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645 ATLANTIC BLVD - PAVER PARKING LOT PERMIT � �S L.LJ j�Jr, r) 'A CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD \\‘„. ) ATLANTIC BEACH, FL 32233 r ;3 9' INSPECTION PHONE LINE 247-5814 COMMERCIAL - OTHER COMMERCIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: COMM17-0014 Description: PAVER PARKING LOT - REMOVE ASPHALT Estimated Value: 10800 Issue Date: 8/16/2018 Expiration Date: 2/12/2019 PROPERTY ADDRESS: Address: 645 ATLANTIC BLVD RE Number: 170662 0000 PROPERTY OWNER: Name: 645 ATLANTIC HOLDINGS LLC Address: 619 ATLANTIC BLVD ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: KETTELL INC. Address: 1860 MAYPORT RD 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 yr City of Atlantic Beach Permit Number: COMM17-0014 Description: PAVER PARKING LOT- REMOVE ASPHALT Applied:8/29/2017 Approved: 5/17/2018 Site Address:645 ATLANTIC BLVD Issued:8/16/2018 Finaled: City,State Zip Code:ATLANTIC BEACH,FL 32233 Status: ISSUED Applicant:<NONE> Parent Permit: Owner:645 ATLANTIC HOLDINGS LLC Parent Project: Contractor:<NONE> Details: BUTCHER SHOP LIST OF CONDITIONS SEQ NO ADDED DATE REQUIRED DATE SATISFY DATE TYPE STATUS DEPARTMENT CONTACT REMARKS 1 9/19/2017 UNDERGROUND WATER SEWER INFORMATIONAL UTILITIES PUBLIC UTILITIES 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 9/19/2017 METER BOX SEWER CLEAN OUT INFORMATIONAL PUBLIC UTILITIES Kayle Moore Notes: Ensure all meter boxes,sewer cleanouts and valve covers are set to grade and visible. 3 9/19/2017 RT1 SEWER CLEANOUT INFORMATIONAL PUBLIC UTILITIES 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 9/19/2017 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 9/19/2017 ON SITE RUNOFF INFORMATIONAL PUBLIC WORKS Scott Williams Notes: All runoff must remain on-site during construction. Printed:Thursday, 16 August,2018 1 of 2 • TwucT rs->>�1City of Atlantic Beach APPLICATION NUMBER �' / .: \ Building Department (To be assigned by the Building Department.) 1 x:... .• 800 Seminole Road r Atlantic Beach, Florida 32233-5445C-• .-v\, '7-(�J Cl \ w 1 -Phone(904)247-5826 - Fax(904)247-5845 �\ .r;rj;;1qr E-mail: building-dept@coab.us Date routed: C j / C 7 ((((f ) 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: CAS ATL-Pk) i l C S wjDepartment review required Yes No _ (i ildmg> Applicant: Ke l T C LL 1 r /mnning &tonin Tree ministrator Project: t--D1\V�,i.& PPR_K, ( _C T ---cri--61'-c- ..._ 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 1 ( St. Johns River Water Management District l Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. /Denied. i INot applicable (Circle one.) Comments: ` , l BUILDING f-L/fileY) S1yn (f/Lctff /'nc1SCCs 4�iy PLANNING &ZONING —/'S_( 7 Reviewed by' Date: TREE ADMIN. Second Review: []Approved as revised. ,RDenied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:BPI44. go,„/ 4 Date: 0/4/17 FIRE SERVICES Third Review: Approved as revised. ❑Denied. ❑Not applicable Comments: ileJt€. L / /rh Reviewed by: '4Date:ski, .--- Revised Revised 05/19/2017 C• / _ v 4 = ' i CITY OF ATLANTIC BEACH rpt. ' `� . • H 1' 800 Seminole Road ,:,.0#.4-,-- .,. .F1 'K OCT 1 3 2017 i !' Atlantic Beach,Florida 32233 lip. .7) REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date /0-/a-1 7 Revision to Issued Permit Corrections to Comments ✓ Permit#COP7)n l)-00)L Project Address G S A-r" ov-1-/c eLaj>,, ,4 /f1 30W3-3 Contractor/Contact Name I d-rr6-«- //� , c6;=1 o) Mo NA t✓,•D Phone SOL/- 31`?