1820 N Sherry Dr DWAY19-0046 Install Paver Dway ri'wr,c, DRIVEWAY PERMIT PERMIT NUMBER
s�
41
5a�. w CITY OF ATLANTIC BEACH DWAY19-0046
u� ISSUED: 11/20/2019
EXPIRES: 5/18/2020
�=-O;: >r V
800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233
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
1820 N SHERRY DR FAMILY DRIVEWAY install paver driveway $24588.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0776 SELVA MARINA UNIT
10B
COMPANY: ADDRESS: CITY: STATE: ZIP:
BUILDERS ENTERPRISE, LLC 1035 Oak Arbor Cir SAINT AUGUSTINE FL 32084
OWNER: ADDRESS: CITY: STATE: ZIP:
YOUNG SARAH L 1820 SHERRY DR N 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.
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: 11/20/2019 1 of 2
'IiDRIVEWAY PERMIT PERMIT NUMBER
..` CITY OF ATLANTIC BEACH DWAY19-0046
5v �\ �r 800 SEMINOLE ROAD ISSUED: 11/20/2019
°;: 9/ EXPIRES: 5/18/2020
ATLANTIC BEACH, FL 32233 I
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 CIRCULAR DRIVEWAY INFORMATIONAL
Notes:
Maximum circular driveway width within the City right-of-way is 12 feet.
7 PUBLIC WORKS DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
8 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired 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: 11/20/2019 2 of 2
11...A46— City of Atlantic Beach APPLICATION NUMBER
pie4Allii� Building Department (To be assigned by the Building Department.)
"� ' 800 Seminole Road O WkNI e( 00(
,�., r Atlantic Beach, Florida 32233-5445 l (O
ifiPhone(904)247-5826 • Fax(904)247-5845 ;� r
—on gr V E-mail: building-dept@coab.us Date routed: I. l b ic)
City web-site: http://www.coab.us -
APPLICATION REVIEW AND TRACKING FORM
Property Address: t O N- ..%Ltt ( J Department review required Yes No
,Jh £ - --IpA{-&
Building
Applicant: LcV 4S l LL( Plann oning
Tree Administrator
Project: \ + 11 314-00i( 6--(14)_(-00-y
�ublic Worl
1 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: I lApproved. 1 enied. ['Not applicable
(Circle one.) Comments: '
BUILDING t t S C. ( 4 /
• PLANNING &ZONING Reviewed by: • G"i Date: ( U '3 I
TREE ADMIN.
Second Review: ) �'
/lApproved as revised. nDenied. ❑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
Revision Request/Correction to Comments **ALL INFORMATION
CtGRAHIGHLIGHTED IN
City of Atlantic Beach Building Department
Y IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 �} (��/
'e Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ,J r ' ( I 9 -O04/ ,
Revision to Issued Permit OR ✓ Corrections to Comments Date: 11/4/19
Project Address: 1820 Sherry Dr N
Contractor/Contact Name: Stephen Bradshaw
Contact Phone: (810)728-2504 Email: sbradshawbuildersenterprisellc.com
Description of Proposed Revision/Corrections:
Updated GL COI submitted. Both of the new areas are driveways, there isn't a curved portion of driveway,just the two se
trees are being removed. Public Works-there is not circular drive. We are tearing out the exisitng circular drive to put irp
as proposed on drawings. The apron on the drawing should read NTE 26'at road and w/in first three feet to go down to
at least 20'.
I Stephen Bradshaw affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
I r INo n Yes(additional s.f.to be added: NO ADDED SF )
4),344ill proposed revision/corrections add additional increase in building value to original submittal?
✓/ No n*Yes(additional increase in building value:$0 )(Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: dr' i ' Ira
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning `—, Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
Revision Request/Correction to Comments **ALL INFORMATION
r---
.'��� HIGHLIGHTED IN
GRAY IS REQUIRED.
'�, City of Atlantic Beach Building Department
r,
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I--).UR"(CI "04)4
FIRevision to Issued Permit OR I Y I Corrections to Comments Date;-114411-9
Project Address: 1820 Sherry Dr N
Contractor/Contact Name: Stephen Bradshaw
Contact Phone: (810)728-2504 Email: sbradshawbuildersenterprisellc.com
Description of Proposed Revision/Corrections:
Updated GL COI submitted. Both of the new areas are driveways,there isn't a curved portion of driveway,just the two so
trees are being removed. Public Works-there is not circular drive. We are tearing out the exisitng circular drive to put irp
as proposed on drawings. The apron on the drawing should read NTE 26'at road and w/in first three feet to go down to
at least 20'.
I Stephen Bradshaw affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
•�"W77ill proposed revision/corrections add additional square footage to original submittal?
IY INo 1-7 Yes (additional s.f.to be added: NO ADDED SF )
• Will proposed revision/corrections add additional increase in building value to original submittal?
uNo n*Yes(additional increase in building value: $0 )(Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: 41", i ' 0
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required: f
Building — , _. _
Planning&Zoning Reviewed By
Tree Administrator
-Public Works - I —
Public Utilities / ( ter-- /
cr
Public Safety Date
Fire Services Updated 10/17/18
- LAN-, City of Atlantic BeachnECElkiAPPLICATION NUMBER
r �� c Building Department (To be assigned by the Building Department.)
•. ,,.f 800 Seminole Road M 0(l0,-� r
�� Atlantic Beach, Florida 32233-5445 OCT 2 2 2019 t W k9 L Ct W�(
I Phone(904)247-5826 • Fax(904)247-5845
^.,�;i 9:- E-mail: building-dept@coab.us Date routed: ID 13-/ 16
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t n 0 0 N- 5‘A.L(✓`( M , Department review required Yes No
t Building
Applicant: �� ahs S {p✓I ct__( Planni onin
Tree Administrator
Project: \ r\Sl , '0° -("( 6-1i J,O_LJO-{' •ublic Wor
1 Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date eof 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. IVIDenied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING ...v frP`�� S �.�j�/
Reviewed by.../ti ,// __ _j„, _A Date: 6 . l
TREE ADMIN. Second Review: Approved as revised. ['Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by 7, eat."—/Pate:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
J City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ITT)(P \ (I��/
19-Qo�Q
❑Revision to Issued Permit OR I✓I Corrections to Comments Date: 1 1/4/19
Project Address: 1820 Sherry Dr N
Contractor/Contact Name: Stephen Bradshaw
Contact Phone: (810)728-2504 Email: sbradshawbuildersenterprisellc.com
Description of Proposed Revision/Corrections:
Updated GL COI submitted. Both of the new areas are driveways, there isn't a curved portion of driveway, just the two 13
trees are being removed. Public Works-there is not circular drive. We are tearing out the exisitng circular drive to put irk
as proposed on drawings. The apron on the drawing should read NTE 26'at road and w/in first three feet to go down to
at least 20'.
I Stephen Bradshaw affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
✓ No Yes(additional s.f.to be added: NO ADDED SF
• ill proposed revision/corrections add additional increase in building value to original submittal?
INo n*Yes (additional increase in building value:$0 )(Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: '
(Office Use Only)
Q Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due $
Revision/Plan Review Comments
Department Review Required: //// z
Building---_ ' a /-1���'6',Tq,�.�
Revieafed By
(v/`V�
Planning&Zoning
Tree Administrator
Public Works _7) NOV 05 2019
PublicUtilities
Public Safety Date
Fire Services Updated 10/17/18
.. �,,r Revision Request/Correction to Comments **ALL INFORMATION
S �s�• HIGHLIGHTED IN
�i '° City of Atlantic Beach Building Department GRAY IS REQUIRED.
