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1892 HIckory DWAY18-0021 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: DWAY18-0021 Description: ADD PAVERS TO EXISTING DRIVEWAY Estimated Value: 3000 Issue Date: 7/12)2018 Expiration Date: 1/8/2019 PROPERTY ADDRESS: Address: 1892 HICKORY LN RE Number: 172020 1308 PROPERTY OWNER: Name: COVINGTON LARRY B Address: 1892 HICKORY LN ATLANTIC BEACH, FL 32233-4515 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: 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. I, y. • - rmit Conditions City of Atlantic Beach :' mt na Permit Number: DWAY18-0021 Description:ADD PAVERS TO EXISTING DRIVEWAY Applied:6/15/2018 Approved:7/11/2018 Site Address:1892 HICKORY LN Issued:7/12/2018 Finaled: City,State Zip Code:Atlantic Beach,FI 32233 Status:ISSUED Applicant:<NONE> Parent Permit: Owner:COVINGTON LARRY B Parent Project: Contractor:<NONE> Details: OWNER BUILDER 7tol DATE REQUIRED DATE SATISFYDATE TYPE STATUS T CONTACT REMARKS 2018 EROSION CONTROL INSTALLATION INFORMATIONAL S Scott Williams asures 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 6/20/2016 1 1 1 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All rwwff must remain on-site during construction. 3 6/20/2018 ROLL OFF CONTAINER INFORMATIONAL PUBUCWORKS Scott Williams N Roll ust be sal,Realco Recycling,Shapell's,Inc.,Republic Services,Donovan Dumpstersl. Container aced on City r" 4 6/20/2018 RIGHT O F WAY RESTORATIO N INFORMATIONAL PUBLIC WORKS Scott Williams Notes: Full right-of-way restoration,including sod,Is - 5 6/20/2018 RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes Ntrunuff muKAPHAD. - . . ..,('aMotrals•lot elevation. Printed:Thursday,12 July,2018 1 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 D t v d- o z i Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@mab.us Date routed: (�2 t City web-site: hitp1tonew.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I 69z- C Department review required Yes No Building Applicant: 0 03 NDI.�_, mm�9 &Zoning /� Tree Administrator Project: P_P'V C=" — c os Public I I iI'E—e3�— Public Safety Fire Services Review fee $ Dept Signature A Other Agency Review or Permit Required Review or Receipt Date Florida Dept.of Environmental Protekion of Permit Verified B Ronda Dept.of Transportation St.Johns River Water Management District Anny Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS, Reviewing Department First Review: ❑Approved. IQDenied. ❑Not applicable (Circle one.) Comments: BUILDING Mux C��(�ej,�/gV w�� cjG -A PLANNING &ZONING Reviewed by: '40 -_ /0- Date: v-11 I S TREE ADMIN. Second Review: A roved as revised. ❑Denied. pp ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: 111� Az_ Date: 7-t o-a FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 CITY OF ATLANTIC BEACH JUL — 3 2018 goo Seminole Road Atlantic Beach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date -3 14 Revision to Issued Permit_ Corrections to Comments_ Permit# Project Address /f i l 4GA," LN Contractor/Contact Name Loww!2 Ll /,Al&iyty Phone a--C� / ys/� Emailj� Description of Proposed Revision //CCorrections: Permit 'Fee Due$ Tp mil Additional Increase in Building Value$ Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed name) 7 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: Building planning & umnL_ Reviewed By Tree Administrator Public Works '7— / G_ I OG Public Utilities / Public Safety Date Fire Services 1 CITY OF ATLANTIC BEACH ` - (OWNER/ BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING'REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST ' SUPERVISE TIDE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR - TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOURUSE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOURCONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND(OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES, IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES, OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5828)IF IN DOUBT. V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. A49Rp�ER 5 PHONE NI LP�C0VYA.)6TVAJ PRI NAME SIGNANRE l C� /yam[ pp1E Selma—In.LtlayP ,L an.coumyN Duval,Sfale UFlon4e.nas pelwrellyePa enn Ey hInnWfl III WInn.mtl nllalelameMeenaaetlawianearcwe nde none. Nda�c el Lege,SWe of C nq.�CL-( en wa ❑Pmaue Ia.amN.00n- TONI GIMLESPERGER MYCOMMISSIONBFFg24g81 EXPIRES:OdWbe NVi01l NaPq Slgnalule: "Ii. P°ntlNTAry Noary PUEkU t Ja1.OG/Owm-auNmMWri�nEVI6En:V16'lAl9 in,yT et REVOCABLE ENCROACHMENT AGREEMENT \ REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation org zed and existing der the laws of the State of Florida,hereinafter referred tow"CITY"and t A,, of Atlantic Beady Florida,hereinafter refersed to as` SER". 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 asi ti Any facility maintained, repaired, erected, and/or installedin the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days'notice by C TY to USER, d notice tc USER shall be given by certified mail, return receipt requested,to the following address c'j'1-- �77oKy� �2,ti{� • 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 malting 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 assumeeedd by the USER. 13Z) 4[( RV A-) Property Owdder/Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL I The foregoing instrument was acknowledged this ��day of 20%s by CO✓IrIJ6:4-D It/ ,who personally appeared before me and tied name of Signer) ackno god that he/she s' etlthe i rent voluntarily for the purpose expressed in it. Signature of Notary Mblic,Stale of Florida tj Department Approval: Personalty Known1-1� -- Pmduced Identification(Type) std "S--IIY( rn4wll Nr'F 414951 x` C�u'43 Octobers X18 cvmmm �F Wdwmhes Scott Williams,Public Works Director/ Kayle Moore,Public Utilities Director HAMaster Forms\Rublk-UBlkWe WmU Forms\Re ble Enanadimemt Agreement 2.5.18.dote R.won Date:2/5/18 RIGHT-OF-WAY/EASEMENT PERMIT Permit#Issued by the City of Atlantic Beach PERMIT-FEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address Ifnj 4dy1-?LN Phone !AIY -7a ZY /,tpYt7 Permittee Email /2; oI/ C&fC401' t Requesting Permission to Construct - Location(Reference to Cross-Street) • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial and underground and the=am,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 roost City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Project Superintendent) with Company Name Phone • 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,w well as a copy of a recent survey shall be made a part of tlds pemdt. 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 pern ittee most 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 i telyu �mpletion. ^ r � Date ermittee(signed in presence of Elafty Public) STATE OF FLORIDA,COUNTY OF DUVAL I �, ZO f 'O The foregoing instrument acknowledged this day of 1 C) by uov t/\ who personally appeared before me and Ithat me ofPemdU ackn ledgeshe i dthe i ent voluntarily for the purpose expressed in it. Personally Known Signature of Notary Public,State of Florida Produced Identification(Type) .' ..S'iPEaGEa Y�TGNIGINGIESPEGGEa r`:i a51UViFF 92<951 4 p^>'': '.xPIHEa:P.tcbera,2G1s M1EXPIRE S:al FF HI4951 '$ '`'"' • EXPIflES:mctobera x118 's,;r,;, - aomcerm�wunvuee uweM.ners S>.,r�h, mndW7hm* neuekum MAP SHOWING SURVEY ' OF LOT 2, SELVA MARINA UNIT NO. 12-B, AS RECORDED IN PLAT BOOK 36, PAGE 76 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Arrv�T so 4 ��, yicKGzF'y L.aNE G � � �Ga'PRi ejE/$baO ASY/dAT> f�nYavve.