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Permit 566 Plaza `SS CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000132 Date 2/09/10 Property Address . . . . . . 566 PLAZA DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPAIR SERVICE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BILL THOMPSON ELECTRIC CO, INC 49 WEST 7TH ST ATLANTIC BEACH FL 32233 (904) 249-5601 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/08/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 07- ( I 800 SEMINOLE ROAD,ATLANTIC BEACH.FL 32233 rOFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US i ELECTRICAL PERMIT APPLICATION DUVAL COUNTY Y.JOB ADDRESS: 2.IS:THIS A SUB PERMIT' 3.13A A1110 ��Z Atlantic Beach FL 32233 OYES PERMIT#: PROPERTY OWNER.:z 4.NAME: �y `^ S.ADDRESS IF DIFFERENT FROM JOB ADDRESS: S.PHONE: ELECTRICAL:CONTRACTOR.;� - r 7.NAMEOF MP t � "iJ C C G. 8.ADDRESS.:P �`-' ✓ /�` P►{ Yv1 G TJL 9.STATE OF FLORIDA LICEN NO: 10.CELL PHONE: 11.FAX NO.: 12.EMAIL ADDRESS; ' 13.OFFICE PHONE: 14. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after is commenced. CONTRACTORS SIGNATURE: 16.CLASS OF WORK:. -. 17.SERVICE: IIIc METER NUMBER. :. 0 MULTI FAMILY-#OF UNITS: ESIDENTfAL ,%SINGLE FAMILY 0 TEMP SERVICE 0 COMMERCIAL ❑ADDITION 0 TRAILOR 18.BUILDING: 18.CURRENT.CODE::. : - ❑ALTERATION 0 SIGN PirOLD O NEW 5 NATIONAL ELECTRICAL CODE [.REPAIR O POOL/SPA O REWIRE 0 OTHER: LISTALL;ELECTRtCN=1ARK,• /O :',,..n.. 20.TYPE OF SERVICE: OVERHEAD D UNDERGROUND O UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE:_�_ XPOWER IS ON O POWER IS OFF 22.SIZE OF CONDUCTOR: AMPICITY: OCOPPER O ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: 1 O YES O NO 29-3100 NOT APPLY TO NEW SINGLE FAMILY.MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: ZL CONDITIONING: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: 33 MOTORS:,: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34-TRANSFORMERS UNDER 60OV: NUMBER: KVA: OVER 600V: NUMBER: KVA: 35`IIISCElANE0U3REPA1Rss. . DESCRIBE IN DE AIL' s?1��f(�- PTtl � ax4 .77 PJB-� e `/G 2 CITY OF ATLANTIC BEACH f1 800 SEMINOLE ROAD J =" ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �4J3t1>l' Application Number . . . . . 10-00000056 Date 1/27/10 Property Address . . . . . . 566 PLAZA Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------- Application desc PAVER ADDITION ------------------------------------------------- Owner Contractor ------------------------ ------------------------ HEINE OWNER 566 PLAZA ATLANTIC BEACH FL 32233 -------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Expiration Date . . 7/26/10 ------------------------------------------------------ Special Notes and Comments Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . Roll off container company must be on City approved list and cannot be placed on City right-of-way. ----------------------------------------------------------- Fee summary Charged Paid Credited Due ---------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. d1l y v VkKIN4 GOMACIV = AM 5P 8 . � .�: �► ' f PUF' 95 P - 343 5r- 400, r- s t 11r 00 f � v t� FILE COPY Ci of Atlantic Beach ' ` City � �_ �, - APPLICATION NUMBER Building Department /' r _ ,� (To be assigned by the Building Department) r , 800 Seminole Road Atlantic Bead,Florida 32233-54451< Phone(904)247-5826 - Fax(904)/241- 845 E-mail: building-dept@coab.us Date routed: City web-site: http:/Awm.coab.us o APPLICATION REVIEW AND T CKING FORM Properly Address: '5'et G T /,LZ a... Department review required Yes No Building Applicant: Planning&Zoning Tree Administrator Project.. � rub' W° F uDlic Safety Fire Services Review fee$ be Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept of Transportation St Johns River Water Management District Arany Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: [Approved. ❑Denied. (Circle one.) Commen •^ BUILDING PLANNING&ZONING Reviewed by: — Date: �� v TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14109 CITY OF ATLANTIC BEACH �� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �. OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAG.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF '5j,..,,6f(qz� A-A-Imo. is �Ir, 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK-SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: L 11 REPAIR ❑POOL/SPA ❑YES ❑N/A f� G/ - O rt ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: n 15.COMPANY NAME: 23,COMPANY NAME: 5t��nn tir"� �s 1ST �j OD£flN 16.NAME: 24.LICENSEE NAME: C/^AW-�� t S �Lv TZ 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: �) (3T4 Ave-M v� JkX &-* 3221;70 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO/1,.• qQ`f 3 Z. U S3'71 13.�CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: I. --10 p 0 q 0,: 2 " 14.EM`ILADDiRESS: '( � 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: M0 , b r� nth 11 FOCOi (M Poria avaa •Cowl EE SIMPLE TITLE HOLDER: BODING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 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.1 will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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. OWNER or AGENT CONTRACTOR (If Power of Attorney or Agency Letter Required) (Qualifier Only) Signed: ` !. 9L" Date: ` I Sign D Beforeme this 10 day of QMA AA 209?