� .y u
;Y 800 Seminole Rd, Atlantic Beach, FL 32233 (�
="'~ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: [OAYta( _C,* /
1l / ii9
Revision to Issued Permit OR ✓ Corrections to Comments Date,:_i-144
Project Address: 1820 Sherry Dr N
Contractor/Contact Name: Stephen Bradshaw
Contact Phone: (810)728-2504 Email: sbradshawbuildersenterprisellc.com
Description of Proposed Revision/Corrections:
Updated GL COI submitted. Both of the new areas are driveways,there isn't a curved portion of driveway,just the two se
trees are being removed. Public Works-there is not circular drive.We are tearing out the exisitng circular drive to put Ira
as proposed on drawings.The apron on the drawing should read NTE 26'at road and w/in first three feet to go down to
at least 20'.
I Stephen Bradshaw affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
✓ No I—I Yes (additional s.f.to be added: NO ADDED SF )
• Will proposed revision/corrections add additional increase in building value to original submittal?
✓ No *Yes (additional increase in building value: $0 )(Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: 4fr' i ' °FP
(Office Use Only)
pproved ❑ Denied ❑ Not Applicable to Department Permit Fee Due $
Revision/Plan Review Comments
Department Review Required: .
Building /2/— _ _ „ _ _ _
. -Pt�n ng&Zoning Reviewed By
Tree Administrator
U GlorUc
Public Utilities NOV 07 2019
/('
l -1
Public Safety Date
Fire Services - Updated10/17/18
PUBLIC WORKS PLAN REVIEW COMMENTS Date: /0 .—/f AJA/1 Application#: iAddress: 1�, C / --qe(117 4/,
CORRECTION ITEMS Check Box
to Select
CSMP Provide construction site management plan including location of silt fence, dumpster, portable toilet. ❑
Right-of-Way Permit is required if using right-of-way for construction parking.
DPLN Provide drainage plans showing site topography(flow arrows, etc.). 0
ESCP Provide erosion and sediment control plans with installation details. 0
IMPS Provide impervious surface calculations for entire lot(existing and post construction). 0
Section 24-66(b) of the Land Development Regulations requires on-site storage for increased run-off
LDCS if adding 250 SF or more impervious surface. Provide Delta volume calculations and on-site retention 0
required per Section 24-66(b).
REPM A Revocable Encroachment Agreement must be submitted. 0
RMRO All runoff must remain on-site. Cannot raise lot elevation. 0
RWPM A Right-of-Way Permit must be obtained. 0
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land ❑
Surveyor,showing 1'contours.
CUT Provide manufacturer cut sheets for 50%credit on Turf Block pavers.
�
DW Maximum driveway width within the City right-of- y circular driveway width is 12' maximum). ''i/
PAV Provide paver installation method (must meet I.C.P. .): 0
WRA Provide a detailed plan of water retention area and how water runoff gets to water retention ❑
areas and then to street.
WR Provide detailed plans showing proposed water retention. 0
SID Concrete sidewalk must continue through driveway. 0
50 Documentation shows impervious areas are over the 45%allowed by City code. 0
0
Revised 2/26/19
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: " 02d-7 7 3 Application#: W I
Project Address: / Sia ✓ v ' (A V Y K
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 All runoff must remain on-site during construction.
Runoff
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
0
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
0
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
0
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.
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'. 0
Driveway
Circular Maximum circular driveway width within the City right-of-way is 12'.
Driveway
Grass Full site to be grassed. 0
TOPO Must 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. 0
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. S
Removed
Infra- Any damage done to infrastructure must be repaired by Contractor.
structure
Revised 2/26/19
5 :,,;,,. Building Permit A.P!llcatin
iii.
1 ) City 0 !ktlIntic e.kel h emil!iine Ro a seen �► WW1 >
JGRAY
• INr.� �,, 800 Seminole Road, Atlantic Beach, FL 32233
HIGHLIGHTED,I
'l IS (REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address:1820 Sherry Dr N Permit Number: Oki A"j l 61 -CO`L G
Legal Description 36-51 0.9-2S-29E, SELVA MdRLYA MILT 10-B. LOT 7 REtt 172020-0776
vow.*orf work(Replacement Cost)524,s.8 ?leatfOICopted# A1/4,1,-bleated/Cprled
• Class of Work: New ❑Addition OAl'teration °Repair Move Memo OPool OWindow/Door
• Use of existing/proposed structure(s): DCommercial ❑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
Desc 3r._lata-the type Cf wok to ba her r rmer!_ l
Removing existing concrete driveway and installing new concrete driveways with mortar set pavers, i
Florida Product Approval# for multiple prod. c,:: I :,form
Property Owner Information Rt. _ :1
Name Sally Young
Address 1820 Sherry Dr N.
City Atlantic Beach State FL Zip 32233 Phone 9048682377
E-Moil ee::,yc4YdQ:�:.a__.csan OCT 1 8 2019
Owner or Agent(If Agent,Power of Attorney ar Agency Letter Required)
Contractor Information
Name of Company Builders Enterprise LLC Qualifying Agent Stephen Br ,tiding Department
Address ins Oak Arbor Cir CitySt. Augustine a l�F FL !p}Ian 3 avt 1, FL
Office Phone 9045997367 Job Site Contact Number fes+
State Certification/Registration#CGC1525489 E-Mail _
Architect Name& Phone#
Engineer's Name& Phone#
wdtkefs Cd> sAictrii(iist4et 1. i 'D li —k,n s C_D . OM€),*440 y txPt#,Altiii,t4tt, ► I 11603-0
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 Iay.oeOLL4!t'lowQJl permits
ILRI111C�.ALa CV1other governmental
eIr?ties suer-,, "vat
Gi management 46l!J.cts,st7teOga 1\pCJ
,Vr
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 :alls1'llCln ', aON5✓LI I t! rYOU Ft LENDER vrin ;i• i NE! —rsEF E
s; ; YOU NOTICI CIF COMMENUMEAT.
l .27
jai.,I . .. :..�..L _�/ rio
dij gnats a of Owner or ,�t) � (Signature of Contractor)
Signed and sworn to(or affirmed) before me this 4 day of Signed and sworn to(or affirmed) before me this I I day of
OC`tL i- ,'D1GI ,by 5aat� API OC_ { �u \ b ' •h4. ' ruaw
' sh
e of Notary) *..i �
� _ -.. , .hJ N t9p 042984
. • •'-i EXPIRES:October 27,2020
JENNIFER JOHNSTON ---•;-42,..r.O"' Bonded Thru Notary Public Underndters
UP rsonally Known OR : ?k:' ,,,,9...% MY COMMISSION#GG 042984 I ]Personally Known O•
5*� 'ww' '!`` EXPIRES:October 27,2C20
[ ] Produced Identification Publicunaenrrters roduced Identificatio
6P: Bonded Thru Notary - 1- l ( 1 J H\_S 1 l`I_n
Type of Identification: '%M Type of Identification: !J�
NOTICE OF COMMENCEMENT
State of 66-vt4DRr Tax Folio No.
County of p✓1./4-1.,
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: `2-)L' 09 -2S-- rti ( S�t � Iii lA;/v IT to-d3
OA
Address
-
Addressofpropertybeingimproved: ( 7,0 5kytn[jf.7 ,Z j e iw,tv{(LL -PI. 3ZZ�•>
General description of improvements: p((A LIC1 r2o>it11.4.f.6JT-1'
Owner: CAt�l j/dt�/ 2, Address: I?Z6 0,e_
Owner's interest in site of the improvement: Ov v-
Fee Simple Titleholder(if other than owner):
Name:
1 Contractor: Qi,I;((rioe 12-.1 '''fLS f LAA
J 1\4Address: (o 3S- cA-v., ike,a, a G1K--- < )- }qZ,LvuA-}.?"'T- FL -2 Ltf�
Telephone No.: �" 7
p i�I 7� 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: 1jT ✓t 'J 144'1--)
Address: 7 �7 f'rW/VP ,%J t, S j _ („fyGj,{.1)- 316
Telephone No:ZO-9Z(2S 7 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 gt)7,42-C.jf)Doc#2019240810,OR BK 18972 Page 1863, Signed: Date: /0/[7-fisNumber Pages: 1Before me this 11-4.‘ " in the County of Duval,State
Recorded 10/18/2019 09:16 AM, Of Florida,has personally appeared SAI'A cxM01
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Florida,County of Duval.
