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174 OCEANWALK DR S - SLAB & PORCH ADDITION PERMIT �s"'''�� ACCESSORY PERMIT PERMIT NUMBER '� CITY OF ATLANTIC BEACH ACC18-0059 \\1, ISSUED: 12/3/2018 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 EXPIRES: 6/1/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 174 S OCEANWALK DR ACCESSORY SINGLE OR TWO SLAB, PORCH ADDITION $18000.00 FAMILY ACCESSORY TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169463 0036 OCEANWALK UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: Bluewave Builders Inc. 822 AIA North Suite 310 Ponte Vedra FL 32082 OWNER: ADDRESS: CITY: STATE: ZIP: BROCKUNIER CRAIG K 174 OCEANWALK DR S ATLANTIC BEACH FL 32233-4678 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS DRIVEWAY APRON INFORMATIONAL Notes: All concrete driveway aprons must be 5 inches thick,4000 psi,with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. 2 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL 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. Issued Date: 12/3/2018 1 of 2 r 'S�'','r�" ACCESSORY PERMIT PERMIT NUMBER I JS ! {1 ` - CITY OF ATLANTIC BEACH ACC18-0059 ��- ` ") ISSUED: 12/3/2018 800 SEMINOLE ROAD -�J';»r ATLANTIC BEACH. FL 32233 EXPIRES: 6/1/2019 3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. I 4 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services, Donovan Dumpsters, I Phillips Containers). Container cannot be placed on City right-of-way. 5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $145.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $72.50 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.26 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.18 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00 TOTAL:$297.94 Issued Date: 12/3/2018 2 of 2 0.Aip; City of Atlantic Beach APPLICATION NUMBER rss \6 Building Department (To be assigned by the Building Department.) 800 Seminole Road s(', Q �j__ _ ,5_, . r Atlantic Beach, Florida 32233-5445 l- lJ I Phone(904)247-5826 • Fax(904)247-5845 �Jt3 qr E-mail: building-dept@coab.us Date routed: I L it it eD City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 ` 4 Dc z 0WpcueN 0(Z-D ent review required Yes No Applicant: I U)E 1 cV� L Ulf nnin &Zoning Tree Administrator Project: SLPZ A4X CL71ca� u lic Works is Utilities liblic 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: 1—BUILDING PLANNING &ZONING Reviewed by: Date: J I �- ( I O TREE ADMIN. Second Review: I 'Approved as revised. ❑Denied. Not applicable UBLIC 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 riL:v.i;.,�, City of Atlantic Beach APPLICATION NUMBER �S 4'' . Building Department (To be assigned by the Building Department.) 800 Seminole Road c). Q 1 e_ _ oo s 9 ,� Atlantic Beach, Florida 32233-5445 \. lJ Phone(904)247-5826 • Fax(904)247-5845 ---01119'r v J E-mail: building-dept@coab.us Date routed: I L ( I e City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM (--, Property Address: 1 `74 De.c„oviowpc,,ki, b;(DYe ent review required No uildin Applicant: �L-�, yi4v, f�171L-b, ` _ anning &Zoning j Tree Administrator Project: SLPZ I'c U L 7-I o lic Work> is Utilities2 —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: 7 I roved. Denied. ❑Not applicable (Circle one.) Comments: (UILDING PLANNING &ZONING Reviewed by: Date: ` /' a 0 c 18' in TREE ADMIN. Second Review: I /Approved as revised. ❑De ied. I INot applicable UBLIC WORK Comments: PUBLIC UTILITIE ) PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 SL:1.y� City of Atlantic Beach - APPLICATION NUMBER s /� \ Building Department 1 .' (To be assigned by the Building Department.) 