-- O 69 Email S!7"i0 -,61/APJ/91/e..6/774)2_,cop-) Description of Proposed Revision/Corrections: Permit Fee Due $ /P6SPo. 1c 7-1:;'£n?.oiz, E'Jeor7 5R..45- ler6145s- 6-r() HRS'IPJ .14-c_o-r-cs-11 rkorn-t- P401)AALO AA) uPOA+-r� -Th --Tv.G ftsa2,K U)G-pi,,c,„) ,9.- i j - 4 4 r.5W SUe t/sy ARE L5sMI S&e", ri m j.j,rf £"el.'t P7' •16-ri,kr,c5Af aa 54 Clic 4-7-4-06,,i-r-lJc Zug, Additional Increase in Building Value $ 4/ 4 Additional S.F. By signing below,I ��q,,V o�9,1l� //// affirm the Revision is inclusive of the proposed changes. - .anted name)N 'L' _ do-/Q -)-y Signature of Contractor/Agent(Contra tor must sign if increase in valuation) Date (Office Use Only) Approved Denied V Not Applicable to Department IJted5 +& res er j.t Revision/Plan Review Comments �' �/ - -nit____ ;� 'e ; '1-" a (4 d e G(ea , Department Review Required: iG% Build.- .� ------ Planni g Zoning Reviewed By -e •sministrator ' .c Work Public e i i les / --- Z(---- 17 Public Sa e Date Fire Services , r ZONING REVIEW COMMENTS y i 3 , City of Atlantic Beach H' �, Community Development Department V-) 800 Seminole Road Atlantic Beach,Florida 32233-5445 I 1 Date: 9/5/2017 , A J Permit: COMM 17-0014 Applicant: Sean Monahan Review: ZONING Address: 619 Atlantic Blvd Site Address: 645 ATLANTIC Phone: 904-318-0769 BLVD RE#: 170662 0000 Email: Smonahan1971@Gmail.com ) Correction Comments 1. Survey: Section 24-67(c) requires a certified survey. Please provide a certified survey. 2. Sign Location: Please identify the exact proposed location of the sign. 3. Landscaping: 3a). Section 24-177(d)(1) requires a landscape area of not less than ten (10) square feet for each linear foot of VUA street frontage, fifty (50) percent of which shall be at least a five-foot-wide strip abutting the street right-of-way except for driveways. The remaining required landscape area shall be located within twenty-five (25) feet of the street right-of-way. 3b). Section 24-177(d)(1) requires no less than one (1) tree, located within twenty-five (25) feet of ) the street right-of-way, for each twenty-five (25) linear feet, or fraction thereof, of VUA street frontage. The trees may be clustered, but shall be no more than fifty (50) feet apart. If an overhead power line abuts the street frontage, then the required trees reaching a mature height greater than twenty-five (25) feet shall be located at least fifteen (15) [feet] away from the power line. Informational Comments Preliminary comments subject to change upon review by Planning Director i Brian Broedell 1 Planner 0 it 1 0 I 1 f yLyrJ+ js` , CITY OF ATLANTIC BEACH 800 Seminole Road iiir) 7. :,,,...,:f Atlantic Beach,Florida 32233 Ptviti9k^ i N ?„`"_ , (.(,_,,,7' :!..z..__, d V 1-'7, I: REVISION REQUEST/CO4yCjNiSNT9AtiL VIEW COMMENTS 0,41t✓/ Date 1/a6-�J8 Revision to Issued Permit Corrections to Coat_ ents Permit# Loar ) -7-00 1 L-1 Project Address 64/5 Ar/A,vi-1c, IXD e,,6' Jae 32a 33 Contractor/Contact Name T , _,6,—.4,$) r----)06,0),,,,j Phone 7014-`31g-Q-769 Email ,Dr)cas/ 1-1AI\I11`2 r7Aiz.. ro.-r Description of Proposed Revision/Corrections: Permit Fee Due$ a PR/wi.jgy R6•PA.2 Ar 61fS ' /Pr L.Aerrfa 46-'4-1/r) C...gS-6.r•6'6 'pt.errsL) ttitY Jo 2 PLAolt? if606a c-d 4s•p,J &y- t,:// P624014:4 Q P�vsR. Additional Increase in Building Value $ Additional S.F. By signing below,I S--" re)n) M.00441/4/.1 affirm the Revision is inclusive of the proposed changes. (printed name) Si Lure of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments De artment Review Required: _Buildi -`P anning z.Zoning> Reviewed By Tree Administrator is