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303 1ST ST ACC19-0010 PAVER WLKWY fS1y�\Jr'�' ACCESSORY PERMIT PERMIT NUMBER ACC19-0010 CITY OF ATLANTIC BEACH i ISSUED: 3/8/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 9/4/2019 INSPECTIONMUST CALL • • 914 • BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE, OF BEACH CODEOF • ' 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: 303 1ST ST ACCESSORY SINGLE OR TWO PAVER WALK WAY $2381.00 FAMILY ACCESSORY TYPE OF CONSTRUCTION: • ' 169759 0150 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: KETTELL INC. 1860 MAYPORT RD ATLANTIC BEACH FL 32233 • ADDRESS: CITY: STATE: ZIP: SMITH CHRISTINE F 300 FRONT ST W UNIT 4603 TORONTO CANADA MSVV OE9 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 ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 2 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,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. Issued Date: 3/8/2019 1 of 2 ACCESSORY PERMIT PERMIT NUMBER r ` s ACC19-0010 CITY OF ATLANTIC BEACH ~~ 800 SEMINOLE ROAD ISSUED: 3/8/2019 Wia9` EXPIRES: 9/4/2019 ATLANTIC BEACH. FL 32233 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 4 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 1 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $126.50 Issued Date:3/8/2019 2 of 2 Ly; City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Qrl O _00 1 Atlantic Beach, Florida 32233-5445 1� Phone(904)247-5826 Fax(904)247-5845 Z S 1 .; E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM s (- Property Address: 3� �� - - 1 Department review required Yes o din Applicant: KC—, T ELL I annin &Zonin Tree Administrator Project: pj)lvc2c�_' y� A L rks ublic Utilitie �c Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: E pproved. ❑Denied. [-]Not applicable (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: zlq Date: Z7 � 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 City of Atlantic Beach APPLICATION NUMBER J3 r i� Building Department (To be assigned by the Building Department.) 800 Seminole Road r. _M i C) Atlantic Beach, Florida 32233-5445 I'i� n\l_`- Phone(904)247-5826 • Fax(904)247-5845 l S E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3�3 S j Department review required Yes No din Applicant: KC—,V Y ELS. I KD C , annin &Zonin Tree Administrator Project: P W PJ L�Clo rks ublic Utilitie 775-lic 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 c� PLANNING &ZONING Reviewed by!/�4/z�— Date:- 1 : TREE ADMIN. Second Review: []Approved as revised. Denied. ❑ pp ❑ []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 05119/2017 s-=Lyr City of Atlantic Beach M 10E1k(( APPLICATION NUMBER �s r r1 ria Building Department assigned by the Building Department.) 800 Seminole Road FEB15 �g ]] lad C -MIC) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 1$Y l S E-mail: building-dept@coab.us ate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 03 S Department review required Yes No din Applicant: K C 1 Y�(�� ( 1� C annin q &Zonin Tree Administrator Project: Prks ublic of ub�l' of 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: 2fApproved. []Denied. [—]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b44at_ w 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 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 l� Phone(904)247-5826 Fax(904)247-5845 Zl S E-mail: buildingdept@coab.us Data routed: If Citywebsite: htlp:/Mmv.Wab.us APPLICATION REVIEW AND TRACKING FORM s-1- Property Address: 3n3 ST C De ITent review required Yes No in / CVYGt-L I (U0 , annin &Zonin Applicant: 1\ Tree Administrator Project: PUM�{ f w ALC<ln�dk�f ublic Utilitie Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date Of Permit Verified B 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 Tobago Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. [-]Denied. Not applicable (Circle