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1771 Sea Oats Dr DWAY19-0037 Paver DRIVEWAY PERMIT PERMIT NUMBER r t�, CITY OF ATLANTIC BEACH DWAY19-0037 800 SEMINOLE ROAD ISSUED: 8/26/2019 ATLANTIC BEACH, FL 32233 EXPIRES: 2/22/2020 MUST CALL INSPECTION PHONE • ' J 247-5814 BY 4 • • • NEXT • INSPECTION. ALL WORK CONFORM • CURRENT • EDITION (2017) OF FLORIDA BUILDING CODE, IPMC, AND CITY OF BEACH CODE • 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: 1771 SEA OATS DR DRIVEWAY SINGLE OR TWO PAVER DRIVEWAY $5000.00 FAMILY DRIVEWAY TYPE OF ZONING: :D • • • GROUP: 1720200448 SELVA MARINA UNIT 08 COMPANY: ADDRESS: COASTAL IMPROVEMENT 1215 N 9TH ST JACKSONVILLE FL 32250 CORP. BEACH • ADD• BUCHANAN MARLA 1771 SEA OATS DR ATLANTIC BEACH FL 32233-5828 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 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: 8/26/2019 1 of 2 ySyLy City of Atlantic Beach : IVE APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road AUG 16 2019 1 _G0J j Atlantic Beach, Florida 32233-5 Phone(904)247-5826 Fax(9 ` 7-5845 E-mail: building-dept@coab.us Date routed City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: [ ( F P�, OA-C Department review required Yes No j Building Applicant: Applicant: 0as ©yPlanning &Zoning Tree Adminis rator Project: Public Works 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 PLANNING &ZONING Reviewed by: Date-.- TREE ate: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 i�..Vl;y� City of Atlantic Beach APPLICATION NUMBER eiS Department.)Building Department (To be assigned by the Building -00,57r r) 800 Seminole Road j IAtlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I 1 1 J ECA CA7 Department review required Yes No Building Applicant: O{�S L L_ If P[ZCOII .`Planning &Zoning_` 1 Tree _Ad_ministrator Project: (� V -, t� V Gjp� Public Works` 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: Approved. []Denied. []Not applicable (Circle one.) Comments: BUILDING )Q' PLANNING &ZONING Reviewed by:l/ « Date:` Ir IC( 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 05119/2017 Building Permit Application Updoted1019118 1 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: 7 7 / �/,4 0 Al /�A Permit Number: r=- ! I -00 6/ Legal Description (j/I� / /�itl�/1- (.Cl ill 0rg 13'X Zj RE# / ����/ dQ Valuation of Work(Replacement Cost)$ �i �� ' Heated/Cooled SF None CW/ E:• Class of Work: ❑New ❑Addition C�4teration ❑Repair ❑Move ❑Demo []Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ' sidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes � AUG 15 ?019 • Will trees be removed in association with proposed romect? ❑Yes must submit separate Tree Removal Permit > o Describe in detail the type of work to be performer Building Department O/CCity of Atlantic Beach, F Florida Product Approval# for multiple products use product approval form Property Owner Information / _ Name l�. e>T-0� ��//l� � jX5;z Address 7V —5� 00 P City v State — Zip Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company o 'I/l't ` Qualifying Agent Address 1 City;; ��0 ate Zip Office Phone Job Site Contact Numper State Certification/Registration# a>o9 'v? E-Mail �'J/3,3fTI 90 � oc o Architect Name& Phone# .� Engineer's Name& Phone# Workers Compensation Insurer OR Exempt xpiration 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 RECORDING YOU OTICE OF COMMENCEMENT. C? (Signature of Owner or Agent) (Signature of Contractor) / Signed and sworn to(or affirmed) before me this, day of Signed and sworn to(or affirmed) before me this�`� day of vpv )'r 2Ct�� by "IF (V I(r' !�aI S by s ) Patti H an ►'""w,� Notary Public State of Florida NOTARY PUBLIC James Herbert Coker [.Personally K My Commission GG 228000 ersonally Known OR STATE OF FLORIDA [ ] Produced Id t Expires 06/16/2022 [ ]Produced Identification Comm#FF961840 Type of Identification: Type of Identification: 9m'r7 Fxpixe ?/1Z=0 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 LOCATESA r, Job Address 1771 SEA OATS DR ATLANTIC BEACH FL.32233 Permit Number T,� I q r U V 3-1 Contractor Information Company COASTAL IMPROVEMENT CORPORATION Qualifying Agent FRANK TUCKER Address 1215 9th St North City JACKSONVILLE BEACH State FL Zip32250 Phone 904.442.5202 Email coasta1904@outlook.com State Certification/Registration # CGC#052924 Architect N/A Phone Email Engineer N/A Phone Email Workers Compensation Insurer OR Exempt ✓©Expiration Date 10/02/2021 • 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 FRANK TUCKER (Project Superintendent) with (Company Name) COASTAL IMPROVEMENT CORPORATION Phone 904.442.5202 • 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 45 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 Works Dir or shall be notified 24 hours prior to starting work and again immediately upon completion. c1 Date Permittee(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL r The foregoing instrument was acknowledged this 6 day of 20 20 , by l � �t/`u`�-� who personally appeared before me and (printed name of Permittee) p2NIII Harlan acknowledge at he/she signed the instrument voluntarily for the purpose expressed in it. NOTARY PUBLIC _STATE OF FLORIDA C0n,n#FF961840 moires 2/1712020 [ ersonally Known Signature IV tary Public,State of Florida [ ] Produced Identification(Type) H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 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 COASTAL IMPROVEMENT CORPORATION 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 PAVER DRIVEWAY 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 1771 SEA OATS DR ATLANTIC BEACH, FL.32233 • 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 Iiabiliti e hereby assumed by the USER. Date Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL � L The foregoing instrument was acknowledged this O� day of 20 by ✓�..���i �l who personally appeared before me and (printed name of Signer) acknowle ge that he/she signed the instrument voluntarily for the purpose expressed in it. Y Pats Hanan NOTARY PUBLIC C _STATE OF FLORIDA Department Approval: Signa f Not ' Pub ic, State of Flo iW"N Conon#FF961840 /1 ` ersonally Known Expires 2/17/2020 s I [ ] Produced Identification (Type) Scott it lams, Public r s Director H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 /� MAP SHOWING BOUNDARY SURVEY OF LOT 8, BLOCK 15, SELVA MARINA UNIT N0. 8, AS RECORDED IN PLAT BOOK 34, PAGE 85, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. THOMAS C. MIKELRI)AND COAROL L. M KELL HOMESIDE LENDING, INC. ATTOREYS' TITLE INSURANCE FUND, INC. WILLIAM G. NOE, JR. SEA OATS DRIVE (60.0' RIGHT OF WAY) N 00. 