90 S Forrestal Cir Driveway u " DRIVEWAY PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH DWAY19-0015
' t 800 SEMINOLE ROAD ISSUED: 5/13/2019
u ATLANTIC BEACH. FL 32233 EXPIRES: 11/9/2019
ALL • . • • • . • t • • t • • • • • t
CODE, NEC, IPIMC, 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: DESCRIPTION: OF • •
905 FORRESTAL CIR DRIVEWAY SINGLE OR TWO DRIVEWAY $0.00
FAMILY DRIVEWAY
ZONING:— TYPE OF REALESTATE
BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:--
ATLANTIC BEACH VILLA q
1717510000 01
ADDRESS:
Quick Construction, LLC 4312 Pablo Professional CT JACKSONVILLE FL 32224
• ADDRESS: CITY: STATE: ZIP:
TYSINGER MARK 90 FORRESTAL CIR S 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.
1 PUBLIC WORKS DRIVEWAY APRON INFORMATIONAL
Notes:
All concrete driveway aprons must be 5Inches thick,4000 psi,with fibermesh from edge of pavement to the property line.Reinforcing rods or mesh
are not allowed in the right-of-way.
Issued Date:5/13/2019 1 oft
;t DRIVEWAY PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH DWAY19-0015
8005EMINOLE ROAD ISSUED:5/13/2019
p r EXPIRES:11/9/2019
ATLANTIC BEACH. FL 32233
2 PUBLICWORKS EROSION CONTROL I NSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(9042
-5814)to request an Erosion and Sediment Control Inspection prior to start of construction.
3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
4 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 Cocainers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on Cry right-of-way.
5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
G PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
1
Maximum driveway width within the City right-of-way is 20 feet.
DESCRIPTIONACCOUNT QUANTITY PAID AMOUNT
PW REVIEW BUILDING MOD OR ROW 001-0000-329-11100 0 $25.00
ZONING REX EW SINGLE AND TWO FAMILY USES 001-0000-339-1003 0
TOTAL:$75.00
Issued Date:5/13/2019 2 of 2
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 Ley C� 'C
Job Address: 90 Forrestal Cir S.,Atlantic Beach,FL 32233 Permit Number: R W ( I /— 0c)IS
Legal Description_30-5617-2S-29E ATLANTIC BEACH VILLA UNIT 1 LOT 1 BLK 2_RE#_171751-0000
Valuation of Work(Replacement Cost)$Heated/Cooled SF Now Heated/Cooled
• Class of work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
Add driveway
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name:Mark and or Denise Tysinger Address: 90 Forrestal Cir S Qr S
Qt#,tall Atlantic Beach State FL Zip 32233 Phone
E- akadbt@gmail.com
Own=,Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Quick Construction LLC qualifying Agent: Mike Quick
Address 422 Jacksonville Dive City Jacksonville Beach State FL Zip 32250
ice Phone 904-535-6522 lob Slte/Contact Number 904-660-8679 _
State Certification/Registration# CGC1517983 E-Mag mike@quickconsTru o. p
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation 02/2019
INempt/Insurer/Lease Employees/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 regulationg
construction in this jurisdiction.l understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
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, CONSU"ITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
x
(Slgnatu of tier YU Agenti lading Contract arc Of Contractor) "-2 N
Signed nd sworn to(tor bf' re me thi m"' day of ed�rld swam (firmed)before me thlG day of
I by 1
at red ry) JILL M(
... lI 3. Notary rubN� 4
F W 0
1110
ALMCDaB61q j pnmfwl
Notary Publl[ SNte al Fladda w�f MY comm.FapirH Jun fl,Mil
�1 Personally Known OR \ Commh'w aGGdFf �/�7 Personally Known OR a•ndedthraeb NAbnal Near Ae^
r_ , MYComm,E. Jun f1,3022 1 l Produced Identification
I I Produced Identification amdM thmvrh National Notary Assn, Type of Identification:
Type of Identification:
S�=W13,_, City of Atlantic Beach APPLICATION NUMBER
j� Building Department (To be assigned by the Building Department.)
r 800 Seminole Road p I _cDI
Atlantic Beach, Florida 32233-5445 TF
Phone(904)2475826- Fax(904)247-5845
E-mail: bulldingdept@wab.us Date routed:
City web-site: htpr//www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: D ��(Z IZES (��— Department review re uired Yes No
Building
Applicant: Q )in 1< On�.SZnlnn &Zoning
Tree Adminis ra or
Project: (� jL1F—G�7[�'y public Works
ildies---..
