Loading...
1761 Ocean Grove Dr Paver Dway, Walkway Submittal Du!ming rermit Application Updatedl0/9/18 City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. , Job Address: I , / C C ( iVY' JJ/ Permit Number: Legal Description O -10 G 9 AS 3- 9 % • 1e 3 RE# J L y 6c, — fd'e Valuation of Work(Replacement Cost)$ iSoO• Heated/Cooled SF Non-He • Class of Work: ❑New ❑Addition—NAlteration ❑Repair DMove ❑Demo OPool ❑Win /D r • Use of existing/proposed structure(s): ❑Commercial ❑Residential G 2 5 2021 • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No BY,. • Will tree(s) 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: it /hGc" ex j7' G u 4 U'G . ��1) ,r�giv��✓4-� Mi" EY4f7)",4 /2004_ ,0a-lc w114 "I Vg-le--1 rf/jA ,V .' patio X411 ice'P•'✓cal4 Florida Product Approval# for multiple products use product approval form Property Owner Information Name 1 C J A l_)z7 R Address > 7`/ C Cg nn 6',4 Pn — Ai; 3 ;? J) City /97L. j3c i' State 1 1-- Zip 3 9-i 3 5 Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company /:.:30 CO /3)-0 G-., T2z4cTGWs hre Qualifying Agent IC,'ISD /9 �% � ��`l Address S /"1/g,/e:t TAP City T./../)( State f %- Zip 3 -1,1- 3 3 Office Phone �9'/ -c' .3 > o Job Site Contact Number Ye.< — 3 / a 4 State Certification/Registration# G GG E-Mail T',')i7 ',,),5 e-6 (-BG- c r/1 Architect Name& Phone# Engineer's Name& Phone# Workers Compensation Insurer A01';4'/X p'Ye .SQ 4.99c'? OR Exempt❑ Expiration Date 16/3-7' 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 Fl 'AN'I► c.-, CONSULT WITH YOUR LENDER OR AN ATTORN Y BEFORE RECORDING YO� i OF COMMENCEMENT. // 6 - (Sig'.ure of Owner or Agent) (Signature of Contractor) rkh/3/Cia hL `/ /�'�e J r / 1 )'/c,544 yriee}e J 1 Signed and swol/n to(or affirmed)befort me this2.. A day of Signed and sworn to(or affirmed)before me this "_day of (4,;11.47- > 1/ , by ,>4cL7e2f'ie /9 N;✓ST, ids/ ,by To v0 /t/gid-" Prx ISit?nature of otarvl :k'.?�'••. WILLIAM L.POPE t."�° WILLIAM L.POPE 'ii�1.1 MY COMMISSION#GG 348645 MY COMMISSION#GG 348845 N Personally Known OF m�J�^ po EXPIRES:October 19,2023 [)'Personally Known OR =';;47'747,5;:gEXPIRES:October 19,2023 [ Produced IdentificatignForF O Bonded ThruNota Public_Underwriters OF"p Bonded Public Underwriters Notary [ ] Produced Identification N Type of Identification: — Type of Identification: 01.11/ RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION **ALL INFORMATION irk City of Atlantic Beach HIGHLIGHTED IN GRAY IS 4 "` 800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED. �,. PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address CYLA -`f'il✓-e DR, Permit Number Contractor Information /� Company /� SCi 4�6 �'��n/i 'LAC iu ,r` Qualifying Agent l 0100 %�°ll L' Address 0-1 /'9A//eh t Rte City J Ak State ft. Zip 3.9-2-3s. Phone 9i - J-4 - V 7>o Email 'T&Ov LO.% ON" cac • Cell State Certification/Registration# G BC - Architect Phone Email Engineer Phone Email Workers Compensation Insurer1 I /1.'27A I X ..4'l d cff ce OR Exempt®Expiration Date 1 • 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 T e�0 goJce (Project Superintendent) with (Company Name) ,e95 CaVir f C ;0,itS :Th/C, Phone 701 - • 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. • The Public Works Director al t ie 24 ••r,rs prior to starting work and again immediately upon completion. Date Permittee(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL ��_ The foregoing instrument wasrmacknowledged this .7Cl �i day of , NJIY/ ,20 .J , by /)j2 C9- e''SC C ,who personally appeared before me and (printed name of Permittee) P(-0)/G41-C % /`'ee1erl r * , WILLIAM L.POPE acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. MY COMMISSION#GO 348645 �i��•8: EXPIRES:October 19,2023 /� "- °P" Bonded Thru Notary Public Underwriters J'!%- 4 . >� [4 Personally Known Signature of Notary Public,State of Florida [ ) Produced Identification(Type) I 4i, -CI BOUNDARY SURVEY s--' --> -n l'a• -1E4N a (...N., 7 ---n ,‘-- V ‘...1 - rya It N 5 7\ ....1 0 ',... r_ t\ 11 411 ,i, LLI _I ZD .. • ..1 8 .11 i.....•;:.'....'.: i-si ui ,:•:::.•:••:...'` -„. i__II I II:-;,::' S86 1318VV 75.001 . ••••=rw. • """. 11 30.0' raf ,e,-fit--dr. ,r;• .,77.4.-T...,-•-,.:•_.,.... . 4.1 .., :::...,...,. o 41 _............,,__.1..-.. . ...,..•-••-4. -,•,..0.7,7, ,. ,... c-. 7.1' '411ailiji;1•,tfez...: i'.':::::.:::::`, In- 8 B ( - ,,,• .?,,,,.,,,,,tivi!, . ..-riiT•7476 .?' ", _ -...;,„ ri ,.- ...-......,,e...•. . " :;. ':i ;:iii` VTVgatiPli.ti S V. CI L_._ _ I.,11 avg..A,40-0. c) 0 r•14,-, . . .. •••.4 •• co ,. ...-::::'::-M•- . tii - ..- c;111111'-' 20. .... 7.3. 0 t3,3.6' C.0 Br -W •::: ',"31:7 1\1 40(4) ;I 4 m Tri; 44o-1 0 IFIe: '' 1"4 0 :- ,„ • .4- 2 i-, 0 P4 I --- - vr . .._ .. ;4, z-- CD ed Z •. 0 • 1>. 0 r— -• CL. :. S CD • c" '' A : ' 11"1 ,c'•I& '.;:.;....::...:'....-:.,.. . ... co ,, 40 .; . _,.-- ,_,i-,.. .-..., ,. „....:•.,...' .:••. -. „ . ..... " . ......:• . 4-41M ',-:::•, .."-.::•••:...:'. .'so:.... ...go.... .... _ . ...t , ,..:....-:,-.. -4,- •-..,, ..0., .i, . :-..gm . . . . :".•.r. •• OW fit' •ze-6-0:0: 0.... 1.6'ON ..-- _,...-_ _,, • .-N -. -A.ir....•-ds.-. ,IL ,01.!.01.111 . ,„', OM I t-Sat :r...0it ' U t....:...........:: (NI ip CC?) S86°13'18" 75.00' Nicil 6. 1-- lt —tr-o 1 CS cn 0 ti" 11.:::•:;:‘-:...:.. i Z Z -PC. CL 2 E-1 =0 0 1,...:‘•;••:•••:. 0 --b` r--.,0 ...• I% -.1 -...1\ --7 P SURVEY NOTES CONCRE I E LAZVE CIRCIRAINO.iron PAM 11 I t---\ -7/&/ '---/ "Nele 1 (le-Xt / • sit (31 7-71-t ere_ /- /tz_c--.7-c...,I • 00)14 TARGET RY SURVEY zz c coy-C r c_,/,/ e; ,TION OF A DON. SURVEYING LLC /N ED ELECTRONIC CTRONIC SEAL, LB#7893 --- 77,11- a ci 3NATURE Digitally igned SERVING FLORIDA TI/ v -17-0S ineth by Kenneth 6250 N MILITARY TRAIL,SUITE 102 .---_-----------iv 4., .. Osborne WEST PALM BEACH,FL 33407 /-5 PHONE (561)640-44300 VIIM' i‘CCI 7 /91144' aogneiow,2020.06.09 L, STATEWIDE PHONE (800)226-4807 STATEWIDE FACSIMILE (800)741-0576 likl TM C i cf-r: BSITE. http://targetsurveying.net /1-- So4' 04 C4#4 , 08:53:34-04'00' • ( • • , t ...t •. 8/20/2021 1761 Ocean Grove Dr-Google Maps Go gle Maps 1761 Ocean Grove Dr Oro.. v ti z. .4, _ r It, '4: -, --,...,....7:itc; .41J ito jii ., I , " 411, mo w'. I. M _ .I00-f .. - .