1710 Maritime Oak Dr RESO19-0025 Summer Kitchen RESIDENTIAL OTHER PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RE5019-0025
800 SEMINOLE ROAD ISSUED: 8/19/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 2/15/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL •RK MUST CONFORM T• THE CURRENT 6TH EDITION1 OF • ' + 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:
RESIDENTIAL OTHER SINGLE OR summer kitchen & other
1710 MARITIME OAK DR TWO FAMILY RESIDENTIAL $20000.00
OTHER improvements
TYPE OFBUILDING USE
ZONING. :D •
• • GROUP:
169505 1880 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS:
IMPACT ENCLOSURES INC 11653 Central Parkway Jacksonville FL 32224
• ADDRESS:
HEDBERG KRISTEN 1710 MARITIME OAK 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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
Issued Date: 8/19/2019 1 of 2
RESIDENTIAL OTHER PERMIT PERMIT NUMBER
RES019-0025
CITY OF ATLANTIC BEACH
ISSUED: 8/19/2019
800 SEMINOLE ROAD
19` ATLANTIC BEACH. FL 32233 EXPIRES: 2/15/2020
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.
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
iifiiik� FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 4SS-0000-322-1000 0 $155.00
BUILDING PLAN CHECK 4S5-0000-322-1001 0 $77.50
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $3.49
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.33
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $363.32'
Issued Date:8/19/2019 2 of 2
'5%QsW;�y City of Atlantic Beach APPLICATION NUMBER
J' ti Building Department (To be assigned by the Building Department.)
800 Seminole Road F _LSO ( el — DO&
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ` ! `�'" -A�rvxk Duk (• Depa ment review required Ye No
Applicant: �tt[A kr1C. Uw Lk( � S Planning &zoning_,)
Tre dministrator
Project:
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date !l
of Permit Verified B
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: roved. ❑Denied. ❑Not applicable
(Circle one.) Comments: fV 0
C-r,-cfk-�C , Cjts a %k RP� .ed.
PLANNING &ZONING
Reviewed by: Date:
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:
Revised 05/19/2017
OFFICE COPY
rs �r Building Permit Application
� Updated 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 Fax: (904)247-5845 Email: Building-Dept@coab.us IS REQUIRED.
g- c
Job Address:0 1 0 M. Wke ?ermitNumbe,:
Legal Description(e-7 liP, CS` E , ISc-�, Pdbn C,fCeca(11
Valuation of Work(Replacement Cost)$ 20i C)OD Heated/Cooled SF
t2r� Heatied%Coo tz� �f
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo 0 fpl ❑Window/Door
• Use of existing/proposed structure(s): Commercial QResidential i t�) AUG ` q 2019
• If an existing structure,is afire sprinkler system installed?: EYes []No
• Will trees _be removed in association with Proposed ro'ect? . es must submit separate Tree Removal Permit
Describe in detail the type of work tobeperformed; ~ -- n---- - - - — '
t< 0 p0
L
Florida Product Approval# _for multiple products use product approvof-rtn U
Pro ert Owner Information -7 y, ,� rJ I LtJ Q t
.Name Address 11�0 rMV�(� 6 1 f 4 CAIf 61(li�,te 0 Q O Q L\!
City - �!l State Zi -S' / (n
/ � P �� Phone L1,.>Q-y),j !
E Mail_ Lilt — c f... Z
Owner or Agent(If Agent,Power of Attorne r Agency Letter Required) n/a 0
It LL W
Contractor Information JC3 w w
Name of Com an 1mp[act Enclosures IneW n a
Qualifying Agent Ryan Hammers CC
LU
Address 11653 Central P C
kwy#219 CityJacksonville State.FL Zip 32224 ui iJ � w LL
Office Phone (904-) 853-6522. Job Site Contact Number �_ OC u
State Certification/Registration# CBC1257761 E-Mailofficemanager.impact@gmaiLcom LU W
Architect Name&Phone#
Engineer's Name& Phone# 61l- ` t C? (�
Workers Compensation Insurer fj(
OR Exempt o Expiration Dare
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
RE LT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YCIR PERTY. IF YOU INTEND
T BTAIN FINANCING, ONSULT WITH YOUR LEN O ORNEY BEFORE
= RDI YOUR N CE OF MENCEM NT.
