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1901 HICKORY LN - DRIVEWAY \4s s' CITY OF ATLANTIC BEACH y 'i r 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ____,! 01119.r' 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: DWAY18-0007 Description: DRIVEWAY, SIDEWALK& PATIO Estimated Value: 10390 Issue Date: 4/5/2018 Expiration Date: 10/2/2018 PROPERTY ADDRESS: Address: 1901 HICKORY LN RE Number: 172020 1322 PROPERTY OWNER: Name: MORTON JOAN G Address: 1901 HICKORY LN ATLANTIC BEACH, FL 32233-4577 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: PRECISION TURF, INC. Address: 7052 Davis Creek Rd JACKSONVILLE, FL 32256 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. �5l:�v City of Atlantic Beach APPLICATION NUMBER �s }1 Building Department (To be assigned by the Building Department.) .e--'11;:, 800 Seminole Road v r �h\ k s) Atlantic Beach, Florida 32233-5445 h J k/ AL- !8-0 007 Phone(904)247-5826 • Fax(904)247-5845 /f ' 9 E-mail: buildin de t coab.us Date routed: 3/1 Z 7t 8 '`�J,31�� 9- P @ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 %O t j'-( c_kdr ( _K-A Department review required Yes No Building Applicant: CJ(.A.:) N>�.--2 .meant' n g&Zoning wee-Administrator Project: k j 14 L (SFU0S \ iL) ( r pk-----rt o 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�i�! - l/l�-- Date: -3- ( 3 18' 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 X51=1./f City of Atlantic Beach APPLICATION NUMBER �s P \ Building Department "'" (To be assigned by the Building Department.) �. .J 800 Seminole Road r . , si �v '` , Atlantic Beach, Florida 32233-5445 MAR 1 z 2018 ° ��UU R�� 18-0007 "'toil 9r E-mail:(904)Phone bud ng�dept@coab.us04)247-5r Date routed. I z �C City web-site: http://www.coab.us WY:_ . g,, APPLICATION REVIEW AND TRACKING FORM Property Address: i c %O 1 1`--1( rf-k yr' LKA Department review required Yes No Building Applicant: C(A.) t,Thc-te e<franning &Zoning �--T-ree-Administrator Project: "` �. s Iit-Uttfties I� 1AT10 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: liZrApproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING _ PLANNING &ZONING Reviewed b : /19" , _ Date: v?/�/12 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 12/8/17 64,001 City of Atlantic Beach MAR 1 30l8 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 'Z 1 nn �( S -0007 Job Address: /910/ � /C LG� ,,h= Permit Number: bliO Legal Description �"'er i0 U"fJp10/A)4- .4 /2_—,g RE# Valuation of Work(Replacement Cos /4-Sre 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 <tesideritial) • 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, e performed: -g�-� 4- ,te a-c�L ( ) gym �,,��5 is g9L /VB ��5/ A. G ,1-'G. , %5J L, -• , l��' q.i. .. v,,rr1Aa-.-� r.�i!-er—de-A) =u..e/ Florida Product Approval# for multiple products use product approval form Property Owner Information ,/T�// Name: �a)4N? /►' o12-460U Address: /cif/ e/A0 City 4i/1 i-1G '� State L3 - Zip 3-22,3q� Phone 4/- a9''9 /7a E-Mail /Yl 'e1&1 14 A, cot £- 6",;(._. dOiY... Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information 1 /,' Name of Company: 'k,�u S��'J (JL�r %G Qualifying Agent: �711Yl /.i►� 4�1I` Address P766-", J 4ifi5 t� City c ��r1ti.'�i State yr Zip i2 Office Phone �— 2,L2-'ti:C� Job Site/Contact Number IL) '7S� .5 — 97 ? State Certification/Registration# /�yJ d E-Mail jy.. PRA./ri2r. Cdr Architect Name& Phone# Engineer's Name&Phone# IVorkers Compensation c ) �.�p7/ Jc (3')gri .e. 7` I !l Exe Pt/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. / 0fita* a "I iL,ds (Signatur- • Owner or Agent) . 1:ture of Contractor) (inc' • g contractor) ed and worn tto,((o�r,,a• eq.) bef Qime this l l of Signe. id sworn to(or affirme. before me this day of ,_� ,-N p''�7.�"1 Aik 'a AA_ -- ---. _ . —?i,_ Line ,-P AIM. MISSION nT'OP :47.74..... MY COMMISSION*GG 1:iqgdig. -* , ' EXPIRES:Odober •"�` (Signature o Not.lip ) ;. T ENS0:1arypublicU ature of Notary) of i� o� ljonded ersonally Known OP- •ersonally Known OR [ ]Produced IdentificatiorL=q;:Y'^y; TONIGINDLESPERGER [,d Produced Identification Type of Identification: f.: 2 1. MY COMMISSION#FF 924951 Type of Identification: IL Lit k�)}•-1\� - t�nS� ' 7e..;.r--g.:o; EXPIRES:October 6,2019 ?jis F;d:'' Bonded Thru Notary Public Underwriters • + RIGHT-OF-WAY/EASEMENT PERMIT . of Atlantic Beach i� Permit#Issued by the City PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address / }/ �1t,I�4 %i Phone 90-2/-d,. ..-9 Permittee I i.N M8 t IoIJ Email Requesting Permission to Construct — 46- // . v Location(Reference to Cross-Street) �Z ;z,, L/tJ • 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) ( with Company Name 4. 61670 ! Phone 9a4 —/Z -,►a7L,d • 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 im • u. •• . etio -�//� tib i Date / Permittee :wed • i �� nce of Not. ublic) STAT ler FLO t 0A,COUNTY OF DUVAL TheI, going instrument was acknowledged this 3 day of l 20 , by 0 O a n GO-Q /1 ).i)I 'hen ,who personally appeared before me and (printed name of Permittee) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Personally Y Known SiyirlI rotary Public,State of FloridaProduced Identification(Type) �( d i(l�1�(�S JENNIFER JONN$TON i :,ty i:SY CtOMM16 IA GG 042984 "'�n��;c': FXPIR S'O10bC,27,2020 ZE,, ;,, 3:�r � ry Public Uncle writers NOTICE OF COMMENCEMENT State of po fr.1ak Tax Folio No. County of pieliVeaig To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: �t:) j1vActa-: eta. Lk ;t WC 17- tai P(4 '13 Disk 3Q. ?7, phi_191it Peev, Address of property being improved: /q I -14 tak.o General `-+j 1-4,14C/ 44+44 beac (�/ '57,�3 3 description of improvements: rere/etcL,Y�� �ri 5, ). 5ic e �. I(<5, pc 'co Owner: ,,J;041 l"16(4 rsi) Address: 6 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): . *1)4tp Name: Contractor: ?1 GI.Sko'�J 2 ,f G Address: 705 I4L)f Telephone No.: e-f•-- 262- Fax d 7 Fax No: 70 7 88d-e9wT Surety(if any) Address: Amount of Bond$ 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: ok.,;,,.,,•.1... ,. ,x ,,,,.��„ Expiration date of Notice of Commencement(the expiration date is one (1)year from the ^�.r TONT GINDLESPERGER specified): F r�iXPIRE l sober 6,2019 cyte is ' •.�47:a= EXPIRES:October 6,2019 ?�of 1- Bonded ihru Notary Public Uhbervmters THIS SPACE FOR RECORDER'S USE ONLY OWNER - 4 - - — Signed: 1 t - , 4446i,6Date: 4t Before Y' this day of . -c"`t in the Count of val,State Doc#2018057662,OR BK 18311 Page 957 Of Floria,has personally appeared 7 C Number Pages 1 Notary Public at Large,State of Flori oun of Duv Recorded 03/12/2018 04:47 PM, tY RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Per commission expires: ( COUNTY Personally Known: • C- _ 'SI 7 _ay�j`-�or Produced Identifica' '_r `'' RECORDING $10.00 _ MA; SHOWING SURVEY DF IAT 10 SELVA MARINA UNIT N0. 12-B AS RECORDED IN PLAT BOOK 36 PAGE 76 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNI'Y, FLORIDA. ILOT 9 IFND. //2"/ P I ENL;, N. 89°3507"E. 9/ 54' 3/4 / P N. ti o CI) _ o , o.7' � I _ WOOD PRIVACY FENCE J I\ - S LI r S1,,s.t' 22.1p; />'6' b .trjt _ r., • �"' 2 STORY COQUINA Q Q:vY Res. No. /90/ ti) t LOT Al J� ; ,, / i �! O it I'7► k\-\\ 19.0 / s. o 0-4-.7.--.- \ \� \ � w O i "'t;ridi V\ \ 5 1 I Ora, ck FND.3/4"/P. • 6' ..._-_L_—___ M O h b \\ 15.1` /72' p .\\� CON•C '.1. O N DRIVE . cS Us, .0;6\3.1% .589°35'07"W 73.53' fN0. 3/4 I.P. END 3/4";P (34 _ /9 fh STREET E60' R/W PAVED NOTES I /BEARINGS AS PER PL AT 2. NO BRL AS PER PL4T COMMUNITY DEVELOPMENT ' . . ROVED I HF-FtEBY CERTIFY THAT THE PROPERTY StJOWN HEREON LIES IN FLOOD ZONE "B" AS SH()4N ON THE EL0()I) HAZARD BOUNDARY MAP FUR ATLANT CC BEACH, FLOR IDA. I HEREBY CERT'IF'Y 'IY) JAMF;S E. JR. , F, JOAN 11) rr NV, CAMERON-UR WN AND CII ICAO 1 'I'I CLF: INSIIRAt :'I• COMPANY THAT I HAVE SURVEYED TIlE IAANDS AS SHCI4N IN THE ABOVE (2APr1()N AN: , I1iA'f' I'lII:; MAI' 1 A TRUE AND CORRECT REPRESENCA'PION UI' THAT SURVEY AND MAI' I1iI: S IRVEY REI)RF_-ENI'EI) HERE/ 'J ME.F.'TS THE MINIMUM STANDARD REQUIROIEWS ALx)PTED BY THE ILORIDA STATE BOARD OF l'R;)I•'I.i';SLONA', LAND SURVEYORS CHAPTER 21-111t AND THE FLORIDA LAND TITLE ASSOCIATION. THIS SURVEY NOT VALID UNLESS \ . �. SEALED WITH AN EMBOSSED SEAL Ill :LIMMOIll pi•lir. OF SURVEYOR SIGNED HEREON DONN W. BOA WRIGHT,fL.S. RECHECK DECEMBER ii, /986 FLORIDA REG. LAND SURVEYOR No. 3296 SCALE:. I" ` ZO ' BOATWRIGHT LAND SURVEYORS, INC. DA AI(31,1E)?� �9 �6 R• DRAWN BY: J. 1301 PENMAN ROAD SUITE D Y F.B. #: i/LE JACKSONVILLE BEACH, FLORIDA 241-8660 SHEET_L OF —L