+. L f ..,a• tis i • , J P k t/+ , Google Image capture:Dec 2018 ®2021 Google Atlantic Beach,Florida P Google Street View q C °IA I A V\IA L‘((C { EXIST(r`i c) D ! 12 Hour Awards O annvilln flffirael https://www.google.com/maps/place/1761+Ocean+Grove+Dr,+Atlantic+Beach,+FL+32233/@30.3453862,-81.3984241,3a,75y,84.74h,79.21 t/data=!3m... 1/1 8/20/2021 1761 Ocean Grove Dr-Google Maps Go Fgle Maps 1761 Ocean Grove Dr ;yrs • �' -s -V-• '"er'x'. # 4 4 L z Ti• IA\4., i ..., I ' +. s 4. �ti r "4 Goo. e �. . ._:. , , Image capture:Dec 2018 ©2021 Google Atlantic Beach,Florida p Google Street View Z. 12 Hour Awards() •cnnwillc flffirncl `! https://www.google.com/maps/place/1761+Ocean+Grove+Dr,+Atlantic+Beach,+FL+32233/@30.3453862,-81.3984241,3a,15y,58.96h,87.9t/data=!3m7!... 1/1 Ili —.NA. /..._______ / / / _ "ti R' �, o�:JIE` • l Ffl F r ;.11 a ,�� ._.; _ _ _•_ Oft).‘ _ f LLC [f L.'..Al � _.f i; -1._---- i \11141!1 .iWW.mrrsill allikl l 1 = 1111-4:18111-1z1 11W� �y1 llNf p`u r` i. ..,... , :0 s •` — S— 1 • 3'f��s c._ L•�Lfc� IrJ�Ly • h7no1 us tt1Eslrial�g W�idr twat);�,� �-.sMc.Er 1:1111111111:— f4W1� .'` _� , r_'�-- )IE '�1€1._�t ,fu,14 1 [�IlilrIMlIT3r�t� • ,,‘.,:"....,.. . . _ ._ ..,i, A i•i,. • ),, I. vi•,) � . .35111111 nembsig miilwilitt ...," ..,• x 4. _ . , . _, ,.,. ... • .. . • ,. ..,... .. . ....,, ., , , . . -.4, ,,_, .. , ". . ,, .,..„ ... :-- t :w - d� 342.4_' ' - _ . _ — =— — --S i _w+LVA 4'''17 . _ - ..R,w[� '.•.+'_ -." 1 •._+4. `4 kFt, �.. ._ I ,;[' .. -""t4 �1i q, :' ate- ` I • • . ` •�. • • • - _.t NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes, the following Information Is stated in this NOTICE OF COMMENCEMENT. 2o - 09 7 C-29 IC 3Legal description of property beingI proved: EZEi4 U Gi UU (1(�ST O O,2 60 751- coi Addr ss of property being improved: 1 7 61 o C e wt 6-'O 1/e 6r, 1-1-/Wt `C eac.k . FZZ 33 General description of improvements: P ' -r Nen c e , L q.,ld SccJ�,j,15 4' 3G -F-c-€ 11: s' Owner S-f"ct-c y 93 err Address (-76( OCC &rove Dr, A4-/(z..4'It C 1S�4C 4, {L ,?22- 7J Owner's interest in site of the improvement f,M PrOvMM(c -{- i 0 v Fee Simple Titleholder(if other than owner) Name Address Contractor 8C, SC 6 ; (d,Jy COA+rc 6-fur c_ (Todd- igoSgS� Address Zr /S''Q� .i t xPar-4- (d, J4cYrdn.v.'(ie �-6 z23 Phone No. 46`j_ Zy( —G T 40 Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself or herself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself or herself,owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER SDATEigu P/h kot'� 1 7':5it --f Before no r t I Ilk day of_34-AL i '_ in the County of Duval St t of Fbrlda,has person a T - � �•'. tareiWgcUAMI„POPE Doc#2021220154,OR BK 19877 Page 1845, himself/herself and affirms that all statements gd�la;,. - •s are true and accurattrr--• _.• ;.: pm°�OMMISSIQN#GG 348645 Number Pages:1 ^.71Z7 J/ EXPIRES;October 19,2023 Recorded 08/24/2021 02:17 PM, FOr,rgt.' Bonded Tin Notary Public Underwriters JODY PHILLIPS CLERK CIRCUIT COURT DUVAL / COUNTY RECORDING $10.00 ''_ Scat arge.stateo +— . County of_adtr . y - ion expires: /O – LPSfsanagy Known`r or Produced Identification