1355 LINKSIDE DR DWAY21-0031 Building Permit Application Updated 10/9/18
_, City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
``i3 9.`. IS REQUIRED.
Phone: (904)���'2-4f7-588226(Email: Building-Dept@coab.us 1 y
Job Address: I/J J L 11 F'5'� 29�c' Ilsk / Permit Number: w P ( Z_t — d//031
Legal Description Nt4'Z3 /1--IS-71E ��vtt `•,',. h- Vn,0' i �f- 7/ RE# ii 1_37'/ - 53V o
Valuation of Work(Replacement Cost)$ 8000 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Additionteration ❑Repair ❑Move ODemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial .,gesidential
• 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) L-3No
Describe in detail the type of work to be performed:
I (dtitak 8-4-i't(4190446
Florida Product Approval# for multiple products use product approval form
Property Owner Information !
Name .1k'/ik1) nnOr QA 3 A W ESS Address 11) 55' 1�1A kije,-'n
V'
1' -.
City A 4 -. hi-- & State f I Zip 3z.23.5 Phone
E-Mail _
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information ! /
Name of Company 1� r 2 v�(. Qualifying Agent M 14el/
Address ('0 j p,t4- p4.1 City II, .1• State FL Zip 37,z-1
Office Phone qt4 311. 1144 Job Site Contact Number
State Certification/Registration# E-Mail I r.�=e a UvAte,(l 1 _ . i.OM
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer 4,,,,.,'iri5f OR Exempt❑ Expiration Date 91)v/ -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 AN ATTORNEY BEFORE
RECORD N aia�YOUR NOTICE OFC M,1(IENCEMENT.
�
(Signature of Owner or Agent) (Signatur• of Contractor)
co
`S gned and swo n to(or aff •) .efore me this�day of Signed and sworn to(or affi -•)befo •/t,�• . Zy•.y of
-J�� i. ,z.021,b • A* . • .S_ r'S„1 , 2o21 ,b ia's- W,42
t �.e'60 TONI GINDLESPERGER �Q out•., TONI GINDLESPERGER
[ ]Personally Known OR :?•' .'':0.-, ersonally Known OR ? ;o
Al MY COMMISSION#GG 35317 • •.s • MY COMMISSION#GG 35317
[ )Produced Identification r1ia1' * ) roduced Identification ,: Tnm' i*E
•.0`..o; EXPIRES:October 6,2023 T� '-:--';',..rib. EXPIRES:October 6,2023
Type of Identification: I"'_•.:_moa',- •.rwrit 7 I- of Identification: . , ,c;• , ,,.,
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
n-
Job Address 5 S L-,‘/)�5Ilk 2�I VL Permit Number
Contractor Information
Company �VW/kik L Qualifying Agent
Ilse 10-%
Address 1 o f 7 Reed City 441I1i1'L gi State ft Zip 37133
Phone q014 1 -371114Email 1nia CO 1Jl/{�/fnL , C D.,.
State Certification/Registration #
Architect Phone Email
Engineer Phone Email
Workers Compensation Insurers /1„i"()t,1' OR Exempt❑Expiration Date /j///L/
• 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 V\tAkk. Kt,411/11 (Project Superintendent)
with (Company Name) 6/41--CII, / Phone yO N 3)1 1CCI
• 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 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.
• Th ublic Works Director shall be otified 24 hours prior to starting work and again immediately upon completion.
tri —e jt �=.— �L�,..� /) Date 9'-2 V-
Permittee(signed in presence of Notary Public)
STATE OF FLORIDA,COUNTY OF DUVAL l
The foregoing instrument was acknowledged this �/ day of �., �/ l L- ,20 ' ,
by04..t- t� k 110e. 11C� ,who personally appeared before me and
I (printed name of Permittee)
ackno. edged that h e s'(ned the strument voluntarily for the purpose expressed in it.
(/ )
7
[ ] Personally Known - L_
Signature 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
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
ah1 ) a- 1?),A1, W-1)5S 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.
t /6 ,/..
This work is generally described as (�V� (�/h'1G►�11 .
Any facility maintained, repaired, erected, andior 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 I3SS L,`4 5;tti Dici'v .
• 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
corn pletion.
• 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
liabilities are hereby assumed by the USER.
Q6CL.A..1_)-- <•4_.Z ___ iZ,S' Date '.7/z Z
7
Property Owner/Agent (signed in presence of Notary Public)
STATE OF FLORIDA, COUNTY OF DUVALI
The foregoing instrument was acknowledged this Z C) day ofS J , 20 k,
by RD C1 _,04,(�0. LA) �.l- -S , who personal y appeared before me and
printed name of . ner)
ack 'wledged that he he sig ed the instrument voluntarily for the purpose expressed in it.
