1664 N LINKSIDE CT DWAY18-0039 DWAY PERMIT DRIVEWAY PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH DWAY18-0039
800 SEMINOLE ROAD ISSUED: 12/18/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 6/16/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ► BUILDING
CODE, • OF BEACH CODEOF ORDINANCES .
ALL • • OF PERMIT APPLY,
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.
• : •N: VALUE OF • '
1664 N LINKSIDE CT DRIVEWAY SINGLE OR TWO PAVER DRIVEWAY $5000.00
FAMILY DRIVEWAY
TYPE OF
ZONING: : • •
• • GROUP:
172374 6240 SELVA LINKSIDE UNIT 02
COMPANY: ADDRESS:
• ADDRESS:
TOOLE S ANDREW 1664 N LINKSIDE CT ATLANTIC BEACH FL 32233-7313
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 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.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
Issued Date: 12/18/2018 1 of 2
'�r,,, DRIVEWAY PERMIT PERMIT NUMBER
DWAY18-0039
f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 12/18/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 6/16/2019
3 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,
Phillips Containers,1Dog/Dennis Junk Removal). Container cannot be placed on City right-of-way.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
(Full right-of-way restoration,including sod,is required.
5 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
- , tis a7 t.z#
Maximum driveway width within the City right-of-way is 20 feet.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
TOTAL: $25.00.
Issued Date: 12/18/2018 2 of 2
�ty14, . City of Atlantic Beach APPLICATION NUMBER
r Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826• Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � V to 4 LiN l{s (1)(0. 'j" nt review required Yes No
Applicant: u � - &Zoning
Tree A minis ra or
Project:
ublic 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: /ZApproved. []Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING l
PLANNING &ZONING Reviewed by: 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 05/19/2017
71%11J'J City of Atlantic Beach APPLICATION NUMBER
s r 1 Building Department ` (To be assigned by the Building Department.)
' 800 Seminole Road C �/
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826• Fax(904) 247-584 DEC 10 2018
-
r"'119' E-mail: building-dept@coab.us fff Date routed:
City web-site: http://www.coab.us ICY;
APPLICATION REVIEW AND TRACKING FORM
Property Address: I l'6 4 LIN l{s (nc:,,.. nt review required Yes No
Applicant: < &Zoning
Tree A minis ra or
Project: ublic Works
ublic Utiities
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:
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 10/9/18
' City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
yr Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: L�(1��(� Q 1�� � f�Permit Number: 1, )�AlJ
Legal Description L_0
Valuation of Work(Replacement Cost)$ OXY Heated/Cooled SF Non-Heated/Cooled
• Class of Work: �1New ❑Addition Iteration ❑Re []Pool ❑
p air ❑Move ❑Demo Pool Window/Door
-- --
• Use of existing/proposed structure(s): QCornmercial 0esidential
• If an existing structure,is a fire sprinkler system installed?: QYes MNo
• Will trees be removed in association with proposed ro'ect? es must submit separate Tree Removal Permit No
Describe in detail the type of work to be performed: TQVtr\b OLYIQXI"ILACL)atJ QAP913C ilzs (+
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name l7-� rY �1 TOCP Address �o L(�
City AtA Q1 C State R, Zip __3 ZZ 3�3_Phone
E-Mail ,
cnooi
Owner or Agent(If Agent, Power of Xttorney or Agency Letter Required) n/a
Contractor Information
Name of Company r C Qualifying Agent , --
Address PD City�� ('� U1 _ State Zip _ j
Office Phone �oZ Job Site Contact N mber
State Certification/Registration# — -- E-Mail [t�yi eef�A
Architect Name&Phone# N
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempt 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 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
R DING OU OTICE OF OMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed)before me this day of
by
(Sig 31 (Signature of Notary)
CO' MM1SS10
MY mbar b,2022
EXPIRES:Se9� Undetvn►�ers
[ ]
tgjwonally Known OR _� [ ]Personally Known OR
[ roduced Identification• Produced Identification
Tvoe of Identification: Type of Identification:
Owner Builder Affidavit **HIGHLIALL HIGHLIGHTED
IN HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
1
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES
OWNER/ BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED-CGNTRACT0RS. YOUFRAVEMP-L ED
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 THE 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 YOUR USE 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 YOUR CONTRACTOR. 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. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US ) 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.
Job Address: r1V—e- 't =f �� _Cly71 _�'22
Owner Name:r 0h__�rn TC)C11— Phone Number:
Mailing Address: A UL .City: ( State: _Zip:�D 2 z
Notarized Signature of Owner ( —
of e rego�ng ip�3trument was acknowledged before me this � day of �Q_ 20�, in the State of Florida, County
Signature of Notary Public
[ ] Personally Known OR [4 oduced Identification
SJP JAMIE D.SMITH
�(� �--- MY COMMISSION#GG 255331
t-_WiKt:0;WIMP—
Type of Identification: •.:
•��r,E,di pp Bof1 Thru Notary Nbk U(1d01WfK0t5
pdated 10/24/18
REVOCABLE ENCROACHMENT AGREEMENT
City of Atlantic Beach "ALL INFORMATION
`! 800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED GRAY
IS REQUIRED.
t.\NylfJ�I
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existin under t e laws doff'`tth State of Florida, hereinafter referred to as "CITY" and
]Q c aC 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.
