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1782 SEA OATS DR - DRVEWAY ?1 rL�l reel \I ' - J ` f CITY OF ATLANTIC BEACH ;-. iop Ak s) 800 SEMINOLE ROAD j ,\\,. ... 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-3698 Job Type: DRIVEWAY Description: adding circular driveway to existing driveway with pavers Estimated Value: $4,000.00 Issue Date: 4/27/2017 Expiration Date: 10/24/2017 PROPERTY ADDRESS: Address: 1782 SEA OATS DR RE Number: 172020-0425 PROPERTY OWNER: Name: HALLEAK, ASSAD D Address: 1782 SEA OATS DR PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: All concrete driveway aprons must be 5" thick,4000 psi, with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh area not allowed in the right-of-way. (Commercial driveways- 6" thick). 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, Realco Recycling, Shapell's Inc.). Container cannot be placed on City right-of-way. Full right-of-way restoration, including sod, is required. Providef / a�/ construction usite I managementeplan,pincluding location ofpdumpster and portable toilet. Right- >F��2,�iii iS A1'I I(O ED ONLY I�f A(1< Irt171nc'If,wadi°i i°<i i iuOF �r1.A TIr IW ACII ORDINANCES AND THE FLORIDA BUILDING CODES. LAPPr r s1, CITY OF ATLANTIC BEACH A ) 800 SEMINOLE ROAD lip) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J;119� Maximum driveway width within the City right-of-way for a circular driveway is 12'. Any plan change must be submitted as a Revision to the Building Department. 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: Fence/ROW $35.00 UTIL REV RESIDENTIAL BLDG $25.00 Total Payments: $60.00 !TRAM' IS APPROVED ONLY IN ACCORDANCE WTI II ALL. CTIA OF ATLANTIC BEACH ORDINANCES AND 711E FLORIDA BUILDING CODES. ,Sj:n,1, City of Atlantic Beach APPLICATION NUMBER rj \ Building Department (To be assigned by the Building Department.) r - 800 Seminole Road _ Oyu h �, _ in b Ct�( iti ;��Y -, Atlantic Beach, Florida 32233-5445 1 u Phone(904)247 5826 • Fax(904)247-5845 I A-..."10, E-mail: building-dept@coab.us Date routed: 04` 0 +'4 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: at a SeA Oa k--S N ' Department review required Yes No Buildi Applicant: D On �� lanninq &ZQning, I t Tree Administrator Project: t 16\ Ci I (L1.k 4Nt XI.N Q QOM U1 LAI) Public W �) i)alluS Public Utilities r 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: I APPLICATION STATUS Reviewing Department First Review: ❑Approved. Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed bye c..,' Date:yAei 7 TREE ADMIN. Second Review: cgikpproved as revised. ❑Denied. PUBLIC WORKS Comments: `/ PUBLIC UTILITIES Y PUBLIC SAFETY Reviewed by:��..,.✓1 !//"..-----" Date: // FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 ;;s-=L`p.or, City of Atlantic Beach APPLICATION NUMBER `J� '• ;, , Building Department (To be assigned by the Building Department.) 800 Seminole Road '". I� AA rr�� '..�j r� Atlantic Beach, Florida 32233-5445-V:\t . �" ��� 11- Ow I\ � ` 3wG Phone(904)247-5826 • Fax(904)2 58 `�j� 9 ;31�'r E-mail: building-dept@coab.us ^� 0 / Z017 Date routed: 04100111- Al. City web-site: http://www.coab.us . APPLICATION REVIEW AND TRACKING FORM Property Address: k I- - &&t Oct k---S i)t , Department review required Yes No Buildi Applicant: D 1,)(\14 lannina &Z4ninq Tree Administrator Project: 64d t n 61 Xt rU Q,c_ akt u.) P) CT-public Was ) vi,ok5 public Utilities ) 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. 6/Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING • Reviewed by' ate: 0N017 TREE ADMIN. Second Review: Approved as revised. ❑Denied. 'yam/�y�/� PUBLIC WORKS Comments: —(4, ,o-aa aw , % .-/ PUBLIC UTILITIES ,�.. PUBLIC SAFETY Reviewe. . - Date:/// ✓ FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 CoCity of Atlantic Beach APPLICATION NUMBER � Building Department J''li' (To be assigned by the Building Department.) . - ;:111:;:'' 800 Seminole Road �, ���� 1.�_ NA) 10 D KT." �`P - -.., Atlantic Beach, Florida 32233-5445 ' 3-- 4-� �V Phone(904)247-5826 • Fax(904) . -5845 `ti.r13 ' E-mail: building-dept@coab.us APR 0Date routed: Def I °0 in- City web-site: http://www.coab.us 7 20�� . APPLICATION REVIEW ACKING FORM Property Address: III a &1t Oct E-,S Of ' Department review required Yes No Buildi Applicant: b t,3(\4-4 lanninci &Z4nin9) n � � Tree Administrator Project: 44. t2A 11 r^. 1 CU 4 j Xi rU Q.i-JN U ti) Public W. . J pa ll L6 'ublic Utilities Public Safety . Fire Services Review fee $ 23— Dept Signature )1--NN 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: proved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING / Reviewed by: �"� ate: r' ,I'TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. P WORKS Comments: UBLI UTILITIES 7-17 PU LIC SAFE i Y Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 '=';'„;'. Building Permit Application .„ _.)-: City of Atlantic Beach 800 Seminole Road, Atlantic Beach, FL 32233 "-tuil"r Phone: (904) 247-5826 Fax: (904)247-5845 Job Address: 1 T625 Q.A- tCJ(-x-Isr We, Permit Number: i 9- 0.6) Al -- . (.06/ Legal Description Wk- 14 IJI OC&.��1((�Lt ,�SQUIva. !"IC/'i' C� U i) t+ e RE# Valuation of Work(Replacement Cost)$ �lJUO Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New •ddi .• Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial 'esidential • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit o No Tree Removlal,,p Describe in detail the type of work to be performed: A.J�, Ina fiu C (rc u(Ar dr I v:Z way alto c1,10 -fid dr,nut Rve� l (-eAA1`Or\ / 0l8 -c-0,...0,..DJ Florida Product Approval# for multiple products use product approval form Property Owner Information v (�, y Name: a� l 1Ett10 t` f Address: 137 3 ra rt Q/�r 'C ill.,c/+ City IAIV4IC P� State P 1 Zip 'jV? ? Phone (Q`i5 `-, 31/01f E-Mail -hie._ SQp. .611 o 11v1 ,,10-1- Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of C•mpany:LP. - .la: . .•• • / - i Qualif 'ng Agent: Address �: -. C , City ' '. ....:.,..: _..�� - a Zip izm - Office Phone (10'-2,1.Z. Q ' Job Site/Contact Number 'iP ' f: r ' i! State Certification/Registration# E-Mail • . . r '• ^ - - I , 'Nv) Architect Name&Phone# Engineer's Name&Phone# Workers Compensation – Exempt/I. • er/Lease Employees/Expiration Date Application is hereby made to obtain a permit to do • work and installations as indicated.I certify that no work or installation has commenced prior to the issuance of a permit a•: at all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction. I underst••• that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS,POOLS, FURNACES, BOILERS, - ATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT: I certif •.t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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. -c_44-T- --- -> (Signature of Owner or Agent including Contractor) (Signature of Con . or) S' and sworn t (or aff ed)before me this day of Signed and sworn to(or affirme: , . , CITY OF ATLANTIC BEACH INN ,. ...4 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS -- 800 Seminole Road 904-247-5800 , .,., � it, � Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PERMIT# PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Date 1-11:2 111 ISSUES BY THE CITY Job Address r -- y.17c?„ eCt 0GLfS drive E-mail 4'j It — c Cti o ( .of -1,-1 . i4- Permitee: PcScc.c.1 }-I(A Il,i;:. - Telephone#q(ot-l)c)`�c) -3 Qv L-( Permitee Address: I-7 7 % pLL-v 'fit'Y YU:CL - e't S-I- i t' ICAJ k-(_ eoc,c Iri I FL- 1 ?2Z39 Requesting Permission to Construct: C I YCLt,,cam(( c) v I V e wGL4 Location: (Reference to Cross-Street) 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 (A-) Date: /'2/ I Bell South Telephone Company Yes ( ) No (k-) Date: i /�( t"1 Ferrell Gas Yes( ) No(4- ) Date: i-( /.41 I-7 Comcast Yes( ) No (-k-) Date: LI 0, (t 7 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 Permitee 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-? v 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. „ :••,•is4;: TONIGINDLESPERGER 'ti. .• MY COMMISSION#FF 924951 OWNER - . '`. a, EXPIRES. 4 cd-;�.• a y P - 019 Signed: > Date: _ c°°ed n,.Nc:a'y a u�a: g _•••4 iC13Y day of ZO I' in the So ty of •uval, State Of Florida, has personally appeared Nota Publi at Large, State of Florida, County of Duval. My commission expires: LPIIITink L Personally Known: NguriMMN1���_ •roduced Identification: �' Revised 7/29/15 • ,2.J — ,/96.44' ^ `� v5cac�' -614.77..5-)_ ti5: 00'8' 0" ! 96.4141' �� �� � f O .,T:'- . -r v-- (1) - Q,. - 5fi y • '� h L. - . • � \111 /78/ 20.6' .N1 , . - ' 'd'• - - • r- /S.¢' Q\ c 28 Ara cEOAI �� GARrA NGE' —X-4'1— x I\ a /—5 7-0/Z?Y BR/CK X m .QES/OENCE QK N'/782 m k Zil pp.�� h 1.) /8./' 39' 2.4' p3 0 /.3 h H PoRcN N \ '� ��-X J 2 x 9.5' N PoRc.v Xh t o • Q 2 k1 Z' J x (.664W0FO'5.....z,"I' �•I D/ 2' x - ` �OLO T /o �Ir2O"�NaTL$N'oRTN 7 .76 rJ. Jour. G atKAJr (� :. : ,,,,,sr 050.551 T v /S' /JN/Nures of ARc NOTES .9 X /s• If SA 4.7$ LV ARc L 7/NJ 1.1A LOLLVOARy Svgygy I k -! r.(N.r,49 Dlvors5 Nor Po Jul!• H OJNores CNORO OIJTANCC J WWI .• R/! /•O.IYAy O d • OlLTA /.O•IKF• .. /•M/ON iWoo f/,vt'!. A • ARC DIJTANCP 5..O SL F, o l'Ni(1N Cw'A/N LAVA'PONCf. R • LoWSTN A•'RAO/4/J l - �� O.FO.$40'4R • fOt/NO YL•/RON P/Pl. \1 T. I�ty Jet ji•LI .• Sec'Y<'MOACR,RS-LONISfJ/ V /:JA 1—O N 1 /O Fier,Jr.wrNJ O. f DL.vOTIJ.RAO/AL [/Nf AA'o!N✓NLWIrN!CFA FV'oT /, 7OJNOrl1 c.s rs.e LM•/N R/ONr C,.-,.,- (R) 0~07-€5 RAO/A[[Ave' /O.OSAA.WO Jr.9l/CruR.,OAJIO 0.✓R.O.3 4. Pa_BS. TN/S PROPERTY APPEAR5 TO L/E in/F3000 Z0//.5"X-•AREAS C/'-RT/F/EO TO OcrERA//NEO TO BF O!/rt/oE 500 yfAR FL000 PLA/N• .4 SSA O O. NA LLEA K / C///C,q GO T/TLE COA!/•/LhWry--PANL NJ/10075 000/0 Mr-5441'A N C.E. CO, ANO /(/O/Q 14,. -.S 7" RL'V/SF.0 AOR/L /7,/9e1 M0R7-5-4 66 CORP- • I hereby certify that this survey meets the ,-)..................................„„.„,,,,..,1 minimum technical standards as set forth by D U R D E N the Florida Board of Land Surveyors, pursuant to Section 472.027 Florida Statutes and Chapter /III SURVEYORS, INC. 2.1 HH-6 Florida Administration Code. P,o, BoX 17/82 ; L \ Jacksonville, Florida 32245 1 (904) 04/—0544 f fi/..,/.I,!/./l? • — C1' _ ,_,-:.,` CITY OF ATLANTIC BEACH - 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$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A 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 REQUIRED 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. 1133VO‘A '\VeriCP &54-, Aits4t-ltctoaa hI Pi 32T cog 5-351)4Oq ADDRESS L !