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1730 E Park Terrac ACC19-0039 Paver Patio ACCESSORY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ACC19-0039 800 SEMINOLE ROAD ISSUED: 5/24/2019 ATLANTIC BEACH. FIL 32233 EXPIRES: 11/20/2019 — I 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. io e N I E-in dd, n th en 5 his e it,th a be add ional restrictions applicable to this property OT C - "'. to e" qu.rem t of P rm r.To Y '0 1 tho that may be found in the public records of this county,and there may be additional permits required from other governmental ent�lties such as water management districts,state agencies,or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUEOFWORK: 1730 E PARK TER ACCESSORY SINGLE OR TWO PAVER PATIO $7500.00 FAMILY ACCESSORY TYPE OF REALESTATE BUILDING USE CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION: 1720200394 SELVA MARINA UNIT08 COMPANY: ADDRESS: CITY: STATE: ZIP: MOORE PAUL PHILLIP 1730 PARK TER E 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 containercompany mustbeorl approved list. Containercannot be placed on City right-of-way. PUBLiCWORKS 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 anErosion and SedimentControl inspection priorto startof construction. 2 PUBLICWORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. issued Date: 5/24/2019 1 of 2 ACCESSORY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ACC19-0039 ISSUED: 5/24/2019 800 SEMINOLE ROAD EXPIRES: 11/20/2019 ATLANTIC BEACH. FL 32233 ===T=3 PUBLIC WORKS POST CONSTRUCTION TOPIC SURVEY INFORMATIONAL Notes: if on-site storage is required,a post construction topographic survey documenting proper construction will be required, Allwath rrun 'arug'o retention area and retention overflow must run to street. 4 PUBLICWORKS ROLL OFF CONTAINER INFOR��11110CINT Notes: Roll off container company must be on Cityapproved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsteri, Phillips Containers,JDog/Denris Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. 5 PUBLIC WORKS RIGHT OF WAY RESTOR ION INFORMATIONAL Notes: Full righI restoration,Including sod,is required. 6 PUBLICWORKS RUNOFF MATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. =� 3 P UCWORK�� UB S '"moff Mug'a 'T'CNA' JBL C WO RKS ROLL OFF CONTA NER M Co.-y"a Dumpsla., C, right of Way RIGHT OF WAY RESTORAT PIBIII WORKS FEES DESCRIPTION ACCOUNT PAID AMOUNT BUILDING PERMIT 4S5 0000 322 1000 0 $W.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00 PW REVIEW BUILDING MOD OR HOW 001�329-1004 0 $25M STATE DBPR SURCHARGE 455-CO0CE2DP07CO 0 $5.os STATE DCA;5CHARGE 45 Do 1 0 $3.35 YAORKWTHOUTPERMIT 7_M1222±100K) 1 $2001 S 0 ZONING REVIEW SINGL�AND TWO FAMILY USES WrEKCCOC,32�1003 $SiEoo TOTAL:$418.38 Issued Date:5/24/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department s� D (To be assigned by the Building Department.) 800 Seminole Road R\ QQ q - 0-0-sC4 Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@caalo.us Date routed Citywelo-site http://�.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review re uire No '�—u Iding Applicant: 0 uj AID P=� Rann—ing 14Z Trae Administrator Project: 0 �Ico a Public SalefT� Services Review fee $_Dept Signature Review=P� Date Other Agency Review or Permit Required ofPermit Florida Dept of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Anmy Corps—.fEngmee. Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco I Other: APPLICATION STATUS Reviewing Department First Review: 09,P'P"ved. E]Denied. E]Not applicable (Circle one.) Comments: (E9 PLANNING &ZONING Reviewed by:—M., Date: TREE ADMIN. Second Review: []Approved as revised. [:]Denleff. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC S AFETY Reviewed by:_ Date:— FIRE SERVICES Third Review: ElApproved as revised. E]Denied. E]Not applicable Comments: Reviewed by: Date:— RevIsed05,4912017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) Roo Seminole Road -5445 Atlantic Reach,Florida 32233 Phone(904)247-5826 Fax(904)247-5845 Date nuted E-Mail: building-dept@corubus City web-site min//www,co2b.us APPLICATION REVIEW AND TRACKING FORM Property Address: 173C) Department review require Yes No �ng Applicant: _pWn—ing&ZomnE> 1 lee�ullledstrator Project: P L�_—c 0 C Wo S �nu lic UtilitieiL> Public ga_fely� Fire Services Review fee Other Agency Review or Pennit Required Review or Receipt Date of Permit Verified BY Florida Dept.W—Environment.1 Protection Florida Dept.of Transportation St.Johns River Water ManagemeWt Di�sbict Army Corp._&E.gm... Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS JNot applicable Reviewing Department First Review: /2<pproved. E]Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed b14&� Date: TREEADMIN. S ..nd Rinnew. E]Approved as revised. DDenied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRESERVICES Third Review: DApproved as revised. ElDemed. E)Not applicable Comments: Reviewed by: Date:— Revised 0511912017 City of Atlantic Beach IV APPLICATION NUMBER Y . u, P.7"] be e�d th B_Idling D Aly�,' Q_sc� Building Department Y 16 be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-6445 Phone(904)247-5826 Fax(90,41)247-5845 E-mail: building-dept@ccalb.us —TDDate routed: Citymb-site: hftp:/A~.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: PorpXTeap Do artment review required Yes No ,2611c_HM2�� — Applicant: GIL) ND _QtORng&Zo� Tree Administrator Project: PA--cc 0 111c �Ut- - Ill. j�,�u licUtilifie§> Public Sarfef�y Fire Services N Review fee $_ Dept Signature Rte—vimor Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept.of Environmental Protection Morida Dept of Transportation_ St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: E]Approved. VDenied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed lby� TREEADMIN. SecondReview: VApprovedas revised. E]Denied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed 41�206& 0;�Dat-1t_;12:/f FIRE SERVICES Third Review: ElApproved as revised. E]Denied. E]Not applicable Comments: Reviewed by: Date:— Revised 0511912017 CITY OF ATLANTIC BEACH ,/"�Aft Department of Public Works 1200 Sandpiper Lane Atlantic Beach, FL 32233 (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 5/17/19 Applicant: Michele Moore Permit#: ACC19-0039 Email: ppmoore(a)live.com Review Status: DENIED Contractor: Lima Stoneworks, Inc. Site Address: 1730 Park Terrace E. Email: lima(&Iimastonework.com THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS Correction Items must be submitted to the Building Department at 800 Seminole Read. 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: • Section 24-66(b)of the Land Development Regulations requires on-site storage for increased run-off if adding 250 SF or more impervious surface. Provide Delta volume calculations and on-site retention required per Section 24-66(b). • Provide a detailed plan of water retention area and how water runoff gets to water retention areas and then to street. APPROVED PUBLIC WORKS CONDITIONS OF APPROVAL: t (Thefollowing comments will be printed an yourpermit as Conditions of Approval) 2_,12. • 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. • All runoff must remain on-site during construction. • If on-site storage is required, a post construction topographic survey documenting proper construction will be required. All water runoff must go to retention area and retention overflow must run to street. • 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. • Full right-of-way restoration, including sod, is required. • All runoff must remain on-site. Cannot raise elevation. Scott Williams, Public Works Director swilliamsLOcoab.us/904-247-5834 Page I of 2 0APublic W.rkS\ADM1N\PLAN REVIEW COMMENTS\ACC19-DO39(Oner-Moom).do. Resubmittal Notes: All revisions and changes shall clearly stand out 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 re%rislon 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 drawinjzs. Complete 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\ADM1N\PtAN REVIEW COMMENTS\ACC19-0039(Owner-Moore).doot City of Atlantic Beach APPLICATION NUMBER Building Department D (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone(904)247-5B26 Fax(904)247-5845 L 9 E-mail: building-dept@coab.us Date routed: ELI City web-site: hftip:/�www.coaous APPLICATION REVIEW AND TRACKING FORM Property Address: 17'-7 F49 0 nt review required Yes No Applicant: (D cp ND c_4� _219ff—ning &Z�5p Tree Administrator Project: I�K P 1�-_-_c[ 0 %t�o 6 � ek> 7-- Fire Services Review fee $_Dept Signature .11, 11, —1, 11 Review_orR�eipt — Other Agency Review or Permit Required of Permit Verified By Date Florida Dept of Environmental Protection _�Iorida_0.ptof Transportation St.Johns Ri er Water Managernment District kmy Corps of Engineers Division of H 3tels and Restaurants Division of Alcoholic Beverages and Tobacco er APPLICATION STATUS Reviewing Department First Review: ElApproved. ElDenled. ot applicable (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: L"Zlk--�Date: S4741 TREEADMIN. Second Review: E]Approved as revisel ElDenied. E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date:— FIRE SERVICES Third Review: []Approved as revised. E]Denied. E]Not applicable Comments: Reviewed by: Date:— Revisoij OsI9120117 Building Permit App cation Updated 10/9/18 City of Atlantic Beach Building Department --ALL INFORMATION HIGHLIGHTED IN GRAY 800 Seminole Road, Atlantic Beach, FL 32233 ISREQUIRED. Phone: (904) 247-5826 Email: Bljilding-Dept@ JobAddress: j7qpparkje,,a,g lost.Atlactr Beach.FL32133 PermitNumber. Ac'eig — oc)39 11 Legal Description