COUNTY My commission expires: Zz
RECORDING $10.00 Personally Known: I Am iC
Produced Identification: • s•'� •'
•s COMMISSION X41220
e EXPIRES: Sept. 17,2022
'��'",,Ta,,,,, Bonded Thru Aaron Notary
(� **ALL INFORMATION
c �,�. City of Atlantic Beach
i GRAY
800 SCiiiviG Road,Atlantic Mach,FL ~233t!:5
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
Builders Enterprise LLC 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 driveway renovations; removing existing concrete & replacing w/new
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
369 Trac ino A,, ,.St. Augustine =L 32086
• In the event it is necessary for. the CITY or the City's approved representative ar other franchised utility to enter
kt
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 i l- ii-ie1iiiY Cd by the permit shaii meet -5C current. re;uirCmenis of the City Code, DJii ?ifg Codes,
Land
P,'9',1 - rIl'CPO!?.an4:a11 ott aa'NO a ,a.n =t4r f'�'IKrnxrr�;.�+rl .c`�'f t1?'C1TY. mak`CitY s''"; tiQn 19-PA
- p! hi. ! I ft t^ �' Y• •� It 3 4•tya. �'�t! !
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.
24 - On/7,4X—) Date 10118 tic(
Property Owner/Agent{ ned in presence otary c)
STATE OF FLORIDA, COUNTY OF DUVAL c�
The foregoing instrument was acknowledged this I day of OC`�l { , 20 15 ,
So 0uS ,'%stat& 3 ', S$I "#'$
(printed,name o Signer)J J/ . . . ,
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
Department Approval:
.S grit is i ` v i a'ota r t}biic,State of F o rlda fiO
JENNIFER J:lNS °
TN
e!rsana IJv'K�r+olATI '�'' '- MY COMMISSIOGG 04258' EXPIRES:Oter27,2020
[ I Produced Identification(Type) =;; Scott Williams, Public Works DirectorBonded TFw Notary Pblic Underwriters
pL'W-W -Q"- W'<"1
City of Atlantic Beach [ HIGHLIGHTED IN GRAY IS
o O Sem foieoad,Atianti�Beach,K. aZLaa i Rcicv :,inEi .
t
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 1820 Sherry Dr N Permit Number
Contractor Information
Company Qualifying Enterprise LLC Qualifyine,,4eent'Stephen Bradshaw
Address 1035 Oak Arbor Cir City St Augustine State FL Zip 32084
Phone 9045997367 Email sbradshaw@buildersenterprisellc.com
State Certification/Registration#CGC1525489
A=ite: P F --)a
Ef'pc,Fer htt",: hr. ..-
WorkersCompensation,Insurerf"i OR Exempt}xpirationDate
• 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
rpl,ar�ation of.a!)„Or any rnrtoorx.of sae strut Cir a sernent as dielerrire by the CV:0,c Works Oireclar,any Or.r:di sad poles,
wires,pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said
street or easement Of reset of reNocates'nereon as fequtreci•oy tete i'tr me 4,orris iltfectcr ant ay.the expense o-,:-'cite
Permittee unless reimbursement is authorized.
• All work shall met City of A lantic Beach or Florida Department of Transportation Standards and be performed under the
supervision of Stephen Bradshaw (Project Superintendent)
with(Company Name) Builders Enterprise LLG Phone 904b997367
• All materials and equipment shall be subject to inspection by the Public Works Director.
• Ali city property shall be restored to its original condition as far as practical,in keeping with City specifications and the
manner sai;s aciory io i3ie Ciiy.
• 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-bf-Way areto Pe included with
this application.
• The permittee shall commence actual construction in good faith within 5 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!'ea the area that vdo&ld affect the rarmltted mrstr+„ct:'o.
• it is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,
toe ana interest m the nand to fie entered upon and use oy tne notaer,and tne nosuer wm,at ati nmes,assume am fisc 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 Wor iii;'rector shall be notified 24 hours prior to starting work and again immediately upo completion.