This work is generally described as _ , pIC�G(.1(� ���/ r�! W. // � •/ ( ;r` 0�c �
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 USER,said notice t US R sh II be giv n by ce �ified,/ ail turn
receipt requested,to the following address ill1� L�rSG _ U'/
• 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 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
bilities ar hereby as med-by the USER. '
--- Date lJ��/ `(
Property wner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of )r--Cle-fW 20 V
by -be6 OM k t (30(e-- who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
*�^! JAMIED.SMITH Department Approval:
kPe
of Notary PublJState � 'rfSIRS:SS �52�1
ally Known BWWMThruNOWYPubActhidwmbm
ed Identification (Type) Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
MAP SHOWING BOUNDARY SURVEY OF
LOT 128, SELVA LINKSIDE UNIT 2, AS RECORDED IN PLAT BOOK 47,
PAGES 85, 85-A & 85-8, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
S. ANDREW TOOLE & DEBORAH TOOLE
PONTE VEDRA TITLE, LLC
CHICAGO TITLE INSURANCE COMPANY
LINKSIDE COURT NORTH
(50'RIGHT OF WAY)
N 89'26'00" E
01 01 41.34' (PLAT)
oF` Q N 89'18'14" E
lATryp1`d, 1GO PT 41.46' (MEASURED)
AND DISK
It. 2� FO
7.5',IEA
W EASEMENT
------------ �w�--
?' 14.2' ° W O a
7.0'
e n d`r
�M-
o
O pT N 89.26'00" E
P.C. �I N DO 11.00' (PLAT)
AND°`S" W) S 8930'02" E
288, COVERED JJ 10.98' (MEASURED)
7.4' ENTRY
TS �6
4.2'
L
O I LOT 129
O
—; 3�W C i ONE STORY
-c O W FRAME o O
O� o a Q I POSTED y 1664 `W W^
U& o-J0 I 6)N o
LLI QR 0m0v I o. �W�a
In Z UD N A/C N Co
Z I PAD O v OR
z 0i
_ NON N
37.3'
I CUA/D to
'oo PAD
i �PAE OED
I I 2ao'
I LOT 128
I o' S 89'26'00"
I 78.06' (MEASURED)
I S 89'26'00' W
78.00' (PLAT)
LOT 127
LEGEND:
0 -SET 1/2'= PC - POINT OF CURVATURE
STAMPED 46
0.
aFOUND 1/2'IRON PIPE PT - POINT OF TANGENCY
NO IDENTIFICATION PRC - POINT OF REVERSE
(UNLESS OTHERWSE NOTED) CURVATURE
�-4'x4'CONCRETE MONUMENT PCC - POINT OF COMPOUND
A/C - AIR CONDITIONER OCURVATURE
—X— - FENCE - CONCRETE
Ray Thompson REVISIONS
SURVEYING, Inc. DATE DESCRIPTION
VEJ Going the DISTANCE for Yo
4613 Philips Highway,Suite 210 PONTE VEDR TITLE, L.L.C.
Jacksonville.Florida 32207
(Phone)904-44&5125
(Fax) 904.448-5178
JOB 23709 1 DATE OF FIELD SURVEY: 11-20-2013 SCALE: 1" = 20'
NOTES: CERTIFICATE T
1: BEARINGS ARE BASED ON THE AT BEARING Of--+$_�ZZ�S)Q_Y!'___ I HEREBY CERTIFY THAT TH ITTA94 NOER MY RESPONSIBLE CHARGE
ALONG THE SOUTHERLY BOUNDARY LINE OF SUBJECT PARCEL. AND MEETS THE MINIMUM AL STAND SET FORTH BY THE FLORIDA
2: BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS UE WITHIN FLOOD ZONE BOARD OF PROFESSI RVEYOR&ANB MAPP I CHAPTER 610317-6.FLORIDA
x" _AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP, ADMINISTRATIVE C ANT TO SECTION 47 OITIpA STATUTES.
DAZED: JUNE 3,2013.COMMUNITY NUMBER: 120077 PANEL 0408 H .
3: THIS SURVEY REFLECTS ALL EASEMENTS&RIGHT OF WAY AS PER RECORDED
PLAT&/OR TITLE COMMITMENT IF SUPPLIED.UNLESS OTHERWISE STATED.NO
OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. AYM®FRIE T190MP
4: THIS SURVEY IS NOT VAUD VATHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SUR ypID IJMP 6146 STATE OF FLORIDA
AND AUTHENTICATED ELECTRONIC SEAL LIC 7469
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS