620 BEACH AVE RESO19-0007 PAVER REPLACE PERM RESIDENTIAL OTHER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES019-0007
ISSUED: 3/15/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 9/11/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
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:
RESIDENTIAL OTHER SINGLE OR
620 BEACH AVE TWO FAMILY RESIDENTIAL replace pool pavers $15304.00
OTHER
TYPE OF BUILDINGZONING: I
• • GROUP:
170123 0000 DANIEL & HACKETT R/P
BK16
COMPANY: ADDRESS:
MCANENY BUILDERS LLC 1010 EAST ADAMS ST JACKSONVILLE FL 32202
OWNER: ADDRESS: ' '
FRISCH MARK A 620 BEACH AVE 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.
LIST OF • •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
f
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.
Issued Date: 3/15/2019 1 of 2
RESIDENTIAL OTHER PERMIT PERMIT NUMBER
RES019-0007
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/15/2019
j ATLANTIC BEACH. FL 32233 EXPIRES: 9/11/2019
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
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,All American Roll Off,WCA Waste Corporation). 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.
S PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL
Notes:
This permit is for the replacement of the existing deck only. Any additional work beyond this scope cannot be added to this permit.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 45S-0000-322-1000 0 $130.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $65.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.93
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00
TOTAL: $249.93
Issued Date: 3/15/2019 2 of 2
City of Atlantic BeachCE APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
{� 800 Seminole Road MAR 12 201"'
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247- 5 I /�
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: loc ''p 16&C'VA Department review required Yes No
n Building
Applicant: ning &Zoning
1 Tree Adminis ra or
Project:
Public 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: GdApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by' Date:IL
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
�s s� Building Department (To be assigned by the Building Department.)
s� 800 Seminole Road /) So /;
_ 000-4
Atlantic Beach, Florida 32233-5445 L
Phone(904)247-5826 • Fax(904)247-5845 J /�
E-mail: building-dept@coab.us Date routed:
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: loc '_D �,Q clh Department review required Yes No
n Building
n n
Applicant: ��'1u Aiu iA LIl.t`(y't S
Tr 6 e Adminis ra or
Project: �(�C D PLUS
Public Utilities
Public 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: ❑Approved. ❑Denied. Not applicable
(Circle one.) Comments:
BUILDING /-
P 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 05119/2017
fSrai, City of Atlantic Beach APPLICATION NUMBER
>, Building Department (To be assigned by the Building Department.)
J 800 Seminole Road
Atlantic Beach, Florida 32233-5445 G
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: &tkcv t h Department review required Yes No
A
- Building
Applicant: M L- A�.� a�`tL t( ' ning &Zoning
1 Tree Adminis ra or
Project: \ LDW� L DO L Pa.0�S
Public Utilities
Public 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: pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: �l Date:
i
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
I,
PUBLIC WORKS Comments:
i
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 1019118
:J
r City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
011�r
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: f�20 Oc^c>1 Arc— Permit Number: esolrf , cou
Legal Description -3S 16-a�—�`] 6.3f. D I,gi,tt- Lc- f 01151 Ld�1,Z3 RE# r761,t3-occ+ca
Valuation of Work(Replacement Cost)$ I S 30 • cae, Heated/Cooled SF = NA-fir Bated/Cooled
• Class of Work: ❑New ❑Addition []Alteration (Repair ❑Move ❑Demo IlWI `LT1Nindow/Door
• Use of existing/proposed structure(s): ❑Commercial ❑Residential MAR 1 1 2019 a�
li v
• If an existing structure,is a fire sprinkler system installed?: Dyes ❑No
• Will trees be removed in association with proposed roiect? ❑Yes must submit'se arate Tree Removal Permit -❑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 ►rL64) Am* A Address 6A0 3G-,c-k Ave—
city A+14.+-tic, Oc kr_ , StaterL Zip 3AM.3� _Phone - 5�3 ---7796
E-Mail •G.e>,n
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company /YIG}I" p'a.(ews Qualifying Agent
Address(:5pC-71i'V, : ', City�'oC�F,So/iycf(c, State NL.. Zip 3
Office Phone !P ) S74—(734 Job Site Contact Number Ad-,,e. 5iwy c )813— t7?8
State Certification/Registration# CGC., 408737 E-Mail ao�QQ/A b.c.(-L-<S
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt❑ Expiration Date a—(5--QO
Application is hereby made to obtain a permit to do the work and installations as indicated.1 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
RECOR I G YOUR NOTICE OF COMMENCEMENT.
Tgnature of Owner or Agent) (Signature of Con ctor)
Signed and sworn to(or affir a ore m Signed a d sworn to(or affirme )before me this day of
v G , by &K I
(Signature of Notary) (S nature of Notary)
;'!'"i'• MILDRED REYES MORENO
•;i!Y'�i'• MILDRED REYES MORENO /
[ Personally Known 0 `�= [Wo ersonally Known OR MY COMMISSION#FF905760
MY COMMISSION#FF905780
[ ]Produced Identificat a [ ]Produced Identification EXPIRES August 03,2019
',? •,o?� EXPIRES August 03,2419 Type of Identification: n A Flo, No, �,�r
Type of Identification: ° '.• YP
p,o71 b"d-0' ,a o ay <
MAP SHOWING SURVEY OF
LOTS 1, 2 AND 3, BLOCK 16, DANIEL do HACKETT REPLAT, ACCORDING TO THE PLAT
THEREOF AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS
OF DUVAL COUNTY, FLORIDA.
