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522 Aquatic Dr ACC20-0009 Paver Patio ACCESSORY PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ACC20-0009 Jr -" 800 SEMINOLE ROAD ISSUED: 1/30/2020 ATLANTIC BEACH. FL 32233 EXPIRES: 7/28/2020 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: • 522 AQUATIC DR ACCESSORY SINGLE OR TWO PAVER PATIO $1850.00 FAMILY ACCESSORY TYPE OF REAL ESTATE ZONING: + BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171818 5174 AQUATIC GARDENS COMPANY: ADDRESS: CITY: STATE: ZIP:, BRACEY BUILDING 10513 Atlantic Boulevard JACKSONVILLE FL 32225 CONTRACTORS OWNER: ADDRESS: CITY: STATE: I ZIP: REBECCA BURCHELL REAL PONTE VEDRA 8192 SEVEN MILE DR FL 32082 ESTATE LLC BEACH 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: 1/30/2020 1 of 2 S''`'''' ACCESSORY PERMIT PERMIT NUMBER r s � r, CITY OF ATLANTIC BEACH ACC20-0009 '.:1, :1: ISSUED: 1/30/2020 v,,: ,� 800 SEMINOLE ROAD EXPIRES: 7/28/2020 ATLANTIC BEACH. FL 32233 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. Approved list can be obtained at the Building Department at City Hall. Roll off 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. 5PUBLIC WORKS RUNOFF INFORMATIONAL 1 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 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL:$129.00 Issued Date: 1/30/2020 2 of 2 rS..:,7y,i City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ` 800 Seminole Road Z O 4 Atlantic Beach, Florida 32233-5445 r\ 000 Phone(904)247-5826 • Fax(904)247-5845 / \ostio E-mail: building-dept@coab.us Date routed: ( z/ z City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM b 2-Z l�QL��-, - ID (--- D- •..rtment review required Yes No PropertyAddress: ,�;��// ZSiri• Applicant: 6R,f e_cy i6i? ( Lbt ,c)(-' Planning &Zoning 1 1 Tree i V E l` Project: P Ppo ublic Wor s 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: pproved. Denied. I 'Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING by: Gj� (-17�-Za2c-. Reviewed 'I Date: TREE ADMIN. Second Review: ['Approved as revised. ElDenied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. I (Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application Updated 10/9/18 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: Eiuildin -Det coab.us Job Address: 5 y- ftcji,ic-1-i 1-- 171"ty /§1lLlrih PAM tltr Fi- 3z Permit Number: Cf C7_l��` CIO O ( Legal Description I i7 -25 - i.'( qy �cL c Eta+r�ie�i� i_cT IC RE# I I �GI�� 5th t Valuation of Work(Replacement Cost)$ I9J'S J Heated/Cooled SF I Non-Heated/Cooled • Class of Work: 1$(New ❑Addition DAlteration DRepair ❑Move Memo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): OCommercial Vilesidential • If an existing structure, is a fire sprinkler system installed?: DYes 'Jo • Will tree(s)be removed in association with proposed project? DYes(must submit separate Tree Removal Permit) ❑No Describe in detail the type of work to be performed: 1�(�i nqve,Y, i h,1)10 Florida Product Approval# for multiple products use product approval form Property Owner Information Name 1:kc'tc,%,4 2'L4r'fihe)I Address 5 74. AiNCf>''jG Drive, City /k)1 a'i ic. 12)-e-1 cAn State FL- Zip ?,22 3•' Phone 4t714-- bot- 0604- E-Mail 604- E-Mail P-SIAr,heiI- 1( aJvrtall c:-Om Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company T a1,.ey 17,„1 ii Ji n i Dk)•IY'c1L,-vv-e7 Qualifying Agent