800 Seminole Road �j�(j '�1T �j^ (/'�� x Atlantic Beach, Florida 32233-5445 ij *iv 4;$ ' CCI V� Vo`E Phone(904)247-5826 • Fax(904)247 ' 5 E-mail: building-dept@coab.us C Date routed: I L it E3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I "74 Ect)3pcu ORD- • • ent review required Yes No : • •'•• Applicant: EL-1)E-1,030/ ... B anning &Zoning j Tree Administrate Project: SLSZ AIOD Mbri O i' u lic Works is Utilities tiblic 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: V�Approved. Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b : Date: M TREE ADMIN. Second Review: ['Approved as revised. ['Denied. ❑Not applicable UBLIC WORKS Comments: PUBLIC UTILITIE ) PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 AL:1 - City of Atlantic Beach APPLICATION NUMBER vl A Building Department (To be assigned by the Building Department.) r 800 Seminole Road 1 r C)0[J " Atlantic Beach, Florida 32233-5445flECEIVE Q. ( E- O 9 fs, Phone(904)247-5826 • Fax(904)2 845 `..r n )%' E-mail: building-dept@coab.us NOV 2 6 2018 Date routed: l L I • i e City web-site: http://www.coab.us Ilid APPLICATION REVIEW—AND-TRACKING FORM C Dc_z_____k_,owNue, ent review re uired Yes No Property Address: � '74- �(� q iii_ r__ Applicant: (-L-!J i`Jvl_;(,v� e„,, [, _ anning &Zoning Tree Administrator Project: (..,PZ I ci Nt 71 0/0 �lic Works ` is Utilities) ublic 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: "dila BUILDING \ ' PLANNING &ZONING, Reviewed b : Date:ii Lig TREE ADMIN. Second Review: Approved as re ed. ❑Denied. Not applicable •UBLIC WORKS Comments: PUBLIC UTILITIE`) PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. (Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 -1' ',; Building Permit Application Updated 10/9/18 1 _,, ,, City of Atlantic Beach Building Department **ALL INFORMATION v 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY ,!-°st1v% Phone: (904)247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED. ' 1 Job Address: 174 Ocean Walk drive south Permit Number: ea I B- - P Legal Description plat book 42 lot 16 subdivision ocean walk RE# 169463-0036 Valuation of Work(Replacement Cost)$18.000.00 Heated/Cooled SF 0 Non-Heated/Cooled304 • Class of Work: ❑New IAddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): Commercial ®Residential • If an existing structure,is a fire sprinkler system installed?: 'Yes L✓JNo • Will tree(s) be removed in association with proposed proiec? "Yes(must submit separate Tree Removal Permit) ONO'. Describe in detail the type of work to be performed: Covered porch addition: Pour slab and footings, frame porch addition, screen, and add ceiling fan Florida Product Approval# for multiple products use product approval form Property Owner Information Name Craig Brockunier 4,7‘.()0NA^�Y (�/Ct {/t ddress 174 Ocean walk drive south City Atlantic Beach State FL Zip 32233 Phone (904) 382-8489 E-Mail craigchiarello@bellsouth.net Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) n/a Contractor Information Name of Company Bluewave Builders, Inc. Qualifying Agent Nadeem Zebouni Address822 A1A N suite#310 City Ponte Vedra State FL zip32082 Office Phone (904) 248-0395 Job Site Contact Number (904) 248-0395 State Certification/Registration# CGC009032 E-MaiIPZ@BLUEWAVEBUILDERS.COM Architect Name&Phone# DESIGNER NOLAN MYERS 904-505-5258 Engineer's Name&Phone# NADEEM ZEBOUNI PE16736 904-910-9889 Workers Compensation Insurer BUILDERS MUTUAL WCP 105640200 OR Exempt o Expiration Date 01/18/2020 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 regulating 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 RECORDING YOUR NOTICE O OMMENCEMENT. ' ` 11 . (/ (Signature of Owner or Agent) '(Sigrjature of C tractor) Si ned and sworn rn to(or amethis ( of Signed and sworn to(or affirmed) before me this I S day of o before day 0V , V(c�, y, ('ov bei, 2Ol6 ,b . , L ,- , . 4.*-,;,,.. «+ .: VI FF94lS°u ;.• Y ;• CHERYL AN BARBER '-'.�,��:o; EXPIRES:January 5,2020 F ;','''Y "','''• y o,nQ.' Bonded Thru Notary Public Underwriters (:**-4.:‘•1 s� .�r.; Notary Public State of Florida `�,,,,..,">, Commission I GG 128679 [' Personally Known OR ] ersonally Known OR •TBOfIr r My Comm.Expires Jul 26,2021 [ ]Produced Identification [ ]Produced Identification yO `` Booed through National Notary Assn. Type of Identification: Type of Identification: Iri'��fi„ TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY =' Jf City of Atlantic Beach PERMIT# s, Community Development Department _ii 800 Seminole Road Atlantic Beach,FL 32233 \,Rl>`" v (P)904-247-5800 SITE INFORMATION ADDRESS 174 Ocean walk drive south SUBDIVISION Ocean Walk BLOCK plat book 42-1 LOT 16 RE# 169463-0036 ❑X RESIDENTIAL ❑ COMMERCIAL ❑ OTHER APPLICANT INFORMATION NAME Craig Brockunier l' A A1c,...6.-> C-111 ) c Vtil p PHONE# 904-382-8489 ADDRESS 174 Ocean Walk drive south CELL# 904-382-8489 CITY Atlantic Beach STATE FL ZIP CODE 32233 EMAIL craigchiarello@bellsouth.net ❑X OWNER ❑ 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 ------ r � "4-1-1N I C b 1(A Fc ((c (l 1Slt (� SIGNATOR OF APPLICANT PRINT OR TYPE NAME DATE SIGNATURE OF APPLICANT(2) PRINT OR TYPE NAME DATE Signed and sworn before me on this day of , by State of County of Identification verified: Oath Sworn: ❑ Yes ❑ No /0 G1a' eil%.,1 N.tary Signature My Commi pees ROSEMARIEC.PERRY :. COMMISSION OF COMMISOF 9411798 4 ..�gi EXPIRES:January 5,2020 04 TREE AND VEGETATION AFFIDAVIT 03.01.2018 ' R;h... Bonded Thnt Notary Public Undemiten ele _ t MAP SHOWING SURVEY OF LOT /Co AS RECORDED IN PLAT BOOK 42 PAGES l'lr Cr',clv5 'e,) OF THE CURRENT PUBLIC RECORDS OF 75'(/1/4L COUNTY, FLORIDA. , CERTIFIED TO t iCe• 5 COk/T,eACToe. William A. and Minhthu N. Lynagh Sun Bank/North Florida, N.A. CO i keJ Title �Insurance Company of Minnesotagiiiniminag< OcC A 1 ' 1- ,A L chard T. Morehead, P.A. 0 /Z,ilJ6 SOUTH (5o .e/k.') *A MAIIIIIRMIIIMI d- 111111111111111111111 585. Co 5.37' Zao e /4 Z9 E. /J- 85'Z:59;6• iz• v� ii . Cp.84- 47 4` ,e•G4. (di. TIL"P31 >t'1. 11JJ,,__`` Q o` p: a balsams I i 'ft ,4 PA X ? f a 61 L ' c-tA Le • i:IOY I0 `J.c .e.esnnT. ,�,., L_oT O & /S N-, .11: *ow.5. ,..,,,,,,< •-r \f, L0T 5re.Ps J l s--A ., ® 2p r' 10• ' '5,9a. Z 'T • (�� ' J o -� A�Pdd�ul.KOP CF I /11§_ h Co aoo > 34.4 Uj _ I zo 6 wk-• 0 19 0 —I\P 5 •To' --? _,q '�-9. ; yTr eP 1.0 ti. ° — w �\ r1• TRe,vEesE 5• m C, • 1E o NLS \mT► ,/z”/p: C. o T?.s �s.5.s.) \• oI O5r ,,4' s% o��em o \ N -e,,05- U '`^8 ' ci �Se / =: 23Op.si'q \ 4,/ 4E r,•r •1<- '30 � N 3 '3o / ,tee - / 8 ht! a / 4 `TCC r / -a /� o / - �P g t/o�� -cz - , i/ �-- • �O E \, • L AQ. 3) ti,)-- in z� > . -q3, o , 1 / • I • P_ECkeCk 4o AuG.7,/99Z. To 5Now !kW P2ouEA.EA_I7".. . LEGEND DATE ASIA,/ 6,r99Z NOTES: I DENOIES CONCRETE MONUMENT SCALE /"_�O' x-x DENOTES FENCE JOB NO. t3T7c, o DENOTES IRON PIPE SET 1.Bearings are based on ZECO,e C, PLAT • DENOTES IRON PIPE FOUND 14.47c, K DENOTES CROSS CUT 2.This isa [3ou4/n4.eV survey 3. Elevations shown thus (15.0) refer to N.G.V.D. of 1929. Richard A. Miller & Associates, Inc. 4.Subject property lies within Zone 'CV"- "4 " as shown on F.I.A.Flood Hazard Boundary Professional Land Surveyors Map 000'r 0 . Community No. /ZOo711330-5 St.Johns Industrial Parkway North dated A PR. /7. 'e 89 Jacksonville,Florida 32216 • 5 Unless otherwise noted.any portion of the subject parcel that may be deemed as Wetlands (864)642-8337 by State or Governmental Agencies, has not been determined and any liability resultingI 1ERI.IIV CERTIFY THAT THE SIIRVI.V SHOWN HEREON MEETS THE MINIMUM therefrom is not the responsibility of the undersigned. Edit L STANDARDS SEI FORTH BY THE FLORIDA BOARD OF LAND 6.There may be Restrictions or Easements of Record evidenced by title examination that have SIJ RS.PU AN1 TOSECTION 411027.FLORIDA s1AIIJTES not been shown hereon. • ,- t/ � � . •* ,��Y 1. NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL I HARD A. MILLER. PLS. CERT NO. 3848 CHK. By F B 30o PG 1 , a