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1175 Atlantic Boulevard TREE14-00100027 MiscTREE & VEGETATIPv�Q_ PERMIT APPLICATION INSTRUCTIONS (1) Complete and sign this form. JUN 0 2014 (2) Attach the required supporting exhibits as listed n the applicatio checklist. (3) Contact the Department of Commune y--Mvelopme TY—ouh J questions or need assistance completing the application or determining which exhibits are required for your particular project. (4) Submit this form, along with all required exhibits and payment to the City of Atlantic Beach, and in the appropriate amount according to the application fees listed to the right, to the reception desk at the Building Department. SECTION 1 - SITE INFORMATION City of Atlantic Beach Department of Community Development J 800 Seminole Road Atlantic Beach, FL 32233 (P) 904 247-5800 (F) 904 247-5845 ( Single-/ Two -Family Residential $125.00 F Multi -Family Residential $250.00 Commercial / Industrial $250.00 F Institutional/ Other Non-residential $250.00 Application # TREE - PHYSICAL ADDRESS I4 < If an address has not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address. SUBDIVISION BLOCK SECTION II - APPLICANT INFORMATION NAME OF APPLICANT ADDRESS OF APPLICANT PHONE LOT RE # OWNER r-ILEGAL AUTHORIZED AGENT CELL SECTION III - TREE & VEGETATION REMOVAL REQUEST I REQUEST THAT THE TREES & VEGETATION ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE ATTACHED REQUIRED EXHIBITS BE APPROVED FOR REMOVAL, AS PROVIDED IN THE CITY OF ATLANTIC BEACH VEGETATION CODE, CHAPTER 23, FOR THE FOLLOWING REASONS (check all that apply): j Vegetation (trees) are difficult to maintain /owner dislikes. fly Trees are dead, diseased or so weakened by age, storm, fire, or other injury so as to pose a danger to persons, property, improvements or other trees. F- Vegetation (trees) pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services. F- Vegetation (trees) pose a safety hazard to buildings or structures. F- Vegetation (trees) completely prevent access or cross access to a lot or parcel. /Vegetation and/or trees prevent development or physical use. It is the intent of this provision that a permit shall be granted for � 1� the removal of vegetation and/or trees when the applicant has demonstrated an effort to design or locate the proposed improvements so as to minimize the removal of vegetation and/or trees. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, PROTECTION OF TREES AND NATURAL VEGETATION, AND ALL OTHER APPLICABLE COPE$ AND ORDINANCES OF THE CITY OF ATLANTIC BEACH. v - SIG MATURE 0J APPLICANT FOR INTERNAL OFFICE USE ONLY FRONTAGE FLU DEPTH AREA ZVAR ZONING UBEX ISA WAIV ESA H/H OAB dyt, DATE SR -I SR -2 CR Tree & Vegetation Removal Permit Applicationyersionoi.oi.og N �v z w O U u J CD N W H u ID DDH SPECIES CONDITION X. '( )' 'o' TYPE ZONE STD DBL CR COMMENTS 103 ft)%PG,-jc ;L/3 x - =t - EXHIBIT A. LETTER OF AUTHORIZATION DRTV 10 -- _ _ is hereby authorized to act on behalf of /¢fZAit, yC. 01 r,6i 54, -ms the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required by the City of Atlantic Beach in applying for a development permit. M. Signature,O Owner or Owner's Legal Representative Name 6- C Se Buz {l�lli rl� �r: 141 Mailing Address one Cell— Fax Email State of: V1vf` Ott. County of: —bij-\i a--1 �l Signed and sworn before me on this 1 day of wne' a0 (� , by Identification verified: Know n TU P Oath sworn: F— Yes I— No My Commission expires: D LA f —to 1,;z t a 0 � Notary Public State d Florida Kimberly A Billingsley My Commission EE 194120 oa IV Expires 04/30/2016 EXHI BIT A_Letter of Authorization_vo5.1o. io EXN(6�T • D• —ECT TO EFSTWO 1- NEST IST STREET (50' R/W) RATER 9ERWCC W1 T" I' RPz B.—Q. PIIEW.M H FREEZE PPOTTCTq) '�.�•.: •.. NR970'.7-E 190.50' ..: PAM P RATER SCRNCE I . •. / ELECTRK DRDP r _ \ ATOM WE�ADD. TO 5 F _•—l_ 5' 9D[ (t5 CO BNED) Cu \\ 1_�PI�B/ I i L -T v I Bu tD RG RCs*P CiW LRC SITE DATA SUMMARY: . L � ✓ i •AnR,ui"ms-a9s zouwo: ax REQUIRED BUILDING SETBACKS: FRONT W. SIDE- S'(15COAISINEO). SITAR •ID' •3 ' C%XMN. DUMPSTER 1AAxTM11M8UtLDWGHEMHT • x' SITE ARBA 135 ACRES 10.40 SF IDD, BUkD CONCRE AREA 07P ACRES 0393 SF B.TR. 