296 Royal Palms Dr 2013 Pegola . I I ,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r !tit
Application Number . . . . . 13-00002613 Date 5/22/13
Property Address . . . . . . 296 ROYAL PALMS DR
Application type description COMMERCIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3500
----------------------------------------------------------------------------
Application desc
10 X 20 PEGOLA FOR PATIO (REVISED)
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
KLOTZ JEFFREY DAVID HOME REMEDIES OF JAX INC
P.O. BOX 330833 P 0 BOX 28272
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226
(904) 251-3717
--- Structure Information 000 000 PERGOLA OVER EXISTING SLAB
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit COMMERCIAL ALTERATION/OTHER
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 3500
Expiration Date . . 11/18/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
T2x10 BLOCK 24"LONG
NAIL TO JOIST w/(8)
NAIL 2x4 BRACE 0.131"x 3"GALV.
H1 C IP(SS) /--6x6 RS CEDAR
w/(4)12d HDG J* POST(TYP.)
ir -
EXISTING 2fl 0 Rll� CEDAR
STRUCTURE
TO REMAIN
ATTACH TO EXISTING---_
STRUCTURE ALONG THIS JOIS
GALV.LAG SCREWS @ 32"0.. b
2x8 .16" C.(IRS CEDA RAFTER ABOVE NOT
SHOWN FOR CLARITY
2).10 RE CEDA 1 '2
C? CONCEAL FLANGE
H1 CLIP(SS)
—2),—10—R--,� UE—DA HANGER w/7"FINISH
BLOCKING
2x8 16"O'.C.(IRS CED! @ 4-O.C. MAX
6x6 RS CEDAR POST
ON SIMPSON ABU66 POST
ANCHOR w/Y8"THREADED (2)2x10 PT
ROD,DRILL AND EPDXY MIN. 10" No.2 SYP
EMBED. IN EXISTING CONC.SLAB
AND(2)Y2"GALV.THRU BOLTS
INTO POSTS(TYPICAL) A
S-1
NAIL 2x4 BRACE— 10IR CEDAII\
w/(4) 12d HDG rI
-H1 CLIP(SS) 2x4 IRS CEDAR FLATWISE W/
,-2xlO BLOCK 24"LONG (2)12d HDG IL JOIS
NAIL TO JOIST w/(8)
City of Atlantic Beach 0.131 x 3"GALV.
Planning and Zoning Department
This approval verifies compliance with applicable FILE COPY
zoning, subdivision and other local land PERGOLA LAYOUT
development regulations, but does not constitute
approval for the issuance of permits. Compliance
with Florida Building Code and all other applicable
local, State and Federal permitting requirements FOR CODE COMPLUNCE
must be verified by signature of the City of Atlantic JCE
Beach Building Official prior to the issuance of a CM OF ATUNTIC BEACH
Building Permit. SEE PERMITS FOR ADDMONAL
Approved By:—1 9� REQUIREhWI*M AND CONDMONS.
@At r)ffl'eC1Qr.
Dat , REVIEWEDBY.-, 177
DATF—
DESIGN SPECIFICATIONS:
�2
Project has been designed in accordance with the 2010 Florida Building Code,
Residential,and the Florida Building Code, Existing Building(as applicable)-
DESIGN CRITERIA:
Wind Design Method ASCE 7-10
Basic Wind Speed: 130 mph �E
2
Building Risk Category: 11 5
LU
Wind Exposure: C(Enclosed Structure) Z
Building Classification: Residential
Building Type- Type V Construction UJ
Wind-Bome Debris: NOT located in the wind-borne debris region
0 _J
U) —
UJ >
Unless otherwise noted, project site considerations shall be the responsibility of the Fn W
UJI 2
owner and/or contractor. Examples of such items include,but shall not be limited to, < Z J
_J LU <
determination of grade elevations,drainage features, and special requirements 0 0�
0 LU
associated with FEMA flood hazard and/or DEP zones. ig W 2 <
LLI
0 0
= L)
aj Z
LU
Z-;7,
6
Z
4�
C)
0
Z LU
I J
0
(2)2x10 PT :31f ff(21 Y2,'H D G A M
'. 0�- !Z
15
No.2 SYP CARRIAGE BOLTS Z
INSERT BEAM 1 Y2"l
01
INTO POST 6x6 RS CEDAR ,%%%
..........
POST
-8
C.4
c)
CY)
G
"00
rA
Z
Z
Z
<
0
7
SCALE:
E Y4'=T-0'(U�OX)
DO NOT SCALE
THISDRAWING
RELEASE DATE:
05-01-13
REVISIONS
DRAWN BY-
CMF
CHECKED BY
JKH
SHEET:
S-1
APPLICATION NUMBER
City of Atlantic Beach
Building Department (To be assigned by the Building Department.)
800 Seminole Road 13-00002613
-5445
Atlantic Beach, Florida 32233
Phone(904) 247-5826 - Fax(904)247-5845 05/13/2013
E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 296 ROYAL PALMS DR Department review required Yes No
Building
Applicant: HOME REMEDIES OF JAX (KLOTZ-OWNER) Planning &Zoning X
Tree Adm i n i strator
Project: PERGOLA OVER EXISTING SLAB Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection N/A N/A
Florida Dept. of Transportation N/A N/A
St. Johns River Water Management District N/A N/A
Army Corps of Engineers N/A N/A
Division of Hotels and Restaurants N/A N/A
Division of Alcoholic Beverages and Tobacco N/A N/A
Other: N/A N/A N/A
APPLICATION STATUS
Reviewing Department First Review: E]Approved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ZApproved as revised. FIDenied.
PUBLIC WORKS Comments: DIMENSIONS OF PROPOSED PERGOLA REDUCED TO lo' DEPTH BY 20'WIDTH, IN ORDER TO MEET
REQUIRED FRONT SETBACK [(20' PER SECTION 24-111(f)(2)] WITH "OPEN PORCH" [48"
PUBLIC UTILITIES PROJECTION ALLOWED PER SECTION 24-83(b)].
PUBLIC SAFETY Reviewed by: ERo,11j, Pr�"ail Ka4u'AP�r Date: 05/14/2013
FIRE SERVICES Third Review: ElApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
RECEIVED 04/17/2013 U Ul L�
UILDyNG PERMIT APPLICATION
MAY 0 013
CITY OF A,fLANTIC ]GLACH
c Beach,FL 32233
n semunole Road,Atlanti
1� -ice (904)247 ax(904) 247-5845
-5826 F
ob Address: 'Off-$ permit Numbert
w! s—z 'Parcel#
Agal IDescription 32- -Ale- S4 q. t
p loor Area 01. q� 6or"Ff e
Taluation of Work S a E46 02- Proposed Work heated/ ooled- jion-heated/cooled--4t-6
:lass of Work(circle one): New Alteration p
,6pair Move Demolition pool/spa window/door
Residential
ise of existing/pro osed.structure(s)(circle one);. Irel 'on 0
[f an existing struer, nst(a� e�- e): Yes N N/A
ure,is a fire spri kler system i
'jorida Produ t Aspro�val 4
c 14
Ar multiple pro Ucts use produtt approval form
-2,n.1j. A
oescribe in detail the tvpe of work to be performed,
ProliertLowner Information-,
Address
StateA7-Zip_&2,L33__Fhone
city--'*612-Xh4
11-Mail or Fax#(Optional)
contractor Tnformation, Quali: nt:
�y Name: S.Age
state -7ip
compar,
Address: city
f 23 g�Fax 9
Job Site/Contact Number q;d -_ - -So�Y-
Office Phone %:X-Yf AV--M7 --41
State Qertification/Registration
Architect Name&Phone 4
r.ngincer's Name&Phone 3—
Fee Simple Title Holder Name and Address
Bonding CoTnpany Name and Address--:�04
Mvitgago Londcr Name and Address
ior to the
Application is hereby made to obtain a permit to do the work and installatiom as indicated I certify that no work or installation has commencedpr
ofaparmit'and thar till w6rk will be pgr pling coristnxffon in thisjurisdiction, This permit becomes null
.formed to rneet the standards ofall laws resul
61work is not commenced within six(6)months, or V construction or work is suspended ur abarldonadfir a 6�rzod qfq-Lxfi�,)nw7ithr at on))tf—llftrr
-work is commenced I understand that separate permits must be securedfor Electrical'Work,Plumbing,sijns' wel ss pools, 4urnacm Boilers,HeWers.,
Tanks and Air Conditionerst etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RE, SULT IN YOUR PAYING TWICE FOR IMPROVE
,MENTS
TO YOUR PROPERTY. IF YOU INTL,ND TO OBTAIN FINANCUiG CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU�NOTICE OF
COMMENCEMENT.
-ons of laws and ordinances governin this
I hemby cert6 that I luve read and examined this? c"1191
glication and know the same to be true and correct. Allproldsi
f a permit does not presume to uthority to-Wolate or the
kvpe �rk will be complied with whether spec'ied herein or not. The granting o
prm,=ofany o0mrftderal,stale,or local low regulating cunstruviion op-aic pc!�formancc ofoon"7truction.
Signature of Owner Signature of Co aQtQ
2 '2 1
Print Name Print Name gnt. ............
-- ----........
................ ........................
............................—........................ ............
Before ine
Before me 20
tbis aA Day of F\-V*, 20 tbis/!�—13ay of
NoTary Pu io '794
'14 -------
'Iry P
My COMMISSION#DD884
Wary u
ANNA AUFDENKAMPE
My COMMISSION#EE 869976
--Az� EXPIRES:January 30,2017
Bonded Thru Nalary Public Underwrilers
MAY-3-2013 14:01 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
XOTICE OF COMMENcEMENT
GIRPIPARC1N PUPLIWL)
Tax F.ObG No- V7 7 1513-�LC)CLO
Pium No, rounty
State f
To Whom it MAY':'Mcetn: Dr -al property,ants in
%will be ffmdo to cemin m
Tile urwetsigned tiefeloy inform ym trilt improvenle jr tat,,d iTi this NOTM OF
,',,,jdanop with 51�ction 713 of the FiOrida www's,Mo fo�Ovvjnq Inform2flOn
CQMMENCEMENT.
ved: Y Fer_ftr
I.Lbqst deWiPtiOn Of P roperty beinK9 iMPM
Address of wuPt!VY bcIng ittlpraved:
at. r.nmt
C or,At ra Lt:..or. 0�
(oensral deacrlp�on of impMVem9M3:-
Owner_ 7i�tf Klot:� 322a3
P,O. B05C 330134�
P.Oar"5 le Title ho�,dar
owner'i;interwrt in 5��of ft ImPfOvemOM FEQ S:L .7
Fee Simple Thleholder(if ather than owner)
Neme
Addrr,ms 'JACKBOW. ILLE TNCI
Contramor H M=Ins OF
.... .. nVTI,�Ft JACKSONVILLE, FLCPT.IDA
Add*%s
PhoroHo 9 4- 1-3 17 FqxN0. 904-2 5_1-_S 3 G
urn"(it any)
Addre-is- mount d bond
Fax No.
Phone No.
�meM
_�a pamon makln- .'a loa-n'f�f 1�e const.rJalion of the impfuvL
S-f 11Y�
Narne
Address
Phorte No. FOX No___
Narne Of PA-180n Withi-I the 3',Qieof Molda,,11berthan himseW,d4&Sign8tLbd by twnet uPOn"OM notices or oj�ar
ilcy-'Wients May be wvm:
Narm 7q/A
Addrorm
phorm No, -Fox No_
in addtOn to himself,Ownaf designates 1hp followilig pvfSon 10 reoei,4*a copy of the Lisn0i",;NcKice as pTovided in
Sedior 713.06(2)(b),FloTi&j St2ttAFn'4-(Fin in at Owneft oo.'on).
