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198 PINE ST - DRIVEWAY J ' _A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION.PHONE LINE 247-5814 DRIVEWAY - SINGLE OR TWO FAMILY DRIVEWAY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: DWAY17-0026 Description: REPLACE A SECTION OF DRIVEWAY Estimated Value: 0 Issue Date: 12/1/2017 Expiration Date: 5/30/2018 PROPERTY ADDRESS: Address: 198 PINE ST RE Number: 170627 0110 PROPERTY OWNER: Name: SARAH BIGGAR Address: 198 PINE ST ATLANTIC BEACH, FL 32233-4012 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: VIRIDIAN BUILDERS CORPORATION Address: 593 MARGARET ST NEPTUNE BEACH, FL 32266 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. 4.;tV,v, ,es City of Atlantic Beach APPLICATION NUMBER ,'; Building Department --- ; (To be assigned by the Building Department.) r d.- 800 Seminole Road .5[r } Atlantic Beach, Florida 32233-5445 NOV �lA�'F� 7 - �� t r Phone(904)247-5826 • Fax(904)247-5845.) OV 17 2O ? �•ry, ;j;j' E-mail: building-dept@coab.us ( Date routed: ' L (o 1. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t Department review required Yes No Building Applicant: V I lZ I,O I A(-) 1?)U (L.> ��inning & --" ree-A +n1sti for Project: c O eizC,-re-- 0 w -cio Public Tniities'r P 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 c PLANNING &ZONING Reviewed b r� t(€2,j ' Date:/(--/7/7- TREE (/7/]-TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable PUBLIC'µUV_OR..KS„ 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 0,94m City of Atlantic Beach APPLICATION NUMBER 7z Building Department (To be assigned by the Building Department) sfl s, 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Y1� pi �d - Phone(904)247-5826 • Fax(904)247-5845 = E-mail: building-dept@coab.us Date routed: t :I C.o: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t pING ( Department review required Yes No Building Applicant: l 2.t0 L A(\-) U tL.DERS anningr& . or Project: L' o�, �� 0 2- I 'e-(.LS R- is wor<s 1 Public Uti i i"f�es P 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: felApproved. nDenied. nNot applicable (Circle one.) Comments: BUILDING P,LANN:I_NGw&Z. O�N114 Reviewed b�/% // Date: If TREE ADMIN. Second Review: nApproved as revised. nDenied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application tad S/5/17 City of Atlantic Beach. 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247.5826 Fax:(904)247.5845 Job Address: q S to 41 ,. TS 3ZZ 3 Permit Number OO 24" Legal Description (0 " i S... r Se. Lel RE1i Valuation of Work(Replacement Cost)$ BOO'" , Heated/Cooled SF Non-Heated/Cooled /°►b .�a� AL • Class of Work(Circle one): New Addition Alteration 4.41D Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one); Commercial ;esidentia► ;r • if an existing structure,is a fire sprinkler system installed?(Circle one): Yes No • Submit a Tree Removal Permit Applicationif any trees are to be removed or Affidavit of No Tree Removal Describe In detail the type of work to be performed: re-tt-1" a. se.e.-1 N wk1 r r i�` i e ' ,' ,t 0E1 Florida Product Approval# for multiple products use product approval form Property Owner information Name: J9 /9 3/44, Address: ,✓' 11'4, Ave Al At " City ?e.7 "1,18 State Zip 3 3 7o / Phone 91-V - see - 08 30 E-Mail `i` e Owner or Agent(if Ag= , 'ower o` ttorney or Agency Letter Required) Contractor information Name of Company: V w.&.. Qualifying Agent: P t,... 63 EST. Address 4' 3 0077,E o'r .Sr City i✓+pigr t.Zdvel. State ja Zip ..7.Pe2.64 Office Phone 90 -4 v. - -9 d 10 Job Slte/Contact Number State Certification/Registration# e afro2-2 E-Mail ?tut/c.les.fi-ex elowsyl[',K 7,ale.r- Architect Name&Phone# #01 1,9 Engineer's Name&Phone# !P//43P- Workers Compensation •d ice4ttp 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 OF COMMENCEMENT.4111111141F jgn.'ire o'frswner or Agent) (Signature of Contractor) (including contractor) (( "� Signed and sworn to(or affirmed)before me this ll,day of SI ned and sworn to(or affirmed)before(me'�this I.`f day of Abri , P/ ,by6 r2Yri � , & 7 �-- --,�� il,by P' W.dS Y../..;),119^ Aze-y4) V1-11 :•.Y iy Vivian(ei aneof Notary) MOP? ., .,: Not 7. • - \ `` State Of FloridaNotary'dile k State of Florida Jp� MY COMMISSION#FF 243736My Commission Expires 11130/2017 I I Pe riOn Known R , [ ]Personally Known Commission No.FF 66026 E4jlroduced identifi fres:One 23, 019 duced Identification e Type of identification:_,IP;It , rg� 45/ `_.._ TYpe of identification: I BOUNDARY SURVEY „,,,-.N..,..,;::,, , a 4': B.C.\ 70000/,0 ..` FOUND 1/P `' LOT 653IRON PIP •E ,i.7' ,:• g 90°°0000"\ � .. A 0`" •••4-.f -` '' 'PpG SET1/2" F� IRON ROD ,` o ADO � LB#7893.' O. .00. O +• LOT 654 , 0.1 0- . ' :>',, oc�a ;4, LOT 664 �.�� BUILDINGrbs i cc1 #198 a (A) • • 1,. LOT 665 x ' ` ' ' / 4/ "{�Z P ` ' o 90°000' '''''.:4:-7...1",.:::•/•• 4S. Q- �01 —'`N� SET 1/2 • , ::...,-,...;;-,1 .0 ._; . IRONRODLB#7893 ,' ?,p • Q LB#7893 •0. 4 ..:).;:. ..,,,,,...„:::::::::!...i, Ar. SU•RVEY NOTES COMMUNITY DEVELOPM ,,,-,-.'-,.--::-;:.- • : : ' i` E ICROSSING THE PROPERTY LINE 6V ON SOUTHERLY SIDE DE OFOF LOT. THERE ARE FENCES NEAR THE BOUNDARY OF THE PROPERTY AND CROSS THE PROPERTY LINE ON WESTERLY SIDE OF LOT. PROPERTY SUPPLIED BY CITY WATER AND SEWER. t' N J p r. ES1 1 F I- CS 6'. / 'k ARGET `�.�� No.6415 0."1. „9 � ., Y, F, SURVEYORS CERTIFICATE I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY ISATRUEANDCORRECTREPRESENTATIONOFA ys mI °%, SURVEY PREPARED UNDER MY DIRECTION. ," a NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC a SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, L B#7893 ° STATE OF c,' lI ' ON R I o R I a P o' ORA RAISED EMBOSSED SEAL SIGNATU E DI kill si ned b i , 11 A' S II R V El.'' Kenneth . s y g v SERVING FLORIDA +•K�,enttefh 1.175barne 6250 N.MILITARY TRAIL,SUITE 102 t'1 � t.�Q .. ate 2017.08.22 WEST PALM BEACH,FL 33407 LVJ (,J k 09.27.14-04'00' PHONE (561)640-0800 11 (SIGNED) STATEWIDE PHONE (800)226-4807 KENNETH J OSBORNE • PpApC("�Tp�2�O('�F�'2�PpApC(E�FS�� STATEWIDE FACSIMILE(800)741-0576 1 PROFESSIONAL SURVEYOR AND MAPPER#6415 (NOT COMPLETE WITHOUTPAUE 0 WEBSITE: http://targetsurveying.net ��:.,:"w�:r.�:. �. �, ,x -�� -_-a..y, . ,.,..,,.F�;,. r��..� _. .,.�A_�.. a�hm. �:c�>r.__. _, e....__:�.r...a.�. �- .�.>;a ..�,.�..^,�» „�.,.�M... �,_„> ,_ ,__ ., ti, s-_ •.b_„