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1631 ATLANTIC BEACH DR - NEW HOME PERMIT r .-!-:-.1, 1*'y � } CITY OF ATLANTIC BEACH j. ' :� 800 SEMINOLE ROAD �.)r ATLANTIC BEACH, FL 32233 y'" >' PHONE LINE 247-5814 �,�i INSPECTION O RESIDENTIAL - NEW SINGLE FAMILY RESIDENCE MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0147 Description: new single-family construction Estimated Value: 397443.4 Issue Date: 6/21/2018 Expiration Date: 12/18/2018 PROPERTY ADDRESS: Address: 1631 ATLANTIC BEACH DR RE Number: 169505 1085 PROPERTY OWNER: Name: ANN T SANTAYANA REVOCABLE LIVING TRUST Address: 1886 BEACH AVE ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: Sea Level Design & Construction, LLC Address: PO Box 330772 ATLANTIC BEACH, FL 32233 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 City of Atlantic Beach 951 Permit Number: RES18-0147 Description: new single-family construction Applied:4/20/2018 Approved: 5/28/2018 Site Address: 1631 ATLANTIC BEACH DR Issued: 6/21/2018 Finaled: City,State Zip Code: Atlantic Beach, Fl 32233 Status: ISSUED Applicant: <NONE> Parent Permit: Owner:ANN T SANTAYANA REVOCABLE LIVING TRUST Parent Project: Contractor: <NONE> Details: LIST OF CONDITIONS SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 4/25/2018 UNDERGROUND WATER SEWER INFORMATIONAL UTILITIES PUBLIC WORKS Kayle Moore Notes: Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed,call 247-5834. 2 4/25/2018 METER BOX SEWER CLEAN OUT INFORMATIONAL PUBLIC WORKS Kayle Moore Notes: Ensure all meter boxes,sewer cleanouts and valve covers are set to grade and visible. 3 4/25/2018 RT1 SEWER CLEANOUT INFORMATIONAL PUBLIC WORKS Kayle Moore Notes: A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. 4 4/26/2018 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. 5 4/26/2018 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. 111 Printed:Thursday, 21 June, 2018 1 of 2 • 64 7514, x AL `0 Permit Conditions -k '� � City of Atlantic Beach t� , (�' n� , .'firtt9. 6 4/26/2018 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. 7 4/26/2018 RIGHT OF WAY RESTORATION INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,is required. CONSTRUCTION SITE 8 4/26/2018 INFORMATIONAL MANAGEMENT PUBLIC WORKS Scott Williams Notes: Provide construction site management plan,including location of silt fence,dumpster,portable toilet. Right-of-Way Permit is required if using right- of-way for construction parking. 9 4/26/2018 RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site. Cannot raise lot elevation. Printed:Thursday,21 June, 2018 2 of 2 �, �:o.:LvfCity of Atlantic Beach APPLICATION NUMBER mss - s‘ Building Department (To be assigned by the Building Department.) s. 800 Seminole Road PES ( 1— 01(0- ,91, r�- \9� Atlantic Beach, Florida 32233-5445 L 't v� Phone(904)247-5826 • Fax(904)247-5845 �Q "Losily - t`:1-Z-)E-mail: building-dept@coab.us Date routed: ` I(F' City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Ili I T' a*L.. 6-eca,, Pf,Department review required Yes No Applicant: ail L tU i\ 0- t �Yl 4 C Ping &ZonJ 11 (� Tree Administrator Project: fLt,3 St( l ��jV`�ikkt Y .Oyytt Public Works 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: Approved. RDenied. I !Not applicable (Circle one.) Comments: BUILDING PLAN G &ZONING Reviewed by: / ""(9--- Date: S-9201? TREE ADMIN. Second Review: A roved as revised. Denied. �pp ❑ I INot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: ill Date: S / k'/201f FIRE SERVICES Third Review: Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: tr 9f Date:/ !2 i 2Gte Revised 05/19/2017 rV + CITY OF ATLANTIC BEACH i 800 Seminole Road Lk Atlantic Beach,Florida 32233 :rpt __,,,y REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date`t"t2'743 Revision to Issued Permit Corrections to Comments Permit# Project Address 1(03/ A0 44'k k 1 J Dikve, AttuAto, i' A / 3 Contractor/Contact Name 5.ea Lev_Q,Q, ae� V- Crik-S+aWAD�1 f �� Ltsa �,1I Phone odor ( "48S3 Email (fyQ( Iou_t idlK� 9 w cel, Description of Proposed Revision/Corrections: Permit Fee Due $ 50.40 Locidut dituur6ek% 1--AtpOLIAK, clAza 1 c-kf2A4A,A_e_oJ 1104 Gtf 4 5i tt -R. (0 Ul'h Cilk n- (Of r( Lo1- (o C(e€D€J --6a. NottC @t i e s - S k • ) Af i'cc eQik h44413 eJ(k6 Additional Increase in Building Value $ /JO ME Additional S.F. NONE r By signing below,I LsQ 6 i i ?(I ' ( affirm the Revision is inclusive of the proposed changes. (printed nam • Signature of tractor/Agent(Contra ust sign if increase in valuation) Date (Office Use Only) Approved /r- Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: :uilding ! i ' arming &Zoning Reviewed By Tree Administrator cliis Works Public-Utilities 5- q-,--201 $ Public Safety Date Fire Services . F• FICE COPY Y re,; X^M r— ". CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach,Florida 32233 MAY 162018 110417r REVISION REQUEST/COttREOWNS TO PLAN REVIEW COMMENTS Date r4(a//$ Revision to Issued Permit Corrections to Comments Permit# I -6 t(E1_ Project Address /6 3/ A Han file ,ee46A n7;Flle. A/la., ;G &Ad FL 3aa3J Contractor/Contact Name Seo L e ve/ Pe.919 av ( >i, /óy? L Sot `/�- Phone !OS" X62l— /Ig.5—g Email /e re/ A11idih9 �9/'rei / • Co/''> Description of Proposed Revision/Corrections: Permit Fee Due S-0. 00 /VO e o G 71.e -2/4 I„/,h/0 L✓ C bins LkS c yhPd Coy rm'i,v C4/6 Additional Increase in Building Value $ Additional S.F. By signing below,I / -7, A Ge/ ,t///C!y affirm the Revision is inclusive of the proposed changes. (printed name)/ Signature of Contra 'gent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments De! . 'i -nt Review Required: Building ' an • : oning Reviewed By Tree Administrator Public Works Public Utilities Public Safety Date Fire Services f, ------j �`+�� \ CITY OF ATLANTIC BEACH , , 8800 SEMINOLE ROAD 6 =r ATLANTIC BEACH, FL 32233 OFFICE C O P)4 (904)247-5800 \JiSl9r BUILDING REVIEW COMMENTS Date: 5/9/2018 Permit#: RES18-0147 Site Address: 1631 ATLANTIC BEACH DR Review Status: RE#: 169505 1085 Applicant: Sea Level Design & Construction, LLC Property Owner:ANN T SANTAYANA REVOCABLE LIVING TRUST Email: sealevelbuilding@gmail.com Email: beachhut239@aol.com Phone: 9045214858 Phone: 3052831945 9045214858 THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction Comments: ' ' ' ` lled r"r)-- 9 .9"A2o/, 2. Veri on irm a the exposed window razing at t e first landing of the stairway is not le than 3 inches above the walking surface or is tempered per R308.4.6, FBC-RES. 6th Edtion. 