Loading...
115 SEMINOLE RD PAVER DRWY PERMDRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 PERMIT NUMBER DWAY19-0003 ISSUED: 2/28/2019 EXPIRES: 8/27/2019 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. 115 SEMINOLE RD DRIVEWAY SINGLE OR TWO PAVER DRIVEWAY $3150.00 FAMILY DRIVEWAY 1706110100 SALTAIR SEC 01 THE ENHANCE COMPANIES 2120 ROMEO POINT IANE FLEMING ISLAND FL 32003 DELORETO KAREN H 115 SEMINOLE RD ATLANTIC BEACH FL 32233 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. 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: 2/28/2019 1 of 2 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH PERMIT NUMBER DWAY19-0003 ISSUED: Z/Z8/ZU19 800 SEMINOLE ROAD EXPIRES: 8/27/2019 Js ATLANTIC BEACH. FL 32233 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, JDog/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: Maximum driveway width within the City right-of-way is 20 feet. 7 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Must keep sidewalk completely open and safe to pedestrian traffic. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 TOTAL: $25.00 Issued Date: 2/28/2019 2 of 2 51 V1j_ City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247 5 JAN 2 9 2019 E-mail: building-dept@coab.us City web -site: http://www.coab.us $i APPLICATION NUMBER (To be assigned by the Building Department.) �i jo A(41 -0003 Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: IADD _E- Applicant: C ,{y lA c& 0_0_rlrli Project: k V &Gc _3 A- y .�j Review fee $ Department review required Yes No Buildin Planning & Zoning Tree mi ublic Works Public Utilities Public Safety Fire Services 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 b 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: Reviewed by: Date: Revised 05/19/2017 Building Permit Application upouted1011)1la City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: ' 15 Seminole Rd permit Number: (J UV AH'rq 0003 Legal Description nt 6 Sednn Nn 3 ti,4, _ Rk# 11' Valuation of Work (Reply€ement Cost) S Q3150_0t, Heated/Cooled SF _ _ Nofh H•ihd/Ceoled — • Class of Work: ONew ElAddition i61teration ❑Repair pMove ❑Demo BPool OWindow/Door • Use of oxisting/proposed structure(*): ®Commercial I411esidentiol • If an existing structure, is a fire sprinkler system installed?: ®Yes ®No Will tree(s) be removed in association with proposed preieet? ElYes (must submit separate Tree Removal Permit) 1,4fNo Describe in detail the type of work to be performed: t20SF, Excavate & remove veway up to city sic, alk, :gate &. for driveway exoar rs with anaregate & sand. install concrete restraining edae annommi Florida Product Approval # Property Owner Information for multiple products use product approval form Name Caren f)pl nretn Address 115_Seminole R(; City +tlantirRaar_h State i I zip 32233 _ Phone E -Mail - Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company _ Com i Qualifying Agent DaVld GUldi Address )'1 (t FQmecity State FL zip— 320n3 -- --- - Office Phone ------_---777 - __- _ __ .__ Job Site Contact Number State Certification/Registration #�"R�1_. A�4'� E -Mail riavitirnlcnh: e, �menaniac rnm Architect Name & Phone # Engineer's Name & Phone # Workers Compensation Insurer gn file it AB 4 4DRR Exempt Q Expiration Date _ \9 Application is hereby made to obtain a permit to do the viiark 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 i3 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 FORE REO IN9 R OTICE O OMMENCEMENT. (Signature of Own@r or Agent) (Signature of Contra r) Sl ng ed and sworn to (or affirmed) before me this 2—LI day of � y Xie rP� k 01 Wary Pull State of Florida (Signature Notary) Lj- kwit Commission Expires 11/302021 Corrurri m No. GO 155112 () P rsonally Known OR Produced Identification Typ@ of Id@ntiii€atlon: tt 2% Lt C.- Sined and sworn to (or affir d) before me this 2q day of by . Twy Notary PUNIC (Signature otary) State of Florida 4;My Commission Expires 11/302021 educed sonally WIAM NO. GG 155172 IfQ6 Iftifiation FL D(�� ( , C Type of Identification, ' l- l►k REVOCABLE ENCROACHMENT AGREEMENT REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and -rocE! e. �- o 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 P o- Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted mains 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 IN-_- S�;i�`tio\t_ 9-d • 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 hereby assumed by the USER. / Date pe Owner/Agent (signed In presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL The foregoing instrument was acknowledged this day of 920 by 1<p r p n F),-1 who personally appeared before me and JIffhl ted name, -a ignjr) the Signa�L"6­of Notary -Public, State of f lorida Personally Known Produced Identification (Type) voluntarily for the purpose expressed in it. „a Y': ••,, TONI GINDLESPERGER e MY COMMISSION # FF 924951 O:\Public Works\ADMIN\Revocable Encroat reitlnengp�p{�ES: Revision Date: 8/31/18 r-, •• L,a October 6, 2019 BondedThruNotaryPublicUndePMriters Department Approval: Scott ill ms, Public orks Director RIGHT-OF-WAY / EASEMENT PERMIT Permit # Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address l S� ��- �\ ti Phone S_2 Permittee o-7 Set( ® Q-Z� Requesting Permission to Construct P>jC.Q,\)A C. ire*x4�,D,� \,0_)LZ s In k- 1vSkn-kL-eo icy Location (Reference to Cross -Street) A - a I 54e1�,_, e --k- S, r-C-V,� • 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 -4 Z X C v � r), -', (Project Superintendent) with Company Name ­13-�. 1= ^A�---y 4--- G;;. & SPhone ct 131- '- 4 6 - 7 7 77 • 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 Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. -_D-moi--� Date `� q Permitt a (signed in presence of Notary Public) 1 STATE OF FLORIDA, COUNTY OF DUVAL j The foregoing instrument was acknowledged this Z_S day of Q (\ , 20 (� , by e C\ © , who personally appeared before me and Vhee e of Preinstrument ittee) ac owl ged t atgned t voluntarily for the purpose expressed in it. Personally Known Signature of Notary Public, St a of Fl ida Produced Identification (Type) y9': "•., TONI GINDLESPERGER MY COMMISSION # FF 924951 e.: ;�:o' EXPIRES. October 6, 2019 sA K h? ' Bonded Th. Notary Public Underwdiers City of Atlantic Beach Building Department "i 800 Seminole Road j Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) i %V` A 1 { —0003 Date routed: ` L �i l ( 9 APPLICATION REVIEW AND TRACKING FORM Property Address: 1 C—J" 111DOC_t ,L Applicant: Project: 1V-et•U Review fee $ Department review required Yes No Buildin Planning & Zoning Tree mi ublic Works Public Utilities Public Safety Fire Services 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: VfApproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING ^� PLANNING & ZONING Reviewed by: A Date: TREE ADMIN. Second Review: []Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Third Review: Comments: Revised 05/19/2017 Reviewed by: ❑Approved as revised. ❑Denied Reviewed by: Date: ❑Not applicable Date: N BOUNDARY SURVEY SORVEyNOTES mm" ME PROPERTY LINE MERE P y 0 ONCES N 10 N ARf67y UNE ON S;oUMEf?L y AND NoRfHERL Y SIDES OF LOT, F rHi% A P PERTY N 774E PROPERTY PROPERTY SUPPLIED BY CI TY WATER AND SEW WE LO 649 I HEREBY cERnFy THAT THIS BOUNDARY SURVEY REPRESENTATION OF A IFOUND 112- 0.0' IRON PIPE SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, STATE OF OR A RAISED EMBOSSED SEAL AND SIGNATURE. �3O A'. ". 0 s b o r n e A'& 4�T=W" PHONE (561) 604800 STATENDE PHONE (800) 2264807 STATEINIDE FACSIMILE (800) 7414W6 (SIGN -10) KENNETH J OSB NE LOT 650 PROFESSIONAL SURVEYOR AND MAPPER 05415 IND fir W, #1013 0. .4' Is i4 LOT 651 INON P BOUNDARY SURVEY SORVEyNOTES mm" ME PROPERTY LINE MERE P y 0 ONCES N 10 N ARf67y UNE ON S;oUMEf?L y AND NoRfHERL Y SIDES OF LOT, F rHi% A P PERTY N 774E PROPERTY PROPERTY SUPPLIED BY CI TY WATER AND SEW WE No- 5415 SURVEYORS CERTIFICATE LO 649 I HEREBY cERnFy THAT THIS BOUNDARY SURVEY REPRESENTATION OF A IFOUND 112- 0.0' IRON PIPE SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, STATE OF OR A RAISED EMBOSSED SEAL AND SIGNATURE. LB#1013 ofl 6250 N. MILITARY TRAIL, SUITE 102 WEST PALM BEACH, FL. 33407 0 s b o r n e A'& 4�T=W" PHONE (561) 604800 STATENDE PHONE (800) 2264807 STATEINIDE FACSIMILE (800) 7414W6 (SIGN -10) KENNETH J OSB NE LOT 650 PROFESSIONAL SURVEYOR AND MAPPER 05415 IND fir W, #1013 Is LOT 651 No- 5415 SURVEYORS CERTIFICATE -- --- D - -A I HEREBY cERnFy THAT THIS BOUNDARY SURVEY REPRESENTATION OF A - -- 'A sm zTwc;oL=- IS A TRUE AND CORRECT SURVEY PREPARED UNDER My DIRECTION. NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC LB #7893 SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, STATE OF OR A RAISED EMBOSSED SEAL AND SIGNATURE. SERVING FLORIDA 0 R KennethDigitally signed by Kenneth Osborne 6250 N. MILITARY TRAIL, SUITE 102 WEST PALM BEACH, FL. 33407 0 s b o r n e A'& 4�T=W" PHONE (561) 604800 STATENDE PHONE (800) 2264807 STATEINIDE FACSIMILE (800) 7414W6 (SIGN -10) KENNETH J OSB NE wEesn: htIpjAargets—eying.-t PROFESSIONAL SURVEYOR AND MAPPER 05415