•�''� Oe.•ro ¢'av p1 Yk %" N 7-+• N eA t� Z ss• ZA a / [ Z STORY FRAME kh All. /892 N � ° ``g- i J\ "\Zo, Z'4.7' - N o 0 <a s' ` \Q 1� � l Pk 4' �pQ.7B /T/<GG//5 PRoP6FtT✓GR9.�'/F<mo 20,./<'3;w✓/<✓ Hare: AG T ARGAS BY F m0 Mda REV/$EO A.wK 16,/993 ,.��At/,./� eK' /Jj✓E'a 7b OOjETo CovfMUNiJY GANEt Nn ,ino7g N�/C. ?EGNEGKEO 9EPTEM6ER Z.O. /9B3 Tn 3Mah/ F/NAG SURVEY 7.✓<5 K< c>No 5✓•�EY �fL��O� Y�a�6>)b REQ` IC7A'N/G/N 6Y P A7- qy,s, n �`�pita3T . f Alr.ss e'c G..r lT se�v c5 XFIMTY Connect RE_Driveway Extension- 1892 Hickory Lane-Larry Covington Prin... Page 1 of 2 Scott Williams <swilliams@coab.us> 4/11/201812:46 PIA RE: Driveway Extension - 1892 Hickory Lane - Larry Covington LARRY COVINGTON <larrycov@comcast.net> Larry, I have your package with the City of Atlantic Beach stickers sitting on my desk.. As far as your driveway is concerned. It can be widened out to be 20 Maximum in the Right of way. You wiirn€Ldto turn in a survey marking what you plan todo to the building department.They will �. send it out to all the departments. Your driveway will need to be widened on the west side because you are already into the radius on the East side. I hope that this helps. Scott Williams Public Works Director City of Atlantic Beach Office: (904) 247-5834 swillismsLibcoab.us From: LARRY COVINGTON [mailto:larrvcov@comcast.netI Sent:Wednesday,April 11,201812:19 PM To:Williams,Scott<swilliamsCalcoah.us>; LARRY COVINGTON<larrvcov@comcast.net> Subject:Driveway Extension-1892 Hickory Lane- Larry Covington HI Scott, we discussed my driveway when you were here last. I plan to widen the driveway sometime in early May 2018 and I want to be sure I follow City requirements, permits, etc. PIs advise what action I should take. Also, please remember that I provided all sizes of your decal/label City Seals in the past, have all the art files and can print for you as needed. Thank You, Larry Covington PROFORMANCE PRINTING and Promotional Products https://connect.xfinity.com/appsuite/r-7.8.4-12.20180405.050405/Print.htnil?print_15234... 4/112018 Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 1247-5826 Fax:(904)247-5845 Q Job Address: [7 f i' CN+Q/ /t'�M Permit Number: �WIPIiL�i f 16—— Utz i Legal Description _RE# Valuation of Work(Replacement Cost)$lay'00 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New(Additio Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structures)(Circle one): Commercial Residenti • Ran existing structure,is afire 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: 1Fx h i i l� D k l✓e v*J {2aoLC / /N u/6 Florida Product Approval If for multiple products use product appro Property Owner Infor piation �a / 7 1/' ` Name: COV/Al e-1 Address: ��/�'��i'4 City 7X A ch State F'L, Zip 322-311 Phone O Z E-Mail LZR4eocoti A/PT Owner or Agent(If Agent, or Agency Letter Required) Contractor Information Name of Company: isT'Tb C(. ;F ti Qualifying Agent: Address fea dt y9,Jd,1'-:ld City z}i1— State z Zip 3q,V33 Office Phone 2?,— —)-"lae Job Site/Contact Number 3'/—f.00 State Certification/Registration# E-Mail Architect Name&Phone# Engineers Name&Phone# Workers Compensation Exampt/Insurer/Lease Employees/Expiation 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 REORDING Y0 7NOTICE OF C MMENCEMENT. all (Signature of w r or Agent) (Signature of Contractor) Rndu In ntactor) S ned and sworn to(or a )bef e t day of Signed and sworn to(or affirm before me this_day of .?QL8b G-I' ' b s, gra (Signature of Notary) ..., I..,n1i.E5 R NY.^,i4PS:9$IONe FF ersona11'Known OR F: :i�FS;O„ Az OPersonallyK nOR .-,l4~ Nber N19 I Produced Identi#tori a,-_ rt++raernubkuaa.,ra [ )Produced Identification Type of Identification: " Type of Identification: CITY OF ATLANTIC BEACH f ! I JUL 3 2018 �, 800 Seminole Road I, Atlantic Beach,Florida 32233 �� ECEFI4! E JUL 0 6 20188 REVISION REQUEST/CORRECTIONS TO PLAN ijVIEW COMM_�_4TSn Date -344 /Revision to Issued Permit Corrections to Comments Permit# DWM I S• 0021 Project Address_ / ,1 f 2 �-�r:/ ZA.1 Contractor/Contact Name L7.a Y,t4 � /�,t/fi�'bIV Phone p ��yl Email �22rza,mot / 'dYr�t2J/. ✓-r Description of Proposed Revision/Corrections: Permit gFee sDue$ �J'L1dS't.t, t tlT'��lz rL�L6Ks '� oil Additional Increase in Building Value$ Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed name) 7 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: Building Planning &Zoning eviewed y Tr istrator Public W r Public Utilities Public Safety —�-Date Fire Services City of Atlantic Beach APPLICATION NUMBER Building Department (9. , T (To be assigned by the Building Department.) 800 Seminole Road T 7p�7 O Atlantic Beach, Florida 32233-5445 .t,`,1 ' ) W - d Z Phone(904)247-5826 Fax(904) 4]-5lrryty 8 ,, ]) O x nit b7 E-mail: building-dept@mab.us t LW Date routed: tl7 t City web-site: http://www.coab.us BY. APPLICATION (REVIEW AND TRACKING FORM Property Address: I V /Z + l C Department review required Yes No /�� Building Applicant: L J (.l�(�C--2 nning &Zoning /� Tree A minis ra or Project: PP'V ELS — c o s Public nes - Public Safety Fire Services R Other Agency Review or Permit Required Review or Receipt Date of Permit VerHied B 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 � r PLANNING&ZONING Reviewed b Date: 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 MIW2017 J� CITY OF ATLANTIC BEACH n Department of Public Works 1200 Sandpiper Lane Atlantic Beach, FL 32233 (904)247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 6/20/18 Applicant: Larry Covington Permit It: DWAY18-0021 Email: larrvcov@comcast.net Review Status: DENIED Contractor: Kettell, Inc. Site Address: 1892 Hickory Lane Email: Not Provided 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: APPROVED • Maximum driveway width within the City right-of-way is 20'. PUBLIC WORKS CONDITIONS OF APPROVAL: (The fallowing 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. • All runoff must remain on-site. Cannot raise lot elevation. • Maximum driveway width within the City right-of-way is 20'. Scott Williams, Public Works Director swilliams@coab.us/904-247-5834 Page 1 of 2 0:\Public WorkS\ADMIN\PIAN REVIEW COMMENTS\DWAYI8-0021(0wner-Cmington).docx Resubmittal Notes: All revisions and changes shall clearly standout 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. Page 2 of 2 0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\DWAY18-0021(0wner-Coving[on).docx MAP SHOWING SURVEY ' OF LOT 2, SELVA MARINA UNIT NO. 12-B, AS RECORDED IPJ PLAT BOOK 36, PAGE 76 OF THE CURRENT PUBLIC RECORDS OF' DUVAL COUNTY, FLORIDA. O T� p� _ �Ga'TRi✓ajZ,7 a08Y PcnT) _Q� • 9hJ y9 � .��`rcr N v -A. 6A.4AZA o ki 4 n ' V' r p�a �j• O p� 2 $TORY FRAME Na. /1690 - I p f :�\ fbacN 2 e lk Im �( p ge `rJ�b oh d j-!;_! ?w I (l.gni/a✓� �'%dQ9MP�4 vim] I 1 T✓/S 1"O. FA 7;'uES=,o mcr c�-'%3:rva//c✓ /✓a TC� /c, .SFT,rBL'n/ TSE/�Y/aR eNO S� yFaR REc.