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340 N Oceanwalk Dr DWAY19-0047 Install Pavers DRIVEWAY PERMIT PERMIT NUMBER J�.,�e. :f DWAY19-0047 r CITY OF ATLANTIC BEACH ISSUED: 10/23/2019 �V> � 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 4/20/2020 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: DRIVEWAY SINGLE OR TWO 340 N OCEANWALK DR FAMILY DRIVEWAY install paver driveway $12500.00 a TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169463 1556 OCEANWALK UNIT 04 COMPANY: ADDRESS: CITY: STATE: ZIP: Euro Pavers 6001 Argyle Forest Blvd Jacksonville Fl 32244 • OWNER: ADDRESS: CITY: STATE: ZIP: THEO MITCHELSON LIVING 340 N OCEANWALK DR ATLANTIC BEACH FL 32233-4690 TRUST 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: 10/23/2019 1 of 2 fJr) DRIVEWAY PERMIT PERMIT NUMBER 41* r S to DWAY19-0047 CITY OF ATLANTIC BEACH 5y__k"" ' "s ISSUED: 10/23/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 4/20/2020 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 MAXIMUM DRIVEWAY INFORMATIONAL Notes: Maximum driveway width within the City right-of-way is 20 feet. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL:$235.00 Issued Date: 10/23/2019 2 of 2 -t1..:uyr City of Atlantic Beach APPLICATION NUMBER r � (To be assigned by the Building Department.) �S �\ Building Department � ' 800 Seminole Road OW r t �—O�(-'� �„ Atlantic Beach, Florida 32233-5445 '4 `C F Phone(904)247-5826 • Fax(904)247-5845 ;711111t7- v E-mail: building-dept@coab.us Date routed: t 3 lad I6) City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ' L0 P - ©cQ.&(1,-0 c tk--PI4 Department review required Yes No Building Applicant: Li-tib P cv n--r3 -Ian i &tonin.► ree Administrator Project: k 1-S\-CI, IA pko" d-�1�1,Q..4I&t. c�lorks> / 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 PLANNING &ZONING Reviewed by: /4_ /Gid - Date: I -11 -11 TREE ADMIN. Second Review: ['Approved as revised. ['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 City of Atlantic Beach APPLICATION NUMBER IBuilding Department ECF� (To be assigned by the Building Department.) j800 Seminole Road �/�, kf J�(Atlantic Beach, Florida 32233-5445 OCT 2 2 2U1° �� I c-0F3Phone(904)247-5826 • Fax(904)247-5845I•rE-mail: building-dept@coab.us Date routed: Lb Icli I(c-i City web-site: http://www.coab.us -- APPLICATION REVIEW AND TRACKING FORM Property Address: 3 4-D •- ©c a. Aw cd k PI, Department review required Yes No / Building Applicant: 2 t.( l7 P ctu fi-{_Sfanning & Zoning; Tree Administrator Project: ‘ n-S I` Qa.Odi—t d'I- ,Lkitt-lI CtublirjNorks > 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: Iproved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING / _ 7 /7 Reviewed i A�_ 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 PUBLIC WORKS PLAN REVIEW COMMENTS /,/ �/�f Date: 9 Application#: !/U i9 " (Y7 Project Address: 3çIô W • CONDITIONS OF APPROVAL TO PRINT ON PERMIT Check Box to Select All concrete driveway aprons must be 5"thick,4000 psi, with fibermesh from edge of pavement Driveway to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. 0 Apron (Commercial driveways—6"thick). Erosion Full erosion control measures must be installed and approved prior to beginning any earth Control disturbing activities. Contact the Inspection Line (247-5814) to request an Erosion and Sediment Control Inspection prior to start of construction. Onsite Runoff All runoff must remain on-site during construction. 4Q Post Const. If on-site storage is required, a post construction topographic survey documenting proper TOPO construction will be required. All water runoff must go to retention area and retention overflow 0 Survey must run to street. Pool Pool—Wellpoint (if used) must discharge into vegetated area 10' minimum from street or drainage ❑ Wellpoint feature (swale, structure or lagoon). Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Roll off Shapells, Inc., Republic Services, Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk Container Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City ROW. ROW Restoration Full right-of-way restoration, including sod, is required. Utility Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid ❑ Road Cut 10' in each direction from the center of the cut. Repair must be shown on the plans. Construction Provide construction site management plan, including location of silt fence, dumpster, portable ❑ Site Mgmt. toilet. Right-of-Way Permit is required if using right-of-way for construction parking. Runoff All runoff must remain on-site. Cannot raise lot elevation. 0 Document Strongly suggest thorough documentation of impervious areas be recorded. 0 Impervious Slab Slab and driveway to be fully removed. 0 Driveway Maximum Maximum driveway width within the City right-of-way is 20'. Driveway Circular Maximum circular driveway width within the City right-of-way is 12'. 0 Driveway Grass Full site to be grassed. 0 TOPMust provide a topographic(TOPO) survey with water retention for final CO Inspection. 0 Survey Revision Any plan change must be submitted as a Revision to the Building Department. ❑ Fencing All old fencing and debris must be removed from job site by Contractor. 0 Removed Decking All old decking and debris must be removed from job site by Contractor. 0 Removed Infra- Any damage done to infrastructure must be repaired by Contractor. structure Revised 2/26/19 Building Permit Application Updated 10/9/18 uT City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us n Job Address: t{O OC€a v�v Wp (i- N Permit Number: 1JilVkl, tel O0k-L Legal Description iipt 2 i 006a hVJ'1 t vh 1-t Lf 4'6 A1`" d` -1-;, .- Ir. , _ r Valuation of Work(Replacement Cost)$ ( 21 6600.0 0 Heated/Cooled SF o -f1 te• Coo e• • Class of Work: ❑New ❑Addition ❑Alteration Repair ❑Move [Memo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial )3fesidential OCT 2 1 2019 • If an existing structure,is a fire sprinkler system installed?: ❑Yes Ko • Will tree(s) be removed in association with proposed project? LlYes(must submit separatFlnitkiinuDefitartingilsrg Describe in detail the type of work to benperformed: City of Atlantic Beach, FL. 0�.or '' c,o wc. '"Q- d[ r LA.,a w, f•-•/ P•..ve v - - IJO4<- etc,..44. S ck tea.. •42-1C eri 4 Florida Product Approval# R.ort .: for multiple products use product approval form Property Owner Information ' r Name �e/ 01;4-0 �ISdh Address r? aCQ,(,r�zet Tri Ve N City L I I G 11,' ' - A _ St to (. Zip 32 3 Phone ' I -06G5 E-Mail a j`f'ea ' 0 ' COM�5t' Mt Owner or Agent(If Agent, Power o .ttorney or Agency Letter Required) Contractor Information Name of Company FUG/ lay a v s G L C' Qualifying Agent Ch rt6 T-1 j 1 F-1 1 tie I r'11 171/7 Address (,,Q6 ,}/0i` O fac% f,IU6( City JG(Cr1011( ii{C State Ft Zi 32 („1(1 Office Phone QG(— �-v b o Job Site Contact Number 'low —735 q2 CY 7 State Certification/Registration# E-Mail e.ti l r/ye(tiers qviii00-cdni Architect Name&Phone# C11r '1h 1 f- 6 Uei(in ,ti- 73 - -1 y Engineer's Name&Phone# Workers Compensation Insurer 'I 1 .- Ines i6.0 rah Ce OR Exempt❑ Expiration Date i.£r g ) 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 RECO' ',J G YO ' NO C OF, OMMENCEMENT. _ , .i, 4i-N �AIII_ / (Signature of Owner.r Agent) (Sign, re of Contractor) Signed and sworn to(or affirmed)before me this \ day of Signed and sworn to(or affirmed)before me this' ( day of OC.j { ,aselCl , • fCVt 473 t&tAUki A Off ( ,ao 1"1 ,b e..i;Ytr;S" fi V� _ IA!`t ' ,bK'1 P ''6' "- <;'; ''''-t7na ' p42984 - '~ • '• '---JOHNSTON *; ''"16' 1*) EXPIRES October 27,2020 . .4"-': MY COMMISSION#GG 042984 • /4`•• : Public Underwriters :* : ', •oq:z Bonded Ttvu Notary ; : EXPIRES:October 27,2020 PersonallyKnown [ ]Personally Known OR o,;. •..