820" E 95.60' (PLAT) POINT OF CURVAIUPF FOUND 1/2'IRON PIPE FOUND 1/2-IRON PIPE FOUND x-CUt NO IDENTIFICATION N '0 3 95.67' (MEASURED) NO IDENTWCATx1N IN CONCRETE 5 00`04'36'IF 261.45'(MEASURED) 5 00`0E-20•M 261.50(PLAT) n r'ry n 1t. . N 30-BUILDING RESTRICTION UNE .p N � .,Y.:<x CO 0 21.Y To ,' O7 COVER 15.3' 00 Ln l n 16.9' TD CO N (H Ln t0 j _ N O A A p i c 0 ONE STORY FRAME m rl LOT 9 BLOCK LOT 715 � 14'4 09 POSTED # 1771 x BLOCK 15 METAL 0.1'� W SHED L4 (d O W ® O v N o ^ W s 2' 15.3 W s COVERED 1- m y( IM000 DECK r y m D N D N � zlC m LOT 8 m 1, v o o L BLOCK 15 z ITT I 0.0' R.526.53 L-30.35' 04' D'4 FOUND 1/2 IRON PIPE "� FOUND 1/2IRON PIPE x x FOUND 1/2"IaoN PIPE NO IDENTIFICATION n x x� NO IOENIIFICA110N TRACT'C- NO IDENTIFICATgN x M S 00'27'11* E 30.47' S 0010'10" W (CHORD)(MEASURED) 63.05' (MEASURED) S 00'01'07" E 30.35 63.04'8(POLA T) (CHORD)(PLA T) SEMINOLE ROAD (100.0 RIGHT OF WAY) NOTES: ACCEPTED 8+ -. LEGEND: — - -- ----- - R = RADIUS —x— - FENCE L = LENGTH O - CONCRETE NOTES: REVISIONS PLAT S 89'S1'40' E_-_ ALONG THE t. BEARINGS ARE BASED ON THE __________ BEARING OF ___________ NORTHERLY BOUNDARY LINE OF SUBJECT PARCEL. AS DATE DESCRIPTION SHOWN ON THE 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN fL000 ZONE _0001 D NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER LAT , PANEL 3. THIS SURVEY REFLECTS ALL EASEMENTS h RIGHTS OF WAY AS PER RECORDED PLAT k/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED 4 THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. rT JOB k 14185 DATE OF FIELD SURVEY: 04-01-01 DATE OF ISSUE: 04-03-01 1 SCALE: - CERTIFICATE 2522 Oak Street I HEREBY CEETIFY TilAl .i a;SURVEY WAS MADE UNDER MY RESPDN98LE CHARGE Jacksonville, Florida 32204 AND MEETS THE MINIMUM TECHN.CAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROF 'URVEYOP.S AND MAPPERS IN CHAPO*STATUTES.FLORIDA (Phone) 904-389-5989 ADWNIS TIV is ANf TU SECTION 2-072. (FOA) 904-389-6175 MICHAEL J. Al REGISTERED SURVEYOR AND MAPP R / 4879 STATE OF FLORIDA LICENSED BUSINESS 1 6702 ^ nnAICTDI Ir'TI(1N q1 JRVFYS O SUBDIVISIONS NOTICE OF COMMENCEMENT State of FLORIDA Tax Folio No. 14293-00298 County of DUVAL 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 this NOTICE OF COMMENCEMENT. Legal Description of property being improved: SELVA MARINA UNIT 8 LOT 8 BLK 15 Address of property being improved: 1771 SEA OATS DR ATLANTIC BEACH FL.32233 General description of improvements: PAVER DRIVEWAY Owner: BUCHANAN HARRY WILLIAMS JR Address: 1771 SEA OATS DR ATLANTIC BEACH FL.32233 Owner's interest in site of the improvement: FEE SIMPLE Fee Simple Titleholder(if other than owner): Name: SAME Contractor: COASTAL IMPROVEMENT CORPORATION Address: 1215 9th St North Jacksonville Beach, FL.32250 Telephone No.: 904.442.5202 Fax No: 904.746.7075 Surety(if any) N/A Address: N/A Amount of Bond$ N/A Telephone No: N/A Fax No: Name and address of any person making a loan for the construction of the improvements Name: N/A Address: N/A Phone No: N/A 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: N/A Address: N/A Telephone No: N/A 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: N/A Address: N/A 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 Signed: _. Date: 913 / Doc#2019190659,OR BK 18900 Page 1324, Before me this day of_ ► 2 in the County o v ,State Number Pages: 1 Of Florida,has personally appeared Recorded 08/15/2019 12:47 PM, Notary Public at Large,State of f RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL My commission expires: t COUNTY Personally Known: or RECORDING $10.00 Produced Identification: My Commission GG 228000 0;44F