1619 Atlantic Beach Dr foundation permit J n, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-RAAR-3235
Job Type: RESIDENTIAL ALTERATION
Description: foundation repair- under pinning
Estimated Value: $5,700.00
Issue Date: 2/16/2017
Expiration Date: 8/15/2017
PROPERTY ADDRESS:
Address: 1619 ATLANTIC BEACH DR
RE Number: None
PROPERTY OWNER:
Name: EBERT, WILLIAM P J
Address: 2303 FIDDLERS LAN
GENERAL CONTRACTOR INFORMATION:
Name: FOUNDATION SYSTEMS, INC.
r TBA
Address: P O BOX 50545
Phone: 904-241-4425
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $39.25
BUILDING PERMIT FEE $78.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $121.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
" City of Atlantic Beach APPLICATION NUMBER
I - Building Department (To be assigned by the Building Department.)
800 Seminole Road I1_ft A A..�_ �
Atlantic Beach, Florida 32233-5445 Q—A
(904)247-5828 - Fax(904)247-5845
E-mail: building-dept@wah.usDate routed: OaL t-0a
City web-site: http://wm.mab.us
APPLICATION
�� REVIEW AND TRACKING FORM
Property Address: IID `� rFCT Q (�(, 1-�Q.0-(��I NI review required Ye No
"" uildin
Applicant: �U(�(u,1,'�1��SU.S -MSI �'/1L • anning &Zoning
Tree Administrator
Project: �l)Q.aa(LhbA `I Q.DU.( — (,LAUVOIILLhs Public Works
- � Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review of Permit Verified or ReceiptB Data
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. ❑Denied.
(Circle one.) Comments:
UILDING ' V (•/
PLANNING&ZONING
Reviewed by: Date: '/ `1'i7
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114109
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233 OFFICE COPY
r7 / / r- Office(9/04)247-5826 Fax(904)247-5845
Job Address: Mal h
RQ" �larJl �✓ PerMitNumber:
Legal Description 8?-52 i M8-Z S -29 E .Zak p+hn x ca. Parcel#CAWU n + r�
oor ea o q. t. ti
Valuation of Work$S U rb Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alterationepai Move Demolition pool/spa window/door
Use of euisting(proposed structure(s)(circle one): Commercial esidentia
If an existing strccttuure,is a fire sprinkler system installed?(Circle one): es o
Florida ProductApproval#
For multiple products use product approval form
Describe in detail the type of work to be performed: /W/A.0 �ei�2- uri-D[.2P.th/�
Property Owner Information: ,,J_, /
Name: M1�t�iB, (�"� Will i¢M AT Ebe(I Address: IS03 Fi4CXS L- e
City {iHo.h•4� e¢rl. State�LZip_31Z
33Phone
E-Mail or Fax#(Optional)
Contractor Information: -\
Company Name: �OUw+D IZot1 Sy S?4rrS ,I'w.G Qualifying Agent: X///, C.
Address: ZO52 EA5 't ST City Ar *Amc fw State Fl- Zip 32253
Office Phone Job Site Contact Number Fax#
State Certification/Registration# C g COS 306
Architect Name&Phone# A/M
Engineer's Name&Phone# C, R. 0Y21a7-7
Fee Simple Title Holder Name and Address ef/I.A
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that an work or installation has commenced prior to the
issuance o apermit and that alJ work will hype armed to meet the smndards ajd!laws regulating construction in thtsjurisdictiaa This permit becomes null
and void t work is not commenced within sic(61momhs,or ifconstrucdon or work is swperdedor abandonedfor a period ofsis/b)months at any time after
work is commenced. I understand that separatepermits must be secured for ElMrica/Work,Plumbing,Signs, Wdbt Pooa, Fwnoce%Boserg Heaters,
Tanks and Air Condldoners,de.
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 YOU NOTICE OF
COMMENCEMENT.
I herekp certify that I have read and emmined!hiss plicadon and know the same to he true and�yrrecl. A/!provisions oflawsandordimancesgowmingthis
type of w»rk will be complied with whether s ' ed herein or mt. The graming of a perms does not presume to give authority to sdo(ate or cancel the
provisions afany olherjederal,s te,�o1r locallaw regulating wwoucdon or the performance ojronstrucdon.
Signature of Own,er�\ WtMrw Signature of Contractor
Print Name ......Ij�1.1.. ... - ........ .. . . . ........... Print Name ... a//It .... / .._...
_..._....
Swovo and subsc ' d efore me Sworn to and subscribed before me
this Day of Y 20 17 this Z Day of a+ . 20 I
Notary Public Notary Pul
50 Revised 01.26.10
Ner"ret Avarez FmMa
=19]ut My Can AMamzFa19a� ` My Commheion FF 91fi638
n Ensaw Erpine fp/t912a19 2019
fES 1 0 2011
P7
`FIEF P.LS
aE NOTE
TOPPER
1 I MiTiNill
Pa.AAD�T 1
.IIP:Rf9^"ODtP
Pi",
2-PIECE UVDER
FOOTING PIER
SYS-6d
RmIFCTIDv
cave
NCRETE
"00DNG PIER
!^. 'RACKET O
LY
NMT /CM
TCP PIER O .1 la
PIATFORN PER
E(ENSON - O 64®
INTERNAL 4Y. K, Y'
CWMII! ITT MF»Tf
PIER
sTARIER FRICTION —NVTES—
c�DUA�R� 1. BRACKET FINISH AVAILABLE IN PLAIN [P] OR HOT DIP
TYPICAL INSTALLATION II II 2. cl
ASTIBRACKET3 MNIF EI L STRTHICK HOT ENGTH SO ROLLED STEEL PER ,KSIL ,AAAol% pEl
3. ALL WELDING TO BE DONE BY WELDERS CERTIFIED UNDER SECTION ' 0
5 OF THE AWS CODE 01.1. No 4E
4. MANUFACTURER TO HAVE IN ERECT INDUSTRY RECOGNIZED
WRITTEN OUAUTY CONTROL FOR ALL MATERIALS AND MANUFACTURING
PROCESSES.
5. TING 5/8 DIA PIER PINS (PART/ PSA1030) CONFORMING TO ASTM :fl STATE
A29 GRADE 10821 ARE REWIRED FOR EACH PIER.
S. UFT SHIMS (PART/ PSA1031 OR PSA1032) SHALL BE USED AS
REWIRED UP TO A MAXIMUM HEIGHT OF 4 INCHES. ,'AOj�S ONA
a
O
9 2' U 11
w
li
P2 P3 P4 0
2—Story CMU Frame Residence with Stucco Facade
t\
Work Scope: Lu `
Install Four(4) 3.5" dia. 24 Kip Ultimate Capacity Atlas Resistance Pier = J i
equipped with Standard 2 Piece Footing Brackets p
Wall Pin Design Notes: g 0
Estimated Wall Line Load = 2 klf 0 m 0 p
Pin Pile Spacing = 8 feet (typ) w 00tU
Pin Working Load=2 klfx8ft=16kips 0 Z o a
Req'd Pin Installation Load=2xt6kips=32 kips. U 5 "
Estimated Pier Depth below footing = 24 ft. ¢ Q
Other Notes: U.
O L- ¢ g
Pin piles may be moved to avoid underground conflicts. w O a w m
Pin piles will be treated to prevent corrosion. wU h W w
Pin installation records will be kept by the Contractor. x
tu
¢ o:
�� � I
nll FEB 1 0 2011
I attest that this repair plan has been prepared inde general FOUNDATION SYSTEMS, INC.
accordance with the cument narido Building Cau Ing stantla
,ps engineering practices repair plan has been prepared usb", UantiC Beaah, nadda
s. Th
iA prpr Ne beat owallable coils Information and ourpenance on eimi
projects In the area. The pler design Is based upon a wo*ing FOUNDATION REPAIR PLAN
iSF•. stress methodology using estimated wbuictural load& The pier
system and its various carnponants have been rated by Ne
677 •.9 Manufacture to safety carry the anticipated loads necessary to Residential Structure
i*: support the affected portion of this structum
t I} ¢ 1619 Atlantic Beach Drive
OF • �� Atlantic Beach, Florida
40
,oPG�?,.s� DRAWN: BCM Al 2/7/17 SCALE:
'�pl sew McMahan Jr, P.E.
ols [Registered FI. 42677 CHECKED: BCM JOB N0: 1"=4'
Doc # 2017034355 , OR SK 17875 Page 2028 , Number Pages : 1 , Recorded
02/13/2017 at 11 : 14 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUN
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
Stated Flor"d� Tax Folio No.
Calsmyof jUVd-1
To Wlmm It May Concrete,
The unde signed 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 elated in this NOTICE OF CO �h� /
Legal Description of property being impeoved: (al-62.OS •2 S 2w/ MZX-C('J aI� C(4 viaz L 4 #
1, pr /
Address of properly being improved: 1anTe dell 'e Seac FL 32233
Genersldescriptionofimprovemenb: OU/1dA.'N G Grr /k{!/ I Itlll
owe Cp4 h;Lm4yiii1hisi ii Address: Z303NWers LA
Ossmer's interest in site ofthe improvement: QWn
Fee Simple Titleholder if other than prosper); a
—r
Name: U T�•
Contractor. D •e1N3 -e-l1L
Add.: 2e25-s 44" Sf 14'N L 3zz33
Telephone No.: QO'(-ZK/-4425 Fee,No: 4pef• 24'7-8rt'3
Surety(if any) iij a.
Address: Amoantofflondli AJ14
Telephone No: 614 In No: AIA
' Name and address of my person making a loan for the conatmctiov of the improvements
New,,�J A
Address: N A
PhomNo: (JLA Fax No: 01A0
Name of person within the State of Florida,other than himself,designated by owaw upon whom entices or other documents may be
served: Name:
Add ass:
Telephone No: u A' In No: N 14
In addition to himself, owver designmm the following person to receive a copy of the Licari Notice as provided in Section
713.06(2)(b),ploridatgrates. (Fill in a Owner's option)
Name: A//h_
Address: AJ
Telaphom No� Al A Fax No:
Experabon date of Notice of Commencement(the expiration data is am(1)year from the dace of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY O-WNE-R�
Of Flomethia fo day oK! iv thun
e CatyofjluJd,Sum
OFFloride,hes personally eppparN 1
✓ • SHARON DUNN 1*'otvJ-Putilio-at=lierg�grate o[Flod Couvry dDuval.
cpmmiasipns FFaHa94 My commission expires:_,f17,/O// 2322
M,Comm on Expires peraoesllyl(oaxm[ ✓ m
August 23. 2019 Produced Identification:
