1827 OCEAN GROVE DR ACC19-0011 OUTDOOR SHOWER ACCESSORY PERMIT PERMIT NUMBER
ACC19-0011
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/21/2019
EXPIRES: 9/17/2019
19 ATLANTIC BEACH. FL 32233
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:
1827 OCEAN GROVE DR ACCESSORY SINGLE OR TWO OUTDOOR SHOWER $2500.00
FAMILY ACCESSORY
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1696010000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
COUGHLIN KELI A 1827 OCEAN GROVE DR 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 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: 3/21/2019 1 of 2
ACCESSORY PERMIT PERMIT NUMBER
ACC19-0011
CITY OF ATLANTIC BEACH
ISSUED: 3/21/2019
800 SEMINOLE ROAD
EXPIRES: 9/17/2019
ATLANTIC BEACH. FL 32233
PUBLICWORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS RUNOFF INFORMATIONAL
[Note S.
Al I r.noff ust remain on-site. Cannot raise lot elevation.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $65.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
510
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
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:$176.50
Issued Date:3/21/2019 2 of 2
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 oo t
Phone(904)247-5826- Fax(904)247-5845
E-mail: building-dept@coab.us Date routed� Z
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � (5 0jP0_/_k LLC2V Pepartment review required Yes -No
Applicant: CAD n Q c-
_Elanning &Zoni—nj�>
Tree Aaffi—in—isfr-5-16r
Pro'ect: __�ublic W_0T_S_
J_ Public Utilities—--,
Pu;li!c--Sa 7ey
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: EO'A"'p p r o,v e d. ElDenied. [:]Not applicable
(Circle one.) Comments:
(B U
:I LD31
PLANNING &ZONING
Reviewed by: Date: a-Z OF
TREE ADMIN. Second Review: V
]Approved as revised. FIDenied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DAPproved as revised. F]Denied. F]Not applicable
Comments:
Reviewed by: Date:
Revised 05/1912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: z- A
City web-site: http://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: e-ea^ Qc--2 v e- PR_pa4ra_ent review required Yes No
Applicant: CAJ 151aiFning &Zoning
-Tree_A_d-m--inis-rr-aFor
Publi;Work-3-->
Project: Ic a(,&3 ex:--
Public Utilities
P u 71 kic—S afe_�y
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: /VApproved. FIDenied. ONot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed bv- Date.-1-1-1--
TREE ADMIN. Second Review: F]Approved as revised. F]Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach APPLICATION NUMBER
Building Department i-TO assigned by the Building Department.)
800 Seminole Road E. C co
tlantic Beach, Florida 32233-5445
hone(904)247-5826 - Fax(904)247-5845
2 0 D routed.- z- A
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7_:2 P
OpCU_, QL_2V e geparlMent review required Yes No
Applicant: 0 C,/,-D(Ve
_Llaribning &Zoning_�?
P __Uffi-in UsTr-aTo r
ree A
Proj `j Cublic WoRk
ect:C)0+ai_)Q,C 7311>
Public Utilities��)
P u b I i-c S�ae_y�
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:
APPOCATION STATUS
Reviewing Department First Review: k/Approved. ODenied. E]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed
TREE ADMIN. Second Review: FlApproved as revised. [:]Denied. L]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
% "V
, . i� City of Atlantic Beach
APPLICATION NUMBER
'�i Building Department (To be assigned by the Building Department.)
V 800 Seminole Road
tlantic Beach, Florida 32233-5445 00
Phone(904)247-5826 - Fax(904)247-5845
UR E-mail: building-dept@coab.us Date routed: z A
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: QL:�V e P_epa�ent review required Yes No
Applicant: CA—D C\ (2 c- P lari-ning &Zon7in`g---,
-Free_AUm-`iriisTr-aT6r
Project: Public Wor:@�
Public Utilities
Public Saf—e-Fy—
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. [�J`Cot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed bk1z Date:
TREE ADMIN. Second Review: F]Approved as re)Zed. F]Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. FIDenied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
OFFICE COPY
Building Permit Application Updated 1019118
City of Atlantic Beach Building Department "ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
;119 Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: Permit Number: 0C) i (
Legal Description RE# 167601- 0000
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• ClassofWork: 19INew ElAddition DAlteration L]Repair L]Move E]Demo OPool DWinclow/Door
• Use of existing/proposed structure(s): DCommercial eResidential
• If an existing structure,is a fire sprinkler system installed?: E]Yes kNo
• Will tree(s) be removed in association with proposed proiect? DYes(must submit separate Tree Removal Permit) J�No
Describe in detail the type of work to be performed:
iv� r\
L I- D I---
Florida Product Approval# for multiple products use product a4roval CfoUffy
_J Z
Propertv Owner Information < 0
< 0 N
Name Z i=
Address lkl)
city _lf�6e_` State F-c- zip 3—).:933 Phone yoy �/H-S-T"j �:f
�=--
%_.1 UJ —
E-M a i I_qc_�CX_CE�:,UA It-VI-1 P 4 13 C)-
Owner or AgenfJfA(gent, Power of Attorney or Agency Letter Required)
Contractor Information Z cc Z
Name of Company Qualifying Agent 0% 10L 11
Address City State Zi rr n iz
Office Phone Job Site Contact Nurober 0 !-5; U-J
State Certification/Registration# E-Mail CC
Architect Name&Phone# M
Engineer's Name&Phone# 11r— UJI :3 a
U U) W
Workers Compensation Insurer OR Exempt Ei Expiration Date M
Application is hereby made to obtain a permit to do t ork and installations as indicated. I certify that no work or in Allation has 5;
commenced prior to the issuance of a permit and at all work will be performed to meet the standards of all the laws t9gulating III
construction in this jurisdiction. I understand at a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEAT S,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements of this
permit,there may be additional restricti s 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
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rm it to 0
e and"'a t a'I
t p
rmit
/;aa e a
tand s rZ
AT S,T NKS,an,
I s a PPI Ica ble to I
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 OBTAgININ G,,' CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORD tR7 CE OF C MENCEMENT.
(Signa ur wner or Agent) (Signature of Contractor)
S,!F,ned pnd sworn to firm d)bef this day of Signed and sworn to(or affirmed)b fori?me this day of
ZP b,y
f V�
-/C-
ary) (Signature of Notary)
PERGER
M Y _,61ON#FF 924951
EXPIRES:October 6,2019
Perso C@nd�,d T�r!Nbtary Public Underveiters Personally Known OR
ProcluL�a .. - _. Produced Identification
Type of Identification: —) C)—CC') te of Identification:
MAP SHOWING SURVEY OF:
LOT 5, OCEAN GROVE UNIT NO. 2, AS RECORDED IN PLAT BOOK 20, PAGE 20 OF
THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA
EIGHTEENTH (18TH) STREET
60' RIGHT OF WAY PAVED PUBILIC ROAD
1 0 4j)
SCALE: 1' 20'
z
>
A
rn
L
r- >
LOT 4 9 ;0
rouwo 1/2'IRON 0'2' m
I PIPE(LB 3672) >
1 FOWD 1/2'IRON NB6'13'18"E 125-00' 1
PIPE(LB 6645) 0. wOODD FEN 0.2- "1
BRICK PAVER WALK 6 171
BRICK PAVER WALK 0
2,1-STORY/ 5
z CONCRETE WOOD BECK x j 0-j; Z
0 2.0.0' A/C PAD DO 0
mcr
0 TWO STORY FRAME
T SR PA (A
Lt RESIDENCE -p:,
I 1 5
LA No. 1827
20 22.S I
FINISHED FLOOR I "i
11 'n 12.9
BRICK PAVER WALK ELE11A 0"
L 0) 'A' GE FLOOR
:3 0 ELEVATION 12.3 2 \3 0
> 0 CONCRETE C�
< I BRICK
(D 42.0, PUMP PAD I PAD
-0 <
> m
FENCE
=No I
3' N�TCAC"
.........jr—
fi;; FENCE
Ou IV i'"a
c ;�o .1 0.7'�' FENCE
0 4� FENCE -1 S1 8"W 125 00"
�COQQNA POSTS SB6
m < (124.93' �IELD)
0
6 rq LOT 6
NOTES:
1. THIS IS A BOUNDARY SURVEY.
2. NO BUILDING RESTRICTION LINES PER PLAT.
3' BEARINGS BASED ON SOUTHERLY LINE OF LOT 5
BEING SOUTH 86*13'18' WEST, AS PER PLAT.
4. ELEVATIONS BASED ON NAVD'88.
THE PROPERTY SHOWN HEREON LIES IN
FLOOD ZONE "X" (AREA OUTSIDE 500 YEAR
FLOOD PLAIN) AS DETERMINED FROM THE THIS SURVEY WAS MADE FOR THE BENEFIT OF KELI
FLOOD INSURANCE RATE MAP, COMMUNITY A. COUGHLIN AND CHRISTOPHER J. JOYCE; WELLS
PANEL NUMBER 120075 0001 D, REVISED FARGO BANK, N.A.; OLD REPUBLIC NATIONAL TITLE
APRIL 17, 1989 FOR THE CITY OF INSURANCE COMPANY; AND BRILEY & DEAL, LLC.-
ATLANTIC BEACH, DUVAL COUNTY, FLORIDA.
"NOT VALID WITHOUT THE SIGNATURE AND THE REVISED JUNE 21, 2012 U
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED RECHECKED OCOTBER 20, 2011 TO DONN W. BOATWRIGHT, P.S.M.
SURVEYOR AND MAPPER.' SHOW FINAL IMPROVEMENTS FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295
FOUNDATION SURVEY- MARCH 30, 2011 FLORIDA LIC. SURVE'T1NG & MAPPING BUSINESS No. LB 3672
CHIECKED BY. DATE:
DRAWN BY: MCC/DWB BOATWRIGHT LAND SURVEYORS, INC. AUGUST 1B, 2005
FILE: 2012-0506 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET I OF 1
X-REF 2011-0222, 2005-1245
CA