Wor s�� i ies `17is a e 1/ Date Fire Services 4.LAW" City of Atlantic Beach APPLICATION NUMBER •Js Building Department (To be assigned by the Building Department.) ' 800 Seminole Road (\A n nn �;,x Atlantic Beach, Florida 32233-5445 0 , "l„ \ 0 0 Phone (904)247-5826 • Fax(904)247-5845 ) A"...01 y4 E-mail: building-dept@coab.us Date routed: C Z9 / ) 7 City web-site: http://www.coab.us fff APPLICATION REVIEW AND TRACKING FORM Property Address: GAS 1 j_ i \ (( 'L LU Department review required Yes No Buildin Applicant: K E t T E LL 1v r _ anning &Zoning, PP\ZKo•---Y Tree Administrator Project: {AUE(Z. -ublicWor , u•lic 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: N,!� pproved. ❑Denied. ❑Not applicable (Circle one.) Comments: K BUILDING PLANNING &ZONING Reviewed by: Date: [ b \ (t 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 „ ,.:,-T.,„7„.\\'' Building Permit Application 5 17 r ”' City of Atlantic Beach OFFICE COPY/ 5/17 Seminole Road, Atlantic Beach, FL 32233 -▪Lu,tt9%-. �/ Phone: (904) 247-5826 Fax: (904) 247-5845 ff Job Address: 6 gs-5—; '?i t B/va' Permit Number: CG►�V1lbl 1 30 Legal Description /n.2 W — 75 - ?ei , ill 769 o1_ , it k. RE# /7oolj Z -00,0 Valuation of Work(Replacement Cost)$ ZS, 30o Heated/Cooled SF ./V/,j Non- Heated/Coole " • Class of Work(Circle one): New Addition Alteration •e air Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one • -•mmerclal Residential • If an existing structure, is a fire sprinkler system i . • - 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: Pv,ivieveas0114u(---- 4 Rteli (n1 °i Prkilo J- Florida Product Approval# for multiple products u e oduct approval form Property Owner Information � Name: ��.,_ f�6.nd-hen Address: 6/ n City 4/47-r &� State F L Zip 3 22 3) Phone 90 y S 3 el q✓L E-Mail Lv‘o/?A,ilt,.. /4 7/ 0 6-f'i4 /• ...vs. Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: /444, r•--, L Qualifying Agent: Address f4 /' _ 7G, -* pv,e-4 City 40,,,...417(.. � .4sq._State FL Zip 32z1.) Office Phone fry 3 7L w 72-76 Job Site/Contact Number 71 mo State Certification/Registration# E-Mail r n4, � At fil ,..',7C_ • / m.."0 Architect Name& Phone# Engineer's Name& Phone# all Plyrll'PS gill 4,3 g7Ic Workers Compensation 6.,‘_ P.4_ 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 NOTIL, OF COMMENCEMENT. _....0-/ (Signature of Owner or Agent) (Sig - of Contractor) (including contractor) 1;Ned and sworn to (or af' -•) befe - m- this Say of '.ked and swore . or aff rme. áe this day of � b� rWI I .17 r• _Artlat� (Signature of Notary) 'w (Signature of Notary) Al Ci °h TONT GINDLESPERGE^n 'Ngo TONT GINDLESPERGER :'' MY COMMISSION*FF 924951 ; ,- MY COMMISSION if FF 924951 y;: EXPIRES:October 6,2019 I;: . EXPIRES:October 6,2019 ]Personally Known OR °•;gpF.... Bonded The NoaryPublic Underwrters [-7 rersonally Known OR :� F's''�' Bonded ThRINcaryPublic Underwriters [ ]Produced Identification • [ ]Produced Identificatio �� Type of Identification: Type of Identification: r800js` . CITY OF ATLANTIC BEACH r ''� Seminole Road V - z� Atlantic Beach,Florida 32233 ii J,31)f 3 � REVISION REQUEST/CORREC NN 6T9tL.AN REVIEW COMMENTS S"l1gr+1 r '-Az.. 11 e da/4'd Date`I a6-)? Revision to Issued Permit '/ Corrections to Comments Permit# C° -2"Co )1-1 Project Address 64S- Ar/ANI-,c, e 4/0 /1,4re � 33 Contractor/Contact Name ¢ . �.A&i /"-}oau> of Phone 70-13I -0-7 Email Sr-)co%►A-IAiJ/I`7 ir'?Ai4-. torr Description of Proposed Revision/Corrections: Permit Fee Due$ ,,5^0.ot✓ DR/V6t44 /€'Pi»2 Ar 6'--/c f91'1-,Aerf 4-vn [...g5-6s 