 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 ansing 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.
CiW
S19"I
yl? Date.
Before this
this carver
State Of Florida, daryof�an�"q inth
hasPerconallyappeared
Notary PuI Y.,III
My commission evince
Personally KnI JEN R JNNI
P rod u ce d I d a o V 11 ca bon:�p L---0 Wcow Sill 9
r
r
U a
PIRES 0.16be 202
�Icum�
00*
R.O.W. Permit Attachment—of for
R.O.W. Permit# issued. 20_ Atlantic Beach,FL 32233
Owner's Name:
Property Address:
Subdivision: R.E. #:
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
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:
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 bc.9Z y cernfied
2-3 .3 Seto �� _r ��, FL_ 3;ut,33
. =.Mreceipt 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, 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 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 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 linnitations/requirearents 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 (p day of 7/4 A)k 4RI 20_L-L.
By:
Prop
(to b
STATE OF FLORIDA
COUNTY OF DUVAL
On this 01 day of Jon 20 "1 o_nally appeared before me, a Notary
�C�tyand �State VrL� ZV to,
Public ih and for said ounty . �O�k ;61 1�x , the property owner of
2ko _,�l --Lk1M MO-0-941k Vi—, 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 purposes therein mentioned.
OW 'C
No Publidp for Wd County and S
EKPM&0�27
�y AA
CITY OF ATLANTIC BEACH,FLORIDA,
a municipal corporation:
Approved:
Donald D.lIa 6b),oev' , P.E.
_i 0
' clot
Public Wo D' e r
File: 12/12/16
Page 2 of 2
i� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 —OwA\A -aci4ri
Phone(904)247-5826 Fax(904)247 5845
E-mail: building-dept@wab.us Date routed:
Cityweb-site: hftp:/Aw�w.coa1b.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: E,6Qc� �AU&4M Ci Department review required Yes No
Building
Applicant: DWI\1_1( Planning&Zoning
Project: As &6awcL4 J�a-16Q, Tf2e-bdministrator
I Public Utilities
\'3 CL�V_0 Coll,N =VT
Public Safety
Fire Services
Other Agency Review or Pennit Required 'V'.e*,,=P,,'y Date
of Pe
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
y Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Cit-her
APPLICATION STATUS
Reviewing Department First Review: [JApproved. �Den led.
(Circle one.) Comments: J,-O A*Q
BUILDING
PLANNING&ZONING Review b k�ate:
TREE ADMIN. Second Review: rApproved as revised E]�Denied.
PUBLICWORKS Comments: ke ^a
wed b
PUBLIC UTILITIES 7
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: EJ�Aplproved as revised. [][)a d.
Comments:
Reviewed by: Date,
Revised 05114109
CITY OF ATLANTIC BEACH
DEPAR�IDFrOF PUBLIC WOBM
12M S�Jpiprr Litne
Atlantic Batch,FL 3M334318
TELI�PHONE:(�)M7.58M
(904)247-5943
OWNER: DATE: 1-10-17
Lewis Wolfirom PERMIT#17-DWAY-2949
2033 Selva Maderm,Ct. ADDRESS: 2033 Sel"Madera Ct.
Atlantic Beach,FL 32233 Atlantic Beach,FL 32233
Email: ljwolfrom*verizon.net
PERMIT APPLICATION FOR PA R ZDRIVEWAY,PATIO,SIDEWALK,WALKWAYS
Your permit application has been dby7the Public Works Department for the masom,listed below. Please,submit this information
at your carliest convenience in order that we may approve your application. If you have my questions,please,contact Scon Williams,
Deputy Public Works Director at 904-247-5834 or email swillims@wab.us.
PUBLIC WORKS CORRECTION ITEMS:
((S, Ism thefollowing infornurtion to the Public Works Deparanent)
-Provide drainage plans showing site topography(flow arrows,etc.).
*'Provide erosion and sediment control plans with installation details.
V4* Section 24-66(b)of the Land Development Regulations requires on-site storage for increased run-off if adding 400SF
more impervious surface. Provide Delta volume calculations and on-site retention required per Section 24-66(b).
