190 16TH ST REVISION Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
bc)Z--7
F-1 Revision to Issued Permit OR Corrections to Comments Date-?AZI
Project Address:
Contractor/Contact Name:'�_��-+f��L DJA L SO 1,i
I
Contact Phone: Email:'],?(2Ae_dr r_*ds Lv�ci
Description of Proposed Revision/Corrections:
I)V E _)aaEs;
L
i X ) I Aol(_ f,:X. l,;'7 i KL& HDO-1 IZA I\J V 's aJF VLAtj
VEZ In\A t�m CJA4_�o
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
V)All proposed revision/corrections add additional square footage to original submittal?
;11�0 El Yes(additional s.f.to be added:
-t Will proposed revision/corrections add additional increase in building value to original submittal?
//'K,o []*Yes (additional increase in building value: Contractor must siin if increase in valuation)
*Signature of Contractor/Agent--,
(Office Use Only)
/0--Approved Denied Not Applicable to Department Permit Fee Due
Revision/Plan Review Comments
Department Review Required:
sz_.__
i I d i n
Zo`;��
,.!���an n i��ng&-7
n i�ng Reviewed By
Tree Administrator
VU-6rJCWc;ir�-_—
P�G"' vvu "
c �M'_"iee s�
Date
Fire Services Updated 10/17118
"ALL INFORMATION
Revision Request/Correction to Comments HIGHLIGHTED IN
City of Atlantic Beach Buildin Department GRAY IS REQUIRED.
9
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@cclab.us PERMIT#:
bc)Z-7
Revision to Issued Permit OR Corrections to Comments Date-
Project Address: fl.n ttzro 57Lrr-E-T-
Contractor/Contact Name:'I-'��4f� c�)-A e'go't'i
Contact Phone:
Email:':?O,+e-,, r--A,(�
Description of Proposed Revision/Corrections:
IZA �N)
14) Orltt- f--4. 16J jMZ1 5JEZ 'G 9jE aAti
VIN,
6,
\gJ5,,4 N
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
\Yill proposed revision/corrections add additional square footage to original submittal?
;11�0 El Yes (additional s.f.to be added:
11 proposed revision/corrections add additional increase in building value to original submittal?
)K'o El*Yes (additional increase in building value. Contractor must slin if increase in valuation)
*Signature of Contractor/Agent-
(Office Use Only)
W-Approved El Denied 11 Not Applicable to Department Permit Fee Due$(5 0. 0
Revision/Plan Review Comments 12i CQ -T- 10 10 C012:�( kevl'5�04. �x
a�K V
-P /
Department Review Required:
�annii�ng&Zo�ning— U Reviewed By
Tree Administrator
ru-157OW—Orks—
P-u�ic vv i i�ies
Date
Fire Services Updated10117118
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
0 it 9' Phone: (904) 247-5826 Email: Build ing-Dept@coab.us PERMIT#:
bc)Z-7
Revision to Issued Permit OR Corrections to Comments Date:
Project Address: iq.n tt,114 —�)-TAeE-r
Contractor/Contact Name:'�)iE-+F=&-. COA L90-1,1
I
Contact Phone: Email:':�04e-,- (--d,q Crjaj gQn,) 014U.
Description of Proposed Revision/Corrections:
��l 6� i-Ex Is 7 1 t�& Ebo7Z "!=)Ee JF aAtj
4�1 V
A4:qtA� Lie %Lt,,,4N V1 n\A Ps�-n
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Will proposed revision/corrections add additional square footage to original submittal?
0 El Yes (additional s.f. to be added:
�(i proposed revision/corrections add additional increase in building value to original submittal?
0 El*'Yes (additional increase in build�ing valu --Ifvcontractor must siin if increase in valuation)
�e
*Signature of Contractor/Agent*
(Office Use Only)
VApproved El Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
r-ra—nning&Zoning 3 Reviewed By
Tree Administrator
ru-mric-W-0-r�—s -
vu'r
,�--�P-uic v i�mes�- (a
Date
Fire Services Updated 10117118
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: 2-151 Ici Application#: jR E51f 1,Y- 0
f I 1h
Project Address:
Check Box Check
APPLICATION TRACKING COMMENTS to Add Box to
Comment, Print
Underground Avoid damage to underground water and sewer utilities. Verify vertical and
Water Sewer horizontal location of utilities. Hand dig if necessary. If field coordination is
Utilities needed, call 247-5878.
Meter Boxes Ensure all meter boxes, sewer cleanouts and valve covers are set to grade
Sewer Cleanout and visible.
A sewer cleanout must be installed at the property line. Cleanout must be
RT1 Sewer covered with an RT1 concrete box with metal lid. Cleanout to be set to grade
Cleanout and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will
RPZ be provided or if there is a private well on the property. Backflow preventer
Backflow must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Plans note the building will be unsprinkled. If plans change, any fire line
Sensus installed must be metered with a Sensus touch-read meter in a properly sized
Touch-Read vault and an appropriate backflow preventer installed. Backflow preventer 0 0
Meter must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Fire Sprinkler If fire sprinkler system is provided, call 247-5878 for backflow requirements.
