337 11th St-Driveway/lanscaping Permit Conditions
City of Atlantic Beach
Permit Number: DWAY18-0002 Description: new driveway&landscape enhancements
Applied: 1/17/2018 Approved: 1/30/2018 Site Address:337 11TH ST
Issued: 1/31/2018 Finaled: City,State Zip Code:ATLANTIC BEACH,FIL 32233
Status: ISSUED Applicant:<NONE>
Parent Permit: Owner: KUSS JOANN C
Parent Project: Contractor: <NONE>
Details:
LIST OF CONDITIONS
777 STATUS
SEQ NO ADDED DATE REQUIRED DATE7ATISFY DATE TYPE
DEPARTMENT CONTACT REMARKS
1 1 1/24/2018 1 DRIVEWAY APRON INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
!All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh are
not allowed in the right-of-way. (Commercial driveways-6"thick).
2 1 1/24/2018 1 1 EROSION CONTROL INSTALLATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
iFull erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(247-
i5814)to request an Erosion and Sediment Control Inspection priorto start of construction.
3 1/24/2018 ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
4 1/24/2018 L 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, Donovan
Dumpsters). Container cannot be placed on City right-of-way.
5 1 1/24/2018 1 1 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full right-of-way restoration,including sod,is required.
00,
Printed:Wednesday,31 January,2018 1 of 2
Permit Conditions
City of Atlantic Beach
6 1/24/2018 CONSTRUCTION SITE INFORMATIONAL
I I MANAGEMENT
PUBLIC WORKS Scott Williams
Notes:
Provide construction site management plan,including location of silt fence,clumpster,portable toilet. Right-of-Way Permit is required if using right-
of-way for construction parking.
7 1 1/24/2018 MAXIMUM DRIVEWAY INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Maximum driveway width within the City right-of-way is 20'.
00o
Printed:Wednesday,31 January, 2018 2 of 2
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: DWAY1 8-0002
Description: new driveway & landscape enhancements
Estimated Value: 5800
Issue Date: 1/31/2018
Expiration Date: 7/30/2018
PROPERTY ADDRESS:
Address: 337 11TH ST
RE Number: 1701030000
PROPERTY OWNER:
Name: KLISS JOANN C
Address: 337 11TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ROCKAWAY GARDEN CENTER OF N.E. FLA
Address: 510 Shetter AVE
JACKSONVILLE BEACH, FIL 32250
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.
APPLICATION NUMBER
City of Atlantic Beach
Building Department (To be assigned by the Building Department.)
v 800 Seminole Road
Atlantic Beach, Florida 32233-5445 W-voo
Phone (904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L_Iate routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: sl Department review required Yes No
Bui
Applicant: ko(k kv\IL - P t1a n n—in§g &Z o n i n
r m i 2'
- Tr—at
Tj e��er�i n i s o r
Wor
Project: (k�'J -14(\J� oiak Work
Public Utilities
Public Safety
Fire Services
Review fee $ DeDt Signature
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Verified By
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: zApproved. [:]Denied. [:]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING 1—te
Reviewed by."�� Date:
TREE ADMIN. Second Review: F]Approved as revised. E]Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. [-]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
MAP SHOWING BOUNDARY SURVEY OF
LOT 16, BLOCK 14, ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTinED TO:
DONALD J. AND ANN B. MEUSE
PEOPLES FIRST COMMUNITY BANK
STEWART TITLE GUARANTY COMPANY
RICHARD T. MOREHEAD, P.A.
SELVA MARINA UNIT 1, PLAT BOOK 23 PAGE 4
LOT 4 LOT 3
BLOCK 2 50.00- (PLAT) BLOCK 2
N 9W
,!kf'3W E
PM 40.91 (MEASURED)
For'CWW10-1 .7' D I IRON PRE
x v I o.i" TIM
I LOT 16
BLOCK 14
Pm
10� 6CK
4
FOLIN /Z*
7,
7.4' lay COMMUNIrYD f
ELopmENr
0.
17. 13.