3. V�fy and confirm that the 2 windows on each side of the rear entry French doors are tempered. R308:4:2-' - Pr`7- Yg27, 7o! S' Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 904.247.5844 Email:mjones@coab.us &rrtaitee/ Pi"'h Rfv L0mv►..4, 4! r-q• Zoed-,'N Resubmittal Notes: s�L�lf City of Atlantic Beach APPLICATION NUMBER JS'* I Building Department (To be assigned by the Building Department.) r a, 800 Seminole Road ES — ORO- ;-. K - Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 /�_� J F 9;119x. E-mail: building-dept@coab.us Date routed: l l City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 I n.*c 6-ecd 1 Q(,Department review required Yes No uildinre Applicant: SLet L tut\ 0.Q y 4 CbAsi _ .i ng &Zoniri� ( Tree Administrator Project: n_ S()J�'�— -rc�.(Y1i`ll 1,400q.., (ubiicWorks ublic 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: Approved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING � PLANNING &ZONING Reviewed by: t/i. i Date:_L/ -5 I g TREE ADMIN. Second Review: Approved as revised. I 'Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. I 'Denied. I 'Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 rSyL�,�J; City of Atlantic Beach APPLICATION NUMBER srfBuilding Department (To be assigned by the Building Department.) - • ^ `� 800 Seminole Road 2 es ( �- OR(9- Atlantic Beach, Florida 32233-5445 J `C Phone(904)247-5826 Fax(904)247-5845 0-6 L ( '-=!o;tlO'' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APR 2 4 2018 APPLICATION REVIEW AND TRACKING FORM Property Address: LIQ n.*-c ct ( , P(,Department review required Yes No r1 uild.T Applicant: SQ--et L f.0R.. �.Q S�� 4 Ct S1 �Fi g &Zon nsp I (� 1 Tree Administrator Project: Ci tux) Sl� \�— � C� l�i`� �O � CPubGc Works ublic 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: Approved. 1enied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b a ,/1' Date: IL:* ice.• P e r.- - = ! TREE ADMIN. Second Review: Approved as revised. ['Denied. 'Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES • PUBLIC SAFETY Reviewed . • ,//V_ / Date:Ji/�/ FIRE SERVICES Third Review: Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 1..J-V,71:1•7r, CITY OF ATLANTIC BEACH �t Department of Public Works 1200 Sandpiper Lane Atlantic Beach, FL 32233 (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 4/26/18 Applicant: Sea Level Design & Construction Permit#: RES18-0147 Email: sealevelbuilding@gmail.com Review Status: DENIED Property Owner: George & Ann Santayana Site Address: 1631 Atlantic Beach Drive Email: beachhut239@aol.com THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS Correction Items must be submitted to the Building Department at 800 Seminole Road. Submittals that respond to only one or a few correction items will not be accepted. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions must be submitted to the Building Department and must respond to EACH department review. PUBLIC WORKS CORRECTION ITEMS: • A Revocable Encroachment Agreement must be submitted. PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) • 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. • All runoff must remain on-site during construction. • 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. • Full right-of-way restoration, including sod, is required. • Provide construction site management plan, including location of silt fence, dumpster, portable toilet. Right-of-Way Permit is required if using right-of-way for construction parking. • All runoff must remain on-site. Cannot raise lot elevation. Scott Williams, Public Works Director swilliams@coab.us/904-247-5834 Page 1 of 2 O:\Public Works\ADMIN\PLAN REVIEW COMMENTS\RES18-0147(Sea Level Design).docx Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding". The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud. The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings. The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. e 2 of 2 lic Works\ADMIN\PLAN REVIEW COMMENTS\RES18-0147(Sea Level Design).docx .. � rs r,1`1�i•1 . CITY OF ATLANTIC BEACH 800 Seminole Road APR 3 0 2018 Atlantic Beach,Florida 32233 —. yr \\'\\\0111 r REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS ii // RE sig—Oc47 Date'I_.a 7_./ Revision to Issued Permit Corrections to Comments Permit# Project Address i 6 3/ M ici,fict(c f a �t�L' Ltcu'e ► k(19412! geA( , 6 3 a -33 Contractor/Contact Name Sea Lie ;fig^,,,,, cb i+ls� L1 L so j e Phone qO4'' ( "'t 8 57 Email S (PYj bu 1 (dt A j 9 inna,c0 , Cerwv Description of Proposed Revision/Corrections: Permit Fee Due $ Loothe dluftkr6e42 1 Lilo du.ut.. a✓k.a 1 dkr2A kk l' 4-- 5i R. -'-e - 10 Q jfkh Urh tiVn- p(o+ e(OI.A - Lo-t- (o coeepeo - Pal U)teks - Se.,04 ) Aftaht-t-' 3-Q,t4cSk 0,4 -tieJu6 Additional Increase in Building Value $ J 0 NIE Additional S.F. N ON e_ r By signing below,I 1.454 S, k(Kaffirm the Revision is inclusive of the proposed changes. (printed nanel Signature of dr actor/Agent(Contra `!!!. ust sign if increase in valuation) Date (Office Use Only) Approved 7 Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: uiidin •-....---7_,,41330/,,,,,;(---;_' anning Zoning eviewe Tree Administrator •. • is Works \r —��/ ie Utilities Public Safety Date Fire Services riyLcf , City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road (2 J t (- OI CJ„' - Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 - ( L /�_Z) I =Jrt19%' E-mail: building-dept@coab.us Date routed: I City web-site: http://www.coab.us APR 2 4 2013 APPLICATION REVIEW AND TRACKING FORM Property Address: L ° 1 h-tj *cc 6eGta--, Pi Department review required Yes No uild. Applicant: SQ—et L-U R \ 0.12_.s( n 4 C AS`� _ Pig &Zon ng, ” ( , Tree Administrator Project: ()t l� SJ � � - -rGt i`� ( 1,voo, CPublic Works —j Public Ufilitie Public Safety Fire Services Review fee $ 9-6 Dept Signature £'.v` 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: proved. Denied. Not applicable (Circle one.) Comments: BUILDING ' / /,, PLANNING &ZONING Reviewed by: V/ " `---- Date: 41/-5/11, TREE ADMIN. Second Review: Approved as revised. Denied. I 'Not applicable PUv" WORK Comments: r 'UBL UTILITIES l( PU LIC SAFE Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. I 'Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ,,,,,,J„,, �O`r° ' B uildingPermit Aplication updated 12/8/17` ' Ir COPI City of Atlantic Beach -eT,_o_. 