Permit Driveway 387 8th St 2012 As) 1114 o f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J x ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
)E
Application Number 12- 00000072 Date 1/25/12
Property Address 387 8TH ST
Application type description RIGHT -OF -WAY PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
paver drive to concrete drive
Owner Contractor
OWNER
Permit DRIVEWAY PERMIT
Additional desc .
Permit Fee . . . 35.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 7/23/12
Special Notes and Comments
Contact Public Works (247 -5834) for Erosion and Sediment
Control Inspection prior to the start of contruction.
All concrete driveway aprons must be 5" thick, 4000 psi,
with fibermesh from the edge of the pavement to the
property line. Reinforcing rods or mesh are not allowed in
the ROW (Commercial driveways - 6" thick).
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.
All concrete driveway aprons must be 5" thick, 4000 psi,
with fibermesh from the edge of the pavement to the
property line. Reinforcing rods or mesh are not allowed in
the ROW (Commercial driveways - 6" thick).
Roll off container company must be on City approved list
and container cannot be placed on City right -of -way.
Contact Public Works (247 -5834) for Erosion and Sediment
Control Inspection prior to the start of construction.
Other Fees STATE DCA SURCHARGE 2.00
ENG REV BLDG MOD OR ROW 25.00
STATE DBPR SURCHARGE 2.00
I .'T MFI APFR ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDIN(Fe Ew ummary Charged Paid Credited Due
Sy JJf
-6 44 A , ; 5 CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
j 0 , ..1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Page 2
Application Number 12- 00000072 Date 1/25/12
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 29.00 29.00 .00 .00
Grand Total 64.00 64.00 .00 .0
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
� ''t CITY OF ATLANTIC BEACH
r `., CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY : ^1-
AND EAS,,t�i.U
800 Seminole Road 'V' ∎,77.
4$ . Atlantic Beach, Florida 32233 -5445 F ' 904-247 -� • W
41 N i
PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. l 8 2012
Date 1 IR f ki 1 Q 20 ( - 2--- e --
i ll i Milir
Job Address (g -(- 5 {' c� f A i 322 ED aY'rHE CRY
nitee: 1 O // -- � � /6q- � �y
Pen
°''� W �°- Telephone
— Vl — t 7 -
Permittee Address: ? 17 S .� Lk St '' ,- "� -t R A _ '3 Z -2-3 3
•
Requesting Pe fission to Construct ew J-4-- . i. w „4 e
I eit. -pRtec ..s - -� �o1z c...r-a---1,� —tb t e ,4
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities: F
Jacksonville Electric Authority Yes ( No ( ) Date: ILE C�p Bell South Telephone Company Yes (
� No ( ) Date:
Ferrell Gas Yes (� o ( ) Date: •
Comcast • Yes (o ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Floriga Department of Transportation Standards and be
. performed under the supervision of • (t SA (Contractor's Project
Superintendent) located at Telephone te:
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications
and the manner satisfactory to the city.
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a
part of this permit Calculations showing any increase in impervious area on owner's Tot or in the city
Right of Wav are to be Included with this application.
7. This permittee shall commence actual construction in good faith with days. If the beginning date is
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
B. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty -four (24) hours prior to starting work and again •
immediately upon cop letion.
OWNER
c
Signed: i Date: 7 � i v gipEYL f3rlAH _ __ ---
,
Before is day of in the County of Duval, . m,�, Do a 4
State • • _ "% naffs( + 1 �' ' - " -' - ,
N•,• Pu• at La bride, f .myofDuval. '. od N F 14, rent
cop ion n A; �Wd Tlu py�
_ ib►
itifiallr A6. - 4 r
MAP SHOWING BOUNDARY SURVEY OF
LOT 40 AND THE EAST 15 FEET OF LOT 42, BLOCK 10,
AS SHOWN ON THE MAP OF SUBDIVISION "A" ATLANTIC BEACH
AS RECORDED IN PLAT BOOK 5, PAGE 69 OF' THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED TO: CLADOAGN CONSTRUCTORS, INC.
I )
N
. w41,,,,... R--..
tsail •
l \ ,
' \ \ \ SLOT 43 \ I\ ' j LOT 41 LOT 39
1 I 3
' \ M ` \ , � ST — ' 6510% E ` ;\ ♦ r - _
u
l Y x
O 4 4 a/
\ ; 4 __ -- i RECEIVED
\ I iv / I 1 MA R26"'"''
I \ 1 Avy \ /
}'A 1 ci City of Atlantic 8oach
\ ; ,,. +' �, ',,. I Bantu and Zoning t .