�P: gondedTtuuNotaryPublicUndefwrlters [�oduced Identifica . A oduced Identification ----` Type of Identification: rD fi C uk_./ `U r-1 . ttc...0 u'� Type of Identification: a+ AN _ `tc.' 1 S-L : 0�,. REVOCABLE ENCROACHMENT AGREEMENT ..ft., INFORMATION 4\ City of Atlantic Beach • �, ' HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach, FL 32233 \ fa') IS REQUIRED. REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the Stateoff Florida, hereinafter referred to as "CITY" and T ,p k: . Mo'f'c_2nx.&r., t3 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 .t ka.c.eMa.0* k co v.4.040-90C. oki`:ue-4.•'j to/ IskV'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 3'4cc OCQ.t0"wh1..1,c jVA. N• ftti. tsch. 3 2233 • 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 sav-d harmless by the USER from any of the work herein under the terms of this permit and that all of said 1-.' es are hereby assume by the USER. r, . Date 10(2c I t I Property Owner/Agent(signed in presence otary Public) STATE OF FLORIDA, COUNTY OF DUVAL O tV3¢'' i The foregoing instrument was acknowledged this Z-( day of kibasr' , 20 t 4 , Tv\20 by ,p • 0\-=1/481aS$o... .D4--- , who personally appeared before me and (printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. !,t •., JENNIFER JOHNSTON a' ' ' 4,1 Department Approval: ,�j MY COMMISSION#GG 042984 EXPIRES:October 27,2020 Signa ure o No ary Public, State of Florida .F.i.c.'•,., -off;: BondedThn,NotaryPublicUnderwriters y ,-• ' ... [ ] Personally Known `_ AV roduced Identification (Type) ri.Ori �c'l 6-60,94 S1�L0_-ltsjz_ Scott Williams, Public Works Director/'' 4'4J H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 e .\A"i:i ‘A -.4v, 1 l hill i d Z33 3y r,�, `y , s _ , , sz�� r... ` I � •5' 3 , k , '„„„--f ate`\\ .j lK 4; 0 1:.' lk p t”, -':,,;- 4 Iffri, 1k .�A lb, AI ( \-)' ° tt ' ,br kV4 ', P . IVW4.W. 1 • VI el At l.'`.\ 1 '7.m Str 11\I ( ti' \ itr,,A 19 va i ill.....j, A\ 1111111 ` ky ' oLza fir✓ ' ' QI 3� � Z :4) t % \ ` ,\ f - :,:_____________e_______ _____.----- d1'044% 7 Z III r(i �' by mor h. Sp 7 N (�(� .. �'H0rf 1 / j4Z tl: • C • 4,__,- / � ,,vii �� , oils s�Rd��cr c L....., ' {; Ff`a�g:pi 6� TMAl°ROA II . -:- 'A....4;;,.6 ,Er fci7z.az7, UtO 3 ,.., T E`WU g1G E� ERj1FY i"o t v 8\ f 4. ;.'U 1 HEREBY C I A 1 i G of . gEA,QfN ,,,5 o,,/ fN&6 ,Jva7a,a1e) 1\11,. - i.. Q� SASS�AtK f41, �5 ..i j C ...... V 1 J Cr OWPg19 - 0047 NOTICE OF COMMENCEMENT State of 1":::(..-40 t\V Tax Folio No. County of 13 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: J'E'T 2et< A'.. .• A~VL l.A.'w" ' I* S fikazor.141.40‘ evak 6,00 k ,i_a-, ak.cei «'-to ‘-� (�1 �r{- 6c-92 Address of property being improved: V kJ WAS►-tL -S✓>R.• v _ • `t L ✓2233 General description of improvements: " O .4".c..%‘.►A0) Can w % d.'r'"014.4100c. it,,D/e v..v to oie.- -- 2X. ' S dtr...e- -C-8•0 '(°e�t.* ac' 424C-K-:-.. "^- Owner: A \' (x...*cL 1�'.-. '(^ ddress: J 'f'' Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): S A I14..e Name++ Contractor: G v....4-0 (ii>P'J—s- (�i 1.� '(''� cfAddress: (owl P\ tt �y vim" �? ` - S 2 Z y • Telephone N : 014.}13544(Z-4 1 Fax No: Nome-- 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: tI" .. P/ ` . 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: N F 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: 1�-+ 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 Signed: CA4114 Date: (O(a, 1 /AD t 1 Before me this \ day of OttD --f \C(in the County f Duval,State Doc#2019242976,OR BK 18975 Page 1627, Of Florida,has personally appeared Tis.s.o 1A. M .Ss.... ,1, Number Pages: 1 Notary Public at Large,S to Florida y of Duval. Recorded 10/21/2019 04:26 PM, My commission expires: �� "` RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL —� ,'"4JENNIFERJOH?4 f0N Personally Known: -,,,,...1:*,' COUNTY t V�i k` > ,tIZ.MY COMMISSION#GG 042984 Produced Identification: Ytl'�r\ "'' RECORDING $10.00 '-''.7%..r,::: s�- EXPIKt :uciober1,2020 op•' Bonded Thru Nota. Public Undervvtiters