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1484 Linkside Dr DWAY20-0001OWNER:ADDRESS:CITY:STATE:ZIP: WANDA MIRKIS LIVING TRUST 1484 LINKSIDE DR ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: Terra Nova Pavers & Hardscape Solutions 8685 Baymeadows RD E #229 JACKSONVILLE FL 32256 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172374 6390 SELVA LINKSIDE UNIT 02 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1484 LINKSIDE DR DRIVEWAY SINGLE OR TWO FAMILY DRIVEWAY PAVER DRIVEWAY $6000.00 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. 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: 8/27/2021 PERMIT NUMBER DWAY20-0001 ISSUED: 8/27/2021 EXPIRES: 2/23/2022 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 2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 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. 2 of 2Issued Date: 8/27/2021 PERMIT NUMBER DWAY20-0001 ISSUED: 8/27/2021 EXPIRES: 2/23/2022 DRIVEWAY PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $125.00 DWAY20-0001 Address: 1484 LINKSIDE DR APN: 172374 6390 $125.00 PUBLIC WORKS PLAN REVIEW $25.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 ZONING PLAN REVIEW $100.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00 TOTAL FEES PAID BY RECEIPT: R16915 $125.00 Printed: Friday, August 27, 2021 1:39 PM Date Paid: Friday, August 27, 2021 Paid By: WANDA MIRKIS LIVING TRUST Pay Method: CREDIT CARD 503558567 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R16915 Revision Request/Correction to Comments ALL INFORMATION HIGHLIGHTED INi " City of Atlantic Beach Building Department GRAY IS REQUIRED. I-, 800 Seminole Rd, Atlantic Beach, FL 32233 af,,art 9>. I+Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT p y 2^A40/ I Revision to Issued Permit OR Corrections to Comments Date: g 3',.9('cAi Project Address: i4& 4 L lA k S C{ e., Dr Contractor/Contact Name:,, l! Contact Phone: gO`1-(A()g_ 55 Email: IA)ZIM 1 V' k. e_ A.p I , C,Orb-... Description of Proposed Revision/Corrections: Rvz ,fl -c - 0 r ; v e oua.if 0.s , S I _CW e r e-Ct G n l t 4 P x i. n c, dr t v c cr. I w 4 0 A— VIA RK1 S affirm the revision/correction to comments is inclusive of the proposed changes. printed name) 01.0oposed revision/corrections add additional square footage to original submittal? No Yes (additional s.f.to be added: Wj.U-proposed revision/corrections add additional increase in building value to original submittal? No *Yes (additional increase in building value: $ Contractor must sign if increase in valuation) Signature of Contractor/Agent: IN 44.,xd(,L al a bio, Office Use Only) Approved Denied Not Applicable to Department Permit Fee Due$ Revision/Plan Review Comments Department Review Required: Building Planning&Zoning Reviewed By Tree Administrator Public Works Public Utilities Public Safety Date Fire Services Updated 10/17/18 1 \ mo In ll c LOT 159 T• z srK 1/2- I N06°45'00'1' 1 15' "E.o.n LR17rIaT ir' IP \ g• 00 C L 11.00 INC 11111 n.s(IN I P'' tr1 1 , SIR I/7 1 CT:. 18/7393 0(1 n e yr N; 7:54.5'00"r 64.5' V_-, LOT 158 1 c..: No io t'i- i L.i, CZ.)ji r° {t It ' s 1 C)i:. S1 r 1 11 C11 21.5 i 1 r, v:, i c. I-- t aJ f 7 A v L7' is tQ n, A " A j.. ._ r ,, 1 r'0, 07.ON e u" n _ r of e 66.11 yi Sa._. 