All runoff must remain on-site. Cannot raise lot elevation.
V4* Provide a detailed plan of water retention area and how water runoff gets to water retention areas and then to
street.
PU13LJC WORKS CONDITIONS OF APPROVAL:
(Thefollowing comments will beprinred on yourpennit as Conditions ofAppmval)
** Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities.
Contact the Inspection Une(247-5814)to request an inspection from Public Works for Erosion and Sediment Control
Inspection prior to start of construction.
All runoff must remain on-site during construction.
If on-site storage is required,a post construction topographic survey documenting proper construction will be
required. All water runoff must go to retention area and retention overflow must run to street.
** Roll off container company must be on City approved list(Advanced Disposal and Realco Recycling). Container
cannot be placed on City right-of-way.
** Full right-cIf-way restoration,including sod, is required.
cc: Toni Gindlesperger,Building Department
Jennifer Johnston,Building Department
Perrone, Jennifer
From: Perrone, Jennifer
Sent: Tuesday,January 10, 2017 4:09 PM
To: 'Ijmlfrom@verimn.net'
Cc: Williams, Scott; Gindlesperger,Toni; Johnston, Jennifer
Subject: Plan Review Comments for 2033 Salve Madera Ct.
Attachments: Plan Review Comments 17-DWAY-2949.pdf
Permit application #17-DWAY-2949 for 2033 Selva Madera Ct. is currently denied by Public Works. Attached are the Plan
Review comments. Plea�submit the required information at your earliest convenience in order that we can Process
approval for our Department.
If you have any questions, plea�contact Scott Williams, Deputy Public Works Director at 904-247-5834 or email
swilliamsacmb.com.
Thank you,
Jennifer Perrone
Administrative Assistant
City of Atlantic Beach Public Works
(904) 247-5834
iperrone0coalo.us
&A cawy�
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ELEVATION CERTIFICATE E.FRES:ZME 30 1
FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM
4.As kIn ....... I.,Fxw,_1,.,..w I.,u. xsAr.uw;Ind ZI PI F...e,,ns.,N ..a I..III FI..Iu.-.
w.,I.....
Kath*,.IIonlck -MrZTRUURV�
.ug mwwmm
2033 Selva Madera Court, Atlantic Beach Florida
STREET AIDDRI
AII'Munsu swess
kot 7,1�.SeL_,,Ilax e.�nit Two, Plat Bobk 40 Pa es 37 and 37A
.TNDI 5 F _� Z_
Go RI �kx For
antiC Beach, FLORIDA
'anwh
'I
w on me okwalkn
0"U've"
by X.I.Law he b
.-na arr :11,ding 1.oha In.
I., - Plus"
number
floor from
a next to
I". it
...............the building(alab enter In line 8). ThIs value Must be 8qQu or level) elevated in accordance with the community's
flood depth number is available. Is the building's lowest floor(or reference
floodplaln management ordinances? [3yes ONG OUnknown level vaIIonsM`NOVD C]Othnn (describe on back)
5.Indicate The elevation datum system used In determining the above reference VNGVD C30mqrftje&ZrIbe on back)
6.Indicate the elevation datum system used on the FIRM for base flood elevations:
(A�ENTIQN-it In. I.wafl.n datum.1ad m anasudin th I none is ofiff.'em man hot Ines on the FIRM, than III&@,w,IjOns provided
,9 *.IF.
musl be conwvfixf 1.rho serum SYI usad 1. be IRAI
7.Is the reference level based on =fuel construction? i�yeo 0 No, oval floor In place. Fill In the elevation based on construc.
A"No" answer is only valid 11 the building does not have the reference I
tion drawings and do not complete q-8s"or MR. It "No" Is chocked, this certification will be valid only for buildings In the course Of
construction. After construction Of the reference level floor is completed, a post-construction elevation certificate will be required for
continued flood Insurance coverage.