� PHONE NUMBER PRINT NME qa1( P,Q L . • V l-o - vA- SI NATURE DATE Before me this" 16 day of t-1. I 20. the county of Duval,State of Florida,has personal! appeared herin by him If/herself and affirms that all statements and declarations are truetrand accurate. Notary Public at Large,State of I— l ,County of k.../k/ate( ❑Personally Known „IgProduced Idenli4 Z0 - 094- C 3 -39 0 ficaGo-� �- TONI GINDLESPERGER Notary Signature: „Y MYCOMMISSION NFF924951 l t = •'I6 EXPIRES:October 6,2019 ' F:BLDG/Owner-Builder Affadavit;REVISED:4/162009 ..,....t;•;:Q' Bended Nu Notary Public Underrrrrters 1 r yVIV:r 6 ZONING REVIEW COMMENTS s City of Atlantic Beach iiii; jx Building and Zoning Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 JF31)r> Phone: (904) 247-5826 Fax: (904)247-5845 Email: dreeves@coab.us Date: 04/18/17 Permit: 17-DWAY-3698 Applicant: Assad Halleak (Owner) Review: 1" Address: 1773 Park Terrace East Site Address: 1782 Sea Oats Drive Phone: (904) 535-3404 RE#: 172020-0425 Email: Tiles@bellsouth.net Correction Comments 1. Tree Removal: Please submit a Tree Removal Permit Application if any trees are to be removed. If no trees are to be 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 U '1 43 ri y,,,� TREE & VEGETATION AFFIDAVIT t , l+, �S r�� Ci: ! : eveopment y of Planning&Zoning Division 800 Seminole Road Atlantic Beach,FL 32233 rA 'J';t,r (P) 904 247-5800 (F)904 247-5845 PERMIT# I .4 -tow Gvl g SECTION I-APPLICANT INFORMATION (Owner(s) 1 Legal Authorized Agent* NAME OF APPLICANT A A() Irl 1Ci���� 1 � `+ V 6-_,,`=11-1 f` NAME OF COMPANY 1.) " J r ADDRESS OF COMPANY 11 APR 2 0 2017 1! Li ii PHONE CELL EMAIL ` — i CONTRACTOR CERTIFICATION NUMBER - �_J { ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY ( D Z c e.G 0 4;4c-, lJ r) v s'2, , ,tIM NhiC, O'x cli ri 3.2.7 3 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 BLOCK SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC RESIDENTIAL X COMMERCIAL OTHER(SPECIFY) I 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 1 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 above-described or adjacent properties in conjunction with this project. SIGNATURE OF OWNER SIGNATURE OF OWNER Signed and sworn before me on this�Oday of ko i; , '�c.('� ,by State of 0(1'AP County of ct I Identification verified: 14S.nctt Ll 1.),,,% r\Oath sworn: Yes No t r...\':V.4'4;;,, JENNIFER JOHNSTON L - ' MY COMMISSION#GG 042984 `•'�� �� N. "" '*` EXPiRES:October 21.2020 Notary S''nature .V •..'••',07 40' Bonced Thru Notary Public Undenxiters —, .010.,,.,.. . My Commission expires: CITY OF ATLANTIC BEACH DEPARTMENT OF PUBLIC WORKS 1200 Sandpiper Lane r._ tt� Atlantic Beach,FL 32233-4318 TELEPHONE:(904)247-5834 Lip FAX:(904)247-5843 www.coab.us Wie OWNER: DATE: 4-10-17 Assad Halleak 4rodidPERMIT# 17-DWAY-3698 1773 Park Terrace East ADDRESS: 1782 Sea Oats Drive Atlantic Beach, FL 32233 I Atlantic Beach, FL 32233 Email: tile_s@bellsouth.net PERMIT APPLICATION TO ADD CULAR DRIVEWAY WITH PAVERS Your permit application has bee • by the Public Works Department for the reasons listed below. Please submit this information at your earliest convenience in order that we may approve your application. If you have any questions,please contact Scott Williams,Deputy Public Works Director at 904-247-5834 or email swilliams@coab.us. PUBLIC WORKS CORRECTION ITEMS: (Submit the following information to the Public Works Department) VProvide construction site management plan, including location of dumpster and portable toilet. Right-of-Way P mit is required if using right-of-way for construction parking. rovide drainage plans showing site topography(flow arrows, etc.). - Section 24-66(b)of the Land Development Regulations requires on-site storage for increased run-off if adding 00 SF or more impervious surface. Provide Delta volume calculations and on-site retention required per S ction 24-66(b). Provide a detailed plan of water retention area and how water runoff gets to water retention areas and then to st et. aximum driveway width for circular drives shall be twelve(12)feet, and circular drives shall only be permitted on lots having at least one hundred-foot frontage. PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) • All