LLJ
T TWfj
WO STORY >
MASONRY
POSTED # 337
LOT 18 LOT 14
BLOCK 14 0.9-_ 7.4' 1; BLOCK 14 w
w <
0
F- n
V4 L/)
<
V) LJ
z
5�i ow
201
350.W(PLAT)
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 1.0 r J(Q SLC&= W
k G (0 T5
Address of property being improved: 77 5-1-rPfXA- A -6- P-L- - !9
General description of improvements: Dvemn pt�- -sivrl� VKANgm
T-C W I of-ne-, -
Owner: Address:
Owner's interest in site of the improvement: ERAM"u rrs too'i&C—
Fee Simple Titleholder(if other than owner):
Name:
Contractor:
Address:
rr ?
Telephone No.:C16H- 601;-) Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc#2018012268,OR EIK 18253 Page 946, Signed:ff220� Date:
Number Pages:1 Before mpqh�is,�_Zj-.0- day of CFPC�' in the County of Duval,State
Recorded 01/1712018 02:13 PM, Of Flori&r�as personally appeared -3&'
'4'15
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Flon0a.,C
COUNTY My commission expires: 0 go
RECORDING $10.00 Personally Known: ?Q 7!FPT AAnnpm
Produced Identification:
otary ElIblir-State n Florida
Cornmission#FF 233295
w
My Corrim.Expires Jun 9,2019
IF
CITY OF ATLANTIC BEACH
JAN 2 6 2018 800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST CORRECTIONS TO PLAN REVIEW COMMENTS
Date Revision to Issued Permit Corrections to Comments L,/ Permit 11 -606 Z,
Project Address
Contractor/Contact Name- POR kKJ kJC=L-1"NLL�
PhoneqQL4 Email
Description of Proposed Revision Corrections: Permit Fee Due $
jgt��4 A-ger-b)a4 2V NEC— )e"kLN�, 'A� 11R t-'W-)
Additional Increase in Building Value $ Additional S.F.
By signing below,I !FSA r?r--;� affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
(2 Lann Lin�g & Z o r�i�n �" Reviewed By
Tree Administrator
r15,CME�Work�
Pub�icUti�iies
Public Safety Date
Fire Services
City of Atlantic Beach APPLICATION NUMBER
"SS Building Department (To be assigned by the Building Department.)
800 Seminole Road JECIE11ve,
Atlantic Beach, Florida 32233-54
Phone (904)247-5826 - Fax(90 47-5&45
it E-mail: building-dept@coab.us JAN 2018 Date routed:
City web-site: http://www.coab.ulw
APPLICATION REVIEW-AIOD-TRACKING FORM
Property Address: Department review required Yes No
Building
Applicant: kL.,)(k\-k -TV\ Z1an 6_9 &zo in-g��
TIS�e r
�m—in i sfr-alo
Project: 6'(A 6-(\j (ZEW&Wo�_kp
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: RApproved. VDenied. []Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed b�; Date:
TREE ADMIN. Second Review: �fApproved as revised. []Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
/-V L
PUBLIC SAFETY Reviewed bf/�zW_j Date:
FIRE SERVICES Third Review: [-]Approved as revised. [:]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
0 REVOCABLE ENCROACHMENT PERMIT
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 sub-j-e—ctto
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 33-7 4k S--tw+ AO
• 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.
Date /J/�--70�/O
Propt'.0-11 ner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of 20
by V–&.:r5 ,who personally appeared before me and
d name of Signer)
ackn I ed at he/she signed the instrument voluntarily for thely o -es e
ALBERT MORENO
'otary Public-state of Flo
commiss
N F239295 �1,
Ion#F
-L f lu lAte
my s, 19,20`19
romm.Expire
re 0 Notary Public, State of Florida Bonded through National tlotary Assn.
Api*oved/Public Works Department:
rs nally Known D-
ro uced Identification(Type)
Scott*i1iliarnis,'Iru—blic Works— irector
Building Permit Application JAN 1 UpLe9119/13/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: -7 3� A 6, SZ7-'!>Z Permit Number: cc)04-
Legal DescriptionLo-r vp - im_oc� 14 —RE# \'7010S - 00()(:)
Valuation of Work(Replacement Cost)$ 6) ?w Heated/Cooled SF Non-Heated/Cooled &�ZA
• Class of Work(Circle one): New Addition Alteratio Repair Move Demo Pool Window/Door
• Use of existi ng/p ro posed structure(s)(Circle Commercial (:Rjesi�enfla
• 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:
DEMO 01:� ->1%,tAA4-- '� V"VE*A*� - Wt-,W Q1tAVVw7,.1 . Ne*j
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name:S10%4 AN."s Address: ��S_7
City A-%AAn,-_ IE%9;A-e-44 state Ft - zip_97_Z2,2, Phoneqtj --)I
E-Mail
Owner or Agent�If Agent, Pow4r of Attorney or Agency Letter Required)
Contractor Information
Name of Company: bri<,4W
Address 0 S &L4 tj C Qualifying Agent:
%,,fo (Lr- �e_1,6tate r- Zip
W11 CA - Cityj�4=�Vl
Office Phone 294 2 S71—(e 52 1— Job Site/Contact Number �'01.4— 7 Z9 —9 SM
State Certification/Registration# E-Mail a rj.�L rb—4)nic ja x . ea rn
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
Exempt/Insurer/Lease Employees j 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. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
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 OUR=MMENCEMENT.
ignature of Owner or Agent) (Signature of Contractor)
(including contractor)
igned and sworn to(or affi med)b fore me is
th' day of Signed and sworn to(or aff irmm Vd)before mVhis /�Iclay of,,
I T" 0JAa;7 4;;/ ,1 c',
&f by
at
�
(Signature of Notary) (Signature of Notary)
�t M ;2
110personally Known OR
%11,ft ALBERT MORE No !rsonally Known OR
0, , <",
Produced Identificatio Notary Public-State of F�orid, oduced Identification
239295
Type of Identification:
Ty of Identification:
CITY OF ATLANTIC BEACH
800 Seminole Road
JAN 2 6 2018
Atlantic Beach,Florida 32233
1ECEIVE
JAN 2 9 2M8
REVISION REQUEST CORRECTIONS TO PLAN REVIEW MMENTS
Date Revision to Issued Permit Corrections to Comments LJ Permit# VW 19 -60c)-z'
Project Address
Contractor/Contact Narne—90 PKJ Sle4AAM=92T
Phone%4 — VZ-0� 9--�(oV Email F,-rk-y*-y\ b"D- !M6q)( - e0ri
Description of Proposed Revision Corrections: Permit Fee Due$
'Q VA)11NM�—A4 &r-T- Koo A V--1 ym rnp=�' -7,T q 3
(SC011 VRU-A S A�AQ-4 A-orft��)nE� 2';1 6v&,-- fm-�, xv+R
a-AAa I A--,I UOL--Amt� ?,VF gompSTEP-I buylkf&—
Additional Increase in Building Value$ C> Additional S.F.
By signing below,I �FA rrr-�k affirm the Revision is inclusive of the proposed changes.
(printed name)
7
/ ' -G / R
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved _ I/ Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
C�La n n�in g &�Zo rfl�n -; Reviewed UY,
Tree Administrator
c--PT] ic or
Lumbri 'Wvvkk�s
Public Ut
7
Public Safety Ddte
Fire Services
/I. k
A.
RIGHT-O&WAY / EASEMENT PERMIT
Permit# Issued by the City of Atlantic Beach 0\6 A�:f 0002-
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 %,.ND OBTAINING UTILITY LOCATES
Job AddressM_>-7 00"' 3r. A-.6- S22-ss Phone 0 14) '3 Q0
Permittee V Email Zrion b 6-3 MC la A. Co ry)
Requesting Permission to Construct
Location(Reference to Cross-Street) C o/-e,-r -A
• 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 Oewt__3 S_Qtawd�� (Project Superintendent)
with Company Name Phon&5 t5 ce t5-)-Z-
• 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 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.
• 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
.-Ilm- mediat I letion.
-r /-0�s
//_ , 7Z��- Date
Peimiifee(sign9din presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL TkI
The foregoing instrument was acknowledged this day of -TC�A V e-,i�K 120 /,6
by C"a-vt oc--,fct hatyd who personally appeared before me and
(printed name of P&Mittee)
owled ed that h
ackn:7 e/she signed nstrumen,voluntarily for the purpose expressed in it.
Personally Known
10 lqp Ro- 810
Signature of Ift ry Public,Sta�e) f F rida Produced Identification(Type)." ��a ou I
SHERI R ROMECKI
MY COMMISSION#FF230640
EXPIRES May 18.2019
4C i i.W W'A Flordallots'ySeN"4*M