'CONCRE MENT AREA D.O9ACREB 59915E T 9Q� " C0 f• �O J��n t CPLCRCIC K" STORAGE • 29.4 GOOUNAATEA • OSIACREB 19.713SF 39Aa AREA REAL ESTATE NUTSBERI 1703016000. E707I0ADC0. TTOT134000 I 5.4 17A X I 9 e• asAeou SHED D . ]D7 PARNI`Y SPACES PROVIDED IS y' St Te dot D 'A 1- 0 7 V L--C—� t ' S • •�` PACKINGS ' DISTRIBUTION u 7 a R enu �q r+- • O R� II V �Tr 9. nEulwi �. ,- 'RED D rn S'LDEWAQt,, CM ED BUDDING 15O'FR7) I PAD EppTyy $ A.5' _ ... ••' iRARSFOPKR RETAIUKITCHEWDISPLAY �2. COAERED ;. °DRCX ... r wATT:'R wrroLr BUILDING I ENTRY EDLATWN (36'. A51 r cOWNAJ F ry P SUPFACC Z/ /ACCCS TIE iA.PRwtiN ry M fro WV -1 tZA � 5' -RES —O GREENHOUSE CoC n mid oc, 1 p fes( E Ei[N EMOR WI .d N a G►1 VH IG. tJ T s'wct•s'. - A re- a R mRD REstx_ , .,J-- .;6' 40ERLLR N N tea, �• WN d' iiE CLC [l `.7 , W E ST�CTb`ILa M[ Na9Y015-W 117.73' III iTD PEPIACE MORD D -L— ON .to ON NSTANEE REWIRED TO AWO" iwlLlro:1 .WWI cCR COT WM. 510. 31' siDP BARAND )R' STOP SIDN IRI -1) ARD •P "TJ TURN OxLv' s.3N (R3-5) MOONTCD BCLOR C—�GRACE�A� AND AEW:[ x .E. L- —11E SKIP 1 wP PER FOOL -Ex SDA. MI WONWTRE RARMNC. AT t9IC AY (iYP.I DYNALK svAcwc A"ANTIC IIIMEYARID (STATE ROAD Na 10) iSTPA: DRRERAr APRON .wD •aFARIy"ARB91W11IpRt A/,r 1PMp WP>ZDgv NIPP PER lDOi iNDEK 515, w�T" v As 5"ORM, zf- A•AA. SLCA`E AVE1$ILLL REN siDEWLLK R FOOT sTANOARDs. S $ F SHF.FT 3 . LMFY P CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00100027 Date 7/08/14 Property Address . . . . . . 1175 ATLANTIC BLVD Application type description DEV REV TREES/VEGETATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TREE REMOVAL PERMIT �JUl�7 -------------------------------------------------- kirjr ---— — — — — — — — — — — — — — — — — — — — — — Y i; n 9 Owner ContraTctb ROBBINS NEST FARMS LLC OWNER 1560 SELVA MARINA DR ^ ATLANTIC BEACH FL 32233 ,'�?�F�q?v 1 -------------------------------------------- ----------------------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . .00 Plan Check Fee .00 Issue Date . . . . 7/08/14 Valuation . . . . 0 Expiration Date . . 1/05/15 ---------------------------------------------------------------------------- Special Notes and Comments THE TREE APPLICATION SUBMITTED SEEKS TO REMOVE 559" OF PROTECTED TREES, WHILE PRESERVING 327". AT A RATIO OF 1 TREE INCH PRESERVED FOR EVERY 2 INCHES REMOVED, THE APPLICANTS ARE PRESERVING ENOUGH EXISTING TREES ON SITE, TO NOT REQUIRE ANY ADDITIONAL MITIGATION. THE APPLICANTS WILL STILL BE REQUIRED TO SUBMIT LANDSCAPE PLANS PRIOR TO NEW CONSTRUCTION ON SITE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . TREE REMVL COMM/IND 250.00 ---------------------------------------------------------------------------- Fee summary Charged Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total ---------- .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 250.00 250.00 .00 .00 Grand Total 250.00 250.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Kelly Ellmore Re: 1175 Atlantic Blvd Tree Removal Permit: Not Required CITY OF ATLANTIC BEACH Department of Community Development 800 Seminole Road Atlantic Beach, FL 32233 Phone: (904) 247-5800 Fax: (904) 247-5845 Internet: www.coab.us TREE REMOVAL PERMIT The tree application submitted seeks to remove a 559" of protected trees, while preserving 327". At a ratio of 1 tree inch preserved for every 2 inches removed, the applicants are preserving enough existing trees on site, to not require any additional mitigation. The applicants will still be required to submit landscape plans prior to new construction on site. APPROVAL IS IN ACCORDANCE WITH THE CITY OF ATLANTIC BEACH CODE OF ORDINANCES IN EFFECT AT TIME OF ISSUANCE. Jeremy Hubsch, TPO ADMINISTRATOR (e) Alitigation criteria and procedures. (1) Any relocation of trees in compliance with this section shall be performed in accordance with accepted industry practices, including watering to insure survival of transplanted stock. Transplanted trees must be guaranteed for at least one (1) year (2) Protected trees identified for removal on the site clearing or tree removal permit application shall be replaced with new -planted trees, unprotected trees or transplanted trees. In general. protected oaks removed shall be replaced only with oaks. With tree board concurrence, hardwood trees yielding a similar canopy may be used. The total caliper inches of replacement trees shall equal one-half ( 112) the total caliper inches of protected trees removed, unless otherwise approved by the tree conservation