7/ :". t, t2.C7p 1 SIR i/7"7 V•J°i.J y t r. r% 817.9:71 1 4 ( 5064.5'00'r i 2. nPI ?: J t NO In i I cI 1 LOT 15? 1cicI z NOTES CONCRETE DRIVE CROSSING INTO 7.5'.LCA.E 3ONNOR77IERLYSIDEOFLOT THERE ARC FENCES NEAR 7HE BOUNDARY OF THE PROPERTY o 1 /ND All vMi19 41 PAGE 2 OF 2 PAGES 4 r° BOUNDARY SURVEY RVC}}'ORS CFRTIF'rC.•ATf- 1 54, 01: RF.HYCF.IfTIF'r/11TTl/JS NOLNOARYSUR l S i S A?8118 A.VD CERREC7 UTPRE. TICAT TJON EFA vURVEY PREPARED UN0.6R 40'VIRF.CT/ON.' r S'+t(c= VAL10417THDUTANAUTNF_NT7CATfDE1.ECTRf11JlC. 04,_`.f SIr..NATIJRE ANO AUTHENTICATED FLFCrRONiC sta.SERVING ALL FLORIDA C oUNTIES P..- 1,- OR.4 RAISED EMSOSSEU SEAL AND SIGNA71.:Rf.". 6250 N.MILITARY TRAIL,S I.II'TI?102 Clyde q,„•wn,ra/a•r°u:nnr NEST PALM BEACH,FI.33407 f MNO. ca.... N..finer 0 t.«,.:.• z(,,• •:.::.:r,.,r,,,• PHONE (561)640-4660 McNeal 0: r FACSIMILL 061)640-0576 srr.Nml n.,..•r•nr,e.l3'.4iµY.x STATEWIDE. PHONE- (1160)2264807 CLYDE. Mr:NEAI.PROFESSIONAL SURVEYOR AND MAPPER 1/28,73 STATEWIDE FACSIMILE (666)741-0576 f; yL��r rCity of Atlantic Beach APPLICATION NUMBER 11 ri gf A 1' Building Department (To be assigned by the Building Department.) 800 Seminole RoadC \ . Atlantic Beach, Florida 32233-5445 !� `r Phone(904)247-5826 - Fax(904)247-5845 0109:-. Email: building-dept@coab.us Date routed: I I i O/ZO City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I 4 L i ND K s10 C- Q Department review required Yes I No Building Applicant: TERF' M OVA c'"PlaCaing-&.Zoning` Th j- Tree Administrator Project: t \{'t - I R_V VC—_ LU1\ (flc Work-g--.Th, Public Utilities 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 f\ Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. enied. I 'Not applicable (Circle one.) Comments: C BUILDING Gay‘+ G rp c l cta, v dtilervr PLANNING &ZONING Reviewed by: Date: i (‘-":"2-0 TREE ADMIN. Second Review: Approved as revised. Denied. I 'Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. I (Denied. Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ro f Building Permit Application Updated 10/9/18 ' City of Atlantic Beach Building Department **ALL INFORMATION Y v 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY \ors s'' IS REQUIRED. Pho,nej: (904) 247-5826A, ...., 47^-5`8,26 Email: Building-Dept@coab.us Job Address: "[WI. �k� 1k./31011i ��,t1 Perrmmit Number:�� ( - 000 Legal Description/ LLVR L(NKS (OS UNBT 1 Lei+I SF)- RE#1 1 7Z 74 - Co3 9 0 Valuation of Work(Replacement Cost)$ (3000`OA' Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition DAlteration DRepair [Wove Lo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial IiResidential • If an existing structure,is a fire sprinkler system installed?: DYes 1711Qo • Witt tree(s)be removed in association with proposed project? DYes(must submit separate Tree Removal Permit) iilo Dale in detail the type of work to be performed: B�c� ? - t t ., Go -� b RANI t t • Florida Product Approval# for multiple products use product approval form Property Owner Information_ _ 1 Q Nam (�n_ .6A li t, e_\.<:•.-5 Address q LI+ �S0 r-- C City 1, h�vC. 2,- r� ^ State Zip Phone ' r .,I h7 i S •_ E-Mail UJ2.1A 1 P-�t9 1)(01.