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360 GARDEN LN DRIVEWAY PERM DRIVEWAY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH DWAY19-0002 800 SEMINOLE ROAD ISSUED: 2/1/2019 i»" ATLANTIC BEACH. FL 32233 EXPIRES: 7/31/2019 MUST + LL INSPECTION ' • • 14) 247-5814 BY 4 PM FOR NEXT DAY ' • ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL i • OF PERMIT APPLY, PLEASE + 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: 360 GARDEN LN DRIVEWAY SINGLE OR TWO REMOVE CONCRETE DRIVE $6900.00 FAMILY DRIVEWAY AND REPLACE WITH PAVERS TYPE OF • • GROUP: 172020 5022 SELVA MARINA GARDEN COMPANY: ADDRESS: Terra Nova Pavers & 8685 Baymeadows RD E #229 JACKSONVILLE FL 32256 Hardscape Solutions • • ' ' OAKLEY THOMAS D JR 54 OCEANSIDE DR ATLANTIC BEACH FL 32233-5927 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. CONDITIONSLIST OF 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. Issued Date: 2/1/2019 1 of 2 DRIVEWAY PERMIT PERMIT NUMBER 's DWAY19-0002 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 2/1/2019 -` 3 9 ATLANTIC BEACH. FL 32233 EXPIRES: 7/31/2019 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. 3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 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, Phillips Containers,JDog/Dennis Junk Removal). 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. 6 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 7 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL Notes: Maximum driveway width within the City right-of-way is 20 feet. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 TOTAL:$25.00 Issued Date:2/1/2019 2 of 2 rsyLy; City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone c904>247-5826 - Fax c904>2 475845 JAN 18 2011 � �J 3 y:' E-mail: building-dept@coab.us Date routed. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ~ �V Department review required Yes No Building Applicant: —(Z� V A i� Planning &Zoning P Tree A ministrator Project: 1� V (�f ublic Works 17 PuT is i ities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof 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: APP ICATION STATUS Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING G PLANNING &ZONING r Reviewed by' ate: -- 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: i I Reviewed by: Date: Revised 05/19/2017 rS_v -Ly;yCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road Atlantic Beach, Florida 32233-5445 �b Phone(904)247-5826- Fax(904)247-5845 t E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ��~ l) [-A\, Department review required Yes No Building Applicant: ' (�� UV ' � � Planning &Zoning Tree Administrator Project: G:' V= (�f �- ublic Works Pu is ilities 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 0i 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 r PLANNING &ZONING Reviewed by: '/e Date: I 2 f 9 TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑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 sr, Building Permit Application Updated 10/9/18 :l City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY 2Phone: (904) 247-5826, Email: Building-Dept@coab.us IS REQUIRED. Job Address: c J � �/ V+`' Permit Number: b w A-\ [ � no Legal Description RE# 1 :77- 0Z.,0 "SCS �Z Valuation of Work(Replacement Cost)$ CSL Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑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 ❑No • Will trees be removed in association with proposedproject? Eyes must submit separate Tree Removal Permit El No Describe in detail the type of work to be performed: Florida Product Approval# for multiple products use product approval form Property Owner Information Name Kc- C�lS>5 - ��CtiLL.�r 7 Address City kct- d �Cr State Zip Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company� _Ni.�45 Qualifyin Agent _ Address (� -r 1� t_= City State L Zip Office Phone q ` C Job Site C tact Number 'tirl State Certification/Registration E-Mail mt?yt ,aw tlJ Q G CcA-A Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Insurer +,�7, 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 LEN R OR ATTORNE BEFORE RECOR Y 30lc E -COMMENCEMENT (SigJa or Agent) ntr or) 7 gned and sworn to efore me this `- ofgned and sworn to( of' bef re me this Z(riay of I 0. �c �, Y (OS TONT GINDLESPERGER atur o o TONT GINDLESF a of o MY COMMISSION If F MyCOMMIS a EXPIRES:October 6,2019 .•` EXPIRES:October 6,2019 OF NPC Bonded Thru Notary Public Unde!writers '�• `�,;;,,a. ✓� tary Public Underwrters wrt4)y I?A ,{]-Produced Identification [ sRred enti ication r / Type of Identification: Type of Identification: 4At ,L Z"7Z 3�-7 1 —65 (O-b ORDERED BY. The Law Offices of Rod Schloth 2187 S Third St Jacksonville Bch, FL 32250 904-372-9351 beach@rod-law.com PROPERTY ADDRESS. 360 GARDEN LANE ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER: FL1609.2508 FIELD WORK DATE:9/27/2016 REVISION DATE(S):(REV.1 9/27/2016)(REVD 9/23/2016) � 16092508 ZOTH 5TFEET BOUNDARYSURI/EY 1/2•FT DUVAL COUNTY NO ID Qo 30.0' COMMENCING AT THF NOKTHWE5T P O.C. __ CORNER OF LOTS cvO L B.R.(PER DEED) `� o 0 TABLE: I/2-FIP Cc, �.w LI 5 10°00'55'W 163.01'(P) NO ID 6 W.F.rryp.) L4 h! NO ID S 10°08'58'W 162.98'(M) P.O.B. L2 5 0°02'38'E 20.7 I'(D) 0.9'ON 5 0°02'38'E 20.71'(M) u�o a n 3es ,r!OT 9 L3 5 8°48053'W 20.41'(D) z°Fie , 5 8°43'15'W 20.3 P(M) m m a 2.4'`: N N N i,() r o • 5tt ID tQ a z R 1360 ON LINE r. T85 b6 ` 1 RT ')N!T T'JJ> F. i SIV, FG. 374 corp51 0#773 5 65° g \\1 �� 5.(APC)P) @ N'/C CC)rOk o q.2� 6a f � 51Kc `�9 Q1 r-J R=50.64'(P$M) 14.I'OFF- N Q W/C �d j ;': 7 L=35.00'(P)29.B l 7M) o f A =39°361/36(5)33*43151'(M) I Qt i 5 10°59'13'E. 34.316(51 5 7531528E, 29.38YM) I � V N!! I i I / 95 1 144 No 3932pi*. ao 0 20 ao l hereby certify tha B darySurvQt of the hereon described property has been made under MY dire�'e� and. R9 t t,dy kW-edge and belief,it is a true and accurate representation �V GRAPHIC SCALE (In Feet) of a survey tf melts the Stand)J of Practice set forth by the Flonda Board of Professional Surveyors&ilt?� �2�(�D:�9J 17 of the Florida Administrative Code. 1 inch = 40' ft. s REVOCABLE ENCROACHMENT AGREEMENT ::, REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation orga ized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and Ny�C, � aps � 'F�] 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 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 to USER shall be given by certified mail, return receipt requested,to the following address 360 GA✓Aym LAhPi • 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 liabilities are h a d by the ER. Date (� Property Own r/ ent(signed in se ce of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this day of n ,20 by V v a N JK I e ,who personally appeared before me and rinted name of igner) ackno dged th e/ signed the instrument voluntarily for the purpose expressed in it. a Signature of Notary Public, State of Floid Department Approval: Personally Known Produced Identification(Type) C, YAP��b TONI GINDLESPERGER Scott iams, Pu lic ors irector MY COMMISSION#FF 924951 .: *. I EXPIRES:October6^20�e 0:\Public I �.INW®abdbA& ment.docx Revision D RIGHT-OF-WAY /EASEMENT PERMIT Permit#Issued by the City of Atlantic Beach PERNUTTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address 360 (51,Afu�� uv� Phone �,a p►4) Permittee t \ wo6mme '—A Email Requesting Permission to Construct ?p�,I�� 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 o tlantic Beach or Florida Department of Transportation Standards and be performed under the supervision ofd +Ol (Project Superintendent) with Company Name 1, i �bS� {� 5 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 Directo5,oqublic Works shall be notified twenty-four(24)hours prior to starting work and again immedh ply u on c ion. Date Permittee(signed i es nce o No blic) STATE OF FLO A,COUNT )FVfJVAL � \ The foregoing instrument was acknowledged this day of �J�G ,20 by CV', C)a,-1"\' ( ,who personally appeared before me and (pr ted name of Permittee) ackno edged that he a sign the instrument voluntarily for the purpose expressed in it. Personally Known Sig of Notary Pdlic,Stat o orida Produced Identificarion(Type) TONI GINDLESPERGER e MY COMMISSION#FF 924951 'a EXPIRES:October 2019 Bonded Thru Notary Public UMerwriters