51 BEACH AVE RES19-0058 APPLICATION OFFICEr _.
co�COPYBuilding Permit Application Updated 10/9/18
_ City of Atlantic Beach Building Department **ALL INFORMATION
j 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904)1 247-5826 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 51 SE/Gp{ A UCt 0 Permit Number: t \e__S o q - E3
Legal Description j 6- ATS E17 = �,. RE# j 70 216 -000b
V._.l�
Valuation of Work(Replacement Cost)$ I f'761/0OO Heated/Cooled SF " "'•" Non-Heated/Cooled
• Class of Work: New Addition ❑Alteration ❑Repair ❑Move ■der4to Pool ❑Window/Door3 3 9 `
• Use of existing/proposed structure(s): ❑Commercial )(Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) I INo
Describe in detail the type of work to be performed: _ JJ
ICI-1 12.-C.5 i bE7U� / Si n(Atom- C cr t [Ly
Florida Product Approval# Ll EE /4ffAcA461) for multiple products use product approval form
Property Owner Information 5 0,20.1604, TEN Anc�S 13'j i66/ TiRe---ree-S
Name/?08fin, ONFAb 5oRek$E4 It MI5 frit-sic L616.U- t Address 2628 5TA'TE ROAD 13
City SAINT" Joh-los r1.. 3225 ! State 1'(. Zip 3 ?.l5 Phone 90'4-0/3 - e 2I '7
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company THC- A-Al66fp Ggoo P Qualifying Agent 4(C- '( S. 5-Pip-Lk: s
Address //3O 3 5,4/4 JOSE Bc. .'o. /3 coG- 3Oo Citylii-AG N ,c.LE State rt, Zip 3 2223
Office Phone clog 2C�£�, - ZZ`f`7 Job Site C tact Number civLi-5115--u9.3ct
State Certification/Registration# Co C O 3(0 O Klc-L is A16c1.0 ,2oup..CDM
5 3 E-Mail y /k
Architect Name&Phone#Cr2=-'nt k: P'.fGEf A2zi-r l r‘crJ,(6 /q3& 5A44 r't4,C ca L3 Lt)o. Su 1 1-6 t 0l TAX Fr:
Engineer's Name&Phone#Loc/ ?nurUo t ASSOG l4 it5 1120 0.50 cock Aix:, TAX t3E- FL,
Workers Compensation InsurerANtE 2-tc4*1 B)1wE(ZS 1i'454,41-1VC.E OR Exempt❑ Expiration Date l71 1202°
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 OBT FINANFING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIN T E OF OMMEN EMENT. /
� � ,`tel _
(Signature of Owner or Agent) ..�� {' (Signature of Contractor)
Onind and swo'�rn{�to or affirmed)p� before me thio 4��Fay of Signed and sworn�to�(or affirm d)before me this day of
lo VV( 1 , by (Zbl9lfrl S6/4,11.0l1.V\ 1 ,1LL1.,by Kt L S , s 111
�� � - el
(Siggntur�of oar ) )
_64.00"r44._ Notary Public State of Florida
it467:
!`> . Terra S Thrasher
Notary Public State o(Florida n My Commission FF 953977
A/�Personally Known 0' '\14Personally Know O Terra S Thrasher a w Expires 01/25/2020
]Produced Identi• aAp My Commission FF 9539171 (/I JJ]Produced Identificati •
Type of Identificati.,• o,a Expires 01/25/2020 Type e of Identification:
OFFICE COPY
PERMITTED BUILDING DATA
DO NOT WRITE BELOW - OFFICE USE ONLY
Applicable Codes: 6th Edition (2017) Florida Building Code
DEVELOPMENT SIZE: t/
Habitable � -7
Space (ft2): / 7Non-Habitable Space (ftz).: 7 > 9y
Gues4 V. 7C •
LAND INFORMATION:
Zoning District: XL-
Flood
LFlood Zone: tS V C
17. 96 ' /6,00
Minimum FFE: �a rase ) y-'
BUILDING INFORMATION:
Construction Type: U
Occupancy Group: S'alsi P -Pct VV‘ ,\ Pc"eS 1011,r
Number of stories:
Max. Occupancy Load:
Fire Sprinklers Required:
CONDITIONS/COMMENTS:
•
• OFFICE COPY
Prepared by and Return to:
Jason M. Trager, Esq. •
Ansbacher& Schneider, P.A.
5150 Belfort Road, Building 100
Jacksonville, Florida 32256
SPECIAL WARRANTY DEED
1. Grantor's name and address is:
Al Mansur and Suela Mansur, husband and wife
1360 East Coast Drive
Atlantic Beach, FL 32233
2. Grantee's name and address is:
Robin O'Neal Sorensen and Tabitha Leigh Sorensen, Tenants by the
Entireties
2628 State Road 13
Saint Johns, FL 32259
The terms Grantor and Grantee shall be non-gender specific, singular or plural, as the
context permits or requires, and include heirs, personal representatives, successors or
assigns where applicable and permitted.
3. The real property ("Property") conveyed hereby is described as follows:
Lot 4, (except a right of way 5 feet in width off the West thereof, as
conveyed by Clifford A. Payne and Elizabeth A, Payne, his wife, to
Robert 0. Foerster by Deed dated August 15, 1921, recorded
September 10, 1921, in Deed Book 218, Page 6) in Block 26 of
Neptune, according to the map or plat thereof, as recorded in Plat
Book 4, Page(s) 46, of the Public Records of Duval County, Florida
and also all the land lying between Eastern boundary line of said
above described Lot and the Atlantic Ocean, together with all riparian,
littoral and water rights thereunto belonging or anywise appertaining,
said property also described as: Lot 4, (except the Westerly 5 feet
thereof), Block 33, Plat No, 1 subdivision "A" Atlantic Beach, as
recorded in Plat Book 5, Page 69, formerly known as Lot 4, (except
the Westerly 5 feet thereof), Block 26, Replat of Neptune, as recorded
in Plat Book 4, Page(s) 46, of the Public Records of Duval County,
Florida, together with all of the land lying East of and between the
Easterly projection of the North and South lines of said Lot 4, to the
erosion control of the Atlantic Ocean;
together with all appurtenances belonging to or benefiting such
property.
The Property Appraiser's Parcel Identification Number is.170218-0000.
4. Grantor for good and valuable consideration plus the sum of $10.00 the receipt whereof
is hereby acknowledged, hereby grants, bargains, sells and conveys to Grantee the
Property to have and to hold in fee simple forever.
150443.C.13 Deed
OFFICE COPY
5. Grantor fully warrants title to the Property and will defend the same against the lawful
claims of all persons whomsoever, except for (i) taxes subsequent to December 31,
2018, and (ii) covenants, reservations, restrictions and easements of record, if any, with
reference hereto not serving to reimpose the same.
Executed as of February 1 2019
St dif . 6 ;�--
1 Witness: 11F /
Print Name: wr�,
Alp--7.,-- Mansur
. Z �� (4.
oz/ ' JL1Q/1!'j1rK-
2nd Witness: C ;t,ti 4 I ;1,1
Print Name:��;�� k1.�A__ s.‘ea. Suela Mansur
State of Florida
County of Duval.
"'A
The foregoing instrument was a nowledged before me this /J day of February, 2019 by Al
Mansur and Suela Mansur ( who are personally known to me or ( ) who have produced
(Florida Driver's License) as identification.
NotaryPublic, State of F orida .4:?..,:'° r;:, PATRICIA ANN YON
: ,A, MY COMMISSION#Pr•327448
My Commission Expire : zn-.:W EXPIRES:November 18,2019
;,ur anded Thru Hoary Pub 5c U^.darwr lers
150443.C.13 Deed -2-
City of Atlantic Beach • APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
(;;:•_.A1.1-r
`Q 80 Seminole Road Q R c �9
l• Atlantic Beach,• Florida 32233-5445 ES 19 CQ SS
Phone(904)247-5826 • Fax(904)247-5845
6-;,;9'' E-mail: building-dept@coab.us Date routed: Z z Z ( (9
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
5 ,
Property Address: EAC p\if; Department review required Yes No
L-}
Buildin
Applicant: „ \ — • .r. oning
Tree Administrator
Project: k � L_ a IA • •ub a irks
Public Utilities
u is a ety
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: 77\ Date: 3/5//9
TREE ADMIN. Second Review: Approved as revised. Iuenied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: (�Date: /E7//
FIRE SERVICES Third Review: ❑Approved as revised. Denied. Not applicable
Comments:
Reviewed by: Date: /'J.7.a0
Revised 05/19/2017
i*- ss CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
\ (904) 247-5800
BUILDING REVIEW COMMENTS
Date: 1/27/2020
Permit#: RES19-0058 Site Address: 51 BEACH AVE
Review Status: Denied RE#: 170218 0000
Applicant: THE ANGELO GROUP Property Owner: ROBIN O'NEAL SORENSEN &
TABITHA LEIGH SORENSEN, TENANTS BY T
Email:TERRA@ANGELOGROUP.COM Email:
Phone: 9042682247 Phone: 9048138217
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Comments:
1. All approvals from the DEP will be needed prior to issuing a building permit.
2. Page S1.3 has a detail, 3/S2.2 called out that does not show up on page S2.2. Verify and correct with the
submitted detail, 2 copies.
3. Owner/Agent needs to sign and date the front page on the Energy Calcs.
Building key' ek.S /104- SPY! i
Mike Jones rn) f- 7-7,a-0
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904) 247-5844
Email:mjones@coab.us
Resubmittal Notes:
All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of
completely encircling the change with "clouding".The revision shall also be identified as to the sequence of revision by
indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date
and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which
a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with
revisions shall be inserted into each set of drawings. The original sheets must be clearly marked "VOID" but are to be left
within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED
DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW.
rSi,i City of Atlantic Beach APPLICATION NUMBER
'j5 _( Building Department (To be assigned by the Building Department.)
800 Seminole Road
.-6.. s Atlantic Beach, Florida 32233-5445 R cs 1 9 J DO S V
Phone(904)247-5826 • Fax(904)247-5845
;,� E-mail: buildingdept@coab.us\
Date routed: Z/ z Z /i 9
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 51 P- FlAc L-4 H\'t Department review required Yes ' No
Buildin.
Applicant: 1 \ — _ p, ` 'laming &Zoning
Tree Adminis ra or
1
Project: \ E52AD S ( Ki(--1 F FRini L/ ubl_i ork
Public Utilities ,
Public 5atefy
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:
APPLICA STATUS
Reviewing Department First Review: I pproved. ['Denied. F 'Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by. ate: 3- ZS—/9
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
!....wri,,
r�.tCity of Atlantic Beach
,rt{,
PUBLIC UTILITIES DEPARTMENT
'j:.) i1 902 Assisi Lane
,7 Jacksonville, FL 32233
'''' ,,?1..)%.:,' (904) 247-5834
NEW WATER / SEWER TAP REQUEST
Date J'- 2 .5*-- / '; Service Address S / (j 6,-7Cf-/ AL/
Number of Units d Commercial Residential ✓ Multi-Family
New Water Tap(s) & Meter(s) Meter Size(s) '-3/7 ,
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaim Water Meter Size New Connection to City Sewer
Applicant Name
Billing Address
City State Zip
Phone
Email
Applicant Signature
CITY STAFF USE ONLY
Application # as r (3 — CO S S This tclf AA) E0srij4' /76,/
Water System Development Charge $
Sewer System Development Charge $
Water Meter Only $
Reclaim Meter Only $
Water Meter Tap $
Sewer Tap $
Cross Connection $ L5;_ , Oe)
Other $
TOTAL $ <50• 00 (Notes)
APPROVED r C Date 2 Z / 7
Pu c Utilities Director or Authorized Signature
ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
TsyLy; City of Atlantic Beach R�� APPLICATION NUMBER
NBuilding Department •-.3 (To be assigned by the Building Department.)
800 Seminole Road r �Q Q
.
�n Atlantic Beach, Florida 32233-5445` -3 2 2 2019 R Es l C-�
Phone(904)247-5826• Fax(904)247-5845 i
j% E-mail: building-dept@coab.us Date routed: Z z Z. /19
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 51 0.) F JAC A-V6 Department review required Yes No
Buildin• _7
Applicant: as --- _ ' '� `1anning &Zoning �;
Tree Administrator
Project: ' v _ i 'I • ub" rks
Public Utilities 3
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. 14eenied. ['Not applicable
(Circle one.) Comments:
BUILDING PWii1S-ik ` a JQ -k0 Laftiki 4ii,
PLANNING &ZONING Reviewed b : ` Date: '�
TREE ADMIN.
l '
Second Review: ['Approved as revised. kLDenied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: /9t%�G '�'4"....1 Date:
FIRE SERVICES Third Review: Approved as revised. ['Denied. I 'Not applicable
Comments:
• y 1 / Date/--*.IC
Reviewed b : _ y �� , „� Date l
Revised 05/19/2017
JS CITY OF ATLANTIC BEACH
;, i f Department of Public Works
1200 Sandpiper Lane
Atlantic Beach, FL 32233
Z (904) 247-5834
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: 3/5/19 Applicant: The Angelo Group
Permit #: RES19-0058 Email: ricky@angelogroup.com
Review Status: DENIED Property Owner: Robin & Tabitha Sorensen
Site Address: 51 Beach Avenue Email: Not Provided
THIS PLAN REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS
Correction Items must be submitted to the Building Department at 800 Seminole Road.
Submittals that respond to only one or a few correction items will not be accepted.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions must be submitted to the Building Department and must respond to EACH department review.
PUBLIC WORKS CORRECTION ITEMS:
• Provide construction site management plan including location of silt fence, dumpster, portable
toilet. Right-of-way Permit is required if using right-of-way for construction parking.
• Provide drainage plans showing site topography (flow arrows, etc.).
• Section 24-66(b) of the Land Development Regulations requires on-site storage for increased
run-off if adding 400 SF or more impervious surface. Provide Delta volume calculations and
on-site retention required per Section 24-66(b).
• Provide manufacturer cut sheets for 50% credit on pervious pavers.
• Maximum driveway width within the City right-of-way is 20'.
• Provide a detailed plan of water retention area and how water runoff gets to water retention
areas and then to street.
• Provide detailed plan of driveway within City right-of-way, including the type of material used.
PUBLIC WORKS CONDITIONS OF APPROVAL:
(The following comments will be printed on your permit as Conditions of Approval)
• All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from edge of pavement
to the property line. Reinforcing rods or mesh are not allowed in the right-of-way.
• Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact the Inspection Line (247-5814) to request an Erosion and Sediment
Control Inspection prior to start of construction.
• All runoff must remain on-site during construction.
• If on-site storage is required, a post construction topographic survey documenting proper
construction will be required. All water runoff must go to retention area and retention overflow
must run to street.
Page 1 of 2
0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\RES19-0058(The Angelo Group).docx
• Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling,
Shapells, Inc., Republic Services, Donovan Dumpsters, Phillips Containers, JDog/Dennis Junk
Removal, All American Roll Off, WCA Waste Corporation). Container cannot be placed on
City right-of-way.
• Full right-of-way restoration, including sod, is required.
• All runoff must remain on-site. Cannot raise elevation.
• Maximum driveway width within the City right-of-way is 20'.
Scott Williams, Public Works Director swilliams@coab.us/904-247-5834
Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a
revision by way of completely encircling the change with "clouding". The revision shall also be identified as to the
sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the
cloud. The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block
for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit
pending, all sheets with revisions shall be inserted into each set of drawings. The original sheets must be clearly marked
"VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL
ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR
REVIEW.
Page 2 of 2
0:\Public Works\ADMIN\PLAN REVIEW COMMENTS\RES19-0058(The Angelo Group).docx
,die kEI ro✓m
4.5( 4'95( O = a pro
�«.e 7v, ce x ztb zio9 > //of
dye z3X� 361(1 Q I9✓ lb fr
Xf f(4i t•
"0614/- cm3 e fetli
i=dat e .‘5 ezir
9fl kip
K70 40
Vi7o7c
7%
(f-/ 6,6k qk pf,ee
� aye u 4ro --441a
4fre
�✓R
x .26.3 %
(0',4%,„ e 47,
JCS
i
if Y 76 •
414
fro
�3 - y�y
-14:7 461A4 fei-V10 Ai/ liwu
4,c‘F /2/ qt-/
Ai"e t Y24— y /
.rte 141,a_ - �c %,( 2��:r
1,0i4r
i J9
to gr _fc f /r,-./7-Wo XcL.06
/to1a_ - by -- 33-k _79_-K— LC- 3/1
g? 3 /zX (7viz :c,c K/3 Wb,r
syr
C
fttpL I
r rS 2 g' '
\:04 ' ' ' t•i-
1 t"---,
N L
llo
J lO is kV t•.
c ‘-'•(
)S t4 Q X4.4 i .
* '•.% l'••< 4:; ‘ ..1
J 1 .e J, 0
„.... ..a......‘1 , 4 : .4 '-lc.N\ _1.7 77:4 N:7 * ---: ' -'14 z:14.-75 \.1 --ck-'4' ..C4111 ---1.1.- : .--\--%. \-.7\4 1 4 )4
,szi , , ir ..4 ,
I ti - xv 4) , 1
/21 i16
33 iY frr(602 :-- Zfr
Aloe if k
f6 / = ..re
/77to /7f
,t-/K/ vel
ttabterfryt- 79K/ `6 97
pildwikt4 ilk/ r 27 G,007y
Pr;ae, (A ziulxzgf g2 ) 70
rviittili4 az a ki Z02, .4-'-fazo
z ��
5C. 7
k / 3,y /Vat