COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
AMERICAN LANDSCAPE
AND LAWN CARE INC 1352 PINEWOOD RD JACKSONVILLE
BEACH FL 32250-2931
COMPANY:ADDRESS:CITY:STATE:ZIP:
ONE ELEVEN
CONSTRUCTION , LLC 3810 Tropical TER JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172164 0000 DONNERS R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
45 SIMMONS RD CIVIL AND SITE SINGLE OR TWO
FAMILY CIVIL AND SITE
SITE WORK FOR PROPOSED
BUILDING $100000.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING BUILDING OFFICIAL NOTES INFORMATIONAL
Notes:
BUILDING OFFICIAL NOTES
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 3Issued Date: 5/24/2022
PERMIT NUMBER
CIV21-0003
ISSUED: 5/24/2022
EXPIRES: 11/20/2022
CIVIL AND SITE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
This application was not submitted by a licensed contractor, as required by F.S. 489.113(2).
This project will require a licensed contractor, before issuing the permit.
All development plans must conform with Florida Building Code and Florida Fire Prevention Code, including fire-separation distance, egress, exiting and
accessibility
When all technical details of the submittal have been approved, by all departments, the final Review Comment will state; “All technical details of this
submittal have been approved and a building permit can be issued upon final approval of documents from the licensed contractor, including licensing,
liability insurance, and workers compensation. ”
2 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL
Notes:
Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is
needed, call 247-5878.
3 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL
Notes:
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
4 PUBLIC UTILITIES RT1 SEWER CLEANOUT INFORMATIONAL
Notes:
A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade
and visible.
5 PUBLIC UTILITIES FIRE SPRINKLER BACKFLOW REQUIREMENT INFORMATIONAL
Notes:
If fire sprinkler system is provided, call 247-5878 for backflow requirements. At a minimum, will require a double check backflow preventer.
6 PUBLIC UTILITIES ADDITIONAL COMMENTS PUBLIC UTILITIES INFORMATIONAL
Notes:
All water & sewer utility connections must be inspected prior to cover up. Please call the inspection line at 247-5814 to schedule inspections 24 hours in
advance. Failure to do so will result in future failed inspections and additional fees.
7 PUBLIC UTILITIES SEE ATTACHMENT INFORMATIONAL
Notes:
All fees must be paid for water & sewer connections before meters will be set. Please call the finance department customer service line at 247-5816 to
coordinate payment of fees.
8 PUBLIC WORKS DRIVEWAY APRON INFORMATIONAL
Notes:
All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh are
not allowed in the City right-of-way.
* Commercial driveways - 6" thick.
9 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.
2 of 3Issued Date: 5/24/2022
PERMIT NUMBER
CIV21-0003
ISSUED: 5/24/2022
EXPIRES: 11/20/2022
CIVIL AND SITE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BLDG 3RD PLAN REVIEW FEE 455-0000-322-1006 0 $75.00
BLDG 4TH PLAN REVIEW FEE 455-0000-322-1006 0 $150.00
BUILDING PERMIT 455-0000-322-1000 0 $480.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $240.00
CROSS CONNECTION 400-0000-343-3701 0 $50.00
FIRE DEPARTMENT FEE 45500002080800 0 $150.00
PU REVIEW COMMERCIAL BLDG 001-0000-329-1007 0 $75.00
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
SEWER SYSTEM DEVELOPMENT CHARGE - RESIDENTIAL 416-0000-324-2102 0.75 $4050.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $14.93
STATE DCA SURCHARGE 455-0000-208-0600 0 $9.95
WATER METER AND TAP 400-0000-343-3302 0 $800.00
WATER SYSTEM DEVELOPMENT CHARGE - RESIDENTIAL 415-0000-324-2102 0.75 $1140.00
ZONING REVIEW COMMERCIAL AND INDUSTRIAL USES 001-0000-329-1003 0 $350.00
TOTAL: $7,659.88
10 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
11 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.
12 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
13 PUBLIC WORKS RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
14 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL
Notes:
Maximum driveway width within the City right-of-way is 20 feet.
15 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
3 of 3Issued Date: 5/24/2022
PERMIT NUMBER
CIV21-0003
ISSUED: 5/24/2022
EXPIRES: 11/20/2022
CIVIL AND SITE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233