8.Provide the following measurements using the natural grade next to the building(round to the newest 1000.
b.The garage floor(it applicable) Is:
a.The reforeI alhc LUIest E)sbove Obelow lcheck one) the highest grade.
c
LL/J feet above Obelow(check one)the highest grade.
LLJieei Elalmse []below(check one) the lowest grade. L-Li at Clabove []below(check Imo)the lowest grade
on back-Date of FIRM) and accompanying insurance application:
Provide the following hoss the proper FIRM (see Instructions
ELEVATION ESTABLISHED FOA ZONE A
on ZONE V.IF AVARLABLE
E 0001 D n/a 8-
Elevation reference MarK Uses FIRM side for 0I
ION
mgmal,Or-1- 10-1 wx` In"' .let. ..1.Can Sawa'.AD.the building offichd. the
Own C. t Airrith SFE) IT V30 VE and y(with GFE is noulnut. 1.the cru--11-1
Monsoon InjamusliOn W mwas AA430.AE.AN, ricisial who Mrs Mushodred by We law or Ordinance to Francs
I the 26immaily OIL 10 muninal
prosany owner or the nor's raWassuplative can sign in.int.mudon On this cerelkliff fePreasn's my bs$l sI
hocc,brr. smserumlonn.,on.may Was ZI me cwthic.tion.I wnry that I nururunr under Is U.S. Cod. Section 1001-
me
the data -------
If a,7 n
INYMANk H. A. Burden & Associates, Inc.
Registere'
TITLE Jacksonville Beach, Florida 32250
1103 South Third street 09/29/87 A 904/24 1 9-7261
SIGNATURE I Nw.W.suppont 1.sw
We W.,1.th.fia-�' Aax.Ps" Ths... ,
�.g cop, of con 1: N I.ow Wol.."I Paws"em..I .,Ind.
Tho in.,norus.,I.,sca Usxh III.III F.I A
Facyngid.fandthamnlW11raiaxweiryt %A.ThA
TKIS ORM Maim. ugemr,ominamos7
1.Ih. —'—I unnn A—'I"--ft.AME"im.-I
z
Williams, Scott
From: Komorek, Cheryl
Sent: Tuesday, January 10,2017 2:51 PM
To: Williams,Scott
Subject: Redfin/Sabalo Concrete Fence
Follow Up Flag: Follow up
Flag Status: Flagged
Scott-David Seely, 246-4733 @ 730 Redfhn Dr is the resident that called with his concerns Re:the crumbling 5
Wconcrete fence that is dividing his and neighbor's backyard.We believe the other property is on Sabalo Dr.
Mr.Seely said in the past, he had previously spoken with the homeowner's son. He now believes the house is
vacant and that the fence is creating a safety hazard since he feels it could fall over at any time. I did let him
know I wasn't sure if this was a City issue or between homeowners.
Cheryl
Property Appraiser-Property Details Page I of 2
Primary Sil Addrean, official Record Book/liage Tile
HAGERTYCLARAM 735 SABALO DR 01372-00522 9417
735 SABALO DR , -3908 Atlantic Beach FL 32233
ATLANTIC BEACH FL 32233
735 SARALO DR
Property Detail Value Su
TE# 1713OB-01)(10
Tax District USD3 Value Nedical G%MA CaMA
Property him 0100 single Family Tot:Building value 1 00 $n,618,00
#af Buildings 1 — EA.Fismany Val. $ J00 $5giLoo
Legal peso. F ar full legal descripturn we Up V.W(�) $85,000.00 $85,000-00
Land&Legal section baloy, Land!VA.(Aal $OuD0 $D.00
suldlivision 01111 ROYAL PlUMES UNIT 02 Just(Markso Valuse $158,80-DO $158,217.00
Total Am. Annoyed van. $1xi'losuclo $IM,M.W
�e sale of Los property my handt in higher property thows,Fv room spormartion go CaspEliff/PortabifityAnut $51,997.00/0.00 $51,411.W/$O.W
to sang our Rogers and our proppera,Tax Estionspox.In Progney papprah, alues, Eriengirtkins $50,000,00 say repair
exampbons and other supporting inforranbon an bids Page am pit a the exi tax TaxableValue $56,81)6Z Sen Wow
hall and am subject to charge. �gdtyhed Values listed in up,Value Summary am tho,e
nuffied in(Axon,act may include any all changes made after carithficatica,
t earn him me property Aparal liffice values property
Taxable Values and Expermptions-in Progreass
If them am no exemptions applicable to a ruling authority,the Taxable value is the asyme as the ssaaMed value listed above P.the value
Sunagar,box.
County/Municipal Taxable Value SIRVVMDJFIND Taxable Value School Taxable Ure,
�aaaasxj Value $1�,nosuoo Analysed Value $105,806.00 a%aawd,Value $1os'sol
1111 ............. ......................... I -...... ..........1-1.1,.......11 -
Happeareand(Hl $25,NO.W Hapsymod(M) -$25,000l rionagaread(HX) $25,00.00
.....................I-- - I..........---............—.... ..........
Homestead Binding 1%,031(lXb)(Hi Homealread Bandin,196.031(lXb)(HB) Taxable Value $81,806.00
....... ...- .................. ....................-�A?MOT
Taxable Value $56,806.00 Taxable Value $56,806.00
Sales Ffiabory n ---- -vacend/11mady".1
- Salroxxt, so cassmaduumpainnew , --
l/l/1899 woo ;lhosing Uncralined W noned
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cap ./_
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flossableVahne 16 MM a ory
Unirdaying
Q.,clam
10�1 NP63 0/26/2(02 $100 Boom jimuidiffieci Improducl
11,P17-01mi 0/2WD03 $100uno Qc-Quit oafto Unaudited! ampayed
T:
Extra FeatUres 12
La years. I011 I 1 11 Total Units
rpi,i
Holplace,Manions, 10
Land 8,Legal
Land
N "goan"A
UN Qd, U.Dessiandiont 1, L, 79ul 17-�,2 rE
by
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RESLJD�71JNMPER 2 RO(OULP" UNUZ
I ol, 0.00 Compon 1.00 85,000.01) PNLM1 U.-
Las, +$I'M out
3 LUT501-1i
Buildings
Building 1
sharing 1 She W..
n5 Sali DR �5 5 concrete Eft
gonacc Beach R U233
Brox struct 3 3 cable or Hp
Buildim Tive Randfing Cover 3 3 ayqyhf�nyp Slang
I Y.Bulk lixt loorday Wall 5 5 Dryacall
Building Wine $72,618.00 Irs,Flooding 8 B swed valid FJ I--
Int Flood, 14 14 carpet
areas Hafted E� Real Fuel 4 4 Elexim:
Area Areas Area Heating Type 4 4�arogd-Duclbescl
Unfimaded 21 0 10 sur Zond 3 3 Darnall
storage
http://apps.coj.net/PAO_PropertySearch/Basic/Detail.aspx?RE=l 713000000 1/11/2017
Property Appraiser- Property Details Page 2 of 2
Fireball Open 124 10 17
Ina" anum code
13M 1 1378 :378 Storx, LOW
M 0 1 Fed.nn, 3.00D
Inunh
Uniffirashad 2013 Q Bath� 2.000
awn R.�,/Ur,� 1.000
Tbal 0
� 1662 'M 1�
2QjQNMU0_d Pr Sed Prom arty Tax"Notice ffPJM Notioe)
Taxl,D Alaaaaed Value Exen,vtlons T..bWVl. LartYear P Rolled-baude
$106,8D5.00 $50,W.W $56,806.00 $456.% $�3.64—-�tN 49
Public�Wls;By State nu iliffi,anam szs,M.W $811M.00 $�.70 $372.54 $W.32
BY xal enadi $vla'alam $BM.W pli'ami.ou $Inz livio.so $Inm
FL brand N"gadon Diat $1%,mlam $WM.W irsa'alaim $1.n $1.W $I.M
M�aur eend, $1os'nosm $5010110 00 $56,806-00 $1N.61 $IN.M $laam
Water Mgft DIZ SJRWMD $1%,M.W $501=W $56,80sw $16.9S $16.219 $16.�
G.�Voled sms'aram W,W.W $56,806.00 $D.W $0.00 $D.00
Sdxol Board Voted $l%.805.00 W'"M s8i'soam $0.ou $0.00 so.ou
Urban Se�Exa3 irso,"m $56,805.00 $0.W som som
Totals $1,219.27 $iM.77 $I,I".n
Just VA. Aaaaaaalvalue Tunable Value
I$lWA64.W $WW.0o $56,�.00
Current man 1 158,803.00 1 suffiX&M I W,M.00 1$56, W
2016 TRIM Proullerty Record Card(PRC)
This PRC reflects property details and values at the time of the original mailing of the Notices of Proposed Property Taxes(TRIM
Notices) in August.
