601 Main St DWAY19-0051 Replace Concrete Driveway rsvv.0., DRIVEWAY PERMIT41PERMIT NUMBER
'� DWAY19-0051
CITY OF ATLANTIC BEACH ISSUED: 12/3/2019
800 SEMINOLE ROAD
r u;si9r ATLANTIC BEACH. FL 32233 EXPIRES: 5/31/2020
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:
601 MAIN ST DRIVEWAY SINGLE OR TWO replace concrete driveway $5500.00
FAMILY DRIVEWAY
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170915 0410 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
CG CONSTRUCTION OF 10950-060 SAN JOSE BOULEVARD, JACKSONVILLE FL 32223
JACKSONVILLE #319
OWNER: ADDRESS: CITY: STATE: ZIP:
WADMAN JOHN P ET AL P 0 BOX 51241 JACKSONVILLE FL 32240
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: 12/3/2019 1 of 2
s # � DRIVEWAY PERMIT PERMIT NUMBER
11
CITY OF ATLANTIC BEACH DWAY19-0051
, Vr 800 SEMINOLE ROAD ISSUED: 12/3/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 5/31/2020
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 RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
7 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: 12/3/2019 2 of 2
/rj±y`,lri City of Atlantic Beach APPLICATION NUMBER
/`'- Building Department (To be assigned by the Building Department.)
+ ::-_, lr' 800 SeminoleRoad IT ��„„ �� ^ rr'��(r��Atlantic Beach, Florida 32233-5445 ...,,,1vV t`I _ OQ i
� - Phone(904)247-5826 Fax(904)247 5845^t� Z 2019
J;ti>'' E-mail: building-dept@coab.us Date routed: t1 f [q itc--)
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (OV i ,A1, n S4 . Department review required Yes No
.\ ` f Building
Applicant: Ce-1 COnSt( UFJ& lannig &Zoning ;
,�
Tree Administrator
Project: (WA
A(_L Lt ftLI t 6060Q_(,)6- 1 (Public Works j
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt \6/ �
Other Agency Review or Permit Required of Permit Verified By Date .....°....-2°(j I
Florida Dept. of Environmental Protection N�v
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 by1��� %�� �/0�! ,� Date: `7 .'/
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
PUBLIC WORKS PLAN REVIEW COMMENTS /' / �1
Date: �2 � 7 Application#: GV7 / 9—�v��
Project Address: �/ eg, �l
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. ❑
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 ❑
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
It/
Container Removal,All American Roll Off, WCA Waste Corporation). Container cannot be placed on City ROW.
ROW
[11/
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. 1ES'
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'. fid'
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. 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. 0
Removed
Infra- Any damage done to infrastructure must be repaired by Contractor. V1/
structure
Revised 2/26/19
iCityrs�>>�i ,
of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
1� Seminole Road
. - � 800 ff,n� I' �j�
' �j.. e' Atlantic Beach, Florida 32233-5445 VVfkl, t" 1 — OO�'
Phone(904)247-5826 Fax(904)247 5845
o�;,' E-mail: building-dept@coab.us Date routed: ( 1 ((,'l t L
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (Op I Mitt n. Si . Department review required Yes No
�1 /�
ff Building
Applicant: CA CORSA 1tk( l1�r) ofJd-x _lann'tg &Zoning
Tree Administrator
ff
Project: (4)\A.(_LL t-CO L (-0 Q1-10-y Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt \A( '
Other Agency Review or Permit Required of Permit Verified By Date I
Florida Dept. of Environmental Protection O
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 f
PLANNING & ZONING Reviewed by: Date: 2.Z- — 19
TREE ADMIN. Second Review: nApproved 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
1-:' 'irk, Building Permit Application Updated 10/9/18
t City of Atlantic Beach Building Department **Au INFORMATION
,�� 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
► Phone: (904) 247-5826 Email: Building-Dept@coab.us `t IS REQUIRED.