Public Safety
Fire Services
Review fee $
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B e /
Florida Dept.of Environmental Protection ,
Florida Dept.of Transportation \
V
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: Date:z__(
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:
Rsvleed 0511912017
J
Ytyvr� City of Atlantic Beach APPLICATION NUMBER
J; { Building Department (To be assigned by the Building Department.)
r B00 Seminole Road I�1 i I I S
Atlantic Beach, Flonda 32233-5445 �6L
Phone(904)247-5826 Fax(904)247-5845 r;� [ Gc ii`Y -Z
E-mail: buildingdept@coab.us $ # Date routed:
Dtyweb-site: hftp://..coab.us ,1L,
APPLICATION REVIEW AND TRACKING FORM
Property Address: O v F0 2 RC-Sifl C_ Department review required Yes No
Building
Applicant: ennin &Zoning
Tree Ad inisire or
Project: 1 [Z IUE-C.L7�}` 't--/ ubhcworks
Public Safety
Fire Services
Other Agency Review or Permit Required Review or ReceiptDate
of Permit Verified B p
Florida Dept.of Environmental Protection \�
Florida Dept.of Transportation
St.Johns River Water Management District
Any 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 Date:
TREE ADMIN. Second Review: pproved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed b .
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Dale:
Revised 0511912017
CITY OF ATLANTIC BEACH
Department of Public Works
r1 1200 Sandpiper Lane
Atlantic Beach, FL 32233
(904)247-5834
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: 4/30/19 Applicant: Quick Construction, LLC
Permit 8: DWAY19-0015 Email: mike@Quickconstruction.com
Review Status: DENIED Property Owner: Denise& Mark Tysinger
Site Address: 90 Forrestal Circle S. Email: akadbt@gmail.com
THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS
Correction Items must be submitted to the Building Department at 800 Seminole Road.
Submittals that respond to only one or a few correction items will not be accepted.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions must be submitted to the Building Department and must respond to EACH department review.
PUBLIC WORKS CORRECTION ITEMS:
APPROVED
• Provide updated plans showing the garage.
• Maximum driveway width within the City right-of-way is 20'. 9--r3l• Provide a detailed plan of driveway in City right-of way.
PUBLIC WORKS CONDITIONS OF APPROVAL:
(The following comments will be printed on your permit as Conditions of Approval)
•Ldisturbing
oncrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of pavement
e property line. Reinforcing rods or mesh are not allowed in the right-of-way.
erosion control measures must be installed and approved prior to beginning any earth
rbing activities. Contact the Inspection Line (904)247-5814 to request an Erosion and
ment Control Inspection prior to start of construction.
unoff must remain on-site during construction.
off container company must be on City approved list(Advanced Disposal, Realco Recycling,
ells, Inc., Republic Services, Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk
oval, All American Roll Off, WCA Waste Corporation). Container cannot be placed on
right-of-way.right-of-way restoration, including sod, is required.
imum driveway width within the City right-of-way is 20'.
Scott Williams, Public Works Director swilliams&Dcoab.us/904-247-5834
Page 1 of 2
O:\Public Works\ADMIN\PIAN REVIEW COMMENTS\DWAY19-00151Quickl.docx
j
Resubmittal Notes: All revisions and changes shall clearly standout from the rest of the drawing on the sheet as a
revision by way of completely encircling the change with"clouding". The revision shall also be identified as to the
sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the
cloud. The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block
for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit
pending,all sheets with revisions shall be Inserted into each set of drawings. The original sheets must be clearly marked
"VOID" but are to be left within the set of drawings. Comolete new sets of drawings will not be accepted. ADDITIONAL
ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR
REVIEW.