■ 1 ` / II
i { \ 1
I t
1 1 1 \ or t l 1
1 1 1 \ lir i - .,
ie 1
4 1 sa
1 j _ ^ -1 I i /
I „Am V 1 /. 1
{ I t 1Q , ' L a..
_ e u K W
MST 35' O�' LOT 42 ' ) ` ( ° 41 1' c LOT 38
C P ' � ' I woo c fa
c
r P we* I1
as rlc. 1 1 'r
a .
r �
Vi
, i r .. —
SU POMO . MP j 6 .00� 4 ____ ►o� war
TM• mom' valise .wJwu, _. ma**
-- . wwMwn moor Noel MM
` * `�� - -__ ._ _ �_ ki r �..
EIGHTH STREET mot d. , q
1 " . "1:1„ . Nwrrn «•
AMwwf ` —
z w z gat o t • MINIM s. ages* Saw «r imMat w Maw
`s 1 A wry Amt mbaw _ _ MOO WINO NW/ it
a gfii�►r�rrlti� �y w �y . , r. . �"' "' an..'rr'n O MOM Mar
last — . Ur
�'��/a�.'.47*" L" R aM 4 M Maki am/ Imam* aogri
1« /� Car. Par � {4
a MM' wrt web. MY r/ I I nt. w , a
a.r.... ./M
a'" .r " T. a' . w.. i r �'w r r=rmamme a w ..r.r n. •
AnR1M.0S IMP Wr at ..a a w Oawr �M' 2 Z: ol
no
R . . j. mot.. rL1 -'
•
TK
a gogg. 11
3 0 t ` Wit- a - nr .. .;1 ,0,x,3.'. Sr -.(d r ah . 1 i' /.
aR n irtes�.rs
,,• wit i onifa�eawt M. aw
nr
F
CITY OF ATLANTIC BEACH
~, ' ® WNER / BUILDER AFFIDAVIT
L FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION
CONTRACTING' REQUIRES OVV R / BUILDER TO ACKNOWLEDGE THE LAW.
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU' MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF 825,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR L EASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NQT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR, YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES : AND ZONING REGULATIONS. IT IS
YOUR RESFONSIBIUr1[ TO MAKE $LIRE. ,'t' Pfotx;p - c :. 1,- .. 1'
UCTI4SES ► c a0 a.'Jab v., '',t Li_+�d ,iii iI� „c i,
ORDINANCES.
8. INJURY LIABLfl Y; SINCE QVVW4RS MAY BE wag FOR INJURIES TO VVORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
M. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY UNLIDENSED CONTRACTORS,' `CANNOT BE
EMPLOYED
CI KEARO OV�VNERS'BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA DA . LAMER NO.
RCA O.
455 - 228(1). AN 'OCCUPATIONAL LICENSE' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY 'CERTIFICATE OF COMPETENCY' OR THE FLORIDA 'CONTRACTORS
CERTIFICATE TO ASCERTAIN IF A PERSON IS A UCENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT (247 -6826) IF IN DOUBT.
V. ACKNOWLEDGMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER- BUILDER PERMIT.
ADDRESS PHONE NUMBER
PRINT NAME
�� ,A, ( s 2a ( Z_
SIGNATURE DATE
Before ms this - the county d
Duhs4 Mats of Fla * h o day Win by himself/ / heems/ and alms that
at stamments and declarations are two and accurate.
Notary Public at County
0
o SHIRLEY LGRAHAM
"�+ orfeoD
Notary sipnatu,►
kenV _ ead.anixh iflwt =14 1
/./81D61'Owi, - BuildaMW.wit REVISED: 4/1 .•
r c , � �a t ° � 1� �5�}�
A,), 1 `' b • •
9L� �. alrY - • U
/ / WWW '
� /.fit " ' ) a
+ /s1 '
, i C ■ r a \
ELI
e ^ j j Y f 1
.t . I'O', r� x 1 a :lx
tt
Ql.. — ,4 , -s ,+o-, t"••i Lc i ' - + ' , 1
1 '
--- s.1
•
°,y City of Atlantic Beach i O
_ APPLICATION NUMBER
0. Building Department ' v � (To be assigned by the Building Department.) ■
800 Seminole Road "i ° I
' Atlantic Beach, Florida 32233 -5445 ,9 de) 7L.
4,01,00 Phon (904) 247 -5826 • Fax (904) 247 -5845
E -mail: building - Ieptl tecoab.us Date routed: i ii /Z--
City web -site: http: //www.coab.us -' - — -- —
APPLICATION REVIEW AND FORM
Property Address: 1 f
D c T Department review required Yes No
yy Building
Applicant: D�(1 /Uf 1'� Planning & Zoning
PAO T / � Tree • u inistrator
Project: - r u te► ear) crf re- ubiic W. 4
u • is Safety
Fire Services
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: b • • proved. ODenied.
(Circle one.) Comments:
BUILDING 0 Ck,/
PLANNING & ZONING Reviewed by: Date: )
TREE ADMIN, Second Review; ['Denied. Approved as revised.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: 1 1 11.1. initials: pi ti
Project Name / Address: 3 f39 8 s T Application Permit!! : IL. -73-7 Z
Check Box check
Application Tracking Comments to Add Box to
Provide table of impervious surface calculations for entire lot. G ,),% $Pite,,,J ��
3as
Provide erosion and sediment control plans with installation details and maintenance
schedule. - ❑
Provide drainage plans showing site topography (flow arrows, etc.) ❑ �" ❑
Provide construction site management plan, including Right-of-Way Permit if using i right -of- ,�@
way for construction parking. / _ .
Provide a pre - construction topographic survey prepared by a Florida Licensed Professional ❑ j ❑ (
Land Surveyor, showing 1' contours.
Section 24 -66(b) of the Land Development Regulations requires on -site storage for increased
run -off. Provide Delta volume calculations and on -site retention required per Section 24- ❑ ❑
66(b). (See attached information sheet.)
if on -site storage is required, a post construction topographic survey documenting proper ❑ ❑
construction will be required.
A Right -of -Way Permit must be obtained for use ❑ O
A Revocable Encroachment Permit must be obtained. ❑ ❑
Pool — Weilpoint (if used) must discharge into vegetated area 10' minimum from street or ❑ ❑
drainage feature (swale, structure or lagoon).
All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from the edge of the
pavement to the property line. Reinforcing rods or mesh are not allowed in the ROW
9 c
(Commercial driveways — 6" thick).
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.
I
Full right -of -way restoration, including sod, Is required. ❑ ❑
Roll off container company must be on City approved list and container cannot be placed on
City right -of -way. 11(
Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to the start
of construction. 1
O ❑
O ❑
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: I) 1 ) i 2.
j Initials:
Project Name / Address: 2 0 S T Application Permit #: / Z -067 Z
Ched(Box Check
Application Tracking Comments to Add Box to
Comment "Print"
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. 9 I
A sewer cleanout must be installed at the property line. Cleanout must be covered with and +/
RT1 concrete box with metal lid. Cleanout to be set to grade and visible. W
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 unsprinkled. If plans 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 a double check backflow preventer. ❑ 13
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. O ❑
O ❑
❑ 13
13 ❑
❑ ❑
❑ ❑
❑ 13
❑ ❑
❑ ❑
❑ ❑
f*'fik,, City of Atlantic Beach
Building Department ,., APPLICATION NUMBER
(To be assigned by the Building Department.)
800 Seminole Road • / r •
Atlantic Beach, Florida 32233 -5445 - ea 7Z.-
Phone (904) 247 -5826 • Fax (904) 247-W5 .
L E -mail: building- deptecoab.us X 'Z37 Date routed:
City web -site: http //www.coab.us 1 201 /2-
APPLICATION REVIEW T4ACKING FORM
Property Address: fD 1 6 J Department review required Yes
No
Building
Applicant eio/t f Planning & Zoning
Project 4 ( /f fl &d/? Cr/ T-. - Tree A dministrator
ublic W
u Uti
tic Safety
Fire Services
•
Other Agency Review or Permit Required Review or Receipt Dab
of Pennk 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: 171.4 • pro1ed• []Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: Date:
TREE ADMIN.
Second Review:
[]Approved as revised. []Denied.
P = 44 0e;
,�' • ' S Comments:
PU : LIC 1 Reviewed by:
Date:
FIRE SERVICES Third Review: []Approved as revised.
[]Denied.
Comments:
Reviewed by: Date:
Revised 07127110