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321 5TH ST REP/REM PAVER WLKWY PERM (2) RESIDENTIAL OTHER PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RES019-0001 800 SEMINOLE ROAD ISSUED: 3/4/2019 ATLANTIC BEACH. FIL 32233 EXPIRES: 8/31/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA 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 REPAIR AND REMOVE PARTS 321 5TH ST TWO FAMILY RESIDENTIAL OF PAVER WALKWAY $1980.00 OTHER TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1698590010 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: KETTELLINC. 1860 MAYPORT RD ATLANTIC BEACH FIL 32233 OWNER: ADDRESS: CITY: STATE: ZIP: ALLEN JACKSON M 321 5TH ST 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 CONDITIONS �Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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: 3/4/2019 1 of 2 RESIDENTIAL OTHER PERMIT PERMIT NUMBER RES019-0001 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 3/4/2019 "oil ATLANTIC BEACH. FIL 32233 EXPIRES: 8/31/2019 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. 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. 5 PUBLIC WORKS DECKING REMOVED INFORMATIONAL Notes: All old decking must be removed from job site by Contractor. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $60.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00 TOTAL: $144.00 issued Date: 3/4/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER A Building Department (To be assigned by the Building Department 800 Seminole Road C) Atlantic each, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Z_ 7 Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ?:::5 Z_ A_ Departraent review requ—ired _Y_e_!�;F No Applicant: ��a=nning & L X E L_ C, < Tree Administrator c— P P, Py"CW6_rk_s 1� Project: V �Z - idUfflTme—s .Z-yubT 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 I Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: M6'proved. ElDenied. [-]Not applicable (Circle one.) Comments: E�) PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: DApproved as revised. E:]Denied. v [:]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ElDenied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 'Vi City of Atlantic Beach APPLICATION NUMBER 11 Building Department (To be assigned by the Building Department.) P 800 Seminole Road tlantic Beach, Florida 32233-5445 E-z-'C) C) Phone(904)247-5826- Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Z_ _J1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S Dapa�nt review required Yes No 1 Buildina__� <..--PTa'nr�ing & Applicant: < ;t__ L X E—_L_ _T-re��-Aclministrator Project: R c— P P,(g, C-:LJy"C::)V Pebtic W®r S %z ,;�c�ii ies� & L 'T I AD 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: DApproved. [—]Denied. [�J`Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by TREE ADMIN. Second Review: DApproved as revise6. ElDenied. FINot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. OlDenied. ONot applicable Comments: Reviewed by: Date: Revised 05119/2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road tlantic Beach, Florida 32233-5445 c)t hone(904)247-5826- Fax(9pi)2f,W 7 2019 IL te routed: 0 -mail: building-dept@coab.ug E City web-site: http://www.coab.Liy..----- APPLICATION REVIEW AND TRACKING FORM Property Address: 9"aittnknt review required Yes No Buildi Applicant: <,i'1_ann_ing &� -T-re-e-Administrator Project: e P P, G��c)v c—, PdAr�W®r s Public Safety c S ty S vic es CS Ic c -TA.D LAD p,c-I,,- tcx j Fire Se7rvic ,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: VApproved. []Denied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed Date: I V 4 OF TREE ADMIN. Second Review: FlApproved as revised. ElDenied. []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. E]Denied. E]Not applicable Comments: Reviewed by: Date: Revised 05119/2017 1.111� Vi City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road k 000 9 tlantic Beach, Florida 32233-5445 Phone(904)247-5826- Fax(904)247-5845 SA E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z_ _Q� Depa;tai4nt review required Yes No anning &ZoniCg---,) Applicant: iK X E L N�)C T—re-e-Administrator Project: Re Pp'(e' R C-:L_'-�Ac)V(f—- Pezwo=rs ,'�;�c i IMMies� & 'T I A.D 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: __ed. []Denied. [—]Not applicable .2<Pprov (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed byo�:O� Date: C1 TREE ADMIN. Second Review: []Approved as revised. ElDenied. []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. DIDenied. [:]Not applicable Comments: Reviewed by: Date: Revised 05/1912017 NAekt� 4- --&- "s" — 00cf/ OFFICE COPY Te,CrEOF COMMENCEMENT State of o, Tax Folio No. County of 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: — . 5-0 /& -is-Tq� ji -L Bleak --6 Address of property being improved: 24e-An-,4� 4 3 z General description of improvements: R PAldr SUA Ae� �mLAn" v e- I Wb VJW 4a.,4 n 47P Owner: P/M Z-&den, Address: 3 S4 r, I Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: j Address: 37;-z-3- Fax No: Telephone No.: U z Surety(if any) Address: Amount of Bond$ n 0 Ss -t 0 t Telephone No: Fax No: l3i 01111 z U E5 0 < Name and address of any person making a loan for the construction of the improvements ca 0 < Q Name: q: �- U y < 0 ILL Address: Z Phone No: Fax No: 0 LLJ U- U. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other doq5mQtuwff UJI >- CL _ 03 be served: Name: UJ M 0 LU (j LJ.J U LU Address: CLU, W Telephone No: Fax No: Uj 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 expirati,on date is one (1)year from the clat till date specified): my coMMISSION#FF 924951 EXPIRES:Octobero,iNid Bonded Thru Notary Public underwelters NER, THIS SPACE FOR RECORDER'S USE ONLY OW n4i A, sil. I Date: (9 �,s Doc#2019028477,OR BK 18681 Page 778, Befor me this 6y oi ,c4q the County ot uval,�tate Number Pages:1 Of I'll ida,has personally appeare Recorded 02/05/2019 11:50 AM, UVAL Notary Public at Large,S ori a,County o Du-v RONNIE FUSSELL CLERK CIRCUIT COURT D My commission expires:�� /n— f COUNTY RECORDING $10-00 Personally Known: or Produced Identification:—A 3 -4z 1 - Building Permit Application updoted1019118 Citv of Atlantic Beach Building Department "ALL INFORMATION IS REQUIRED. HIGHLIGHTED IN GRAY 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: Permit Number: R Z a C)C-)o Legal Description -&q / 7L 901 R E# ggoValuation of Work(Replacement Cost)$ Heated/Cooled SIF Non-Heated/Cooled • Class of Work: ONew OAddition ElAlteration J_�Repair EIMove E]Demo E]Pool OWindow/Door • Use of existing/proposed structure(s): OCommercial OResidential • If an existing structure,is a fire sprinkler system installed?: OYes ONo • Will tree(s) be removed in association with proposed project? E]Yes(must submit separate Tree Removal Permit) F1 No Describe in detail the type of work to be performed: 9vont'r (e/m,"'21 50 :�Vk + IiA141, �W Florida Product Approval# for multiple products use product approval form Property Owner Information Name fill-elyl tAc� or 14,t It, Address 3 CityAj'�."b-/ Stat Zip 3-1 Phone fe E-Mail p I q IS, bpJ1(,1JA. na Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information , I Name of Compan V) Qualifyj'n?�Agent i�state Zip city Address —Ail r f Office Ph�ne 17 1 J Z-7-6, Job Site Contact Number 411 q0q -7,1 7 loe�y State Certification/Registration# E-Mail Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Insurer A,,\ lr-,54 / (9%A OR Exempt a Expiration Date 1 4 Application is hereby made to obtain'a'permit to dotKework and installationsas indicated. I certifythat 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 OBT FINANCING, CqVSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR INJ YOURY F COMMENCEMENT. T �_rslgnat�ureotdvkeror'Agent) re (Signatul' of Contractor) Sf'gaad qnd swor to(or af if, f Signed and sworn to(or aff rm!d)b fl�irp_me_tih�i �day of m �d before me Ws day ci 1,J) c TJ JLb b :I!o(or 4aff rm a��f, ry)" naWe of`11�) MY COMMISSION#FF 924951 TONI GINDLNU_G;W_D1l EXPIRES:October 6,2019 �9nff45dW&QMt&Tublic Under.