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1895 HICKORY LN - DRIVEWAY ,,;s1-44:r , �s ' � : '' >` "� CITY OF ATLANTIC BEACH 14 P > 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 --o13 v. 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: DWAY17-0025 Description: 2 DRIVEWAYS AND SIDEWALK- PAVERS Estimated Value: 19000 Issue Date: 1/11/2018 Expiration Date: 7/10/2018 PROPERTY ADDRESS: Address: 1895 HICKORY LN RE Number: 172020 1326 PROPERTY OWNER: Name: ZAZZARINO EDWARD Address: 1895 HICKORY LN ATLANTIC BEACH, FL 32233-4548 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CITYSTONE, INC Address: 9339 CRAVEN ROAD JACKSONVILLE, FL 32257 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. City of Atlantic Beach APPLICATION NUMBER (r/1-tvp„,, o Building Department (To be assigned by the Building Department.) - - • _ 800 Seminole Roa32233-5445 A� 17 _ 002,s Yi.. Atlantic Beach, Florida 32233 5445 Phone (904)247-5826 • Fax(904) 247-5845 • 61119'1-• E-mail: building-dept@coab.us Date routed: CD13 ( J I City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: j� B �" t Lao rY L� Department review required Yes No Building Applicant: a L S�s'1 I anning &Zoning Tre' dministrator Project: pAverz_. - izveLos C/ ._ blic Works ) / Public Utilities Pci E S l A-L t<J 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: pproved. ['Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by.." � — Date:/f 'fr 7 TREE ADMIN. Second Review: A roved as revised. n pp ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. fNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 i :-& City of Atlantic Beach APPLICATION NUMBER J3 i\ Building Department (To be assigned by the Building Department.) r 800 Seminole Road �\\ _ ��� �� Atlantic Beach, Florida 32233-5445 AL(���, Phone(904)247-5826 • Fax(904)247-5845 tJI'' \0;3 9%' E-mail: building-dept@coab.us )���� Date routed: I 0(3 ( i i 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: L Sci s 14 l (' kory LC\ Department review required Yes No l ( Building Applicant:pertyS e.,_,_ A�Cnning & g Zoning Tree Administrator Project: — ,/, �.Ve(,„ (z) _ ublic Works Public Utilities Al"DS l (Yel/3 A-L -S 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: I V Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING ' PLANNING &ZONINGReviewed b 441;rr4,2 ' Q Date: //i)/7 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 % Building Permit Application Updated 5/5/17 r $ ' City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 sfr Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: ,��,�fi'-8 g5-DlH� /C f.O R-y ,r<,4 V acePermit Number: Legal Description R�% I tic C tarn PRIV5t1I7 I0 F,WegS RE# Valuation of Work(Replacement Cost)$ // OOD- 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: pot/love,- 5 /9Ey474-(,k p 2 Piuveithq.. 1y 7v 1 tis C L piwoaS - 3 c e- wz-- ivvvve- Florida Product Approva # . �" for multiple products use product approval form Property Owner for ation Name: PilbST Z/9 ZZ iRiItf,0 Address: /g9,5 h'/CAeoy t N City t}�'l,ijt/r7 s State F� Zip 32,233 Phone) 02 yQ- y0232 E-Mail PAT ZZ 1(JNO Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information a 7 Name of Company: CI 5 NC- /A/C Qualifying Agent: t 14 21/4/Ghb/N /GG4 / Address 9 33 9 CR t c ,P City State fL - Zip 3Z S ? Office Phone 904_ g 75-(2 /7ey Job Site/Contact Num 90y- 759-O y 7f( State Certification/Registration# Q¶SQ0003/592 E-Mail OFf/LG /T)'-5Toitie 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 ATTORN Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. arst.e.t.4)' //l&fif! (Signature of Owner or Agent) (Sig :ture of 4 ntractor) (including contractor) Si ned and sworn to(or affi ail,before me this day of Si ned nd sworn to(o affir es beIgre • this3 ( d•y of ZC(7,by A.... c'. S 20 (7 ,by f? \` •.r, r� a 1_4_24b 1/11121.1 h/0 (Signature of Notary),... , (Signature of Notary) DIY TOtrl IP:l1Lt EXPIRES.October 6,2019 MY COti"J!SSIG; t [ ]Personally Known OR "T. Public Underwriters EXPIRES:October 6,2019 ]'Produced Identification [ ]Personally Known OR r. Y_edrnr ^:o:anPd!!ct6.1 raters �. o 4-1-Produced Identification ' Type of Identification: I`�t Z(dU'&, ► 5— t S-C) - ype of Identification: MAP SHOWING SURVEY OF LOTS 1.2 AND 13 , SELVA MARINA UNIT NO. 12-B, AS RECORDED IN PLAT BOOK 36 , PAGE 76 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. INitt____ • 1 ,4-0,c-'.' E fl i�4 ,=2,-7;.2/.