Property Record Card(PRC)
The PRC accessed below reffects property details and values at the time of Tax Roll Certification in October of the year Isted.
2016
To obtain a historic Property Record Card(PRC)from the Property Appraiser's Office,Submit your request:hem:
Mom Information
oruadu lPan,elTaxxeoxdjGISMa IllaothismoerworGaxlIeMaosIoNFeesRgxord
http://apps.coj.net/PAO_PropertySeuch/B�ic/Detail.wpx?RE=l 713000000 1/11/2017
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach Fl,32233
014"- ,D�'�51 Office:(904)247-5826 - Fax:(904
Job Address:90.33 -5eIII& PerrilitNumber:
Legal Description RE#
Valuation of Work(Replacement Cost) 0�GHeated/Cooled Sir Non-Heated/Cooled
• Class of Work(Circle one): New a��bo Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial (Reint
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes Q� N/A
• 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:
lk$4.,(( P.V�rS PJ1'-MVJ �"�k
Florida Product Approval A far multiple products use product appmwal town
Property Owner Information
Name: Le�o;S T. L,)6 J-C,� ddress: 2o3.% 5el� Af^.04� e�
2
,,?,-Phone <'-7 / VJ& X-eS70
E-Mail., At—*
Owner geort f Atuau�or Agaisy Ltu�Pq.iud)
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 NOTOE OF COMMENCEMENT.
Contractor Information:
Naro`e0feempaU,/1Wvj0t.-jqc, ?'kfes Qua�fymg Agcnt�
Address, 2 tS- S4a k- State Zip F, 3207s,
city _443�1"
Office lrhone!?�f� r%!j(C liner W ,
jwtwrl!�rumber 3 Va 3
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&_AmnV�F
W��mPensation Exempt inmus, 1,euse Employees Expiration Date
Apphc a"On�hereby
c 0-
nor emi
� 4 it b
e is.Pd ect
"-s' 1J.'
Signatme of Prup
f
re
Be .1 me
this 1, Day.f
NotaryPublic: Notary Public:
"'fifliLit"i ,=d a iimd 11isappli-tion and knou,the,unte,to be true and correct. Allprovisions olknes and
'11�1 WW"V w 11 be mplied with whether spec ad herein oi-not The grantinit of a pervat does not
0 19 we cancel theprovisions ofany otherfeetral, state, a,-local law regulating construction or the
Rev.3/14/16
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
600 Seminole Road 9
Atlantic Beach,Florida 32233-5�5 Fax 904-247-5M5
DatE PERMIT# IJ- bWNA-aZFt------—
JobAddress 2633 Sefy� ISSUEDBYTHECITY 9
Permitee: Le.�;.s j-. td-1Xr,,, Telephone# S-7 1- 113 6 -6-65-b
Permittee Address: 2o33 Sely� IPI.Ae-� Cr-
Ry,ues,tmgPe,rm ion2rstruct Rft�� F�,ers � (Ks4al
., , ��s
S I P&.V"0.S
Location: (ReferencetoCross-Street) Rdtt�
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: 4 r;tA) 2417
Bell South Telephone Company Yes No Date: & droo 2.r7
Ferrell Gas Yes(11 No Date: 1. jr*./ ;2,/7
Corricast Yes(,1) No Date: f. lr*,P 2�1'7
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocaition 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 Le�is Wis f-Fr� (Contractors Project
Superintendent) located at Re 53 Fe(V _
'et'.�e,& r-, Telephone#:
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 wall 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 ci
Right of Way am 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 completion.
0
Signed Date 4'X*A120I-7
Before this dayflmv%,� inth4u
State Of Florida,has personallyappeared
Notary Public at Large,State of Florida,County of
My commission expires:
Personally Known or
------ is ,2W
Produced Identification:
------------------------ ilk"
CITY OF ATLANTIC REACH
(OWNER/ BUILDER AFFiDAvrr
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW.
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXE1,TT[ON TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN TUOUGH YOU DO NOT HAVE A LICENSE. YOU MU
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF S25,000.00 OR LESS. UM BUILD
MOST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE,WHICH IS IN VIOLAUON OF THIS EXEMPTION. YOU MAY
HIRE AN UNLICENSED PERSON AS YOUR CONTRAUM YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO TIM 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 COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
IL INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKEITS COMPENSATION INSURANCE BE
PURCHASED.
Ill. 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 ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(l). 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.
2 0 3 3 Se too- Afaeem (f!7- s—v
ADDRESS PHONE NUMBER
j—
P WNTE. AL
SlGrTURE DATE
V
Befonemethla dayof 10I-A�j0fkj(,__20 klhrthe�ntyd
-Od �dn
D..l.Sale 071 nd.,m.�ISMIY.PPTI MbyWlrn�/h..lf..dffl1amtlat
all suaen�ents and dedambons am twe and�rida
NoWqPub1icatl-aM,StaWW C.nt,.f QAVCk I
0 P..loy. 7,
PQ�ld.rftfi�a- ISTON
SO N2S84
27,M20
N.W,sl,n.w. ----------
u
4 January 2017
Building permit notes for 2033 Selva Madera Court,Atlantic Beach, FIL 32233
Proposed paving stone installation plan
Homeowner: Lewis Wolfrom, ph. 571-436-5050
Contractor: Moderna Pavers,Justin Canova, ph. 904-424-1530
Notes:
1. Project will replace or cover existing concrete driveway, sidewalk, and front porch with
pavement stone tiles.
2. Project will also cover existing portions of the yard with new patios and sidewalks.
3. All new sidewalks are 36 inches wide
4. New East Front yard sidewalk extension is 15 feet long leading to semi-elliptiGal patio 14
feet north-south by 19 feet east-west.
5. Center of front yard patio will contain a fire pit.
6. Front yard patio will have two 18 inch high seating walls on north side and south side of the
ellipse. Each wall will be approximately 14 feet in length.
7. New East side sidewalk will extend from front yard elliptical patio to new backyard patio.
Sidewalk length is 80 feet. Backyard patio dimensions are 16 feet north-south by 18 feet
east-west. Patio is adjacent to existing wood deck and exterior brick wall of home.
8. New West sidewalk will extend from west side of existing driveway to west side backyard
patio. Sidewalk length is 75 feet. New west side patio adjacent to existing wood deck is 6
feet wide east-west by 13 feet north-south.
Impervious measurements in square feet
Lot size: 14,742
Existing impervious
House and Garage foundation: 2,704
Driveway: 877
Sidewalk: 126
Front Porch: 96
Total existing impervious: 3,803
Existing impervious ratio: 25.8%
Proposed impervious:
Existing impervious: 3,803
East Front Yard sidewalk: 45
East Front Yard semi elliptical patio: 250
East side yard sidewalk: 240
East back yard patio: 288
West backyard patio: 78
West side yard sidewalk: 225
Proposed total impervious: 4929
Proposed impervious ratio: 33.4%
MAP SHOWING SURVEY OF 0, PACPS 17 AN
TM 78, SELVA NORTE' UNIT TWO, AS RECORDED IN Pl,hT HOOK
37A OF THE CURRENT PUBLTC RECORDS OF DUVAT, COUNTY, FLORTDA.
IwAgvo
cc, ~04.
ct
17
it'd
4t
A
k
A JIWOVO40�
-5pC4 YA 1"A47e-eA onr
6 v
cover �Wl 7 -3 7�4
413,01
THAT'HIM§URV"MOET"THE
STANDARDID AM INEr MOT.@'THE FLORIDA OEM".
LA.. U.�.Y.Os.`U.qu�HT TO OKCTI-H'72"'
FLORIDA STATUTES AND CHAPTER""H-M`LOM--A
H A- DURDEN ......&.ATI..I.--
S
4H&,.ASSOCIATES ,-�
F�
T.I..-RVKY NOT VAI-ID UNLEM.I-'- FAI.T,. MMOSSMOWITM THE O.AL.IT. O.YCING.90.
4 January 2017
Building permit notes for 2033 Selva Madera Court, Atlantic Beach, FL 32233
Proposed paving stone installation plan
Homeowner: Lewis Woffrom, ph. 571-436-5050
Contractor: Moderns Pavers, Justin Canova, ph. 904-424-1530
Notes:
1. Project will replace or cover existing concrete driveway, sidewalk, and front porch with
pavement stone tiles.
2. Project will also cover existing portions of the yard with new patios and sidewalks.
3. All new sidewalks are 36 inches wide
4. New East Front yard sidewalk extension is 15 feet long leading to semi-elliptical patio 14
feet north-south by 19 feet east-west.
5. Center of front yard patio will contain a fire pit,
6. Front yard patio will have two 18 inch high seating walls on north side and south side of the
ellipse. Each wall will be approximately 14 feet in length.
7. New East side sidewalk will extend from front yard elliptical patio to new backyard patio.
Sidewalk length is 80 feet. Backyard patio dimensions are 16 feet north-south by 18 feet
east-west. Patio is adjacent to existing wood deck and exterior brick wall of home.
8. New West sidewalk will extend from west side of existing driveway to west side backyard
patio. Sidewalk length is 75 feet. New west side patio adjacent to existing wood deck is 6
feet wide east-west by 13 feet north-south.
Impervious measurements in square feet
Lot size: 14,742
Existing impervious
House and Garage foundation: 2,704
Driveway:877
Sidewalk: 126
Front Porch: 96
Total existing impervious: 3,803
Existing impervious ratio: 25.8%
Proposed impervious:
Existing impervious: 3,803
East Front Yard sidewalk: 45
East Front Yard semi elliptical patio: 250
East side yard sidewalk: 240
East back yard patio: 288
West backyard patio: 78
West side yard sidewalk: 225
Proposed total impervious: 4929
Proposed impervious ratio: 33.4%
I';, :;"'.VA Nlllmt
t'A I'll Tlll� 'ljlva.N.'. POM,W RI: AIII,
:t)1?11:; (" 111.11AI.
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OTANDASUS AS 99T FIHIT. Y IHC 11.Dl...An.
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SCALE:
THIS SURVEY 140T VALID UNLIOU 1:119 P�INT 11 ENIDOSSED WITH TPIE DEAL DF TIE AIIOV� .10NE.,
4jr
:(:f'RlW-1) IN 11I.A-Ir R), til, IWJK!, 11 AND
17A Nl' 01RUNN'T IW IllivAl, 1!()I)N'I'Y, Vk011111A.
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THAT THIS SU"VSY MG.T.THIS MINIMUM TECHNICAL
STANDARDS A.BEY FORTH "INE"BRIDA SOARD
0'I-ANO 3UnVEyOR9, PURSUANT TO SECTION 472,047
14-011111ASTATUI ES AND CDARIER�'.D-.IL.RI.A
H A. DURDEN AG.IIRR RA DON
"dI,�4 & ASSOCIATES 'j/
'�.tr SIGN ED
jr,jk py4, "/y
A Wel'4 'J, r�w 3B_
'Ml%SURVEY ROT V�UO U.L�..THIS PRINT 13 EMBOSSED WITH THE RALOlTDE ABOVE SIGNED,
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