-•C,LJ'1•••k Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Compa y :�.' .• . ! ► •• :t �! Qualifying Agent Rt::) d‘ Address 9ay 1 w �- 3 ri City State Zip ab�- Office Phone laoH �,-' 0 q / Job Site Coln act Number . kt. - !r' ` State Certification/Registration# 0600 5$LP b E-Mail I y L I.b0 L• Architect Name&Phone# Engineer's Name&Phone# --f;', ..)0...{ ' Co ,. Workers Compensation Insurer-)7044 C1\- . fi, , ,0ABY. — OR Exempt❑ Expiration Date 0 1 /01 j 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 OK A A ORNEY BEF I RE R ErDING YOUR NOTICE OF COMMENCEMENT. r" �. ,. •f 2 (Signature of Owner or Agent) AL .e .a •��� 1V Sined a swe lirlin ••. •e or- (9da of Signed and sworn to(or . -d)before e this day of Y �a-l\ ,?_ozO, . 6 * _ ,.... , ------ ai\ , z a, . ..A../1% Ali _...2"..„=,P-4,..S W4I G: IMI" h7o' TONT • .DLE`•"ti;� Alit' .ta� gi.► TONI GINDLESPER ':?.• ' �. 3531 . 1 :•.9.-�.. .,• MY COMMISSION#GG 353178 • ,�:• .4. :*. MY CyOpMMISS//����.yy-1,ww MM :f, - 6,2023 %S'••��1`•O: EXPIRES:October 6,2023 0 '".••- `P•�0i' EpE��XPPIIRj�E�S::jq.Octo October 6, �,�,.�y,,„, •� ,p�,p�,p` �,p�,,,�� �y,�;,, _Jn��y,,,. '.q.iyP•�.Y•1D 6b€111�f1114ter/Public Underwriters [ P� oWlw�ly IWII�NM MP rte'U,. wviten 4 4 h,,J,.,.,J iuenin1Lduur1 ' /- ,�- •.• -• i-n i ice ion ,/ 2 71 -0`16 - Type of Identification: INA V 11-9, 19 -49-3 46 -To.f Identification: �VC.O� 7 Z 3' C , r4 INn NAI. ! • i NO In I '; , Sa LU1 159 ,� 0o : . ' SIk 1/1" • N06° 5'00"b✓ r °15'00• "G 6:3.81 t ®�1,�3 n � _L:r1'nfr 1 I 11.00' ) I) ON f / R4:IGitP,ARI�G RIR(I)1NG__.....—:7------------- ; 1t \''. 1 v, I ti 1 \ • -c••5 t 1 ,....) r"tB7789.7 t cTt '00 37.00 l 1 � , \-- LOTl $ t '�'�rrp 1/2- N•,3" 5GA.S 4NO,n I1I.5 v I r,i II c.T BUILDING ,v 1\ ` Q.) + • G /1484 .t` rn t C'vt • (h (1 Ca 1 o <S t.:), C Il cl 7.1..°.,' g. rn ,(? ` i t f (IN 0.7.OR -1 wpm I ., ' °------7---7--- I 5!,? 1/� ,.,(J..l'1 5'00 YY . 1 Tl 4 ° 4 o c 4 1I Er/74:J q \t 1'.; ) Ct J IIIB,7893; S06 45, .r�. .2.... nP 1/2� S:3'15 100"1/4/ 37.00 11.00. �� jNO ID ("'1 I • 1 41 • LOTT0157 I ! 1 \ 1 E • I 1 CONCRETE ORM CROSSING INTO 7,5'J.E.A.E ON NORTHERLY SIDE OF torHERE ARE FENCES NEAR HE BOUNDARY !'NU N/JI OF THE PROPERTY �� 1 NO 1U p PAGE 2 OF 2 PAGES " ' / VNlQRSURVEY j 1 P 4af. Mt blii i` 5URVE!`ORS CERTIFICATE t 1 �J (�� ( � ' IILERF.BY(:F.RTIFY THAT THIS BOUNDARY SURVEY L ; / ,' !,IR VE j ,L��,FG Lam¢,, \ / ' ISA TRUE AND CORRECT REFRE,SEA.TAT,ON OF A "a e SUNVr:YFRf•'FAREDUNDE'RMIYDIRF.CT/ON. ( t NOT VALID THOUT AN •'0-\.44rit.,F,` e t SG,NATU1 E yNDAUTHENTICATEDICArEo ELECTRONICSEAL. NIC SERVING ALL FLORIDA COUNTIES 1 .4"......!....„..s 0 v'5= OR A RAISED EMBOSSED SEAL.AND SIGNATURE - , 0250 N.MILITARY TRAIL,SUITE 102 ' I Y +ow,*$4144.1 o .,nrro 4,1'..C).W..' WEST PALM BEACH,FL 33407 I Clyde O. ,c,ON,Ct,.Orenw.,+na•c• vs.o+*°yxs„,ro,�.cu. PHONE (561)640-4000 . McNeal �'w'"'MBOMA • FACSIMILE ''61 y51G,vrn1 ..xl:•.R}.fi,t},:34•ta er (•> )G4U-0516 i ' STATEWIDE PHONE (GOD)226.4007 CLYDE O.MrNEAL,PROFESSIONAL SURVEYOR AND MAPPER 112883 STATEWIDE FACSIMILE (000)741-0576 i I 1 rSyA7yr,,. City of Atlantic Beach CCN V APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road JAN 1 3 2010 ' Atlantic Beach, Florida 32233-5 ' . LL sir ' Phone(904)247-5826 • Fax(90 7-5845 "'i woo- E-mail: building-dept@coab.us Date routed: _ 1 / I D/z-. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I 44 L ui K S U C Department review required Yes No Buildin Applicant: ' E RR_l' M OVA Planning&Zonin Tree Administrator Project: I WE--{— R_`v (A)P\ bl c Works Public Utilities 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: I (Approved. Denied. ['Not applicable (Circle one.) Comments: BUILDING � �� t PLANNING &ZONING :f��i V�i4'/>✓� //1--.20 Reviewed Date: TREE ADMIN. Second Review: A roved as revised. ❑ PP I (Denied. I (Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I (Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 PUBLIC WORKS PLAN REVIEW COMMENTS Date: /—/f— Application#: "(far zo „ P00/ Project Address: / i4,,,,74, CORRECTION ITEMS Check Box to Select CSMP 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. DPLN Provide drainage plans showing site topography (flow arrows, etc.). 0 ESCP Provide erosion and sediment control plans with installation details. 0 IMPS Provide impervious surface calculations for entire lot(existing and post construction). 0 Section 24-66(b) of the Land Development Regulations requires on-site storage for increased run-off LDCS if adding 250 SF or more impervious surface. Provide Delta volume calculations and on-site retention 0 required per Section 24-66(b). REPM A Revocable Encroachment Agreement must be submitted. 0 RMRO All runoff must remain on-site. Cannot raise lot elevation. 0 RWPM A Right-of-Way Permit must be obtained. 0 TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land ❑ Surveyor, showing 1' contours. CUT Provide manufacturer cut sheets for 50%credit on Turf Block pavers. 0 DW Maximum driveway width within the City right-of-way is 20' (circular driveway width is 12' maximum). 0 PAV Provide paver installation method (must meet I.C.P.I.). 0 WRA Provide a detailed plan of water retention area and how water runoff gets to water retention ❑ areas and then to street. WR Provide detailed plans showing proposed water retention. 0 SID Concrete sidewalk must continue through driveway. 0 50 Documentation shows impervious areas are over the 45%allowed by City code. hfikle, -n rip* te , ► d, , 4/ ;,/) 40&tine (eft Revised 2/26/19 Lat PUBLIC WORKS PLAN REVIEW COMMENTS Date: /--/3 C/ Application#: ,j) (A)14-4.1 - e.Qe Project Address: / Y'q / s/L( (2 c!J r Check x CONDITIONS OF APPROVAL TO PRINT ON PERMIT toSele t to Select All concrete driveway aprons must be 5"thick,4000 psi, with fibermesh from edge of pavement Driveway to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. 0 Apron (Commercial driveways—6" thick). Full erosion control measures must be installed and approved prior to beginning any earth Erosion disturbing activities. Contact the Inspection Line (247-5814)to request an Erosion and Sediment Control Control Inspection prior to start of construction. Onsite All runoff must remain on-site during construction. Runoff Post Const. If on-site storage is required, a post construction topographic survey documenting proper TOPO construction will be required. All water