800 Seminole Road,Atlantic Beach,FL 32233 APR 2 0 2018 Phone:(904)247-5826 Fax:(904)247-5845 A � R s1g ' r,(y Job Address 1 1) 1 !4L LF� rQ�, . A Ave, Permit Number: L �n Legal Description W L a I,1,;it' , !L. .f. i ...f, , ,1. i_�L REii /t7?6v -tO'' Valuation of Work(Replacement Cost)$oZ(7 COO Heated ooled SF A gs-c Non-Heated/Cooled !,a 0 q • Class of Work(Circle one): 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: w Florida Product Approval#i ae S tjQ j for multiple products use product approval form Property Owner information Name: G ,`(—'P N 'i Lit"i I Address:jO 0 V LI.' _ 11111 Ai ,. •i: 1. $4. I • �.�. .e. City � sC g State -FL_Zip____BA133_____Phone —�St�( ZfS 3 E-Mail R .4dhttf .-a'9( .a ,ctia— Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) - Contractor Information �`��nj /�,,� /�,_,,�� f� , Name of Company: 5-Q& D (p,`(-'COI\ , /4"iialifying Agent: ,54 5 , CA Address jf ^Q 99 City:, /• .,. R'i State 6 ,zip_3 _ Office Phone c- Job Site/Co tact Number �t II ` a. State Certification/Registration#e_841,/ac? _976— E-Mail 1.e 1, ' p_ ri7lIt�R■it!tAIrt IM l . . ►ti/a- Architect Name& Phone# (]d 0-e S j' CM'4 71 -h i . Engineer's Name&Phone# i �0 0 . ' ' _ .... !I. �_ I 04-- 1� (� Sc�f7 ? "fi Workers Compensation ' t ,A r - 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\ lrtrltlllllff///i applicable laws regulating construction and zoning. ��N., rAtIlA PEA, /r/4� 11 > 's 4• 1SS10� ..se �� WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT,�VI/ A3 .0 o4(, RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOI �IskF N� 0. TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE= :*_ -_,.-z-,: #FF 193303 RECORDING YOUR NOTICE OF COMMENCEMENT. ,:q�y„ decMo •p I/ ,V Ai114 fi• c �� nn (Signature of Owner o Agent) (Signal -of ontractor) \`�� lilll�lffl/tot (Inc''ding contractor) ^ J 9 A\ . i -• to or aff med)before me this �7 day of Si ned and sworn to(or affir ed)before me s / day of �...h,fr•IPC•••.e, i ,by �, .' -SAn)T_LAN4 N-IC ,: Gjy, .y �. �eL .t I � O.•• •*= •nature of = t110_ ature of Notary) ( - Notary) i y; #FF 193303 �99• 4onal `�gkc?oR I I Personally Known OR /% teetf kation b roduced Identification tic C ji(►e8f.k3 ` tion; ��- IVI1)E-v...1_1C��'��TypeofIdentification: ��' �K)UE �'`�� llillltil OFFICE COPY PERMITTED BUILDING DATA DO NOT WRITE BELOW — OFFICE USE ONLY Applicable Codes: 6th Edition (2017) Florida Building Code DEVELOPMENT SIZE: Habitable Space (ft') a 95'( Non-Habitable Space (ft") / 2S'29 LAND INFORMATION: Zoning DistrictPOCG Flood Zone )C Minimum FFE 9. 0 BUILDING INFORMATION: Construction Type V Occupancy Group Sins/4 F w 1r Number of Stories 2— Max Occupancy Load Fire Sprinklers Required CONDITIONS/ COMMENTS: Rev. 2.7.2018 -111041k;•'' 7 REVOCABLE ENCROACHMENT AGREEMENT 9.419P- REVOCABLE ENCROACHMENT AGREEMENT 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 SV A L€ L P S/6 n/ v- 0.0N57Yu,tcZ Ont (,(.e_ 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 N-Qit).) CABS I Ori - s( leif$td Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege anted 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 (p 2 c& it'e.�jl.,(. -e , l CListi C ` ,p4a 2 )0-, . 