379 7th St DWAY21-0018 Paver DrivewayOWNER:ADDRESS:CITY:STATE:ZIP:
MARSHALL HOWARD O JR 379 7TH ST ATLANTIC BEACH FL 32233-5433
COMPANY:ADDRESS:CITY:STATE:ZIP:
BARNES CONSTRUCTION
LLC 3317 ROYAL PALM DR JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169945 0000 SHERRY TERRACE R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
379 7TH ST DRIVEWAY SINGLE OR TWO
FAMILY DRIVEWAY PAVER DRIVEWAY $4500.00
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: 4/15/2021
PERMIT NUMBER
DWAY21-0018
ISSUED: 4/15/2021
EXPIRES: 10/12/2021
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 MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
7 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 2Issued Date: 4/15/2021
PERMIT NUMBER
DWAY21-0018
ISSUED: 4/15/2021
EXPIRES: 10/12/2021
DRIVEWAY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
of•ri- Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Departmentj ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
4;1IJ~ IS REQUIRED.
Phone:-
n (
904) 247-5826 Email: Building-Dept@coab.us
Job Address: 31q Seventhh S*Ce e T-- Permit Number:
Legal Description 0t05 Sherr`{ Te(`t'Q`C-e R/P RE# tGq.g45-0000
Valuation of Work(Replacement Cost) $ 41500.45° Heated/Cooled SF d Non-He. ' .,ua.
Class of Work: New Addition XAlteration Repair Move Demo Pool Win•': /DPR 0 2 2021
Use of existing/proposed structure(s): Commercial aResidential
If an existing structure, is a fire sprinkler system installed?: Yes OQlo BY:
Will tree(s)be removed in association with proposed proiect? Yes(must submit separate Tree Removal Permit) Vo
Describe in detail the type of work to be performed: Ierf\eUe -thy e>4.1S-\it 0.sph0.*ic di'i'Ve' `' Qad VOA back
eW ljr',ck ?6.V2rs +o 'Or\'- Same Stow('Q coo+0.g2 ai\8 -coo-1-pr-,n-i- as *'fie Ono.l -
c-iVe Wo-‘1 .
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name HOU.)O' tvtar shQ,U Address 3 7 q Se verb h S4-Q2,4-
City +(0.r1C €Q 1 State E- Zip 32233 Phone ctO4 - g23-(c)832.
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
L
Name of Company t't1eS Cons 'oc--1- or' LLC Qualifying Agent ObeC{- F Bore 's
Address 34(0(0 -6Un icC.. ZO City SO.L\cscov i Cc State FL Zip 3 2.2O
Office Phone 90-4 - 33 q - 3G-72- Job Site Contact Number C(04 - 3 3 9- 3 '1 2-
StateState Certification/Registration# CSC 12(03151 E-Mail L.8gA2n1 ES82.(0090-tCki 1 . Coe\
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempt K Expiration Date OS/17., /7D 2.1
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 FINANCING, CONSULT WITH YOUR LENDER OR 4N ATTORNEY BEFORE
RECO NG Y RI IOTICE OFc MENCEMENT. i
z -lir ?l ,U-/- 411W'
Signature of Owner or Agent) Signature of Contractor)
Signed and sworn to(or affirmed)before me this g day of Signed and sworn to(or affirmed)before me this `4 day of
UMUAM f7l,S jhw 11 M\1 ,L6 1 , by eA'. N.,:
pr'ft JACK SCABAROZI Arris cam
Commission#GG 24712 Si nature of Notary) gnats re,o `o arY ABAROZIA9; P4:= Expires August 9,2022 s:•'' "`;
4F...., Bonded Thru Troy Fain Insurance 800-385-7019, Lx 1,,,, Commission#GG 247125
w . : Expires August 9,2022
Personally Known OR Personally Known OR Bonded Thru Troy Fain Insurance 800- 385-7019
N-1Produced Identification_ Produced Identification
Type of Identification: \ V v Type of Identification: \
C-1/ ii l----
DWAY21-0018
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 3ict Sevenk\A SA-Ce,Q,k-Permit Number
Contractor Information
L
Company 1f(\e,S COnS 1-CUC. i C.)I1 L L-C... Qualifying Agent }}Ot)ef---t E. Vc -neg
Address 34(0 Fu( ice C.D• City ' aXe_J .G(-1 State F^ L- Zip 322_F; )
Phone 404- 33Q - 3072 Email t-- BQ4ZKIES8 2G@ 9 irnai L. COM
State Certification/Registration # C BC. ' 1203 1 5
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurers OR Exempt piration Date 05V11420 12
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
1 QS 0,-c l—S Project Superintendent)
with (Company Name) eS CiacY—O C O(l LLC. Phone QO4 " 33q " 3 b 1 Z
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 snowing any increase in impervious area on owner's lot or in the t.ity right-or-way are to De incivaed with
this application.
The permittee shall commence actual construction in good faith within \0 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
expen s arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges.
Thee ks D. - or shall be notified 24 hours prior to starting work and again immediately upon completion.
Date 3/8/Z
Permitte (signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL
The foregoing instrument was acknowledged this S '`-- day of i .Ltl'VI 20 Z/
by RY r-cA r R .{j who person•:14t•appear-, . .. .
printed name of Permittee)
s. JACK SCABAROZI
Commission#GG 247125acknowledgedthathe/she signed the instrument voluntarily for the purpose expressed in it. 9;• 3.F Expires August 9,2022
Bonded Thru Troy Fain Insurance 800-3857019
E=c--- I Personally Known
Signature of Notary Public,State of Florida 1jProduced Identification(Type) L DI--
H:\Applications&Forms\Word Documents\ 201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18
DWAY21-0018
REVOCABLE ENCROACHMENT AGREEMENT
City of Atlantic Beach
ALL INFORMATION
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
00.)0..c a MarSha<< 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 ?0.Q$ (0cvC 3O-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 3-16: S2Vexn-\"h a1.*' 1 L 3ZL33
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 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."
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
li. silities are-'
freby
assumed by t R.
5-i- 'ti ``//a/ArDate I/0/Property Owner/Agent(signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVAL
The foregoing instrument was acknowledged this day of n'', h 20 - /
by ci,rr-c- N1,IA ,Wit. l who personally appeared before me and
printed name of Signer)
acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it.
I ComJACKmSCABnAR0221ission JGG247125 Department Approval:
Florida r` Expires August 9,2022SignatureofNotaryPublic, State of fl";s$ Bonded ThroTroy Fain Insurance 800-385-7019
Personally Known
oroduced Identification (Type) P(, 1)'- Scott Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
MAP SHOWING BOUNDARY SURVEY OF
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AS RECORDED IN PLAT BOOK ZU PAGES 4S OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
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THE PROPERTY SHOV1V HEREON APPEARS TO LIE t+7 Milt/ FLOOD HAZARD ZONE X AS SCALED FROM FLOOD
INSURANCE RATE MAP I FOR THE CITY OF /
i7`
ait-N+,
jiga
FLORIDA, DATED 7-81 ANDgr
IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CERT7FCAT70N OF SAME.
TRI-STATE LAND SURVEYORS, INC.
8411 BA MEADOWS WAY SUITE #Z JACKSONVILLE, FLORIDA 32256 (904) 731-7255
LEGEND BEARINGS BASED ON E/A.J LINE AS SHOWN.
CONC. MON
IRON COR.THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.
SST Mf7H CAP/LS 4144) -NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED
SEAL1"
11
x-FENCE OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
O IRON COR.(FOUND)
CROSS CUT
B.R.L BUILDING RESTRICTION UNE
Esu? EASEMENT LARRY G. EDDY, P.L.S. No. 4144
R/W RIGHT-OF-WAY
COY. CONSRED AREA SCALE: / 2U if .0"//
i CEN7ERUNE
A/C AIR CONDITIONING PAD IS " 124'VEYOR D MAPPER,
R) RADIAL DISTANCE DAT. //- 05-97 STATE 0. OR1DA (L t /49.1)
r''':1 CONCRETE
0F.B._4L PG. Z ORDER NO. 97-4770
DWAY21-0018