runoff must go to retention area and retention overflow 0 Survey must run to street. Pool Pool—Wellpoint(if used) must discharge into vegetated area 10' minimum from street or drainage 0 Wellpoint feature (swale, structure or lagoon). Roll off Roll off container company must be on City approved list. List can be obtained at the Building Container Department at City Hall. Roll off container cannot be placed on City right-of-way. ROW Restoration Full right-of-way restoration, including sod, is required. Utility Any utility cuts in the road must be repaired using CO1 Standard Detail Case X and must be overlaid 0 Road Cut 10' in each direction from the center of the cut. Repair must be shown on the plans. Construction Provide construction site management plan, including location of silt fence, dumpster, portable 0 Site Mgmt. toilet. Right-of-Way Permit is required if using right-of-way for construction parking. Runoff All runoff must remain on-site. Cannot raise lot elevation. 0 Document Strongly suggest thorough documentation of impervious areas be recorded. 0 Impervious Slab Slab and driveway to be fully removed. 0 Driveway Maximum Maximum driveway width within the City right-of-way is 20'. 0 Driveway Circular Maximum circular driveway width within the City right-of-way is 12'. 0 Driveway Grass Full site to be grassed. 0 TOPO Must provide a topographic(TOPO) survey with water retention for final CO Inspection. 0 Survey Revision Any plan change must be submitted as a Revision to the Building Department. 0 Fencing All old fencing and debris must be removed from job site by Contractor. 0 Removed Decking All old decking and debris must be removed from job site by Contractor. I Removed Infra- Any damage done to infrastructure must be repaired by Contractor. 0 structure 0 Revised 12/16/19 oz's/--/ nY� / 041 9 , 01 'IlrigYD ire 77C' 11 h2fA C4'21 1'7 7. 0/ 2r rff r PA 29?C 94,1-1 7, v ;- ))/ -riz#1 41'6 7, ,197 az )r r -07 AV) -41 1 -U 5: LOT i.5 nnnn g2• ' ,SIR 1/1' :c) \` N0645OO IA✓ r, „ ”� OFf II1A789.i N83 1 00 C O� ;.�o' 0.5'ON I4UGI18�R��G BIItLO! ..\ s• .•..... s. 11 \T..r1 1 - u c� I r� I { 1 ' , S I L9/7893 1 C2� 0. • i N, ,3'-`1"•�'00 645. \---� LOT 158 1 NO IO ao L r..5 I*j r~ I :, -. _/�__ to cv� BUILDING ' c...� ���" " • Q ,ry 1 484 6`-,rye 1 ,, C..) cn ; O . n t 1 t ..\ I It a� �1.` _ �� ; . �� ^M1,DIY � — SR r/,. ....--.14,r- OR r; JI(.Jl °, „ n ( � r,w,`'°*"1 +wN"r'' �~ CC ,1 1:.1/'li'%.t C.:::3 Imo_, ^iJ5' — -- n 15'00' ! bV•%7 t I qc rri ^-- • 18/7893 1 O \i . •44- ' I ti 1 1 ' . . •s.--) tr • _ _ . _StOt)'4a'00 F -,\)\ P' l�z• `7' c. .15'00"W 37.01.) 11.00'0' `•�� NO NJ .1 .f1 LOT 157 i I " .it. \ ,I . 1 ..218.11-L.N.Q.E.2 11 CONCRETE ORM CROSSING INTO 7.5'✓.EA.E, ' )' ON NORTHERLY SIDE OF TOT THERE ARE FENCES NEAR THE BOUNDARY s CF THE PROPERTY 6 ; (NO NMi i' NO IO q . ' i PAGE 2 OF 2 PAGES , c..,Y ' ,nF , 4,, BOUNDARY SURVEY B';7R<l3 77 At,MU \ :: TAI?GET : . i SURVEYORS CERTIFICATE IAl...minr�1 ; i II1r.'RF.BYCF.RTIFYTHATTHISBOL:NDARYSURbEY striVEYINGr +�M ? ISA TRUE AND CORRECT REPRESENTATION OFA • �/ SURVEY PREPARED UNDER MY DIRECTION. \,,3,...,:i ff . , NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SERVINGFLORIDA COUNTIES,,*" SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL. ALL FMOUNTIES e„a v...%/ OR A RAISED EMBOSSED SEAL AND SIGNATURE. I 6250 N.MILITARY TRAIL.SUITE 102 � c..yuti•e.V9dhvarae0.:xw,x WEST PALM BEACH,FL 33407 —'! Clyde O. na.rl,.,,,h" a4R�.t:. 950+TMya,,,,,,,n.OU= PHONE (561)640-4000 (SlGNEO) McNeal • na."i �s+u.ew•nnr, STATEWIDEPHONEFACSIMILE I)640-0576 (800)2264801 CLYDE 0.Mr.NEAL,PROFESSIONAL SURVEYOR AND MAPPER#2893 STATEWIDE FACSIMILE (B00)741-0576 , r%+tri}, REVOCABLE ENCROACHMENT AGREEMENT ii- `4� City of Atlantic Beach **ALL INFORMATION HIGHLIGHTED IN GRAY 800 Seminole Road,Atlantic Beach, FL 32233 IS REgUIRED. s 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 1- VU 4- l9 0o-- Vf'i 12 K. , 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 (-- P.„1/ E t' Y___) Y t J Q_ c&.) 0-`1 . Any facility maintained, repaired, erected, and/or installed in the exercise of the izrivi�l ge granted remains subject to relocation or removal on thirty(30)days' notice by CITY to USER,said notice to USER shafTbe given by certified mail,return receipt requested,to the following address i 142 4 1rtiA.. ..6;k�.. 1� �Q� . • 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 I liabilities are hereby assumed by the USER. cc�� VU ALA (.ems— 1 ) [/1I2ZyJ Date O uo "cO Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA, COUNTY OF DUVAL / / The foregoing instrument was acknowledged this C) day of O- l\ , 20 ZQ b A u OA-- m i . -. r J who personally appeared before me and rinted name of Signer) ack wledged th e s1,./gned the instrument voluntarily for the purpose expressed in it. �— I�I a ..• MY COMMIISSION#GG353178DepartmentApproval: A oval: Signature of Notary Public, Florid. _ .��,:;; ExpiRES•Odober6,2023 - [ ] Personally Known � P,f?`°� °dn'"u bic Une $ /�/. V [ ] Produced Identification (Type) ( Scott Williams, Public Works Director H:\Applications&Forms\Word&Excel Document Originals\20180831 Revocable Encroachment Agreement.docx Revision Date:8/31/18 - ;cam r RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION **ALL INFORMATION ." 41,it,City of Atlantic Beach HIGHLIGHTED IN GRAY IS 800 Seminole Road,Atlantic Beach, FL 32233 REQUIRED. i OF;DI" PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address t►-tg 4, 1_., Igs � Permit Number Contractor Information- Company \ %•• NOG ?7 Qualifying Agent ?v01,�. 0S Address -1 0E-81... ..c., ..---1 CO a- City ' ---.1 State Zip c3Rs25 Phone (q,,o 600L%,nlet 4q Email +,no,SCOPU,U 19 TiCta . C. l State Certification/Registration# 19000 gS k Z a • Architect Phone Email Engineer Phone Email Workers Compensation Insurer OR Exempt ti Expiration Date • 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 De rtme t of Transportation Standards and be performed under the supervision of kO t.rt l' Q Here-et-0 S (Project Superintendent) with(Company Name) �p c-r- 0— ©J a._, Phone • 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 shall be notified 24 hours prior to starting work and again immediately upon completion. V \N ((AK c Gt. 111 ,A P.v_ Date Permittee(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this 1 O day of Q(\ ,20 2-0, by Li N 0 a 141 192.. K I S ..