Ardella Road 121 See attached di agram for determinatioia of interior and exterior zones.
7. SITE PL-A-Nf=E SURVEY indicating:
a) Location of topography features such as hills and low areas.
b) Existing and proposed structures.
�c) Location of all trees with Diameter at Breast Height of six inches-or*-more.
d) Tree species and sizes.
e) Trees to be removed should be clearly marked with an ")C'.
1). Trees to be preserved on-site for mitigation must be marked with brackets
Location, size and species of any proposed new' replacement trees marked with a
circle "0".
h) Location of utilities and easonients as applicable.
1) Location of trees to be preseryed on-site. with barricadiag noted.
8. ON-= REQUMEMENTS:
.a.) All trees identified f6r.removal MUST be marked on-site by RED flagging,
paint or tape.
b) All trees to be preserved on-site for mitigation hIEST be marked with BLUE
flagging, paint or tape.
c) The front property comers must be-marked by stakes or paint indicating
the Lot
9. ITNTCOMPLETIE APPLICATIQNS OPLINACCURATELY MAR-1-al) SITES.
WILL NOT BE.PROCESSED.
I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARnCLE II,
TR-EEPROTECIrTo AND ALL.OTHER APPLICABLE CODES AND ORDINANCES.OF
THE CODE OF C ES'OF ATLANTIC.BEACH.
.Applicant's Signature Date
Owner's Signature Date
CM USE ONLY:
Tree Conservation Board Chairperson Date
CITY OF ATLANTIC BEACH �rp
TREE REMOVAL APPLICATION v[ 2 6 2 rU 0"?
City of Atlantic Beach
All avolications must be submitted with seven �7) copies and received b�)'g P4 iAl ffi�-
G 0) day prior to the scheduled meeting in order to be T)Iaced on the aLyenda.
*INCOMPLETF APPLICATIONS OR INACCURATELY, J(ED SITES WTT.T. NnT
BE PROCESSED.
6'�2 A///,
/�&/j Aleloll,"W�
AZ wh 2A 3
APPLICANT NAME ADDRESS TELEPHONE
2. -1-07 �5- 1-Vr41;A OiAl ?-
ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE
3. REASON FOR PROPOSED TREE REMOVAL: 4��4 r/n�zq//
rz &0 A"'I / /;
4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES 4��NOT SURE
S. P.ROPERTY ZONING: (�E S�IDENT COMMERCIAL
1
6. LIST TREES PROPOSED FOR REMOVAL: 117��514�57in�
SPECIES DIAI�MTER AMIGATION OMCE USE ONLY -b&
INT. EXT.
— -S I Y
6 A-4
L o'
r
J,
*Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,measure the trunk
circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each
trunk as measured immediately above the forks.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
19
Application Number . . . . . 02-00024993 Date 10/11/02
Property Address . . . . . . 2032 SEMINOLE RD
Tenant nbr, name . . . . . . 2034 , 2036 , 2038 , 40, 42 , 44
Application description . . . TREE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
---- - - - - - - --- -- - - -- - - - -- - -- - - - - - - -- - -- ---- - -- - --
SONES, MICHAEL OWNER
ATLANTIC BEACH FL 32233
(904) 246-9593
----------- -- ----------------- - ------------ ----- --- -------------------------
Permit . . . . . . TREE PERMIT
Additional desc . . TREE .RE 1111 , 1211 , 13"OAK-8"HOLLY
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 10/11/02 Valuation . . . . 0
Expiration Date 4/10/03
Fee summary Charged Paid Credited Due
-- - -- -- -- -- - ----- -- - - - ----- ---------- - ---- ----- - - - ---- ---
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
.Oft
f2
4 %00.
. ........ ..........
BUILDING MATERIAL,RUBBISH AND DEBRIS FRC AND MUSTBFCLEARF'D
UP AND HAULED AWAY BY EITHER CONTRACTO ',UCTION LIEN LAW CAN
RESULT IN THE 13ROPERTY OWNER PAYINGTWI G TO APPROVF'D PLANS
WHICH ARE PARTOF THIS PERMIT AND SUBJECT '.SIONS 01,LAW,
C\ ""N K
KNLVa-�OU10tAU 7cr"k� \',�
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION CHECKLIST
APPLICATION CHECKLISTIREQUIRED SUBMITTALS
w"1. Building Application Form
72. Four complete sets of plans including detailed site plan
-y!:,"3. Recent survey - -T,7r- ef-ot-i +po,,-A 0-(z
4. Owner/Builder Affidavit (required when owner acts as contractor)
-� 5. Energy Sheets
46. Recorded Notice of Commencement
Y7"-7. Tree Removal Application if trees are to be removed or relocated
SCHEDULED INSPECTIONS
Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at
247-5826. Requests can be scheduled after hours by leaving a message on the voice mail
system. Inspections are made the following working day; please specify a.m. or p.m. inspection.
When calling in an inspection, please have the permit number,job location and type of
inspection needed. Inspections are scheduled as follows:
1. Footing
2. Under slab plumbing/sewer/electric
3. Slab
4. Cover up(This is different from other jurisdictions): framing, rough electric,
mechanical and plumbing
5. Insulation
6. Final Inspection(includes drainage, trees, landscape and site inspection)
Finished floor elevation survey required prior to issuance of Certificate of Occupancy.
BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE.
Concrete cannot be poured and work cannot be covered up until building card is SIGNED by the
inspector. You may be required to uncover any work that has not been inspected. It is the
responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of$35.00 is
charged for all re-inspections.
NOTE: This application may be subject to covenants and restrictions for the permitted property.
The enforcement of the covenants and restrictions are the responsibility of the homeowner's
association.
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 9 Fax: (904)247-5845* http://www.ci.atiantic-beach.fl.us
Revi-ed 1/17/03
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the I egal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby certify tha,all]ffifforinattion provided with this application is correct.
Signature of owner: Date:
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this 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 federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that he plans and supporting data have been or shall be provided as required.
Signature of Contractor: I AL Date:
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: KL*,[>e� —OZL)Q.
MailingAddress: & ot-,rt.�� eLtjo, 5tJrT110_ 5Lo
Telephone: .7-46 -66ri 3 Fax: 4 E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this io day of 20 N5
State of Florida,County of Duval Notary's Signature:
,P 0 1",6 Cynthia G Bunso
My Commission DD1 30401 M11rersonally known
ExpiresJuly0l 2006 Produced identification
Type of identification produced
AS TO CONTRACTOR: AVk
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
OYA 4t_1 Cynthia G Bunso U
"Y Commission DD13D401 ersonally known
*Fn�e ExPiresJUIYOI 2006 El Produced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us
Page 2 Revised 1/14/03
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION
(FOR NEW SINGLE FAMLY RESIDENCE AND
DUPLEX CONSTRUCTION)
Date:� .
4 Job Address:-
Owner of I Property: AZL.,gn bi NLao,�-Q-Au:4, I-Lt,
Address: 4o oeffpo btxp- .5u"Tel AT&&'n PC 6Lh Telephone: 2,Q4 -303
Legal Description: BlockNumber: d0t-t*3 Lot Number:,�7A-.1-74 A Zoning District:
Contractor: az�0_0 aAvo State License Number: e-6 e-- 0 2 0 6_L3
Contractor's Address: 62) 06,9.c-�- 6L�uQ 5Lj dr-
Telephone: 2-146 -9S13 Fax: -Z q6 -1794
Describe proposed use and work to be done: 60 0-rig 1)6-1�,,v-1 e5y- t4W MUL,-Tt
Present use of land or building(s): [Z,
Valuation of proposed construction: 'KI& OCO tb�
Is approval of Homeowner's Association or other private entity required? NO If yes, please submit with this
application.
Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees?
E1,NO. Applicant certifies that no change in site grade or rill material will be used on this project.
YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
NO. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us
Page I Revised 1/14/03
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
PLAN REVIEW COMMENTS
Permit Application # 0 3 010
Applicant-
Address: 3-z-
Project: NC W Cr-KHI -FC;U-x-)I 1 ('1
• Your application is approved
• Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed by
Signed Date
Contractor Notified Date
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including anyjurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby certify tha all infionnation provided with this application is correct.
___7,
. � �V
Signature of owner: Date:
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances goveming this 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 federal,state or local rules,regulations,ordinances,or laws in any manner,including the
goveming of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contrador: Date:
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: K LAACe�
Mailing Address: 60 Obtp iN G L-LI I Ai tcn�t L As, Lo
Telephone: .2A6 3 Fax: E-Mail:
AS TO OWNER:
Swom to and subscribed before me this io day of 2006
State of Florida,County of Duval
Cynthia G Bunso Notary's Signature:
U
MY Commission DD130401
MITersonally known
%oFv Expires July,01 2MG El Produced identification
Type of identification produced
AS TO CONTRACTOR: J�Nl� '20 05.
Sworn to and subscribed before me this day of
State of Florida,County of Duval Notary's Signature: LV
PY"It, Cynthia G Bunso
10Y COmmission DD130401 ersonally known U
OF K�p ExPires-1401 2006 Produced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us
Page 2 Revised 1/14/03
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION
(FOR NEW SINGLE FAMILY RESIDENCE AND
DUPLEX CONSTRUCTION)
Date:
4JobAddress:
Owner of Property: LLez
Address: 6D Oe 4bo 'bLyP� .5uiTel Telephone: ;W4 -321" 3
_gT
Legal Description: BlockNumber: YJQ*3 Lot Number: 67A 1-74 A -Zoning District:
Contractor: (X_f�oO GtAQ DBI)��-vxgvdl State License Number: 02O6-L3
Contractor's Address: �,O OL-19-C.-S. �Luv �;L) �qc.
Telephone: 4Z�6 `_69_� Fax: z q6
Describe proposed use and work to be done: e'.0�-3-Moct�ov-S 07- MUL:T t -Q�AAAJJ I-
Present use of land or building(s):
,�)V_,rT L-,>L
Valuation of proposed construction: 'Z_1Jq0C0 ?'yq- 0�3 I-T.
Is approval of Homeowner's Association or other private entity required? NO If yes, please submit with this
application.
Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees?
EZAO. Applicant certifies that no change in site grade or fill material will be used on this project.
YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
NO. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us
Page I Revised 1/14/03