322 MAGNOLIA ST - DRIVEWAY f''yu`l r�fi
d ;41.!
sA CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
J� v ATLANTIC BEACH, FL 32233
.1"40;319 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: DWAY18-0029
Description: DRIVEWAY&WALKWAY
Estimated Value: 15151
Issue Date: 10/1/2018
Expiration Date: 3/30/2019
PROPERTY ADDRESS:
Address: 322 MAGNOLIA ST
RE Number: 170445 0510
PROPERTY OWNER:
Name: CHALOT JENNIFER A
Address: 322 MAGNOLIA ST
ATLANTIC BEACH, FL 32233-4028
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: INTRACOASTAL BUILDERS CORPORATION
Address: 1020 THEODORE AVENUE
JACKSONVILLE BEACH, FL 32250
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 Page 1 of 2
Enter Permit Number DWAY18-0029 View Report
44 1 1 of 1 ' pd 0 100% v Find I Next A e ,I.:. l
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j Permit Conditions
'11, z, City of Atlantic Beach
\`It
Permit Number:DWAY18-0029 Description:DRIVEWAY&WALKWAY
Applied:9/12/2018 Approved:9/18/2018 Site Address:322 MAGNOLIA ST
Issued:10/1/2018 Finaled: City,State Zip Code:Atlantic Beach,Fl 32233
Status:ISSUED Applicant:<NONE>
Parent Permit: Owner:CHALOT JENNIFER A
Parent Project: Contractor:<NONE>
Details:
LIST OF CONDITIONS
SEQ REQUIRED SATISFY
NO ADDED DATE : DATE DATE TYPE : STATUS
DEPARTMENT: CONTACT: REMARKS :
1 9/17/2018 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(904-247-
5814)to request an Erosion and Sediment Control Inspection prior to start of construction.
2 9/17/2018 ON SITE RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site during construction.
3 9/17/2018 ROLL OFF CONTAINER INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers). Container cannot be placed on City right-of-way.
4 9/17/2018 RIGHT OF WAY RESTORATION INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
Full right-of-way restoration,including sod,is required.
5 9/17/2018 RUNOFF INFORMATIONAL
PUBLIC WORKS Scott Williams
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
http://atlanticbeach.trakit.net/trakit/DocumentV iewer.aspx?&report=/Documents/PERMIT... 10/1/2018
r�a.vr.4, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r '� 800 Seminole Road ffl� j ' n I q
-0 Atlantic Beach, Florida 32233-5445 W�{ `���z I
Phone(904)247-5826 • Fax(904)247-5845j
a;t19. E-mail: building-dept@coab.us Date routed: ( z _
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3Z.'z I\A (\G,ISL_( A Department review required Yes No
Building
Applicant: i K-7-r."ZA�'.O As`c-A-L _I`)0 i Loc., ring &Zoning
t� ee Administrator
Project: C--) iZ I, It ftiblic Woorrkss
Public Uti itil• es
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: ., Dater-1 v l Op
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
KSyvi-.0, City of Atlantic Beach BeacheCem. APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
Sf,
�1 800 Seminole Road StpIr" r , � L
Atlantic Beach, Florida 32233-544 14 2018 �� W V��Z
Phone (904)247-5826 • Fax(904)i7-5845 • 7
j;t19� E-mail: building-dept@coab.us � '''a Date routed: ( Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 32_22 I\,& faG ice( A Department review required Yes No
Building
Applicant: L.)--c C.U As 0(0,cL !` 1 Loei nimg &Zoning
Tree Administrator
Project: tv-e--Qu Y' W04u30 3Pu6fic Works
( Public Unties
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 . • /,/,' _ Date: f�/7-13
TREE ADMIN. Second Review: ❑Approved as revised. Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: _ Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application Updated 12/8/17
fil,
City of Atlantic Beach
,,,,-..,,--/ 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 322 Magnolia St. Atlantic Beach , FL 32233 Permit Number: l w AL( t-ooz9
Legal Description 16-2S-29E SEC 2 SALTAIR LOT 292 RE# 170445 0510
Valuation of Work(Replacement Cost)$ 15,151.20 Heated/Cooled SF Non-Heated/Cooled 560 SF
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercialsidentia1)
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No /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: Removal and replacement of damaged driveway sections, and
installation of a new concrete walkway
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Jennifer Chalot Address: 322 Magnolia St.
City Atlantic Beach State FL Zip 32233 Phone 904-563-6117
E-Mail chalotj@gmail.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Intracoastal Builders Corporation Qualifying Agent: Matthew Reimer
Address 8833 Perimeter Park Blvd # 302 City Jacksonville State FL Zip 32216
Office Phone 904-509-1345 Job Site/Contact Number 904-509-1196
State Certification/Registration# CGC062894 E-mail ibcreimer@gmail.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Acline Consulting - TGW900072900 - Expiration Date: 1/1/2019
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
r1--Afire,, TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY
Cityof Atlantic Beach
PERMIT# Dw 1 t'0021r ;`\
', I- Community Development Department
800 Seminole Road Atlantic Beach,FL 32233
"'05119‘,-
_____„)
;3»' (P)904-247-5800
SITE INFORMATION
ADDRESS 322 Magnolia St. Atlantic Beach,FL 32233
SUBDIVISION 16-2S-29E SEC 2 SALTAIR LOT 292 BLOCK LOT 292
RE# 170445 0510 0 RESIDENTIAL 0 COMMERCIAL ❑ OTHER
APPLICANT INFORMATION
NAME Intracoastal Builders Corporation PHONE# 904-509-1196
ADDRESS 8833 Perimeter Park Blvd#302 CELL# 904-509-1196
CITY Jacksonville STATE FL ZIP CODE 32216
EMAIL ibcdonny@gmail.com ❑ OWNER ❑x LEGAL AUTHORIZED AGENT
I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", of
the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre-
application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated
trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described
property and/or adjacent properties including right-of-way.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent
I / Jennifer Chalot 09/18/2018
SIR : ;' , ; T PRINT OR TYPE NAME DATE
7 Matthew Reimer 09/18/2018
SIG ATURE OF APPLICANT(2) PRINT OR TYPE NAME DATE
Signed and sworn before me on this Ia day of 5ep ,- , 20 Ig by State of la crel-4 t,.
CM1+er (0wow) /NMer./ leeheic.r(L•4/Nae j County oftbV4I
Identification verified: Pi—
/
Oath Sworn: ( Yes fl No oaYryt JUSTIN P VONHAGEN --_- _
T` . MY COMMISSION#GG184802 OF
...�A/ _ ,./La Le
nC� EXPIRES:FEB 11,2022 f ary Signature
Bonded through 1st State Insurance
My Commission expires ii k Hp 2 ate.
04 TREE AND VEGETATION AFFIDAVIT 03.01.2018
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
County of Duval
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 16-2S-29E SEC 2 SALTAIR LOT 292
Address of property being improved: 322 Magnolia St. Atlantic Beach, FL 32233
General description of improvements: Driveway and Sidewalk Modifications
Owner: Jennifer Chalot Address: 322 Magnolia St. Atlantic Beach, FL 32233
Owner's interest in site of the improvement: Owned
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Intracoastal Builders Corporation
Address:_8833 Perimeter Park Blvd#302 Jacksonville,FL 32216 _
Telephone No.: 904-509-1196 Fax No: 904-513-9204 _
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:1 1% [1 _
Before me this day of .Sc 1/AtL. i✓ in the County o Duval,State
Doc#2018215026,OR BK 18523 Page 1368 Of Florida,has personally appeared M s...
Number Pages: 1 Notary Public at Large,State o orid �Cou� of D v 1.
Recorded 09/11/2018 03:55 PM, v My commission expires: O j .. Nay. ncc-1... _
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Personally Known: f ? - or
COUNTY Produced Identification: JUSTIN P VONHAGEN
RECORDING $10.00 o "o�
MY COMMISSION#GG184802
EXPIRES:FEB 11,2022
°F" Bonded through 1st State Insurance
_.---
L.,_._AP SHOWING SURVE F
LOT . 292 BLOCK , SALTAIC. SEC? Ioty f40. Z
AS RECORDED IN PLAT BOOK IQ , PAGE IS OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNT', FLORIDA
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NOTES:
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2. Flood ._:,n; r as best asce.r-..ainec :rctn Flood : urance
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THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS
SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT
MdIV I. : ' . Ban TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 21 HH-6
FLORIDA ADIW*4ISTRATION CODE.
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2866 MANGROVE AVE. FLORIDA REGISTERED SURVEYOR NO 4470
JACKSONVILLE, FLORIDA Marvin R.. Banks
(904) 641-2520 SIGNED JULIE .Z3 s 19 9 z-
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THIS SURVE1 14OT VALID UNLESS THIS PRINT IS EIAOSSED WITH THE SEAL OF THE ASOOYE SIGNED