RE# Valuation of Work(Replacement cost)$ 7,500 Heated/Cooled SIF 0 Now Heated/Cooled---950— • CIae,,fWork: (NNew OAddition OlAfteration 01tepair 0move 0Demo OP001 OWindow/Door • Use of existing/proposed structureisl: OCmmercial IgResidential • Ifan existing structure,Is afire sprinkler system Installed?: OYes INNO • willtreels bar- _vedl association with proposed proj-t?Dyes(must submit separate Tree Removal Permit) MNo Describe In dt.11 the type of work to be performed: Install concrete paver over existing covered patio and extending patio Florida Product Approval#�for multiple products use product approval form Property Owner Information Name Michele Moore Address 1730 Park Terrace East City Atlantic Beach State FIL Zip__322Ljj_Phone 904-616-1025 E-Mail 13111110nare(Plive-COrn Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) Contractor Information NameofCo A Ag Ujoa 9) <-//j fb f AAAC64 Jo any �' Quallivil g ent Address IM/Fla F5 A AV 5 /�e zlp_2AA� ter Job Site 2ntact Nu�mAer_j_f I:ZIL Office Phone(_142_4VL_'��,5 State artification/Registration# C Q'm Architect Narne&Phone# Engineer's Name&Phone# to R Exempt 0 Expiration Date Workers Compensation Insurer Application is hereby made to obtain a permit to do the work and Install tions as indicated.I certify that no work or Installation has commenced Imor 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 RECORDINGVOUR140TICE OF COMMENCEMEN�m�� (Sig"tu e ofOwner or Agent) snn.xxefCcm.�1.r� 1A, before met is day of Signed and swum to(or affirmed)before me this I day of d d a k7,us k� _flal� Aril') by =Z11a 0 k Aj'c� 7 in ture U -1 (Stenature of Notary) --f,l Personally Kr.wn Personally Known OR [ I Prduccal ld.nlfl "P Z Type of tdantiticutfun Type '-ALL INFORMATION owner Builder Affidavit HIGHLIGHTED IN 'U ,1 City of Atlantic Beach Building Department GRAY IS REQUIRED, J,ot 1" 800 Seminole Rd, Atlantic Beach, Fl.32233 Phone: (904) 247-5826 Email; Build!nFLD_QP1L@LqB_bus PERMIT#: 1. FLORIDA STATUTES;CHAPTER 489,FLORIDA STATUTES,PART i"CONSTRUCTION CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DIS-0,SWESPIE1.11E . STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOUHAVEAPPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. You MUST SUPERVISE THE CONSTRUCTION YOURSELF. UE OR TWO UFAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY Y06 MAY BUILD OR IINI ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COSTOF$25,000.00 OR LESS THE BUILDING MUST BE FOR YOUR:USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. ,���6UHAVE BUILT�YOURSEUF WITHIN ONE YEAR AFTER THE IFYOU SELL OR LEASE ABUILLI ASE,WHICH CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LE IS IN VIOLATION OF THIS EXEMPTION. MUST YOU MAY Of HIRE AN UNU ENSED PERSON AS YOUR CONTRACTOR,YOUR CONSTRUCTION BE ONE ACCORDING TO I tit BUILDING CODES AND ZONING REGULATIONS. IS YOUR RVI 'OU HAVE LICENSES __5B I REGIRE STATE LAWAND BYCOUNTYOB MUNICIPAL ULt--u1U ORDINANCES. 11. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIESTO WORKERSTHEY HIRETHE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. , IRSWITHHOLDING Ill, IRSWITHHOUDING;OWNERS HIRING WORKERSBECOME EMPLOYERSAND SHOULDALSO OBSERVE I T TRADES TAX AND/011 FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMEN RSBEIN 'SUBJECT IV. PENALTY;UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNE G TO$5,000 PENALTY UNDER FLORIDA STATUTE NO�455-228(l). AN"OCCUPAnONAL LICENSE-IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEETHE COUNTY'CERTIFICATE OF COMPETENCY'OR THE FLORIDA"CONTRACTORS CERTIFICATE"To ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-58260RO�LILI);N-G—DEPFP90—At�-.t)q)IFIN DOUBT. V. ACKNOWLEDGEMENT,I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. JobAddress: 1730 Park Terrace East,Atlantic Beach FL 32233 OwnerName: Michele MOD�re Phone Number, 904-616-9944 MaillngAddress: 1730 Park Terrace East City: AtlantIcBeach State: FIL Zip: 32233 NortarizedSignaturefffOwner 'A The foregoing Instrument was acknowledged be ethlsja.�dayof Mcult 20J_L In the State of Florida, County of Signature of Notary Public dil P, - I JULIA P. MITCHELL ally Known OR( I Produced ld:ntiflcation Notary P.131I.-SUR.of Florida '*M Person E. Commission If GO 320340 my commission Expires April 21,2023 Type of Identification: UpdoledlW4,48 4�1 Ir jr Ail upi , Iv "P MOWNG DOEMARY SURM OF LOT 28 BLOCK 12 AS SHOWN ON MAP OF SWLVA MARINA UMT NO il �j�,0 -PAWS �rr' n� CIRPII[P FM PAM W�M NOW N033647wE 1100D, L 0.0 97 t4 17.e 27W .13-ax.4 DE IED S00'30'3419 110-00' 7=7 PARK CE EA T XM t�PL� M MW=A�AVMS M V r�DU TRI-57AM, LAalvv Ou�v�jv�. JIV, 5875 WNING TFRRA� "9. JAMSMWLIE, aOR� �f") 88�25M DA AS W� ms"wr NO V� FW==Z RAI"Wl n n mr— ZMWy g A MACT W R� W A MA�MM �17-11'1 STA� te 1,24 izf 17VIOLS S po- APPROVED JYVI