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1620 Maritime Oak Dr ACC20-0014 Paver Patio
ACCESSORY PERMIT PERMIT NUMBER ACC20-0014 CITY OF ATLANTIC BEACH ,� Vr 800 SEMINOLE ROAD ISSUED: 2/14/2020 ATLANTIC BEACH. FL 32233 EXPIRES: 8/12/2020 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: 1620 MARITIME OAK DR ACCESSORY SINGLE OR TWO PAVER PATIO $3900.00 FAMILY ACCESSORY TYPE OF I REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169505 1955 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: EARTH WORKS DESIGN & 12501 BEACH BOULEVARD JACKSONVILLE FL 32246 MAINTENANCE, INC. OWNER: ADDRESS: CITY: STATE: ZIP: CAROL D WILLIAMS REVOCABLE TRUST OF 1620 MARITIME OAK DRIVE ATLANTIC BEACH FL 32233 2006 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: 2/14/2020 1 of 2 ?S"4A'`�� ACCESSORY PERMIT PERMIT NUMBER Js O- r ArY CITY OF ATLANTIC BEACH ACC20-0014 ISSUED: 2/14/2020 Vr 800 SEMINOLE ROAD it , EXPIRES: 8/12/2020 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. 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. 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: 2/14/2020 2 of 2 City of Atlantic Beach �� APPLICATION NUMBER jt Building Department �ct' (To be assigned by the Building Department.) 800 Seminole Road (� /� I _7, Atlantic Beach, Florida 32233-5445 FEB 06 , C� w ` Phone(904)247-5826 • Fax(904) 5845 g? E-mail: building-dept@coab.us Date routed: 2 S/ZO City web-site: http://www.coab.us BY' APPLICATION REVIEW AND TRACKING FORM Property Address: I (o 10 N\Ct..t- l T"I �'�,P (Department review required Yes No Building Applicant: LD0 (r (- P:anning Zoning 1 Tree Administrator Project: QV' 'e(- 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 b i jI/ _ - .te: v�— /% TREE ADMIN. Second Review: ❑Approved as revised. Denied. fNot 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 ') S '4 r 4 Building Permit Application Updated 10/9/18 i City of Atlantic Beach Building Department **ALL INFORMATION \. J3 � 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: Ito a 0 1 / l a-r ,-f1 m e Oak, Dri v i Permit Number: P Qezc - 00 (4 Legal Description (07-/3 Q. AC-as-Dq£ Abc,C-, 1ini�bM13a I LQ9.-5D5-195s' Valuation of Work(Replacement Cost)$ ‘..2)9 -vW Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New grddition ❑Alteration DRepair DMove ❑Demo ❑Pool OWindow/Door • Use of existing/proposed structure(s): ❑Commercial LS esidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes gNo .�// • 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: nod '6 -t,-/-o x is+ n c9 pa v-e - pa, t0/e esnli ywa±ian, o Fs am.e patio elf()atm. Florida Product Approval# NA for multiple products use product approval form Property Owner Information Name C,1. a-roI ICUIIII0.rn Address �RDaO rnaf(-h•mQloa.#R Urluue/ City J -1 A€QC -' State -)`/_, Zip -3 a,a,3 3 Phone ?, R rD-Jo 09-556 Li E-Mail 4<i-F l.0 s (� al•C.Cn•Y-� orn Owner or Agent(If Agent,Power of ey or Agency Letter Required) A Contractor Information Name of Company !✓a r- 1 u)d Y'{< Qualifying Agent Sa5OY1 Address t dsb l 87,ea-C-1,-, I U • City Sac-ksa>nui l lfl, State •F L. Zip a ay id, Office Phone CY09-991s-D`7 I a_- Job Site Contact Number 9D`l-5131- 93 g3 State Certification/Registration# E-Mail Jri1 4+ ,at-rmvt .ea.r-{-L,v.)'r}{� t 0-1041 Architect Name&Phone# A-44 Engineer's Name&Phone# tiq Workers Compensation Insurer WG 51.1?-11-1 11 a-U5 OR Exempt❑ Expiration Date f((0 I I aOa 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 P' •PE:TY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER O' £ y4e.,?4 EY : ORE RE=G.'1YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) V Signatur• of Cont - or) rd Signed and sworn to(or affirmed)before me this day of Sign-• .•d sworn to(or affirmed before me this L day of febrtcu.r�, adao,by Carol D. t1.�(IIicwwo febrWJ, aoao ,by _�L ri Greocv (Signature of Notary) (Signature of Notary) <rA a MANDI FLITCH MANDI FLITCH l� = i� MY COMMISSION#GG 206983 Personally Known R*, �.. MY COMMISSION{GG 206983 Personally Known OR 4 + !