705 Atlantic Blvd COMM20-0035 deck permitOWNER:ADDRESS:CITY:STATE:ZIP:
SEMINOLE SOUTH, LLC 2300 MARSH POINT RD, 301 NEPTUNE BEACH FL 32266
COMPANY:ADDRESS:CITY:STATE:ZIP:
WALKER MASON 2300 MARSHPOINT ROAD STE 202 Neptune Beach FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170655 0000 SALTAIR SEC 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
705 ATLANTIC BLVD COMMERCIAL OTHER
COMMERCIAL
construct deck in right of
way for Southern Roots $0.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $65.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING BUILDING OFFICIAL NOTES INFORMATIONAL
Notes:
BUILDING OFFICIAL NOTES
Must maintain 2-foot Safety Zone between deck and edge of pavement.
No structures or objects allowed in Safety Zone.
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: 9/22/2020
PERMIT NUMBER
COMM20-0035
ISSUED: 9/22/2020
EXPIRES: 3/21/2021
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $101.50
2 of 2Issued Date: 9/22/2020
PERMIT NUMBER
COMM20-0035
ISSUED: 9/22/2020
EXPIRES: 3/21/2021
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
I By Jennifer Johnston at 9: 27 am,Sep 22,202
Building Permit Application
111
i' Updated I0/9/18
Cityof Atlantic Beach BuildingDepartmentp FALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
Job Address: 705 Atlantic Blvd;32,Atlantic Beach,FL 32233 Permit Number: COM M20-0035
Legal Description 10-8 20-2S-29E.65 SALTAIR SEC 1 RE!!170655-0000
Valuation of Work(Replacement Cost)$ 2,500 Heated/Cooled SF 0 Non-Heated/Cooled 200
o Class of Work: CINew EAddition DAlteration DRepair Move [Memo Pool OWindow/Door
o Use of existing/proposed structure(s): FACommercial DResidential
o If an existing structure,is a fire sprinkler system installed?: Yes TI No
o Will tree(s)be removed in association with or000sedproiect?DYes(must submit separate Tree Removal Permit) 'iiNo
Describe in detail the type of work to be performed:
Parklet addition;wooden deck with planter box partitions
Florida Product Approval# for multiple products use product approval form
Property_Owner Information
Name Seminole South,LLC Address 2300 Marsh Point Rd,301
City Neptune Beach State FL Zip 32266 Phone (904) 208-6595
E-Mail walker@skyenterprises.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Walker Mason
Contractor Information
Name of Company Individual Qualifying Agent Walker Mason
Address 17121st sIN'201
City Jacksonville Beach State FL Zip 32250
Office Phone 904)726-8662 Job Site Contact Number (904)554-1309
State Certification/Registration# CBC1263526 E-Mail wnuson1102,4gmall.com
Architect Name& Phone if NA
Engineer's Name&Phone# NA
Workers Compensation Insurer OR Exempt o Expiration Date 3/20/2022
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 FINANC G'CO ULTIWTH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING N• E • COMMENCEMENT. tio
C---. (Signatur: e''er or Age• Signature of Contractor)
S. ned and sworn to or affirmed)before e this /l ay of Signed and sworn to,(or affirmed before me this ) ay ofO
il
natuia Weei Signature of Notary)
Vk, Virginia Wetzel
im -COMMISSION t 00233893
rsonall Known OR cy
EXPIRES: July 1, 20221[
Personally Known OR F. , -.=COMMISSION 0233893
i Produced Identification % A,`•s. Produced Identification 7 ;,;` EXPIRES: July 1, 2022
Type of Identification: sin" Bonded ihru Aaron Notary Type of Identification: t ;.;"
i_ded-Thru-Asion-NOtafy
RIGHT-OF-WAY/EASEMENT PERMIT APPLICATION ALL INFORMATION
City of Atlantic Beach HIGHLIGHTED IN GRAY IS
800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED.
PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES
Job Address 705 Atlantic Blvd;#32 Permit Number COM M20-0035
Contractor Information
Company Individual Qualifying Agent Walker Mason
Address 1712 1st st N; 201 City Jacksonville Beach State FL Zip 32250
Phone (904)7288662 Email wmason1102@gmail.com
State Certification/Registration #1 CBC1263528
Architect NSA Phone Email
Engineer N/A Phone Email
Workers Compensation Insurers OR ExemptnExpiration Date 3/20/2022
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
relocation of all, or any portion of said street or easement as determined by the Public Works Director,any or all said poles,
wires, pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said
street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the
Permittee unless reimbursement is authorized.
All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the
supervision of Daniel Bussey Project Superintendent)
with (Company Name) Heavy B Services Phone (904)554-1309
All materials and equipment shall be subject to inspection by the Public Works Director.
All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the
manner satisfactory to the City.
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-of-way are to be included with
this application.
The permittee shall commence actual construction in good faith within 15 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 in the area that would affect the permitted construction.
It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,
title and interest in the land to be entered upon and used by the holder, and the holder will,at all times,assume all risk 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 rks Director shall be notified 24 hours prior to starting work and again immediately uponcompletion.
Date -5 //Z / 62.-0,92C)
Permittee(signed in pre nce of Notary Public) d
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this 12 day ofttJ(
t.S-}— 20
CI:20,
by Walker Mason who personally appeared before me and 0
printed name of Permittee)isle We
ackn wl ed that he he signed the instrument voluntarily for the purpose expressed in it.4'1s" v i
COMMISSIONN
GG233893
EXPIRES: July 1, 2022
ersonally Known ir it Nu Aaron NOlsl'y
Signat,re of Notary Public,State of Florida Produced Identification(Type)
H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
COM M20-0035
Prc, REVOCABLE ENCROACHMENT AGREEMENT,
c.:,,..
7-(
City of Atlantic Beach ALL INFORMATION
ISI 800 Seminole Road,Atlantic Beach, FL 32233
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 State of Florida, hereinafter referred to as"CITY" and
Southern Roots Filling Station, Inc 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 a parklet
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 705 Atlantic Blvd;#32,Atlantic Beach, FL 32233
o 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.
o 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 of the 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."
o 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.
a 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 theme-Uro • any of the work herein under the terms of this permit and that all of said
liabilities a • errs6y assn =• sy the USER.
Date p*--- 0 .
N .perty Owner/Agent - ed in p - •nce of Notar Public)
RITSK,—OUNTY OF DUVAL
The foregoing instrument was acknowledged th•is /Z day of 1111,4,6-4" 20 20 ,
by Lka l Va.K-ks who personally appeared before me and
printed name of Signer) VOacknowledthateshesignedtheinstrumentvoluntarilyforiheepueexsledinit.
IVA Viirginia elze 6'0
COMMISSION#60233893
4c a=Department Approval: O
doSign. ure of Notary Public,State of Florida '-., EXPIRES. July 1, 2022
Personally Known
4
i%```‘ Bonded ThIu Aaron Notrhr
I Produced Identification(Type) Scott Williams, Public Works Director
H:\Appiications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/ 18
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