&t::) i N/�/ETE'EivT�/C/ r', � 97 - :7-- lo .=�/w Q • a� � ' 4r a��y Ilii - `, Pam'6‘17 'G • b .J• �'. ') . •. • • .- . C- : • CD/ . ti o� �- - . 5 /j j, Qo. ?, so./_ ; :th �/ 1. X94. 7') o b ' -.,F4,- ..-",,,,,,- / S 8 `)3s .07..w / 79" 9 7.\ , imp�,;. t , ori..,!-, ', �L4_t4_ .. �' _ ,Rv,. ilto,� R,.. e,-rC� H,.tic=Nr \� �..' z,/� _ X97 v f /a�a� • O OW 'y oE� � 1 rx IG c, I ' FA UE g ft"Rc 9 S .11, \ ` , y • TN/5 /S A8a/.vOAR' SG/!?✓E'/ f • .a/in $UrGa/ 7;z /::'7 .'/ I-/.......(E 8-"/ PLAT rx�.�.�c '•''- A---c- -,_Wiz'% z ...- - '—. ._ ' Jt ilW REVOCABLE ENCROACHMENT PERMIT M REVOCABLE ENCROACHMENT PERMIT by the City of Atlantic Beach,Florida,a municipal corporation organized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and of Atlantic Beach,Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as 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 USER, said notice to USER shall be given by certified mail, return receipt requested,to the following address • 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." • 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 within 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 right-of-ways 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. I9)-atT/Lt.,cr Date '1 (3/3 I I f 7 Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 3 ( day of 0 ,20 ( 7 , r ^ I� byP4A--v_t('a a. k l `e ,who personally appeared before me and •tinted name of Signer) ackno :ed that hi s'I ed the inst ment voluntarily for the purpose expressed in it. 0 Signature of Notary Public,State of Florida Approved/Public Works Department: Personally Known Produced Identification(Type) L. j.4#14 /1"/1 - --4/gA TONI GINLESPERGER� MY COMMISSION 8 PP 924951 Scottiams,Public Director '..;:.. ."4--,,...i.4 EXPIRES:October 6,2019 '71',.;<:•-,.F�,` Bonded Thr,Notary Public Underwrters A • RIGHT—OF—WAY / EASEMENT PERMIT 111,11r- Permit Permit#Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address /WS ff/C-Kogi 4 eraf'NTIC Bch i,L Phone 104i-375-9.280 Permittee Email Requesting Permission to Construct RE/Put)JE 51p6141/ k .AivP 2 PQIUE'IUfry ge j ce. Fi)x P1'6 Location(Reference to Cross-Street) CC)# W-Y`. q,C 1 q Tit ST- W(T Hick I y 442 • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. • 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 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. • All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Project Superintendent) located at • All materials and equipment shall be subject to inspection by the Director of Public Works. • 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. • 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. • The permittee shall commence actual construction in good faith within days. If the than 60 days from date of permit approval then y beginning date is more l Works to make sure no changes have occurred in the area that would affectthe pemitted oermit with the Director of • 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. • The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again ad24,01, immediately upon completion. /0/ //7 Permittee(signed in Date � ( gn presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL _r( The foregoing instrument was acknowledged this t day of C)o_-* 7 20 by Q+Pt e A. Dk o_k et- ,who personally appeared before me and (printed name of Permittee) ac 4 . edg-, ' at h, she sit. ed the instrument voluntarily for the purpose expressed in it. ll) —4 Personally Known ignature of ' ry Pu•lic, State o 1 ,lprt•2.951 Produced Identification(Type) A c (p b -69 S 45 -84 Z__ EYPiRES Oc �erv!i;er 6ondco Thr_Notary Pdol.