4, . .T . Date g Irl/y
P-rrtuttee(signe• in presence of Notary Public)
STA-7.O c`.0-WA,CO`ivrr`�Og D`;.tVA'-
The foregoing instrument was acknowledged this I' day of 0 (--A- ( ,20 I 'i ,
by 5i-Q .Qhp t1 bad.s\qt -"✓ ,who personally appeared before me and
(printed name of Permittee) ''P,••.,, JENNIFER JOHNSTON
:t:,.
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. ' , , �'"" MY COMMISSION#GG 042984
-* 011 EXPIRES:October 27,2020
"':Fo lit Bonded Thru Notary Public Underwriters
Sign re ublic,State of Florida [ oduced Identification(Type) I` ct-< <✓(2--,'A <<Ltile
/4,2 Ne VW/4,
.0 o�' low �- e96, rti
I / 4‘ IdY 77
47,7e ;(0. 2 /z - < 251
M,se
/43 x ces
k
g Set 5 76
-14k . 7 1S:a t
etr‘r
, ‘‘,
4,tai.v /17 Klp
fetX, �3 /3 1.' z Pr 37n Y,
w•
YI31
_ /\.i\/\/\/ /0/\/\O\/\/,—
� _ / /\/ / / /\ \/\/ /
F VISED = _,/\/,/\/,/\/\/�/„/ /\/t//\/\/\/\/�/ / JJ / / /
=
_ ...,.„,,,,,,,..„,..,,,,„,,,,,=/ ,.
Notes: v\/\/\ \/ \ / J / —
Both driveways to narrow down to at least 20' within Illlllllllll�lllllllllllllllllllllllllllllllllllllllp
the first 3' from the beginning of the apron. ��,`; ;/1/;/;/`y�y s1/;/`=
/\/`/`/`/\I�/``�\/%/`��_
4%%%•4\'N/\/`/�i/\/\'�/N- II
'n %:':%viv � %:_ 15 l a X
4. 1110APPROVED 11111111111111111111111111 1111111j -
- //- 7.-/ -LC) J%y4/k4/��/./�/%/_-
�\/\/\/\/\/\/\/\/
•10111117nuulu hIimuhlnl_
5 =.IIIIIuuu11111111111111111111111111I1„11111111111111111111= / _if = •
_
_ =
�l� Z+”
_ _
_ —
1
IIIIIIIIIIIIIIIIUUIIUuIUmoimi 111IW,m11m11u(-
lit' ' _
_ = 1l1
r
_ C = =
s
SUI1111111111111u111111111111111111111111111111lIIIII IIIIIIIII! �IIIIIIIIIIIIIInlnluulnunlululuululllnmuuunll—
�t/�/�/ /S';''Z S4/t%1 % \/tjj. /+ ►W \• ;v v v r \• \•\• v �- v v v•.. •
'".\/\/\/\/\/\/\/\/\/�/k/\/\/\/\/\/NV."- ""/\/\."/N."rzsJ / / J \,\/\/\/\/\/\/\/\/\/\J
,r\/\/\/\/\/\/\/\/`/�/\/\j / /\/♦/`� ....\,,,,.."," \ �;/�J`/�/�/�J`J\,`J\J\=
S'\/\/\/\/•/\/\j\/\/•/\/ / / / / \ \ \ \ / / /
/\/\/k/\/k/1/\/\/\/%/\/%/k/k/k/\/\•i .4.-",/,.\.,..,„.N.`� 1 \ \ 0 \ 0 \ 0 \ 0 \ �/�/\
I / / I / J / / / / / I /
\��' \,swv"�\,•-.N. %\�\� vyvyv. %\%�i W / J J /�J�J�/k/�/kfl1fffftE1L: .
i\i\J��.
�����j�j�j\j\/�/�/ti/�/�/\/\/\/\/�/�I\i•
'•`�\�\�����\/,\/jJ:./.A./.. "i I I u�/`/1/`'`'`' 111111111111111111111111111 Itlllllllllll{I tllllllllllllllltllllllllllllllllllltllll{11111•