1525 Beach Ave ACC21-0030 Pavers around PoolOWNER:ADDRESS:CITY:STATE:ZIP:
DAVEY DONALD V TRUST 1525 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Artium Company Building 13826 Weeping Willow Wat Jacksonville Fl 32224
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170309 0010 ATLANTIC BCH HOTEL
RESER
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1525 BEACH AVE ACCESSORY SINGLE OR TWO
FAMILY ACCESSORY
PAVERS AROUND POOL
AREA $20000.00
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: 5/5/2021
PERMIT NUMBER
ACC21-0030
ISSUED: 5/5/2021
EXPIRES: 11/1/2021
ACCESSORY PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $155.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $77.50
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.49
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.33
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $363.32
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 DECKING REMOVED INFORMATIONAL
Notes:
All old decking and debris must be removed from job site by Contractor.
6 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 2Issued Date: 5/5/2021
PERMIT NUMBER
ACC21-0030
ISSUED: 5/5/2021
EXPIRES: 11/1/2021
ACCESSORY 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
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $363.32
ACC21-0030 Address: 1525 BEACH AVE APN: 170309 0010 $363.32
BUILDING $155.00
BUILDING PERMIT 455-0000-322-1000 0 $155.00
BUILDING PLAN REVIEW $77.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $77.50
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE SURCHARGES $5.82
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.49
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.33
ZONING PLAN REVIEW $100.00
ZONING REVIEW SINGLE AND TWO FAMILY
USES 001-0000-329-1003 0 $100.00
TOTAL FEES PAID BY RECEIPT: R15709 $363.32
Printed: Wednesday, May 5, 2021 10:24 AM
Date Paid: Wednesday, May 05, 2021
Paid By: Artium Company Building
Pay Method: CREDIT CARD 452038308
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15709
Building Permit Application Updated 10/9/18
4 ii•, City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
1'I s' IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: /6-t.).5— ,)E o 1/ /IL/eV/0•P . Ll#ti s Permit Number:
Legal Description E / ilr _aS-_ aclo.Q11044lk't0 let ? d RE# /7(...93c,y^ C-7 0/d
Valuation of Work(Replacement Cost)$ 2 0, C5 00 Heated/Cooled SF Non-Heated/ E C E I M E
Class of Work: New DAddition Iteration Repair Move Demo Pool Window/D APR 2 8 2021
Use of existing/proposed structure(s): CommercialL'tesidential
If an existing structure,is a fire sprinkler system installed?: Yes Ko BY
Will tree(s) be removed in association with proposed project? Yes(mus submit separate Tree Removal Permit) Rmlo
Describe i detail the type of work to be pert rmed:ke/ier 'er.D 6„)„,6 ,• z1 sl 1:2a'4'e(,s ,-n i/ r--
Florida Product Approval# for multiple products use product approval form
Property OwnerLInformation
Name . r/1r 3]rfeA 4aVe. Address / c 6 lie'ser) /j`c/!c.''
City 'A
g ' ,.i . 4 / — State Zip 3v ()3 3 Phone ?Ct4 ' 6T . 6?-5. (f
E-Mail .ci v y Y!Cr*"—;7;(,vt
Owner or Agent(If Agent, Power of A orney or Agency Letter Required)
Contractor Information/
Name of Company J 'V i'1'!
f,
Oc)f fderity/; ji.1)6,2kQualifying Agent J, s }'!c)/Ida 'cqy
Address /3 eal h-?dJi c- A.,),J ZJCt/ City .-4 State I'L Zip 3aa. V
Office Phone 964-/c49 "a r4/3- Job Site Contact Number
State Certification/Registration## 2 116d6t3,d E-Mail ''c cJ J i 7 Ce/` ,lC_,Yt C'C' i Cl'(n'1
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt VExpiration Date r ar_ya a
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wor 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 ANATT RNEY BEFORE
RECORDING Y O CE OF COMMENCEMENEll A,
ue
I I
C))i -J c
atu o ner or A Signature of Contrac
Signed and sworn to(or affirmed) before me this Z' day of Signed and sworn to(or affirmed)before me this It 'day of
Apr,1 , 20t1 , by Pol O.wey A-rr,1 , 2)tI , by Tod. ci 4't%ov.-'
gnature of Notary) Sigatr ure of Notary)
Personally Known O Personally Known OR `+ P,.'
rr h Notary Public State of Florida
Produced Identifica Ile Notary Public State of Florida Produced Identification ' { • Sarah A.Callaway
Sarah A.Callaway My Commission GG 967948
Type of Identification: Type of Identification: a +t, gyres 08it3/202{
Expires 08113)2024ora
ACC21-0030
ci ' '#*'.. `
SS\CITY OF ATLANTIC BEACH
1...- J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
904) 247-5800
rii l>''
SURVEY AGREEMENT
NOTICE
All new projects creating more than 250 Square Feet of impervious surface or requiring on-site storm water
retention, including swimming pools,will require pre-construction and post-construction topographic surveys,
as required by COAB, Section 24-66 and described in Bulletin 2-18, Surveys. The surveys must be new
original documents, from a licensed surveyor, signed, sealed, and dated.
Other small projects, such as fences and construction less than 250 SF, will not require a new topographical
survey, but a current original-size survey with all relevant details is still needed. These surveys,when included
as part of a building permit application,must be complete, up-to-date, and original size and scale, as produced
by the surveyor.
Copies of old surveys lacking details or copies not of original size cannot be accepted. Building permit
applications with unacceptable surveys cannot be reviewed and the application will be returned to the
applicant.
Thank you for your cooperation in this matter.
AGREEMENT
I have read and understand the Notice above and affirm that the outdated survey I am
submitting is still accurate and complete, and all structures and impervious surfaces on the
property are shown on the survey.
I further understand that, if the survey is found to be inaccurate or incomplete, a $50.00 Plan
Resubmittal Fee will be charged; or if the permit has been issued, a Stop Work Order will be
posted with the associated $110.00 Fee.
JOB ADDRESS /5-,;5 PeaeiA ApeAup
11 I . ,(;)c-, I. -/-- 03.3
OWNER or CONTRACTOR (PrintrTh cid A)/(oaf.
Signat J ) 401/62-e-675Date 7`- ,
1
I MAP OF SURVEY
LOT 2,BLOCK 62,ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5,
I
PAGE 64 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,
1
FLORIDA.TOGETHER WITH THOSE LANDS LYING EAST OF THE EAST LINE
OF SAID LOT 2,TO THE EROSION CONTROL LINE,BEING BOUND ON THE
I
NORTH BY AN EASTERLY PROLONGATION OF THE NORTH LINE OF SAID
LOT 2 AND BOUND ON THE SOUTH BY AN EASTERLY PROLONGATION ill
OF THE SOUTH LINE OF SAID LOT 2.
2 ,, NOTICE: LOT 2,BLOCK 62, ATLANTIC BEACH AS RECORDED IN PLAT
4,14.I BOOK 5,PAGE 64 REPLATTED AS LOTS 3 AND 4,BLOCK 62, ATLANTIC
ry h BEACH CORPORATION REPLAT OF MAYPORT TERMINAL AS RECORDED
y"13 43
I IN PLAT BOOK 6,PAGE 1 OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY,FLORIDA.
ISCALE 1'"20'
I 00
FOUND ONR MONUMENT 1 I iNO.72-81-A18
NORTHING: 2.183.562.37
FASTING: 374,065.11
1 r Is
I 1 I
II I
11
LOT 3
I I
200.00',(PIAT) 1.6
J
I
N53.25'527
e205'E xOrp.18(9yOH TO IRON)
L2-
R.4 —1
9r N83.29 03E 213- .-- =
Ins SWILL. - s. x it
CO 1.w 04 19 car I
Na
1a1'
Ia.T, 1^
1
fz l, Z,e
I.'
22.8'
TORY FRAME
ne
LOT12.n.1
a ji l"'FvTHREES
o-1:::........:::.
1 r„ ; t
RESIDENCE t III' 1 IIIPi
1 O
FS 1 1O9, u o Z o
y
n $ POOL
7
S No.15pEVAnaN 22.4
q 1 1110 1 l 1
F D N-O (Jl BRIGK o,{nJ F F9494E0 IY 11\IIIL1nm,;,
a0 in
isol O DRIVE ,..Pea y>z$9 1: t I _
liY,1)1:.)