n {
n 0 (Signature of Owner or Agent)
(Signature of Contractor)
p �O
4�and sworn to (or affirmed)before me this_day of Signed and sworn to(or affirmed)before me this day of
b
r
w (Signature of Notary) (Signature of Notary)
O
(�Personally Known OR �s+►�, Notary Public State of Flbrib rs ally no
(r'6roduced Identification r° Lauren AbuhlI Ji/�rr•
( J Pro i ication �, Notary Public State of Florida
Type of Identification: DU ., My Commission GG 2t5f7 :° Lauren Abuhl
y e of entification:
OF cMy Gormrmiss an GG15873
Expires 05/09/2022
OFFICE COPY
0
1
Hedberg Residence
1719 Maritime Oak Dr
Mant c Beach,Fl.
Builder:Impact Enclosures
Summer Kitchen
E 3` 01 - q Cdv11 4er 40V 12-rePP+a c(-- S
590 b c,, 3 Peh ingvlom
F 3 9 o1 I . q .5- 2-rc.e pI nel-f o v4 1 9-f- The ave'r
On Tf-4-0 PP/17)1 Sinai r COL h f-vr -t,(j P $ Rl 10-f Ct M aXi/MuVM G i ncA-eS I T�
-�-k-e coevn fah k)"?P4aCte i S PI&Ced ori erj . NO /hOr�P +I\ar\
�2 )-,n c WP.3 C) -�-{�� C C'
City of Atlantic Beach APPLICATION NUMBER
�S Building Department (To be assigned by the Building Department.)
r ' 800 Seminole Road ��(JJ O I f1 — ���
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
0A yT E-mail: building-dept@coab.us Date routed: _
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � 1� � t ^�a'�-����� De a ment review required Yes No
Buil in
Applicant: ttcA Oak.(-�3
Tre Administrator
Project: S 4 M M.0—
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date
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 QQ
Reviewed by: 10--'Oo - Date: (Z _ 19
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:
Revised 05/19/2017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road n ( O I G'1 ���
Atlantic Beach, Florida 32233-5445 F� J
Phone(904)247-5826 • Fax(904)247-5845
0A t)r E-mail: building-dept@coab.us L Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: `JAD Ktkc (- -A ( t QCJN . De a ment review required Yes No
Buil in
Applicant: Planning &Zonin
Tre dministrator
Project: (YA M P- `A-M-)u j P
t MPr1 �tm-��� Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date �0e
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 by: — te: /P"�.3—/
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied. [—]Not applicable
PUBLIC WORKS Comments:
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: Application#:
Project Address:
Check Box Check
APPLICATION TRACKING COMMENTS to Add Box to
Comment Print
Underground Avoid damage to underground water and sewer utilities. Verify vertical and
Water Sewer horizontal location of utilities. Hand dig if necessary. If field coordination is ❑ ❑
Utilities needed, call 247-5878.
Meter Boxes Ensure all meter boxes,sewer cleanouts and valve covers are set to grade
Sewer Cleanout and visible. ❑ ❑
A sewer cleanout must be installed at the property line. Cleanout must be
RT1 Sewer covered with an RT1 concrete box with metal lid. Cleanout to be set to grade ❑ ❑
Cleanout and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will
RPZ be provided or if there is a private well on the property. Backflow preventer ❑ ❑
Backflow must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Plans note the building will be unsprinkled. If plans change,any fire line
Sensus installed must be metered with a Sensus touch-read meter in a properly sized
Touch-Read vault and an appropriate backflow preventer installed. Backflow preventer ❑ ❑
Meter must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Fire Sporiinkler If fire sprinkler system is provided,call 247-5878 for backflow requirements. [3 [3Requirement At a minimum,will require a double check backflow preventer.
Fire Line Fire lines must be metered with a Sensus touch-read meter. Meters larger ❑ ❑
Meter than 2" must be installed in a vault as noted in IEA specifications.
