Disapproved Permit App 1680 Jordan 2011 syvd:r J City of Atlantic Beach + P LIC TlON NUMBER y
a� J SS Building Department ,�(r be assigrie by B Department} r+
800 Seminole Road
6V , Atlantic Beach, Florida 32233 -5445
.
Phone (904) 247 -5826 • Fax (904) 247 -5845 L € k i * F . ' , , t z
9 E -mail: building- dept @coab.us Date routed t 5 t
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /4 f jo2c1 a. , S r' De ent review required Yes No
Buil
Applicant: �f �_ g' / /v& /l3la Wing & Zonin
&rTt Tre Administrator
Q Project: Q� � €7 L blic Works)
Public Safety
Fire Services
eulewfe'dtS i .;� 6.144 •Dee Slg at' re .....•'u:a
v= aw:uw S' • .r�VS'fsr+c'�
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
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: DApproved. Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date:
TREE ADMIN. Second Review: nApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. (Denied.
Comments:
Reviewed by: Date:
Zevised 05/14/09
LAN;r• City of Atlantic Beach
ALIc A T lqN
'#■■ Budding Department • be assigned:1;0e BpildingDePertmerit.
a - - Si' 1T-FP el 79-
800 Seminole Road ,
-v. Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
building-dept@coab.us .
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /4 jadarh De. - i ent review required Yes No •
Applicant: =,<Tif -tanning &
Tre A
t dministrator
Project: 7;,,,, y Work
Public Safety
Fire Services
Review or Receipt
Other Agency Review or Permit Required . . . Date
of Penntt Venfied By
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:
tft
APP ATION STATUS
r
Reviewing Department First Review: :5Approved. Elbenied.
€.7 vil."..),,,,,„fred
(Circle one.) Comments: e ,4 'A.04
/2,4;4 /
BUILDING ■44°
PLANNING & ZONING dif;"4
Reviewed by: A 4.044)NA- Date: 2."
TREE ADMIN. Second Review: ['Approved as revised. Orreiiied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: 4 1'
FIRE SERVICES Third Review: PlApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 05114/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
rob Address l 6 0 0 3T /dao 5f�� /7 4thc X CG p P- mi Number:
1ega1 Description Mel-a, Ctft o r-/- Parcel #
q 5" d a Floor Area of Sq.r't. Sq.r't
Taluation of Work $ . Proposed Work heated /cooled Sd; %' non - heated/cooled 36a
;lass of Work (circle one): N Addition Alteration Repair Move Demolition pool/spa window /door
Tse of existing /proposed structures) (circle one): Commercial • esi• - .
fan existing structure, is a fire sprinkler system installed? (Circle one): ' es MP N /A
lorida Product Approval #
'or multiple products use product approval form F )escribe in detail the type of work to be performed: (& I f - T Code d 130 me k
roperty Owner Information: / / ® 1
r ame 'P`!A I �a ' Ad. ess: 1@8 ad o) -5frfreed l2 SrCReAcA
ity ✓ i :Qi► � State ' Zip ,/ Phone 9.64- 69/7
-Mail or Fax # (Optional) ei jr 90 7� 93 �,/
' ontractor Information:((J$, ) _
ompany Name: ,54.y Pt + e . Qualifying A,ent:
ddress:. (d o P • l) i Y i e AN City =f' at, d F U-✓`. State L Zip • '
ffice Phone 35g-3 c 2(0 '/ (9 l ( Job Site/ Contact Number Fax #
Late Certification/Registration #
rchitect Name & Phone #
agineer's Name & Phone #
3e Simple Title Holder Name and Address
onding Company Name and Address
[ortgage Lender Name and Address
plication 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
'uance 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
d void f 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
irk is commenced. I understand that separate permits must be secured for Electrical Work; Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
inks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMIVIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO1VIlIIENCEMENT.
ereby certify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and o • es governing this
of work will be complied with whether specified herein or not. The granting of a permit does not presume to give au .- : : • or cancel the
7visions of any other federal, state, or local law regulating construction or the performance of construction.