Job Address:6014G�Q3-Main St,Atlantic Beach, Florida, 32233. Permit Number: OW Al « — 00,61
Legal Description 18-34 17-2S-29E SEC H ATLANTIC BEACH S 15FT LOT SLOT 6 BLK 131 RE#170915 0410
ke
Valuation of Work(Replacement Cost)$ QO '' Heated/Cooled SF N ate• iedP
• Class of Work: ONew ❑Addition ❑Alteration Repair ove ODemo ❑Pool OWindow/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
_// NOV 1 8 2019
PIN
• If an existing structure,is a fire sprinkler system installed?: ❑Yes o
• Will tree(s)be removed in association with proposed project? OYes(must submit separate Tree Removal Permit) N� o
Describe in detail the type of work to be performed: Building Department
1 `/;ii- Et f�P the Colo C1 m € 4J:E c1City (� {r`,k`itlG c3LNt,
n
Florida Product Approval# for multiple products use product approval form
Property Owner Inform tion ,,,,nn )
Name n h(1 {Je,Lfp-NA e.A Address e Jt ryiei /) jT
City ,. L ', State Zip .7Z j-? Phone 9Jt -537'SW()
E-Mail VAC 'Cif)e (Au/ .lbw)
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Inforon ,/ �
Name of Company 1 C' AP21 l►r C'jC, jigxf<5a%�i"4 Quali_y (� rfr
iing Agent "''M` � ' �v� t
Address eq.5&,c%c2 Sal ;s -TMvice '3(et City Jett cSo iii. State )'' 3'12 2- 3--
Office Phone c(r1t-Q(26'& 3? Job Site Contact Number '7t-t 'SS YS �'7 V*-
State Certification/Registration U &el Co cf it-it E-Mail CI CedJ iT I L C)ii3•J j 7-0 42---11- c.J4_
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation InsurerA 4 -tEAJ 13...44-) „�&,y LI,c\-&�OR Exempt 0 Expiration Date_V- 2. -2-0
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 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 constr ction and zoning.
WARNING TO OWNER: OUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESUL IN I•UR PAYI TWICE FOR IMPROVEMENTS TO YO . PROPERTY. IF YOU INTEND
TO OBT h IN INANCING t CONSULT WITH YOUR LENDE lit A 'ATT.RNEY : A • !----YRECOR D' G OU ' NO E OF COMMENCEMENT. d L / -./i'.
A. -� '
1 (Signatu - if eweer or Agent) (Signature of Contractor)
Signed and sworn to(; of \ •efore me this )3 day of Signed and sworn to(or affirmW)before a this I 0 day of
X0.4 9c,oel ,,,� _.___
i 'Ili �o4��v,)R�wn4t thkank at)ie1,by &(C �_,,tt._r
.,--(2-1.-5, 4 t/1� 14'1 • �'-�
YJ • . 1"_ N� C
(\/ grt�P ere o ldo{a ALBERT MORENO e•' a of PAY ISSION It GG 042984
?.:< Notary Public-State of Florida ;: ��,��= EXPIRES:Ocie'ver27,2020
3o; Commission#GG 304875 ( "'%'F cw,'. Bonded Thru Notary Public Underwriters ,
I I Personally Known OR ---'oFry!` My Comm.Expires Jun 9,202(31 Personally Known OR °" ' ,
Produced Identification Bonded through National Notary AsfrOrroduced Identification
Type of Identification: —— — \
YP Pic y�1���"�-- — — —�/}fe of Identification: FL d flu� S 1L Q-{1f-�
601 MAIN STREET. ATLANTIC BEACH, FL. 32233
A :, . • -1 la
PA
`' # r -
'''.- i LOT 4LOT 4 u _ ,
BLOCK 131 BLOCK 130 AERIAL PHOTOGRAPH
SCALE.1"=30' THE N LINE OF LOT 5,BLOCK 131 NOT-TO-SCALE)
THE N 35'
T OFLOT5 55 TO
5-0 O BLOCK 131 O c
z c (NOT INCLUDED) z z I LOT 5
o a ° I FENCE BLOCK 130
1 N88 56' 00"E 102.00'(P) c N 0.4'E
25.0, m ry
N
N IV
`'' $TpRAGE a?.
a K Si . 30.4' COVE- N 1 8 THE S 15
oro D rn 35.2' \/ m OF LOT 5 FENCE '
73 Z 73 COVERED BLOCKLOT 6131 �,, \ o(INCLCK 131 UDED) 0.4'E
C/J Z i DRIVEWAY^ �6 7' RESIDENCE cp. C.,
o 0 -n 0 30.5' /, #601 •q'..wi to LOT 6
o 1 m r ° - CW
O BLOCK 130
/X w COVERED
-I b IN SCREENED \ 28.6' 36.1' c,-�
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0
cn 710\0_� N rT
stri-
tm.25.0' 120.00'(P)
-. --_ + o
o BLOCK S88° 56' 00"W 102.00' (P) FOUND 112" BLOCK
2' GUTTER IRON PIPE CORNER
CORNER 7- -1 � AT LOT 6
c.pFOUND 112" BLOCK 130
o IRON PIPE W 6th STREET o
ASPHALTtt ROADWAY
50'RIGHT-OF-WAY
r'r ��
3(�(� ff' -� LftX i (.= 7Zv fifes
SHEET 1 OF 2(SKETCH OF SURVEY)-SEE SHEET 2 OF 2 FOR LEGAL DESCRIPTION,AND OTHER SURVEY RELATED DATA.SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS
The survey map & report or the copies thereof are not valid without the digital signature and seal of a
Florida licensed surveyor and mapper
Date of Field Work : 11-05-2019
Drawn By: Oleg .r^
Order #: 71788 •
.
Last Revision Date: 11-05-2019 ¢. «,svra..eft/44.3.11C 10ZUJ ooc�m�,
uu ai1umao ue
Boundary Survey prepared by: LB822I _ " PINIINIFS
'
NexGen Surveying, LLC / x6 EN _ ouu.ts.m+v
5601 Corporate Way, Suite #103 inrg,t•
SURVEYING. LLC. .4 M,••
West Palm Beach, FL 33407 'rt r•`
561-504-6272 "'•�•.,,,:..>+•`"`
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
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:
18-34 17-2S-29E SEC H ATLANTIC BEACH S 15FT LOT S,LOT 6 BLK 131
Address of property being improved: 601/603 Main St,Atlantic Beach,Florida, 32233
General description of improvements: Remove and Replace 2 Driveways.
Owner: John P Wadman Address: 3/ /'l4Jr1 S�� NiG�T c L7C 1.,3e233
Owner's interest in site of the improvement: 7 51 t'/l-I--
Fee Simple Titleholder(if other than owner):
Name:n �r /
Contractor: CQ C'v4'6n0d it o f ,1 �'f�4'
Address: i05-0-194d) ' -Vie-01 rtl/ ,Att/c!i>111'r'>Z2 c i' ?z2Z3
Telephone No.: 4DC('21/1-ar v Fax No: ?0S:2 q-k`6,
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:
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:
Address: .�►
Telephone No: Fax No: � �(► ;
Expiration date of Notice of Commencement(the expiration da is o (1)year from t e date of recording unless a different d eas °"'''
specified): Z
c 3 3
THIS SPACE FOR RECORDER'S USE ONLY OWNER . 3 3 j
0,
Vi • z m= -Q^'
n
Signed: Date: (( IIS I 11.g
Doc#2019276115,OR BK 19023 Page 537, 3efore me this 13 day of 7,10)6 °1 in the County of Duval,Sta c,
Number Pages:1 )f Florida,has rsonally appeared `" WA-VW!Q� o o 0
Recorded 12/03/2019 01:07 PM, Jotary Public at Large,State9 of lorida,Co of i. t f. N-4 o
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Ay commission expires:OLIb f 20613 R '
COUNTY ersonally Known:
RECORDING $10.00
roduced Identification: Ew