Backflow At a minimum,will require a double check backflow preventer. 11 13
Requirement
Fire Line Fire lines must be metered with a Sensus touch-read meter. Meters larger 0 11
Meter than 2" must be installed in a vault as noted in JEA specifications.
Utility Map See attached Utility Map. 13 13
Disconnect
&Cap Disconnect and cap water and sewer lines. 11 0
Inspection Must call the Inspection Line at 247-5814 to request an inspection of the
Prior disconnected and capped water and sewer lines prior to demolition. 0
0 0
0 0
0 13
0 0
Revision Request/Correction to Comments "ALL INFORMATION
V
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
C>OZ7
Revision to Issued Permit OR Corrections to Comments Date:W*IS
Project Address: I q,n t Le-114
. W -
Contractor/Contact NamefLE-E� CZ14 t�gcq Ni
Contact Phone: E m a i 1:
CZ CA(� . Corl 9,),&) ffla� C,,)A,
Description of Proposed Revision/Corrections:
0',&)CAZ--O;;7-' L)a 2F,
A��l F,-.X 1,S'7 i K�� EDO-1 �P CA P�) y fg�F GCIF: et4dJ
VUW-4 N
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
*,&ll proposed revision/corrections add additional square footage to original submittal?
/No 11 Yes (additional s.f.to be added:
4t \VII proposed revision/corrections add additional increase in building value to original submittal?
-, �A�c
0 El*Yes (additional increase in building value: -ontractor must siin if increase in valuation)
*Signature of ContraCtor/Appnt-
(Office Use Only)
[/Approved Ll Denied El Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments- 14AAk
A(k
7
Department Review Required:
E C E I V E
nning
-��a &zoning_.) IieviewedWy
Tree Administrator FEB 0 5 2019
ru VU I il-CWVV U6 1�Kk S—
IC 11
u ic i i lies
BY. Kate/
Fire Services Updated 10/17118
REVOCABLE ENCROACHMENT AGREEMENT
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal corporation
,M�izeand existig under the laws of the State of Florida,hereinafter referred to as"CITY"and
of Atlantic Beach, Florida, hereinafter
refe6d io as"USER7'.
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-bel ou LAN 42an"i
Any facility maintained, repaired, rrecte-d, and/or installtd in'tile �xc�cise 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 15:14 rC y:21
• 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 al I material necessarily displaced during tile 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-wSys and other public land. USER further agrees that the CITY and its officers and employees shall be saved
han-nless by the R from any of t ork herein tinder the terms of this permit and that all of said liabilities are
!hereby Wap e,EU .
Date
P;7*6 16frnier/Agie'n't(sign2afn`presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The for oing.instrument ged this day of 120
he'or 0mg"ns
Jby C'- =1 C--,Cn, who personally appeared before me and
(pri ted name of Si ner)
ackn dged that he/sh si t c instrt.j�"e t voluntarily for the purpose expressed in it.
Si`gh—a-W—fe'of Notary Pub ,State of Florid
Department Approval:
Personally Known
Produced Identification(Type)
4SCO1,
7,77.7.�T� �TONI GINDLESpMGER li'ams, Publl'�®rks rKaor
0:\Public Works\ADMIN\Rl
Revision Date:8/31118 ondt)d Thru N,)zay p,lic underwrite,
RIGHT-OF-WAY/ EASEMENT PERMIT
Permit#Issued by the City of Atlantic Beach
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
JobAddress NO ILJ" SEOELI Phone- QDV--
Permittee+J�;� _ Email
CA5,Cal L
Requesting Permission to Construct:D24 iTr- VJ,4"y &tpr4y,
Location(Reference to Cross_Street) "t4=- 1Z_)
• 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 Atlantic Beach or Florida Department of Transportation Standards and be performed
under the supervision of—AKTia (Project Superintendent)
with Company Namejk&J,,j rkK VlAai t J Phone �7n — ;?s-3-4-
• 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 occur-red 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 Dire blic Works �l be notified twenty-four(24)hours prior to starting work and again
im 1 n comple
Date VVY11:j
;Pe tee(signed in piresende of Notary Public) 71
;7E OF FLORIDA,COUNTY OF DUVAL
The fore *ng instrumen as acknowledged this day of .20
by�� C-�n Q 1��\ who personally appeared before me and
(print n e of rmittee)
ac ledged that h /she Tsin e instrum t voluntarily for the purpose expressed in it.
— I C�l - Personally Known
S a ur 0 01 M__-St
ign ture 5 Notary Pu ic, ate ot�ny Produced Identification(Type)
TONI GINDLESPERGER
My GCmMISSION#FF 924951
0 1
C
IRES. 0
EXP
MAP 31 )WING BOUNDARY $VEY OF
LOT :!a BLOCK 63 ACCORDING TO �4�' PLAT OF
MANDALAY
A S -RECORDED IN PLAT BOOK 10 , PAGE(S) 11 OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
BRUCE BOLE, KATHERINE BOLE,
NAVY FEDERAL CREDIT UNION,
GIBRALTAR TITLE SERVICES
AND FIDELITY NATIONAL TITLE INSURANCE COMPANY.
