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383 2nd St DWAY20-0002 Replace Selection of Driveway %' lr''`'r',c, DRIVEWAY PERMIT PERMIT NUMBER r DWAY20-0002 r v CITY OF ATLANTIC BEACH ISSUED: 1/24/2020 800 SEMINOLE ROAD x401319r ATLANTIC BEACH. FL 32233 EXPIRES: 7/22/2020 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: 383 2ND ST DRIVEWAY SINGLE OR TWO REPLACE SECTION OF $2000.00 FAMILY DRIVEWAY DRIVEWAY TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169805 0000 MILBERT HOMES S/D COMPANY: ADDRESS: CITY: STATE: ZIP: OWNER: ADDRESS: CITY: STATE: ZIP: CHRISTOPHER C RULE 383 2ND ST ATLANTIC BEACH FL 32233 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 DRIVEWAY APRON INFORMATIONAL Notes: All concrete driveway aprons must be 5 inches thick,4000 psi,with fibermesh from edge of pavement to the property line.Reinforcing rods or mesh are not allowed in the City right-of-way. 2 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: 1/24/2020 1 of 2 4`3w{niiteDRIVEWAY PERMIT PERMIT NUMBER A_ s', CITY OF ATLANTIC BEACH DWAY20-0002 `� "" ISSUED: 1/24/2020 4 j �, 800 SEMINOLE ROAD EXPIRES: 7/22/2020 ATLANTIC BEACH. FL 32233 3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 4 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. 5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 6 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 7 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL i Notes: All 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 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL:$125.00 Issued Date: 1/24/2020 2 of 2 IEcEry rs..A,,p;J�, City of Atlantic Beach APPLICATION NUMBER j Building Department I (To be assigned by the Building Department.) n JAN 2 ?r)%J r 800 Seminole Road r AtlanticPhone(904)Beach,247-5826 Florida 32233-5 �ll J L fL�dL.C_.J Fax(904 i7-5845 _ -— 9:- E-mail: building-dept@coab.us Date routed: 1 / 17 i zc City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 383 2 " t Department review required Yes No Building Applicant: (w f(-(Z., tg� reT e i�irrrirrisrrarar— Project: eSEC.'t(060 C) 4-) DR WeGOCA7 (-11lic or 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 by: JCaJ..^jedy y", Date:l''2y'--,24c, TREE ADMIN. Second Review: ❑Approved as revised. (Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [ jApproved as revised. ❑Denied. I !Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 •s--1'�r City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 1 i , ��y Z04 �., Atlantic Beach, Florida 32233-5445 �l�l Phone(904)247-5826 • Fax(904)247-5845 / . ., J;3 qr E-mail: building-dept@coab.us Date routed: I I 7 Z C./ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 383 C nC j Department review required Yes No Building pp C)GO�C_� annmg &Zorlitrg�j Applicant: �Tr'Adrrrirn tidtvr Project: S FCTiC,4-0 O " DIZIVeGOCAyulrP"--717W73 --' 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. I (Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by,:--,g--- Date: f—21=Z07. 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. I 'Denied. I Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 r;.,,;;.,\ Building Permit Application Updated 10/9/1F i r y > City of Atlantic Beach Building Department r **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY usi IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 383 Si,C ONO STReEr Permit Numoe-. '✓ .. )CJ Z Legal Description 4257 G` 01/4. 36.(2r H0nYfFs' RE# /G q 6'—0 0 0 C) Valuation of Work(Replacement Cost)$ 2./ 00u 00 2Heated/Cooled SF /\//A Non-Heated/Cooled /ti(/di • Class of Work: ❑New ❑Addition ❑Alteration Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial 1 Residentia' • If an existing structure, is a fire sprinkler system installed?: ❑Yes AJNo • Will treels)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: R. I k 0F 30 FEST Or-- (�0NNCRcrg Dery uW47 Florida Product Approval# for multiple products use product approval form Property Owner Information ►� (� Name CNrirsraPNkr� C - !R LJ4#= Address 3153 o2�� S-;-• City /97:4, State FL.. Zip x'22.3 3 Phone ?Bi{-2119— 44211/ E-Mail Crin—i—e 0 NmtnfAil., (jaAA Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company --,S•L.J Qualifying Agent Address City State Zip Office Phone Job Site Contact Number State Certification/Registration# E-Mail Architect Name&Phone r Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ 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 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 .;:aerai 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 PAA TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N i(� G - • 'SUIT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC G1 c R N 6 •`'' OMMENCEMENT. (Signa re of Owner or Agent) (Signature of Contractor) ign dn and sworn to(or affir e'.)before me is I (day of Signed and sworn to(or affirmed)before me this day of <Y (i»Sir,� �' iy ,by (�ature LY),,... ____ (Signature of Notary) . I PersonallyKnown OR .1. ,., own R . � moi TONT a1�8� b'i� [ 1 Produced Identification '+Q ficafion c•_ MYCOMh�IfSi�# � fr� Type of Identification: �� - -4�, EXPIRk ?V(jgation: '�`OF F:°P: Bonded Thtu Notary Punic Underwriters Owner Builder Affidavit **ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. r)711/1r. 800 Seminole Rd, Atlantic Beach, FL 32233 `° v Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/ BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: ..5g-3 �� *V-,,;21-/9- Owner Name: [�/� � ��=/ I7C (i Phone Number: V-,,;2t D- yR Mailing Address: . 'c C/7 State: /G. Zip: ?2 3_7 Notarized Signature of Owner ` - The i�o oing instrum nt was - •wledged before me this 17 day • ' d . , 207CJ.the State of Florida, County of n . Signature of Notary Public e � 1( [ ] Personally Known OR [ ] Produced Identification • 2 Type of Identification: R4 CC — 103 S 3 3 OC) v*"° •'''• TONI GINDLESPERGER Updated 10/24/18 ,• MY COMMISSION#GG 353178 EXPIRES:October 6,2023 ,' OI t0'. Bonded Thru Notary Pubic Underwriters C3-IRISrOPHER C. RULE 383 Second Street At(antic Beach, Florida 32233 January 17, 2020 City of Atlantic Beach Building Department 800 Seminole Rd. Atlantic Beach, Fl. 32233 To whom it concerns, Attached please find an application for permit for a concrete driveway removal and replacement project at the indicated address. Included in this application are three supporting documents. 1] most recent survey, December 1991 , verifying the size of the lot at this location. 2] Drawing illustrating the scope of the proposed work. 3] A picture,January 2020, of the current driveway with the scope of the replacement indicated. The site was viewed by the Public Works director in 2019. Should there be any concerns regarding this project I am available by phone at 904-699-8592 Reg7/lir Christopher Rule J _ E QN j ,c2 - ‘---..Sib --> r . I 0 0>P814 v 0 -N=v DaI 7217ci4 ?AO iLI k p£ xi I -2 a1//0 1 i S /4 iiii5 f; /Gt)/ A0 INi?lL��:j L col 1 re 3d0 - — - — -- 1 J,-bi'P - -_/ pA/ -Vg- . 1b, -----."--2Gr/ �.�g -- 0(3 *•► r -Of } / • t• !n '.• �-" ,...fit. 11 .. • '''41440,....4,o., I'i . # •..' ,,,, , ,. 0, , ..,4: . 1. 1", . , ice^ — f • 4 i .Nt. 1 1 I 1 1 111I, -0 :, :t ..*f $ , { 1 Edi' -L- 1 re,t ---1... i 'f i w+ g , • *t ,.i( ,fin&.". t. P • A re•e, e'-'f0,l' . D4 y Tr'rlieP +.., 9� .. �. Wit ' ti y','.' I s -, 4' r At 44 Y .F .•,R. :;-,,;:,if.,,,,:- ,`•u`Y65.- v r. ,,. ,q ty t, C Y w i C . vh.E 3.8''., akA0 MAP SHOWING SURVEY OF LOT 6, MILBERT HOMES SUBDIVISION AS RECORDED IN PLAT BOOK 21 PAGE 38 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. L0� 4 1I - /'� SET NAIL 9 DISK (N.83°47'59' E. 59.70' FIELD) 0.4' ` IN OAK N.83°42' oOilE. CO•^Ot0.3 FOUND V2"IRON PI L.B. 3672 \ v `J _ , ��Y � NO CAP } - } F 0.5'� �0.3' 4'CHAIN LINK FENCE 2 5' 10.2 P ra Qw> w2 0' . 2-7,, O 0 •O a NOTES O •; y_ ".' "CONCkETE'!' O m r;::: CONCRETE '.BLOCK:•,ii -; p THIS IS A BOUNDARY SURVEY. ;'.•'' PAD x PATIO-s=:};• w Z NO BUILDING RESTRICTION LINE J'"-:-CONCTE=;i..•;-:::: ti. cz 0, PER PLAT. :•:.:.. -: 22.6' 8_2 I- W -12.6.••••• Yi•iC. ..... tcl BEARINGS BASED ON THE SOUTH z •--7:- 16.4' Ci a w LINE OF LOT 6, AS PER PLAT. m 1-Q Ya _o U p 3' I-STORY FRAME m M m Y 0 i m RESIDENCE '^ 0 a N CO cr)N 3 W O OJ a U> = 01 -12.6'- 3s.o' f 83� O o z rn 0 oW 7 _ c cRETEf,.., �F'.6' PORCH f"'' ti)p 4: :t1 LOT 5 ?" F'';'! 'err'. y p 1 O CONCRETE!. :.c` '-:"r ::.;.:�:r;:�-.' 0 ' W w ::.DRIVE . (.0 O AND ?; 0 w(A < \ :...-:- ;•r. NlINrn S.84°07'00"W. FIELD) ,M,-, FOUNDI/2"IRON PII NO CAP S.83°42'00"W. 76.18' �o.i N,o.6'E.) 1, 410 1-FOUND I" NO CAP NO PIPE FOU NO CAPIRON PIPET S.830 42' 00" Y. 60.001 'LFO NNODCl/AP'IRON PIPE S.83042' 00" v '71(60.04'' FIELD) SECOND 50' R/W PAVED STREET THE PROPERTY SHCWN HEREON APPEARS TO LIE IN FLOOD ZONE "C" (AREA OUTSIDE 500-YEAR FLOOD PLAIN) AS WELL AS CAN RE DETERMINED FROM THE "FLOOD INSURANCE RAfh MAP" FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO CHRISTOPHER C. RULE, FIRST UNION NATIONAL BANK OF FLORIDA AND COMMON- WEALTH LAND TITLE THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRE- SENTED HEREON MEETS THE MINIMUM TECHNICAL STANDARDS OF THE FLORIDA ADMINISTRATIVE CODE CHAPTER 21-HH-6 AND THE FLORIDA LAND TITLE ASSOCIATION. \-1%%....0\k._ J THIS SURVEY NOT VALID UNLESS DONN W. BOATWRIGC".6tak SEALED WITH AN EMBOSSED SEAL FLORIDA REG. LAND SURVEYOR No. 3295 OF SURVEYOR SIGNED HEREON SCALE: I" = 20' BOATWRIGHT LAND SURVEYORS, INC. DATE: DECEMBER 10, 1991 DRAWN BY s w c 1711 5th STREET SOUTH FILE: 91-732 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET I OF I