Utility Map See attached Utility Map. ❑ ❑
Disconnect
&Cap Disconnect and cap water and sewer lines. ❑ ❑
Inspection Must call the Inspection Line at 247-5814 to request an inspection of the
Prior disconnected and capped water and sewer lines prior to demolition. ❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ 11
rry�.J City of Atlantic Beach ;' " ! .' APPLICATION NUMBER
�S r� Building Department _ (To be assigned by the Building Department.)
r 800 Seminole Road e
Atlantic Beach, Florida 32233 45AUG 12 2019 a_s 0 1 e4 - Do
Phone(904)247-5826 • Fax )247-5845
�4, �: E-mail: building-dept@coab. yy Date routed:
City web-site: http://www.coab'I
APPLICATION REVIEW AND TRACKING FORM
Property Address: H1� � t _h(�-����� De a ment review required Yes No
Buil in
Applicant: v ptccA t-n(Acak(tPlanning &Zonin
Tr e dministrator
Project: 5 ►� L( � �n `�`6�- -j
Public Utilities
tPru1,� '� Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date �0e,
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 r Date: f
TREE ADMIN. Second Review: ❑Approved as revised. []Denied. ❑Not applicable
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
P'e�
MAP SNOWING SURVEY OF
LOT 117, ATLANTIC BEACH COUNTRY CLUB UNIT 2, AS RECORDED IN
PLAT BOOK 67, PAGES 132 THROUGH 137 OF THE CURRENT PUBLIC
RECORDS OF DUVAL COUNTY, FLORIDA.
OFFICE COP
\ T
SCALE: 1. 20' \ ` /yam
924
x o
4-
75
y L�yO• t t ss Q�a� `� g, x cSs a.70 9�J
►8 \
ogM1
10 t7 .02
11.2 \J `SS ��� 10.49
I�.0
10.9 \
X11` \�: �O. •P� .,� \\
\9
9 �' d96�
X 11.7 .10 aJ
O x Uir� '\' xt,.y 551 �O
G'O `pr
5 r cS x 11.8
cl .
s� 00 OGoJ�.
x
000 �0 ��,lM1°t�.Y \
lep
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NOTES- IMPERVIOUS:
1. THIS IS A BOUNDARY AND TOPOGRAPHIC SURVEY. HOUSE: 1954 SQUARE FEET
2. BEARINGS BASED ON THE NORTHWESTERLY LINE OF BRICK & CONCRETE: 1141 SQUARE FEET
LOT 117, BEING NORTH 51'36'56" EAST, AS PER PLAT. TOTAL IMPERVIOUS: 3095 SQUARE FEET
3. NO BUILDING RESTRIC11ON LINE AS PER PLAT. LOT AREA: 5596 SQUARE FEET
4. BENCHMARK USED: FOUND MAG NAIL & DISK, LB3572 PERCENTAGE OF IMPERVIOUS = 47%
IN SOUTH EDGE OF PAVEMENT EAST PROPERTY LINE OF
RESIDENCE NO. 588 COASTAL OAK LANE.
ELEVATION = 9.88 (NAVD 1988)
THIS SURVEY WAS MADE FOR THE BENEFIT OF
THE PROPERTY SHOWN HEREON LIES IN FLOOD ZONE CASEY HEDBERG.
"X" (AREA OF MINIMAL FLOOD HAZARD) AS WELL AS
CAN BE DETERMINED FROM THE FLOOD INSURANCE
RATE MAP NUMBER 12031CO406J REVISED
NOVEMBER, 02 2018 FOR DUVAL COUNTY, FLORIDA
'NOTSTEPHEN W. CREME, P.S.M.
OFOO AL =SELATHOUT sty FLOWATLRE wo NS FLORIDA UC. SURVEYOR and MAPPER No. LS 5996
owa++K rc,vgn sF.0 of.+Fl.o�aoA ucexsm
SURVEYOR MO WAPPEP FLORIDA UC. SURVEYING & MAPPING BUSINESS No. LB 3672
CHECKED BY DATE:
DRAWN BY DAF BOATWRIGHT LAND SURVEYORS, INC. MAY 14, 2019
FILE. 2019-0703 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF_1