NF3mo
Address
Phone!No. Pax No.
Expiration date Of NgliiCa of CgMmencement(the expiration diatO is OnO(1)year from the date-of rewtding'Aless a
dftro&dM4 ic epeciftd)!
ER
THIS SPACE FOR RECORIDER'S USE ONLY DATF
�rL
true und=Cur3tc
OR BK 16,364 PaSe
2o 131 A i
r�,nAxfly Kno�
.nbL_
page 113 at()2.35 PM.OUV_�()kjVAL
C 12C
'r_U�T G
CL CIF MY COMMMION f,EE 951KC16
F1--e
EXPIRES'J Ma 30,=7
�.F
MW
-N
City of Atlantic Beach g lEgg.0.
r 14
g'p
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-584�
Ng WNzp-i
E-mail: buildihg-dept@coab.us
Cityweb-site: http://www.coab.us
APPLICATION REVIEW AN11D TRACKING FORM
Property Address: ent review required Yes No
BuildLing
I Wa-nn=ing&Zonin_c3> I
Applicant:
Tree Administrator
Project: '2 Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Tr�nsportafion
St Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing'Department First Review: []Approved. [E(Denled.
(Circle one.) Comments: S�; 6?c
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ElApproved as revised. DDen!4/
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F�Approved as revised. ElDenied.
Comments:
Reviewed by:_ Date:
Revised 07127110
MAP SHOWING SURVEY OF
VREV E Y� 296 ROYAL PALMS DRIVE
01-04-2005
NOTES:
IPF= IRON PIN FOUND NO #
COMPLETE IPS= IRON PIN SET (#5080)
NOT FULL AND CENTER LINE
WITHOUT ATTACHED PROPERTY LINE
LEGAL DESCRIPTION pOB = POINT OF BEGINNING
pOC = POINT OF COMMENCE
LOT 1 m = MEASURED
N851,37'35'W 80.30' IPF/POC N07#16,02W
N85*371271W (PLAT) IPF/POB -.
IPS., 07*16'02'
2A IPF 7,19'
48
;L(4'-0
56,r
m x WATEA 0.4
ER
Tn
I STORY BRICK h
C)
ro CD
E
69.3* u
A/C
r;
N 9 1813 WE "*A
147,68' IPS
IPS
PHOTO Copm is rORlMDEN
THE SURVEY DEPICTED HERE IS COVERED BY ESSIONNAL LIABILITY INSURANCE NO UNDERGROUND IMPROVEMENTS LOCATED
• THIS IS TO CERTIFY THAT A SURVEY WAS PERFORMED ON THE PROPERTY UNLESS SHOWN. NO TITLE SEARCH By THE
DESCRIBED HEREON UNDER My RESPONSIBLE ClHARGE AND THAT SAID TYPE or SURVEY, pEcORD/AS-BUILT SURVEYOR 13R FURNISHED TO THE SURVEYOR
SURVEY is DEPICTED WJtECK THIS SURVEY WAS PREPARED FOR THE By CLIENT OR OTHERS. LEGAL DESCRIPTION
ExPLICIT pLWOSE or OBTAINING A MORTGAGE AND/OR TITLE P13LICY AS rLwasHo BY THE CLIENT [It OTHERS,
THEREON.UNLESS STATED OTHERWISE HEREOk IvEKENTS FOR REFERENCE ONLY, DISCREPANCIES BETWEEN PROPERTY LINES
SayCH of SURVEY SHOWS THE CONSTRUCTED IMPRI UNLESS SEALED WITH OF ADJOINING PARCELS NOT VERIFIED
THIS SOLELY UPON THE EXISTING SURVEY IS NOT VALID
T WERE LOCATED. THIS SURVEY IS USED SURVEYORS EMIDOSSED SEAL AND SIGNED IN UNLESS NOTED HEROM
BEARINGS ARE BASED ON ASSUMED DATUM
M#gNyATION As SHOWN HERECK RED INK. UNLESS PLAT BEARINGS ARE INDICATED ON
• THIS SURVEY DOES NO REFLECT OR DETERMINE OWNERSHIP. HAP.
