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623 SELVA LAKES CIR- PAVER PATIO r, '� rjiiit `JrJ �� CITY OF ATLANTIC BEACH �',,, " .0 800 SEMINOLE ROAD ,vyr ATLANTIC BEACH, FL 32233 ''''.1-0.219 ' INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER - SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RESO17-0034 Description: PAVER PATIO Estimated Value: 0 Issue Date: 10/19/2017 Expiration Date: 4/17/2018 PROPERTY ADDRESS: Address: 623 SELVA LAKES CIR RE Number: 172027 5554 PROPERTY OWNER: Name: CORBITT TERESA BOYKO Address: 623 SELVA LAKES CIR ATLANTIC BEACH, FL 32233-4378 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CITYSTONE, INC Address: 5023 Bowden RD JACKSONVILLE, FL 32216 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. '" f Permit Conditions 4 r7; �. City of Atlantic Beach Permit Number: RESO17-0034 Description: PAVER PATIO Applied:8/25/2017 Approved: 10/17/2017 Site Address: 623 SELVA LAKES CIR Issued: 10/19/2017 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233 Status: ISSUED Applicant: <NONE> Parent Permit: Owner:CORBITT TERESA BOYKO Parent Project: Contractor: <NONE> Details: LIST OF CONDITIONS SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 8/30/2017 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 8/30/2017 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 3 8/30/2017 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 8/30/2017 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. 5 8/30/2017 ADDITIONAL COMMENTS PUBLIC INFORMATIONAL WORKS PUBLIC WORKS Scott Williams Notes: Pavers must be pervious pavers. Printed:Thursday, 19 October, 2017 1 of 1 • r5L.A,\J-.y, City of Atlantic Beach APPLICATION NUMBER •J• , A, Building Department '-�•\ 800 Seminole Road (To be assigned by the Building Department.) s) Atlantic Beach, Florida 32233-5445 AUIi Phone(904)247-5826 • Fax(904)247-5845 0100 E-mail: building-dept@coab.us Date routed: e) S I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: V ZS S EI.,vA L_Pt KES eta De•arta t review required Yes No fa ea., elreiwip„, Applicant: ( 'T" Li STOIC C I IV r-Pt nning &Zonm PTree Administrator Project: A Ve e- P R Ti UPu i6Tc Works' 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 �' n Reviewed by:---1.4', 40 lapie Date: d' /r j TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I lApproved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 01..:Lvfie., City of Atlantic Beach APPLICATION NUMBER Js . ;,‘ Building Department (To be assigned by the Building Department.) 800 Seminole Road �� - �Y-�� iii - .r Atlantic Beach, Florida 32233-54457 �.- Phone(904)247-5826 • Fax(904)247-5845 d'401; rir E-mail: building-dept@coab.us Date routed: e)iS I7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: V Z3 S E L VR LF KE.S (-I, . De•artine•t review required Yes No Applicant: C ( T L(STO r\) C 1 1\3 C '-nning : Zonin• Tree Administrator PAvProject: A ve(L. pAT-10 ,.......pob-ric—m----51,-----Ks ..,40,1107-0 . r i--%'. 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. x!41 of applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: t Date: TREE ADMIN. Second Review:, Approved as revised. 1-1 Denied. nNot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:' Date:( — 7 i 7 FIRE SERVICES Third Review: (Approved as revised. ['Denied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 I = '',, Building Permit Application Updated 5/5/17 ,.. a - City of Atlantic Beach 800 Seminole Road, Atlantic Beach, FL 32233 `n v? Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: £c23 SE2_(//9 LK� //q Permit Number: '`E S 0 17 - 0 0� Legal Description (3/� �1�7-1 0 > -S'DE �C� R. Valuation of Work(Replacement Cost)$ /l 2z O Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • 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 of No Tree Removal Describe in detail the type of work to be performed: Rs' c /c 6.7filS5 itkL- ft /wS L4_ Pe}. Vot25 ? V6--)/ S Florida Product Approval# for multiple products use product approval form Property Owner Information Name:Tow()f $ftr ERI/1)1= coL 6 Address: 623 SEWIft LfrI R-s C(1 City , Ti. N C State FL Zip 3;2,2;3 Phone(aw) r i-/g-57 '? (owor) E-Mail 0 )6_, • C/7y3 *Aft1- Lnl Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Jo/Vk •fin, C..k. t e,,,,a,.,`` . t; yv Contractor Information __ // "1 Name of Com any: i' P/VL }IVC Qualifying Agent: GU622/A16VID i /}Lc 4,iJ fl' 2/9 Address(13 39 {Q- P City Ti}k State I Zipe25-7 Office Phone 90 a `5 " y. • (./ Job Site/Contaccj Numbv, ?PV 7-5 9-0 V 7S L State Certification/Registration# E-Mail (L.)(//C L't C/l y- S/77/1) C7fv) 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 OF COMMENCEMENT. io► i -4#1‘,.. --or- r (Signature of Owne . •- ) (Si: ature of ontractor) (includi : ontractor) ned and sworn to(or affi •.) bef. • me thisz-5day of Signed and sworn to(or affirmed) before me this t``day of Z (7 by '' A 11-1-54 , l�l'7 , by We I i;'j6.4-0.,0., k A 1 IMA► (Signature of Not. `lp"'"4e• BRANDON PAULSEN TONI GI r PERGER ,'r° `'�'' ^MY COMMISSION a FF 924951 .� . Notary Public-State of Florida EXPIRES:October 6,2019 ?� �i�� oc My Comm.Expires May 20,2018 [ I Personally Known OR ,�p�'"d�dTn�uNotarya"bicu"dew�cers [ ] Personally Known OR �A'•.;;o,,,°P,'� Commission # FF 125C65 [ ]Produced Identification _ P(] Produced Identification G �-•'— —^ Type of Identification: 0400 -4C,B -s j 430-U I Type of Identification: - L _ tee_` _ _ _ :_ .3:4f: _ ON ' - / '1 .i aye N ry 1. i • r!>>!r 7! '�\\� �y Lit i' .° �Off' V y /C, > p l•tr CO t 3 card a G,1,�o D • r C4 Ivr .>» O s c_n i o 0 5 , a os , L. ��9i l a. 0 9 O - liu �1 _ '��ti! O 3 "x --XlV } `" Oz o 01/1 M 2 - z "r1 0.. a rim r -1/ m - 1 C in Pi 0 1§ -,;,. 1 1 --i -12 o A rte, ' o b _____— --\-- z R. k 2 S- KI 0 • t- _____ —y x 'a X65 2. NA f ,:h9th .2, C� o, 1 .s.c .a) i sf3 Os (IL, tri PUBLIC WORKS Q C C� a0' t P\e ' CjJ APPROVED o z �� 1�J �� { }DENIED 2 { }NOT APPLICABLE TO DEPT Gam.. z 0 (� z �� Williams, Scott From: Gabriela Pedracone <office@city-stone.com> Sent: Tuesday, August 29, 2017 3:45 PM To: Williams, Scott Subject: Specifications Attachments: Specifications for Pervious Pavers.docx Hello Mr. Williams, /PC `az "5 .444j ZAí (ire`Q Attached are the specifications for the Olde Towne Pervious Pavers per Wellington Alcantara. If you need anything else from us,please feel free to contact our office. Thank you, Gabriela Pedracone office(a,city-stone.com Brick Pavers&Cultured Stones (904)875.4280 CONFIDENTIALITY:The information contained in this transmission may contain privileged and confidential information.It is intended only for the use of the person(s)named above.If you are not the intended recipient,you are hereby notified that any review, dissemination,distribution or duplication of this communication,and the information contained in it,is strictly prohibited If you are not the intended recipient,please contact the sender and immediately destroy all copies of the original message. 1 Pervious Pavers Olde Towne Specifications and available colors for Olde Towne Pervious Pavers .' Pervious Pavers Olde Towne 2 3/8" Thick 6,.x4„ b"xb" 6.,x9 124 Square Feet per Cube $1.80 Grey Colors $2.00 `White Colors Coverage: 124 Square Feet Cubes: 1 Color: Select Color _ V Finish: Standard Color • Color Type Color Code 3 Special Order Colors (12 Colors) Autumn Blend White Blend W1004 Cappuccino White Blend W2100 Glacier White Blend W2075 Granite Grey Blend G2270 Heritage Grey Blend G3140 Mahogany Ash White Blend W3190 Natural Grey Solid G1160 Oak Run White Blend W3260 Old Chicago White Blend W3060 Sand Dune White Blend W3220 Sierra White Blend W3320 South Beach White Blend W3020