Page 2 of 2
0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\DWAy19-00151Quickl.docx
w
REVOCABLE ENCROACHMENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT,issued on this_day of •20,
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 Q O FO¢2.F GT.A l r—QB S
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 Right-of-Way Permit#
This work is generally described as - � �L QAIIG/ D2\U .goy
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to
relocation or removal on thirty(30)days' notice by CITY to USER,said notice to USER shall be given by certified mail,
term receipt requested,to the following address
• 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 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 most
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 terns 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 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 bype USER. ^
Date / z
Property Ow er/Ag f (signed in rresence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL L4
The foregoing instrument was acknowledged this, day of r^ 20
by ` who personally appeared before me and
(p hied name of Signer)
ac w dged that e/ a ed the ins men[voluntarily for the purpose expressed in it.
MYWAlM11110 NtF 925951
g. ?
a; E%PIRES'.09tobera 2019
Signature of Notary Public,State ofFlori Aa.' eoamNreanP�so�emarmrs
re orks Department:
Personally Known
Produced Identificaio_n " O � g
c
iz4g/ �A/'�'
Scott Willi enm Publi�orks i�D_rector �'
RIGHT-OF-WAY/EASEMENT PERMIT APPLICATION ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
Boo Seminole Road,Atlantic Beach,FL 32233 REOWRED,
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES II q �
Job Addresses Foneslel Cir s Permit Number Ri� S 1 I — DD—t,!/
Contractor Information
CompanyOuick Construction LLC Qualifying Agent Michael Quick
Addmss422 Jacksonville Drive City Jacksonville Beach State FL zip32250
Phone(9D4)WD-W79 Email mike@quickoonstruction.biz
State Certification/Registration gCGC1517983
Architect N/A Phone Email
EngineerN/AIIS--II Phone Email
Workers Compensation InsurerlJBuilder Mutual OR Exempt❑Expiration Date 02/20/2019
• Permittee declares that priorto 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 Public Works Director,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 Public Works Director 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 Carlos Gil (Project Superintendent)
with(Company Name) Quick Construction LLC Phone()327-0528
• All materials and equipment shall be subject to inspection by the Public Works Director.
• 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 30 —days. If the beginning date is more than 60
days from date of permit approval then permittee must review the permit with the Public Works Director 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 Public W rks ctor sha notified 24 hours prior to starting work and again immet iateZly%u/P'�onn cD/;lpletion.
2 ! ( - I Date-�f�"'!'0
PiluNnittee(signed n Bence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL .{'O
The (
foregoing instrument
was acknowledged this, day of_y ✓III 1204-
y\
by f , ( .(,[ l Y t h llc- .who personally appeared before me and
(printed name of Permittee) Rand
JILLMCDOOGnLLacknowledged that he/she signed the Instrumentvoluntarily for the purpose expressed In it. public sine al Floridamhslm N GG 228965m.Expires Jun 14,2022
�. through National HWary AYR
r7tPersonally Known
Notary u ,Stale of FI ida lJ-I Produced Identification(Type)
H:tApypYBnro a farms\Ward Dxumenbyt018O1001 Ryat-al-way Easement Permit Appliwtlon.doct Revision Date:10/1/18
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Tysinger Residence
90 Forrestal Circle
Atlantic Beach, FL 32233
Imperivous Area Calculations
Land Area 8500 SF
House 1343 SF
Concrete Paver Driveway 603 SF
Concrete pad in back yard 156.25 SF
Concrete rear porch 337.5 SF
AC Pad 9 SF
Total lmprevious Area 2448.75 SF
Lot Coverage Percentage 28.8%
i
Map of Boundary Survey
LOT 1, BLOCK 2, ATLANTIC BEACH VILLA UNIT NO. 1,
A SUBDIVISION ACCORDING TO THE PLAT THEREOF REGOROED AT PLAT BOON 30,
PAGE 56, IN THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
PROPERTY ADDRESS. W FORRESTAL CIRCLE S,ATLANTIC BEACK FL 32233
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Map of Boundary Survey
LOT 1, BLOCK 2, ATLANTIC BEACH VILLA UNIT NO. 1,
A SUBDIVISION ACCORDING TO THE PLAT THEREOF RECORDED AT PLAT BOOK 30,
PAGE 56, IN THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
PROPERTY ADDRESS. 90 FORRESTAL CIRCLE S,ATLANTIC BEACH,FL 32233
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LASTFIELDDATE: 01,09118 CAD: MK BARNES SIGNATURE DATE: 01110118 DRAWING SCALE: 1'= 30 ' JOB#: FL-18-10173
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