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30 Simmons Rd (vault) PERMIT WORKSHEET Certificate of occupancyEG71,9t��,F/0-* Job Address: Type Work: -,iryv) let Property Owner: Phone # Contractor: Phone # Permit#: Date Issued: -,-)--7�3 i -0j/ Building Inspections: Footing 2_—.jq=g5r Slab Tie Beam Lintel Nailing Sheathing Framing Cover Up Insulation Final Building I Tree Permit# F- YES NO Electrical Permit# Date / Copy to JEA L Temp, Pole Permit# Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Aq Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA -C) Final i�,C�j Released to JEA Mechanical Permit# I Inspections: Rough Final Plumbing Permit# Q4- -21Zi I Inspections: Rough Underslab Topolut -1-1 C4 Water Sewer N.6CIOZ4 Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Final Inspections: Nailing / Sheathing Fire Inspection: Date Paid: Failed Inspections: 5-ZLI-6� Frp,/rA-'1nA Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E 0 F 0 C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 6/30/04 Parcel Number . . . . . 172191-0000- - Property Address . . . 30 SIMMONS RD UNIT 1 & MT 2 ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BARNETT, WILLIAM Contractor . . . . . . E & R ENTERPRISES OF N. FL. INC 904 307-6919 Application number 03-00027311 000 000 Description of Work COMMERCIAL NEW CONSTRUCTION Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . ffu—ilding ?-�ffi�i al VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning CITY OF ATLANTIC BEACH Inspection Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: Contractor Name: r r�yl S f Permit #: n Property Address: Legal Description: Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single-Family Resident - �.Commerci - Other: Lowest Floor Elevation: Riquired As Built Thefollowing must be completed before issuing Certificate of.0ccupancy: Department Date Notified Date Approved Approved By Fire Dept. -7- eY�� t') - -?— e C/ Public Works t5 Planning Dept. Building Dept. y Final Survey with FFE �Yes No All Re-Inspect Fees Paid �2) No SCALE: 1 20' 0 0 0 0 0 m 75 0 M C > Z A (174.88' FIELD) 0 zo r. C o< n x 0 > 175.00.. .. .. W > m z 'a� z z -0 0 z m OD A/C PAD L4 F1 54.6' C� Oc 0.3' M, 0 0 41 METAL 0 M CA n z 10. 30 0 > 13.67 NGVD 1929 Ln CONCRETE DRIVE > c/) m < 19 19 (A m 0 > 0 A 0 0 0.3, 54.6' 0 ;U > c: 00 < x C m z I > z-0 0 0 a 0 z Vo C r- 0 175.00 m]E 0 ic (175.12' FIELD) 2" m M, Z o< R L)� -1 -q CONCRETE PARKING C)N) 0 R. CID > - �8 9 0 -Ti 0 r- 0 b 0 ---,I uj < 0 > L- 90M 0 C= 71 m cn 0c)< Z U3 M ZIM G)> 0 OTI Z 7 --1 (n 0 c: r r 0 c:m z r- > 0 M Fn ;>o rn X- 0 K: 0 0 ZZ> lxxrn 0 --4 ; 0 co 0 0 -n ooz—cn X i�-Z > 1-1 ;6 70(7)(n- < < m 0 > -i X 0 r- > mc:H!-M zjj x IF! 0 x r- r- > N 0 m m ;u 5 > — z C/) b -6 F=-,a 0 m t- -5 a) > > z �,j V) z m 0;;o-0> n 0 0 z U) g —i C) C ::E m X zomco 11 om �o m 0--A;o o t') -lih. o E� n 0 , K: -j �-- r- m�o-Ti c: 0 >-Z 0 mnm 0 > W c:: co cn z r U) U) 0 (14 00 n -0 M > c- -0> m > rT, M > 0 m 0 (-) CD cl) > 0 C/)-< 0 M M - C-) M Z X cl) > > > > z 0 (= G') -Tj 0 -1 K Am z m z < 0 > o m m 0 --A 0 C �Q Z r- -< �Q c 22 m > m --i m m> Ul 5 x 0 t 0 >m > z U C) Z a) > m m m 0 z C:D (.) -i M > ;o m rri 0 �u ul -0 -2 > Z :� > K: K: 0 D > rn g (n - -UK: — 0 m M M 00 ;o c z > Z(Z M (Z Z Ko 0 zi m U) M > z 6' WOOD FENCE X -� .�'. - --- ;o 0 z -u 0 00 > 0 z 0 00 z CD m ;a �o m 0 m 1919 4 c- m m ic > 0 A > (n ONE STOR) 0 Z (D U z 6), i-r, C) BUILDING FINISHED FLOOR ELEVATION 00 2'- 0 Ln m C F- T- rm c: 10 0 A/C PAD 3: Ll -Ti a 6 c� 0 z F- cl) 00 ju > a U) 0 0 z > 7c CZ U) > -0 z > 30 �o m a) > < x m z w o -< c: > z 0 0 z 5z r<T I c: -4 C) > �o ::� ;a 4 :-1 (/) m 0 Z 0 Ul > 0 0 �4 m C, -U 0 /T- CL. co 17 c > r m > U) -D m m Z:m z m rri rri V) m Lo z CA z Z m 0 0 7-- F., IQ 0 0 0 0 n (A -Tl c') ,j (A to CITY OF ATLANTIC BEACH BUILDING AND PLANNING 800 SEMINOLE ROAD & ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5845 http://ci.atlantic-beach.fl.us June 17, 2005 Clyde Bradley, Jr. 443 Whiting Lane Atlantic Beach, Florida 32233 Re: Tree replacement at 30 Simmons Road Dear Mr. Bradley, The City Manager asked that I respond to your attached letter. Don Ford and I visited the Barnett project at 30 Simmons Road earlier this week and observed one dead tree on the property. I am advised by Don that this tree was a required tree per the projects tree mitigation and removal permit. This tree has, however, been in place for longer than the one-year period as set forth in Chapter 23. The City's commercial Landscape regulations, however, require that landscaping be maintained, and that dead landscape materials be replaced. The City has advised the property owner of the need to replace this tree. Sincerely, Sonya B. Doerr,AICP Community Development Director cc: Jim Hanson, City Manager Don Ford, CBO, Building Official IT I C7k4fektt 0 'D SgSIMMC*; , Pe e3 kPPPcV60 PL-,,40 10 56 A M &-tAoo to 4 00 �Poujs 4L-LA9,6 IT --.9. .......... . -rA I-ci-5- P, 16S6 A -IF4 cl) -6 ... ... ....... -VJ ,ir 6�� -oo rk- 6--<(2-60 -.irolz -0-06cs) ... ............... ;[046 Z.!P.o K�6 -Cov-6. 6�4"ep 44 L S.'I T L L-- e, I t� ct DO 6 -it CAD Page I of I Doerr, Sonya From: Shaw, Jeanne Sent: Monday, June 13, 2005 2:22 PM To: Doerr, Sonya Cc: Hanson, Jim-, Bussey, Donna Subject: clyde bradley Donna told me you needed this info: Clyde Bradley 443 Whiting Lane AB 32233 246-6309 Let me know if you need anything else. Jeanne 6/17/2005 Duval County Property Appraiser - Parcel Information Page I of 2 PARCI'l INFORMATION Owner's Name: BARNETT, WILLIAM eal Estate Number: 1721910000 Property Address: 30 SIMMONS RD Mailing Address:232 BRIARWOOD LA City: ATLANTIC BEACH PONTE VEDRA BEACH , FL Zip: 32233 Zip: Unit Number: 32082-1302 2005 Exempt Value: $0.00 PARCEL DESCRIPTION jProperty Use: 4897 WAREHOUSE, P �6nsaction Date: 12/20/2002 Transaction price displayed is based on Legal Description: 19-16 17-2S-29E the actual amount of DONNERS R/P PT GOVT LOTS 2,3 LOT 4 BLK Transaction Price: $35,000.00 documentary stamps 21 - paid at the time of recording.The current rate is 70 cents per $100. lNeighborhood: 003136 DONNERS ISection/Township/Range: 17-2S-297EF—�JNo. Buildings: 1 Official Record Book and Page: 10846- Heated Area: 3000 1480 IMap Panel: 556A2 Exterior Wall: MODULAR METAL VALUES AND TAXES FROM 2004 CERTIFIED TAX ROLL 11-and Value: $32,813.00 ETaxing Authority: USD3 IClass Value- $0.00 [county Tax: $209.91 �Improvements: $0.00 FSchool Tax: $265.53 IMarket Value: $32,813.00 [District Tax: $99.73 lAssessed Value: $32,813.00 FOther Tax: $16.42 lExempt value: so.00 oted Tax: $15.52 ITaxable value: $32,813.00 ISr. Exempt: $0.00 ISr. Taxable: $0.00 ::��FTotal Tax: $607.11 http://apps2.coj.net/pao/printver.asp?ReNum=172191+0000 6/21/2005 UNJ CITY OF ATLANTIC BEACH BUILDING AND PLANNING 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5845 http://ci.atlantic-beach.fl.us June 17, 2005 Bill Barnett 232 Briarwood Lane Ponte Vedra Beach, Florida 32082 Re: Tree replacement at 30 Simmons Road Dear Mr. Barnett: The City Manager recently received a complaint (letter attached) from a citizen about your property on Simmons Road and asked that I respond. Don Ford and I visited the project at 30 Simmons Road earlier this week and observed just one dead tree on the property. I am advised by Don that this tree was in fact a required tree per the projects tree removal permit. This tree has been in place for longer than the one-year period as required by Chapter 23, so the property remains consistent with the requirements of the tree removal permit. The City's commercial Landscape regulations, however, require that landscaping be maintained, and that dead landscape materials be replaced. This tree needs to be replaced as soon as reasonably possible. Please call me at 247-5817 with any questions or if you wish to further discuss. Sincerely, Sonya B. Doerr,AICP Community Development Director cc: Jim Hanson, City Manager Don Ford, CBO, Building Official NORTH BEACH ENGINEERING9 INC. 3611-14 St. Johns Bluff Road South, Jacksonville, FL 3291),, , 904-493-6500 - FAX 904-493-6501 2202 North West 12th Street, Gainesville, FL 32609 - 352-371-2741 - Fax 352-372-4318 R E C E I V E D CITY OF ATLANTiC BEACH BUILDiNG 1,1G May 11, 2004 MAY 112004 Ms. Sonya Doerr BY: City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach, FL 32233 Subject: Barnett Simmons Road Revision Permit Application# 03-00100028 NBE Project 09044 Ms. Doerr: Please find a letter attached outlining proposed revisions to the referenced project. As engineer of record we concur with the proposed design. We trust this will be sufficient. Should you have any questions or require additional information,please do not hesitate to contact me. Sincerely, Noi th Beach Enginee i g, Inc. evir.M. Davcnport, P. P-esident FL 48894 5-111-04 KMD/kd/0604Sdoerr E & R Enterprises 904 270-2198 p. 2 E ENTERPRISES OF NORT14 FLORIDA, INC- CC-W 1504158 April 27, 2004 E&P,Enterprises ofNorth Florida, Inc. 1168 Sebago Ave, South Athmtic Beach,Florida 32233 RE:Revision at 30 Simmons Road, Atlantic Beach,Florida 32233 To witom it may concern, we would like to change the material in the parking Brea from asphalt to c4mcrete at 30 Simmons Road,Atlantic Beach,Florida. All fill will be compacted to 95%modified proctor max dry density(ASTMD 1554 Concrete will be 3500 PSI with#57 stone, 6 inches thick, along with 6 x 6-W2.9 x W2.9 WWF flat mats. Expansion joints win be cut in fiesh concrete 2 inches deep every 10 feet in all directions. Think you for your time in considering this option. if you have any questions please contact me directly at(904)626-5656. Sincerely, VX.--e'. /I Edwin C. Puttbach 1 16g Se.ba_Ao Ave. S. Ad=tit Bewh FL 12213 04-) F.-tx(904)2 71 2 11,' r CITY OF ATLANTIC BEACH 800 SENUNOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027311 Date 2/02/04 Property Address . . . . . . 30 SIMMONS RD BUILDING Tenant nbr, name . . . . . . 30 X 60 METAL Application description . . . COMMERCIAL NEW CONSTRUCTION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 102000 Owner Contractor ------------------------ ------------------------ BARNETT, WILLIAM E & R ENTERPRISES OF N. FL. INC 232 BRIARWOOD LANE 1168 SEBAGO AVE. S. PONTE VEDRA FL 32082 ATLANTIC BEACH FL 32233 (904) 543-1229 (904) 307-6919 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . - Plan Check Fee 233 . 00 Permit Fee . . . . 466 . 00 Issue Date . . . . Valuation . . . . 102000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 75 CAPITAL IMPROVEMENT 550 . 00 ST CONSTRUCTION SURCHARGE 13 . 50 AB CONSTRUCTION SURCHARGE 1 . 50 STATE RADON SURCHARGE 14 .25 SEWER IMPACT FEES 2520 . 00 SEWER TAP FEES 1400 . 00 WATER IMPACT FEE 500 . 00 WATER CONNECT/TAP & METER 560 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 466 . 00 466 . 00 . 00 . 00 Plan Check Total 233 . 00 233 . 00 . 00 . 00 Other Fee Total 5595 . 00 5595 . 00 . 00 . 00 Grand Total 6294 . 00 6294 . 00 . 00 . 00 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO"PROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. "I BUILDING OFFICIAL -------------- R E C E I V E D CITY OF ATLANTIC BEACH BUILDING &ZONING DEC 5 2003 CITY OF ATLANTIC BEACH U BUILDING PERMIT APPLICATIO� (FOR NEW CONSTRUCTION RESIDENTIAL AND CO CIAL)---f-11� Date: Job Address: �;o V&wo Owner'sName: 90VU06M -L-sARvA\',-T'C Address: Z:�P7, 13V_XA9_\A10fa_b 'l-A. ?V� 3ZJ067,- Phone: CtO'i- Legal Description: Block Number: Lot Number: i Zoning District: Contractor: C-i ?- OF K1- fLState License Number: Address: U* Q--eACO AvQ- Phone: ciel 'Ll 0- city: A+kAtrr__-rl_C_ P.Sck-:4 State: F-L- Zip:_522?1_3Fax: ct04- 2-10 - f—_"019 Describe proposed use and work to be done: Present use of land or building(s): VA4A4-T- L c)r—t Valuation of proposed construction: (a 19 t/C Is approval of Homeowner's Association or other private entity required?140 If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees? NO. Applicant certifies that no change in site grade or rill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. El NO. Applicant certifies that no trees will be removed for this project. J4 YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page I Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atlantic-beach.fl.us Revised 1/14/03 ation as appropriate for the r hi addition to construction and engineering detail,plans must contain the following inform ype of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible marmer. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and pen-nanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may appro ri fbf in i I applications. this ropn is corr I hereby certify that all information rovided it appli�17 Signature of owner: Date: ion and know the same to be true and correct. All provisions of the laws and I hereby certify that I have read and examined�4pl ordinances governing this type of work will be oomplioJI,whether specified herein or not. The granting of a permit does not presume to with give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,includingthe governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data hav been or shall be provided as required. 4-0,-7 Signature of Contractor: Date: .7 Address and contact information of person to receive all correspondence regarding this application (please print). Name: J�NNVA e-. I�VTrak_- " 4:f4clsoq1 S8 MailingAddress: twb S);B�A-S_o Ao� S�. ATLIA^MC_ PJACIA Telephone: 6jbL[-ZJ0—"LVJ5 Fax-Ct* 7:7U'2-1 E-Mail: -Cf AS TO OWNER: Sworn to and subscribed before me this day of Cul"r- 20 State of Florida,County of Duval J/ 1`�_ - - - ---- Notary's Signature: Kdzt��- 1 A" KATHERINE D.FITZMEYER Personally known MY COMMISSION#DO 205955 EXPIRES:ApdI 28,2007 Produced identification J)rl -K6 Bonded Thru Notary PLbic UnderwrIters VCV6 Type of identification produced tn�q AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature:ia qaL1_b1q Ivi HERINE D.FITZMEYER my COMMISSION#DD 205955 Personally known -i;_- EXPIRES:Aptil 28,2007 13onded Thru Not& ry Pubfic UnderwMars Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atlantic-beach.fl.us Revised 1/14/03 C6 N CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 03-00027311 Date 4/08/04 Property Address . . . . . . 30 SIMMONS RD UNIT 1 Tenant nbr, name . . . . . . 30 X 60 METAL BUILDING Application description . . . COMMERCIAL NEW CONSTRUCTION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 102000 Owner Contractor --------- --------- - ----- ------ ------------------ BARNETT, WILLIAM E & R ENTERPRISES OF N. FL. INC 232 BRIARWOOD LANE 1168 SEBAGO AVE. S . PONTE VEDRA FL 32082 ATLANTIC BEACH FL 32233 (904) 543-1229 (904) 307-6919 ---------------------- ----------------- ------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc 150AMP, 1PH, 3W, 220/110V, 2 "RACE Sub Contractor KNIGHT ELECTRIC LLC Permit Fee . . . . 103 . 40 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -- --------------- ---------- ---------- ---------- ---------- Permit Fee Total 103 . 40 103 . 40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 103 . 40 103 . 40 . 00 . 00 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU13JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ( , f; kk� BUILDING OFFICIAL j CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATIONC� DA te: Property Address: 3o Owner: Telephone Co n t ra c t o r: __j<pv t L—LL--(XL C— Telephone#: Contractor Address: 172 CA"14 lovd. Fax #: 1 In considenation of pemit given tbr doing the work us dcscnbed in the above statement, we ticrebs q= tv pert6mi iaid work in accordancA.- with the attached plans and specifications which are a pan hereof and in amordance ith the City of Atlantic Beach ordinance and standanis of go practice BuiWing: I Building Type: Z) Trailer I IF t�� on N�7 e w Z3 Reside�ce a Temp. Ir I ew being done on this building Old ZI commercial Z) Signs Jncrcasc Or site,list the building I Permit n=bcr, Re-wire -3 Addition Sq. Ft. Repair -IL- Z—77 Z 1 iffonductor Si7t� ANPS� COPPER LUMNUM I Switch or RACE Breaker AMPS PH VOLT 106or WAY Existing Service RACE AMPS PH W I VOLT I WAY I Feeders: NO. SIZE NO SIZE NO SIZE 1 Lighting Outlets ! CONCEALED OPEN Rcccptacles CONCEALED OPEN n in AMIN 31 101) AMPS Switches Incandescent Fluorescent & L-IM-—V Fixed 0A AMPS 1 OVER BELL Appliances TRANSFER T—H-P� R�XTING Air H.P.R-ATING CHLING 1 KW-HFAT LConditioning i C01\41". MOTOR 1; OTHER MOTORS AMPS HEAT 0-1 H.P. I Motors ! VOLTAGE PH I NO. 0VR I H.P. PHS UNDER600V ONTR600V KVA Transformers NO- NO. KVA No.Ncon Transf. ,-.Ea.—Sign Miscellaneous 800 Seminole Road - Atlantic Beach. Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 - bttp:j"'www.cLatiantic-beach.jLus CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -3 ATLANTIC BEACH, FLORIDA 322-1 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027650 Date 2/06/04 Property Address . . . . . . 30 SIMMONS RD Tenant nbr, name . . . . . . TEMP POLE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- -- - ------ -- - ------- --- --------- - - ----- - -- ----- BARNETT, WILLIAM KNIGHT ELECTRIC LLC 172 CANAL BOULEVARD ATLANTIC BEACH FL 32233 PONTE VEDRA FL 32082 (904) 543-1229 (904) 273-6969 ----------- ------ ---- -- --- ------ - -- --- ------ --- --- ------ -- - - - - - - - - ---- ------ Permit . . . . ELECTRICAL PERMIT Additional desc Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --- --- ------ - -- - - - ----- - - -- --- ----- - - - - - - - --- -- - - - - - - - --- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF TIES PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL "Vec �.-:, �--%� rst_ , ov CITY OFATLANTIC BEACH ELECTRICAL PERMIT APPLICATION�� Date: Property Address; — '30 S7M&,I D Owner: ki7l pwfr+ Telepbone Telepbone 011: Contractor- Fax N: 3-622_4�1 Contractor Address; tin conwierviion of Pernik Vven for doing ific vrork as in the abWM VAR"ent,we to perform said wvrk in amordance with the Atachcd plaw and specificigiong which are a part hereof and in accordance with the City of Atlantic Bcach ordirAnce and standuds of ce Usted thercia. tr ~—c"mh. IS Dullding-, Building Type: Q Trailer Scrvke-. being done on this building C1 New ci Resideric"le Temp. 0 New of site.lilt the building :3 Old colantemial Z3 siw 0 barease P?�-, - 97311 Li Re-wire Addition Sq.Ft, 0 Repair Switch or SM' AAVS: COPPER Uqum v 2, RACE aveaker AMPS 66 PH "i"itc"0 Existing Service PH Size AMPS IZE Feeders: NO. SIZE NO SIZE NO S L*Wmg Outlets CONCEALED OPEN Re lacles CONCEALED OPEN 1%A&ITIC Switches Cent at BELL TRANSFER. iences III RATfNG CEILM Air OTflEK MOTORS A HEAT Conditionin COMP. MCfTDR Motors VOLTAGE No. OvER I H,P, PHS KVA NO. KVA Transformers NO. No.Neon—Traft1s. Ea. Si goo minole Read a AtlaaUt BUM,IF larida 32233-5445 _(qd4),47_,M. FaI (9")247-SW. **Wj/www_tLatbwdv4=ach-JL*5 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027311 Date 2/04/04 Property Address . . . . . . 30 SIMMONS RD Tenant nbr, name . . . . . . 30 X 60 METAL BUILDING Application description . . . COMMERCIAL NEW CONSTRUCTION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 102000 Owner Contractor - -- -- ----------------- - - ----------- - - -- --- ------ BARNETT, WILLIAM E & R ENTERPRISES OF N. FL. INC 232 BRIARWOOD LANE 1168 SEBAGO AVE . S . PONTE VEDR.A FL 32082 ATLANTIC BEACH FL 32233 (904) 543-1229 (904) 307-6919 ---------------------------- - - - ------- - ----- - ---------- - - - ---- Permit . . . . PLUMBING PERMIT Additional desc INSTALL 7 FIXTURES Sub Contractor CHRISTY FIRST COAST PLUMBING . 00 Permit Fee . . . . 84 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --------------- -- ---------- ------- --- -------- -- ---------- Permit Fee Total 84 . 00 84 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 84 . 00 84 . 00 . 00 . 00 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Z- Property Address: Owner: _54� _6arrv_-tf- Telephone#: Cj!MN3ff FW #. Z4_744iL Contractor: 1P. am 50"6 Telephone . jN&WN&&wmd4 FL 32250 Contractor Address: Fax#: ZJ4 q q(e)& In consideration of permit given for doing the work as desctibed in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ,0`1 New list the building permit number: Ll Re-Pipe 0 3 C C�(j 2 7 3 1 J Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other LrA%&Allrl .�46 Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 800 Seminole Road- Atlantic Beach, Florida 32233-6445 Phone: (904)247-5800 - Fax: (904) 247-5845- http://www.ci.atiantic-beach.fl.us REQUEST FOR CHECK Date 53 106104 E & R ENTERPRISES, INC. Vendor # 6000 Payee 1168 SEBAGO AVE S. Address city ATLANTIC BEACH State FLORIDA Zip Code 32233 Amount $ 1255.00 Account No. 41000003435204 or Charge To — Project # . . FAID $1400.00 for sever tap that was existing, wants Description another I" water meter, subtractin $145.00 for 1" meter REQUESTED BY: APPROVED BY: APPROVED BY: APPROVED BY: jSCHLUETER DEPARTMENT HEAD FINANCE DIRECTOR CITY MANAGER Form No.CFR 2 Cffy oF ATLANTIC BEACH 800 SEMINOLE ROAD BEACH,FLORIDA 32233 ATLANTIC LINE 247-5826 INSPECTION PHONE ova 19 Application Nurrber 03-00027311 RD Date 2/02/04 Property Address 30 SIMMONS ETAL BUILDING 30 X 60 M Tenant nbr, name COMMERCIAL NEW CONSTRUCTION Application description To BE UPDATED Property ZOnIng 102000 Application valuation Contractor owner ------- - -- ------------------------ E 8, R ENTERPRISES OF N_ FL. INC BARNETT, WILLIAM 1168 SEBAGO AVE- S - 232 BRIARWOOD LANE FL 32082 ATLANTIC BEACH FL 32233 PONTE VEDRA (904) 307-6919 (904) 543-1229 -------- -- -------- ------ ----------- -------------- ----------------- - BUILDING PERMIT Plan Check Fee 233 - 00 466 - 00 Valuation 102000 ------- - - - ---- ---------------------------- 75 CITY RADON SURCHARGE 550 ' 00 IMPROVEMENT CAPITAL SURCHARGE -13 . 50 ST CONSTRUCTION SURCHARGE 1 . 50 M AB CONSTRUCTION 14 . 25 of glantic Beach STATE RADON SURCHARGE 2520 - 00 "' t; 1400 - 00 TO*R RECEIPT SEWER IMPACT FEES ge Drawer% SEWER TAP FEES Open DSKITH Re.ceipt no: 3ZFA2 500 - 00 Date: 2/02/04 M WATER IMPACT FEE R 560 - 00 fkaount WATER CONNECT/TAP a METE 35 - 00 Descr' t ion guantitY CTION &� 27311 S WATER CROSS CONNE BUILDING PEPAIT $6294.00 Due Lrged Paid Credited- ---------- Tender detail W5 %294M ------- ----466 -00 00 . 00 CK DECKS $6294.N 466 . 00 - 00 . 00 . 00 Total tendered $6294.00 233 - 00 233 . 00 Total paysent Tiae: 13:57-25 5595 . 00 5595 . 00 . 00 . 00 Trans date.. 2/02/%4 6294 - 00 6294 - 00 . 00 MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED RIAL,RUBBISH AND DEBRIS FROM THIS WORK COMPLY WITH THE CONSTRUCTION LIEN LAW CAN BUILDING MATE AWAY BY EITHER CONTRACTOR OR OWNER, -FAILURE TO ISSUED ACCORDING To APPROVED PLANS UP AND HAULED ATION OF APPLICABLE pRovISIONS OF LAW- ER PAYING TWICE FOR BUILDING IMPROVEMENTS� RESULT IN THE PROPERTY OWN FOR VIOL WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION 7' BUILDIN6 UtMAAL, CITY OF ATLANTIC BEACH D.�F BUILDING / ZONING DEPARTMENT L. Higgins S. Doerr 800 Serninoie Road Atlantic Beach,Floiida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application 9 (D::� - Property Address: ac) Applicant: �F Project: 3t:) V- (cc t-4!—Z�C- e)L-1--) G . This permit application has been: Ez/ Approved Reviewed and the following items need attention: mit r t Please re-sub pplic io when these items have been completed. Reviewed By: k-, Date: 1- 2 0 Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT L Higgins 800 Seminole Road Atlantic Beach,Florida 32-733 -5800 (904)247 (904)247-5845 Fax sill' PLAN REVIEW COMMENTS Permit Application 05 - -Z-7 S I Property Address: Applicant: Project: t—c> �-4t--7Tf\L- 1hL-DG , This permit application has been: E] Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATIANTIC.BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 IN. FAX: (904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # c) ;Z77 5 Applicant: E 4 � E-,nt Address: c> ZS7t tA t-tot,� Project: 0 K tz'0 H E7� e.-) Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ca Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Revniewby Donna Kaluz *alk, Plu ic Utilities Director Date 2/za Sipfiu/r-e Contractor Notified Date CITY OF ATLANTIC BEACH D Ford 'L��' S BUILDING / ZONING DEPARTMENT Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: f Project: )(A00 mc-i-pi t�)Jckiru This permit application has been: E Approved 0--l-'Reviewed and the following items need attention: (JzNi2 4?6A,&Of 2?6'dfi(-S C-4 a ro 012Y C -are. �4 11 .............- IPA N. Please re-submit your application when these items have been completed. Reviewed By: j Date: /2 - (2 -0-3 6X Aq CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANT1C BEACH, FLORIDA 32233-5445 Telephone: (904)247-5800 Fax: (904) 247-5845 hftp-.//ci.atiantic-beach.fl.us FAX To: Fax #: a7c) - z19e From, jci Date: S_(03 j Pages: Re: ��t V1_1VVk'0 Urgent 't�KFor Review Please Reply Notes: AarAc-f+-ca-D F\RJE 71iCE— E(R-F—: I A�" CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 Teiephone: (904) 247-5800 Fax: (904)247-5845 http://ci.atiantic-beach.fl.us FAX To: -c S� Fax#: )-10 -2-1 From: Jennifer Date: 1-2 61 Oq Pages: Re: 71 Urgent El For Review El Please Reply E N Notes: HCv-C OW-C- L40V Llkj6L I (A P CIAO cW fr-L� 'P LA-0 WOO(S P- +';:0 rtA 1�Aqs--c c '�-M -c C" back-1 -Pnry-) hm-rull �j MzY-)6t"A- -__j u A *,kA HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 Jan 25 2004 2:04pm Last Transaction Date Time !yW Identification Duratio Pages Rtsuft Jan 25 2:03pm Fax Sent 92702198 0:55 2 OK BP250U01 CITY OF ATLANTIC BEACH i/z�)/Uq Application Tracking Step Selection 14 : 01 : 10 Application number . . . . 03 00027311 Address . . . . . . . . . . . 30 SIMMONS RD RE number . . . . . . . . . . 172191-0000- - Application type . . . . . COMMERCIAL NEW CONSTRUCTION NCR OLD ACCOUNT NUMBERS . . Tenant name, number . . . . 30 X 60 METAL BUILDING Type options, press Enter. 2=Change 4=Delete 5=View 6=Fast log 8=Action log maintenance 9=In/out maint Path --- Key Dates --- -- Action Summary Opt Agency description Rev Step Req In Est Cp1 Last Type By FIRE DEPT. A 01 Y 12/01/03 12/04/03 PLANNING A 01 Y 12/01/03 12/04/03 12/15/03 AP SD PUBLIC UTILITIES A 01 Y 12/08/03 12/04/03 12/08/03 APN LS PUBLIC WORKS A 01 Y 12/03/03 12/04/03 12/03/03 REV LS BUILDING A 02 Y Bottom F3=Exit F5=Land inquiry F6=Add F7=Revisions F8=Misc info inquiry F10=View 3 F12=Cancel F14=Action log inquiry F24=More keys CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date: 2- 4,1— Address r- C-oc- Heated Square Footage @ per sq As per sq ft $ 0 (0 0 Garage �bed Carport/Porch @ per sq ft Deck @ per sq ft Patio @ per sq ft TOTAL VALUATION: C) Total Valuation ist $ Remaining Value $ perthousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: C'C, + 1/2 Filing Fee $ FLOOD ZONE: ( ) Fireplaces@ $35.00 $ IMPERVIOUS SURFACE:�7—i�' BUILDING PERMIT FEE $ WATER IMPACT FEE $ �—e C) SEWER IMPACT FEE $ r 2-0 WATER METER/TAP $ r6 0 CAPITAL IMPROVEMENT$ SEWER TAP $ C (3occ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST(�cc G ) SURCHARGE $ OTHER S GRAND TOTAL DUE: $ 1/13/03 DEPARTMENT OF PUBLIC WORKS J, 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX: (904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT U'L'Z> ( C Y-') Permit Application # Z-7 �E31 Applicant: �4L oF Address: 5C) 0 t--�"S Project: ;:5c> H C-7pit— :i Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. xYour permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. ze��ix� Aelkfl-5 Reviewed by4�� Director of Public Works Date Sij��ature Contractor Notified Date ej ) J,9 I 10q ....... --- WATER IMPACT FEE WORKSHEET & ADDRESS. DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closel� lavatory, Bidet, and bathtub or shower 6 Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domesbc 2 ,.Ddnking fountairi/Icemaker 1/2 Floor drains 2 Hose bib 1 Kitchen sink, domesfic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartmenl�domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNIT,' MULTIPUED X 20 TOTAL$ 'J'c-- BP200IO5 CITY OF ATIANTIC BEACH i/Z-L/ V-1 Application Tracking Inquiry 08 : 30: 39 Application nbr . . . . . . 03 00027311 Property . . . . . . . . . . 30 SIMMONS RD Appl type . . . . . . . . . : CNEW COMMERCIAL NEW CONSTRUCTION Revision number . . . . . . : Path/Step/Seq . . . i . . . : A 01 00 Required step, apprvl cd . : Y APN Agency . . . . . . . . . . : PU PUBLIC UTILITIES Approval code . . . . . . . : APN APPROVED AS NOTED Reviewed by . . . . . . . . : LS LISA SHOWMAN Date submitted, completed : 12/08/03 12/08/03 Org cmpl date, revised : 12/04/03 12/04/03 -------------------------------- Comments ---------------------------------- Comment Date Print Sewer tap available, will need a water tap to be paid for. 12/08/03 Sewer service must have cleanout at right-of-way line . 12/08/03 If separate tenats will be using building, areas must be 12/08/03 individually metered if building is subdivided. 12/08/03 More. . . Press Enter to continue. nts F12=Cancel F3=Exit F8=View In/Out Status F9=Expand commie BP200IO5 CITY OF ATLANTIC BEACH 1/21/U4 Application Tracking Inquiry 08 : 30 : 39 Application nbr . . . . . . : 03 0002�311 Property . . . . . . . . . : 30 SIMMONS RD Appl type . . . . . . . . . : CNEW COMMERCIAL NEW CONSTRUCTION Revision number . . . . . . : Path/Step/Seq . . . . . . . : A 01 00 Required step, apprvl cd . : Y APN Agency . . . . . . . . . . : PU PUBLIC UTILITIES Approval code . . . . . . . : APN APPROVED AS NOTED Reviewed by . . . . . . . . : LS LISA SHOWMAN Date submitted, completed : 12/08/03 12/08/03 Org cmpl date, revised : 12/04/03 12/04/03 -------------------------------- Corments ---------------------------------- Conymnt Date Print Fire services must include backflow prevention and 12/08/03 detecto-check meter. Contact Malcolm Clemons for backflow 12/08/03 type. 247-5839 12/08/03 Send a copy of Civil Drawings to Public Utilities . 12/08/03 More. . . Press Enter to continue. F3=Exit F8=View In/Out Status F9=Expand conrmnts F12=Cancel BP200IO5 CITY OF ATLANTIC BEACH 1/21/04 Application Tracking Inquiry 08 : 30: 39 Application nbr . . . . . . 03 00027311 Property . . . . . . . . . . 30 SIMMONS RD Appl type . . . . . . . . . : CNEW COMMERCIAL NEW CONSTRUCTION Revision number . . . . . . : Path/Step/Seq . . . . . . . : A 01 00 Required step, apprvl cd . : Y APN Agency . . . . . . . . . . : PU PUBLIC UTILITIES Approval code . . . . . . . : APN APPROVED AS NOTED Reviewed by . . . . . . . . : LS LISA SHOWMAN Date submitted, completed . : 12/08/03 12/08/03 Org cmpl date, revised . : 12/04/03 12/04/03 -------------------------------- Comments ---------------------------------- Convent Date Print Each water service must have a reduced pressure backflow 12/08/03 preventer. Backflow preventers must be tested by a 12/08/03 certified tester and a copy of the results sent to Public 12/08/03 Utilities . 12/08/03 More. . . Press Enter to continue. F3=Exit F8=View In/Out Status F9=Expand convents F12=Cancel BP200IO5 CITY OF ATLANTIC BEACH I/zi/ uq Application Tracking Inquiry 08 : 30 : 39 Application nbr . . . . . . : 03 00027311 Property . . . . . . . . . : 30 SIMMONS RD Appl type . . . . . . . . . : CNEW COMMERCIAL NEW CONSTRUCTION Revision number . . . . . . : Path/Step/Seq . . . . . . . : A 01 00 Required step, apprvl cd . : Y APN PUBLIC UTILITIES Agency . . . . . . . . . . : PU Approval code . . . . . . . : APN APPROVED AS NOTED Reviewed by . . . . . . . . : LS LISA SHOWMAN Date submitted, completed 12/08/03 12/08/03 Org cmpl date, revised 12/04/03 12/04/03 -------------------------------- Convents ---------------------------------- Convent Date Print What is "dump station" for? Be aware of City Ordinance 12/08/03 22-129, Prohibitive Discharges . 12/08/03 Bottom Press Enter to continue. F3=Exit F8=View In/Out Status F9=Expand convents F12=Cancel Cc: CITY OF ATLANTIC BEACH D. Ford L. Hk]gins BUILDING / ZONING DEPARTMENT Doe 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: Project: NJQJ Yk- This permit application has been: Izi a--�pproved —�bQ Reviewed and the following items need ai Ad A+** Please re-submit yo applicatio hen these items have been completed. Date: Reviewed By: Z; 77 --z! DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE: (904)247-5834 FAX: (904)247-5843 SUNCOM: 852-5834 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # &1 1-3 11 Applicant: Address: P ect: \A C�) rA r0j xYour application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. I artment and the :3 Your permit application has been reviewed by the Public Utilities Dep following items need attention: YeyAe,," Al-A AA-'k I& hf&4ek-h 01 V ,!2 �,11 jjjj!:�.' r Lane, Please submit these requirements to the Public Utilities Department, 1200 Sandpipe Atlantic Beach, FL 32233 in order that we can approve your application. If you have any e*dAtj questions please call (904) 247-5834. ytivt� Reviewed by Do a Kaluzmak, Public Utilities Director Date ignature Contractor Notified Date Z IL 0< 0 z !sLj 6 C, z 0 Ld 0 0- o Ln b LO Lo 0 DO 0 OD Of In 0 z cl� o _j 0 CO cl� 0 LL- C� LC a_ . x I %Nr� M cl� DNI>lWd 313�ONOO �-0 do 0 z 0 < �P. (0-131J) CIR**Lt -i :D 0 9: -h a_ 0 L-a- I C�� Z L,!_, 0 'o > 0 0 aw: L,J > 00 < o D < (Y 1:� o Ln cr— jr 0 w 1 1 0 z U C) L'i :D 0 0 w> 0_<zr- -j u 0 " < �,Er < W Lii C) > 0 w WY iw� < V)w Lc� DO U) .1. 9 LO z V) cr Cr) < CA < LL. C4 < 0 �o U 7r C) U- x z x 0 < z 0 -1 Lli L9 A. 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C) c LLJ < z _j -i C) (n LL- U- L�xz m 0 LL- LJ > < Q� LLJ LLJ m 3- z LLJJ C)LLJ LO �7- C:)L, > x - 0 > C:) z rl) C:)-Ln 0 x 0 L-n z V) <CN < Li m CN C) L.Li 0 F- LLJ CY) 0 Z LLJ < Cl) LLJ z 0 a_ < * CD cr- C) 0 cr I zo Of LL. >- LLJ LLI F= D >: m V) < Fr- c L)M< ;7-- < V) L.LJ LLJ z of >- uj z 0 Ln L) < I z D o7z Lj o IL LLJ V) Ln < z 0 gc, z a- c) Z) < 0 0 a- LO Of o i� z < LLJ C D -) C) 0 0 Z LLJ < 0 :2 11 Z 0 LLJ V) M Of < z 0 IL 5; 0 -1 0 L.Li LLJ < LJ — a- Of 0 [if D M :2 Of 0 a_ :"i 0 o < LLJ 0 _j < 0 > 0 > Z LLJ L.L- z m cr Lu LLJ < < M Of < 0 Z LLJ Lj o C� cr- 0 m 0 Lli 31 Q:� n- )-7 Lr) L- U-) 0 C-) o Of 0 - C) < Lr) < < < LLJ C) < LLJ o Z 0 0 C-) LJ L; 0 LLJ < v) z Ln CO En -j < LLJ Cr) x < 0 < < LLJ Z 'd- LL- D 0 LLJ or- b < V) Cf) of LLJ D o Ir M LLJ Of 0 Y >0 > LLJ z Li z V) N z < 0 < cr a- Of < 0 C) z < 0- 0 N < -j D LJ Df < V, C,() cr) cn ILI Li C, z C�i L.Lj D D CD < a- C < LJ Ljj U L-Lj 0 > 0 z < Ld C/) Lj (D n�- z > 0 Of LLJ < _j L-j C) Lo LL z 0 0 -1 z < Z M a- cc z L 0 LL- DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX:(904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us r PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # Applicant: NC)P-++-) r?�;?CACk) toqionccl�A5a --rn- c- - Address: 3n !�)"rn ryyor-o Proi ect: -51+c drVC1 V 3C00 101 XYour application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. u Your permit application has been reviewed by the Public Utilities Department and the follo�ying items n(;ed attention: A aoue2 AT: v—Lb &y :Pi— iew 0,77 19 1-1p Z?, e&- - Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Rjevi&eed by Donna KaluuZzniakk, Public Utilities Director D Date Signature Contractor Notified Date CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FANfILY RESIDENCE AND DUPLEX CONSTRUCTION) Date- Job Address: 4 =I� 17 27- 1 V-00:2,::2 Owner of Property: Address: Telephone: Y-3 Legal Description: Block Number: 7— / LotNumber: Zoning District: Contractor: IZ4 State License Number: Contractor's Address: Telephone: 14114 Fax: Describe proposed use aril work to be done: 6_,ne 1,9 0,9 W,��r e Present use of land or building(s): (_-2X Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required?Y0_If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of rill material or the removal of any trees? 0 NO. Applicant certifies that no change in site grade or fill material will be used on this project F2f YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. El NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservaticin Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy.Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City.Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page I Revised 1114/03 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Af5davit if owner is cantructor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach,FL 32233 Telephone: (904)247-5826 1. in addition to construction and engineering detaiL plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficicrit to depict all required information in a clear and legible manner. I. Curri:nt survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any signif cant etvirormiental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimminepools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INF6R.MAnO�-PW---/VIDED WITH THIS APPLicAnoN is CORRECT. SIGNATURE OF OWNTER DATE. 1 HER BY CERTIFY THAT I HAVE READ AND EXAX(NED 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 OF CONSTRUC`TION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND nPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS -EQUIRED. SIGNATURE OF CONTRAC`TOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRrM NAME &,,--/ ./l/i Aov4 MAILING ADDRES S Ydl Ar�-0-4 1—Z Z 2 Z- PHONE '�o 4/' �17?- FAX FmArL 4oy�-�,-a SWORN AND SUBSCREBED-BEFORE ME TECIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE.0 AL�" P& Commission#DD01 24509 AS TO OWNEP- Personally Imown Expires 6/11/2006 Produced identiLcation Bonded through Type of identification produced-(800-432-4254) Fiorida P"�ry Assn..Inc. .......... AS TO CONTRACTOR. F� Personally known Produced identLfication Type of identLEcation produced 3/1&M2 DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACN,FLORIDA 32233-4318 TELEPHONE: (904)247-5834 FAX:(904)247-5843 SUNCOM:852-5834 7, http://ci.atiantic-beach.fl.us I wm-K-L PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # Applicant: Address: Proj ect: d cvc, ci Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ,��Your permit application has been reviewed by the Public Works Department and the following items need attention: Provide spillway at swale on south end to ditch. No dumpster pad shown. Provide copy of St . Johns River Water Management District permit . "Barrett Simmons" Road? Please submit the4e requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works Date Signature Contractor Notified Date Fa-2ce-01-j�!hg-7 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 -5800 TELEPHONE:(904)247 FAX: (904)247-5805 SUNCOM: 852-5800 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 0 ( 006 2- F — Applicant: &� Q A K-W /� 4-= A) Q/Al C6fe f�J f- Address: I Project: Your application is approved 0 Your permit application has been reviewed and the following items need 14A;- attention: C- ki a J!!, 10 t:j U 3 7 IM ky//J 01(Lie-) "a'a I 'C- +to OZ- 1 -t-K. .3.-3 x c T-t c)A 3 C Please re-submit your application when these items have been completed. Reviewed by_ t-0 't 0 Signed .-Date 9, Contractor Notified Date JiCk-� DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE AT LANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX: (904)247-5843 SUNCOM: 852-5834 tw) http://ci.atiantic-beach.R.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # o-�> — Applicant: Norty--'\ Address: Project: �<Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. u Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Zaw Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewej b, Donna Kaluzniak Public Utilities Director 'jo Date Signature Contractor Notified Date NORTH BEACH ENGINEERING9 INC-- 3611-14 St.Johns Bluff Road South,Jacksonville, FL 32224-904-493-6500 FAX 904-493-6501 September 3, 2003 Ms. Sonya Doerr City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach, FL 32233 Subject: Barnett Simmons Road Resubmittal Permit Application# 03-00100028 NBE Project 09044 Ms. Doerr: Please find the following attached for the above-mentioned project: Site Development Plans—4 sets (signed and sealed) St. Johns River Water Management District Permit Determination—2 copies We trust this will be sufficient. Should you have any questions or require additional information, please do not hesitate to contact me. Sincerely, North Beach En ineering, Inc. Robert M. Moon, E.I. Associate Engineer RMM/mi/0503Sdoerr St. I-ohns River Mil Water Management District Kirby B.Green 111,Executive Director e John R.Wehle,Assistant Executive Director David Miracle,Jacksonville Service Center Director 7775 Baymeadows Way - Suite 102 Jacksonville, FL 32256 - (904)730-6270 June 20,2003 Mr. Robert A Moon,E.L North Beach Engineering, Inc. 3611-14 St. Johns Bluff Road South Jacksonville, F1 32224 Re: Permit Determination for building/parking lot construction @ Barnett Sinnnons Road DET-031-435768 De&Mr. Moon: The St. John's River Water Management District is in receipt of your correspondence requesting a determination of permitting requirements (if any)for the proposed activities referenced in your correspondence received on June 11, 2003.Referenced within your correspondence is the proposed construction of the following items. You are proposing to construct a 3,000 square feet building and a paved parking lot that will be less than 4,000 square feet.None of the work is proposed within wetlands. The proposed project does not meet or exceed any District permitting thresholds therefore you will not be required to obtain a permit from the District. Please be aware that the permit determination made in this letter is based upon the information you submitted. If any information contained within this letter is not correct, or if any change in the future, you will need to notify the staff immediately. Finally, this letter applies only to the requirements of the St. Johns River Water Management District and does not relieve you of meeting the permit requirements of local, county, or other legally constituted authorities. Please contact this office at(904) 448-7907, if we may be of additional assistance. y e Robin E. Compliance Manager Jacksonville Service Center cc: �David Miracle, PDS/DL -�-GOVERNINQ BOARD Duane Oftenstroer,CHAJRMAN Ometrias D.Long,VICE CHAIRMAN R.Clay Albright,SECRETARY David G.Graham,TREASURER JACKSONVILLE APOPKA OCALA JACKSONVILLE W.Michael Branch John G.Sowinski William Kerr Ann I Moore Catherine A.Walker FERNANDINA BEACH ORLANDO MELBOURNE BEACH BUNNELL ALTAMONTE SPRINGS CITY OF ATLANTIC BEACH cill, BUILDING PERMIT APPLICATION (FOR NEW SINGLE FANELY RESIDENCE AND DUPLEX CONSTRUCTION) Date- JobAddress: Owner of Property: Address: 'Z-3-Z1_?1-69 r-i,-orv-1 Z- Telephone: �W-5- Y-3 Legal Description: Block Number: LotNumber: Zo�-g -Zoning District: Contractor: State License Number: Contractor's Address: Telephone: Fax: Describe proposed use an4 work to be done: lq-r-- 6.on,�/ X/ — 6 r /,-, Present use of land or building(s): om Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? A10 If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO.- Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conseivation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Cont-actor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/14/03 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)compiete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach,FL 32233 Telephone:(904)247-5826 in addition to construction and engineering detail, plans must contain the following infbrmation as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict a required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant ehvironmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimmini-pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATIO0 PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DAM I HER BY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND ICNOW T13E 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 OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I 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 SELALL BE PROVIDED AS -_EQUIRM. SIGNATURE OF CONTRACTOR —DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING TE[IS APPLICATION (PLEASE PRINT) e NAME .14/1 MAILING ADDRESS Ar fm V) z z PHONE 6'50-z2 FAx eLll— E41AM 64, SWORN AND SUBSCRIBED-BEFORE MY,TEaS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARYS SIGNATURE Commission#DD0124509 AS TO OWNEM Personally known Expires 6/11/2006 El Produced idendfication Bonded through ;ry Assn.,Inc. ............ Type of identification produced (80043�4.254)...Flor'�� AS TO CONTRACTOR_ Personally known Produced identLfication Type of identification produced DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH, FLORIDA 32233-4318 TELEPHONE: (904)247-5834 FAX: (904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us r PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # 0'-'-) �)01039p,� Applicant: 0� Address: cvc Proj ect: cj C Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. )KYour permit application has been reviewed by the Public Works Department and the following items need attention: -/0 K, r :to ditch. Aeld s illw Provi E -pillway at swale on south en iumpster ,ad shown cw-ld id y �o Ri V 01 CLperProvi e cop,, 0 �hn s t D ' t t j mit . - "Barrett SimmonsTr--Rbad? Please submit the& requirements to the Public Works Department, 1200 Sandpiper Lane, Atlan tic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works 1-C/(d It) Date Signature Contractor Notified Date Ifa-x-e(Z 8-/9-7 P. 01 TRANSACTION REPORT AUG-21-2003 THU 12:25 PM FOR: ATL, BCH. PUBLIC WORKS 904 247 5843 DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP AUG-21 12:24 PM 94936501 111011 2 SEND OK 611 TOTAL IM 10S PAGES: 2 t �J. DEPARTME NT OF PUBUC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-1-318 TELEPHONE: (904)247-5834 FAX7(904)247,15843 SUNCOM;852-5834 http,//ci.allantic-bcach.fl.US FAX TRANSMITTAL DATE' 10':2? TO: —.JLOAel--'� /NJ0?1-*- U FAX #: Total Number of Pages, Including Cover Sheet: Ail P 2C CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FANRLY RESIDENCE AND DUPLEX CONSTRUCTION) Date: Job Address: 416A 41 R061Y Owner of Property: 5- Y3 Address: -Z--3-Z /9, a,,//, Telephone: Legal Description: Block Number: 7— LotNumber: Zoning District: ILI' Contractor: lf,/4 State License Number: Contractor's Address: Telephone: Fax: Describe proposed use a,4 work to be done: lq-r—— 61:9.*1 4/ e, e'�,e7w �j e�'012 kv,, Present use of land or building(s): Valuation of proposed construction: /PI/X Is approval of Homeowner's Association or other private entity required?��V If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? F I NO. Applicant certifies that no change in site grade or rill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conseivation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Cornmencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Pave 1 Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ei.atiantic-beach.il.us Revised 1/14/03 1� STEP 3. Please submit Energy Code Forms,Notice of Commencement, Owner/Contractor Aff3davit if owner is contractor, and four(4)compicte sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hail, 800 Seminole Road, AtLann, Beach,FL 32233 Telephone:(904)247-5826 in addition to construction and engineering detail, plans n= conmin the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Czrent survey showing the property boundary with bearings and dis=ccs and the legal description. 2. Location of all struc=cs, ternporary and permanent, including setbacks, building heigh�number of stories and square footage. Identify anv exming structures and uses. 3. Ejusting and/or proposed driveways. 4. If required by the Department of Public Work--,a pre-construction topographical survey. 5. Any signif cant ctivironrnantal.features,including any jurisdictional wetlands,CCCI, natural water bodies. 6. Imper-vious Surface area calculations. (Swimmini-pools may be excluded from total Impervious Surfacr-) 7. Other informanon as may be appropriate for individual'applications. 1 HEREBY CERTIFY THAT ALL INF6RmA - q PrviDED WITH TIIIS APPLICATION IS CORRECT. T SIGNATURE OF OWNER DATE. 7 I HEREBY CF-RTIF`Y THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AYD CORRECT. ALL PROVISIONS OF THE LAWS AND ORDEqANCES GOVERNING THIS TYPE OF WORK WILL BE COmPLiED WITH, WHETHER SPECIFIED EMR IN 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 KANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLAYS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS -IQUU;LED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALI CORRESPONDENCE REGARDING TE1S APPLICATION (PLEASE PRUM N' NIE -i" AI ADDRESS PHONE. ?j�� FAX Y'� E-MAM SWORIN AYD SUBSCRIBED BEFORE KE THIS 14 DAY OF STATE OF FLOREI)A, COUNTY OF DUVAL NOTARYS SIGNATURE Commission#DD0124509 AS TO OW. PmonaUy known Expires 6/1112008 Ptoduced idendfication Bonded through Type of idendfcation produced I Florida P',' iry Assn., Inc. .......... AS TO CONTRACTOR. PmonaHy known Produced identLfication Type of identLfication.produced illillillillillllllllIIIIIIIIIIIIIII momm---N""IllillillillilllllllIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllilillilllllllllllllllllllllillillilI Nortb Beac� 9, 2003 12-.02PM ris Bluff Rd, S. North Beach 3611-14 St. JOh Jacksonville, FL 32224 Enginecring7 Inc. 904-493-6500 FM 904493-6501 rMM@north-b9ach-00m ftx f r2m, Mrnn F I To-. Bob KqifqY pagest 5 FiewW5��-1 4 '54 AM igkx Date- 919/2003 11 phenol CC% File n) d�� New Warqhc�use on�SimonsRoa New Warehouse on Simmons Road �Rel 0 Reply Via Fax [3 urgent a For Review 0 plea"Comnient P16856 Reply Bob. ment[)jstricts Permit Exemption Letter an,pol"or-s Of Attached is the St.Johns River water Manage our revised s�ta deveiopment plans, v,sed r .0 pa-submit 4 more copies of the entire set Of re tans or wili these taxes suff":e Will we need t 0 permh,which will include revised sets Of Plans? our client applies for his buIdin ples\.39 call me It you have ar)y questions Or comments' TWO Rob No. 129" 9. 2003 12:02PMOP=Nortb Beach Englineer Ing IS C�*q 4- �Ot, Johns River 5�yp,,,wo Water Management District KIty 13,Green III,Executive Director v John 8,W01119,AS81515rIt Exacutivo Director David Miracle.Jacksonville SarvIQ@ Center Director 7775ftymeadowsWaY ' S09102 s JacksonvIlle,F02256 # (904)730-6270 June 26,2UO3 Mr.Robert M.Moon. E.T, North Beach Engineering,Inc- 3611-14 St, Johns Bluff Road South Jacksonville,Fl 32224 Re: Permit Determination for building/parking lot construction @ Barnett Simmons Road DET-031-435768 Dear Mr. Moon: The St.John's River Water Management District is in receipt of your correspondence requesting a determination of permitting requirements(if any) for the proposed activities referenced in your correspondence received on June 11, 2003,Referenced within your correspondence is the proposed construction of the'following items. You are proposing to construct a 3,000 square feet building and a paved parking lot that will be less than 4,000 square feet,None of the work is proposed within wctlands.The proposed project does not meet or exceed any District permitting thresholds therefore you will not be required to obtain a permit from the District. Please be aware that the permit determination made in this letter is based upon the information you submitted, If any information contained within this letter is not correct, or iff any change in the future, you will need to notify the staff immediately. Finally,this letter applies only to the requirements of the St. Johns River Water Management District and does not relieve you of meeting the permit requirements of local,county, or other legally constituted authorities. Please contact this office at (904)448-7907, if we may be of additional assistance. 7Robin E. H 11 Compliance Manager Jacksonville Service Center W. David Miracle, PDS/DL OVORNING BOARD ometriss 0.Long,VQE OHAIRMA14 H.my AAbNht,sKRETAPY David G.Graham,TREASURER Duane OttenStfoer,014AIRMAN OCALA JACKSOWLJ JACMOWILLE APOPKA John G,Sowinsk) William Korr Ann T Moore CatheflnG W,Michael Branch MELBOURNE VACH BUNNELL FIORNANDINASEACM oRLANDO No, 1298 3 S e P. 9. 200" 12: 03PM North Beach Engineer '19,0' )WI Ofift OW SWOOM �ftQ 6m,3WOO�ON aO 30NVI�C . _I '"w N... NVId 00h I LNVUV A Alo mu 00-40-M i 31DYNNUG UNY VNIAVd ON1832NION� Ad W1141mixg LYC N w"d 11110(ilm"I Sul S 0 HOV39 HiIAON 1,7A, R F. I VA Aa V 2003 12:03PM North Beach Engineering No. 1298 z < C) Z 0— C) < < 0 a. z < 0 z w x � 0 — w P < LLJ (L CO Z) 0 > z uj -j LU LU > N 00 C\i N z w U- �b ,Zf Sep. 9. 2003 12:04PM N o r t h B e a c h E n g I n e e r i n g 0 No. 1298 z Z ui -i cn C) L) cn QQ Z 0 z Z ul W w LU zw LU o z r Z F- 0 z Z LU DRAWING PD-1 OF 10 DATE: SEPTEMBER, 2003 PROJECT NO,: 09044 NORTH BEACH ENGINEERING9 INC. 3611-14 St.Johns Bluff Road South,Jacksonville, FL 32224-904-493-6500-FAX 904-493-6501 September 3, 2003 Ms. Sonya Doerr City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach, FL 32233 Subject: Barnett Simmons Road Resubmittal Permit Application# 03-00100028 NBE Project 09044 Ms. Doerr: Please find the following attached for the above-mentioned project: Site Development Plans—4 sets (signed and sealed) St. Johns River Water Management District Permit Determination—2 copies We trust this will be sufficient. Should you have any questions or require additional information, please do not hesitate to contact me. Sincerely, N;orthBeachn En ineering, Inc. 7; Robert M. Moon, E.I. Associate Engineer RMM/rm/0503Sdoerr L) DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX:(904)247-5843 SUNCOM: 852-5834 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # Applicant: Nov--f-�� &LA- Cif) Address: Project: • Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. • Your permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works Date Signature Contractor Notified Date Schlueter, Jennifer From: Robby Moon [RMM@north-beach.com] Sent: Monday, September 22, 2003 2:42 PM To: Schlueter, Jennifer Subject: RE: 30 Simmons Road Jennifer, Thanks for letting me know that the permit is ready. I will contact Mr. Barnett and let him know. Thanks Robert Moon, E.I. <mailto:rmm@north-beach.com> Associate Engineer NORTH BEACH ENGINEERING, INC. <http://www.north-beach.com/> 3611-14 St. Johns Bluff Road South Jacksonville, FL 32224 904-493-6500 FAX 904-493-6501 -----original Message----- From: Schlueter, Jennifer [mailto:jschlueter@ci.atlantic-beach.fl.usI Sent: Monday, September 22, 2003 2:29 PM To: Robby Moon Subject: 30 Simmons Road Robby, Just wanted to let you know everyone here has approved the site development for Barnetts Simmons Road project. The site development permit is ready to be picked up and the fee is $150.00. Thanks, Jennifer Building Permits Clerk CAB Page I of I Doerr, Sonya From: Doerr, Sonya Sent: Wednesday, September 10, 2003 2:04 PM To: 'Robby Moon' Subject: Parking -Simmons Road project Robby, we are trying to finish up review of Bill Barnett's Simmons Road project, and I just want to clarify.... There will be only two employees at any time, and there are no company vehicles associated with the business, correct? I am concerned -and Don Ford has expressed the same concern -that parking may be a problem. Also, there is no accommodation for Off-Street loading. If there is to be any"receipt or distribution of materials and merchandise," one Off-Street Loading area must be provided. Sonya B.Doerr,AlCP Planning Director City of Atlantic Beach,Florida 904 247-5817 Phone 904 247-5805 FAX 9/10/2003 Cc: CITY OF ATLANTIC BEACH D. Ford F BUILDING / ZONING DEPARTMENT liggins Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 3--'001 Property Address: Applicant: 7::54nm0r--:> Project: G)�� dnV/z--fRP(y-VLn+ f�-�L/trr-- V This permit application has been: t2----�Approved F7 Reviewed and the followinc, items need attention: L 42 Please re-subm pli7 6ti n when these items have been completed. Date: Reviewed By 67,f- 3 Page I of I Schlueter, Jennifer From: Doerr, Sonya Sent: Tuesday, September 16, 2003 4:50 To: Schlueter, Jennifer Subject: FW: Parking - Simmons Road project FYI -- -----Original Message----- From: Robby Moon [maiIto:RMM@north-beach.com] Sent: Tuesday, September 16, 2003 4:18 PM To: Doerr, Sonya Subject: RE: Parking - Simmons Road project Great! Once Don Ford signs off and Jennifer calls me, can I tell Mr. Barnett that he can go pick up a site development permit and then he will be allowed to start to clear and rough grade the land? He has already received his tree preservation permit from the tree board. Thanks Robert Moon, E.I. Associate Engineer NORTH BEACH ENGINEERING, INC. 3611-14 St. Johns Bluff Road South Jacksonville, FIL 32224 904-493-6500 FAX 904-493-6501 -----Original Message----- From: Doerr, Sonya [ma i Ito:sdoerr@ci.atla ntic-beach.f 1.us] Sent: Tuesday, September 16, 2003 4:22 PM To: Robby Moon Subject: RE: Parking - Simmons Road project Robby, got your message... sounds fine. I have signed off; not sure if Don Ford is finished reviewing or not. Jennifer will call you as soon as Don approves. Sonya 9/16/200') CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FANULY RESIDENCE AND DUPLEX CONSTRUCTION) Date- Job Address: ,fy1Af6A Owner of Property: A C It Address: -Z-32 A/,-, 7--06 Telephone: Y3 - Legal Description: Block Number: LotNumber: Zol-? Zoning District: Contractor: State License Number: Contractor's Address: 'V Telephone: 14114 Fax: 4//"� Describe proposed use an4 work to be done: — 6 r -/ /44,-,f �i,901_2 �',f i-1,,-re�2 Present use of land or building(s): Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? A/r If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? F-1 NO. Applicant certifies that no change in site grade or fill material will be used on this project. EaYES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. El NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Cont-ddor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City,Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)cornplet- sets of construction plans to the Building Department, which is located at the Atlantic Beach City Rall, 800 Seminole Road, Atlantic Beach,FL 37213 Telephone:(904)247-5826 in addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict 0 required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant chvironmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY TH�V/A *VIDED WITTI THIS APPLICATION IS CORRECT. .-C) SIGNATURE OF OWNER 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 LAZS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIT11, WHETHER SPECIFIED HER OT. 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 OF CONSTRUC"TION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I 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 -EQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) D � . I NAME A MAILINGADDRESS PHONE —FAX _E-MAIL SWORN AND SUBSCRICBED-REFORE MY,THIS DAY OF STATE OF FLOREDA,COUNTY OF DUVAL NOTARYS SIGNATURE ...... Commission#OD0124509 El Personal1y known AS TO OWNER:' Expires 6/11/2006 Bonrledlhrough Produced identification 'a Type of identification produced:( Florrli ' vr,.ssn.Jnc, ...... ..... AS TO CONTRACTOPU Personally known Produced ident[fication Type of idenfification produced i/la/02 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that al I information provided with this application is correct. Signature of owner: 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 of construction or the performance of construction of the property. I 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. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Am, 111oLA-h 6,46�,',4 MailingAddress: Telephone: ?e67 Fax: E-Mail: 1`,*,xk1 AS TO OWNER: Sworn to and subscribed before me this day of 920 State of Florida,County of Duval Notary's Signature: Personally known Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20_. State of Florida,County of Duval Notary's Signature: F� Personally known F-1 Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 Map Output Page I of I JAXGIS Property Information S1 10 1945 15 2S SS 71S 36 28 1 1 1 1 3F 33 31 40 60 17 91 00 ------L------L-- 19W AIA 1880 as r lw? --I 35 law 1863 70 so law 18" C4apyri@ hi JC) CKy-f lia-kson F I Or tat ap ook nel ap n Total Flood RE# Name Address ' te cres, pla' egal Descriptions LandUse Plat Value Book zone- BARNETT 19-16 17-2S-29E Not in 1721910000 32813 .2 DONNERS R/P PT GOVT LOTS 2,3 Flood WLLIAM 32233 :::L Ell,-- - BLK 21 Zone http://maps.coj.neVWEBSITE/DuvalMAps/toolbar.asp 8/15/2003 ISr. Exempt: $0.00 F ISr.Taxable: $0.00 77=lTotal Tax: $170.51 Printable Version 2003 Proposed Value Additional Links: - Map This Propenty(Map UT - Property Record Card (PRC) -Taxes - Back to Search Page http://pawww.coj.net/pub/property/RENO.asp?RENUM=l 72191+0000 8/15/2003 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION CHECKLIST APPLICATION CHECKLIST/REQUIRED SUBMITTALS Building Application Form 21. Four complete sets of plans including detailqd site plan Ile/6jm, 3. Recent survey /V/A 4. Owner/Builder Affidavit (required when owner acts as contractor) ,V& 5. Energy Sheets 46. Recorded Notice of Commencement 7. Tree Removal Application if trees are to be removed or relocated 6-5,93 SCHEDULED INSPECTIONS Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail systern. 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: I. Footing 2. Under slab plumbing/sewer/electric 3. Slab 4. Cover up (This is different from other jurisdictions): framing, rough electric, mechanical and plumbing 5. Insulation 6. Final Inspection(includes drainage, trees, landscape and site inspection) Finished floor elevation survey required prior to issuance of 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$35.00 is charged for all re-inspections. 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 homeowner's association. 800 Seminole Road - Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us Revi-ed 1/17/03 NORTH BEACH ENGINEERING, INC. 3611-14 St. Johns Bluff Road South, Jacksonville, FL 32224 - 904-493-6500 - FAX 904-493-6501 August 12, 2003 Ms. Sonya Doerr City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach, FL 32233 Subject: Barnett Simmons Road NBE Project 09044 Ms. Doerr: Please find attached City of Atlantic Beach building permit application checklist and building pen-nit application. We trust this will be sufficient. Should you have any questions or require additional information, please do not hesitate to contact me. Sincerely, North Beach Engineering, Inc. Robert M. Moon, E.I. Associate Enigeer RMM/rk/0303Sdoerr NORTH BEACH ENGINEERING, INC. 3611-14 St. Johns Bluff Road South, Jacksonville, FIL 32224 -904-493-6500 - FAX 904-493-6501 June 10, 2003 Ms. Sonya Doerr City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach, FL 32233 Subject: Barnett Simmons Road NBE Project 09044 Ms. Doerr: Please find attached 4 sets of site engineering plans for the above referenced project. A tree clearing application will be submitted separately. We trust this will be sufficient. Should you have any questions or require additional information, please do not hesitate to contact me. Sincerely, North Beach Engineering, Inc. Robert M. Moon Project Manager RNMrk/0103Sdoerr 3611-14 St. Johns Bluff Rd. S. J4," Jacksonville, FIL 32224 North Beach 904-493-6500 FAX 904-493-6501 Engineering, Inc. rmm@north-beach.com " tt Tr nsmi To: Sonya Doerr From: Robert M. Moon, E.I. Re: Simmons Rd.,Atlantic Beach, FL Date: 8/4/2003 1:23 PM NBE#: 09044 CC: File El Urgent 0 For Review 0 Please Comment 0 Please Reply El Reply Via Fax Sonya, Attached is the signed building permit application for Mr. Bill Barnett's project on Simmons Road to go along with the 4 sets of the plans that I submitted last month. Thanks Roo,,4/1 City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 - http://www/ci.atlantic-beachJLus BUILDING PERNUT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE JOB ADDRESS APPLICANT (A8/hoAl ADDRESS PHONE: _q LEGAL DESCRIPTION: BLOCK NUM13ER LOT NUNMER___��ZONING DISTRICT CONTRACTOR STATE LICENSE NUMMER ADDRESS PHONE ZIP 'ITY STATE FAX DESCRIB OSED USE AND WORK TO BE DONE �0,00 CIME70P PRESENT USE OF LAND OR BUELDING(S) V6 6 a)f VALUATION OF PROPOSED CONSTRUCTION If yes,what are the dimensions of the added space: feet by feet Is this an addition? Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? 410 If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERLALL? NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Departrr=t at 904-247-5817. In order to correctly verify zoning designation, please have Propeity Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If n6t required, written verification must be provided with this application.) The Departnient of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 18/02 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Ovomer/Contractor Affidavit if owner is contractor,and four(4)compize sets of construction plans to the Building Departrncnt, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach,FL 32233 Telephone:(904)247-5826 in addition to construction and engineering dctai], plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict 0 required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent� including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Departrnent of Public Works,a pre-construction topographical survey. 5. Any significant cliviromnental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT N F AL/L INFORNfATIO _�d�ED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER— DATE. A7 CU I HEREBY CERTIFY THAT I HAVE READ EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND. CORRECT. ALL PROVISIONS OF THE LAW$ AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HER IN 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 OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I 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 `XQUMED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING TMS APPLICATION (PLEASE PRINT) NAME PC4,-'I /1/1 /#00 4 MAILING ADDRESS YIN--I/-/ - 74,-� PHONE 0'50,z� FAX _FMAIL SWORN AND SUBSCRIBED-BEFORE MEE TECES DAY OF—ilia STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE CHAkL�NEK NELSON Commission#DD01245M AS TO OWNER-* PersonaUy known Expires 6ti V2006 I Produced identification Bonded through Type of identification produced: ;4Assn..Ine AS TO CONTRACTOR: E] Personally known Produced identification Type of identification produced i/18/02 CITY OF ATLANTIC BEACH 800 SENHNOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00100028 Date 12/09/03 Property Address . . . . . . 30 SIMMONS RD Tenant nbr, name . . . . . . SITE DEVEL.FOR FUTURE Application description . . . SUB CONCEPT PLAN REVIEW Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------- ------------ ----- ------------------------ BARNETT, WILLIAM OWNER ATLANTIC BEACH FL 32233 (904) 543-1229 ---------------------------------------------------------------------------- Permit . . . . . . SUB. CONCEPT PLAN REVIEW Additional desc . . Permit Fee . . . . 150 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150 . 00 150 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 150 . 00 150 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EM-IER CONTRACTOR OR OWNER- "FAILURE To COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. % BUILDING OFFICIAL CL,/( Cc: CITY OF ATLANTIC BEACH D. Ford A BUILDING / ZONING DEPARTMENT 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 6"'69, (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # o-09D2 Property Address: Applicant: Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit i n these items have been completed. Reviewed By: t/ Date: NORTH BEACH ENGINEERING, INC. 3611-14 St. Johns Bluff Road South, Jacksonville, FL 32224 -904-493-6500 - FAX 904-493-6501 September 3, 2003 Ms. Sonya Doerr City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach, FL 32233 Subject: Barnett Simmons Road Resubmittal Permit Application# 03-00100028 NBE Project 09044 Ms. Doerr: Please find the following attached for the above-mentioned project: Site Development Plans—4 sets (signed and sealed) St. Johns River Water Management District Permit Determination— 2 copies We trust this will be sufficient. Should you have any questions or require additional information, please do not hesitate to contact me. Sincerely, No ;rth Beach En ineering, Inc. Robert M. Moon, E.I. Associate Engineer RMM/rm/0503Sdoerr Mil St. . I-ohns River Water Management District Kirby B.Green 111,Executive Director - John R.Wehle,Assistant Executive Director David Miracle,Jacksonville Service Center Director 7775 Baymeadows Way - Suite 102 Jacksonville, FL 32256 e (904)730-6270 June 20, 2003 Mr. Robert A Moon, EI North Beach Engineering, Inc. 3611-14 St. Johns Bluff Road South Jacksonville, Fl 32224 Re: Permit Determination for building/parking lot construction @ Barnett Sinnnons Road DET-031-435768 De�r Mr. Moon: The St. John's River Water Management District is in receipt of your correspondence requesting a determination of permitting requirements (if any)for the proposed activities referenced in your correspondence received on June 11, 2003. Referenced within your correspondence is the proposed construction of the following items. You are proposing to construct a 3,000 square feet building and a paved parking lot that will be less than 4,000 square feet. None of the work is proposed within wetlands. The proposed project does not meet or exceed any District permitting thresholds therefore you will not be required to obtain a permit from the District. Please be aware that the permit determination made in this letter is based upon the information you submitted. If any information contained within this letter is not correct, or if any change in the future, you will need to notify the staff immediately. Finally, this letter applies only to the requirements of the St. Johns River Water Management District and does not relieve you of meeting the permit requirements of local, county, or other legally constituted authorities. Please contact this office at (904) 448-7907, if we may be of additional assistance. y e Robin E. H 11 Compliance Manager Jacksonville Service Center cc: �David Miracle, PDS/DL GOVERNING BOARD Duane Oftenstroer,CHAIRMAN Ometrias D.Long,VICE CHAIRMAN R.Clay Albright,SECRETARY David G.Graham,TREASURER JACKSONVILLE APOPKA OCALA JACKSONVILLE W.Michael Branch John G.Sowinski William Kerr Ann T Moore Catherine A.Walker FERNANDINA BEACH ORLANDO MELBOURNE BEACH BUNNELL ALTAMONTE SPRINGS 11-1 IW� NORTH BIACH INGINEERING, INC. 3611-14 St.Johns Bluff Road South,Jacksonville, FL 32224 904-493-6500 FAX 904-493-6501 00� September 3, 2003 Ms. Sonya Doerr City of Atlantic Beach Building and Zoning Department 800 Seminole Road Atlantic Beach, FL 32233 Subject: Barnett Simmons Road Resubmittal Permit Application# 03-00100028 NBE Project 09044 Ms. Doerr: Please find the following attached for the above-mentioned project: Site Development Plans—4 sets(signed and sealed) St. Johns River Water Management District Permit Determination—2 copies We trust this will be sufficient. Should you have any questions or require additional information, please do not hesitate to contact me. Sincerely, North Beach En ineering, Inc. Robert M. Moon, E.I. Associate Engineer RMM/rm/0503Sdoerr PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: t�-k�A 0 1��' Property Owner: (,%-)I LJ-4 4+A Phone # Z-z-`1 Contractor: R U-�7- Phone # 33b-7 - (,9 ct Permit#: Date Issued: Building Inspections: Footing Slab Tie Beam Lintel Nailing Sheathing Framing Cover Up Insulation Final Building Tree Permit# YES NO Electrical Permit# C) z So t.,C-> Date/ Copy to JEA L4 -04 Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric .�,r,4 Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA (P 1 --3 0 Mechanical Permit# - Inspections: Rough Final Plumbing Permit# Inspections: Rough Underslab Topout Water Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# I Inspections: Nailing /Sheathing Final Fire Inspection: 5'aileTInspections: Date Paid: Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E 0 F 0 C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 6/30/04 Parcel Number . . . . . 172191-0000- - Property Address . . . 30 SIMMONS RD UNIT 1 & MT 2 ATLANTIC BEACH FL 32233 Subdivision Name Legal Description Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BARNETT, WILLIAM Contractor . . . . . . E & R ENTERPRISES OF N. FL. INC 904 307-6919 Application number 03-00027311 000 000 Description of Work COMMERCIAL NEW CONSTRUCTION Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . B—uilding Off ilial VOID UNLESS SIGNED BY BUILDING OFFICIAL T S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r 1119' Application Number . . . . . 04-00028065 Date 4/08/04 Property Address . . . . . . 30 SIMMONS RD UNIT 2 Tenant nbr, name . . . . . . 150AMP, 1PH, 3W, 220/110V, 211 Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BARRETT,BILL KNIGHT ELECTRIC LLC 172- CANAL BOULEVARD PONTE VEDRA FL 32082 (904) 273-6969 ----------------------------------- --------- -------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 103 . 40 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 103 . 40 103 . 40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 103 . 40 103 . 40 . 00 . 00 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PE T SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICLkL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION 9 Z/ Date: Property Addres's'. 3o s A4 Owner: Telephone Contractor: Lm(kr u,,_,7CWL ELC— Telephone#: Contractor Address: 172 04� PW_ Fax#.- In cortsideration of pemt givcn fix doing the work as described in the above statement, we hercky agree to pertbrm wd work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of&(nd pract tice listed therein. a Building Type. a Trailer ";erXw* e, I If other consluctm is New C) Reside;ce L3 Temp. W, xj ew bein&done an this building Or site,list the budding Old 0 Commercial &a Signs a Increase Pemit number. U Re-wire u Addition Sq. ft. 0 Repair =Conductor Size: ANVS: COPPER ALUMINUM Switch or 4�V RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO, SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN W40 AMPIR 11 IQQ AMPS, Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.R.ATING R.P.RATING CEILING KW-HEAT Conditioning COMP, MOTOR OTHER MOTORS AMPS HEAT ",loters 0-1 H,P, _�_VOLTAGE I NO. OVER I H.P. PHS, I OVER600V Transformers NO. KVA NO. KVA No.Neon TransFj Ea.—Sign Miscellaneous $00 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- bttp://www.cLstiantic-beach.fLus