2072 George St COMM23-0057 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
CITY OF ATLANTIC BEACH 716 OCEAN BLVD ATLANTIC BEACH FL 32233-5428
COMPANY:ADDRESS:CITY:STATE:ZIP:
FREEPORT FOUNTAINS,
LLC 1510 KASTNER PLACE SANFORD FL 32771
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172246 0000 DONNERS R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2072 GEORGE ST COMMERCIAL NEW
COMMERCIAL
SPLASH PAD, POOL & WET
DECK $402706.00
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 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.
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: 10/24/2023
PERMIT NUMBER
COMM23-0057
ISSUED: 10/24/2023
EXPIRES: 4/21/2024
COMMERCIAL 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 POOL WELLPOINT INFORMATIONAL
Notes:
Pool Wellpoint (if used) must discharge into vegetated area 10 foot minimum from street or drainage feature (swale, structure or lagoon).
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 UTILITY ROAD CUT INFORMATIONAL
Notes:
Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut.
Repair must be shown on the plans.\r\r\r\r\r\r\r\r
7 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.
8 PUBLIC WORKS SLAB DRIVEWAY REMOVAL INFORMATIONAL
Notes:
Slab and driveway to be fully removed.
9 PUBLIC WORKS GRASS INFORMATIONAL
Notes:
Full site to be grassed.
10 PUBLIC WORKS REVISION INFORMATIONAL
Notes:
Any plan change must be submitted as a Revision to the Building Department.
11 PUBLIC WORKS DEBRIS REMOVED INFORMATIONAL
Notes:
All construction debris must be removed from job site by Contractor.
12 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 3Issued Date: 10/24/2023
PERMIT NUMBER
COMM23-0057
ISSUED: 10/24/2023
EXPIRES: 4/21/2024
COMMERCIAL 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 $1389.00
CROSS CONNECTION 400-0000-343-3701 0 $50.00
PW REVIEW COMMERCIAL BLDG 001-0000-329-1004 0 $150.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $20.84
STATE DCA SURCHARGE 455-0000-208-0600 0 $13.89
ZONING REVIEW COMMERCIAL AND INDUSTRIAL USES 001-0000-329-1003 0 $350.00
TOTAL: $1,973.73
13 PUBLIC WORKS AS-BUILT INFORMATIONAL
Notes:
Contractor must submit As-Built plans to City within 30 days after completion of project.
3 of 3Issued Date: 10/24/2023
PERMIT NUMBER
COMM23-0057
ISSUED: 10/24/2023
EXPIRES: 4/21/2024
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
rf 'ice:.. BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
n City of Atlantic Beach Building Department cPERMIT#i,. (1n2S QUJ
800 Seminole Road, Atlantic Beach, FL 32233
ALL information required to process
Phone: (904) 247-5826 Email: Building-Deptc coab.us
Job Address 2..072- C-7jipe66 sT T RE# 17 2-7-1-1(e (XCY)
Legal Description 11- I(e - 17 25 - 2q Lf .cn c)
Valuation of Work(Replacement Cost) Heated/Cooled SF %) Non-Heated/Cooled SF A
Class of Work: El New Addition Alteration Repair nMove Demo E Pool Window/Door
Use of existing/proposed structure(s): ECommercial Residential
If an existing structure,is a fire sprinkler system installed?: EYes No
Will tree(s) be removed in association with proposed project? Yes(Must submit separate Tree Removal Permit) RI/NO
Describe In detail the type of work to be performed:
CDNS`1e4CrI NF1 114 5-R-4S-1'{ Prkez) ! L-L.tDI Nei C'UNCfzLTa— 1 kgOBT
N(c04.4 r.itGA-i— Ei.-e-C-i1 CAL 7a2L I NI Tu W VI T Cor.i p.I&-t 1 101.%
13"1 11115We AR) Nig- - 64.1
12 p v t E` 01G-r ye ( > Is.F y O-U4
Florida Product Approval# For multiple products use Product Approval Information Sheet)
Property Owner Information Name C[Ty cX 4 NI7-I C gt;WCC-}— Phone (OLl•7.5B pv
Address Q() Sev I r\I 01_6" (27 City OT-L..4 4TI La &AC(4-State F I Zip"22_ 33
Email Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information Name of company l I cr'(Ri PCLQnTlk I NS 1-LC Phone 1-1(57.3 ) 1150
Address i 5-(0 ICIA-S.Tf i- i.- City SR1`JFc)2..I State F( Zip 2_771
Qualifying Agent IN-1)1-1ak Ll.( C (L I State Certification/Registration# () C IL-15A3 g'7
Email t,41_.,k4 C I jT ® F2c:ePorer odoki, ,C.4b Site Contact Number 407. 019
Worker's Compensation Insurer Assoc.]NDtAcgti S 'NS COOK Exempt Ej Expiration Date
1 I
Architect's Namej ' r)) l^ AtM DLL .---4P85301-1Email Phone
Engineer's Name1.1-01-0-17e-R_ y cr S(Q 01 I Email 4 j g Ca t.1/461-61•41,11 4 z(i‘Olone QOLf-Z2 -97 73
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify thatf vJork 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 maybe 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 OWNED YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEF CORDING XOUR NOTICE OF COMMENCEMENT.
Signature of Owner or Agent) Signature of Contractor)
Signed apd sworn to(or affirmed)befor- me th's I LJ day of Signed and sworn to(or affirmed)before me this !( day of
l JO O. i by L .. 1 J 61°-406°C , ,-20-0) byIA.1
gi
Signature of Notary 32/ 1 1/IF Signature of Notary i
pdoersonallyKnownOR [ ]Produced ification I,4'Personally Known OR [ ) Produc-. •-
Type of Identification: ipe of Identification: 1111: •:
4 commission -
P Pte:;
Expires October 3,2025
8,00.58,5_709
TONI GINDLESPERGER o'° Bo dedTMuTroYFainM sironce
i 4 :'1 MY COMMISSION#HH 407122
EXPIRES:October 6,2027Facc;