51Xr,FEiVr,ff .9 MFEr mosmD)
16- -TREZ7 (PI-Ar)
(40 1 RIW
50.00' (B) EDGE OF
50.0oi4lo PAVEMENT '�EVE4<V---
/2'
&9
LB. 6645
wom
9� .
.6 STEP,.
wo Woce CK
STEP Co 0 By
27. �0.2'
WOOD
STEPS
-c-4
(6 A/C-
PAD
15' COVD—
. . . . . . . WOOD 1 —0-5, re)
1 STORY FRAME
RESIDENCE :BRICK=
NO. 190 -STEPS—, 0
C14 0.2'
0-2' -c" Im
Q4- 01 0.2' 6
=DE 0.2'
1.5..0, 24.0' —11.0,
0
BLOCK 63
0
WELL 0
CL- 21.1' 3-
CONC. FRAME c
EDGE — a w I CIS
c
2*-
4-�
TEPS
13LOCK 63 .I_
WELL 0
n n
PAVEMENT GARAGE 2.9'-
'9 9o-oo-o7. —1.0'
n n n n -hl
.12
t14 q14C 1/2'
LA)IC 49.95
50.00' (E)
LOT 9, BLOCK 63
FLOOD ZONE-)r- AREAS DETERMINED TO BE OUTSIDE THE 0.2X ANNUAL 04ANCE FLOOD PLAIN /FLOOD ZONE-x(SHADED)- AREAS OF 0.2x ANNUAL CHANCE FLOW. AREAS OF It ANNUAL
CHANCE MTN AVERAGE DEPTHS OF LESS THAN I FOOT OR WTH DRA24AGE AREAS LESS THAN I SQUARE MILE-. AND AREAS PROTECTED 8Y LEVEES FROM IX ANNUAL CHANCE FLOOD.
0)
GENERAL NOTES.
1. ANGLES ARE SHOWN ON THIS SURVEY.
2-STRUCTURE NO. 190 SHOW HEIREON LIES UTHN FLOOD ZONE x AS
BEST DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO- 1 ATED.2�-17-1989
on Al IRV9WAR-A Ilde I , —, - . -.— — --
MAP St )WING BOUNDARY AVEY OF
LOT t-
.a BLOCK 63 ACCORDING TO Tk� PLAT OF
MANDALAY
A S RECORDED IN PLAT BOOK 10 , PAGE(S) 11 OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
BRUCE BOLE, KATHERINE BOLE,
NAVY FEDERAL CREDIT UNION,
GIBRALTAR TITLE SERVICES
AND FIDELITY NATIONAL TITLE INSURANCE COMPANY.
,51Xr,Efi7Vrll SrRh7h7r (posly-D)
16- 5-rREFT (PLAT)
(40' RIW
50.00 EDM OF
50.00' PAVEMEW
1-1/2-
1 2-
LB. 6645
CONC.
wow
S
C4 .0
WOCV-DiCK
STEP COVD BY
0.2'
WOOD u T,
STEPS
C4
�6 A/c-
PAD
15' COVD-
. . . . . . . WOOD -0�5'
'o
t4
0 1
1 STORY FRAME m:BRICK
RESIDENCE -STEPS 00
C-4 NO. 190 2
C-4 0.2
04- 01
0-2'
24.0'
0
BLOCK 63
WEILL 0
n n 3
4- 14 FRAME
EDGE OF— �4 CONC- 4
GARAGE
PAVEMENT A 9.
2-1
25.9- 90*00'07- -m� -1.0'
0.
DECK
B OCK Z63
n 7n
_F I
G,
2-9-
'07
1/2- n n n n
A-- 1-3- 1/2-
49.95 (M)
50.00' (R)
LOT 9, BLOCK 63
FLOOD ZONE-�r AREAS DETERMINED TO BE OUTSIDE THE 0.=ANNUAL CHANCE FLOOD PLAIN /RIM ZONE -X(SHADED)- - AREAS OF(L2X ANNUAL CHANCE FLOW. AREAS OF 1%ANNUAL
CHANCE WIN AVERAGE DEPTHS OF LESS THAN I FOOT OR NTH DRAINAGE AREAS LESS THAN I SQUARE mILE. pRoTEC By
AND AREAS TED LEVEES FROM 1%ANNUAL CHANCE FLOOD.
E Y OT14%%\
GERMAL NOTE3:
1. ANGLES ARE SHOWN ON THIS SURVEY.
N 2.STRUCTURE NO. 190 SHOWN HEREON LIES VATHIN FLOOD ZONE x AS
A BEST DETERMINED FROM F.E-M.A. FLOOD MAPS PANEL NO- I ATED2!=-17-1989
a iiur- I 1 -.1 " . —1-1 -1— —- — ---