✓Ec.(cc M</ /G. 17 T� <wif[ee0 A4GA5,BY LLmP MdP RE✓/$EO <RPK/41989 3R/e/GJ �a✓.'�.✓E/✓PJ�OCTE N 2,20 P.ONEL nM /2W]$ KO/C. RECNECKEO SEPTEMBER 2B. /9B9 To 5/p FINA4 SURVEY 7r",5 /5 a csNe 5✓R E✓ ,eccN�KEO rF Y ]]e � 7L/icGYr.� RESJRiC7JON c/NE BY A'4T Baw st Y VARIANCE APPLICATION FORINTERNAL OFFICEVSEONLY City of Atlantic Beach FILE# a Community Development Department 800Seminole Road Atlantic Beach,FL32233 (P)904-247-5800 APPLICANT IINFOOR�MAT N/��, / [T� 7- NAME t7G✓ ',,//' ,„l�"(-/1,( �yl v , EMAIL ( jCO✓�`'•'��/" �� ADDRESS jyjti FIC�.f7' 4f L.v CIT � � Y g STATt' ZIPCODE3??- PROPERTY LOCATION �L .�/Vc1(04VNZ UNIT /a-PHONE# y'-K YVELL# b397OS-2-- REN BLOCK# LOT# LOT/PARCEL SIZE ZONING CODE UTILITY PROVIDER COMPREHENSIVE PLAN FUTURE LAND USE DESIGNATION PROVISION FROM WHICH VARIANCE IS REQUESTED Homeowners Association or Architectural Review Committee approval required for the proposed construction ❑ YES ❑ NO (if yes,this must be submitted with any application for a Building Permit) Statement of facts and site plan related to requested Variance,which demonstrates compliance with Section 24-64 of the Zoning, Subdivision and Land Development Regulations,a copy of which is attached to this application. Statement and site plan t dearly describe and depict the Variance that's recruested. PROVIDE ALL OF THE FOLLOWING INFORMATION (all information must be provided before an application is scheduled for any public hearing): 1.Proof of ownership:deed or certificate by lawyer or abstract or title company that verifies record owner as above 2.If the applicant is not the owner provide a letter of authorization from the owners)for applicant to represent the owner(s)for all purposes related to this application 3.Survey and legal description of property for which Variance is sought 4.Required number of copies:four(4)copies,except where odaingiolans photooraphs or documents that are notl er Than 11 xI 7 inches" 'submitted,please provideeight(a)gg of any such docu mens 5.Application fee of$250.00 ORM PROVIDED ISCORRRRECT:-Sig/nature of Property Owner(s)or Authorized Agent 1 HEREBY CERTIFY�AT ALL INF /j / -.1- SIGNATURE SIGNAT EOF APPILCAW PHIN I OR TYPE NAME DATE SIGNATURE OF APPLICANT(2) CC11 PRI(NTTOR��T�sYP,,EE,N��AtME 77,�s5,, ((++�� DATE Signed and swom before me on this wdayof�i.��(�by State of Countyof Identification verified: Oath Sworn: ❑ Yes ❑ No TOn GINGIESPE6GER MY COMMISSION•FF 824951 Notary Signature EXPIRES:Ocrober 6,2019 19VARIANCEAPPLICA710NO3.012018 .i'9 m"'G4''"'PiNc11n°""n° YCommis5ion expires ADDITIONAL COMMENTS: Cc//�soee'v? /' �e� 1.Pu `7 Am ��- DEKF r WWI 'ill - lood� 19VARIANCEAPPLICA7ION 03.012018 Building Permit Application Updated 12/8/17 City of Atlantic Beach 80D Seminole Road,Atlantic Beach,FL 32233 P[�o/n]er19�0'4)247-5826 Fax:(904)247-5845 �Vv�' ( ��_ C�� Job Address: �/ /, / „-v '�` Permit Number: Legal Description RE# Valuation of Work(Replacement Cost)$loo Heated/Cooled SF Non-Heated/Cooled • Class of Work(Cicle one): New Additio Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): CommercialResident! • If an existing structure,is a fire sprinkler system installed?(Circle one : Yes No N/A • Submit aTree 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:�x ND DKI✓ew*V �� / ✓/(� FrW,44 Florida Product Approval# for multiple products use product appro �'� Property Owner Infor ation ! G� � � `/v / Name: L&'2d. COVIOU6�fi ■ rens: o ' City -J7C- (_vState� zip_3i� Phone O Z E-Maly/.o✓Q CVv Cf ST A✓Fr Owner or Agent'llf Agent,Power of Attorney or Agency Letter Required) Contractor Information W „C Name of Company: li<;*4 Qualifying Agent: N• Address 11P1, u. fid City 4-Ti_ State Zip w13 Office Phone37�— -)'vL(P Job Site/Contact Number �77�oc8 State Certification/Registration It E-Mail Architect Name&Phone If Engineers Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/Expiration Dace 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 RE ORDING YO WNOTICE OF COMMENCEMENT. (Signature of w ror Agent) (Signature of Contractor) (indu In ntractor) ' Skne^d_an^d sworn ttoo,(ora r )bef a 's day of Signed and sworn to(or affirm d)before me this_day of (Signature of Notary) g iBna spy ersonally Known OR T�45>fs F o ypyapa"1419 I11'ersonallyK nOR ]Produced Idennfcatl _._: .: t'urquryvue4Wm.run [ I Produced Idenfifcation Type of Identification: Type of Identification: MAP SHOWING SURVEY ' OF LOT 2, SELVA MARINA UNIT NO. 12-8, AS RECORDED IN PLAT BOOK 36, PAGE 76 Of THE CURRENT PUBLIC R ECORDS OFDUVAL COUNTY, FLORIDA. 3 ` �, ..Q �`O fes. m•�...-FI �Qo' �s6%r- t/ � / a • n°t y1C�l wn A \ r. 41 ze e APPROVED GA4 AGE � gy •—+c 22SS♦! y3 a / [ Z STORY FRAME _ C r %� P4 K !D� 1 i 6R/GK n � o l• -- ' RES/OENGE b 4. v 611 0 °° MI. 1892 aq s �� ems• ro 2 a I'h a \ �,�.�, JaG• u ro � u, W I�x 1•s ^ 4 . �,e oa 104. . 0 1Z ,arm I• 3q•/ F �� 3EGJA MAPT. lG 9.i/G✓BI 9t. I� /T✓/5 PRoPERT+'uES.w P<pGo ZONE":4:.+'✓/<✓ �« cK<o MP/ K. /9B37-1 FGap�w4e�T,MY�Y MCP�RE SSEOK�.H89s 3R/NF/ 4✓'2✓E/✓P7b OCY- Gprvf�ne/M'ry Roe i..h /El�o�9 doh/c. RECNfCKEO 3EPrEMEER ZB, /9Ef To ;qpW F/NAC SURVEY T✓/5 rea c<.05 �'� uN BY Fear "P urroadrE. M'+ /JJCGYnr •fE�`7RK7lLl^/ N eoJ.Wp S n Building Permit Application Updated 1]/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Reach,FL 32233 / yq f L,A gone:(90012x]-5826 Fax:(904)267-5865 U 7 I ^ 00 Job Address:_! U _! /11•�L F69�h //Vr.�ThL/yC Permit Number: 11 J2 Legal Description REa Valuation of Work(Replacement Cost)$hay,Do Heated/Cooled SF Now Heated/Coded Class of Work(Circle one): New Additio Alteration Repair Move Demo Pool Window/Door w' ng/proposed structure(s)(Circle one): Commercial Residend ^t ■ fisting structure,is afire 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 P ascribe in detailrm the type of work to be perfoed:f- pe- Np ,IL D �)✓2 -*v yL y 14) Florida Product Approval a for multiple products use product appr " Penwell Owner Info ation ` 1 Name:�.. ham' ' COVIFJ Al Address: �AtM1of'7 city A-129+-tTX ACh State�ZiP a- '3 Phone l L�"V42 Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information !G LC _ Name of Company: .{/— Qualifying Agent: Address le( is d, a-r-4d City k7LL State r Zip LU Office Phone-3:)1 j210 Job Site/Contact Number 3-n-{Oo State Certification/Registration it E-mail Architect Name&Phone N Engineer's Name&Phone d Workers Compensation Exempt/Insurer/Leave Fmpbyees/Expkallon pate 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 lurisdicti on.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,of federal agencies. OWNER'S AFFIDAVIT:1 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 RE ORDING YO WNOTICE OF C MMENCEMENT. (Signature of or Agent) (Signature of Contractor) (incl in m moor) 5kneed_annd swum two(or of I bet a 's dayof Signed and sworn to(or affirm tl)before me this_day of �.Ll C314U b CLI' It y(.• ana13 (Signature of Notary) KOflIv ;L arFF R lY Known OR 'f /r ! :Ocrabxe,fOJg I (Personally dldentifioni -,uxcbr Puekaawriurs I l Produced Identification Type d Identification: _ Type of Idend&atiun: