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670 PLAZA - PAVERS OVER CONC iLY r�� , n �`'� ` � CITY OF ATLANTIC BEACH - 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 - �ri» ' 9 r INSPECTION PHONE LINE 247-5814 ACCESSORY - SINGLE OR TWO FAMILY ACCESSORY MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACC18-0003 Description: PAVERS OVER CONCRETE DECK Estimated Value: 8000 Issue Date: 2/16/2018 Expiration Date: 8/15/2018 PROPERTY ADDRESS: Address: 670 PLAZA RE Number: 171294 0000 PROPERTY OWNER: Name: JACKSON TREASA ANNE Address: 670 PLAZA ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: TEMPOOL INC Address: 1512 MILLCOE RD JACKSONVILLE, FL 32225 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. 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. * 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. Permit Conditions s, "8"1""ji City of Atlantic Beach Permit Number: ACC18-0003 Description: PAVERS OVER CONCRETE DECK Applied: 1/10/2018 Approved: 2/2/2018 Site Address: 670 PLAZA Issued: 2/16/2018 Finaled: City, State Zip Code: Atlantic Beach, Fl 32233 Status: ISSUED Applicant: <NONE> Parent Permit: Owner: JACKSON TREASA ANNE Parent Project: Contractor: <NONE> Details: need value for just pavers (value on permit has pool resurfacing included but does not require permit), left message for contractor to call on 2/2/18 LIST OF CONDITIONS SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 1/18/2018 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 1/18/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 3 1/18/2018 POOL WELLPOINT INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Pool Wellpoint(if used)must discharge into vegetated area 10 minimum from street or drainage feature(swale,structure or lagoon). A separate Pool Permit is required. 4 1/18/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. Printed: Friday, 16 February, 2018 1 of 1 1.:1,`lj .if City of Atlantic Beach APPLICATION NUMBER J ...? Building Department (To be assigned by the Building Department.) f `� 800 Seminole Road '7 iii 1 j , Atlantic Beach, Florida 32233-5445 '�� -Vr0 3 Phone(904)247-5826 • Fax(904)247-5845 �a oil E-mail: building-dept@coab.us Date routed: I / I 0g City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: l.0.7v PLSZ IN RD Department review required Yes No uildi Applicant: ( C(\ POCD(... f NG fanning &Zoning Tree Adminis ra Project: Pp : ,&V dv&z eok.),... Igor s u.he It!ities G,e K_ Public Sa e y 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. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING D PLANNING &ZONING Reviewed by: Date: /"// c7dr TREE ADMIN. Second Review: 1 lApproved as revised. ❑Deni d. ❑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 om;i, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ,\ _0OO Atlantic Beach, Florida 32233-5445 \ Phone (904)247-5826 • Fax(904)247-5845 `".,01119 E-mail: building-dept@coab.us Date routed: ( / I d /( V City web-site: http://www.coab.us LL APPLICATION REVIEW AND TRACKING FORM Property Address: 670 PC-14Z R. Department review required Yes No uildi) Applicant: ( (-M PocL I Ne_ lanning &Zonin>g Tree Adminis-trat rr Project: Pp VE i S aVC�Z. C� © v'or s uslic Utilities Pu• isSaey 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 Tree) PLANNING &ZONING `%,= �-- Reviewed by. Date: TREE ADMIN. Second Review: ❑Approved as revised. nDenied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. I 'Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 41 ill" '..� CITY OF ATLANTIC BEACH '� FEB - 1 2018 800 Seminole Road T. V -1 1 i0 Atlantic Beach, Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date" (--jO j$' Revision to Issued Permit Corrections to Comments Permit#MC/ - &$03 Project Address 4)6 z e., $ f Contractor/Contact Name l P esor t Phone �G`'` � /�'IIEmail ( -,lcoer�e / ��1.c_ Q C 0 -z. Description of Proposed Revision/Corrections: Permit Fee Due $ Y ' ' ZOn ( .ry Ocm (� �� Additional Increase in Building Value $ p.oni — Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. / (printed name) i- !! 'PI a.i re of Con ctor/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: �%IIIIIII y���_ Building G� i �' �lanning & Zoning ' •viewed By TreeTioi"--nirrtst Public Works , ` el Public Utilities Public Safety Date Fire Services j1,m:r.�V, City of Atlantic Beach APPLICATION NUMBER �s , Building Department (To be assigned by the Building Department.) 800 Seminole Road JAN 1 acC t 8 -0r3 \;� ,, Mantic Beach, Florida 32233-5445 1 2�l� -� Phone(904)247-5826 • Fax(904) 247-5845 / 10 o;t g� E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Vr6 70 Pc-p z. p ID Department review required Yes No uildiyg_2 Applicant: ( E_(YX POOL I N� fanning &Zoning Tree Adminis rator Project: P gve O v e(L Q QD works ublicItilities G.-0_K.. Pu icSaey 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: F4Approved. I 'Denied. F 'Not applicable (Circle one.) Comments: BUILDING f PLANNING &ZONING Reviewed by' ate: /---l7 -‘1•01 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 rjy1/yjjti City of Atlantic Beach APPLICATION NUMBER t� Building Department (To be assigned by the Building Department.) -. 800 Seminole Road. – -ei Atlantic Beach, Florda 32233-5445 JAN 1 1 20t1 ��C. L,8 -0003 Phone (904)247-5826 • Fax(904) 247-5845 ( � i osil!P E-mail: building-dept@coab.us Date routed: / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: C-70 RAZ. pt RD Department review required Yes No uildi ) Applicant: 4 t�a[ C M POC)L f NC__, fanning &Zoning Tree Adminis ra r Project: P p � Q vE ,s v e,R , Q O '•. works 'u•lic Utilities ITh Ee K_ Pu• is Safety Fire Services Review fee $ / Dept Signature /AA- Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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. nDenied. IY Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING ( Vig Reviewed by: 2;f4s4 Date: , TREE ADMIN. Second Review: nApproved as revised. ❑Denied. ❑Not applicable PU:� ORK—ments: =''UBLIC UTILITIES r—/ Z—/er— PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I jApproved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 r'ly1[:. Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 /7 n Phone:(904)247-5826 Fax:(904)247-5845 (07d /" Job Address: /'t-Za 12d Permit Number: 12e/'f -0065 Legal Description RE# Valuation of Work(Replacement Cost)$ bZOU `mac Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door e'4.- • 'c• Use of existing/proposed structure(s)(Circle one): Commercial .eslaen ifha- • 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: / ec..4-. r f,./ sliitt c9tiP2 t'^"'d Florida Product Approval# for multiple products use product approval form Property Owner Information Name: r&oSa Siu.tis'iv Address: ‘7' /0/0.z* e.,_ /2i City li?zf/cy* � 43et-cX, State /-Z Zip 322 53 Phone Wei-' Y/3- 44'G 2 E-Mail jcS.+1j+L 8-‘1:7e0 irte,[ , Ccot 709-' G!o cs4Y3 Owner or Agent(If Agent, Power OT Attorney or Agency Letter Required) Contractor Information _��� Name of Company: ems, e'ed 4".--A-Ci, Qualifying Agent: JC�V�-� arm• / 7-?,0,2,,104- Add ress -?,0,2,,o -Address f, J,2 ),'Icrc at,d City MGA State Zip 31 725' Office Phone ` ' '( 721/- '(e7 Job Site/Contact Numbera-.0.0,-y€ ,Q/e ( I..-- State Certification/Registration# etae piczU E-Mail G-.,4.,�• 'j�ycp/,�4 .e�„E,� Architect Name&Phone# ✓ ' Engineer's Name&Phone# Workers Compensation 444 f%'S'tit7✓z 1/C- AZ4 .75vif d L 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.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 YOUR NOTICE OF COMMENCEMENT. VreO 0 .0 ' -I/ (Signa•�ner or Agent) (Signature of Contractor) (includi contractor) / Signed and sworn to(or affirmed)before me this/6 day of Signed and sworn to(or affirmed) before me this/$day of �eb•, -11, ,C7( ,by :_ . Xsc-svi /rd ($fork , by ,- 't i- • e of Notary) (Signature of Notary, _, __M _r JENEVIEVE IMPAVIDO JENEVIEVE IMPAVIDO Personally Known OR -.2o`ya---v.(‘--:;,:.YPU, Notary Public-[S( gr," d�Id wn OR Noe , [ j Produced Identification , ,.,, , ,@q$q!d tification _ •+° Notary Pudic-State of Florida •„ . Commission Commission#FF 912478 Type of Identification: =N.' = - P s My Comm_Expi=."IQugf2Ap8Cifli tion: / �' :? ���'d ,i ,o h pires Aug 24,2019 °` �o' Bonded through National Notary Assn. ': '''41:;,t°s° Bonded through National Notary Assn. '#E; sL��� TREE & VEGETATION AFFIDAVIT \ City of Atlantic Beach sal Department of Community Development , " Planning&Zoning Division 800 Seminole Road Atlantic Beach, FL 32233 J,iIJ (P) 904 247-5800 (F) 904 247-5845 PERMIT# ACC/5 _6003 SECTION I-APPLICANT INFORMATION E Owner(s) J— Legal Authorized Agent* NAME OF APPLICANT (,"�- � G!cc C'�Jc �(SGNAME OF COMPANY -7-6,,.,r0,c.o,(ry„r� ADDRESS OF COMPANY /54 frfir/7'o of i evd PHONE r`y)41.���o CELL i..g3�`/AL/� EMAIL eC# a (' 9 7Pr P� r w.r: , CGl+1 CONTRACTOR CERTIFICATION NUMBER Cf,eC 1 c fs'2 o& ATLBCH BUSINESS TAX RECEIPT NUMBER SECTION II-SITE INFORMATION STREET ADDRESS OF PROPERTY L 7e, / /4. e_ $ 1--- If If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address. LEGAL DESCRIPTION LOT BLOCK SUBDIVISION REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT /4-10 AC RESIDENTIAL )/e°15COMMERCIAL OTHER(SPECIFY) I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation" of the Municipal Code of Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those regulations. Subsequently, I r irm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the a seve-described or.djacent properties in conjunction with this project. ._... . SIG ,,/RE OF OWN • GNATURE OF OWNER Signed and sworn before me on this day of , ,by State of /T L County of Identification verified: Oath sworn: r Yes E No Notary Signature My Commission expires: i - . _ 1 ---._______ PLAZA 585'37'27"E --_�---- 111.63' 80' R/W (IMPROVED) P. ^ r---_ o o I N85'37'27"W 80.65' (p) Ns5 37'27"w FOUND 1/2"`' f!,::.:;.::,.... 89.24' (P) IRON PIPE [ U • : ' FOUND 1/2.. Q 0 25' BLDG. IRON PIPE W i w N SETBACK oRcone:_.j•_-0,'...;" LINE ., rvE W I a. .:' FOUND 1 2., 7 , n- -19.2'- / 0.1+ -------_ -. IRON PIPE 0 a ® BLOCK y/ O 4LF, in 48.8' 12..7 L,, .v CORNER ' - LOT 18.7tri ' o = \ cc 20 0.o' 10.1. • N BLOCK 8 I STONE p`) O _ BUILDING .a ._ J I zio 0.1' y #670 N . co V � woo o - 9.2' BLOCK 22 LOT N N • SHED N ad I a . 0 5' 3 1 j 4.8' GREENED' N) °' CVO m v': r :Gds (I) o; (NJ 24.7' 0.6d.U LOT 21 TONE- •' • POOL (/) __BLOCK 8 Pool_ : 0.s ', _ . + .. 1.3' 1 5' D.E. & U.E.- . FOUND 1/2" -' IRON PIPE — �_��� �. o 6'WE. PROPERTY c\i • o N FALLS IN FENCE CORNER N85'37'27"W 80.65' (P) LOT 3 BLOCK 8 LOT 2 BLOCK 8 RI: UNITY DEVELOPMENT SURVEY RS CONCRETE DRIVE CROSSING INTO 25' BUILDING lL'�•�IDI'R®V E SETBACK LINE ON NORTHERLY SIDE OF LOT. 0 THERE ARE FENCES, WOOD SHED, STONE POOL DECK q NEAR THE BOUNDARY OF THE PROPERTY AND CROSS INTO THE 5' UE & DE AT THE REAR OF PROPERTY. PAGE 2 OF 2 PAGES ° " N BOUNDARY SURVEY LB#6135 y t l E I f Vyf.� '�/'9( Nn.2883 0,..114, TARGET pc� SURVEYORS CERTIFICATE SURVEYING,aIHEREBYCER7IFYTHATTHISBOUNOARYSURVEY \_� INC. e ISA TRUE AND CORRECT REPRESENTATION OFA r SURVEY PREPARED UNDER MY DIRECTION - - ''', f• STATE OF d NOT VALID WITHOUTANAUTHENTICA7ED ELECTRONIC �N C O R I P ps SIGNATURE AND AUTNENTIC1 rEQE EC.TRONCSEAL. SERVING ALL FLORIDA COUNTIES C s U a g t.,:( ORA RAI.S,FQ M6OgSEED SE9LD(9f� c 19R R� IV YftV1 a lyde Mcrveal 5601 CORPORATE WAY SUITE 210 DN:CN=Clyde WEST PALM BEACH,FL 33407 McNeal McNeal,C=US PHONE (561 640-4800 Dale:2010.04.14 FACSIMILE ) ) (SIGNED) 16:17:35-04'00' (561 640 0576 STATEWIDE PHONE (800)226-4807 CLYDE 0.McNEAL PROFESSIONAL SURVEYOR AND MAPPER#2883 STATEWIDE FACSIMILE (800)741-0576 r