concrete driveway aprons must be 5" thick,4000 psi,with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh area not allowed in the right-of-way. (Commercial driveways-6"thick). • 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, Realco Recycling,Shapell's Inc.). Container cannot be placed on City right-of-way. • Full right-of-way restoration, including sod, is required. • Provide construction site management plan, including location of dumpster and portable toilet. Right-of-Way Permit is required if using right-of-way for construction parking. • Maximum driveway width within the City right-of-way for a circular driveway is 12'. • Any plan change must be submitted as a Revision to the Building Department. cc: Toni Gindlesperger, Building Department Jennifer Johnston,Building Department Perrone, Jennifer From: Perrone, Jennifer Sent: Monday, April 10, 2017 11:36 AM To: 'tile_s@bellsouth.net Cc: Williams, Scott; Gindlesperger,Toni; Johnston, Jennifer Subject: Plan Review Comments for 1782 Sea Oats Drive Attachments: Plan Review Comments 17-DWAY-3698.pdf Permit application #17-DWAY-3698 for 1782 Sea Oats Drive is currently denied by Public Works. Attached are the Plan Review comments. Please submit the required information at your earliest convenience in order that we can process approval for our Department. If you have any questions, please contact Scott Williams, Deputy Public Works Director at 904-247-5834 or email swilliams©coab.com. Thank you, Jennifer Perrone Administrative Assistant City of Atlantic Beach Public Works (904) 247-5834 iperrone©coab.us 1 144, De6 #,rte Feat - Leff- 77, 0z sC /11. 7 ariff Woke //'.z = 3.1%r _iff` .2f ? 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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). J1 This work is generally described as: add 5 i rQ pad VQ n ail 40 an U014 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 ive by certified mil, reVrn receipt requested, to th following address: - 1773 par (�, r � ens A-f IA-Art(c .haG GJ 52 2 3 3 . 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 I I 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 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 by the USER. DATED and SIGNED this / day of A 1' L ,20 J 7 . By. Property Owner • (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this 1 day of ( � , 20 l� personally appeared before me, a Notary Public in and for said County and State, FlOri 4A(t Oyu' the roe owner of /� property rtY 1 �6 c�S2q Occ k-S O to , 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. 1 ., 10.1 . � . No j Public 7 for •.'. County and State q`•'"�' .. JENNIFER JOHNSTON r ,�' ;: MY COMMISSION#00 042934 ��`� EXPIR ':y F'.a,.°; Bond ES:October 27,2020 4"" sd 7hru Notary Public Und0:290 4 CITY OF ATLANTIC BEACH,FLORIDA, a municipal corporation: Approved: Public Works Director .ICD `44/AZ File: 12/12/16 Page 2 of 2 • • /r, �/�71rW t��90-!fez coos) i S� I" ,z0E epuol j 'e11inuoS per f Z81Li Xo2 'Od 'apo3u0!leJ;siulwpyBPpolJ 9-HHCZ DNI `saoA3nans i Ja;de us sa;n;e g epuo N 3 a u n a �; y�P I� LZo'ZLb uoi;aes ' 1 01;uensJnd 'sioAanJnS pue1 Jo pJeog epuoj j ey; ' cq 4Po;;as ss spJepue;s isoiuyoa;wnwtuiw r ay;s;aaw Aenuns siy;;sq;A;ivao Agaiay Ir. - ' '0.7 X93-.916'0//✓ s>s/£/ 7/NW va5/A.7..V LSiwd'o/Y O/'fr 'OJ .92A' a'/7SW/ a/oos�oo7i:N79NYd-.�l/Nni/:YOB 9 W/7.7.1 oao»br.7toosX71/1 OJbO///S ` J1bX77t/H 'O OdSSd ..;'0,01//0 of aa O1 O-�/_/1. /_ .7 SY'JbV-.X„..7/%OZ(7Oe77Y/a J/7 .70 Ol Sb77Cd7,.c12sJe1:71/d S/Nl •SB-ad -6 E'O 0 NO O/ll'O lbn1D/7b/.r prow... ''O/ JN/7 7Y/orb Gl1ON/0 61) ./en?.' 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