I I
QQ f
v s fLOI O 1.% ' '_ 22.:_
MY,--,-,,,a_ --
nlia1
O
7 8O-,J 21.0'
yl_- ti-_:,
WALE ;.
Ioa9 Furcc
In n,
T Ac s4
I
J
n BAK'I0 /r,19. a9.
Y.• , = }• •BApi ._
P
1
1
9
EA
CR,
L
l— '
0 n —`e:0'IO'0 T iT[ID'n'3. --
1 1 1.0'%11'
CONCRETE
q1q
Tmr-•r :y' a1 a.
dL1,
1T] .
giNy - -__ • NW 213'1 CaUMNS
4WTH 6 C
V, 7. 1 ApoVIS1Nr4 --'i s832, T• (
PLAT) 8,2'°--
E ALL
R
s
TEMPORARY
BENCHMARKo
may'1 con91/Y. 583"25'52" 15
NAIL nod DISC WEST EDGE 1.1d Mb•n m 1 FEEL STT
LOT 1 I,Gr
N
OLDOFPAVEMENTIV,
ELEVATION• 13.22 111 ID
I
I 1
Ig 1
I'
I1, 1
I
I Mill.'‘'..
A
FIFTEENTH
STREET o=°o,I=.OM%IO .,
a1 lB 10M
aONTON-1110 Now DON
13TH STREET)
FORMERLY pFOUND DNR MONUMENT
Zo 40'RMHT OF WAY(PAVED)
I N0.72-81-019
NORTHING:2.183.631.50
FASTING:374,888.08
J
Iie
l''
Z
I4 NOTES:
gTHIS IS A BOUNDARY.
1C 7ti NO BUILDING RESTRICTION LINE PER PLAT
I,7,V'
BEARINGS BASED ON A LINE FROM DNA.MONUMENT No.
i 72-81-118 TO 0 NA.MONUMENT No 72-81-A19 AS PER
O THE COASTAL CONSTRUCTION CONTROL LINE FOR DUVAL
Si'; l' COUNTY.FLORIDA.AS RECORDED IN MAP BOOK•C'.PAGES
I 43 72-7211 OF THE CURRENT PUBLIC RECORDS OF SAID
A COUNTY.
I
s."CCCL DENOTES COASTAL CONSTRUCTION CONTROL LINE.
EROSION CONTROL LINE IS THE EASTERLY BOUNDARY
OF SURVEYED PROPERTY.AND WAS CALCULATED
FROM COORDINATES OF SND ORR MONUMENTS.AS
PER THE EROSION CONTROL LINE FOR DUVAL COUNTY.
FLORIDA,AS RECORDED IN PLAT BOOK 35.PAGES
59,59A AND 590 OF SAID PUBLIC RECORDS.
ELEVATIONS BASED ON NGVD 1929. BENCHMARK
USED IS A NAIL and DISC LB 3672 IN W SIDE OF
I N000 POWER POLE AT NORTHEAST CORNER OF 1591
STREET AND BEACH AVENEUE.ELEVATION 14.42
NGVD 1929.
1
I
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD
ZONE"0" (AREA OUTSIDE 500-YEAR FLOOD PLAIN) AND
1 FLOOD ZONE"AO"WITH A DEPTH OF 2 FEET AS WELL AS
CAN BE DETERMINED FROM THE" FLOOD INSURANCE RATE
MAP" COMMUNITY-PANEL NO. 120075 0001 D.REVISED
APRIL 17,1989 FOR ATLANTIC BEACH,FLORIDA.
1
NOT VALID THOUT THE SIGNATURC AND THE
uji .._......DO W. 90,WRIGHT, P.S.M.
W
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED FLORIDA UC. SURVEYOR and MAPPER No.LS 3295
SURVEYOR AND MAPPER' FLORIDA LIC.SURVEYING&MAPPING BUSINESS N.LB 3672
FEBRUARY I5,7000
CHECKED BY:*e±,.. FILE:2007-0146IIIDRAWw By, MC: I BOATWRIGHT LAND SURVEYORS, Inc. 1500 ROBERTS DRIVE JACKSONVILLE BEACH, FLORIDA 241-8550 DATE f SHEET=a_
5251 '.each fl'
ACC21-0030