105 Fleet Landing Blvd DWAY19-0028 Paver asp' '' DRIVEWAY PERMIT PERMIT NUMBER
it
CITY OF ATLANTIC BEACH DWAY19-0028
91, ISSUED: 10/11/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 4/8/2020
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.
►OB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
105 FLEET LANDING BV DRIVEWAY SINGLE OR TWO PAVER DRIVEWAY AND $5570.00
FAMILY DRIVEWAY WALKWAY
TYPE OF I REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169397 0200 SECTION LAND
COMPANY: ADDRESS: I CITY: STATE: ZIP:
KETTELL INC. 1860 MAYPORT RD ATLANTIC BEACH FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP:
NAVAL CONTINUING CARE
RETIREMENT 1 FLEET LANDING BLVD ATLANTIC BEACH FL 32233-4599
FOUNDATION INC
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.
Issued Date: 10/11/2019 1 of 2
c/ `:„.„ DRIVEWAY PERMIT PERMIT NUMBER
'� DWAY19-0028
r> CITY OF ATLANTIC BEACH800 SEMINOLE ROAD
7.511 ISSUED: 10/11/2019
Loi3 9r v ATLANTIC BEACH, FL 32233 EXPIRES: 4/8/2020
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
3 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.
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 DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
FEES
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: 10/11/2019 2 of 2
1 y;y City of Atlantic Beach APPLICATION NUMBER
,io Building Department E./1I (To be assigned by the Building Department.)
s-•; a 800 Seminole Road �,�r .:, f , l (� O�
j_1 �e Atlantic Beach, Florida 32233-5445 •D 11�/ I \(i1 ` _�-J
Phone(904)247-5826 • Fax(904)24 506 c c----,E-mail: building-deptcoab.us 5 Date routed: /(4 A
City web-site: http://www.coab.us ay.
APPLICATION REVIEW AND `RACKING FORM
Property Address: f 0w C"Le ( Dt pC.. Department review required Yes No
Building
Applicant: i E T TELL I IOC.. �_Pl_anning &Zoning',
A Tree Administrator
Project: t AVER— V vA�.K Public Works
Public Utilities
l .(V€vim -( 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: �pproved. ['Denied. ['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING I, r
Reviewed .y: /.jf Date: i�
TREE ADMIN. Second Review: ['Approved as revised. Denied.
❑ pp ❑ ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:__ _ Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. fNot applicable
Comments:
Reviewed by: _ Date:
Revised 05/19/2017
SJ:14 1. City of Atlantic Beach APPLICATION NUMBER
JS r� , Building Department (To be assigned by the Building Department.)
�`_ 'i 800 Seminole Road f II ,, ,, (� 19 /'y—�
r• Atlantic Beach, Florida 32233-5445 {�ll�J ► \� _`f` ���
Phone(904)247-5826 • Fax(904)247-5845 I
z!o;!0- E-mail: building-dept@coab.us Date routed: /l, /(._c]
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 as --(....e .-7- of e Department review required Yes No
Building
Applicant: Ke ( TELL- 110ei Planning_&Zoning
buil^ A C `�rree Adminrtra�r
Project: r Ave-IL buil C,K.0-cx4C( _Public Work
� Public Utilities
R„t V e( 3 pty 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 et
Reviewed by:/ Date: le— ^ (9
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. ['Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
TSy,1il ,.
Building Permit Application
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone:h (904)/ 247-5826' JJ1Email: Building-Dept@coab.us v
Job Address: ) 0 5 V-L€ Lie/) i Permit Number: [/ /lk ) c:\7( f 9 "CD
Legal Description G ( RE# ( 0 i )ii OwC.,
Valuation of Work(Replacement Cost)$ 55 7 0 Heated/Cooled SF Non- Heated/Cooled
• Class of Work: ❑New ' Addition PAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) : No
Describe in detail the type of work to be performed:
P-10-no>>e' ( t.\'e�� ��' �{�wrn , /Act (✓�,�h Ri awe-S. 4! / )qvu cn tittv'4ti
Florida Product Approval# for multiple products use product approval form
Property Owner Information II ,, /
',r4rt--J-t."�'`Address �[_ 4L (,�t.�dr�-�-f 8L 10
Name �Va1%�.1 (.�n1-fnv;� CG„'r -F'
City #11",i /,L ,�l State FL Zip 37`Z 5 3 Phone (it y y7e( .737y
E-Mail 3--1-1A IJ L flit 1 lu„tl. . Le M
Owner or Agent(If Agent, Power of Att6rney or Agency Letter Required)
Contractor Information I L ,
m
Name of Cop ny � Ire C Qualifying Agent ' Yi( ►
I 1
Address r1 yy->z< t �.t.4 City A f3. State FL Zip 3 2Z 3 3
Office Phone 9Ot/ f''Z 22 G Job Site Contact Number )41 Le iI€ #,1, 9C If 3Z7/cc's
State Certification/Registration# E-Mail h,'.(;-*) JAP 'tl I4 p , . 0>n._
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer ' l--. OR Exempt❑ 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
RECORD. OTICE OF COMMENCEMENT. /"
•
(Signature of Owner or Agent) (Signature+f Contractor)
Signed and sworn to(or affirme�dpefore me this )`-i day of Si ned and sworn to(or affirmed) before methis I 1 day of
(7)q ,by J!'meS /� l�lG� ,
aD)9,by &_.,p glice 1/
(Signature of Notary) (Signature of Notary)
9
_ x,N46 Notary Public State of Florida �r. Notary Public State of Florida
Shari R Townsend
[personally Known OR [ ]Personally Known OR Shari R Townsend
y, My Commission GG 147833 a My Commission GG 147833
[ ]Produced Identification �, M1c' Expires 11/04/2021 • [v(�Produced Identification
d° Expires 11/04/2021
Type of Identification: Type of Identification:
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. ATT.
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33'-102" ,``r 10'-02"
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,/ , ' _ -17'-10
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ASPH. PAVEMENT
l: 'iREVOCABLE ENCROACHMENT AGREEMENT
., ' City of Atlantic Beach **ALL INFORMATION
( (�1 HIGHLIGHTED IN GRAY
/! 800 Seminole Road,Atlantic Beach, FL 32233 IS REQUIRED.
r
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
ex sting under the laws of the State of Florida, hereinafter referred to as "CITY" and
.�lr;�Itt 1 1 -41' .),(Vii �.Afe i h%x, wf .,snd 4.4i^-n '1,1 , 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 S jljr S ,-nt U' 1- ,w,.5 •
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 'C` 3 Y / / /Al d,> /9L 1)
• 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 r assumed by the USER.
J Date (52, 7/.. .,,/..,,,,,,,,
Property Owner/Agent (signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL ty_
The foregoing instrument was acknowledged this 1 `} day of A-u J 1.`S 4- , 20 19 ,
by �a.,-,,,,7,,,,5-,47/2:// , who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
.� .1/400,°W Notary Public Stale of Florida
��� � 49 4, Shari R Townsend Department Approval:
Signature of Notary Public, State of Florida y �n My Exp Cresommissi11/04/on GG2021 147833
[NI Personally Known .,,N,:, ,F..,• „41%;\:a .�\ , _ _ ,-
[ ] Produced Identification(Type) Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 ,;74/17r.
•c-_•i,,,, RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION **ALL INFORMATION
' City of Atlantic Beach HIGHLIGHTED IN GRAY IS
/l 800 Seminole Road,Atlantic Beach,FL 32233 REQUIRED.
•
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
1O' rI / �Ay 1q-0028
Job Address �Yji� Permit Number D
Contractor Information
Company 1\ 2'jf&'11
I 1.--"An 4-- Qualifying )7)0P)d/P/Y.
Address (b(Q l) 1 ' lP-vfid- g0/141 City 4. /g �f �-_'J State FL Zip 3ZZ 37
Phone G��tl 37Z !ZZ Email 1 i t p r10�NA l0L - Ec)rv--%
State Certification/Registration#
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurers (r),",.. C1'Le_ OR Exempt❑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 Ill K 'k Ye I/ (Project Superintendent)
with(Company Name)e-
4/4441), I nC Phone Opt( 517 /W,rf
• 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 I✓ 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. V-
• 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 Work Dir t r hall be notified 24 hours prior to starting work and again immediately upon completion.
Date .VI Li / 11
Permittee(signed n presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL TA-
The foregoing' strument was ackn led a this 14 day of A-'I.t.s tAi-c ,20 1 ci ,
by 4-e k'/7/?,4/ JJ ,who personally appeared before me and
(printed nam of Permittee)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. . vo,•cs`F Notahari rj R ToPublic Statewnsend of Florida
a?
/ S
i:, ; My Commission GG 147833
'C 'yj�M1� Expires 11/0412021
[ ]Personally Known f•si-W-'v•
Signature of Notary 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
Williams, Scott
From: info@kettellinc.com
Sent: Wednesday, August 21, 2019 10:49 AM
To: Williams, Scott
Subject: Fleet Landing Letter
Attachments: 105 Fleet Landng Blvd - Driveway Ltr..pdf
Scott,
Please see attached letter from Fleet Landing. Thank you for the help with this project!
Kate Kettell
Kettell, Inc.
904-372-7226
www.ketteIlinc.com
FLEET
`LANDING
August 20, 2019
Kettell Inc.
1860 Mayport Rd.
Atlantic Beach, FL 32233
RE: 105 Fleet Landing Boulevard
To whom it may concern:
As the owners of 105 Fleet Landing Boulevard, Fleet Landing has met all
community approvals necessary as it relates to the installation of a paved circular
driveway at#105 Fleet Landing Boulevard (DWAY19-0028).
Sincerely,
.,.. .z.
000/9
James Hall
Manager of Remodeling Services
Fleet Landing
One Fleet Landing Boulevard I Atlantic Beach,FL 32233 I 1.800.872.8761 toll free I wwwfleetlanding.com
Legal
LW Legal Description
1 05-25-29E 70.418
2 PT FRAC SEC 5-2S-29E RECD
3 O/R 7811-1979,
4 08-25-29E
5 PT GOVT LOTS 1,7,8 RECD
6 O R 6634-1715,PT GOVT LOT 2 RECD
7 ORS 6688-675,6708-965