815 Plaza RESO23-0027 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
GIBSON PETER F 815 PLAZA ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
BEACHES FENCE DECK &
PERGOLA LLC 844 MAJESTIC CYPRESS DR JACKSONVILLE FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171114 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
815 PLAZA
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
GROUND LEVEL DECK $2400.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 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.
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 2Issued Date: 3/28/2023
PERMIT NUMBER
RESO23-0027
ISSUED: 3/28/2023
EXPIRES: 9/24/2023
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $65.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $226.50
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
3 PUBLIC WORKS DUMPSTERS/ROLL-OFF CONTAINERS INFORMATIONAL
Notes:
Dumpsters and roll-off containers must be used in compliance with Section 16-8 and must comply with all standards, per City code.
4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
5 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
6 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
7 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
8 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
9 PUBLIC WORKS DECK BOARDS INFORMATIONAL
Notes:
Deck boards must have 1/8" gap or 3/16" gap to be considered impervious. This will be verified at inspection.
2 of 2Issued Date: 3/28/2023
PERMIT NUMBER
RESO23-0027
ISSUED: 3/28/2023
EXPIRES: 9/24/2023
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
4 Building Permit Application Updated 10/9/18
2`, City of Atlantic Beach Building Department ALL INFORMATION
r
v
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
li
IS REQUIRED.
GPhone: (
904) 247-5826 Email: Building-Dept@coab.us
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Q
dJobAddress: O I 5- ?/(,-R 3AZA. Permit Number:5O Z -bZ 7
Legal Description So-ed) 17 -z 5-21e.
NOVA
AL lL-S/'"ir 1 112V CLI' / RE# 1 71/<
NValuationofWork(Replacement Cost)$Heated/Cooled SF Non-Heated/Cooled
Class of Work: Aew Addition Alteration DRepair Move Demo Pool DWindow/Door
Use of existing/proposed structure(s): Commercial p'Residential
If an existing structure,is a fire sprinkler system installed?: DYes JeNo
Will tree(s)be removed in association with proposed proiect? Yes(must submit separate Tree Removal Permit) Olo
Describe in detail the type of work to be performed: 12-r"Nt> 4 Qt_ b j?e_-<:_ie t`I6--
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Florida,Product Approval# for multiple products use product approval form
Property Owner Information
Name IPEre . -IC. OP-' Address FSI> RAza
City LA ,--t- ,C, ac-4.1.- State -- . Zip 32Z33. Phone Z02- ({Zr 71 'S-a
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of CompanyC NtS IN4 E Ck-TE12G-J2.AQualifying Agent Jo -44 A" -G LV -r-
Address QU41414-r=sT, C C `/ S C C-^-) City 1 AC/(SD'V& .- State R_ Zip S 2 Z 3,
Office Phone cfr--/ '7 C '7 7's`j Job Site Contact Number
State Certification/Registration# E-Mail ?(,EA c. 51= P6C.-y 1A/L • Lam,
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer /9_,AFT-( orf-OR Exempt Expiration Date I ///24
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 the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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 YO TICE OF COMMENCEMENT.
Alr w
Signature of Owner or Agent)Signature of Contractor)
5-ever>, 5cLw-rCervLII.v G
Si ned and sworn to(or affirmed)before me this q day of Si ed and sworn to(or affirmed)before me this J day of
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AS RECORDED IN PLAT BOOK '30 PAGES GO•64 24 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
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