6 l/ ?nA-rrE. {'oVG.ie 2 la-,na < rd4-4.a c 4 spA/.00-7 ivy P62cr'76,'A£ '611 17,44/66,_(' Additional Increase in Building Value $ / Additional S.F. By signing below,I S'E'A/\) �) 'W4#4'.ao✓ affirm the Revision is inclusive of the proposed changes. (printed name) Si tune of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved X Denied 15W Not Applicable to Department Revision/Plan Review Comments PrndinC J4 1- -/A e key%4°k, alita• I A pprw.e_ De artment Review Required: Buil ' � W-., annin & eviewed By Tree Administrator I i i les S --9- 2 do r •1• c a e Date Fire Services ,, ri�.:1.` , �� CITY OF ATLANTIC BEACH _, 800 Seminole Road 1. \Y .'S. OCT 1 3 2017 Atlantic Beach,Florida 32233 -,.-0111,..)- 1 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date /0-/a-1 7 Revision to Issued Permit Corrections to Comments " Permit#G°'7' .)-7-°())2-1 Project Address S ATS ov-r-/C e.-t/„ , Al / 7'' `T-3.° 3 Contractor/Contact Name r7-61-1-- A/c_ , S64 of Pio TVA,j,,4,J Phone 9Cy-- 3I?- U—P69 Email ST)oW 1/AaJ/9-71e__6/7,4i/ ,Gory) Description of Proposed Revision/Corrections: Permit Fee Due $ -547. O V REs-Po,Js�s -e-m.o.e- f Ro rn 1)6245-,c /s i16:f. 7( ) hi4s- ' ) 1.6-c_s-r-6C`ko"1-r 6 PGo 0 Ate/ 4'4/ GIP Ar6 To N_ -,,.e • .. J. 11uii 1 .4 ^151-) . R..3, 1R6 :../Ai .52i,err) ri-1- r h' 6745-, IV->' &-r-r-,1s6A./ 0a5 4 C-►'f C. >2-0„ri//'JC ZL%n, Additional Increase in Building Value $ 4//4 Additional S.F. By signing below,I J� e?A/ oo✓,q/j,4”///// affirm the Revision is inclusive of the proposed changes. printed name) 10°. . 40 -AN 10--/a -1 7 Signature of Contractor/Agent(Contretor must sign if increase in valuation) Date (Office Use Only) Approved L/ Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: Build . t Plann g : Zoning Reviewed By -- • •ministrator • .yc Wor r Public II I es 10 1 g, t ,, Public Sa e # Date Fire Services R.O.W.Permit Attachment of for R.O.W. Permit# issued ,20 Atlantic Beach,FL 32233 Owner's Name: a)a..ci Moc-waia. ) Property Address: 6 4/,S A// �(, g/vi Subdivision: 03/ & �jrL{�,�r �� R.E. #:1706!!!Z 0000 REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this f day of 4(4 us-1- , 2017 , by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY"and 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 of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). Npk This work is generally described as: / . .� .4 1.4 ITN Ze Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30)days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. 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 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." Page l of 2 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. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(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 public rights-of-way 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. DATED and SIGNED this c 'day of A/ibis , 20 By: ,� �,s Property Owner �"`�. (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this _ ay of RID& , 20 ` ersonall aPublic m d for said Cound State ...- �P y ppeared before me, a Notary '/I theproperty CAS la n`t'[�. , Atlantic Beach, rida, known to me th owner of n(s) des deed ed in and who executed the foregoing instrument; who acknowledged to me that hee oro she exe red the s. .ee and v,r luntarily and for the uses and purposes therein mentioned. OL— rA Notary Public in !1". ao40 and State w;w:� 1"UNI CiiNDLESPERGEn4 .414.1.,~ MY COMMISSION#FF 924951 i EXPIRES:October 6,2019 ni Bonded Thru Notary Public UnaenHrters CITY OF ATLANTIC BEACH,FLORIDA, a municipal corporation: Approved: - e� // _ "� Sco' ' i°lams - Interim Public Works Director File: 12/12/16 Page2of2 I ' OFFICE COPY ., •.' '' CITY OF ATLANTIC BEACH ! . A 1° I CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800—/ _I - s ¶®r _ r _ 1 ureiv•, Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT# Date g/// / 7 ISSUES BY THE CITY Job Address (�l (/3 / ��t &4 / E-mail _�I ' /Qn (,c ertme Permitee: 52/ki-1 , d /��/— t�' a 1I1 t 01f j/3 0 76r� Permitee Address: 6/ci 4" /V f r )7_733 Telephone# l(� Requesting Permission to Construct: '1r7/et hie &Pt L /24/4-- k, lei— r 7 Location: (Reference to Cross-Street) 4 )1 51,Y�( l� 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities I Municipalities: Jacksonville Electric Authority Yes Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas ( ) No ( ) Date: Comcast Yes( ) No( ) Date: Yes( ) No( ) Date: 2. 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 of 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 Permitee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision io of A (i /A{7 // (Contractor's Project Superintendent) located at MAft ac-ti Telephone#: f6/ 3"77 /GOS/ 4. All materials and equipment slfall1 e subject to inspection by the Director of Public Works or his designee. 5. 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. 6. 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. 7. This permittee shall commence actual construction in good faith with (0 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. S. 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 i f the aforesaid rights and privileges. .'i' he Director of Public Works shall be notified twenty-four(24) hours prior to starting work and again immediately I w N D pon completion. dLL N S O a '-�z oa' n a @ OWNER .., W v� 2,,oar !@ <� o g a Sign-.: __._. �%:. Date: N Y-� before me this W= of ' in the County of Duval, State Of Florida, has personally appeared day ..,,• :�;,;�I Notary Public at Large, State of Florida, County of Duval. My come e sir::omPS Personally Known: l Produced Identification: ! or. Revised 7/29/15 Doc#2017235926,OR BK 18152 Page 267, Number Pages: 1 Prepared by: Sean M. Monahan Recorded 10/13/201704:01 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Address: 619 Atlantic Blvd. COUNTY Atlantic Beach, FL 32233 RECORDING $10.00 Easement Appurtenant This document is to record a revocable easement appurtenant between 625 Atlantic Blvd. Atlantic Beach, FL 32233, 10-8 20-2S- 29E.114 SALTAIR SEC 1 Lots 760, 761, owned by 645 Atlantic Holdings LLC and 625 Atlantic Blvd. Atlantic Beach, FL 32233, 10-8 20-2S-29E SALTAIR SEC 1 Lots 762, 763, 764, owned by SMMJJM LLC to share parking between the two properties. 645 Atlantic Blvd. shall grant a permanent easement to 625 Atlantic Blvd. for the use of 5 feet of property along the eastern border of the property for purpose of extending the parking spaces to the length acceptable per city code and accessing the parking spaces that are shared between the two properties on the eastern border of 645 Atlantic Blvd. This easement grants access to the parking lot from and through the driveway on 645 Atlantic Boulevard and also designates those parking spaces for the use of 625 Atlantic Blvd. The easement also grants access to and through the 5 foot path along the eastern border of 645 Atlantic Blvd. to the tenants of 625 Atlantic Blvd. and 619 Atlantic Boulevard for the purpose of connecting the rear parking lot on 630 Sturdivant St. with the front parking lot of 645 Atlantic Blvd., 625 Atlantic Blvd., and 619 Atlantic Blvd. ...g:: io--13. )-7 645 Atlantic Holdings LLC, Managing Member Sean Monahan $1;;%/14'4e,,, JOHN NUGENT : ,1 Notary Public-State of Florida "sa, Ate; Commission#FF 242498 %4 -' id;.�° My Comm.Expires Jun 21,2019 ) I 41=441\ City of Atlantic Beach APPLICATION NUMBER r AT i Building Department ��.:. .,:. r , sib (To be assigned by the Building Department.) A - 800 Seminole Road !a-. ,x Atlantic Beach, Florida 32233-5445 ` C� l C Phone(904)247-5826 • Fax(90 �7-5845 I �/ r`,r `1 ?-00.o; )� E-mail: buildin de t coab.us g p@ Dal r City web-site: http://www.coab.us 4._.___ Quted: j /zc---)./, 7 APPLICATION REVIEW AND TRACKING FORM Property Address: Cl b P j(_ok, n E we Department review required Yes No _ - Buildi • Applicant: KE I -re LL 1 fanning &Zoning Tree-Admi a or Project: ( -AVC i& P,ZKi!--C; L_0 u Iic Works - .: is II i sties Public Sa ety _ Fire Services Review fee $ - Dept Signature ,` Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection 1 Florida Dept. of Transportation ( •% St. Johns River Water Management District {� l V\ 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 +�j GZ� � �/ Reviewed by: Dat : ( /7 TREE Al IN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable P :l2ents: 'UBIC UTILITIES PUBLI C SAFE Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. [Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 :.-i • .. h; ;; CITY OF ATLANTIC BEACH r i H 0 800 Seminole Road ;-,;;.m.06,-� � OCT 1 3 2017 I tlantic Beach,Florida 32233 1 OCT 162017 _ REVISION REQUEST /CORRECTIONS TO PLAN REVIEW COMMENTS Date /0-/a-i 7 Revision to Issued Permit Corrections to Comments ✓ Permit#God/ J7"00)/ Project Address Li S A1/2_,A arr,c iU C.-l/,;*,,, 44 /i Jaa 3 Contractor/Contact Name 6L[_ c_ , S-63q of ro ivA Alio A.) ... ________„/ Phone 9CL/ 317?- 0 69 Email 1/4SfOoW-,aA/AA)/9`7/(7+2,qJL ,Gores Description of Proposed Revision/Corrections: Permit Fee Due $ /P6sporJ c 7-17-6' iL ("ko ) _J)62.6 1165., 6,4) h'4- c#) .h6-L4-`r-6-1 "kop1-rfw6 Pevai)Ate/ -,QA) aP A-i AD dv, k • •. : -zL ; .4 ni5W - e�:- :R6 a.-i&c .524B/71 tr1S. . it Cls . i-r 137-7-1,,j6.6-Al Oa5 4 c ,-rlljc ��n, Additional Increase in Building Value $ /J//�4 Additional S.F. By signing below,I S4 Alt/ ooviViAN affirm the Revision is inclusive of the proposed changes. i rinted name) - �� 10-la -)-27 Signature of Contractor/Agent(Contr'ktor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department PP Revision/Plan Review Comments (,c 'i-ft i %-"/ /217A//F C-J Department Review Required: lid' .1111111b u/ Plan • : Zoning Reviewed By -- • •ministrator 'yc Wor . Public I •esu •--✓ /0/C77(7 Public Sa e T /D-/ 7—/ -7 ate Fire Services , 0.1.'-'"-ty,„ ‘c.)' 7,-,0*,,..„ APR 27 2018 LI CITY OF ATLANTIC BEACH r' A -• 800 Seminole Road 1" si Atlantic Beach,Florida 32233 1!! ,i -------"----- ' --I 11 ji i li REVISION REQUEST/ COIC'A'n:11SkS6T9iltL• I :'. VIEW COMMENTS , 1,1 - r. t, _ Date q-02e-)2? Revision to Issued Permit Corrections to Comments Permit# Opr73 fri ) -7—00 ) 2-4 Project Address Contractor/Contact Name T , --c:57-.4 t) / )ow At,n,el Phone 7014•-•*3 i?-0-769 Email - ' 4 .. Ae, -i _a Description of Proposed Revision/Corrections: Permit Fee Due$ M1061-JeW iets-PAlie 4,- Cd---/c. ..091-4.4 Arr.}e.- j. --4/i-) Pi...6.qs-6 r-6:6 w.D.crr.64 kt-01.itiz6-oe 122.-4Ats' /f-o'Pe.,21 c-,5• 4..rpi.hc -/- e‘yed-e44:46z-K 04/6-Rd. AdditiOnal Increase in Building Value $ Additional S.F. By signing below,I ge:4 kl 1 )G '../a.) affirm the Revision is inclusive of the proposed changes. (printedmust usntamsige Si ture of Contractor/Agent(Contractorif increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department V Revision/Plan Review Comments De artment Review Required: ,,---"Prann -->i Z . Reviewed By Tree Administrator c-PUBTIETA/ot -- Fire Services ot.Alr f, City of Atlantic Beach :3S Building Department ,-,, APPLICATION NUMBER .: a� (To be assigned by the Building Department.) 800 Seminole Road " � , �� Atlantic Beach, Florida 32233-5445 C �` l _ �1 ( <� �r�r Phone(904)247-5826 • Fax(904)247-5845 AUG 30 0 2017 ` A"..011 9% E-mail: building-dept@coab.us Date routed: ] / 9/) 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Cal b /. 7-Liv,, C t Q. SLuo Department review required Yes No (Build-in Applicant: �/ Tree Administrator Project: AVE-,RPPZKLN--Y LO •( c Works ublic Utili�ties�etf ublic Sa y Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: OApproved. ['Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING \'. !' Reviewed byje� 6a Date: f./f--/9 TREE ADMIN. Second Review: QApproved 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 _ _ __ „,,,,>, APR 2 7 2018 JS r . ` CITY OF ATLANTIC BEACH ;a.s J 800 Seminole Road ,�� a �� Atlantic Beach,Florida 32233 "!0;319/ LT::-5 (-- d / - 1 REVISION REQUEST/CORI CINN�6TI L• I VIEW COMMENTS Date 2/a6-) Revision to Issued Permit e Corrections to Con ents Permit# CC1 ' ) w 00 )Ll Project Address 6-L/S- Ari1,NI-,c, 4/4 /1,,f re ..-70-33 Contractor/Contact Name "lL , AN / 1c vi } ,,,/ Phone 70q-3 i$-0`769 Email r ) , , y - .,,L , Description of Proposed Revision/Corrections: Permit Fee Due$ PR/141V ReI PA.12 Ar 61S— 7'LA divr�t �j arr>� ��-vp_ L.�.q�-6.r�66 �i/�?p.a-r�s� �"aya.)o,1-c5az Y'LAAl.s' Additional Increase in Building Value $ Additional S.F. By signing below,I c'E'A►J ' /od✓✓AJ,Y.ai, / affirm the Revision is inclusive of the proposed changes. (printed name) Si tune of Contractor/Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved V Denied Not Applicable to Department Revision/Plan Review Comments De artment Review Required: Build__ ( .-` annPl in & Reviewe By By Tree Administrator C PG61ic Wor / 1 .0 (? l (`" .. �i _iiies `u'. is Safe y Date Fire Services r11�� ri ff _ C-; 'f k i ICS s^m� i - .s ti 4,fi , i 11 i; i j . — ,-'.'.r_.. �C Y OF ATLANTIC BEACH r ' • ;I I, rw ,s; 1 800 Seminole Road ' OCT1 3 2017 Atlantic Beach,Florida 32233 ir,. I OCTocrts2or� a , REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS Date /CO-/a-) 7 Revision to Issued Permit Corrections to Comments ✓ Permit#Cor'? )---)-0°)41 Project Address Li S AT4—1 ov-r,C e,,,,„ /9, I ,G.. 30 -3-3 Contractor/Contact Name /e67-7-6-z- -� /,0\/c , S-76;41o.) 0IVA 14,0 Phone 9Oy 318'-- .o 69 Email S/1-2011/-41,,A40/9-7/e6P24)z_,Gorr) Description of Proposed Revision/Corrections: Permit Fee Due $ /P6S'Pori c 7 t"£i11.oie- f'ie in b 26 l s(/G;r. S76,4) hoc -,) .1 c o-rts11 rkor9-i- ' A940k)AA -AA) ad/JA-ro- -TO -7-.4w Pda2 k Al)G-PLA r/ Ar- NE-4e- A .•9 n W SU.e✓oy 21R6,16-.4,v S2.eir rrrs2, L,irrAi 671s'6777eArt e -7-4,,56,,k) 0x.54 az/5- 4-7-2-1e,rric £Un, Additional Increase in Building Value $ 4//1 Additional S.F. By signing below,I S-676)A/ ,0069/Mil affirm the Revision is inclusive of the proposed changes. -"" 'fluted name) - 404111, Jo--/a -) 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: ' Build •11111b —__../:(ApiAre4"0„,... Plann g : Zoning eviewe -- . •ministrator 'yc Wor Public I es 7,- � 7 Public Sa e Date Fire Services