360 3rd St RESO22-0067 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
CAMPBELL PATRICK H 360 3RD ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
SOUTHERN TURF 102 PINE ST NEPTUNE BEACH FL 32266
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169787 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
360 3RD ST
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
ARTIFICAL TURF $6900.00
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.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during 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 3Issued Date: 5/10/2023
PERMIT NUMBER
RESO22-0067
ISSUED: 5/10/2023
EXPIRES: 11/6/2023
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 $85.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
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 RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site. Cannot raise lot elevation.
6 PUBLIC WORKS DOCUMENT IMPERVIOUS AREA INFORMATIONAL
Notes:
Strongly suggest thorough documentation of impervious areas be recorded.
7 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
8 PUBLIC WORKS TOPO SURVEY INFORMATIONAL
Notes:
Must provide a topographic (TOPO) survey with water retention for final C.O. Inspection.
9 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
10 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
11 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
12 PUBLIC WORKS WATER RETENTION INFORMATIONAL
Notes:
Water retention areas must be sodded prior to inspection.
2 of 3Issued Date: 5/10/2023
PERMIT NUMBER
RESO22-0067
ISSUED: 5/10/2023
EXPIRES: 11/6/2023
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $131.50
3 of 3Issued Date: 5/10/2023
PERMIT NUMBER
RESO22-0067
ISSUED: 5/10/2023
EXPIRES: 11/6/2023
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
ARTIFICAL TURF
RESO22-0067
360 3RD ST
SOUTHERN TURF
mmemplom
1 "-',... Building Permit Application Updaredl0/9/18
n,
City of Atlantic Beach Building Department ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
c)s,}r
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED,
Job Address:_ 36,D_._ c'Fr- ,_ r r Permit Number.
Lk ,(/
REso ZZ- C oCo7
Legal Description 4 11)144)/i 1/ to /9-6 ` z v RE#
Valuation of Work(Replacement Cost)$ j /i90 Heated/Cooled SF Aitt Non-Heated/Cooled f-',/,'
Class of Work: ANew DAddition DAlteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial Qftesidential
If an existing structure,is a fire sprinkler system installed?: Yes JNo
Will[reels)be removed in association with proposed project?Yes(must submit separate Tree Removal Permit)/No
Describe in detail the type of work to be performed: 14/rexv /y/P Ibte2A-4,4,F
Rr/A,(ice I 2/ /10,C5 a- /f- S7:4744,GSe..Pe/ iA /AiiS
Florida Product Approval# A/D s/—..re .P/0 de.c/ (0(h, for multiple products use product approval form
Property Owner Information
Name .4f-R/C+E' e4 j,)//.//Address 3620 3/d St'
City At'2'- /5G/I State f—/ Zip ___4-4.-Z.215 Phone 90 Q.3/ 722'7
E-Mail S O/ v'07 'AI)/ . / *Al
Owner or Agent(7f Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company S()G,A-C rI -AL2Y Qualifying Agent iU /)
City E/-'n&State F/ Zip 3,Z Z. C.
Address /U7 Pm.i- 5-1.-- A/
Office Phone d QV-386 `VY /7 Job Site Contact Number !: 7,-V,'`(
State Certification/Registration# E-Mail ?'Dili), '-r f.4".'/27'2'LL- 6 v q
Architect Name&Phone U `_f/x4
Engineer's Name&Phone# ^//gy
G 3
Workers Compensation Insurer ,
p/)/Stn'/< OR Exempt Expiration Date -5
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 ANS;' ORNEY : FORE
RECORD G YOU:• NOTIC 0/ •MMENCEMENT.
ii Av'
Signatur .f Contractor)
Signature . Owner;r Agent)
Signed and sworn to(or affirme
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dayof Signed and sworn to(or affirmed)before me this day of
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oI; AMY GORMAN
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AMY
Notary Public,State of Florida •
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PROPERTY ADDRESS:360 3RD STREET ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER 1306.0351
0,FIELD WORK DATE:6/7/2013 REVISION DATE(S):IREV.O 6/10/20131
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11.1111306.0351
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FLOOD INFORMATION: POINTS OF INTEREST
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING NONE VISIBLE
MUNICIPALITY OR W W W.FEMA.GOV,THE PROPERTY APPEARS TO BE
LOCATED IN ZONE X.THIS PROPERTY WAS FOUND IN THE CITY OF
ATLANTIC BEACH,COMMUNITY NUMBER 120)75,DATED 06/03/13.
Florida Land AFFILIATECUENTNUMBERDATE:6/10/2013
Title Association
BUYER:Eileen Campbell and Patrick Campbell FL-TAMEMBERS
SELLER:
3 *'
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CERTIFIED TO:EILEEN CAMPBELL AND PATRICK CAMPBELL;COLLINS,BROWN,
CALDWELL,BARKETT,GARAVAGLIA AND LAWN,CHARTERED;
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY;BANK
OF AMERICA
www.surveystars.corn
Land Surveyors, Inc. P 866-735-1916•F 666-744-2882
This is page 1 of 2 and is not valid without all pages. LB.7337 12220 Towne Lake Drive,Suite 55•Ft.Myers,FL 33913
ALL INFORMATIONRevisionRequest/Correction to Commentsfrltri HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: / O(1 o" DOh.,
Revision to Issued Permit OR A Corrections to Comments Date:
Project Address: 36 D 3 rd 51-reef
Contractor/Contact Name: 1)-t 2/ A) 7?/4 fi
Contact Phone: /
U1/ _ '8 ' Y/I / Email:4;/-/t/6the/r27 oiej
Description of Proposed Revision/Corrections:
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1, 1g /1I1Taffirmtherevision/correction to comments is inclusive of the proposed changes.
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Will proposed revision/corrections add additional square footage to original submittal?
o Yes (additional s.f.to be added:
X•IV• I proposed revision/corrections add additional increa e in buildin alue to original submittal?
No *yes (additional increase in building val Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
ti
Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
p'b... , a SPECIFIC PURPOSE SURVEY OF:
LLv+.1}.rrw.wl LOT 1B AND EAST 1/2 LOT 21,BLOCK 4 ATALANTIC BEACH,ACCORDING TO THE
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2 THE PURPOSE OF TMS SURVEY IS TO OCSPLAY TOPOGRAPHIC FEATURES IN ACCORDANCEITYWITH1THECOFATLANTICBEACHPOOL£SPA STANDARDS.
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r, "1* ermitt Reviews
yrs ) -..
Cityof Atlantic Beach
Permit Number: RESO22-0067 Description:ARTIFICAL TURF
Applied: 10/20/2022 Approved: Site Address:360 3RD ST
Issued: Finaled: City,State Zip Code:Atlantic Beach, Fl 32233
Status:AWAITING CORRECTIONS Applicant:<NONE>
Parent Permit: Owner:CAMPBELL PATRICK H
Parent Project: Contractor:<NONE>
Details:
SENT DATE
RETURNED
DUE DATE TYPE CONTACT STATUS REMARKS
DATE
Review Group:AUTO
10/20/2022 10/20/2022
SUBMITTAL
Permit Tech APPROVED
COMPLETENESS
Notes:
ONE ATTACHMENT
10/20/2022 10/25/2022 11/3/2022 ZONING Zoning APPROVED
Notes:
Please note a tree removal permit is required for removal of any trees.
10/20/2022 10/20/2022 11/3/2022 BUILDING Building
NOT APPLICABLE
TO DEPARTMENT
Notes:
10/20/2022 10/24/2022 11/3/2022 PUBLIC WORKS Public Works DENIED
Notes:
Cannot install artificial turf in water retention area.
Documentation must state and show on plans that artificial turf will not be installed in water retention area.
10/20/2022 10/20/2022 11/3/2022 PUBLIC UTILITIES Public Utilities
NOT APPLICABLE
TO DEPARTMENT
Notes:
Printed:Wednesday, 26 October, 2022 1 of 1 CENTRALSQUARE