Permit SFR 357 4th St 2012 REVISED CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r !tit
Application Number . . . . . 12-00001437 Date 12/20/12
Property Address . . . . . . 357 4TH ST
Application type description SINGLE FAMILY RESIDENCE
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 262000
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Application desc
new home
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Owner Contractor
------------------------ ------------------------
KOVACS GREGORY FRANK & LUANN CUSTOM HOMES BY BRYAN LENDRY
394 9TH ST 4745 SUTTON PARK CT #501
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 992-2100
--- Structure Information 000 000 NEW HOME
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . SINGLE FAMILY DWELLING NEW
Additional desc . .
Permit Fee . . . . 966 . 00 Plan Check Fee 483 . 00
Issue Date . . . . 10/25/12 Valuation . . . . 262000
Expiration Date . . 6/12/13
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Special Notes and Comments
Owner must submit a tree survey and
either a) Tree Removal Permit App or b)
a No Tree Affidavit verifying that no
tree will be removed as part of this
construction project . Forms are
attached to plans in Bldg Dept .
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 .
PERMIT ISIfPP&dVEg O%Pir 1kdCeVD,4Xf-V tAV" i9L FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00001437 Date 12/20/12
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Special Notes and Comments
Clemons at 247-5839 for backflow requirements . At a
minimum, will require double check backflow preventer.
If on-site storage is required, a post construction
topographic survey documenting proper construction will be
required.
All concrete driveway aprons must be 5" thick, 4000 psi,
with fibermesh from the edge of pavement to the property
line . Reinforcing rods or mesh area not allowed in the
right-of-way.
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.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management . )
Full erosion control measures must be installed and
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection prior to start of
construction.
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
FOR AN APPROVED FINAL MECHANICAL A/C INSPECTION, A STICKER
SHALL BE INSTALLED ON THE AHU TO VERIFY THAT DUCTS HAVE
BEEN SEALED, A CERTIFICATION SHALL BE ON SIGHT FOR THE
INSPECTOR STATING THAT THE A/C SYSTEM PASSED THE "AIR BLAST
INSPECTION" FROM AND INDEPENDENT TESTING AGENCY.
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 .
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 14 .49
DEV REVIEW-SINGLE & 2-FAM 50 . 00
ENG REV RESIDENTIAL BLD 100 . 00
STATE DBPR SURCHARGE 14 .49
SEWER SDC-SYSTEM DEV CHG 4050 . 00
UTIL REV PRE APP >3 HRS 50 . 00
WATER CONNECT/TAP & METER 800 . 00
WATER CROSS CONNECTION ltd5n0 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITiq.6T4iz.Ar�P-AXgiTgkb11p. EC- D THE PL41DA00
BUILDING CODES.
lye
CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
'' s) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Page 3
Application Number . . . . . 12-00001437 Date 12/20/12
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 966 . 00 966 . 00 . 00 . 00
Plan Check Total 483 . 00 483 . 00 . 00 . 00
Other Fee Total 6268 . 98 6268 . 98 . 00 . 00
Grand Total 7717 . 98 7717 . 98 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.J �d
� S?
.:P
NEW WATER/SEWER TAP REQUEST
Date: 10/10/12 Project Address: _357 4t" St.
No. of Units: 1 Commercial Residential x Multi-Family
New Water Tap(s) & Meter(s) 1 Meter Size(s) 3/4"
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer 1
Name:
Applicant Address: 34-7 "97N ST
City: Atlantic Beach State: FL Zip: 32233
Phone Number: Cell Number: 164!—2 35t—4/Zg/
Email Address ,cvv c_ U.5 • CoM Fax:
Signature:
(Ap licant)
CITY STAFF USE ONLY
Application#
Customer decided on 3/" meter vs. 1"
Water System Development Charge $ 1,140_ meter.
Sewer System Development Charge $__4,050
Water Meter Only $
Water Meter Tap $ 800
Sewer Tap $
Cross Connection $ 50
Other (Advantage Plumbing) $
TOTAL $ 6,040
(notes)
APPROVED: Donna Kaluzniak
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE
FEES CAN BE ASSESSED
Graham Shirley
From: Kaluzniak, Donna
Sent: Friday, December 14, 2012 11:47 AM
To: jim@kathe.net
Cc: Graham Shirley
Subject: Fees for 357 4th St.
Attachments: 357 4th St..docx
Jim, here is a summary of the fees required for 357 4 I St.Thanks, Donna
Donna Kaluzniak
Utility Director
City of Atlantic Beach
902 Assisi Lane
Atlantic Beach, FL 32233
PH.• 904-270-2535
FAX. 904-242-3475
dkaluzniak( )coab.us
Please note: Florida has a very broad public records law. Most written communications to or from city officials
regarding city business are public records available to the public and media upon request. Your e-mail communications
may be subject to public disclosure.
c
«, f
yr
NEW WATER/SEWER TAP REQUEST
Date: 10/10/12 Project Address: 3574 1h St.
No. of Units: 1 Commercial Residential x Multi-Family
New Water Tap(s) & Meter(s) 1 Meter Size(s) 3/4"
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer 1
Name:
Applicant Address:
City: Atlantic Beach State: FL Zip: 32233
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#
Customer decided on %" meter vs. 1"
Water System Development Charge $__I 140_ meter.
Sewer System Development Charge $ 4,050
Water Meter Only $
Water Meter Tap $ 800
Sewer Tap $
Cross Connection $ 50
Other (Advantage Plumbing) $
TOTAL $ 6,040
(notes)
APPROVED: Donna Kaluzniak
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE
FEES CAN BE ASSESSED
PREPARED 11/30/12, 12 : 25 : 40 PAYMENTS DUE RECEIPT
CITY OF ATLANTIC BEACH PROGRAM BP820L
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APPLICATION NUMBER: 12-00001437 357 4TH ST
FEE DESCRIPTION AMOUNT DUE
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SEWER SDC-SYSTEM DEV CHG 6794 . 0
WATER CONNECT/TAP & METER 835 . 0
WATER CROSS CONNECTION 5 . 00
WATER SDC-SYSTEM DEV CHG 19 4 . 00
TOTAL DUE 9 83 . 00
Please present this receipt to the cashie with full payment.
l�
r
NEW WATER/SEWER TAP REQUEST
Date: 10/10/12 Project Address: 357 4' St.
No. of Units: 1 Commercial Residential x Multi-Family
New Water Tap(s) &Meter(s) 1 Meter Size(s) 1"
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer 1
Name:
Applicant Address:
City: Atlantic Beach State: FL Zip: 32233
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#
See Shirley's email.
Water System Development Charge $__1,904
Sewer System Development Charge $__6,.794
Water Meter Only $
Water Meter Tap $ 835
Sewer Tap $
Cross Connection $ 50
Other (Advantage Plumbing) $
TOTAL $_ 9,583
(notes)
APPROVED: Donna Kaluzniak
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE
FEES CAN BE ASSESSED
BP820UO3 CITY OF ATLANTIC BEACH 11/30/12
Payment Due Selection 11:58: 13
Application nbr 12 000017./4
Property . . . . . : 357 4TH ST
Select fees due, press Enter .
1=Select entire amount I
Amount
Opt to apply Amount due Str Permit Insp Fee Description
_ 6794.00 6794.00 SEWER SDC-SYSTEM DEV CHG
_ 835.00 835.00 WATER CONNECT/TAP & METER
_ 50.00 50.00 WATER CROSS CONNECTION
1904.00 1904.00 WATER SDC-SYSTEM DEV CHG
Tot 9583.00
F3=Exit FS=Select all fees F10=View 1 F12=Cancel F21=User defaults
White, Debbie
From: Matthews, Carlene
Sent: Friday, November 30, 2012 9:21 AM
To: White, Debbie
Subject: FW: 357 4th St
Attachments: 357 4th St..docx
From: Kaluzniak, Donna
Sent: Wednesday, November 14, 2012 4:33 PM
To: Graham Shirley
Cc: Buyck, Joe; Walker, Chris; Griffin, Michael; Matthews, Carlene
Subject: RE: 357 4th St
Shirley—thanks, Here is the revised sheet for 357 4 t St.for a 1" meter.
Carlene, please see Shirley's email below regarding reassigning meter 73675308.
Thanks, Donna
From: Graham Shirley
Sent: Tuesday, November 06, 2012 2:55 PM
To: Kaluzniak, Donna
Cc: Buyck, Joe; Walker, Chris; Griffin, Michael
Subject: 357 4th St
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Donna, According to utilities meter#73675308 is assigned to 357, but is actually located on the rear of 363 .. what we
think happened is that the old owner used the 363 address,the old meter there was 49789477 it was changed out to
73675308, So as it stands now the 357 address does not have a meter and the 73675308 needs to be reassigned to 363
4th St. Please send me the fees for a new 1 inch meter for 357 4I St.
Thanks,
Shirley Graham
Building Department
800 Seminole Rd
Atlantic Beach, F1 32233
904 247 5800
sgraham@,coab.us
2
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rs3 NEW WATER/SEWER TAP REQUEST
4�
Date: 10/10/12 Project Address: 357 4" St.
No. of Units: 1 Commercial Residential x Multi-Family
New Water Tap(s) & Meter(s) 1 Meter Size(s) 1"
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer 1
Name:
Applicant Address:
City: Atlantic Beach State: FL Zip: 32233
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#
See Shirley's email.
Water System Development Charge $ 1,904__
Sewer System Development Charge $_ 6,794
Water Meter Only $
Water Meter Tap $ 835
Sewer Tap $
Cross Connection $ 50
Other (Advantage Plumbing) $
TOTAL $ 9,583
(notes)
APPROVED: Donna Kaluzniak
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE
FEES CAN BE ASSESSED
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Work Order#:
REPORT OF IN PLACE DENSITY RESIDENTIAL Project#: =
Subdivision: Reported to: _ Report#:
Unit or Parcel: Location By: L Gaug e#:
Date Tested:
Lot#Block: Contractor: L f
Street Address: `" ' ' City: s�L t
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Retek /Lift Thickness Density Density Density %
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CP-Test Meets Specification Requirements F- Test Fails To Meet Specification Requirements R- Retest
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