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187 SYLVAN DR - PAVERS S`r :� '; s CITY OF ATLANTIC BEACH 0 "- 8800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 �°�� - a PHONE LINE 247-5814 .,b,3 9 INSPECTION RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RESO17-0024 Description: replace wooden deck with pavers Estimated Value: 1500 Issue Date: 7/19/2017 Expiration Date: 1/15/2018 PROPERTY ADDRESS: Address: 187 SYLVAN DR RE Number: 170648 0170 PROPERTY OWNER: Name: MYLOD THOMAS F Address: 187 SYLVAN DR ATLANTIC BEACH, FL 32233-4045 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. ,'!I". ' Permit Conditions ifir: City of Atlantic Beach Permit Number: RESO17-0024 Description: replace wooden deck with pavers Applied:7/3/2017 Approved:7/17/2017 Site Address: 187 SYLVAN DR Issued:7/19/2017 Finaled: City,State Zip Code:Atlantic Beach,Fl 32233 Status:ISSUED Applicant:<NONE> Parent Permit: Owner:MYLOD THOMAS F Parent Project: Contractor:<NONE> Details: LIST OF CONDITIONS SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 1 7/10/2017 EROSION CONTROL INSTALLATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: 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 Erosion and Sediment Control Inspection prior to start of construction. 2 7/10/2017 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 3 7/10/2017 ROLL OFF CONTAINER INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapell's,Inc.,Republic Services). Container cannot be placed on City right-of-way. 4 7/10/2017 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams I Notes: Full right-of-way restoration,including sod,is required. II Printed:Wednesday, 19 July,2017 1 of 1 i ., I �iL\,V/ City of Atlantic Beach APPLICATION NUMBER Sid Building Department (To be assigned by the Building Department.) - 2 800 Seminole Road _ �'', '' Atlantic Beach, Florida 32233-5445 U—S 0 (' Do aq yr Phone(904)247-5826• Fax(904)247-5845 < <? E-mail: buildin de t coab.us Date routed: 0 9 ` b 31 I� �J;3 �� 9 p @ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: III- S'(`Ja-n O{ Department review required Yes No Z Building--) Applicant: G.t,J NLS( lening &Zonin-, Tree Administrator Project: f L.t)tkI-Q WOpO,kr) el, Lc a .-ti.- is orc� P G .19--i" S C Public UtilitiesTh Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B ry 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. ['Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING _ Z p Reviewed by: Date: G O 1 i7 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 i 01.ANrir, City of Atlantic Beach APPLICATION NUMBER j Building Department (To be assigned by the Building Department.) '� 800 Seminole Road (� Atlantic Beach, Florida 32233-5445 ��0 (' t - C U a�{ Phone(904)247-5826 • Fax(904)247-5845 1 J1319E-mail: building-dept@coab.us Date routed: 01 (03(11-- City 1(O3(11- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I S\f t JCC(( to{ • De artment review required Yes No Building Applicant: ©.4J('R-( <Elanning &Zoning, Tree Administrator Project: r L,)l(,�L 2-. J DO,Lr', a ; { tic Worcs P a_o 94 5 (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. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b Date ' 7-2c-12 TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. [Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 rs.A���rr, City of Atlantic Beach APPLICATION NUMBER 6, Building Department r �- �r` 800 Seminole Road (To be assigned77l! by the Building Department.) Atlantic Beach, Florida 32233-5445 tel. 0 (1 - D O coq Phone(904)247-5826 • Fax(904)247-5845 ".LJ E-mail: building-dept@coab.us Date routed: 3 f«- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t q 1 S�lvCJ\ ti{ • Department review required Yes No Buil.• : } Applicant: 0.63 N—{ -I8-nning &Zoning". Tree Administrator Project: 1L lAli_L %.,)00 bar) A2Ct- L .-b.- or s a.4 q� S 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. Denied. ['Not applicable (Circle one.) Comments: .11,1 ,, r fiei,t BUILDING PLANNING &ZONING • 1 -- Reviewed by: ,,,i/ Date: TREE ADMIN. Second Review: Approved as revised. ['Denied. ❑Notapplicable f 4,(04‘,,,,„* PUBLIC WORKS Comments: �G PUBLIC UTILITIES PUBLIC SAFETY Reviewed • : / ., %% / Date: ' Q' ant ri/LA��:/.!/ edia7 IV FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 .1 y1/`J r,. CITY OF ATLANTIC BEACH ICI DEPARTMENT OF PUBLIC WORKS J) 'Std 1200 Sandpiper Lane r f Atlantic Beach.FL 32233-4318 +'' 0 TELEPHONE:(904)247-5834 t_)7,1r. . -~ FAX:(904)247-5843 www.coab.us OE 0r OWNER: DATE: 7-10-17 Thomas Mylod PERMIT#RESO17-0024 187 Sylvan Drive ADDRESS: 187 Sylvan Drive Atlantic Beach, FL 32233 Atlantic Beach, FL 32233 y / Email: tmylod@bellsouth.net 3- 7'1017 PERMIT APPLICATION TO REPLAC WOODEN DECK WITH PAVERS Your permit application has been deny cby the Public Works Department for the reasons listed below. Please submit this information at your earliest convenience in order for us to approve your application. If you have any questions, please contact Scott Williams, Interim Public Works Director at 904-247-5834 or email swilliams@coab.us. P LIC WORKS CORRECTION ITEMS: (Su it the following information to the Public Works Department) • Documentation shows impervious areas are over the 50%allowed by City code. PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) • Full erosion control measures must be installed an approved prior to beginning any earth disturbing activities. Contact the Inspection Line (247-5814)to request an 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., Republic Services). Container cannot be placed on City right-of-way. • Full right-of-way restoration, including sod, is required. 1 cc: Toni Gindlesperger, Building Department Jennifer Johnston,Building Department City of Atlantic BeachBuilding Department ITE ,, APPLICATION NUMBER (To be assigned by the Building Department.) 800 Seminole Road ( 9i\\ Atlantic Beach, Florida 32233-5445 JUL 0 ? � [ – at/ Phone(904)247-5826 • Fax(904)247-5845 2017 ( 1 ''�j 11Tfr E-mail: building-dept@coab.us Date routed: 0 1 ` 031n– City web-site: http://www.coab.us --- APPLICATION REVIEW AND TRACKING FORM Property Address: I I SLi tVer,-4 13{ • Department review required Yes No CBui-lr: Applicant: e.l,J(\kms( /arming —oZonin- Tree drnstrafr Project: f Li) C{.L C. W Go 1.Ln Aux_ -h,, is ors „ to a_s 9-- 5 C Public Utilities Public Safety Fire Services Review fee $ Dept Signature X4& 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: APP I ATION STATUS Reviewing Department First Review: Aj'Approved. ❑Denied. of applicable (Circle one.) Comments: BUILDING PLANNING &ZONING y� Reviewed by: a Date: l Go/ , TREE ADMIN. Second Review: ['Approved as revised. ['Denied. ❑Not applicable PUORKS Comments: BLIC UTILITIES ref PUBLIC SAF�Y Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 .rs ''r>>> Building