�� .,, l 1 Produced Identific .:a? EXPIRES:Apn112,2022 ( 1 Produced Identification '��r�1`d EXPIRES:April 12,2022 Type of Identification: 'FP.F °'''� Bonded Nu Notary PublicUr.!cr..dtars Type of Identification: ''RBanded Thru Notary Public Underwriters P *ti Z• illct "1-- � , , � '"'74 5 � x x � >7- %- 4, ›Ck � � ww � w m �� Xi tc iiz: p. .,_. ,) ,,, 1--x s--* . ) \ ,, 1\\ V z V p -.1 Li (:) � -. x � 1` i% . \Z II C.4 C-1\ ti• ') %%.,, �� o (..,% � 7 �3' % City of Atlantic Beach APPLICATION NUMBER • , Building Department (To be assigned by the Building Department.) r 800 Seminole Road _�/�lJ Atlantic Beach, Florida 32233-5445 1— 4 ,, Phone(904)247-5826 - Fax(904)247-5845 r's3>T E-mail: building-dept@coab.us Date routed: Z E ZO City web-site: http://www.coab.us - APPLICATION REVIEW AND TRACKING FORM Property Address: l (01DIN\C- 1-• li' me_ ((Department review required Yes No _ ''// ^ Buildin Applicant: O (—C� anning &Zoning --� Tree Administrator Project: ,J��.O Pa-Vel- c— lic Words..-? 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 r V Army Corps of Engineers (.....,7 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 Reviewed by: d17.----------Date: " C ZG 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 IJN,-4TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY \ City of Atlantic Beach PERMIT# 4 1s Community Development Department 800 Seminole Road Atlantic Beach,FL 32233 -�.! »% o„ ' (P)904-247-5800 I SITE INFORMATION ADDRESS / LO aO mri, y L 6a--k Dric/'e Lt_n 1'SUBDIVISION i+ila��G , � CL / ,I chtio .{�,•.� �� LOT f 3 a RE# / Is R 5 Ds '-' 1 9 5 G-- RR-ESIDENTIAL 0 COMMERCIAL 0 OTHER APPLICANT INFORMATION J ) ) • NAME Ct9r 0 / D , lu I 1 ! i eurvi e, PHONE# ,v.0-6R9-55 li ADDRESS I 44D n7-1 1 QX' f+1 fl't 00_,R Y )t”'t U-e- CELL#3g(,--(pgq-55(DL( CIS` n,+/ tett-c_t„ STATE -FL ZIP CODE -aa313 ,L EMAIL 'h /4-/- I t t(_)as 3 YY2 .LJ CQYV-) ' ER ❑ LEGAL AUTHORIZED AGENT I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", of the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre- application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described property and/or adjacent properties including right-of-way. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent G(,va A IN (ow ,-, C142_DI 6 k1 , 11IA:. s 2f3 )2oZ0 SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE SIGNATURE OF APPLICANT(2) PRINT OR TYPE NAME DATE // Signed and sworn before me on this 3rd day of Fe b ruar_ , QOO by State of FI y,r I C e I J OI -I Lc) I'111 & ' _O County of Du--ucz C Identification verified: y 4"- Oath Sworn: ❑ Yes [''Nc � GY vi Ce, ( e:; ; AMANDI FUTCH ,: . .,: MYCOMMISSION#GG206983 Notary Signature '� .11.. . :_ �EXPIRES:April122,2022 ,'-fOQ.'e Bonded Tbr Notary PubiUndetwrylers My Commission expires 11//c:2 /c9+ I 04 TREE AND VEGETATION AFFIDAVIT 03.01.2018 111= I c� L 0 T 1 3 1 I. : f';'-' ;\ ueid 6uilueld Q (BEARING BASE) -rr3Ui 58927'38"E 97.66' 1 , c' a F , _ _ Jl.l' 0 --1„-17-,z 52.3' 1 ARC u1 - 4 �� 5., 9.�' ,r I ©<} .� II ?-- ..e. . co ,bc :; lit,0 ONE STORY "' o X r{ 'j W :'Y j ja� WOOD FRAME 1.9' oCC`—'�z . l za Q O W I oxo RESIDENCE 0 t,vma�'•2 I �' ,u F- c. c.)m # 620 r r it o tV ►- A.D. 1 ` `}" ,' L1-3411 ��. 20.0' `'^ W _� Noj,• � A.E. 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L 0 T 1 3 3 96ZZE ld•e„Uuoe>per mg 4oee9 LINZL •3UI `s)IaoM y1e3 ^NOTE—ALL BUILDING TIES ARE t•.•e• ri1•.n.e,♦T1, t1 fll•l I P• Earth Works,Inc. 12501 Beach Blvd Jacksonville,FL 32246 ..\,.\..\EW logo.JPg Kltey Williams -- il- 1620 Maritime Oak Dme II Atlantic Beach,FL 32233 I J DN: December 2]2019 Dreygng Sole: 1'•1b' 9Chl-0 Designed By Earthworks Inc O BeNUcne: /) 1 CID 4'-4 i — 2'-4" Planting Plan i 133HS —1 l eld 6uijueld 31111139HS :suas]nab au] s�jaomyueg .6g pau6]sap :ale as 6ulmeap 6lOZ'_Zaagwaoaa :o;eo m y CEZZE 1=1 swemi 6dF,o6ol M3\" \" V 9 7ZZC �A 'allinuoSi 02r PAIS 40698 609Z6 Oui 'sWM 4PI?3 I -- a. a c/l w {.i. O � n L lit L T a, »Itm so, .12w M t 0 .ii�. a ONE STORY a. _ 0 WOOD FRAME ' RESIDENCE 3z V♦ A. D. #1620 fva, 415ob a" ] ac' lit L T a, »Itm so, .12w M t 0 .ii�. a ONE STORY a. _ 0 WOOD FRAME ' RESIDENCE m A. D. #1620 fva, A.E. F -F -E--=(13.22) wrr,rr�j8.50 r�pj�rirr * r 0 L 0 T 1 3 19.0 '.1" 100,04 NOTE --ALL BUILDING TIES ARE c 0.00 v a s— to r Y J �] et a" a a .. t �' t • � / C � k c c,,