gi 1
ature of Owner Signature of Contractor �■
int Name e r tfti l4 8 rodc, Print Name FQ i'i f C
voi to and subscr .ed before me S' ., . . and subscribed before me
s D,. o • l�i� _ •._. - =! AI /7 Day of .4 -_ - yv
j �! .. !, �'+^ I y COMMISSION # DD-1495 27706° M � _ My COMMISSION # DD 8004 �0 I
Mary Public � ig i naea rnn� tJotary Public underwr as Notary Public
�fi�i . Revised 01.26.10
Page 1 of 1
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Gapyr4�M )C) 2005 City ad Jadbonviet F1
4/22/2011
http: / /maps.coj. net / output/ DuvalMaps _itdgism623126045683.png
•
MAP SHOWING BOUNDARY SURVEY ❑
E
THE SOUTH 32.00 FEET OF LOT 8, TOGETHER WITH THE NORTH 18.00 FEET OF LOT 9, BLOCK 1,
ED SMITH SUBDIVISION, AS RECORDED IN PLAT BOOK 26, PAGE 50 OF THE PUBLIC RECORDS OF
DUVAL COUNTY, FLORIDA.
20' ,4 L G E Y
„O; ,a , —G 'City of Atlantic Beach
i I Planning and Zorn ant—
This approval verities com Iiance with applicable
zi zoning, subdivision an other local land
This Porfio O/ Lot B N %nc/cnoed /n jl,ie Survey a development regulations, t does not constitute
$ I o � approval for the issuance o permits. Compliance
w _ with Florida Building Code nd all other applicable
„ I e ;N N ,, local, State and Federal p matting requirements
8 I (Q f - 1 t--I l ^ m must be verified by signatu of the City of Atlantic
a Beach Building Official prick. to the Issuance of a
�� Oo E /20 00 Building Permit. i h ii
� o N 89 °36 "
° 1 Approved By:
'` COVERfp Iwo/p ZB•7' Community Development Director
�” . r. I • 1 , Date:
T t , NE sr8RY v //IYL
'p 4 • --�- is; RD/A/4 KES /DENCE i .. g p
1—Gcr-}- " NUMBER /680 • F /N /II/ED . .` 1 !
LOT 7 ( FLOOR EL EV,4T /ON /5 M Q
LOTS 47.7• '{ 18 o� ' i
LOT 6 t
7 ^_ LOT y • � :. covicecrt i; }.. S y 1 LOT 7
p 8 ,(/ a COND /T /ON /N6 .' , ('ONCRfTE;, o LOT 6 nI
1 0 Lai 1
( 5..89 ° `W. /0o. 00' .
v '
.11.-s1 `I 1.j• £VER L /NE 4".
� �
CONCRETE 0,e/YE a
fg r-11t/16/ v (r)
• , Thi r/,on O< Lo/ 9 A/o/ Inc /uded /n h s SLrvcy N 0
r. \i`
V � ` m
I
LOT 61
Cc
Z ` ° y 0 1 0
0
LOT 71 /oo.00' LOT 9 Q
\' LOT /O
C.:1 LOT 6 J
I LOT 5
8 (NOTES
0
BEARINGS ARE BASED ON THE WEST RIGHT-OF-WAY L /NE 1
OF JORDAN STREET AS BEING 3.0075 /5 Y,p6.a7°
%. 3
NO BUILDING RESTRICT/ON LINE BY PLAT, BUT THERE MAY
BE RESTRICT/ON LINES 01? EASEMENTS THAT AFFECT THIS
PROPERTY BY ZONING OR RECORDED IN THE PUBLIC
RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON 4 r' '` • fED
THIS SURVEY.
THIS PROPERTY LIES IN FLOOD ZONE 'X" BY FLOOD MAPS i 0 , n
REVISED 4//7/B9, COMMUNITY PANEL NO. /20075 000/ D. MAR b rF �. 1
City of Atlantic Beach
Building and Zoning
PREPARED FOR THE BENEFIT OF.
B ATWRIGHT .YNr// /A DOCTOR
L ND NAB /TAT ,OR NUMAN /Ty OF THE JACKSONV /LLE
S RVEYORS, BEACHES d b a
D /B /A: Inc. BEs�CHEf NAB /TAT
' l AT TOQNEYJ' /TIE /NJURANCE FUND, /NC.
'•� DURDEN LAND ° ° "A " ° °' B' ` ENA,NY P.A.
1
SURVEYORS
.�. � i ce .