• THIS SURVEY is VALID IN ACCORDANCE WITH r.s. 627,794a, FOR A PERIOD CERTIFIED TO,
or go DAYS FROM THE LATE OF CERTIFICATION` JEFF' 2 KEBBERLY KLOTZ
THIS SURVEY IS 1,MT AN '4.70,/ACSM LAND TITLE SURVEY-
SUJ;�N-,q ,HE NgtES WD "'TA m DNS WJZEDK
p
DATE,__9j:jj.:2005
-Z7 vPNOTOCOPyzAc FORBIDDEN
G&i�L i�50
REVIS E.
COASTAL SUFR_ -Yll G, INC. JIM J, ALGER JEF I KEBBERLY KLOTZ, LLC
— N 7"MM
VE 2% ROYAL PALMS DRIVE
I KAVERrMruWaD III �Rs YO 32233
2 PRDFEjSW�pLX iVEYOR ATLANTIC BEACH, FLORIDA
JAC SONVILLE, FL 9 i
I TEL- 904-514-10% FAk 904-241-2029
PHONE,(904) 731-rj346 FAXA c904) 7151-3107
PECEIVED 04/17/20137' 0 9 � � 0 T M
BUILDTNG PERMIT APPLICATION MAY 0 013
CITY OF A MANTIC 13LACH
800 SCM1.1001c Road, Atlantic Beach,Fl� 32233
office (994) 247-J'826 r-ax(904) 247-5V5
obAddress, Aus Permit Number:
tin, Parcel
q�
legal Description
q. q,
oor ea ot. q. t. 6 �A
,Iraluation of Work S 3,:P6 Proposed Work heated/cooled n6n-heatedlcooled Aj�
-lass of Work(circle one): New Alteration Repair Move Demolition pool/spa -window/door
ise of existing/pro posed structure(s) (circle oue)-. Residential
'f an existing structure,is a fire spri kler-t�ystem instqa we ��rlcRcone): yes No N/A
'Pr' "
�Iorida Product AQproval 4— )W-
For multiple products use prodRA approval lorm
)es,crihe in detail the type of work-to be performed: 1!6-1
JF ogee-A
Propert
y Owner information:
_So U3 &Aq,0'
k16
Name:-Si-Pj �f� Statege Lj p Address:
city Az-jt;
E,Mail or rax4(Optional)
Contractor Triformation: -J- Qualjifyi�ng.Agent:
Company Nam gent�
X/
statp,
ty
V Fax
Office Pbone %:�,y 90 Y-
f Job Site/Contact Number
State(�,ertffication/Regjstration 4—C7
Architect Name&Phone 4
'Prigincer's Name&Phone 4
Fee Simple Title Holder Name and.Addressji !!''t
Bonding Company Name and Address______,!�jf
Muitp�agr.Lcmder Name and Address
,4pplication is ftere�v made to obtain a permit to do the work and installatiom as indicated. I curttfy that no work or installation/I&q commencedprior to the
iscua?7ce of a rar?"it'and rhif all work will be,Tformed to meet the standards ofall laws regulaiing construetion''nthisjurisdiction. nis permit becomes indi
and vold�rwork is not commenced withinsix(6)months, or V conitruction or work is suWendud ur obandone.,�for a ad OfAvA,)mondu at or))HmP qftrr
work is commenced I understand that separate permits must he securedfor Electrical—11,ork Flumbing,Signs, Weenri,Pook, urnaces,Boilers,Healers,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT�vLAX RE, SULT IN YOUR PAYJNG TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCTNG, CONSULT WITH
YOUR LENIDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
lhore, certify that I iwve read and examined this application and know the same to be true and correct. 411prollfsions of laws pnd ordinances gow.rnigg this
to give utnority to violate or
"y
P,9��ork will be complied with whether specified herein or not, The granting of a permit does not presume
pi-cmisions qf any otherftderal,staYe,or local law regu(artng cunytru0ion o?-tire pe�formancc ofoonRtructio",
Signature of Owner Signature Of C�21raeto
PrintNari a" .......... ......................—.......................