-_ -• •- . - '.eand (printed name of Permittee) c►?+ :• • TONI GINDLESPERGER a Howl ed that h: si: d the in rument voluntarily for the purpose expr:I 1 c*1 MY COMMISSION8GO353178 :,,� A', EXPIRES:October 8,2023 os k Bonded Ttvu Ndery Pubic Under hilus [ ] Personally Known Signature of Notary Public,State of Florida [ ] Produced Identification(Type) (..---1 H:\Applications&Forms\Word&Excel Document iginals\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 Building Permit Application Updated 10/9/18 k....„ City of Atlantic Beach Building Department **ALL INFORMATION , V 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY ,9'n� IS REQUIRED. Phonte1: (904) 247-5826, Email: Building-Dept@coab.usui (� /� Job Address: ( �7 l 4 Y vb .`�R r Permit Number: I�J�`A �0 " ©` 0 Legal Description,/ C LV A L(N KS (QC U N 4T Z- L c.+1 S FZ RE#�i 17 z , 74 - 05.6 9 d Valuation of Work(Replacement Cost)$ 4ovv- Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move [Remo DPool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial I➢t<sidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ®1Vo • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) [LI D scribe in detai the type of work to be performed: i eA t3C Cam-7- -- R ,Q C11+ ►3R,C‘4— Pt\f-- --4Z& Florida Product Approval# for multiple products use product approval form Property OwnernInformation_ j Nam (.AJPd\) A � t, e_V.\-S Address LI L ri V-6 7__ , City KtuN-y..(i ' , . ekState Zip . _.. Phone ' 0 ,r . i ._ E-Mail Wz.A> au...01/40 .c-r o% Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Compa y .° : , A • ;• . ! Qualifying Agent - n d� Address qa I (JJ �r Cr City State Zip �a�___ Office Phone �gatii �j 4/y f Job Site Contact Number GL �b - � State Certification/Registration# 70000' S gLiato E-Mail 1 t&ONi t_ADI,O&C ,!L.L.- L, Architect Name& Phone# `-- Engineer's Name&Phone# at- C. Co y Workers Compensation Insurer' t7 4Zi.CNA- - ��.•L`A1�Y OR Exempt❑ Expiration Date• IJ 01 I,R1 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 A A ORNEY BEFI RE RECORDING YOUR NOTICE OF COMMENCEMENT. / -� r J jU km.a &c., I )i vi 1 ) .•.y �':i1!. P r��i . (Signature of Owner or Agent) —e111-- . q�� Signed and sworn to(or . d)before a this/0 day of Si ned a ��!a' r.e o � pda of Y ( ,2.. I TONT GINDLESPER i re . , _ ;: : TONI 6UipLE`••yet_--,ur• !imillomm` ,talk 1011 •"•• ': • c_:r MY COMMIS: t#GG 3531 «: ... :,: MY COMMISSION#GG 353178 • :«: :«_ , `°••.%`o? EXPIRES:October 6,2023 . EXPIRES:October 6,2023 "'-F•or€° �I g14ilii,1 'I�ub[fd Underwriters [ P2`62fl'l �y 160044 to NAY Pub6c Underwriters 4 1$1,,,I,,,,Tiderrim iLa Hun - •• -• •-n I Ica ion 1/ 2 3 �7 q Type of Identification: Iti`C9 Z Z - t l� n1-q- O 46 t F--F-- o6.7 Z 7.f Identification: �o( Z - [ ( --0 !G `t) r .. • • • • • • • .,-., a,.ice"~""�' •�•.�.Yaieai a--• ,�t .. Rs 17! 'S4 :0013.yt(� !i ' N 1 • t to l "(Mi c.• ! i•1 t'�r `Lf;t IkiM�1 7?� '. • rk LSC 3 w. -ra Iii,3 • rF'.tre ttxtll 31W yLek,r1 u‘ 1 Wbo : y c:•.. nnr w«marz �•+sw."+7s n ;:Fa.s`:�"+rc. v. .... •..." -- a4u CA;.,la t1 'kX' d .41•f'•I.atl+1.G3 . � '6+tdow::i.,w:nr.>.. ,c�,-.....w�4.-_'.�e::we-..w�f�,t,•>,-. 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