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635 SELVA LAKES CIR RESO18-0043 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL OTHER- SINGLE OR TWO FAMILY RESIDENTIAL OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES018-0043 Description: Replace Pavers on Drive, Porch 8 Sidewalk Estimated Value: 5800 Issue Date: 8/28/2018 Expiration Date: 2/24/2019 PROPERTY ADDRESS: Address: 835 SELVA LAKES CIR RE Number: 172027 5580 PROPERTY OWNER: Name: LEIGHTON JAY H Address: 211 SEVENTEENTH ST ST AUGUSTINE, FL 32084 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CITYSTONE, INC Address: 9339 CRAVEN ROAD JACKSONVILLE, FL 32257 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. A#F" City of Atlantic Beach g + 91z4 APPLICATION NUMBER Building Department AA r ' (To be aas�signed by thepBuilding Department.) 800emnole Road = JUN 2 9 2018 'U �—S "6 to Atlantic Beach, Florida 3223355444455yy Phone(904)247-5826- Fax(804)'1 ..b845 'SDIi1D> E-mail: building-dept@coabms Date routed: O City web-site: http://www.coab.us APPLICATION REVIEWAND TRACKING FORM Property Address: (v357 &(LA- LakeS Department review required d Yes No Applicant: C IPlanning&Zonin 7� Oils rator Project: I' A1/f S W04 P6rCA �+ tilides J I v6 WALK Public Safety _ Fire Services Review fee $_. Dept.Signature .: . ... Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco ONer APPLICATION STATUS Reviewing Department First Review: ❑Approved. Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: , Date: U!0_7 TREE ADMIN. Second Review: pproved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b ate: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 06119/t017 AML Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-58822�6Fax:(904)247-5845 (� C q /��, /? Job Address: 635 SELf/# 4,#K� e4R /9�t&�u-Permit Number:V-�S�18� 0073 Legal Description r5Co RE# Valuation of Work(Replacement Cost)$ $f .q©O Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial 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: �l.R'� CDNc/QET� ,c�R j'RU�S Div 1[�et//A FjY.oNJ' PoRut' S/ Florida Product Approval# for multiple products use product proval form Property Owner Information ,d Name: LEl r®/✓ Address: 635 SAZ/1A G//KES UR city G /3G State C . Zip 52ITS Phone � O TSi �7�5� E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information ,,//�),t Name of Company: r ON-f qualifying Agent: Wn` AWAI&rbAf �jW� Address City aAJr State ��'"zip 7 Office Phone —D Job Site/Contact Number Oy 7J P401V7,r 05ZG State Certification/Registration# E-Mail Architect Name&Phone# (P. GI - $ NP/. rom Engineers Name&Phone# Workers Compensation 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 maybe additional restrictions applicable to this property that maybe found in the public records of this county,and there maybe 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 /JTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 4�etr (Signatu of Owner or Agemm Sign fContractor) (includin ont ctor] igned and swan to(or affr d) fare methi yof ned and swo nto(ora rm )befo is ay of. GO b t b j.-eg, TONI GINDLBSPEnG tq MYWLIMI66CN9FF924951 (Signature of Notary) Signa No EKPIRES:Ocmber 6,e019 a.+,.'o• Ir19N _( Rr^^m yl Personally Known OR T0NI61NIXf5PERGEEll Produced Identification ��cc //11 ��jj ��''CC-- ]Produced identification ✓ MYCOMMIfi610NtlfF9 Type of Identification: LZ-36 t 7-9-ISSOz ype of Identification: f •,,M�t<` attrbOThrvl'M CITY OF ATLANTIC BEACH y Department of Public Works 1200 Sandpiper Lane Atlantic Beach, FL 32233 f (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 7/2/18 Applicant: City Stone, Inc. Permit#: RESOIS-0043 Email: office@city-stone.com Review Status: DENIED Property Owner: Jay Leighton Site Address: 635 Selva Lakes Circle 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: • Documentation shows impervious areas are over the 50%allowed by City code. APPROVED PUBLIC WORKS CONDITIONS OF APPROVAL: B17,4*01V .rg/ y_ /�Yaf� (The following comments will be printed on your permit as Conditions of Approval 0 • 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 Sedim 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 0:\Public WorkS\ADMIN\PIAN REVIEW COMMENTS\RES038-0043(City Stone).docx J h Resubmittal Notes: All revisions and changes shall clearly standout from the rest of the drawing on the sheet as a revision byway 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 PIANS SUBMITTED FOR REVIEW. Page 2 of 2 0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\RES018-00431CRy Stonel.doa ivo 33 . 40' 3 40 _ PIPE r w1 � G ') ' .y c4: RAME Z ORAG 5IG�UGE 11J 3 v Q 4' �e +. 6 i E OSUAE M W h O % f v / n 1 ICELn yg62 00 c C C ,l ' � V f 635 5EL✓A L/}KCS G12 0 REVOCABLE ENCROACHMENT AGREEMENT 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 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. I This work is generally described as_ (03 . �..j<S Se�v(� _-8 — PQV-er br( (, i 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 C TY to USE said notice to USER11 shall be given by certified mail, return receipt requested,to the following address -6 3 b �1 V A._Lg K 0! • 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 more 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 terns of this permit and that all of said liabilities are h�erebyy/asscurneR edd by the USE </�1/ . L�L/� Date zqo v—/ Pr wn Age (signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL 71 / The foregoing instrument was acknowledged this c—LJ day of A e .201 by (1,I L e-(G I `la n ,who personally appeared before me and (paned f SigneW ac o ledged t h signed t e instrument voluntarily for the purpose expressed in it. Signature of Notary Public,State Q F] da Department Approval: Personally Known " Produced ldentification(Type) Scott i rams,Pu Iro Works Director/ ,+ towalna>:as5nc5R Ka le Moore, Public Utilities Director "sFFe24951 Kay le Works [�6'f�vp'�y'ble �r �bee� it d. 16.do[x Revision Date:2/5/ra TE^�;,y�„„moi sr„me rnn�w:m a�o�k u�a.�,nmrs RIGHT-OF-WAY/EASEMENT PERMITt! , Permit#Issued by the City of Atlantic Beach F E50 1 Op—06 T.3 PERMI ME RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address &� P_(V(4 l.-n,bC.2$ Phone < q S Pcrmittev, _/ 0,� k'1o, Email Requesting Permission to Construct ©U 1—coo{C. Com 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 accurate locations are shown on the sketches. • Whenever necessary for the construction,repair,improvement,maintenance,safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works,any or all said poles,wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of/4tlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of l/ )t_cIh(� �5.7(-�!� 'Q (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,as well as a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with this application. • The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,title and interest in the land to be entered upon and used by the holder,and the holder will,at all times, assume all risk of and indemnify,defend and save harmless the City of Atlantic Beach from and against any and all loss,damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again i ediateelly upon completion. yy Jtr.4ft,•'u- Date PennittfsioKed in W&cncof Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL 7 Q The fo egoing instrument was ackpnow ged this Z J day of 20 by f c tl. ,who personally appeared before me and print am Permittee) acknowl that she go the rout cut voluntarily for the purpose expressed in it. Personally Known Signature o Notaryu ' ,Stale of Florida Produced Identification(Type) ma SINSFEHGEa MYCOMMISSIQ4XFf 924951 E%PRES:October a,2019 amamriwwlzlNm um ;.. ECEIVE AUG 01 2018 CITY OF ATLANTIC BEACH 0 b BY. 800 Seminole Road Atlantic Beach,Florida 32233 �, REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date /&/ —( Revision to Issued Pennit� s_Corrections to CommentPermit# E5 0p .0013 ProjectAddress 635 f—>EzvA9 «KES C19 Contractor/Contact Name G I VySTDA)E/ 1A)C. 6UC-ZG/NGrt 0.1 9r Phone"075-'9-0117F? C4.4— EmailifF/wry—,$IDN&" . co A4 Description of Proposed Revision/Corrections: Permit Fee Due$ REPcACE Coovc2Eff DRI Jc-WAY 3)VrkJA4X- Fol ?WA701Bu:_ ?AJlk-2s fj)J SOLI g FH1-/ -7L Hr TION t3o/LOc-a Additional Increase in Building Value$ Additional S.F. By signing below,I affirm the Revision is inclusive of the proposed changes. (printed name) 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 eviev*RBy " Tree Administrator Public Works 4�/ /e Public Utilities Public Safety Did Fire Services � � � � / �� k a krY � Y- Wi i �� � 5 h �� T �. � 4E +�Syy� „ r i ./ i.f) � � �� .� i � ,= i� ___ __ F-::. _ � - i �� .�_ _- _ . � . . 4..-. _ _ t i �.,i -- . - - i ... � -i 1-� Y � t ! ', ,, � 4; i � � -;., � T i cs�`r City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road �.es p._00 s Atlantic Beach,Florida 32233-5445 IC., Q Phone(904)2475826 Fax(904)247-5845 p E-mail: building-dept@mab.us Dale routed: 16 City web-site: http:// w .mab.us APPLICATION REVIEW � /AND TRACKING FORM Property Address: 13 L& LOS Department review required Yes No Applicant: Cij!4 AJ — Planning &Zonin d ims otor Project: 7�Aye�$ - 1 Forc c+ tilibes J I pC I.Ja-LK Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation Bt.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. A,,,--P---,,P///LICATION STATUS Reviewing Department First Review: IQApproved. ❑Denied. ❑Not applicable (Circle one.) Comments: (1 BUILDING �/��/ p PLANNING&ZONING Reviewed by: Az / Date: `� 2e 10 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 0 58 91201 7 OLDE TOWNE s ,, ppt .a AUTUMN BLEND CAPPUCCINO GLACIER OLD CHICAGO SAND DUNE �h SIERPA �tvnvr, City of Atlantic Beach �+ � ,,,:`.,� F APPLICATION NUMBER j Building Department assigned by the Building Department.) ,, 800 Seminole Road JUN 2 9 2018 " (L�"S U l8 w Atlantic Beach, Florida 32233-5445 {) - Phone(904)247-5828- Fax(904)24745 1,paJp? E-mail: building-dept@coab.us �-- routed: O Cityweb-site: hftp:1Awnv.coab.us APPLICATION��TIO ( /REVIEWAar AND TRACKING FORM Property Address: 6,35 c�G(Jsf� t o keS De tment review re uired Yes No outle" Applicant: C(Tu c�A� Planninrrgg&Zonin / nistrator Project: PA1/e S — jA.64 POrch c+ i�� b' tilities SI C) LK Public Safety _ Fire Services Review fee $ Z f Dep ,Signaturip Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida DepL 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. []Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: �( �Date: Z r8 TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied. ❑Not applicable PU 9WOVORKS Comments: PU LIC SAF TY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/1912017