0
N
LOT 5
c
r T
I � I
LOT 4
q
o 61.56'
r YtOn � 'ptAlwMt fFllC£ (161.40' Fl ) Faso 1
ELECTRIC wars PP 0.
BOX u x>, a' o. ,� Ir woo Fi710E 0.e" NO t:AF• �
MA<x seat rAtx •� t
ri 'r
1y� 41.1'
z -?R e'woo F>altE ♦ 28.7' y
`= seat 1 BPoCx p
C
S FRAME
1 STOR
CON
gg1E1FAY
CGE I
t 1 wITH OBRICK s' a'� °„010�'E
Mg
�/ BC ER TWO STORY
j r 19.e• BRICK & aY
Q x40_$'x"_ a2 kpAO
RAME
S. W
FDICE ""'" °❑❑�❑o ❑ .620 " uCE /1 ,.., D
FENCE 111MICK Sim 'd
\Oo, � mj0C> ILOT 1 1 LO 2LOT 3 \ Q Q QW POOLFINISHED FLOORQELEVATION-16.67 QWs.1' cn0 �� ea lWt2fP0110122'CDOM tE COa.
� ( 53.00' ) 5. a wm ( 53.00' 53.00' n )}
r ci
159.00' 1&
N0. (156.7r FIELD)
NOTES:
1. THIS IS A BOUNDARY SURVEY.
2. NO BUILDING RESTRICTION UNE PER PIAT. SIXTH STREET
3. NORTH PROTRACTED FROM PLAT.
4. ANGLES DETERMINED IN THE FIELD. 4O'RIGHT OF WAY PAVED
5. BENCH MARK USED WAS A FOUND MAG NAIL h DISC
'LB3672' IN THE WEST SIDE OF A POWER POLE AT THE
SOUTHEAST CORNER OF THE INTERSECTION OF BEACH AVENUE h
6TH STREET. ELEVATION - 15.55(N.G.V.D. 1929)
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN
FLOOD ZONE 'X" (AREA OUTSIDE THE 0.2% ANNUAL
CHANCE FLOODPLAIN) AS WELL AS CAN BE DETERMINED
FROM THE FLOOD INSURANCE RATE MAP NUMBER
12031CO409H, REVISED JUNE 3, 2013 FOR DUVAL THIS SURVEY WAS MADE FOR THE BENEFIT OF:
COUNTY, FLORIDA. MARK AND 7EDITH FRISCH.
BOUNDARY SURVEY WITH
HOUSE ADDITION - AUGUST 22, 2014
TOPOGRAPHY AND TREES ADDED - APRIL 24. 2013
'NOT VAUD WITHOUT THE LOCATED FENCE: MARCH 27, 2008 L,
SIGNATURE AND THE ORIGINAL REVISED: MARCH 12, 2008 FINAL SURVEY: FEBRUARY 27, 2008 FLOM ASURVEYO P.S.M.
RAISED SEAL OF A FLORIDA FINISHED FLOOR ELEVATION FLORIDA UC. SURVEYOR and MAPPER No. LS 3295
LICENSED SURVEYOR AND MAPPER.' ADDED JANUARY 4, 2007 FLORIDA UC. SURVEYING k MAPPING BUSINESS No. LB 3872
CHECKED BY: I i DATE:
DRAWN BY: PGP SWe BOATWRIGHT LAND SURVEYORS, INC. NOVEMBER 3, 2006
FILE: 2014-0945 1500 ROBERTS DRIVE. JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET t OF t
Rar:2O3-03ok 08--1477;05-050
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of _ 1
o 11
To Whom It May Concern: �l'I C�
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: 4^
/G•2S'-- F 36 l7.�ie.� �-4
Address of property being improved: 4ko &-^-r� Ave- Ah-,....n-jtc. &Ack pt 5,uys!i
General description of improvements: RGP�c.sv�nc GXts'�'"itiC rJar�I +vc�CS
Owner:_ f10jk6 'K A Address: G/ZD $C." 14 ,ot=,e"y�� r ; a. &
s,—
Owner's interest in site of the improvement: /sole
Fee Simple Titleholder(if other than owner):
Name:)/
Contractor: ZgdA/yG/rcr Jt�e�GAS
Address:
Telephone No.: 000 157q--1n4Fax Nce1/7-01) S71- 3 --
Surety(if any) --
Address: r Amount of Bond$ _
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: /y�}
Address:
Phone No: Fax No: ,--
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served:Name:
Address:
Telephone No: — Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
-- Signed: Date: so
Doc##2019062451,OR BK 18724 Page 2208, Before me this day of Q inIhe Co my of D hal,State
Number Pages:1 Of Florida,has personally appeared
Recorded 03/21/2019 09:08 AM, Notary Public at Large,State of Florida,County of Duval.
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires: 'I' 3
COUNTY Personal) Known: NO
RECORDING $10.00 y
Produced Identification: 5780
EXPI9
1407398-0153 Flpry�Pyp�� ye,�gp.