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460 Sherry Dr (vault) CITY Or- 900 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 322-33-5-W-5 TELEPHONE(904) 247-58M FAX(%4)247-5805 BUILDING PERMIT APPLICATION REQUIRED SUBMITTALS Each application for building permit must be accompanied by two complete sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yards, setbacks and other data as required by code and/or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets(on new construction or additions of 500 sq.ft. or more); a recent survey of the land for new construction and additions-, and a tree survey or letter cetifying no trees are on property. APPLICATION CHECKLIST 1. Building Application Form 2. Two complete sets of plans including detailed site plan 3. Recent survey, including tree survey or letter certifying no trees are on property 4. Owner/Building Affidavit (required when owner acts as contractor) 5. Energy Sheets 6. Notice of Commencement TIME REQUIRED FOR PERMITTING, APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED SCHEDULED INSPECTIONS Requests for inspection are taken from 8:00 a.m. until 4:30 p.m. Inspections are made the following working day; please specify a.m.or p.m. inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plum bing/sewer/electric 3. Slab 4. Cover up (framing, rough electrical, mechanical, plumbing call for cover-up on building, use building permit number and reference other applicable permit numbers (electrical, plumbing, mechanical and building, etc.) 5. Insulation 6. Final Inspection 7. Drainage Inspection 8. Finish Floor elevation survey/Certificate of Occupancy BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of$15.00 is charged for all reinspections. NOTE: This application may be subject to covenants and restrictions for the permitted property. The enforcement of the covenants and restrictions are the responsibility of the homeowners association. 'CITY ;OF ILI Building and Zonin SEMINOLE ROAD ATLA&I7 rCBEACH,FLORMk 32233-S"S PROPERTY DESCRIPTION TELEMONE 0"247-SWO FAX(9"247-SM Lot #—, Block Section # i Subdivision: cu Street Name DESCRIPTION OF VOPJK o r Address: _5&_1n1AX1 OQ/ jf�, Flood Zone : If in a FLOOD HAZARD area CoMplete page 3. Brief D escriptione ere G Class of Work: (N Itj/ =� K�r;-J'� k1_6 Remodel/Addition: T&;A461,0 ZONING INFOR14ATION Type of Construction:-i'doetuz Zoning Proposed District : Use: Estimated Value Exceptions or Variances Materials: Granted: Solid or Filled Ground:_Roof : OWNER INFOR14ATION Method of Heating: Property Owner: C Dt Of- AIL74LM C' 6KrC,4_t Phone: Mailing Address .�M_ —Zip: CONTRACTOR INFORMATION Phone: Mailing Address : -3 -SU i -(-e7 --Zip: License Number:C10-�C-0'-4'qo1q Expiration —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 Cz CONSTRUCTION OR THE PERFORMANCE OF CbNSTRUCTION OF THE PROPERTY . IL 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. Owner Signature— Date V-9 I Contractor Signatur, Date_&� F'LO')DPLAXU IDEVELCIPPienr INFORMATZOU TYPW Of DeVVIOPMents Flood Zones ------------------- Required Lovent Floor ClevOtIont Zf building in located WAth, bw imade AFTER , n a JrlO0d hazard Zone, LOwrsr FLOOR MIC ftAD AS 11CCU pMjjjCjD' 0 sury ELEvAriou Certifying thay au"t vlwvutlQn *ntabljUj&0d Sor 'a Oquftl to or above t St thc- that Zone. he boa& 1100d NO 111101 InOPOction vill be made and no cort4j,cetw 0 will be Issued until the survey In on -Xivi4� WAth 9 occupancy Department. the BUSIdInU COMHENTS: APPlIcOnt AcknowAaftegWntg thlo permit 10 0outAnownt understandthat