board. If multi -trunked trees are used as replacement trees, then the total caliper of the four (4) largest trunks shall equal the replacement caliper. New palms may be used only to replace protected palms removed. No replacement will be required for protected trees which are determined by the city to be dead or deteriorated as a result of age, insects, disease, fire, lightning or other acts of nature. a. New replacement trees shall be a minimum of Florida Number One defined in the most current edition of the Grades and Standards for Nursery Plants, Parts I and II, published by the Florida Department of Agriculture and Consumer Services. Trees shall be a species having an average nature crown spread of no less than thirty (30) feet in Northeast Florida. Trees shall have a minimum two-inch caliper and a minimum of ten (10) feet in overall height. b. Existing trees, three-inch caliper or greater, which are not protected trees or transplanted, may be utilized to satisfy tree replacement requirements, subject to the conditions stated in this subsection c. New, preserved nonprotected, or transplanted oaks used as replacement for removed protected oaks shall be four -inch caliper or greater. d- Existing protected trees which would otherwise be removed from the site because of development may be utilized to satisfy tree replacement requirements if transplanted to a location on the site which meets the requirements of this subsection. e. If protected tree removal is associated with new development, the name, size and location of all replacement trees shall be shown on the required landscape plan and such trees shall be installed prior to the final building inspection and issuance of the CO. Otherwise, the name, size and location of the required replacement trees shall be shown on the site plan required for site clearing or tree removal and such trees shall be installed within the time limit stated on the site clearing or tree removal permit. f. Existing nonprotected trees, transplanted trees and new trees used for replacement become protected trees. g Replacement trees shall be maintained by watering and guaranteeing the tree for one (1) year. Failure to maintain the trees shall be deemed a violation of the zoning code. h. A tree used for replacement shall be at least ten (10) feet from any other tree planted, transplanted or preserved i. If the applicant demonstrates to the satisfaction of the director that the site cannot accommodate the total number of required replacement trees as a result of insufficient planting area, the applicant shall provide a monetary contribution to the tree replacement account_ The amount of such contribution shall be determined as follows For every two (2) caliper inches. or fraction thereof, of replacement trees which would otherwise be required, the contribution shall be equal to the retail value of a planted two-inch caliper nursery -grown shade tree_ The retail value shall be calculated by taking the average of the median current wholesale price, published by North Florida nurseries, for a container grown, and a balled and burlapped two-inch caliper laurel oak, multiplied by two (2). The retail value shall be recalculated and adjusted annually on October 1. (f) Tree protection during development All protected trees, preserved understory vegetation, and trees retained for tree credit, pursuant to subsection (e), shall be protected from injury during any land clearing or construction in the following manner: (1) Prior to any land -clearing operations, tree limbs which interfere with construction shall be removed and temporary barriers shall be installed around all trees and other understory vegetation to remain within the limits of land clearing or construction and shall remain until the completion of the work. The temporary barrier shall be at least three (3) feet high, shall be placed at least six (6) feet away from the base of any tree, shall include at least fifty (50) percent of the area under the dripline of any protected tree or trees retained for tree credit pursuant to subsection (e), and the barrier shall consist of either a wood fence with two-by-four posts placed a maximum of eight (8) feet apart, with a two-by-four minimum top rail, or a temporary wire mesh fence, or other similar barrier which will limit access to the protected area. Tree protection shall comply with the guidelines in the Tree Protection Guide for Builders and Developers by the Florida Division of Forestry and any other reasonable requirements deemed appropriate by the director to implement this part. (2) No materials, trailers, equipment or chemicals shall be stored, operated, dumped, buried or burned within the protected areas. No attachment, wires (other than protective guy wires). signs or permits shall be attached to a protected tree. When removing branches from protected trees to clear for construction or pruning to restore the natural shape of the entire tree, the guidelines in the National Arborist Association Pruning Standards for Shade Trees and the American National Standards for Tree Care Operations (ANSI 4Z133. 1) shall be followed. Protected trees shall be pruned to remove dead or damaged limbs and to restore this natural shape, and fertilized as necessary to compensate for any loss of roots and to stimulate root growth. Any damage to tree crowns or root systems shall be repaired immediately after damage occurs. City of Atlantic Beach �s r � Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) _i(0- f ML Date routed: l 2/0(/Z6(� APPLICATION REVIEW AND TRACKING FORM Property Address: 1175 4440_ ,-�L e I `, J. Applicant: c s elfCO(bPacV Project: �. Cbz l( 6 W(kd feA() D On R ans Review fee $ went review required Yes No 1Celanning & Zoning I 1 1 Public Utilitie Public Safety Fire Services 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: Reviewing Department (Circle one.) BUILDING PLANNING & ZONING TREE ADMIN. PUBLIC WORKS PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Revised 05/14/09 APPLICATION RTATI IS First Review: []Approved Comments: Reviewed by: ❑Denied. Second Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: C Date: - BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904) 247-5845 Job Address: - �j, 7 S �� ^��C z / L"6 Permit Number:y� >✓t t2 Legal Description RE# AValuation of Work (Replacement Cost) $ A (M) - Heated/Cooled SF Non- Heated/Cooled • Class of Work (Circle one): New Addition Alteration Re it Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): mmercial Residential • If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N� • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: //U s/7� // Sift' /C0-0 T t vUVC� G�.�l�� 011' CL3✓� L/) ;.,A P Florida Product Approval # for Property Owner Information Name: 4-11e74-11" Re -46,4 !/lz&Nf Alet"J City�r E -Mail use product approval fonn : // 7 S ,41,1-/44 \J,// , 6 i, ✓A State X Zip 3-2"�57b Phone '70 Y-- Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) 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. Contractor Information: Name of Company:(fISS,6Ca1`'p141' Qualifying Agent: SAV! Address: P049 /S -2s- City State Zip /-' L Office Phone 90Y- 7S S - 5/31i Job Site/Contact Number _ State Certifieation/Registration # c,6 -,c_ o7-7(.3 E -Mail Architect Name & Phone # -- Engineer's Name & Phone # Worker's Compensation �•^ h Exempt I insurer I Lease EmploycesExpiration Date 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 Trior to the issuance of a permit and that all work will be perfonned to meet the standards of all laws regulating construction in this jurisdiction. his permit becomes mill and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period o six (6 monde at any time jter work i co menced. l understand that separate permits mast be sec red for lectrical Work, Plumbing, Signs, ells !tools, Furnaces, B ate s T tks and Air Conditioners, etc. Signature of Property O er: Signature of Con or. Befo e e this Day of r Before me this' D yf V C 7O 1 �O Notary Public: 1 hetcbi, cerlijt• that 1 have rcad and cxaniinetl this p licatior r on, the sante to be trite and correct. .41d provisions rf low and or dinahces gorerning this nspecified her herein or not. The granting of pernnt docs trot Presume to gni authotirl to o t o; tic Jell SPF St . I ar other e eral, .state, or local law regtrlatmwconsnruciio the perfonna►rce or construction. == ``F = MY COMMISSION # FF 924951 y?, EXPIRES: October 6, 2019 a.'PG, TONT Ci J Ep��C '•ik pF F �` Bonded Thru Notary Public Undernr ers ''r' MY COM Ilj i/ 951 4 �'` Bonded ThN Notary Public Underwriters s C1ca 0 N GO N September 22, 2016 ~ U O Mr. Dan Arlington _.. COAB Building Department 800 Seminole Road Atlantic Beach, Florida 32233 Re: 1175 Atlantic Beach Urban Farm Permit as -built and clarification drawings Dan, Per our conversation please find attached the updated and as - built drawings for permit #'s 15-CNEW-2378Greenhouse r-kAc`� -1 � Z� (, 6 15-CNEW-2810 Farmhouse Please find attached five (5) copies signed and sealed by the professional that prepared the original and the revised permit drawings. 1. Abbey Civil Engineering;Gary Abbey Site Work 2. A&K Land Planning & Design; Kris Reed Landscape 3. Design Development AIA, Scott Fraser Building a. Major Architectural changes incorporate a change from a dropped ceiling to a structural vaulted ceiling. Interior changes to the structure. b. Major Engineering changes surface curbing and location of the container structures. 4WIf .Veu or the review of the COAB have questions please contact me __. at: steve@firststardev.com or phone 904-759-4312 SincereW, Steph*n R. Nssel CC: Tracey yestbrook sa i n g ATT: Permit Applications 5 copies of drawings SCANNED Date: (oil 3 11 FIRSTSTAR DEVELOPMENT, INC Post Office Box 1875, Ponte Vedra Beach, Florida 32004 nr In SEP 2 3 2016 September 22, 2016 City of Atlantic Beach c/o Dan Arlington 800 Seminole Road Atlantic Beach, FL 32233 Re: Atlantic Beach Urban Farms ACE Project No. 14004 Dear Dan, 4xbb VIL ENGINEERS, INC. Enclosed please find five sets of revised civil engineering plans for your review and approval. The primary change on these plans to note is the (COAB City Council recently approved) six-foot fence height along the north side of the property. Numerous other minor revisions have been made to the plans since our first submittal, such as shifts in the parking spaces and ancillary equipment outside the buildings. Landscape revisions will be submitted on separate plan sets and under a separate cover letter from the landscape architect, Kris Reed, RLA. Please feel free to contact me if you have any questions or require additional information. Sincerely, Abbey Civil Engineers, Inc. Gary A. Abbey, P. E. President 2046 Cherokee Drive FI. Certificate of Authorization 9428 Neptune Beach, Florida 32266 SEP p 3 U 904-247-1733 Office abbeycivil@comcast.net , October 25, 2016 Aquatic Townhouses 102 Aquatic Drive CITY OF ATLANTIC BEACH PERMIT NOTES 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 (904) 247-5800 1. There are seven (7) buildings in this project with seven (7) separate building permits. Details for all seven permits are included in the same set of plans. All plans and details will be filed under Building 1, Building Permit 16-SFAT-1793. 2. All site and civil details are found in the separate Civil Permit, 16-CVPR-740. 3. This project consists of townhouse buildings, as defined in the FBC, with 2 -hour fire -rated separation walls, and permitted under the FBC-Residential Code, Fifth Edition. 4. This project is located in a Flood Zone, AE -6. With the COAB Freeboard of 2.5 feet, the minimum FFE is 8.5 feet. Attached garages and enclosures below 8.5 feet are permitted with hydrostatic vents, per FEMA regulations. 5. Finish Floor Elevations must be verified, with FEMA Elevation Certificates, for each building, before any inspections past slab can take place. 6. For each building slab, please provide a signed/sealed/dated test report, documenting at least two (2) test points for soil compaction and bearing capacity. 7. Please provide details for utilities, including electric service, crossing future property lines. If the proposed units are sold separately, any time in the future, utilities crossing the new property lines may complicate the sale. 8. Buildings are located in a Flood Zone; per COAB LDR, the total building height is measured from FFE. Maximum Total Building Height is 35 feet. 9. Florida Energy Sheets were not submitted with application. Energy Sheets must be submitted before any rough inspection can take place. 10. Florida product Approval Sheets were not submitted with application. Product Approval Sheets must be submitted before any inspections can take place. 11. Please see Electrical Pages for additional Smoke and Carbon Monoxide Detectors, required by the FBC- R and NFPA 72. 12. Truss engineering is incomplete and not signed off by EOR. Please resubmit all truss engineering, signed off by EOR as meeting his design. Hold all inspections past slab for truss engineering. Dan Arlington, CBO (904) 247-5813 darlin onncoab.us BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: /I7 S A47'&,+1✓rn 81-v6. Ak?- 4WWc- A 04co/ Legal Description 84K //a /-&; /-1 4*6G7/OJV '1y'' Pd /S PF Sy GiaecKed Permit Number: /70'709 - ao00 Valuation of Work $ /Soi 400 0 Prol Proposed Work heated/cooled 2 6-60 no rt •� . P non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/pro osed structure(s) (circle one): Comm Residentia If an existing structure, is a fire sprinkler system insta ircle one): Yes &> N /A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed:_f- -wt --1 -sr Ar6•z4 _vrP L y _" F0.1' M IAO US<E�__ Property Owner Information: Name:1Q0kWr /VLSI ¢'rrtif Address: /S"(0 -fe/yef -oyew' 1g tri✓.c City c. 13.&a State Zip 'YY3 Phone ?0Y. 6 99 - 7 S 73 E -Mail or Fax # (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Sf e v -c G7'�•/S T t 7/0j � d -L v. (!o�y Company Name: G✓f S A 1- 4( 4* d-7.4.4 o I Y Qualifying Agent: 'Vep %fes R*A40 of u.&I Address: -2."4 PA*Itlaj s City t/.1eJu0^.6/7&t State XZC _ Zip YLa Office Phone / Job Site/ Contact Number fe y•7S'y - YS/3- Fax # Joy. 339 - %wfe State Certification/Registration # C4 -e. 49/o/740 Architect Name & Phone # XC.& J-1 A* -4 fe. ✓' ?#V- 97/ • 3'13 Engineer's Name & Phone # 6e -a S of y d: ay✓'-F1-t/c( yyg . 0 yb . 756 f Fee Simple Title Holder Name and AcTdres4 N /,g: Bonding Company Name and Address h/ IA Mortgage Lender Name and Address JVIA ; Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that , I.= flbines or to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating const r n this jurisdiction. This per null and void fwork is not commenced within six (6) months, or ifconstruction or work is suspended or aban r a ertod ofsix ((6) monthsme after work is commenced. I understand that separate permits must be securedfor Electrical work, Plumbic: {t}�Pools�Fi� *es, Heaters, Tanks anti Air Conditioners, eta WARNING TO OWNER: YOUR FAILURE TO RE I}s4•] :� COMMENCEMENT MAY RESULT IN YOUR PAYING TW CE FOR IMPROV E TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this o1 w type ork 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 arty other federal, state, or local law regulating construction or the performance of construction. �l Signature owner Signature of MY COMMISSION # EE196248 EXPIRES May 07 2016 Print Name IS -Q - COMMISSION # EE190248 cam rj�`►�ryJ. City of Atlantic Beach Building Department z� 800 Seminole Road ! Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) / , 2,P10 Date routed: /Z APPLICATION REVIEW AND TRACKING FORM Property Address: Aianvj-d 411(d i Applicant: / f Project:&M—AA's f - Review fee $ De artment review required Yes No tanning & Zoni LF ministrator c Utiliti Public Safety ire Services --- Dept Signature Other Agency Review or Permit Required 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: Reviewing Department (Circle one.) BUILDING PLANNING & ZONING TREE ADMIN. PUBLIC WORKS PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES evised 07/27/10 Review or Receipt of Permit Verified By Date APPLICATION STATUS [FirstrReview: []Approved. enied. omU/�D ents: Reviewed by. y `e Second Review: []Approved as revised. ❑Denied. Comments: Reviewed by: -hird Review: Approved as revised. []Denied. :omments: Reviewed by: Date: 7/3 (, j Date: Date: Escanio Re // 46" �1-16117 " " C 4/rol From: Escanio, Rey Sent: Wednesday, December 30, 2015 8:46 AM To: Escanio, Rey Subject: Hydrant Fire Flow Test Please provide proof of meeting minimum required fire flow requirements for proposed building per NFPA 118.4 and Table 18.4.5.1.2. This can be accomplished by contacting JEA Scott Stevens (steves@oea.com) and obtain hydrant flow test information conducted within the last 12 months and providing report with next submission. Flow data can also be obtained by private provider as long as it is witnessed by our office. Hydrant must be within 500' of proposed building measured via drivable fire department access road. Rey Escanio CFPE Fire Safety Inspector Fire Prevention Division 214 North Hogan, #281 Jacksonville, FL 32202 Phone: (904) 255-8561 Fax: (904) 2558559 Cell: (904) 891-7232 rescanio@coi.net orK-? _ rA,' . I / -7 It C,