�.ters [_LPiTils—bnally Known OR TONI GINDLESPERGER I f'1#1,tw r I Proclucea la-entincation Produced Identificatio MY COMMISSION#FF 924951 Type of Identification: A -(z?( 3 -7 1 &�pe of Identification: EXPIRES:October 6,2019 Surlded I nrU Nola Public Unde — 1 MAP SHOWING BOUNDARY, & TOPOGRAPHIC 'OF LOT 10 BLOCK 7 AS SHOWN ON MAP OF A TLANTIC BEACH AS RECORDED IN PLAT BOOK 5 PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTr; FLA. CERFIF7ED TO.' JACKSON M. & GRACE E. ALLEN LOT 9 LOT 11 BLOCK 7 BLOCK 7 LOT 7 BLOCK 7 N89*37'1 1"E 49.76'(ACT) FND 1/2.I.P. I�Nl 50.00'(P) FND 1/2-I.P. No I.D. fIl.4 I, -NO I.D. I " !i-I' LO-T-1-6--lar- O's BLOCK 7 Tf 5.2"M, 1,.S Ell'- 1 813 11.6 1., AI.6 6'WOOD R 7'.9'POOL EOUIP.- FENCE HE L "1.3 11.5 \11.4 /1.3 11.5 L 11.3-, HOT 11.4 TUB 11.6 z I,11. U) 1.6 CONC, 11.4 0 0 .2' S P 0 .5 16.2' IT. 4: 0 1.7 lit rn Aze� 5.0 LOT 12 11. '41.3 35.3" 1.1 / LVT 8 BLOCK 7 1.7 TWO STORY FRAME 11.4- RESIDENCE 11.1� /113 AL5 ADDRESS # 321 -0.2, 0 P L" p. 'OC 9(D A/.PAP 0 jo ON LINE 5 0'-41.4 > 2-3 0 CL > COVERED ENTRY �4 5.0'-- 21.3' El]-DENOTES CONCRETE %-II 7T1 9' ol 1.0 M-DENOTES BRICK PAVERS 1 1.5 �11.4 p N01*55'10"E 10.97' Ll 0 200.00' 10.7% (10,6 '10.8 1 O.N 5.7', LO FND 5/8-- I.P.NO I.D. FND I/-I.P. BEARING BASE) NO I.D. BENCHMARK, S89'14'37"W 49.75'(A) SET X-CUT 50.OD'(P) ELEVATION:(9.76) NETWORK GPS FDOT NETWORK CONVE TED BENCHMARK;W.O. 165230;08-27-18(OFFICE) FL STATE PLANE COORD. ADDEDRTOPO&POOL:W-0.165230;07-27-18(FIELD) EAST NAD 83 NO-TRANS FINAL.W.0.006-1193-5;2-9-07(FIELD NAVD 55 BURNED FOR 300 FINAL;W0.106-11 3-5;2-0-07(FIELD� FIFTH STREET EPOCH FOUNDATiON.F.F.E.9 #06-1193-4;9 ;W,O, LOT HOUSE STAKE OUT(GOOD);W.O.#05-1193-3;09-01-00(FIELD) (40' RIGHT OF WAY) PLOTj`PLAN OVERLAY ON BOUNDARY&TREE SURVEY,W.O.#06-1193-2 BENCHMARK CONVERTED THIS SURVEY WAS PERFORMED WFITIOUr THE BENEFIT OF A TITLE COMMITMENT. TO NGVD 1929 NOTE: ALL TIES TO FOUNDATION THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN ELEVATION:(10.86) ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED OTHE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE AS SHOWN ON rLnOD INSURANCE RATE MAP 04 09 H F-'HE C!lY OF jAC-KS-LNVIl_Lr,FLOR;CA, OX.ED r6-1-13 ALL AMERICAN SURVEYORS OF FLORIDA, INC. LA'Ala 5LWM_WR5-3751 SW JOSE PLACE. SUIrE 15-d4CKS0141LL& FLORja4. J22s7- 9041279-ma8- LiCENSED LAND BuslNEss No. j857 FOUND L,q-d CONIC-CON ETE 1-51 I'D. IDENnFrAnON AIC C.Nm.. THIS IS TO CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY RESPONSIBLE (M) TYPICAL SOC 13ACK OF CUR" I.P. IRON WE N.C. NA`Um GFOUND SUPERVISI N AND DIRECTION, THAT THERE ARE NO ENCROACHMENTS EXCEPT AS SHOWN 1-4 IA IRON ROD W -.1 W� AND THATOTHE SURVEY SHOWN HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET - a DMTA ANCLE W BOTTON 0 WALL FORTH BY THE FLORIDA 130ARD OF PROFESSIONAL SURVEYORS AND CH C.OR. PT_ POINT OF TmOENCF` MAPPERS PURSUANT A UENCIN P.CY.-PERMANENT C�O.PONT TO CHAPTER 472.027 CHAPTER 6IG17-6. FLORIDA STATUTES. ALL PC. -POINT OF CURNE (C) l'"I' AMERICAN DEED P�,�- -POINT OF��CU� 'y C.-POINT OF COMPOUND CURVE SURVEY NOT VALID UNLESS EMBOSSED BY SEAL SURVEYORS UNE :L BUILDING�FRICII N UNE OF FLORIDA CENTI�Ft UWE _P�_momm�&Uo� N/W _ OE JAMES D. HARRISON, JR., No.2847 INC. (A) IDGHT-OF-WAY w UC ED.11Nm MICHAEL A. GARRETr. No. 6643 �`ML NOVO NATION&GEODETIC VEnm SCALE 1"-20' -NE. mw. S I ; FINISH FUDDR ELEVATION NAVD NORTH AMERIQVI VERTIM DATUM 12 WIDTH F.I. POINT OF� ON 'Z EOW EX a WATER DATE 07�27�18 MES MEREFED END SECTON 108 TOP OF IMNK URpA_RE(;ISTERED SkVEYOR Atg APPE F.8. NOTES D.C. 2006-1193-165230 DR. By THG DIR. P:\2006 ORDER No. 165230-TOPO 06-1193