-vin the county of Beforeme thi day of 007 in the county of Duval,State of Florida,has personally appeared I0 Duval,St Florida, p Ilya ared hernn by himself/herself and affirms that all statements and declarations are herin by himselve f nd affirms that all ements and declarations are true and accurate. true and acc�Kwn Notary Public at Large,State of F�:drn County of i)U uQ Notary Publiarge,State of County of ❑Personally Known _ rt�� ' ❑Personally Produced Identification- Y ti'wytil 'I'u-k'. ❑Produced Identification- Notary Signature: (,C7it/ re: i A g Notary Public,Stab of Florida Commission#0D946W My comm.expires Dec.15,2013 COAB FORM BLDG01:REVISED:1/10/2008 Comp. By: RLC Date: 1/22/2010 WO M, Public Works Department City of Atlantic Beach Permit No: 7 Address: 3eet 5' P�Q2GL Required Storage Volume Criteria: Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations requires that the difference between the pre-and postdevelopment volume of stormwawter runoff be stored on site. Volume of Runoff is defined as follows: V=CAR/12 Where: V=Volume of Runoff C= Coefficient of Runoff A=Area of lot in square feet R=25-yr/24-hr rainfall depth(9.3-inches for Atlantic Beach) Predevelonment Runoff Volume• Lot Area(A) = 7,500 ft' Runoff Coefficient Area Lot Area Description (ft) (ftZ) "C" Wtd "C" Impervious 2,668 7,500 1.00 0.36 Pervious 4,832 7,500 0.20 0.13 Runoff Coefficient(C)= 0.48 Runoff Volume V= 0.48 x 7,500 x 9.3 / 12 V= 2,817 ft3 Postdevelopment Runoff Volumes Lot Area(A) 7,500 ft' Runoff Coefficient Area Lot Area Description (ft) (ft) "C" Wtd "C" Impervious 3,011 7,500 1.00 0.40 Pervious 4,489 7,500 0.20 0.12 Runoff Coefficient(C)= 0.52 Runoff Volume V= 0.52 x 7,500 x 9.3 / 12 V= 3,029 ft� Required Storage Volume DV= Postdevelopment Runoff Volume-Predevelopment Runoff Volume DV= 3,029 - 2,817 DV= 213 ft3 Waived Retention 566 Plaza-onsite Retention.xls 1/22/2010 1 R.O.W. Permit Attachment of for R.O.W. Permit# _issued ,2005 Atlantic Beach,FL 32233 Owner's Name: te. Property Address: 566 0-)7<1 Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMEN ERMIT THIS REVOCABLE ENCROACHMENT PE issued on this Iq t day of Q, ,L'1 u,.n — , 20A , by Atlantic Beach, Florida, a nicipal corporation organized and existing under the laws of the St a e of Florida, hereinafter referred o as "CITY" and of Atlantic Beach,Florida,hereinafter referred to as"US R". WITNE ETH: That the CITY does hereby grant the USER p rmission on a revocable basis as described herein the right to enter upon the property of the City of antic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permi numbers noted bove (copies attached). This work is generally described as: tt } Any facility maintained, repair d, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or re oval on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by c ified mail, return receipt requested, to the following address: The depositing of said tice of cancellation in the United States mail shall constitute the notice of cancellation and the burde is upon USER to keep the CITY informed of USER's proper address. The USER shall pro ptly make any and all necessary repairs to any facility erected or maintained in the exercise of the pri lege herein granted and shall at all times maintain said facility in good and safe condition. In the event it s necessary for the CITY or the City's approved representative or other franchised utility to enter u n the above-described property of the CITY, the USER shall replace at the USER's sole expense, y and all material necessarily displaced during the action of maintaining, repairing, operating,repl cing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The faci .ties allowed by the permit shall meet the current requirements of the City Code, Building Codes,Land Development Code,and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved pians and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page I of 2 USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. i 0 Gla DATED and SIGNED this day of G , 2065- CITY OF ATLANTIC BEACH, FLORIDA, By: *,//, '�� a municipal corporation: Pr perty Owner By: _ Jim Hanson, City Manager Attest: Rick Carper,Public Works Director. STATE OF FLORIDA COUNTY OF DUVAL iD On this I th day of 2084, personally appeared before me, a Notary Public in, and for said ounty and State, ��,,� N-0_ the property owner of 5 b Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. - l By: Notary Public in for said County and State Pr erty Owner (to be signed in presence of the Notary) AMCHABLIS BREWER Notary PubNc,State of Florida Commisab4 DD948897 My comm.expires Dec.15,2013 Page 2 of 2 �Q City of Atlantic Beach / �, APPLICATION Department O NUMBER Building P (To be assigned by the Building Department.) 800 Seminole Road f dry Atlantic Beach, Florida 32233-544 J /� Q Phone(904)247-5826 • Fax(904)24 45 E-mail: building-dept@coab.us Date routed: //0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: k-)-;0.7 1 Planning &Zoning Tree A ministrator Project: �� kyfi- 2sftuUt0i17it%e r u is Safety Fire Services Review fee$ Dept Signature:... Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP CATION STATUS Reviewing Department First Review: Xpproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC Comments: W11LIC S PUB §aj�4 Reviewed by: Date: FIRE SERVICES Third Review: [—]Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09