the Aswuanco upoe the above correct and ihat AnSormation boing be provided an roquArad. prOwAstons the plans a" suppmftUM date have &'460 or shol.L X &grow to comply with ordi.nence& Of OrdIn4ince, No. 25-7-A& end all all OPPIACable affecting the Proposed development. Other laws or Date --------------ApplAcant,o SAgnaturi ------------- --------------------------W--r--------- Department umv Required Lowest Floor ClevatAon An 13ullt Lowest pl Survey ~ ltlwvstton Fl. lwd with Building Dvps --------------- rtment Representative PMUO 3 CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be received by 5 P.M. on the MONDAY prior to the scheduled meetinci in-order to be placed on the agenda for consideration, INCOMPLETE APPLICADONS WILL NOT BE PROCESSED. APPLICANT NAME ADDRESS TELEPHONE 2. ADDRESS OR LEGAL DESCRIPTION OF PROPOSED TREE REMOVAL 3. DESCRIBE PURPOSE OF TREE REMOVAL: 4. SPECIFY TREES PROPOSED FOR REMOVAL AS FOLLOWS: NUMBER SPECIES DIAMETER (DBH) CONDITION __ I 1 1 5. TOTAL NUMBER OF TREES TO BE REMOVED: 6. TOTAL NUMBER OF INCHES OF TREES TO BE REMOVED: 7. SPECIFY PROPOSED REPLACEMENT TREES AS FOLLOWS: NUMBER SPECIES DIAMETER (DBH)_ 8. ATTACH SITE PLAN INDICATING THE FOLLOWING: a) Site topography, including proposed grade changes b) Existing and proposed buildings and other improvements with dimensions and required setbacks c) Tree protection zones as applicable d) Location, DBH and species of all trees with a DBH of six inches or greater e) Location, DBH and species of all trees with DBH of less than six inches proposed to be usedfor mitigation f) Specify trees of unique or special character g) Each tree proposed for removal clearly marked with a "X" h) All existing and new trees proposed to be used for mitigation clearly marked with brackets "[ ]" 1) Location of utilities, easements and material storage areas 9. ALL TREES PROPOSED FOR REMOVAL MUS BE CLEARLY MARKED ON SITE BY RED SURVEYORS RIBBON. 10. ALL EXISTING TREES PROPOSED TO BE USED FOR MITIGATION MUST BE CLEARLY MARKED ON SITE BY BLUE SURVEYORS RIBBON. 11. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE 11, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH.- APPLICANTS SIGNArURE(,_,/ f)ATE OWNERS SIGNATURE DATE APPROVED : TREE CONSERVATION BOARD CHAIRMAN DATE PSR-3844 12172 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ -------- LOCATION INFORMATION ---- Permit Number : 12172 !�.ddress : 460 SHERRY DRIVE Permit Type:REMODELING ATLANTIC BEACH , FLORIDA 32233 71ass of Work :REMODEL --------- LEGAL DESCRIPTION ----------- Constr . Type:WOOD FRAME Block : Lot : Twp : Proposed Use :REMODEL/ALTERATN Section: 0 Subd- Rng: Dwellinas : 0 Subdivision: SALTAIR Est . Value* 0 . 00 Improv . Cost : 67 , 600 . 00 Total Fee-s ; 0 .00 v 4$1�1 0 . 00 Amount -P, vi DGE DECKING LAND, tf-E TIMBERS -�VNFF 1-NIFCRMATION APPLICATION FEES ---------- P"t.1 T Ir 0 .00 Name : ;,- ITY 0IF P-ITLANTI, BEACH Addr - SEJ-11�!r�LZ ROAD 2�TLANTTC FLORIDA 322�7 Phr- e , q-r)4 ) *2-A7- 58.1� -NTRACTOR INFORMAT11' Name: NOONEY C-ONSTROCTION -1NC . 13 'STY- i TE- JACKSONVi-Tl - FLORIDA 3224-50- 3- L i c;s,--��CRC*0,�90- Exp : NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS99 HA I " ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO PqV CA ON FOR ,P T1 VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1996 r�lf ,y 01 Atlantic Bch., ATLANTIC BEACH BUILDING DEPARTMENT By: vi VIA 41 Tj CL ,OIL lrv� rc-, I) ZOO 45 0 o r4 fr,'I e-�\e C-6 (0 40 cc A CZ A le C-c A 2-**it X I C) C;f-I U a,,'L�k zo� wa Jc r. -s c r- A 4n Foe<. c";I �ck foe I