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1345 Ocean Blvd DWAY19-0026 Pavers PERMIT NUMBER DRIVEWAY PERMIT DWAY19-0026 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 8/12/2019 ATLANTIC BEACH, FL 32233 EXPIRES: 2/8/2020 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. _r VALUE OF WORK: JOB ADDRESS: PERMIT TYPE: DESCRIPTION: 1345 OCEAN BLVD DRIVEWAY SINGLE OR TWO remove & replace pavers for $3000.00 FAMILY DRIVEWAY parking TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1718410010 MANDALAY COMPANY:-- ADDRESS: CITY: STAT E CITY-STONE, INC 9339 CRAVEN ROAD JACKSONVILLE FL 32257 OWNER: ADDRESS: CITY: STATE: zip. SCHWORER TRUST 1345 OCEAN BLVD ATLANTIC BEACH FL 3 2 2) 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 INFORMATIONAL Notes: All runoff must remain on-site during construction. issued Date: 8/12/2019 1 of 2 DRIVEWAY PERMIT PERMIT NUMBER DWAY19-0026 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 8/12/2019 Uji 9 ATLANTIC BEACH. FL 32233 EXPIRES: 2/8/2020 3 PUBLIC WORKS ROLL OFF CONTAINER F 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. 4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 5 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 6 PUBLIC WORKS REVISION INFORMATIONAL Notes: Any plan change must be submitted as a Revision to the Building Department. 8 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: No extra or additional work can be done without a Revision to permit. 9 PUBLICWORKS DECKING REMOVED INFORMATIONAL Notes: All old decking and debris must be removed from job site by Contractor. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL: $125.00 Issued Date:8/12/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ip W Atlantic Beach, Florida 32233-5445 Phone(904)247-5826- Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: C)(_ Department review required Yes No Building___._ _ Applicant: a nn'ing &Zo A—A- ��g Tree d�minis ra ff®r _15'=blic Zork Project: L-PA W 4 It�4 S S_7�) Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date A, of Permit Verified By Vb L 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: OlDenied. E]Not applicable (Circle one.) Comments: /oApproved. BUILDING PLANNING&ZONINGA,,it Reviewed by-"e��� Date:'?-3o-t n�__ TREE ADMIN. Second Review:. ElApproved as revised. F]Denied. F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [:]Approved as revised. DIDenied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 City of Atlantic Beach F-CEIVIE APPLICATION NUMBER Building Department JUL 3 0 2019 (To be assigned by the Build-ing Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 L Date ro E-mail: building-dept@coab.us uted: Cityweb-site: hftp://vvww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: y aeavi 6 dj Department review required Yes No Building Applicant: Planning &Zonin�g � Tree Adrn_in_isf_raTo_f L tit r Project: Public Wo ks Public Utilities 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: VApproved. ElDenied. E]Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by� Date:'.0,;1�:1W TREE ADMIN. Second Review: ElApproved as revised. F]Denied. F]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 v j v Building Permit Application Updoted 10/9/18 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. Job Address:_/ ,3q5 Oerz-YMv 0) V9 Permit Number: DW A tcf - Legal Description 1P6y51Q_S RE# Valuation of Work(Replacement Cost)$,:5000 Heated/Cooled SIF ql�-�+Iea Class of Work: E]New ElAddition )61teration EIRepair ElMove E]Demo iOPbUl E]Window/Door Use of existing/proposed structure(s): OCommercial DResidential J U L 2 6 2019 • If an existing structure,is a fire sprinkler system installed?: Dyes E]No • Will tree(s) be removed in association with proposed proiect? E]Yes(must submit sepzitate-TFCe-R��-rii-6��Tpi��itliI Ello Ees;ibe in detail the type of work to be performed: Rc-ovtle 1F)0.57_/A)C- F 62 d- CM<- Florida Product Approval# for multiple products use product approval form Property Owner Information Name 0o U&k As :5 G H wo tZea Address /.;3L/5 ve�e^,J & 09 city State ie'�, zip -3;?,,2 33 Phone WIt - q.2-3 - 3.2 E-Mail Owner or Agent(if Agent, Power of Attorney or Agency Letter Required) Contractor Information NameofCompany OMTIV111,16 ,11%1c, QualifyingAgent Address 433 7<2 city -_W,&1Sty0V1L1J--,tate 64 zip 3 7 _T Py- 1?"?5 - YA�v Job Site Contact Num�P4 W11-75'Y-01179 C&Z2- Office Phone State Certification/Registration# E-M a i I Architect Name&Phone# Engineer's Name&Phone# *orkers Compensation Insurer OR Exempt 0 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 RECORDIDY YOPR NOT EOF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or affirmed)before me this Q�I'Oday of ned and sworn to(.or affirmqd)be —p-t of -7,by �IWCF4 WOtb, Z69"LMk _JxAAq% k by 0011i ll�4 L)f PL f �g _�fl\lotary) a1upe o/Notary) TONI UNDLES; ERGF JENNIFER J - FF OHNSTON ��ISSION A 'id -knol MYCOMMISSfo Personally Kno N#GG 042984 1 ly, vfFQ�:S,,ct 2019 7--., EXPIRES:October 27.2020 5tibWtBry Publ. UroerwOte kj.Pv6duced Identitic 0 B,onded T Notal P= I I Wr6dTc.�FfdeTitffid ters Ty P�-6f I Type of Identification: (Iml -A.- REVOCABLE ENCROACHMENT AGREEMENT **ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach,FL 32233 IS REQUIRED. REVOCABLE ENCROACHMENT AGREEMENT 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 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. This work is generally described as P1 VVZ5 —, I I PIE ?h V941 t-� 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,return receipt requested,to the following address 1315r &M , AT rla6C.,4— LAA) • 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 easement or 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 must 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 terms 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 easements, 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 by the USER. Date 61</,0 Prop&ty,Owner/Agent (signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this %:)L day of LA 20 by (A C--,t NAWO) L-V1 who personally appeared before me and (printed name of Signer) acknowledged that he/she signed the instrument vokmt in it. JENNIFER JOHNSTON My COMMISSION#GG 042984J EXPIRES:October 27,2020 Department Approval: I Un _ . 3., Bonded Thru Notary Public Underwriters Signaftde of Notary Public, State of Florida Personally Known Uproduced Identification (Type) Scott Williams, Public Wor!ZsE�i�ector H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION "ALL INFORMATION City of Atlantic Beach HIGHLIGHTED IN GRAY IS 800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED. PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES JobAddress e>6c-qA) v>c,�l -Permit Number DWM A- 002(0 Contractor Information Company C/ly Qualifying Agent Address ?3 3,9 R city State k, ZiD 7 Phone E m a i I #q/_t-_5 rv/vc 4vol State Certif ication/Regist ration# Architect Phone Email Engineer Phone Email Workers Compensation Insurer OR Exempt o Expiration Date • Permittee declares that prior to 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 W C-LI-IA16:rOny RZ C-A A)TA 0-It (Project Superintendent) with(Company Name) 7VAJ6 I AJC- Phone