Beach Ave 880 WATER IMPACT FEE WORKSHEET
ADDRESS: -3 c4 C-e7cvA 14-
DRAINAGE
FIXTURE UNIT
FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS
Automatic dothes washers,commerdal 3
Automatic ciothes washers, residential 2
Bathroom group consisting of water cioset, lavatory,
Bidet, and bathtub or shower 6
Bathtub(with or without overhead shower or whirlpool
attachments) 2
Bidet 2
Combination sink and tray 2
Dental lavatory 1
Dishwashing machine, domesfic 2
Drinking fountainAcemaker Y2
Roor drains 2
Hose bib 1
Kitchen sink, domestic 2
Kitchen sink, domestic with food waste grinder and/or
dishwasher 2
Laundry tray(I or 2 compartments) 2
Lavatory 1
Shower compartment,domestic 2
Sink 2
Unnal 4
Urinal, 1_qallon per flush or less 2
Wash sink (circular or multiple)each set of faucets 2
Water closet,flushorneter tank, public or private 4
Water closet, private installation 4
Water closet public installation 6
TOTAL NUME31ER OF UNITS=
I MUL-nPUED X 20
JTOTAL$
, Mar 01 05 06: 31p DHGLEY 9042416660 p. 2
STATE OF FLORIDA CENTRAX #: 16-SJ-121ts
DEPARTMENT OF HEALTH DATE PAID: 2115MUM
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID
CONSTRUCTION PEFftIT RECEIPT
The licensed CWb-a-�instaffina ft sntam is resp=iOLp for ihsLa ftf OSTDSNBR ;-V5--0274- =9-
the ir"mum 21!pM of t&*in a=rd9rxq)d#b&L4E-60QQ)(0,FA
)NSTRUCTION PERMIT FOR: Modification
X ]New System ]Existing System [ ] Holding Tank I I Innovative Other
I Repair )Abandonment L ]Temporary ( NA I
IPLICANT: Raynan Dagley AGENT: A AMERICA, A AMERICA
,.OPERTY STREET ADDRESS: 340 Begonia Ave Atlantic Beach FL 32233
iT- 1qA BLOCK: 118 SUBDIVISION: Atlantic Beach
[',ieCtiOnITOWDship7Range/earceI NO. 1
.OPERTY ID #: 166026-0000 [OR TAX ID NUMBER]
STEM MUST BE CONSTRUCTED IN ACCORDANCE WITa SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC
PARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMA14CE FOR ANY SPECIFIC TIME
RIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT,
QUIRE THE APPLICANT TO MODIFY TIM PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT 114 THIS
RMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM
MPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT,
STEM DESIGN AND SPECIFICATIONS
1 900 )Gallons SZPTIC TANK MULTI-CEMBEMD/IN SERIES: C Y I
0 )Gallons MULTI-CHAMBERED/IN SERIES: [ Y
0 ]GALLONS GREASE INTERCEPTOR CAPACITY
150 )GALLONS DOSING TANK CAPACITY 34 1 GALLONS 6 ) DOSES PER 24 HRS PUMPS 1
250 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM
0 ] SQUARE FEET SYSTEM
TYPE SYSTEM: N ) STANDARD [ N I FILLED y I MOUND X
CONFIGURATION* Y I TRENCH t IT )BED u I
LOCATION TO BENCHMARK. ORMOE DOT 341, ON Prm TPJM
ELEVATIO14 OF PROPOSED SYSTEM SITE 46.0 j I iNCERS BELOW I BENCHR-ARK7REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE C 27.0 ] t INCHXS BZLOW : BENCHMARKIREFF-RE19CE POINT
FILL REQUIRED: E 37.0 1 INCHES EXCAVATION REQUIRED: 30.0 j INCHES
HER REMARKS
ortma"plow 10(aa a0wiarawe M"PwMaurso mcft"IM500W ja5y.Fiarwa Swam.SuagoommmapampowoodbyMA08-Ift Pat&A&njw*ajaaCpd&
;Wnkff aftftirAve hWr4 MoUbe 1AVff"2Wn*08 tomemead bift APIMCW for ihentp"M wMiatwenly-ofe C211days holhe razoof Iftordix.
a ka order,apaq OW Isaftraoly affieded byft Is emawlejuftd redra -TR
jnl20fAFlo&aSftWm RWA$w Pomdkat am oftarradlelftFlorlds Rubs alAppefthe ftcefift Such proceatlaga wW tit,
,wcond apy.awwwwied by#affmalm m*ked bylaw.wkh Do Coo arAppa Wth&Vpmpfi&MsfteourL lUmduwaabe@edwW30do"ofmwWwlbbeGWwger
a ficensed coatraMr iniftift the"m Is nmoenlMe for inb4affing ft mfniMum caftqory of tank in accordance with s.Sa-6-013=fh FAC."
-=IFICATIONS BY: — zhz'.'� T1TLE: BW Specig_jlst I
?RCVED BY: 1--4�ttlhwr� TrTLE; EW 8pea;La1;Lai-- X uu%-al 04 D
L"E ISSUED: 2;�2 05 O'diti.na *&Ich may n� EXPIRATION DATE: 8125/2006
I tz, 03191 (Qbx- be "�j_
,ck suab.r; paq* I of 2
FILE COPY
SECTION 312
STORAGE OCCUPANCY-GROUP S
§3 12.1 Scope. Group S occupancy is the principal use of a building or
structure, or any portion thereof, for storage that is not classed as a
Group H occupancy, including buildings or structures used for the purpose
of sheltering animals. For buildings used for the storage of hazardous
materials, see §308.
§312.2 Subclassifications
§312.2.1 Sl Ordinary Hazard Storage shall include buildings used for the
storage of combustible materials when not classified as S2 Low Hazard or
Group H.
§312.2.2 S2 Low Hazard Storage shall include buildings used for the
storage of noncombustible materials such as products on wood pallets or in
paper cartons without significant amounts of combustible wrappings. Such
products may have a negligible amount of plastic trim such as knobs,
handles or film wrapping. S2 Low Hazard Storage shall include, but not be
limited to, the following:
Beer or wine up to 12% alcohol in metal, glass or ceramic containers
Cement in bags
Dairy products in nonwax-coated paper containers
Dry cell batteries
Dry insecticides
Electrical motors
Electric coils
Empty cans
Electrical insulators
Fresh fruit and vegetables in nonplastic trays or containers
Frozen foods
Foods in noncombustible containers
Glass bottles, empty or filled with noncombustible liquids
Gypsum board
Inert pigments
Meats
Metal cabinets
Metal desks with plastic tops and trim
Metal parts
Mirrors
Oil-filled and other types of distribution transformers
Washers and dryers
Stoves
§312.2.3 Portions of Group S occupancy involving highly combustible,
flammable or explosive products or materials shall be properly ventilated,
protected and separated from the remainder of the building in accordance
with the appropriate NFPA Standard or the entire building will be
classified as Group H occupancy.
C
CITY OF ATLANTIC BEACH
D. Ford
BUILDING / ZONING DEPARTMENT
800 Seminole Road S.Doe
. ....... ......
1, v Atlantic Beach,Florida 32233
(904)247-5800
Tr (904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # 06- -2-�l 9 00
Property Address: . 2)L4 0 6�-t-�o/,J F\ IST
Applicant:
Project:
T pplication has been:
ved
'Eb�eviewed and the following items need attention:
/6't c c
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Date Contractor Notified:
STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete
sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic
Beach,FL 32233 Telephone:(904)247-5826
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent, including setbacks,building height,number of stories and square footage. Identify any
existing structures and uses.
3. Existing and/or proposed driveways.
4. If required by the Department of Public Works,a pre-construction topographical survey.
5. Any significant efivironmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
6. Impervious Surface area calculations. (Swimn-dug pools may be excluded from total Impervious Surface.)
7. Other information as may be appropriate for individual applications.
I HEREBY CERTIFY THAT �IFO PON VIDED H THIS APPLICATION IS CORRECT.
ATI _I
SIGNATURE OF OWNER ' /3 Z-6-
DATE,_
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR
LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF
THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION
BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS
REQUIRED.