DONN W. BOATWRIGHT, P.S. '. 1
FLORIDA LIC. SURVEYOR and 1.1A* PER NO. LS 3295
FLORIDA UCENSED SURVEYING AND MAPPING BUSINESS NO. 3672
1711 SOUTH 5TH STREET DATE: AUGUST 27, 100/
JACKSONVILLE BEACH, FLORIDA 32250
(904) 249 -7261 FAX (904) 241 -3346
SCALE: l" °j0'
THIS MAP OF SURVEY IS NOT VALID UNLESS IT IS SIGNED
AND HAS THE RAISED SEAL OF A FLORIDA LAND SURVEYOR.
JDRAWING FILE NO.
t5
42
47 BAS 1
VI
1680 JORDAN ST Atlantic Beach FL 32233
Building Type 0101 - SFR 1 STORY SOH
Year Built 2001
Type Gross Area Heated Area
Base Area 1125 1125
Finished Open Porch 50 0
Total 1175 1125
C y City of Atlantic Beach + CA TION NU�IIIBER -
'� � "�� Building Departmen -�1(To be assignedby the Building Department )�
S it APR 2 1 2011 1 ��:�t� a�_ fir- =�- � �-
• 800 Seminole Road
Atlantic Beach, Florida 32233 -5445 , ` « E� r 4 r
2 4 ' 4 ' Phone (904) 247 -5826 • Fax (904) - - - d n F ^�� �i xa^� 'ill":':`" - 4-, �-
Tit. r� i
Jrt 9 ? . E building- dept @coab.us Date routed W. 4 r li _f
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
i c
Property Address: /4h �p2da`� �T De - i ent review required Yes No
. .
i Applicant: � . /I/� ' tannin• & Zonin•
/ / Tree A dministrator
Project: , d� D `7,,, „,5_ i Works
Public Safety
Fire Services
Rev a f 6 ' ; ;_,'� a� man De sl orta p ati .. -j._-. ; R,,,. ±
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
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Denied.
(Circle one.) Comments: 4pproved.
BUILDING �/ �/
PLANNING &ZONING Reviewed by: �"( Date:
TREE ADMIN. Second Review:
nApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: flApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Zevised 05/14/09
CEI ED
<s± A.l City of Atlantic Beach APR 11 r �C TION (VUiVIBER
c f Building Department (To be assigned�6y the B wld mg De p artme nt )
S t1 �i -� v� d F- b ti.
J � ;k -'s 800 Seminole Road B Y: F rpo #-° - � r : 1-:-:::4
--- }� Atlantic Beach, Florida 32233 -5445 —°
Phone (904) 247 -5826 • Fax (904) 247 -5845 — � A_.? €:- P . .-4 -4 = 9 '' ',:4#-W
-.-di 0 E -mail: building- dept @coab.us , ' Date routed � y .rez } .11� f
City web - site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
r
Property Address: /4h jo2ciar S De - r . ent review required Yes No
Applicant: �fa_ XTE- /Al& - tanning &Zonin.
`� / 6,,,, Tree Administrator
Project: /) ,2,r,e�C. cP Works
Public Safety
Fire Services
Revlew.fe $; * �w rxt RA M., f 06118I -
„ . ; I af : r. -- ,,, -. . .:5 ='°
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
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. EDenied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed b‘ ----
— Date: ,
TREE ADMIN. Second Review: QApproved as revised. ['Denied.
P d O' KS Comments:
/00'h :i
- 1: C 1
a
PU IC S AFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Zevised 05/14/09
Public Utilities Plan Review Comments
Date: p 11 Initial
Project Name /Address: 1 G, 801 , (X11'1 c I Application Permit #: 1 1 19 g
: Check Box
Application Tracking Comments to Add
Comment
Avoid damage to underground water /sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call ❑
247 -5834.
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.
A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be ❑
tested by a certified tester and a copy of the results sent to Public Utilities.
Plans note the building will be nnsprinkled. If plrns change, any fire line installed
must be metered with a Sensus touch -read meter in a properly sized vault and an ❑
appropriate backflow preventer installed. Backflow preventer must be tested by a
certified tester and a copy of the results sent to Public Utilities.
If fire sprinkler system is provided, contact Malcolm Clemons at 247 -5839 for
backflow requirements. At a minimum, will require double check backflow ❑
preventer.
Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" ❑
must be installed in a vault as noted in JEA specifications.
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