3�a33 • 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 easement or 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 easements,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. 1.4144_ Date -14—H. 4--12 9 I Property Owner/Agent(signed mPr ence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 2 h day of /4?r ( ,20 I S by AWN Tr Si—MAYA OA ,who personally appeared before me and (printed name of Signer) 1 acknowl-.:ed that he/she u r ed the instrument voluntarily for the purpose expressed in it. ; Y DACODAH PARRISH Commission#GG 009947 440 / sv•ignature of NotaryPublic, %. State of Florida o,r=Expires July 10,2020 ' .e " Bonded Thru Troy Fain Insurance 8003857019 • impartment Approval: Personally Known • Produced Identification(Type) RDL-- Scott 'Timis,Pub is W r !irector/ Kayle Moore,Public Utilities Director H:\Master Forms\Public-Utilities Works Forms\Revocable Encroachment Agreement 2.5.18.docx (-51.74-'3-/-4.:,;.„ City of Atlantic Beach 004, 1. PUBLIC UTILITIES DEPARTMENT ` , — ,. 1200 Sandpiper Lane Atlantic Beach, FL 32233 % +ice (904)247-5834 NEW WATER / SEWER TAP REQUEST Date )4- Zc- / g Project Address /(' 3/ ,4T/4/t/77C &C-2-9-C/4- , --- Number of Units I Commercial Residential ✓ Multi-Family New Water Tap(s) & Meter(s) Meter Size(s) `3//-( New Irrigation Meter t' Upgrade Existing Meter from to (size) 34 New Reclaim Water Meter ti Size 7 � New Connection to City Sewer `�' � Applicant Name Applicant Address City State Zip Phone Cell Email Applicant Signature CITY STAFF USE ONLY Application# 0E5 l 8 - 0/V 7 Water System Development Charge $ ,/ � o, 00 / i & C_ Sewer System Development Charge $ Y-f, DSO _ (y..) Water Meter Only $ / S, (.Y) Reclaim Meter Only $ (Bs-. (50 Water Meter Tap $ Sewer Tap $ Cross Connection $ 50, t) Other $ TOTAL $ 5, Lo 1 0 . C.)0 (Notes) APPROVED Kayle Moore, P.E. -t,A Date V� '/I '- Public Public Utilities Director or Authorized Signature ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: S2-01, I� 3��C61,(,t.C'4431 ( L1 Permit # lees/S-(5/4/7 Project Address: 16 4`3? Pg-t:Lie Lei / 1 1,4 0.r t4e it. jautilet.,L6 As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide .roduct approval ma be obtained at: www.floridabuildin Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS 1. Swinging /1fGsor7rC )("/� 3r ,�� rc�,ti� f/1fi 5( - 2. Sliding 1-Cid /,/e Al 5/4//1/ 01055 Peo- aj/706v• . ' 3. Sectional ilf// 4. Roll up 5. Automatic 1 6. Other B. WINDOWS 1. Single hung )4 Wets oily/ t-ow-r gjes5 J ,Oqe f, 2.Horizontal slider 3. Casement 4.Double hung 5.Fixed 6.Awning 7. Pass-through 8.Projected 9.Mullion 10. Wind breaker 11. Dual action 12. Other Category/Subcategory r Manufacturer Product Description Limitation of Use State# Local# 1 C. PANEL WALL 1. Siding kfardie,5 to rZ /3 q2: 3 2. Soffitstii-t1-; , ourgo pa a Ft. 13 as 3.4 3.EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8.Membrane 1yV,e K 1✓rap d 1 S 9. Greenhouse 10. Synthetic stucco 11. Other C.2 tie/ '.' o r-Myr di ytuc( r 1"rcis A. rM 5 r'd ,a';. D. ROOFING PRODUCTS 1.Asphalt shingles 2.Underlayments 3. Roofing fasteners 4.Nonstructural metal roof 6'14/i C 04 5 t 1./rG1 A. Streit, (t6 51.11,k3 5.Built-up roofing ./"I e t A7 rev*. 