.. ........
Print Name ...........
.............................. ...................... .......................111-..........
Before me Before ine
tini's jjq-Day of 2o this/0—Day of 20/
Notary Pub ic
Noirar�PubLO-1 my CoMmissioN DC)884-194
ANNA AILIFIDENKAMPE W2613 2
MY COMMISSION#EE 869976
:-.M"
EXPIRES:January 30,2017 41"
Bonded Thru Notary Public Underwriters
DATE: 5/06/13 PLAN REVIEW CORRECTIONS REPORT PAGE
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
------------------------------------------------------------------------------
APPLICATION NBR . . : 13-00002613
ADDRESS . . . . . . : 296 ROYAL PALMS DR
APPLICATION DATE 5/03/13
APPLICATION TYPE COMMERCIAL OTHER
------------------------------------------------------------------------------
OWNER . . . . . . . : KLOTZ JEFFREY DAVID
P.O. BOX 330833
ATLANTIC BEACH FL 32233
CONTRACTOR . . . . . : HOME REMEDIES OF JAX INC
P 0 BOX 28272
JACKSONVILLE FL 32226
------------------------------------------------------------------------------
AGENCY NAME: PLANNING & ZONING
DATE ACTION ACTION BY
------------------------------------------------------------------------------
5/06/13 DISSAPPROVED - 1ST REVIEW ERIKA HALL
ACCORDING TO SURVEY ON FILE DATED 01-04-2005 (ATTACHED) ,
THE FRONT SETBACK IS 27 .2 ' FROM THE NE CORNER OF THE
EXISTING BUILDING. PER SECTION 24-111 (f) (2) , THE MINIMUM
REQUIRED FRONT YARD IS 20 ' . PER SECTION 24-83 (b) , OPEN
PORCHES MAY PROJECT A DISTANCE NOT TO EXCEED FORTY-EIGHT
(48) INCHES INTO REQUIRED FRONT YARDS. PLEASE REVISE PLAN
SUCH THAT DEPTH OF PROPOSED PERGOLA DOES NOT EXCEED 11 .21 ,
AND THEREFORE DOES NOT EXCEED THE ALLOWANCES OF SECTION
24-83 (b) NOTED ABOVE.
M
City of Atlantic Beach
Building Department
-V
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 1%3P
E-mail: builcring-dept@coab.us
City wel>-site: hftp://vAw.coab.us
APPLICATION REVIEW AN TRACKING FORM
Property Address: ent review in Dquired Yes No
u IdirW--
il
anning&Zonin_i��
Applicant: 14;,4 Tree Adim—Inistrator
Project: 2,o y 2 o Tg'7' Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified gy
Florida Dept.of Environmental Protecdon
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Approved.
Reviewing Department First Review: El ODenied.
(Circle one.) Comments: Sct,- covrec oeeovt—
BUILDING
(��LANNIN�G&Z�ONING
Reviewed by: 24,4.2 atL".d Date:
TREE ADMIN. Second Review: F�Approved as revised. FIDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 07127110
H ULSBERG
r ) Ls — ENGINEERING
Residential and Commercial Structural Engineers
!EJUN 06
By
June 4, 2013
Duval County Building Department
Ed Ball Building
214 N. Hogan Street
Jacksonville, Florida 32202
Re: Royal Palm Village Wine
Permit No. 13-2613
To Whom It May Concern:
On the subject project,the contractor used(2)LTS12 straps at the rafters in lieu of the Hl clips
noted on the plans. This is an acceptable change.
If stions,please feel free to contact me.
que
Z Ois�501
rel
z12 ��F[FILE COPY
S- -P IATE
1111JI,
11481 Old St.Augustine Rd.,Suite 202,Jacksonville,Florida 32258
Phone(904)886-2401,Fax(904)260-4367,FL CA No. 25846