qoq-751-0978'6C4& • 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_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 Pu ic Wor 5;DAc r shall be notified 24 hours prior to starting work and again immediately upon completion. Date Permit��e(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL 2o The foregoing instrument was acknowledged this C day of 3aN by of A_� who personally appeared before me and-- (printed name of Permittee) JENNI FERJOHNSTON acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. N1 ComMISSION#GG 0429154 EXPIRES:October 27,2020 Bonded Thru NotarY Public Underwriteft Personally Known I Signat6�r ofW­6�'tary Public,State of Florida [ul-1:1-roduced identification(Type)—Z-It.- b d L tl H:\Applications&Forms\Word&Excel Document Originals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 MAP SHOUNG SURVEY OF LOT 7, BLOCK 53, MANDALAY, S RECORDED IN PLAT BOOK 10, PAGE 11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA NOTES: THIS IS A BOUNDARY SURVEY. NO BUILDING RESTRICTION LINE AS PER PLAT. NORTH PROTRACTED FROM PLAT. INTERIOR ANGLES AS PER FIELD SURVEY. AND ARE LABELED THUS: A.90*09'24! 8.8874'15' C.91-3W23' 0.89'49'59' LOT 5 I/rIM FFE LOT 9 FOUND.CAP 133-21''MEASURED IN FIELD) 3672 1 1/2-PON PPE 0 FOUND,NO 0 .- STOW WALK 0.2, 1-9 0.3, 0 > 490 B ot LOT 7 rn X TWO STORY I'wow 1- 28. < 12. FRAME AND STUCCO J4 go LOT 6 0 RESIDENCE 7S < VOW'. 11345 F— V WOOD > m COLUIAN < < 28.2' 54-1 4!WOW > 5.71 < > .0 �q 79' WOOD 110 I;rlRiA FFE—O.n ;FOUND.NO CAP ow 1/2-010N PIPE 132.0�(multm IN FIELD) FOUND.NO CPP 0.3, LOT I LOT 2 LOT 3 SCALE- 1' 20' THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE 0.2% ANNUAL CHANCE THIS SURVEY WAS MADE FOR THE BENEFIT OF FLOODPLAIN)AS WELL AS CAN BE LINDLEY TOLBERT DESIGN. DETERMINED FROM THE FLOOD INSURANCE RATE MAP 12031CO409H, REVISED JUNE 3, 2013. FOR DUVAL COUNTY, FLORIDA. "NOT VAUD VATHOUT THE SIGNATURE AND DONN W. BOATWRIGHT. P.S.M. THE ORIGINAL RAISED SEAL OF A FLORIDA FLORIDA 1-1111 SURVEYOR and MAPPER No. LS 3295 LICENSED SURVEYOR AND MAPPER.' FLORIDA LIC. SURVEYING&MAPPING BUSINESS No. LB 3672 CHECKED BY.- DATE: DRAWN BY. CL BOATWRIGHT LAND SURVEYORS, INC. JUNE 19, 2013 FILE. 2013-0519 1500 ROBERTS DRIVE, JACKSONVIIULE BEACH, FLORIDA 241-8550 SHEET 1 OF 5 - 9 tio qr pi *0't 1 r a. 9' I 000 vg n�CRcTIE (+0'17 1r! �3 #V �.D�'�i► OCEAN BOULEVARD ( FORMERLY M ANDALAY AVE. ) 50" RIGHT OP WAY PACS _ ---------- _ a 69 NOTICE OF COMMENCEMENT State of zz,6-f Tax Folio No. / 7 Countyof Ozza,4z 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 NOTICE OF COMMENCEMENT Legal Description of property being improved: A 4, P/r7 7-1e-R-e-le A-7 PZA //j 44 fl, - 0 �J s 0 f�06`p e q�4n g1l M�I'p qro-v : -� 5 General description of improvements: SEL)V �A yc)4�;, Owner: Poo&z-�t -s�WvR&R Address: qS (D A-1 16 Owner's interest in site of the improvement: 6��Iv�o< Fee Simple Titleholder(if other than owner): Name: Contractor: Address: Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: 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 expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Doc#2019175065,OR BK 18879 Page 332, SignedK.— Date: Number Pages:1 Before me this zu day of C1 in the County of Duval,State Recorded 07/26/2019 03:07 PM, Of Florida,has personally appeared U RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Publi t L St e Flo mycommissica aM' C-G�ly o c COUNTY n e.pires: JENNIFER JOHNSTON RECORDING $10-00 Personally Known: My COMMISSION#GG 04,VS4 EPTRES,October 27,2020 Produced Identification: 6", I—I I a u"nory ruplic unde—rvorijers