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other • Category/Subcategory Manufacturer Product Description imitation of Use ` State# Local# E. SHUTTERS 1. Accordion 2.Bahama 3. Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F. STRUCTURAL COMPONENTS 1. Wood connector/anchor 2. Truss plates 3.Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9.Plastics 10.Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight 2. Other Category/Subcategory Manufacturer Product Description 1Limitation of Use State# Local# H. NEW EXTERIOR ENVELOPE PRODUCTS 1. Gar4",c? Deo-- i.,Jarnt Pe;/19i1 4,ar4 J FOOT In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. (Contractor Name) (Print Name) I !SC( g'/(`e7 (Signature) Company Name: Sea, Lex,/ t1Q U CMAm&-il" I �"�-- Mailing Address: . d ,J20 330?/7 o�— City: hth. -'tc_ State: iL- Zip Code: 30 3; Telephone Number: ( CGtt) S f -1( Fax Fax Number: ( ) ' Cell Phone Number: go ) Sp:(-($ G3 E-mail Address: SettleYc( black)/(0 pk.CCL.e, C&k MAP SHOWING PLOT PLAN OF LOT 6 AS SHOWN ON MAP OF ATLANTIC BEACH COUNTRY CLUB UNIT 1 AS RECORDED IN PLAT BOOK 67, PAGES 52 THROUGH 54 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA FOR., SEA LEVEL DESIGN & CONSTRUCTION NOTES: GRAPHIC SCALE 1.THIS MAP IS NOT A SURVEY.ALL BOUNDARY INFORMATION SHOWN HEREON IS PER PREVIOUS SURVEY OF SUBJECT PROPERTY BY THIS FIRM,PROJECT 20 0 10 20 NO. 18-008 MID DATED JANUARY 19, 2018. 2.THE PROPERTY SHOWN HEREON APPEARS TO UE WITHIN FLOOD ZONE 'X' AS SCALED FROM THE FEMA FLOOD INSURANCE RATE MAPS, PANEL NO. (IN FEET) 12031C-0408H. DATED JUNE 3, 2013. SCALE: 1"=20' O��AEN� 3.ELEVATIONS SHOWN HEREON BASED ON NORTH AMERICAN VERTICAL DATUM E t` OF 1988(NAVD 88)PER "NEIGHBORHOOD GRADING PLAN"PREPARED BY Co�10�\I , D D TAYLOR AND WHITE, INC.MID DATED MAY 15, 2014. 10\IE f\P \ I \ \ ` 11 \ \ \ APP ORIPML`t iw_ U&OAK ^I \ 1fiEL ayl'A 20'131 ' ,......-w,w, I rS n , 11 \ W ---TA 1 c \ f10 g . \ 3 O & AMOJI i 5 rn sop IIRO � 1* . -11 N Q, S Ntr. LS,, V _ 21.5 ``3 o \\ K 1.6 „eGQ L N 4 , Q ` ` ,s Y t2 Cls 9'�0 \ 4 \ 161 N • f ' ��• t OW' V \ 0 5, \2',.S \ �`• PROP 1 .36 B �0 \ \ o /— 0. µ.0 \ Ci \ fpr A20.011 1^.. V................ ---- 13 \ 516.3135.11 c, 01 5 IS 1C3. as ` \ 1 \ LOT 6 \ LOT B,IOOt SO.FT RIGHT Or WAY LENGTH 70.00 FT 1 ALL PAVERS DRIVEWAY TO R/W(NOT IMPERNOUS) 849±SO.FT 1 iA \ ALL MEASUREMENTS ESTIMATED ENTRY&STEPS 1751 So.FT \ 4 \ FRONTDRIVE&ENTRY) 1,006±SO.FT ( BUILDING AREA 2933±50.FT \ BAOK N/A(NO PAVERS ON REAR PATIO) COVERED PORCH&STEPS 500±SQ.FT ` \ SERNCE COURT AREA 44t S0.FT \ \ TOTAL IMPERNOl1S AREA ],8521 50.FT 4776 LEGEND `I \\ TREE SCHEDULE FFE FINISH FLOOR ELEVATION \ \ BRL BUILDING RESTRICTION UNE LOT S0.FT MINUS EASEMENTS/WETLANDS 7,862 \ ACRES-7,862/43560 0.18 WM WATER METER 1 ACRES 5 40 a REQUIRED TREE INCHES 7.2 RWM RECLAIM WATER METER 1 \ R/W RIGHT CHT or WAY \ \ THE REQUIRED NUMBER OF TREE INCHES WILL BE MET USING r DIAMETER TREES. O.R. OFFICIAL RECORDS BooK at NILUME 70%OF REQUIRED PLANTED TREES SHALL BY CANOPY TYPE, WITH NO MORE THAN 50%OF THE SAME SPECIES PIN: PARCEL IDENTIFICATION NUMBER . — DRAINAGE ARROW JL PROPOSED ELEVATION PER NEIGHBORH000 GRADING PLAN TYPE MB" DRAINAGE Surveyed