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178 BEACH AVE - DRIVEWAY SACITY OF ATLANTIC BEACH P 800 SEMINOLE ROAD 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: 17-DWAY-3637 Job Type: DRIVEWAY Description: REMOVE EXISTING CONCRETE DRIVEWAY AND REPLACE WITH PAVERS - REPLACING EXPIRED PERMITS 15-DWAY-2550 & 15- DWAY-1801 Estimated Value: $3,000.00 Issue Date: 4/28/2017 Expiration Date: 10/25/2017 PROPERTY ADDRESS: Address: 178 BEACH AVE RE Number: 170210-0000 PROPERTY OWNER: Name: 178 BEACH AVE LLC Address: 6 E BAY ST SUITE 500 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. Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling, Shapell's Inc.). 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 RT1 concrete box with metal lid. Cleanout to be set to grade and visible. FEES: PERMIT IS APPROVED ()NIA IN ACCORD AWE WITH :U.I. CITY OF A LAN"I•IC BEACH ORDINANCES AND "1'IIE FLORIDA 131'II,DING('ODES. ,�e 41111p:1 . CITY OF ATLANTIC BEACH f Alks) 800 SEMINOLE ROAD O%,; ;", ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Fence/ROW $35.00 UTIL REV RESIDENTIAL BLDG $25.00 Total Payments: $60.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rsrvp City of Atlantic Beach APPLICATION NUMBER �� Building Department (To be assigned by the Building Department.) r. 800 Seminole Road 7,5- ;r Atlantic Beach, Florida 32233-5445 L-7 - 1,0P I 3(3 7 Phone (904)247-5826 •• Fax(904)247-5845 it "'�J;319' E-mail: building-dept@coab.us Date routed: 31,) ( 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: l'7 5 t�..)eAc t n U 6 Department review required Yes No { uildin_c�Z_____ Applicant: ot,o,y113 ( VE--(_fn42,s 64 anning &Zonings ree - inistrator Project: 1Jptve _--_ _,_ ice__ p(Ac( \ /PrrlSfic Works is i sties Ck (s`T( !�C- �c - C k_e-7-E Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: UILDING PLANNING &ZONING /�,, Reviewed by: r, Date: GlU l7 TREE ADMIN. Second Review: ['Approved as revised. LDenie . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: wised 05/14/09 ( fr '.A1\ City of Atlantic Beach ��''� APPLICATION NUMBER Pi-••. I' Building Department (To be assigned by the Building Department.) hr s- ;.'.r.I;.�: 800 Seminole Road t. r� Atlantic Beach, Florida 32233-5445 L 7 -�17.. LU P1.3 c,3 -7 Phone(904)247-5826 • Fax(904)247-5845 42.-ij;31or E-mail: building-dept@coab.us Date routed: 3l?„ f( '7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM t Property Address: j 7 0 t" &AC.l-t P\tf E Department review required Yes No l(fuildi& Applicant: VA3C 2 (3 I Vim. g.n142e5( anning &Zonings Tree minis ra or Project: PAvc_ g___cg e PC AN ,,- �-� /Palyic Work �N`_ is i sttiies -Gy.... ,�c.� e0i, jC ze_re Public Sa etf y Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco - Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. KIP enied. (Circle one.) Comments: �l4 // 14) BUILDING ff PLANNING &ZONING Reviewed by:500e. s' Date: ,, `? TREE ADMIN. Second Review: XApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES V PUBLIC SAFETY Reviewed by: ��i:�..•/.v------ic_ Date: f/.ZZ/f7 FIRE SERVICES Third Review: @]Approved as revised. ❑Denied. Comments: Reviewed by: Date: avised 05/14/09 0)-tvp, City of Atlantic Beach ,�,.,� APPLICATION NUMBER * .; Building Department w.. r^ Ilr r t � (To be assigned by the Building Department.) . 1800 Seminole Road u:: �� Atlantic Beach, Florida 32233-5445 {Y)i�(� 3 017 7 -D(il�f�� 3�� Phone(904)247-5826 • Fax(904)247-: 5 ^.o;t �%' E-mail: building-dept@coab.us BY: Date routed: 3/?) I It 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 17 5 (IEA@k-t n Department review required Yes No uilding) Applicant: 060(0(42_ 13 k VE-e.(11A2S(- ( anning &Zoning —2) ree Administra of r Project: Pvc p C .__ R(,RAN atsiic works is i i les Ck IS Y f i -DC C p DSC Zero 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. ❑Denied. f'1577 / (Circle one.) Comments: f ee "had ‘thi/tef* BUILDING / PLANNING &ZONING / V//07( Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 51.i `pr City of Atlantic Beach J�r '�� APPLICATION NUMBER d �� Building Department 7. r-- (To be assigned by the Building Department.) �= .• �* � 800 Seminole Road ' ,�, i ;� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5 MAR 3 1 2017 -01A-V1(1-3(03 " o g p E-mail: buildin -de t coab.us 1 Date ro City web-site: http://www.coab.us uted: 317j ft 7 1. BY: APPLICATION REVIEW AND TRACKING FORM Property Address: /L] 5 t&AC.l-t n,,, Department review required Yes No 4 :uildin. Applicant: IP ^ L _ (3 Ve--i(ki425(4 ' arming &Zonings J ree A .minis Ta-61 Project: Av f-- ,P C --- g,_ PCACI Prrl5Fic Woks _ is Uti sties Ck ( `r !�C, C cD GSC la&re Public Safety Fire Services Review fee $ 2Dept Signature /e--41.--___ - Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI ATION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: -‘67/. l-./ ��--�ate: r i TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. WORKS Comments: PUBLIg UTILITIES (1-3—/7 PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: >vised 05/14/09 - BUILDING PERMIT APPLICATION -r^ CITY OF ATLANTIC BEACH i. lb�,r ._�p w 800 Seminole Road,Atlantic Beach,FL 32233 —7 Office(904)247-5826 Fax(904)247-5845 I I ` 0 L') A(-( -3 6, 3 7 Job Address: 1 7g &*K % ArViaJAVQ.I AAlt. ,FL 3223.g Permit Number: Legal Description Parcel# roa Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ "---^ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition . Altera Repair Move emolition pool/spa window/door Use of existing/proposed structure(s)(circle one): ommercial - Reside • �J� If an existing structure,is a fire sprinkler system installed?(Circle on - s No lillfs� Florida Product Approval# • For multiple products use product approval orm esert e m detail, the type of work to be performed; '9 es"i' UC? t- • C CJ`rj G] D {�✓,;..d _ / t.1. / ? • r 4 �0 9)/ L rCk S `i Pik- a A 1. L , , CO Property Owner nformation: t O' vv/' . Name: l 1 4t > � UL. G utoe, � i�.. t�+>sy�lt Str0.4 >;.,i� 13� q-A r� City �fi. StateML •Zi Phone 40'!-6 3 - B raCto l� ' E-Mail or Fax#(Optional) d�dwdoea►iEk'ed lc .s.tow .� ��Q Contractor Information: �"J Company klme qr/2.44-sh25/ 1 yV Quali Ing Aeent: Address: 0(3 3yyy�� R.. Z City T o�e.re."46 State�%�.`Zip '22> Office Phone'/ -j-3 31^/Z. "'Job Site/Contact Number 5 icki •Fax# _ State Certification/Registration# 2.31--12-t(re Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address R iv E t n-icli-&kci e&tc>!''1 C q Th , t.. co al Bonding Company Name and c,J Address Mortgage Lender Name and Address Application is hereby made t btain a permit t do the work nd installations a indicated I cert that no work or installation hascommenced prior to the issuance oa permit and mat all work wilt be performed to meet thestandards of all laws regulating construction in this jurisdlctio. This pe it becomes null and void if work is not commenced within six(6)months,or construction or work is suspended or abandoned!or a period ofsix(6)months at an tim a er work es commen ed. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces, Boil rs Heaters,Tanks and Air GFonditioners,eta 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. I hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The rantin o a permitdoes not presume to give authority to violate or cancel the provisions of any other federal tate,qr to9�flaw regulating construction ort the pe,yorfinnce oconstructon. 1 'J Signature of Owner C— `-' ,�+� Signature of Contrac .e ;._ • Print Name _--" _4_21! s.ae..l!k_.-..__ Print ._._ '' :. ............ '....... :.Il. Sworn to and subsgnbeed before me Swo • : .nd subsc '•-. be : : - 7 this 7111Day of 1'CDimC.4-t, _ •20 17 . - A a ay of iI A . I r -46-41111111 Notary Public ` Notary Public Revised 1 .26 0 ,.oi:;1."4.%q' IRENE RENEE RE1UY i .I ;*_ MY COMMISSION lFF982098 :Mir'p`; ` ' EXPIRES:April 13,2020F; T'ONI GINDLESPERGER ' :.: MY CONMlSSICN 6 FF 92G9S1 %f y .?" Bonded Thru Notary Public Undhrnrisrs :.f4r '_ �,op EXPIRES:October 8,201g ��A�,t<•` Bended Thru Notary PuDG;Underwrfters )''` `f�`'< CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 41: 800 Seminole Road 904-247-5800 '�.;!�� Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date .2/10//-7 ` PERMIT# Job Address /Z8 p ISSUED BY THE CITY Permitee: a)54-04:6 & i,/L Telephone# 9v ._3 3'I--/zcc_, Permittee Address: ft9't ,erg-4c—i&' > Requesting Permission to Construct: T 71UG12 g C2 © J ,.� Location: (Reference to Cross-Street) 17$ 1petJA A.k,,,,._ 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: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas 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 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 (Contractor's Project Superintendent) located at 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 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 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 completi•n. 174 to 1 ' awt, !-L L OWNER Signed: — Date: Before me this day ofavR • the County of Duval, State Of Florida,has personally appeared i bit/m.4s Notary Public at Large,Stat of FI rida C.unty of Duval. My commission expires: ersonally Knowr ;?o"•"Y••••''•. IRENERENEEREIL Y 5��}}- � _� � Produced Identifi(atio - •• . ? INICOMA9SSION8FF982096 r-,t_ - R'a�� - ��`.,° DiPIRES ApI 13,2020 / Nebo Pm*Undone** '•fF M1Q�`�, Bonded • GENERAL DESIGN INFORMATION: BUILDING CODE RESIDENTIAL - 2010 FOC WIND SPEED 130 CATEGORY I MEAN ROOF HEIGHT +1- 00 MAX. ROOF HEIGHT +/- 23'-4' (MEASURED FROM GRADE, FIELD VERIFY) SEE STRUCTURAL ENGINEERING SHEETS (BY OTHERS) FOR: 1. EXPOSURE CATEGORY, WBOR CLASSIFICATION & PROTECTION REQUIREMENTS. 2. DESIGN PRESSURES. 3. DETAILS, SPECIFICATIONS. CONNECTIONS. ETC. OF ROOF. WALL & FOUNDATION. TYPE OF CONSTRUCTION: v-B LEVEL OF ALTERA11ON: FBC 2010 - EXISTING BUILDING - LEVEL 1 SCOPE OF WORK: 1. N61M r. ERi'ATO. 2. NEW WOOD DECK & PERGOLA. NEW ROOF. ATTACHED AT REAR OF HOME TO COVER PART OF DECK AREA. 3. ENCLOSED SPACES ARE NOT AFFECTED. SITE CALCULATIONS: ZONING - RG-2 LOT SIZE 6275 SF HOUSE COVERAGE + NEW UNDER ROOF 1504 + 93 SF 25% CONCRETE DRIVE. STEPS. PAVER COVERAGE 722 + 308 SF 16% SHED COVERAGE 62 SF 01% WOOD DECK COVERAGE 504 SF 08% TOTAL COVERAGE 3183 SF 50X SQUARE FOOTAGE CALCULATIONS: CONDITIONED SPACE - 1ST FLOOR NOT AFFECTED CONDITIONED SPACE - 2ND FLOOR NOT AFFECTED TOTAL CONDITIONED SPACE NOT AFFECTED UNENCLOSED SPACE - CARPORT NOT AFFECTED UNENCLOSED SPACE - ENTRY NOT AFFECTED TOTAL SPACE UNDER ROOF 1597 SF ADDITIONAL INFORMATION: N/A to rftl�f/f '' CITY OF ATLANTIC BEACH �� �r OWNER / BUILDER AFFIDAVIT I. 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 EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST 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. THE BUILDING MUST 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 VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON 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 REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. 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(1). 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. lit Qeacli AA14 7.IL, .I,t. &AL 6104 -4.41 .s131. ADDRESS PHONE NUMBER 11'6 8arec.14 Avatoe. L.LG SP 3 1 Z t 1 t 1 n /� /� l DATE Before me this 2 l qday of /. arta' 201 7 in the county of Duval,State of Flonda,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. t� Notary Public at Large,State of flal ,County of )LA.AI _ EP4sonally Known Y!u'�.,•- IRENE RE1�E�E REA.LY 0 Produced Identification- ,' Ott*. I�f(�'QI�IQII=FIS SV. •��r�+QF,ifNQ''j• Bonded IN rwrw��riW1I' nin Notary Signature: F:Bt.D(i3Owncr-Buitdcr Affadavir,REVISED:4/16/2009 . ii/P,51111/0111189 311/11/11Mir MEW Or 1 FILE COPY • LOT -I il AS SNOW OK K4F' or ri-54ind AA' As a/instill=A A our tom_1_11W'—114-0,NE MIMIC MOWS ar tams ars%Plasm - curlew°rar I r A P. • a- 1 (00 60,...h.t.b 5 , _ [ " &4c., ' a /6- (491 ..i) . 17 g 3eRc...(4 Pv, 0 50.co:A A3 i--/ 347?s . i CO 772 COL.. . II 4E7 , s: ik COG eiVillee4 64 51- eld 117,4 '7 i....- ie g• Sqc. re 9. a ..• - if i 1 Ta t.v V Akin _ ".1 • ..... 4 i Id ni --.... li1.._., . • ,i,..., • - - • me. i',J -,• I 411' ild ei -- 5v. • 4' ____.--•-•----_ • L O. .....-..--. - 'OWN ANNIIIII MP Lif WM MO MOWN AMIE_.(._,...A1.1TIVW MAO MINI ''111 : :, Amsessur nos or Mit MI itr-LiAlr7C IleatAi,Raw isistJAU--m-- a Imo A i *A _ _rifiC. 1 oar aissirAoous oar strir A Aritscfarafix, ,too^ =mu- Meg 731-72" 74 *WM IMINVIIii WINO al__--7.-- _o -___ w As NOM I •....“=, ....... OW_v_Mr/111/11/CI AN IITIIIME vossys, . .. , AH`i'-'-'!14-- fqi-.. . ‘.; •Mr..OWN/ •mom me —,=M. LAW a _A, AILIG ea 4.,•• IN eme..... . -1.1:34-- azof al III ON 1 • ....... ai anilst WPM/ aPor 8"1-2At -'..... CCI cam. IBM / • _ J.. Z ,. 11, • •f Mr . CORM olltle UR Is OM OSP tIJ.4 41111t OW IAA-ti p5Ntv 41,-1 / .fir e kel( aCj 4.0/_ Lt) _ _ ii- 9er66 --- -- b--___._-_j---____r ,qie.R..S XX kw° ' ALI . , Aordi- fetch le /,�- eS r- e4) , ��V / ,„0,1 ,, "V .,, 100 ( 0- p-),/,,, . ,4,2 0 fekive t,\, 0? ei.it-,c/ , 12./\P , I __A ,•=••••••. ....... 0..i..=•••••.. .\) it ..... .i ) 4-c ki ZzrW ZONING REVIEW COMMENTS =� - \ City of Atlantic Beach - Community Development Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Ulf j 9-f' Phone: (904)247-5826 Fax: (904) 247-5845 Email: dreeves@coab.us Date: 3/30/17 Permit: 17-DWAY-3637 Applicant: River Marsh Design Review: 1st Address: 6503 Silver Glen Dr.,Jacksonville, FL 32258 Site Address: 178 Beach Avenue Phone: (904) 334-1286 RE#: 170210-0000 Email: rivermarshdesign@gmail.com Correction Comments 1. Tree Removal: Section 23-21 requires a Tree Removal Permit for any trees removed within 2 years of this project. Please submit a Tree Removal Permit Application if any trees are to be removed or were removed in the last 2 years. If no trees are to be removed or were removed, then please fill out an Affidavit of No Tree Removal. Both forms are available on the city website under "Planning and Zoning" and at City Hall. Derek W. Reeves Planner dreeves@coab.us q ��K,'r 3/.x/17 3S CITY OF ATLANTIC BEACH 800 Seminole Road I S� Atlantic Beach, Florida 32233 14/ . . Telephone(904)247-5800 FAX(904)247-5845 REVISION REQUEST SHEET OR CORRECTIONS TO REVIEW COMMENT Date: I l ( I Received by: Resubmitted: Permit Number: 11-OW Ay-3(k 34 Original Plans Examiner: Project Name: Project Address: &A tjA hvQ Contractor: Q:1 ) 4-4- MtrfSlrbt-Sig C' Contact Name: Contact Phone : X10`{- 3 `l—teib Contact e-mail: Revision/Plan Check/Permit Fee(s) Due: $ Description of Proposed Revision to Existing Permit: #LL /AA JJ ct l C& t act j -,- Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: Public W/U Approval: By signing below. I(print name) affirm that the above revision is inclusive of the proposed changes. Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date Office Use Only Date: LPYi-I Approved: I Rejected: Notified by: Plan Review Comments: Department review required Yes No Buildi_ � ing &Zonin Plans Examiner Tree Administrator Public Works 4/Z 2 f Public Utilities Public Safety Date Crated 4/13/16 Rev.3 Fire Services �i Lyrl`� TREE & VEGETATION AFFIDAVIT �3 , City of Atlantic Beach i Department of Community Development � 0 x Planning&Zoning Division 800 Seminole Road Atlantic Beach, FL 32233 �'`�Jsti9 PERMIT# (P)904 247-5800 (F)904 247-5845 SECTION I-APPLICANT INFORMATION R Owner(s) E Legal Authorized Agent* NAME OF APPLICANT 178 Beach Avenue LLC NAME OF COMPANY /el ve r Ma CS N DcSt( J ADDRESS OF COMPANY SG 3 Sc ve/' CLeiv bk - I PHONE 904/-33y ELL EMAIL ricer-In k2Sf{j7o1Caill pV QJ/. CONTRACTOR CERTIFICATION NUMBER �__ _ Co`� ATLBCH BUSINESS TAX RECEIPT NUMBER h -_--� :i, 11 SECTION II-SITE INFORMATION APR 1 1 2017 ` ; `� STREET ADDRESS OF PROPERTY 178 Beach Avenue,Atlantic Beach,Florida 32233__.____- __-.___— If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION LOT 5 BLOCK 31 SUBDIVISION Atlantic Beach REAL ESTATE NUMBER 170210-0000 LOT OR PARCEL SIZE: 6800 SQ FT 0.156 AC RESIDENTIAL yes COMMERCIAL OTHER(SPECIFY) 1 affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the••- --s escrib•• : ••' cent properties in conjunction with this project. N SIGNATU' OF O ,ER SIGNATURE OF OWNER Signed and sworn before me on this5thday of I I , '1 7 ,by State of ig r)i d � r �/�G County of i X�11, IU �. �.�11f_ Identification verified: 90 ' 0 I Cirorun Oath sworn: r Yes 11,--No . i /LQ-- • I f I rt 1 'r,►;'•fi.. IRENE RENEE REILLY ,� MYCOAMIISSIONIFF982096 otary Signature e<, EXPIRE&Apl13,2020 I ';arm •r knclunhill Plo6fY Pubic Undemise My Commission expires: i ; ill _ coitic-Qz',=__. Ke, (,..,3 /---- ,,,.., l I (...,,,.,..242.14) ._ _ _ _ _ b _______ _ pkve les r,, I I I 411 1. bi .;____ ____I e,�je hi' .S • t-c� k, { [ 1 I A( "C;, ,0.162 ,4:;) ,a.k.) b°° C2 1 rt ,--: -- ,, , i i , , \ , , , , . ,—, .-J 4 kJ;:,1,1- - r