1103 LINKSIDE CT W - PAVERS rj r10 f Jel
ik
A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
1.511 ATLANTIC BEACH, FL 32233
'4.2.011194 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: RESO18-0005
Description: install pavers in back yard
Estimated Value: 3000
Issue Date: 2/9/2018
Expiration Date: 8/8/2018
PROPERTY ADDRESS:
Address: 1103 W LINKSIDE CT
RE Number: 172374 5185
PROPERTY OWNER:
Name: CONNELLY PATRICK COTTON
Address: 1103 LINKSIDE CT W
ATLANTIC BEACH, FL 32233-4390
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Jax Bargain Cabinets
Address:
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.
f't y%.\
:I I �_ Permit Conditions
'r; City of Atlantic Beach
Permit Number: RESO18-0005 Description: install payers in back yard
Applied: 2/2/2018 Approved:2/9/2018 Site Address: 1103 W LINKSIDE CT
Issued:2/9/2018 Finaled: City,State Zip Code:Atlantic Beach, Fl 32233
Status: ISSUED Applicant: <NONE>
Parent Permit: Owner: CONNELLY PATRICK COTTON
Parent Project: Contractor: <NONE>
Details:
LIST OF CONDITIONS
SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS
DEPARTMENT CONTACT REMARKS
1 2/9/2018 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 2/9/2018 ON SITE RUNOFF INFORMATIONAL
I
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
3 2/9/2018 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.
4 2/9/2018 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full right-of-way restoration,including sod,is required.
5 2/9/2018 RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
41
Printed: Friday,09 February,2018 1 of 2 •
i%A,'.
s `'41.' Permit Conditions
City of Atlantic Beach
`..rj;E)
6 2/9/2018 DECKING REMOVED INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All old decking must be removed from job site by Contractor.
Printed: Friday,09 February, 2018 2 of 2 /`
S'-J-Lvri City of Atlantic Beach APPLICATION NUMBER
j r�� Building Department = 1r'-'1 ^'" (To be assigned by the Building Department.)
800 Seminole Road ) P _
t j,. ? Atlantic Beach, Florida 32233-5445 *' �� Dal
\ �, Phone(904)247-5826 • Fax(904)247-F b 5 2018
JS3 �? E-mail: building-dept@coab.us Date routed: a P I III
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (1 ) W , La-) ic5,dk ( . Department review required Yes No
Building
Applicant: (-1( lCL.( i 0 C4 bknL.tS Planning &Zoning
VV Tree Administrator
Project: \n S l i t1.. . \ n \ c.. C g 4 P • is I orks
4111 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: VrApproved. ['Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
r
PLANNING &ZONING .��.�/�
Reviewed b, : , i i/ DateQZ
Ir' i i -ii ''- ,
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
5�:�,��;y, City of Atlantic Beach APPLICATION NUMBER
03 ri• ,�� Building Department (To be assigned by the Building Department.)
r 800 Seminole Road S(71 _ _
..- r� Atlantic Beach, Florida 32233-5445 =) r tt J 2+J'tl p �d<�
�., �� Phone(904)247-5826 Fax(904)25845
\0;3 0� E-mail: building-dept@coab.us LI Date routed: F-' I i k
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 11- (:)3 \A) , Lir) 1C.-S,GLk LI • Department review required Yes No
j Building
Applicant: Ulf( ( 0../ ,`y 0 Ct U LS Planning &Zoning
�
` Tree Administrator
Project: \f)S Ac' ( ♦cl L( \ / I LLC L G t P .Tjc orks
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature x N^
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 14-..\
�i
PLANNING &ZONING Reviewed by: 6%°4I " - - Date: 2 a 5'
TREE ADMIN. Second Review: ❑Approved as revised. nDenied. nNot applicable
PU:de ORS Comments:
' BLIC UTILITIES
PUB C SAFE Y Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. nDenied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application Updated5/5/17
A City of Atlantic Beach FEB - 2 2018
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: I/0 3 CrSPermit Number: {�-n
CSOVI— O
Legal Description `� �G n ,�rmcl�. cL 3} 3 3 RE# /7 a3 7"/ S/ FS
UJ
Valuation of Work(Replacement Cost)$ 3 'O Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one):Ne Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial (11-e-sidenti
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes �NN/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:
1'(1 55161i e 12a-u-urs , 4c/ yrs
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: /pct ) /` 'C l< C . (1e)1?77 e Address: //0 3 Z, sVie e 7
City A 'f-fq 4/t /,'c State ICL Zip rani,33 Phone_ 90c/ - 20S`- 3.24/6
E-Mail /l;rf� //iSo /7'1 �P . C o .•vim
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information p
Name of Company: �c'.Ydc,f5Gr'n (°Ci/�. 11 Qualifying Agent: /Pcy/�?o����Phh
Address //SS (-`'a SSa.t A vCity Jecsow. v.')/- State JAL Zip 11,4,,S4-/
Office Phone 9-O `'- 3 X, - OO c l Job Site/Contact Number 70 f - O G SS>-
State Certification/Registration# E-Mail C'/`e'?'-1 J c.K /.30.5-o - cc•/ ^ C • Cc)
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 7 (-An ct/,)J4/ 4/2 /7 < CC' 7ti C 307 Vd„/Au)
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.
/4'
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before • th}'s a day of
ciW`\ , O\% ,by Pat\cl- C.OAA�.l�y lam, , ' by 9.-t OA £ tt • ,A
gk• Aw _ ;•;+r>6J•,• JENNIFER�,r•
o"!!!`-;,•.,• JENNIFER JOHNSTO h�I s ' �� MY COMMISSIO
r•' ,t-' MY COMMISSION#GG 042984 ( •ture . otary) :: , ;._ r-�: e c Notary)
EXPIRES:Oc 1-r 2 . 020
•{' EXPIRES:October 27,2020 .oP
:,;g o �..,,.• Bonded Thru Notary' blic Underwriters
............... Bonded Thru Notary Public Underwriters
[ ]Personally Known OR [ ]Personally Known OR
[f.].Produced Identification [ Produced Identification (�
Type of Identification: ��— If t J Q.a`S t(Q Type of Identification: IL d- '��
• • 8iisVMS 21:33 9843718864
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:ER7IFICATI01?: REV/SED:ApR.4. , /989 i1
RECERT/ft(D:NAY 29./99/ (:
This survey meets the minimum technical standards for a boundary survey as set forth by the 0
Florida Board of Land Surveyors, pursuant to Section 472.027, Florida Statutes and k
further certify that the property shown hereon is within Zone X as delineated on tee U. S. IC
Department of Housing and Urban Development Boundary Man No. 120075 Panel 0001, effective
April 17, 1).99_,
SIGNED: U'"
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Flo. Ida Registered and S yor No. 708
!ecertified: November'121 1991 IN.
GRTIFIED TO: John E. Santora, Jr, j ,
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