ot;1"i_o etc: TONI GWDLESPERGER
Department Approval:
Signature of Notary Public,State of Florida ;_: „3 MY COMMISSION#GG 353178
PersonallyKnown '-::''':::(„61::"
[ I e EXPIRES:October 6,2023
[ I Produced Identification (Type) ] _J r e`4; BondedThnrNotaryPublicUnderwrite_s
tt Williams, Public Works Director
H:\Applications&Forms\Word Documents\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18
rt--Ji r_,
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s „s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\J ATLANTIC BEACH, FL 32233
\ (904)247-5800
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 r555 1/1(151'OLCDxf Vt, kk I-,'l Salk 31233
OWNER or CONTRACTOR (Print) ,/ kA SS
Signature GLC Date 0 -a q -2./
1
PAGE lOFl ��
BOUNDARY SURVEY '/ 11
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LEGAL DESCRITPION: Ng3�42110"E 50.00' I > J F,o o LL
o6'OFF SET 112" — � cc =_wui
LOT 71,SELVA LINKSIDE UNIT 1,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN IRON RO
PLAT BOOK 44,PAGE 23 AND 23A,OF THE PUBLIC RECORDS OF DUVAL COUNTY, N IRON ROD w z LU a w o in
FLORIDA. SET 11 p d z LB#7893 Cin,O le u < w
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CERTIFIED TO: , 20 UEJD_E.IS.E_ I
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EDWARD WEISS AND BARBARA WEISS;PONTE VEDRA TITLE,LLC;OLD REPUBLIC TITLE ——— 1
INSURANCE COMPANY;NAVY FEDERAL CREDIT UNION.ITS SUCCESSORS AND/OR ! __ T -
ASSIGNS. 4. 10'9 I Ill,
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COMMUNITY NUMBER:120077 ROOM z' U= w
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PANEL:0408 ')
SUFFIX:J \ 06 I-
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FLOOD ZONE:X (0 1 M P e Vs 0)5 fli
FIELD WORK:10-10-2019 Y(Q LOT 71
PROPERTY ADDRESS: 1J rick a
1355 LINKSIDE DRIVE ��y�/� BUILDING
ATLANTIC BEACH,FL 32233 COV-e c , e 1 k)I I 1 #1355
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SURVEY NUMBER:389316 06• 67' 01 SURVEY NOTES [mml C/�
CONCRETE DRIVE CROSSING THROUGH 7.5 J.E.A.E
� ) I / / INTO RNV ON SOUTHERLY SIDE OF LOT.
CLIENT FILE NUMBER:19-1895 Ln �/127/(�tJ� �J z�10 z AC
THERE ARE FENCES NEAR THE BOUNDARY
L r)-7,01, �(/^(�(, 'u, L '� OF THE PROPERTY AND CROSS INTO THE
01 Nie ^�NL / ] //< I 20'U.E.ID.E.IS.E.ON BOTH SIDES OF PROPE'TY.
,q/UN IN / ` ! • 10 9' CONCRETE SLAB CROSSES INTO 20'U.E./D.'.IS.E.
^I i-7° LA) -rL,l' 20 z' AT REAR OF PROPERTY.
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— ME'�P Cpm b ��` CONCRETE is FOUND 112" S.E.-SEWER EASEMENT
�7 `d/� a'7%1�^-�i � —— DRIVE _— IRON PIPE
— FOUND 112" NO I.D.
ABBREVIATION DESCRIPTION. IRON PIPE s E A e o
A C AIR CONDRIONER Et
Q CENTERLINE W CABLE Q¢
tYNO I.D. 42'00' 50.00' WM:..
CENTRAL/DELTA ANGLE S$3 �� RISER N LU 0 r
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I.D. IDENTIFICATION 4X y a-cl Lu a x ,r,
L LENGTH c >>¢ E
LB LICENSED BUSINESS 15'CURBIGUTTERD' - >w N m
N.A.V.D. NORTH AMERICAN VERTICAL DATUM SYMBOL DESCRIPTIONS: I w cc~ = o w
N.G.V.D. NATIONAL GEODETIC VERTICAL DATUM IMPROVED) ______\_______,_ >(nO 5' °' a
OHL OVERHEAD UTILITIES I 50'R/W( DRIVE ¢¢r $o g o
P.C. POINT OF CURVATURE ® =CATCH BASIN �=MISC.FENCE �r�
P.C.C. POINT OF COMPOUND CURVE -- � /{SIDE z O s
P-K PARKER KYLON NAIL =CENTERLINE ROAD 0 8 =PROPERTY CORNER LI1 V O z Q wa o o 4 Z a
P.R.C. POINT OF REVERSE CURVE ®=COVERED AREA UTILITY BOX m—Q j CC p
PSM PROFESSIONAL SURVEYOR MAPPER +xYJL=EXISTING ELEVATION CQ =UTILITY POLE &I Q>Q m w
P.T. POINT OF TANGENCY M
=HYDRANT =WATER METER w H Z 0 CZ7 C/)j
R RADIAL/RADIUS cu
RNV RIGHT OF WAY OO =MANHOLE ® =WELL U G w Z c Y O N
— —=METAL FENCE — —=WOOD FENCE / w H 55 O Z CU i 2z
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et..GENERAL NOTES: REVISIONS: S} a Ow Y 0(ScY a
1) LEGAL DESCRIPTION PROVIDED BY OTHERS 6 DIMENSIONS SHOWN HEREON ARE PLAT AND MEASURED UNLESS OTHERWISE NOTED w w O cc to LIJ
O
`, 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBRANCES NOT 71 FENCE OWNERSHIP NOT DETERMINED CC w 0 0 CO CO
SHOWN ON THE PLAT. 8 ELEVATIONS,IF SHOWN.ARE BASED ON N.G.V.D.1929 DATUM,UNLESS OTHERWISE NOTED. O 2 z z M y
3) UNDERGROUND PORTIONS OF FOOTINGS,FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 9 IN SOME INSTANCES,GRAPHIC REPRESENTATION HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE ,N—¢:LU
4) WALL TIES ARE TO THE FACE OF THE WALL AND ARE NOT TO BE USED TO RECONSTRUCT BOUNDARY LINES. RELATIONSHIPS BETWEEN PHYSICAL IMPROVEMENTS AND/OR LOT LINES. IN ALL CASES.DIMENSIONS SHALL COI TROL \\
\\`5 ONLY VISIBLE ENCROACHMENTS ARE LOCATED. THE LOCATION OF THE IMPROVEMENTS OVER SCALED POSITIONS.