r,--ac( Address IOhiA11621n-l-tc-- 6ivek, City c:, ovwiI.I State Ft,- Zip 3222-S Office Phone aD-• 237' 34-33 Job Site Contact Number 10'f-- 237 - 3-+3-3 State Certification/Registration# ak3Gil5IO5D E-Mail t?xad P b^ace.,b,-+rIQ th Cc Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt Expiration Date - 2- " 202_1 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 LENDS OR AN ATTORNEY BEFORE RECQI DING YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) j (Signature of Contractor) RIS Signed and sworn to(or affirmed)before me this f' day of Signed and sworn to(or affirmed)before me this . day of Z°20,by 11.•=• . "w. _ I JmnuGrry , -O LU ,by I2:,7i'G1Gj rG1(Z J v"'• FRANK M.BR • .,,("17—Si (Signature of NotaryK (Sir-ature o otary) ,; MYCOMMISSION8GG28 369 EXPIRES:April 28,2023 �,•,•• � COm�ssiai t GG 2052 •'•Fof iLQ`;;• • _ Bonded TMu Notary Public Undertez des April 20,2022 (' ersonally Known OR •:� Wroduced Identification [ )Produced Identification f0►NO- iold•dOre Mot liotrlWWI Type of Identification: c_ . Type of Identification: Y0J-1,`Jri City of Atlantic Beach EcEi�� APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road JAN 22 2020 (�C Z G ,. 00C) 0fLo :,� Atlantic Beach, Florida 32233 544 Phone(904)247-5826 • Fax(904)ft 5845 ' �on ,'r E-mail: building-dept@coab.us Date routed: ( Z Z City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ,-WelProperty Address: 5 ZZ R QUA-71 D• •..rtment review required Yes No 0 2r,Dr Applicant: /R13k Q 1 Zt_2 I Lb i k_7)C. Planning &Zoning `Tree Project: Pkv&3nn` PAt I 0 ----Public o • --. PublicWrks' 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. i.k! . , Date: ---,-(9-,240 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 -r-20?-� -e-Arm- --- - - SCG 0 -ever L'o`k --9qt2 -17-r -it'o-u-Pf-- gr71 Awe r ler-\—zzoze i< 4-42 4rwilic 2 )(Iv 40 4P/0‘44, 25f2;/) -- 6440,14144-4•:) 1 MAP SHOWING BOUNDARY SURVEY OF LOT 10-A ACCORDING TO THE PLAT OF AQUATIC GARDENS AS RECORDED IN PLAT BOOK 38 , PAGE(S) 71 AND 71A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. CERTIFIED TO: ARLENE BALDWIN, N 0776'02" 1P 50.09' (R) 1/2" FIRST AMERICAN TITLE INSURANCE COMPANY, N 071501" W 50.08' (M) CORP WATSON & OSBORNE TITLE SERVICES, INC. O'S 0.3' + 1704 1/2'CAP '�4"X4" x x x x x AND AEGIS WHOLESALE CORPORATION. }UNREADABLE C.M. _x _K —x . h m d•\ SUBOMSION BOUNDARY UNE i„ f o N 4.7'Im ° a o ° u' lic 0.3' 1:e1 L�� 0 p�0 5� � 03,/.'1 10.10' I.P. To C.M. LOT 10-A COVD. 0.3' '�1/ " n—il' ' l �r 64 ` `Ti 7 STONES yi‹. mMETAL °' 03�fam, u ,s, d(i✓G OO 40.4o�20.0' II ^ A/C A° 14.5' /PD' PAD LOT 10-B To p � o 12.0' X0.1' �Ot c�Talc/ a-r' ° 1 at 2 STORY LOT 9-D k 31 & 2 STORY FRAME & COQUINA N FRAME k COQUINA Qt i 191 ° n RESIDENCE RESIDENCE �� N 1—(1----13 W/12No1 EAVESW/12"-18"EAVES.522 NO.528 !h m COV o. • CONC. iv3.6' 14.9' 15.0' . U . %71.- 0.4. 0.3in gr"l of Q!-N :=0.5' cli * m1 .r20.4' 0.5�. ; 2.3' ., 20' _ - - _ •_ 4 '- to 5.1' • ' a � � 0-3 — — •- — — .- • • _• -a 2 �— 1/2"CAP e_ _ • - �— UNREADABLE _- �• ui at ~ • _. -CONC.- t \ e : • - 4r�. PRIVATE DRIVEWAY e • _ e ••• ,- --e- ii• vv. EASEMENT r•. - - Q \ .,/ P.LS. JM N 1576 In __ • — '--Ar— LLOT 11-A ) 15' EASEMENT �_SUB9MSION FOR DRAINAGE - BOUNDARY UNE 1 UTILITIES & SEWERS ( I V E Y O'�s. 1. BEARINGS ARE BASED ON em ATt°0 8. PAGE 71A a _ /r% . 2.STRUCTURE NO. 522 SHO1Mi HEREON UES iMTFNN FLOOD ZONE x— AS BEST