SIGNATURE OF CONTRACTOR --goo Li �e4-t DATE
ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME�k, 4,%:< t
MAILING ADDRESS \-TqJ- C,�
PHONE c FAX E-MAIL Vol
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF
STATE OF FLORIDA,COUNTY OF DUVAL
NOTARY'S SIGNA
R B Guertin
AS TO 1262715
P, Commission#DD Personally known
Expires:Oct 28,2007 )LI—Produced identification
B,,ded-1bru Type of identification produced 1) a Yo
kt1,nticBondn&CO-,I=
AS TO CONTRACTOR: [!�-Personally known
R.B. Guertin D Produced identification
Co"Irmission#DD262715
Type of identification prod
Expires'Oct 28,2007
Bonded Tbru
�40
I ""',-i W -
hflll�' Atiantic Bonding CO.,In'
6/18/02
MAR 1 7 19..0 0
City of xilanitic Reach 800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 FAX (904)247-5805 - http;//ww�/ei.atlantic-beach.fl.us
BUILDING PERMIT APPLICATION ,
FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION
(INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS
AND ALTERATIONS, MOVING OR DEMOLITION)
DATE
L014
JOB ADDRESS ��O T)f,,clw,"a 'S'LeEi-7, ILE() 14
APPLICANT:L
ADDRESS Z 1(o 2v-, cn 7_,�t Ali-A 3'>26 PHONE: 0 iz Y4 C,q
LEGAL DESCRIPTION: BLOCK NUMBER 1(2 1 LOT NUMBER ZONING DISTRICT
STATE LICENSE NUMBER r
CONTRACTORO -ttyS /12'1-�, _e�n6C
ADDRESS,6,e�erkt L If-W_ 1014 � PHONE(90`0 T, 1 .� 4 ( 10
ZIP 2 4 FAX �tjq) 2
CITY -71_4ck-, fkt- STATE
IS_(b
DESCRIBE PROPOSED USE ANDWORKTOBEDONE i-j 20' "C;Fr_Z-(
PRESENT USE OF LAND OR BUILDING(S
VALUATION OF PROPOSED CONSTRUCTI N OrC , r
0
hat
Is this an addition? A,)c) If yes,w t e the:dimensions of the a�ddedace: i feet by feet
c c orl
Will the added area be heated and cooled? j-L /.,a =6 rectrical or in rease in service?
N.ew plumbing fixtures?4 IA-1 New fireplace? -i New heating/air conditioning? A,'1,4
Is approval or Homeowner's Association or other private entity required? n1c If yes,please su4mit with this application.
WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL
MATERIAL?
5�_NO. Applicant certifies that no change in site grade or fill material will be used on this project.
[]YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit.
PROCEDURE: (In order to expedite issuance of permits, please follow an steps and provide all
information as appropriate.)
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the
Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's
Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical
survey or grading plan is required. (If n6t required, written verification must be provided with this application.) The Department of
Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
6/18/02
CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00029900 Date 3/23/05
Property Address . . . . . . 340 BEGONIA ST
Tenant nbr, name . . . . . . 19 X 20 STEEL BLDG
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9000
Owner Contractor
------------------------ -------------- - ---------
DAGLEY, RAYMOND SR. SUN STATE ENCLOSURES INC
340 BEGONIA ST. 5800 RICKER ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244
(904) 908-4000
---------------------------------------------------------- ------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 9000
------------------------------------------------------- --- - -----------------
Other Fees . . . . . . . . . WATER IMPACT FEE 200 . 00
Fee summary Charged Paid Credited Due
- - ------------- -- --- ------- ---------- ----- ----- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . SO 37 . 50 . 00 . 00
Other Fee Total 200 . 00 200 . 00 . 00 . 00
Grand Total 312 . 50 312 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUILDING OFFICIAL
j
CITY OF ATLANTIC BEACH, FLORIDA
Approwd by I APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN'ACCORDANCE W TH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES. L
k-
EL RICIAN S
ELECTRICAL FIrM- MASTEFf 16M E
NAME ADDRESS- RFQ—BOX—
BLDG.SIZE BETWEEN:
RES.(,� APT.( COMM.( PUBLIC ( INDUS. NEW( OLD! EW.
ADDITION 4-�TRAILER TEMP.( SIGNS ( ) SQ. FT.
SERVICE: NEW( INCREASE( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUMJ
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH -'t W -2lVe)VOLT 694a RACEWAY
FEEDERS NO. SIZE NO.' SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN] TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS, OVER
APPUANCES —1 1 BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS—