340 2nd St RESO23-0051 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
D AND K WADE TRUST 7510 BRIARCLIFF DR ROSOE IL 61073
COMPANY:ADDRESS:CITY:STATE:ZIP:
SIGNATURE HOMES &
DEVELOPMENT 1474 South 3rd Street Jacksonville Beach FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169765 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
340 2ND ST
RESIDENTIAL OTHER SINGLE OR
TWO FAMILY RESIDENTIAL
OTHER
Artificial Turf $29980.32
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 NOTICE OF COMMENCEMENT INFORMATIONAL
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
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: 5/18/2023
PERMIT NUMBER
RESO23-0051
ISSUED: 5/18/2023
EXPIRES: 11/14/2023
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 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.
3 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
4 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.
5 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
6 PUBLIC WORKS CONSTRUCTION SITE MANAGEMENT INFORMATIONAL
Notes:
Provide construction site management plan, including location of silt fence, dumpster, portable toilet. Right-of-Way Permit is required if using right-of-
way for construction parking.
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: 5/18/2023
PERMIT NUMBER
RESO23-0051
ISSUED: 5/18/2023
EXPIRES: 11/14/2023
RESIDENTIAL OTHER PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $235.00
13 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
Must use base material with >10% fines - inspection is required and will be verified.
14 PUBLIC WORKS OTHER PUBLIC WORKS CONDITION INFORMATIONAL
Notes:
Must submit receipt of artificial turf material being used at the address provided during final inspection.
3 of 3Issued Date: 5/18/2023
PERMIT NUMBER
RESO23-0051
ISSUED: 5/18/2023
EXPIRES: 11/14/2023
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
Artificial Turf
340 2ND ST
SIGNATURE HOMES & DEVELOPMENT
RESO23-0051
Building Permit Application Updated 10/9/18
City of Atlantic Beach BuildingDe artment/ p ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
Job Address: 340 2nd Street,Atlantic Beach, FL. 32233 Permit Number: 4 -00SI
Legal Description Lot 15, and West 1/2 of Lot 13 Block 3
RE# Itog 1(0 5 OCrAD
Valuation of Work(Replacement Cost)$29,980.32 Heated/Cooled SF Non-Heated/Cooled
Class of Work: New DAddition Alteration Repair Move [Memo EPool Window/Door V Synthetic Grass
Use of existing/proposed structure(s): Commercial E'Residential
If an existing structure, is a fire sprinkler system installed?: Yes No
Will tree(s)be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) LJNo
Describe in detail the type of work to be performed:
Artificial Turf installed n.Detailed Inclusions aggregate subbase system(3"-4 57 stone drain rock topped w/1"of fine aggregate),100 plastic nailerboard system for turf perimeter attachment;stainlesssteelfasteners;Micro-Mechanical seam tape T col infll at 2.8 lbs per SF..Emerald Green Turf product by Artificial Turf wholesalers;all associated labor&mise.materials.
Florida Product Approval#for multiple products use product approval form
Property Owner Information
Name David Wade Address 3402nd Street
City Atlantic Beach State FL Zip 32233 Phone 815-985-2944
E-Mail davewade54agmail.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
1 1
Name of Company v c vr>r tiovAC'; llev4 lituali ing Agent. exp- wi %ct-w.3fc` cAddressf-'74' ,o , c J S. City c•..> Q c," State 'j(Zip 3D-So
Office Phone Job Site Contact Number Q 21'--7./-•X6(-7
State Certification/Registration# CRC--o tk'311{,E-Mail (--C-XciS t q'vA r Ov .
Architect Name& Phone#
Engineer's Name& Phone#
Workers Compensation Insurer OR Exempt G Expiration 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 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 At ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner or Agent) r/ Signature of Contractor)
r
Signed and sworn to(or affirmed)before me this 10th day of
j
I e.d and sworn to(or affirm.)be•for: e his I Zay of
May 2023 , by David Wade y l `Ci ,Z.Z by 2 J' ,.,.Ili a
0 Q Rte
Signature a Notary) ture ., No
I Notary Public State of Florida I IS
1 Ashley Beth Boele o<P'';e!%;•• TC JI GINL LESPERGER
Personally Known OR f . .,. My Commission Personally Known
4 :+; ':
Produced Identification 4
illi"a" HH 2/
22/2
Produced Identific.f j a MYCPIRESCOMMISSION 353178
Exp. 7i221202s I EXPIRES:October 6,2023
Type of Identification: Type of Identification: -,e:"',*,o ' _
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