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115 DONNER RD - NEW DUPLEX PERMIT41 -41-:fies,61Is1 CITY OF ATLANTIC BEACH Aik .'.) 800 SEMINOLE ROAD 15) -*--, ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 tartic) DUPLEX 2 FAMILY DWELLING MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DPLX-1511 Job Type: TWO FAMILY RESIDENCE Description: NEW DUPLEX 2894 SQ FT Estimated Value: $200,000.00 Issue Date: 7/27/2015 Expiration Date:1/23/2016 PROPERTY ADDRESS: Address: 115 DONNER RD RE Number: 172150-0000 PROPERTY OWNER: Name: THOMAS, ELSIE LYNN Address: 1964 FRANCIS AVE GENERAL CONTRACTOR INFORMATION: Name: ELITE CUSTOM HOMES & RENOVATIONS INC Address: 2304 Peach DR Phone: 904-686-4818 PERMIT INFORMATION: FEES: ENG REV RESIDENTIAL BLD 100.00 PLAN CHECK FEES 390.00 UTIL REV RESIDENTIAL BLDG 50.00 BUILDING PERMIT FEE 780.00 STATE DCA SURCHARGE 11.70 SEWER SDC-SYSTEM DEV CHG $4,050.00 STATE DBPR SURCHARGE 11.70 IgiCIVAIrSt-trtiAtoltNitereRNCEM61.06.1. CITY OF MIAMI( BEACII ORDINANCES AND 'HIE FLORIDA 1_,A,T\ J i CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD yr ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 WATER CROSS CONNECTION 100.00 Total Payments: $6,293.40 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r- -z.`,/e) • S\ CITE' OF ATLANTIC BEACH PUBLIC UTILITIES 1200 Sandpiper Lane 13. 4,C).210) ATLANTIC BEACH,FL 32233 904)270-2535 or(904) 247-5874 NEW WATER/SEWER TAP REQUEST Date:_ .-Z(-15—Project Address: //5 DDAJ AJ E 26/61-0 No. of Units: 2 Commercial Residential f/ Multi-Family New Water Tap(s)&Meter(s) Meter Size(s) cliff New Irrigation Meter Upgrade Existing Meter from to size) New Reclaimed Water Meter Size New Connection to City Sewer Name: Applicant Address: City: State:Zip Phone Number:Cell Number: Email Address Fax: Signature: Applicant) CITY STAFF USE ONLY Application# IS-Da k-/ S// Water System Development Charge $ 0 t) V vac- ithIC Rev V1457/4/4 'us t Sewer System Development Charge $O 4 hlEEP FEES F 6"-)E 'IN' r' Water Meter Only 4cc &NN Fret X 0771 . Reclaimed Meter Only Water Meter Tap PCD, On notes) Sewer Tap Cross Connection 4,0, 0 Other TOTAL 4 O 90, ,y3 APPROVED: Kavle Moore,PE Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED 11 )./ City of Atlantic Beach3l. Building Department CATIUME( y\ 800 Seminole Road E9j uilding Depar, Atlantic Beach, Florida 32233-544 JUN 2 205Phone(904)247-5826 - Fax(904)247-5845E-mail: buildingdept coas _' City web-site: httpa/wwwcoabus d: 04 APPLICATION REVIEW AND TRACKING FORM Property Address: "E D4014,4 ele D- rtment review required InilBuildin. No___EWS_C4„„,V4.4 ______Applicant: 4 Plannin. &Zonin. Tree AdministratorProject: 41 ubhc Wor 111111111111.111111111171PublicUtilitiesAIIMIIIIIIIIII_-Public Safety sommiiiimmmilli1111 fee $ Dept Signature___.<____ _._______ Other Agency Review or Permit Required —Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District mimmilm...._1111111111111111111111111MArmyCorpsofEngineers Division of Hotels and Restaurants MIMMMMIIIIIIIIIIIIIIIIIIIIIIDivisionofAlcoholicBeveragesandTobaccoIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMOther: APPLICATION STATUS Reviewing Department First Review:pproved. Denied.Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: erd 7 /TREE ADMIN. Date: L Second Review: DApproved as revised. Denied.LIC We MKS Comments: PUBLIC UTILITIES PBLIC AFETY Reviewed by: FIRE SERVICES Third Review: DA Date: pproved as revised. Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach RECEIVEDBuilding Atlantic Department CFI'ED APPLICATION NUMB800SeminoleRoad JUN i (To be assigned by the Building Department)j,;, Atlantic Beach, Florida 32233-544' 2 5 2015 IS- 1/ Phone(904)247-5826 Fax(90, 5845 s 11 i j/ E-mail: building-dept @coab.us Date routed: ICityweb-site: http://www.coab.us a APPLICATION REVIEW AND TRACKING FORM Property Address: H S DatJt4 e>D- • ,rtment review required ® No Applicant: ",> A I_Buildin. r Plannin• &Zonin1 11TreeAdministrator4EjPL&X . .. 4 Work Public Utilities Public Safety Review fee $ Dept Signature Other Agency Review or Permit Required Review r Receipt DateofPermitVerifiedByFloridaDept.of Environmental Protection Florida Dept. of Transportation MOMSt.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: [P4proved. Denied.Circle one.) Comments: BUILDING ea *idol PLANNING&ZONING Reviewed by: _ f,L- - Date: G 2 - /S41amTREEADMIN. Second Review:Approved as revised. II Denied.PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: Date: Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 ay-,T,, City of Atlantic Beach i}r "ti} Building Department APPLICATION NUMBERTobeassignJ,-: .ati{" 800 Seminole Road ed by the Building Department) rtp Atlantic Beach, Florida 32233-5445 S Phone(904)247-5826 - Fax(904)247-5845 J. / E-mail: building-dept @coab.us City web-site: http://www.coab.us Date routed: IA a APPLICATION REVIEW AND TRACKING FORM Property Address: 1 BuID ildi, , rtment review required Yes No Applicant: Plannin. &Zonin. Tree AdministratorProject:LEK ublic Wor Public Utilities Public afety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: ILI'Approved.n Denied.Circle one.) Comments: BUtC61N____)1jOC_ - PLANNING• ZONING Reviewed by: Date:? STREEADMIN. Second Review: ['Approved as revised. [Den' PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:Date: FIRE SERVICES Third Review: [Approved as revised.Denied. Comments: I Reviewed by: Date: Revised 07/27/10 1 i,/, City of Atlantic Beach 0 Building Department APPLICATION NUMBERi800SeminoleRoadTobeassignedbytheBuildingDepartment)3 r•' Atlantic Beach, Florida 32233 5445 Phone(904)247-5826 Fax(904)247 5845 s " c);_9/ E-mail: building-dept @coab.us City web-site: http://www.coab.us Date routed: IA mosima APPLICATION REVIEW AND TRACKING FORM Property Address: I I S DiA14 foie Dom-rtment review required Ian No Applicant:I_Buildin. 14Plannin. &Zonin. Tree AdministratorProject: 1A P 4 Public Wor 4_ Public Utilities '-== Public afety Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Om,ANIII111.11FloridaDept.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: 11,I'pproved. Circle one.) Denied. Comments: BUILDING PLANNING&ZONING Reviewed by: TREE ADMIN. Date: Second Review: Approved as revised. PUBLIC WORKS Comments: Denied. PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: Date: Approved as revised. Denied. Comments: Reviewed by: Date: Revised 07/27/10 a Office (904) 247-5826 Fax (904) 247-5845 Job Address: Ii 5 Do.ov e - (5o 17u,i,e )Permit Number: /S'-fL,K 151 ) Legal Description Parcel# Floor Area of Sq.Ft.q. t Valuation of Work$ p`bOI ODIC Proposed Work heated/cooled Z$q L( non-heated/cooled D I Class of Work(circle one): iS, Addition Alteration Repair Move Demolition p I,.! -,. window/door Use of existing/proposed structure(s) (circle one): Commercial Residentia f LL (L / nIfanexistingstructure,is a fire sprinkler system installed? (Circle one): ' e No 4, // 7 reFloridaProductApproval # S.e..e_ M(kiP v J i LS For multiple products use product approval form JO/ 23 - • . / Describe in detail the type of work to be performed: Neu) --a 042_,IC FILE CS Property Owner Information: Name: 1 .N at_ LLC- Address: i 1 .9-i'e City i . c, 4.. ..! State CZip 3 3Phone '7b 9 - 2 Lf' - Z 'O3 E-Mail or Fax#(Optional) Ch t,s , eti-A-6-lo etAQ-4 , c v Contractor Information: CONTRACTOR EMAIL ADDRESS: A I eyCompanyName: Ai-fe 6-0` tr- e 3 *,?3 Re a)40/60/; Qualifying Agent: C1A.e Address: a 304 focAK. 7 r City —cz,K6-«vile- State p/ Zip 3224 Office Phone q'iW-KeA-i/ i'l t;Job Site/Contact Numberber gD if-(fib-1.( lir Fax# State Certification/Registration# 6136G f a,6 d Lj,2 Architect Name&Phone# Engineer's Name&Phone# 1-hit`)hu yy f.,,v i 1fi N 10t(-' (.''Di 0 Fee Simple Title Holder Name and Addre>ls _e_ Qa^v G,,,i,u.e..,/1 b v-e Bonding Company Name and Address 0.,(11 Mortgage Lender Name and Address NIA_ 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners,etc. 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 RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby cert that I have read and examined this and know the sane to be true and correct. All provisions of laws and ordinances governing thisapplication type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,st or local lai, egulating construction or the performance of construction. Signature of Owner Signature of Contractor_ ,,. o Print Name °, 4.;) r?ad`'' Print Name 4 -` Print Befo h Befe • it j B this Day of .... UV u, 20 L 5 this Day of CK. " f - 201 I: IIGy14" 1i.VV Not O'ublic No 1 ublic . JEiResr4l edcAA1.26.; l MY COMMISSION#FF 011480 4: 1;k,,,, JENNIFER WALKER BonEXPIRES: e lwu Aprilud Un lwriters ia :,: MY COMMISSION#FF 011480 EXPIRES:April 24,2017 F rso. Bonded Thy Notary Public Undendters DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: 1, 9'9•/5 Development Size Habitable Space/y4/7 s. r Non-Habitable y S- r /p, r n F-- pe,r unrf- Impervious area Miscellaneous Information Occupancy Group a?- 3 Type of Construction,2 6 Number of Stories 2 Zoning District Max. Occupancy Load Fire Sprinklers Required Flood Zone W A- Conditions/Comments: Map Output Page 1 of 1 F t kind / JAXGIS Property Information am I b I 2*30 kind / 1000 1 N I 0a i 1079 1014 74r•1 O 0 is O 0 f —I 1710 1412 1700 l 22 171 17'7070 700 O I COPY IMO 117 111 0 Air 7110 W1 1040 0 I 1401 a 1•00 00 M 100 1000 1011 Lids 1!04 1140 ISM 1040 o 11000 12210s 111i as3+ 111+ uua1]0 1M 1407 so 4 p1 040 elin ssi No 7s ha laiIa.' ensmil an.. a 4 4© 7i iti e/221-sIC+feraaraarr.r.n 1 70 700 704 7101331 JEDC vacwtl• MI HH iv 1 Llghtln. iv MI iransactfo , 0,01 Book-Page Map Legal Dtscri Cons ri :j Zono .choo.choo Rog ofic:Notic<REX Namo Address Rlce 9 Pant g P Zono one e•one Zone 115 17-2S-29E.368 of in Not in IA 1 DONNER RD NERS S1D hSite Enterpds ONE 8 -tannin• 1IllotYz9Vta g, NA 17215000"DONNER CDL LLCwTLANTIC 37 171720173:9017 . LOT I5 RECD O1R 17172 one Zone lev 32231 1733 ist: 300' 7/9/2015 http://maps.coj.net/WEBSITE/DuvalMapsSQL/toolbar.asp r TO: Doug Layton, Director City of Atlantic Beach, Public Works FROM: Chris Lambertson Elite Homes, Inc DATE: June 10th, 2015 SUBJECT: 115 Donner Street, Atlantic Beach, FL Site Construction Management Plan g0.,,4aN-t 1) Parking will be on the property as noted on the Construction Site Management Plan (CSMP). 2) There will not be a construction trailer on this site. The unloading and loading area and material storage are identified on CSMP. 3) Location of chemical toilet is identified on CSMP and will be located on owner's property with door facing construction project. 4) Dumpster location is on CSMP and an approved dumpster company will be used. 5) Traffic control pattern is shown on the plan with entrance to property. 0 Adequate parking is available on the street. 6) The site will be cleaned and picked up for all debris including construction j material and all other trash regularly. 7) If city inlet falls within driveway, owner will adjust top of inlet at owner's cost. 8) Concrete driveway will be 5 inches thick, 4000 PSI with fiber mesh from edge of pavement to property line (in right of way). Reinforcing rods or metal mesh will not be placed in city ROW. 9) Right of way will be restored to its original condition. 10) Any utility cuts in road made by contractor with be overlaid 10 feet in each direction from the center of the cut. TO: Doug Layton, Director City of Atlantic Beach,Public Works FROM: Chris Lambertson Elite Homes, Inc DATE: June 10, 2015 SUBJECT: Erosion& Sediment Control Plan 115 Donner Street, Atlantic Beach, FL 1) Erosion and Sediment Control will be maintained throughout construction. There will be a silt fence on all four sides of the property. Inspection by Public Works of erosion and sediment control will be done prior to commencing work. All siltation will remain on-site during construction. 2) All run off will remain on site. Run off will be contained on site with swales and silt fencing during construction. If lot elevation is raised then it will be retained so that it will not run off onto adjacent property with a wood bulk head similar to our application on 327 5th Street. 3) A preconstruction survey is enclosed with spot elevations (prior to any disturbing of the earth) 4) A post construction topographical survey will be performed documenting proper retention and submitted with Certificate of Occupancy request. oii: . p W N yy G 0 0 0. Q O a a v P n O H 0 c C OfO y v o o a- o cCD fD d E O C y I Q N 1/ o c': IIIiI e. om o I O O IV O O O) 3 5 a : n Z OP c 75.' ° CD cn riH Otd is N C r. F). -0 Cr Nil 8 V 0 a: O o tfl• b111111111111111r E b any il Uo < r o P o Y o a- 1 cpcp s - i..{ rl nth -A !--, N . O C.° A W - ' 1-N O 00 >1 G\ Ch W o 'N.P\° 2 N p o o C a No ' o O n up tri vp C/), o o n n r CDaRa C G u) oa UQ ti C8 C'i O 5 n <. v C N p - A ca. 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