2043 Duna Vista Ct DWAY20-0031 Install Paver DrivewayOWNER:ADDRESS:CITY:STATE:ZIP:
KURTZKE KAREN S 2043 DUNA VISTA CT ATLANTIC BEACH FL 32233-4534
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169506 1620 SELVA NORTE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2043 DUNA VISTA CT DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY install paver driveway $10000.00
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.
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.
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.
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.
1 of 2Issued Date: 8/20/2020
PERMIT NUMBER
DWAY20-0031
ISSUED: 8/20/2020
EXPIRES: 2/16/2021
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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
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.
2 of 2Issued Date: 8/20/2020
PERMIT NUMBER
DWAY20-0031
ISSUED: 8/20/2020
EXPIRES: 2/16/2021
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $125.00
DWAY20-0031 Address: 2043 DUNA VISTA CT APN: 169506 1620 $125.00
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
ZONING PLAN REVIEW $100.00
ZONING REVIEW SINGLE AND TWO FAMILY
USES 001-0000-329-1003 0 $100.00
TOTAL FEES PAID BY RECEIPT: R12887 $125.00
Printed: Thursday, August 20, 2020 2:49 PM
Date Paid: Thursday, August 20, 2020
Paid By: KURTZKE KAREN S
Pay Method: CREDIT CARD 3549455603
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12887
,
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
"ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED ••
Job Address: .;LQ~J ,D"na I(i 51 -C J..--. Permit Number: __________ _
Legal Description Lor 4>5' Selva. NIfo/f.e IItl't fWD RE# 1(0 C?'l{)Co -/(P;;JU
Valuation of Work (Replacement Cost) $ ID .m Heated/Cooled SF Non-Heated/Cooled ____ _
• Class of Work: DNew DAddition DAlteration DRepair DMove DDemo DPool DWindow/Door
• Use of existing/proposed structure(s): DCommercial DResidential
• If an existing structure, is a fire sprinkler system installed?: DYes DNo
• Will tr r m ved in a cia ion with r (0' t7 Y 5 ust mi o
Describe in detail the type of work to be performed: \ V\b\ol \C<.-h' "'" "'~ V .... ~-e-..-S
Florida Product Approval # for multiple products use product approval form
Property Owner Information
Name d.", If'¢-'" oZ.v./ rYL Address..:JQ '1-' DI,NL {) tho C-r
City A-+fu"he ?>.ec, ~ State E'= Zip 3.nu Phone 'i'o1~ 70'1-'liDS
E-Mail 'k*,\J\Ctz.K~ ~ ~Q\\ sou,"". 'tIi:o\
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) ___________________ _
Contractor Information
Name of Company __ -<""'1",..114-'''--___________ Qualifying Agent _______________ _
Address City ________ State ___ Zip _____ _
Office Phone _--: _____________ Job Site Contact Number _______________ _
State Certification/Registration # E-Mail, ______________________ _
Architect Name & Phone# __________________________________ _
Engineer's Name & Phone# __________________________________ _
Workers Compensation Insurer OR Exempt 0 Expiration Date _______ _
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 ali 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 ali work will be done in compliance with ali
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 INTErlD
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECO DING YOUR N ICE OF COMMENCEMENT.
(Signature of Contractor)
Signed and sworn to (or affirmed) before me this J--i'!:day of Signed and sworn to (or affirmed) before me this __ day of
,) ---d '" Angela V. Scarborough
)
___ ~ __ ~,by ________ _
(Signature of Notary)
~onallY Known OR [ I PersonaBy Known OR
[ I Produced Identification ( I Produced Identification
Type of Identification: _____________ _ Type of Identification; _____________ _
REVOCABLE ENCROACHMENT AGREEMENT
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
"ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida, a municipal corporation organized and
existing under the laws of the S te of Florida, hereinafter referred to as "CITY" and
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 _-:-..l£<.:«.=vlj=---'-iy'\"-'-''.>''-h= .... \J., ... ct; .. :Irj:!:l·:......,=~ ________________ _
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 ...20'+:;;' ]) "".. V; ~ u...
• 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 ofthe 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
saved harmless by the USER from any of the work herein under the terms of this permit and that all of said
;Z:~:'h.rez;;; ",ER
Property Owner/Agent (signed in pr nee of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this ;).-,~ day of_-,~ \ .... A..P"=I;,,,,.....,,r-____ ~. 20 2(Y . '<;3')
by ___ .J..\4.-='-'v'-'e"'-'-V"--=--'K-=lA"-'-'v-+'-''-'2.=\:.-t.--=''-________ ~, who personally appeared before me and
(printed name of Signer)
acknowledged that he/she signed the instrument
f Florida
~ta'i(IlIIAlil,v.'~.Hl/jf~l~e expressed in it.
NcrrA.'V PUBLIC
OFI"LORIDA
comm# GG278f85
~~iWt~
Department Approval:
Scott Williams, Public Works Director
H:\Applications & Forms\Word Oocuments\20180831 Revocable Encroachment Agreement.docx Revisj.on Date: 8/31/18
' . .:~
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SURVEY OF:
LOT 65, SELVA NORTE' UNIT TWO, AS RECORDED IN PLAT BOOK 40,
PAGES 37 AND 37A OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUN T Y, FLORIDA.
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\ LOT 75
NO BUILDING RESTRICTiON UNE SHOWN ON PLAT, BUT THERE • Ft..ooO zOlJ.es. SHOl""iN. !-IE'~eor-J: R~F.:!"~ To FL.OOO I-o/\,.:lp
MAY BE RESTRiCTION LINES OR EASEMENTS THAT AFFECT THIS REVISED 04/17/69, COMMUNITY PAN EL NO. 120075 0001 D.
PROPERTY BY 'ZONING OR RECORDED !N THE PUBUC RECORDS OF
THIS COUNTY THAT ARE NOT SHOW N ON THIS SURVEY.
• BEARINGS ARE BASED ON ~E SO UTH UNE OF LOT 6 5 AS