Permit Application -� te }/5/17 �;. City of Atlantic Beach Dy JUL -.3 2011 800 Seminole Road,Atlantic Beach, FL 32233 • • r Phone: (904) 247-5826 Fax: (904) 247-5845 - Job Address: /A � /O 7 S lu� -i Dl' Permit-- Number: iltS©( D.O ak4 Legal Description /Voc/ 2 0•- L1 7/9 Sec e c ��//�' RE# Valuation of Work(Replacement Cost)$ /S--0 b. 0 0 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New(Additio Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): CommercialResidel ntia • Wan 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 of No Tree Removal Describe in detail the type of work to be performed: Pa uei S +c) rQp/4c J We CA Florida Product Approval# for multiple products use product approval form Property Owner Information Name: l am el' /`? /octO Address: / 87 S%/V RM : Ors/Ve City 4+(Q 7 f�� h. -Qa State F/ Zip 3 ZZ 33 Phone `?c ' --Z L,'y_ D // E-Mail --r/q)/ oc/; •el .lo . 1 Owner or Agent f If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT: I certify that 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 OFCOMMENCEMENT./ (Signature of Owner or Agent) (Signature of Contractor) (including contractor) Si ngd and sworn to(or affirmed)before me thishi — day of Signed and sworn to(or affirmed)before me this day of , aO 1 , by Tho ctS \--V5 i' , by \' ig 'T re'`tar (Signature of Notary) JENNIFER JOHNSTON 9 ,., MY COMMISSION#GC 042984 2EXPIRES:October 27,2020 [ ]Personally Known OR `w. o• ;A Bonded Duo Notary Public Underwriters [ ] Personally Known OR aKkProduced Identificati. `•' [ ] Produced Identification Type of Identification: C�-u 14 a.S �� L _ Type of Identification: 1.-5 _ r1i i,. •- :i',',';•1 CITY OF ATLANTIC BEACH ;73 ti w 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. &7 SX wQp, br- %U`/- a z/9- v a // ADDRESS PHONE NUMBER 7 0I44s I1Iyh f'/ PRINT NAME SIGNATURE DATE Before me this J day of 3� t 20 1 i in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of f.(-- ,County of 060 ct 1 ❑Personally Known -11 }} ` :?q;+:%;e,¢; JENNIFER JOHNSTON IlkProduced Identification- C& \4 9,\ S `((.-�S _ t ';t MY COMMISSION e 27G 042984 : EXPIRES:October 27,2020 "•'F°�,�`'' Bo(dedTiro Notary Public Urtdatwlittn Notary Signature: FJBLDG'Omer-Builder AfFadavit; VISED.4/16/2009 ______ ) ., - - -- y-3 c fit(4 kJ' i..._ 1 le----0---1 _<, _ - --- _ -111_41c___Li , ; ( - w s17eP i { t - y -- 1 - s / i -1- V 7 CG�r t L f -----z- , s c 1) t3 . ( � I r ______ 45 -- r( - T -4- W " .Z- f1 ScAr lc' S ' ( 7 — i- walk av L_________ `---1 i7,17 1/ 7 13x1 5 / D6 , 1i ,, ,g, 1 G . o 4( xc- l) , 7 3 X 3 a ?a w MAP SHOWING BOUNDARY SURVEY • Idortl� 1/2 of Lot 719, Section �=3 Saltair, according OF - Plat Boob; 10, page 16, of the curretlt l�lab.licrecorcls ' ° a B orida. s to the City thereof n j1je,D v of the (,.ity of Jacksonville,Duval LOT 719 ADDEUDiJ.1 /#1 DTD. 4-8-87 ' • TO SHOW NORTH 111I1LF OF Dr/v° 6U ar 3 66 �- Gisy SYLVAN ( 50' R/ y/ ) DRIVE �, ,.1-----------. � END. o -- c 50.99. ,25.00' 90 OU pp . ,a,: FWD. • i�•-if.: i I--4• :t: � A.•" ,`' :!; 90'00'00" ..CONC:.; NOTES; ='601.1C: ;•:DRIVE'. : _.I.ANGLES ESTABLISHED IN THE FlELD. • M • 72.0 Is.. O - . 9.4to 7. 3 �. 4 O :• O 2STORYPRA44E• 8 8 OUPLEX '.-Ki ro • O NO. /87 O ro M J c i,.,, 9.4' v N s. 4' '-` 7.23 ' .r - o, vi I6. . '�` I . I 9.4 ' "�"_ .,9.4' A WOOD DECKS. 0.2' .1] . 0.2 90.00,00"- 'LOT 719 ' ,, 90000'OOLOT 718 0.2' a' 10' 20' • LOT 735 6o' VAPNIC SCALE SCALE i ". , &