one.) Comments: BUILDING ' /) PLANNING&ZONING Reviewed b V ^� Date: 2 �� 9 TREE ADMIN. Second Review: ❑Approved as revis d. ❑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 x5119/2019 .U22�11X Building Permit Application Updated 101-9118 City of Atlantic Beach Building Department "ALL INFORMATION v 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED GRAY IS REQUIREE D. Phone: (904) 24-7'-58'26 Email: Building-Dept@coab.us Job Address: 303 J St 3` Permit Number: C\/a cl q oo l C) Legal Description Jr�9 / �-7 S�-Z9E •07q 46 S�f Z l J� u'k RE# /(� `� / � �— 0/ 0 Valuation of Work(Replacement Cost)$ 13W. C140 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition D4AIteration ❑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 proposed ro•ect? ❑Yes must submit separate Tree Removal Permit o Describe in detail the type of work to be performed: (N, ( �e4 - (,1,ltilkw�a J2,E �cc ;,��x,v�5 Florida Product Approval# _for multiple products use product approval form Property Owner Information Name P— Address City i. 4f&1, State- FL Zip 3 ZL3-7 Phone E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information/ _ Name of Company ` 1 Qualifyi Agent Address 4 cv City StateZip LZ 3 Office Phone ov 7 ZJob Site Contact Number A lea 44t11ek 07V 371 AP"T State Certification/Registration# E-Mail .� ^-- Architect Name&Phone# 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 T. -..OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN UR TICE OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) o x f a o ed and sworn to(or aff' d)befor e this ay of Si d sworn to(or aff med) befor e t Z day of 2m� b / /, 2 m l '— d o-06 pr M gnatof N ry) 124951 ,ewr._ a ersonall Known OR rdew19ers Personally Known 0 o{NY TONIGINDLESPEal [ y :, MY COMMISSION# reduced-ldentification�- [ I Produced Identificati _ +_ Type of Identification: ` 4�� Type of Identification: =„; ?' EXPIRES:Octobe „oF 0;., h.ri -- OFFICE COP �---�� - NOTICE OF COMMENCEMENT State of i Tax Folio No. County of Z—��O To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 75- - 01!5-0 S l - Z e &— 51A tof- y 131k 3 Address of property being improved: 30/3 11 A-I%LM-33 - General Z-3 " _ Geneeral��description of improvements: ��(�t1 � %rd-, �,,,(Zl � U 141 ay-q "S j(&P�,("-/ -Di" y� ?1�Q� _ Owner. 64 r,"5A'� Smlr/ C� C� Address: 3y; Yc�� Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: f,,,t e Address: Telephone No.: / 3 72 7 ZZ 6 Fax No: W Surety(if any) U Address: Amount of Bond$ Q J -jN Telephone No: Fax No: a UP F- W D ti i Name and address of any person making a loan for the construction of the improvementsQ CO ._ Z Name: U U a U p Address: % z Phone No: Fax No: H Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other docufr� e be served: Name: p m Address: F" L III Q_ Uj Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as providg in Section W 713.06(2)(b), Florida Statues. (Fill in at Owner's option) r- Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): tq ` MY COMMISSION#FF 924951 THIS SPACE FOR RECORDER'S USE ONLY OWNER `w EXPIRES:October 6,2019 u'%E Bonded Thm Not ublic nd,,,,6ters / Signed: Date: Z vl Doc#2019035137,OR BK 18689 Page 2302, Before me this day of in the County of Duval, tate Number Pages: 1 Of Florida,has personally appea�Flor d Recorded 02/12/2019 03:35 PM, Notary Public at Large,State of County c(Du)a4 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires: COUNTY Personally Known: or RECORDING $10.00 Produced Identification: LS ' Zs ZSR 25 , Sliding GIC Glass Bloc � I Exterior C Garage D( = 1606.1.4 Prote( I = regions, exterior l _ the lower 60 fee' I h - be openings uni, I - tected with an _ requirements 01 1996, or Miam therein as folio' Glazed of = grade sh: W) = Missile T 2. Glazed o 4) _ above gr Missile 7 /aA ` Ecce[ mum _ mum permi story -T.�G•�7' the 5�T - provi the c - in act accol build or is - mph Site Plan __ FA'I'YI