and Prepared By: Date: JANUARY 22.2018 Survey Scale: 1"=20' Richard P. Field Book/Page: 915/21 CLARSON & ASSOCIATES, INC. Drafted By: DNS Review ed By: WDP I-C Professional Surveyors and Mappers Project No. 18-008(2) � 1643 Naldo Avenue,Jacksonville,FL 32207 Phone:904.396.2623 Website: clarsonfl.com Professional Surveyor and Mapper No.6793,State of Florida -Proudly Surveying in Jacksonville and Northeast Florida since 1952- WILLIAM D.PINKSTON S:\Subdivisions\Duval County\Atlantic Beach Country Club\Unit 1\18-008 Lot 6\dwg\PLOT PLAN.dwg MAP SHOWING PLOT PLAN OF LOT 6 AS SHOWN ON MAP OF ATLANTIC BEACH COUNTRY CLUB UNIT 1 AS RECORDED IN PLAT BOOK 67, PAGES 52 THROUGH 54 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA FOR; SEA LEVEL DESIGN & CONSTRUCTION NOTES: GRAPHIC SCALE 1.THIS MAP IS NOT A SURVEY.ALL BOUNDARY INFORMATION SHOWN HEREON IS PER PREVIOUS SURVEY OF SUBJECT PROPERTY BY THIS FIRM,PROJECT 20 0 10 20 NO. 18-008 AND DATED JANUARY 19, 2018. 2.THE PROPERTY SHOWN HEREON APPEARS TO UE WITHIN FLOOD ZONE'X' AS SCALED FROM THE FEMA FLOOD INSURANCE RATE MAPS, PANEL NO. ON FEET) 12031C-0408H, GATED JUNE 3, 2013. SCALE: 1 =20' 3.ELEVATIONS SHOWN HEREON BASED ON NORTH AMERICAN VERTICAL DATUM OF 1988(NAVD 88)PER 'NEIGHBORHOOD GRADING PUN'PREPARED BY TAYLOR AND WHITE, INC.AND DATED MAY 15, 2014. \ 1\ \ \ \ 1 \ \ \ tv011 \ I \ \ ATE �pFUT01t' VE OAK \ \ ,,,Et° 4 y3 ,.... ---"TA �y \ ''ii., y 30 r \ p�5}2 �i 5 en�� 1 0 \ i� - WA tt N t ajt �• A 1100 , 245 '45' a �o \ ``} rn \ C S-Cit4 fq v \y ,.d PFt�OpGE IFFT Qt. \\ ws y G (2 04%, 91O la Z \ZS �` �` uo P • a 6 .....3N \-,Ct Q \ ' elS. \ ''4 '/ \ \••------ .....--- S15.3135". \ ,IIII. ..to 015 % \ \ \ \ \ LOT 6 \ LOT 8,4001 S0.FT \ RIGHT OF WAY LENGTH 70.00 FT \ ALL PAVERS DRIVEWAY TO R/W(NOT IMPERMOUS) 8491 SO.FT \ \ ALL MEASUREMENTS ESTIMATED ENTRY&STEPS 175±SO.FT \ ; \ FRONT(DRIVE&ENTRY) 1,006±SO.FT Y) BUILDING AREA 29334 50.FT p \ BACK N/A(NO PAVERS ON REAR PATIO) COVERED PORCH&STEPS 500±SO.FT \ yr3 \ SERMCE COURT AREA 44±SQ.FT \ \ TOTAL IMPERWOUS AREA 3,8521 S0.FT 4376 \ LEGEND \ SCHEDULE FTC FINISH FLOOR ELEVATION \ APPR01EDLOT SQ.FT MINUS EASEMENTS/ETLANOS 7,862 BRL BUILDING RESTRICTION UNE ACRES-7,862/43560 0.18 WM WATER METER 1 RWM RECLAIM WATER METER I \ ACRES X 40=REQUIRED TREE INCHES 7.2 R/W RIGHT OF WAY \ \ THE REQUIRED NUMBER OF TREE INCHES WILL BE MET USING Y DIAMETER TREES. O.R. OFFICIAL RECORDS BOOK OR VOLUME 70%OF REQUIRED PLANTED TREES SHALL BY CANOPY TWE, WITH NO MORE THAN 50K OF THE SAME SPEOES PIN: PARCEL IDENTIFICATION NUMBER f- DRAINAGE ARROW ♦i.2 PROPOSED ELEVATION PER NEIGHBORHOOD GRADING PLAN I /7'.--Ar---749 TYPE "B" DRAINAGE Surveyed and Prepared By: Date: JANUARY22,2018 T T� Survey Scale: 1"=20' Richard P. Field Book/Page: 915/21 CLARSON & ASSOCIATES, INC. Drafted By: y: DNS Reviewed WDP Professional Surveyors and Mappers Project No. 18-008(2) "' - 1643 Naldo Avenue,Jacksonville,FL 32207 Phone:904.396.2623 Website: clarsonfl.com Professional Surveyor and Mapper No.6793,State of Florida -Proudly Surveying in Jacksonville and Northeast Florida since 1952- WILLIAM D.PINKSTON S:\Subdivisions\Duval County\Atlantic Beach Country Club\Unit 1\18-008 Lot 6\dwg\PLOT PLAN.dwg