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588 Plaza DWAY19-0019 Paver DRIVEWAY PERMIT PERMIT NUMBER DWAY19-0019 CITY OF ATLANTIC BEACH U 800 SEMINOLE ROAD ISSUED: 7/15/2019 EXPIRES: 1/11/2020 ATLANTIC BEACH. FL 32233 -5814 BY 4 PM FOR NEXT DAY INSPECTION. MUST CALL INSPECTION PHONE LINE (904) 247 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. MENEM 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 588 PLAZA DRIVEWAY SINGLE OR TWO PAVER DRIVEWAY $3000.00 FAMILY DRIVEWAY TYPE OF REALIESTATE I BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1707030210 SEASPRAY COMPANY: ADDRESS: CITY: STATE: ZIP: ALOHA PAVERS OWNER: ADDRESS: CITY: STATE: ZIP: DUMLAO RAMON B 588 PLAZA ATLANTIC BEACH FL 32233-4123 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. 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. 2 PUBLIC WORKS ON SITE RUNOFF L INFORMATIONAL Notes: All runoff must remain on-site during construction. Issued Date: 7/15/2019 1 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road -5445 AVT -0 Atlantic Beach, Florida 32233 �q_ ( 9 Phone(904)247-5826 - Fax(904)247-5845 �2 / I Date routed: E-mail: building-dept@coab.us City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: A Department review required Yes No Building - Applicant: KD nin &Zonin-g--2 Tree Administrator Pro ect: Dp(V ef� D <2.Ublic Works-> Public i Fif-ie s 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: <Approved. []Denied. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b > Date: TREE ADMIN. Second Review: FlApproved as revised. []Denied. FINot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by-.- Date: FIRE SERVICES Third Review: ElApproved as revised. E]Denied. F]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 'VJ Building Permit Application Updated 1019118 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. . 11.�) WRY 19- 00 (9 Job Address: L-cy- L-c"c-K I 50A SF Permit Number. L- 5- 1?, iz�)! Legal Description I;:7&R P C-A A' -RE# Heated/Cooled SF Non-Heated/Cooled Valuation of Work(Replacement Cost)$ • Class of Work: ONew ElAddition ElAlteration DMove E]Demo E]Pool E]Window/Door • Use of existing/proposed structure(s): ElCommercial DResidential • If an existing structure,is a fire sprinkler system installed?: E]Yes ONo • Will tree(s)be removed in association with proposed promect? E]Yes(must submit separate Tree Removal Permit) E]No scribe in detail the type of work to be performed: --") iZ�1\JC-LJ y -P AVE P—S T2 L----PA I (Z — i--- Florida Product Approval# forlmultiple products use product approval form Property Owner Information Name PAM Q N V5, )U M LA L-) Address 5j3e -I�LA7-A City AT k3 9Q�,C 14 State E[_ Zip a2�p�;3 _Phone 15104 --3- -Z-.-.1--77V E-Mail Owner or Agent(if Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company A L-0+JA rAVP-12r�;. QualifyingAgent I,-ALp:r 1?1L-0tJ Address CitV kTL-A t,3T"7C JF4;State FC- Zip -3;Z -;L 3-3 OfficePhone Job Site Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt Ei 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 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 REC;O YIUR NOTICE OF COMMENCEMENT. k31g11dLU[t2 U1 UVVIR-1 U1 Mgtfnt) (Signature of Contractor) Signed and sworn to(or affirmed)before me this 2 9 day of Signed and sworn to(or ffi ed)be fore me ti s day of J 200 , by Carnon J3 - bOM 101 Q Y_ He*erMWM dle�� nitnAAc &*of FWd& (Signature of Notary) (Sgnatu re of Nota ry) My COMMISSIM B#w 03100 I I P r ally Known OR Personally Known OR ��rod.ced Identification Produced Identification Type of Identification: I i t-CA Y- Type of Identification: Owner Builder Affidavit "ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. Z 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1"CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED 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. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . Ill. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US) IF IN 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. Job Address: E3 L oog STW Y P(-iq/-A Owner Name: fz&,io�j B . __Dum �4L Phone Number: qt)+ -3-7_-L- 7 7 Fq -052 City:A I Mailing Address:_5 ' �4'-ZA —LAvJT;C �3� State: FL, Zip: --3;��33— Notarized Signature of Ownet�� ---------------------- The foregoin 1 trument was acknowledged befor6%e this day of 'JU n'C- , 20tol in the State of Florida, County of b�j\T k Heder Momq State of ftda Si nature of Notary Public My Commis�bn E)pires 02/01= g C0TM1Mi0nN0.GG68713 Personally Known OR M'-P'roduced Identification Type of Identification: I+n rA I Updated 10124118 Revision Request/Correction to Comments "ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: El Revision to Issued Permit OR Acorrections to Comments Date: 3ULV 1e4;LCp1q Project Address: F�?!�� I?LA-ZA Contractor/Contact Name: Contact Phone:�� -37 2.,--7-7 Email: Description of Proposed Revision J MAP 13VLkNPA-'Ky A re— r 4 PA S-B. .T:Y 5 W'Ain 14�J,& A P-'IEA I S I Ft 2!� VAMVtJ V3- DLAML-A C affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? PSNo El Yes (additional s.f.to be added: • Will proposed revision/corrections add additional increase in building value to original submittal? ;RNo El*Yes (additional increase in building value: $ Itcontractor must sign if increase in valuation) *Signature of Contractor/Agent: (Office Use Only) Approved Denied Not Applicable to Department Permit Fee Due Revision/Plan Review Comments Department Review Required: Building e—PTa--nning&Zom 16viewed By Tree Administrator -Public Works Public Utilities Public Safety Date Fire Services Updated 10/17118 K&E 10 9 IS5 5-77 MC6367- L01`5 --BLOCK /_AlE- SHOWN 01"A �ViiciP OF AS RECORDED IN PLAT 1300K__!�� --PAGE ��4_'�OFPUBLIC PEcopbsOF DUVAL CO., FLA. F( '2_Wc'S,0 TO Sdl,9 .147 Se 7 1'eo.' ts '4j jeo PTX 2 IFT 15.0' 19.5' 57otRY 6rLjcC0 15,qICK AROAlr L L 1AIC,- 15 E4 VE6 7 16� CLNVC 1A Z V� d�Up2pqo( suv\w PavQrq 6LArr i 'FT AKA 4,- &Nc;r I v -2 T4- , 5 City of Atlantic Beach APPLICATION NUMBER Building Department (To be:ass:igned by:theBuilding Depar.tment.) 800 Seminole Road ECEIVE 'J Atlantic Beach, Florida 32233-5445 OWAV (9 Phone(904)247-5826 - Fax(904)247 45JUN 2 6 2019 E-mail: building-dept@coab.us Cityweb-site: hftp://www.coab.us Date routed: zS APPLICATION REVIEW AND TRACKING FORM Property Address: (__) s _,:�) Department review requi—red —Yes No LAX A Building Applicant: - Ow ND C_e �nin ��Zonin�g � Ttee Administrator Project: c'- "o Fu011c utilities Public Safety Fire Services Review fee $ Dept Signature 0 Other Agency Review or Permit Required Review or Receipt Date Florida Dept.of Environmental Protection of Permit Verified By Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engi.neers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: FlApproved. VDenied. []Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: a t e�:Ll TREE ADMIN. 47-Z �e f Second Review: VApproved as revised. DIDenied. []Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by Daite: FIRE SERVICES Third Review: E]Approved as revised. ODenied. E]Not applicable Comments: Reviewed by: Date: Revised 05119/2017 CITY OF ATLANTIC BEACH Department of Public Works 1200 Sandpiper Lane Atlantic Beach, FL 32233 (904) 247-5834 PUBLIC WORKS PLAN REVIEW COMMENTS Date: 6/28/19 Applicant: Ramon Dumlao Permit#: DWAY19-0019 Email: ramondumiao@vahoo.com Review Status: DENIED Contractor: Aloha Pavers Site Address: 588 Plaza Email: Not Provided 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: • Provide impervious surface calculations for entire lot (existing and post construction). • A Revocable Encroachment Agreement must be submitted. • Provide detailed measurements of proposed work. V, PUBLIC WORKS CONDITIONS OF APPROVAL: (The following comments will be printed on your permit as Conditions of Approval) • 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. • 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-waV. • Full right-of-waV restoration, including sod, is required. • All runoff must remain on-site. Cannot raise lot elevation. • Maximum driveway width within the City right-of-way is 20'. • All debris must be removed from job site by Contractor. • Any damage done to infrastructure must be repaired by Contractor. Scott Williams, Public Works Director swilliamsCcDcoab.us/904-247-5834 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 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. 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 1 of 1 0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\DWAY19-0019(Dumlao-Owner).docx **ALL INFORMATION Revision Request/Correction to Comments HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Build ing-Dept@coab.us PERMIT#: t'AJA�L9--Lo 7 0 Revision to Issued Permit OR orrections to Comments Date: )ULV le'2-C)l t -C Project Address: ]?LA-ZA Contra cto r/Contact N a me: Contact Phone:�� -25 7 2---7-7 5'7 Email: Description of Proposed Revision YLla 0—1 n C1 F)C 5 LAY1 V12-111—S AV-e— LA M I C:U V-7 su m-�W�ff- (t5, oin HAP- VWNDk-Nzy Are— C4rtnA 4 Zo= F-lL 5-B Whl- A F-IEDN I 1RAMOIJ 13- DLAMI-A 59 affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? MNo El Yes (additional s.f.to be added: • Will proposed revision/corrections add additional increase in building value to original submittal? XNo []*Yes (additional increase in building value: $ J.�contractor must sign if increase valuation) 0 tk.)P 2 1 *Signature of Contractor/Agent!;,-,g xnw--�- (Office Use Only) W/Approved Denied Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments ECEIVE Department Review Requi r B u 11 d i n JUL 0 9 2E a ninp Reviewed-13V 4�lan ing—�Zc7niWg-7� Tree Administrator _r1P�ub I i c'Wo r'ks Public Utilities Public Safety "Dake Fire Services Updated 10/17118 Y-t -107 c? —1-7 vy T, I OIJ ea, 40, N # ---�W1779MG ij NL 0-�qrug <Hclzg 0's/ X-L.,4 f -7'Zlel OW 14 -A -SIP r /x -OD -1VA.Mll J-0 SO 8CD38 NOOS JLV'ld NI C13080038 SY P1,1171 t�e�All-F �,-1 S, V 'I D07100- —1-M 04FIG9DU4 4L-C f4i I fj 0 L BIR A