630 & 640 Orchid sfr miscl Beaches
Habitat for Humanitya
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April 18, 2013
Ms Donna Kalumiak
Public Utilities Director
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
Dear Ms Kaluzniak,
I have submitted a building permit application for a house at 640 Orchid St. Beaches
Habitat will not be installing a fire sprinkler in this structure. In addition, we will not be
installing an irrigation system.
Please give me a call if you require any additional information.
Sincerely,
Paul Finley
Construction Manager
904.334.2278
797 Mayport Road,Atlantic Beach, Fl, 32233 * Office: (904) 241-1222 - Fax: (904) 241-4310
www.beacheshabitat.org
Date: 2, PUBLIC WORKS PLAN REVIEW COMMENTS Initials: PN
Project Name/Address: -ST Application Permit#:
Check Box Check
Application Tracking Comments to Add Box to
IMPS Provide table of impervious surface calculations for entire lot (existing and post Comment —"Print"
construction). 11 0
ESCP Provide erosion and sediment control plans with installation details and maintenance
schedule. 0 0
DPLN Provide drainage plans showing site topography(flow arrows,etc.) 0 0
CSMP Provide construction site management plan, including Right-of-Way Permit if using 0 0
right-of-way for construction parking.
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional 0 0
Land Surveyor,showing I'contours.
LDC5 Section 24-66(b)of the Land Development Regulations requires on-site storage for
increased run-off if adding 400 SF or more impervious surface. Provide Delta volume 0 1:1
calculations and on-site retention required per Section 24-66(b). (See attached information
sheet.)
PCTS if on-site storage is required,a post construction topographic survey documenting proper
construction will be required.
RWPM A Right-of-Way Permit must be obtained for use
REPM A Revocable Encroachment Permit must be obtained.
PLWP Pool—Wellpoint(if used)must discharge into vegetated area 10'minimum from street or
drainage feature(swale, structure or lagoon). 0 E3
DAPR All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of
pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of-
way. (Commercial driveways—6"thick). Ir
URCT Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be
overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the 0 0
plans.
RWRS Full right-of-way restoration, including sod, is required. 0 0
ROFF Roll off container company must be on City approved list and container cannot be placed on
City right-of-way. (Approved:Advanced Disposal, Realco,Shappelle's and Waste 9(
Management)
ECI N Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control
Inspection prior to start of construction.
MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed 0 0
construction. Call 247-5834 to make an appointment.
FTLT io,�_c-k,.— )-o L-e- c_o(�
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City of Atlantic Beach
Building Department C
800 Seminole Road
54
Atlantic Beach, Florida 32233-
Phone(9N)247-5826 - Fax(
E-mail: building-dept@coab.0
s
City web-site: http://www.coab
us
APPLICATION REVIEW AN 67`��CKING. FORM
Property Address: b4 &P.Aill D ent ——--N-o-]
review required Yes
Applicant: At&7-29-7— -PMMng&?opLQ
'T-ferAdministrator
Project: ME le u Ii
Public Safety
Fire Services
M
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept. of Environmental Protection of Permit Verified By
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.
#PPLICATION STATUS
Reviewing Department First Review: pproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by:
Date:
TREEADMIN.
Second Review: E]Approved as revised. F]Denied.
P Comments:
U I LIT I
PUB IC SAFE Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. ElDenied.
Comments:
Reviewed by:___ Date:
Revised 07127/10
CITY OF ATLANTIC BEACH
PUBLIC UTILITIES
1200 Sandpiper Lane
ATLANTIC BEACH,FL 32233
(%4)270-2535 or(%4)247-5874
NEW WATER/SEWER TAP REQUEST
Date:_J�—�'f*rqject Address: _1!�p t/0 go
No. of Units: Commercial Residential L��Multi-FantW_
New Water Tap(s) Meter Size(s)
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer
Nairne:
Applicant A ss:
City: Atlantic Beach State:
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#
Water System Development Charge $ 1 00
Sewer System Development Charge $4; 8,50.0t>
Water Meter Only $ ' I W.
Water Meter Tap $ (notes)
Sewer Tap $
Cross Connection $ _50. C)L
Other $
TOTAL $
A P P R 0 V E D:
(Utility Di;ector or A u#rized Sig—nature)
ALL TAP REQUEST MUST BEAPPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Initials:
/
Project Name/Address: (D Application Permit#:
Check Box Check
Application Tracking Comrnents to Add Box to
Comment "PrInt"
UWSU Avoid damage to underground water/sewer utilities. Verify vertical and horizontal
MBSC location of utilities. Hand dig if necessary. if field coordination is needed,call 247-5834.
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
RT1C A sewer cleanout must be installed at the property line. Cleanout must be covered with
an RT1 concrete box with metal lid. Cleanout to be set to grade and visible.
RPZB A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be tested
by a certified tester and a copy of the results sent to Public Utilities.
STRM Plans note the building will be unsprinkled. If plans change,any fire line installed must be
metered with a Sensus touch-read meter in a properly sized vault and an appropriate El 0
backflow preventer installed. Backflow preventer must be tested by a certified tester and
a copy of the results sent to Public Utilities.
FSBR if fire sprinkler system is provided,contact Malcolm Clemons at 247-5839 for backflow —
requirements. At a minimum, will require a double check backflow preventer. 11 0
FLM Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must 0 0
be installed in a vault as noted in JEA specifications.
0
0 0
0 0
0
0
0
0 0
El El
0 0
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: NPIte-A Permit Number:
Legal Description 4/,,,T- oor ea�o q t Parcel#
Valuation of Work$ 0 nsed
�"�Poro�onr �,,,k
non-heated/cooled
Class of Work(circle one): -6;) Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structureQ)(�ircle one): Commercial ae_s_ide_ntia_1`.,'
If an existing structure,is a fire sprialuer system installed?(Circle oneY.- N/A
Florida Product Approval A
For multiple products use product approval form
Describe in detail the type of work to be performed: 11aiLl) 6
Property Owner Information:
Name: Bel"- e_� d A�'r*T F-A Address: 16,71 F---.4kc�5 1ple, 197-ZAo�� pZ,
City 75eAdh --State F-/-ZiP 1��Phone_Mly gul t-22-2-
E-Mail or Fax#(Optional)
Contractor Information:
4�x'Z- Qualifying Agent:
Company Name:Bedd-e ///V b 7'
Address:_&z',*/ r-*_.4teZj 4,1e '---City 1;7-Ln*Ke 13,PA;.eh State ;_-4 zip.�.$_Z..?i
Office Phone ?Zj� z 7 -
x S-171 Job Site/Contact Number *V.1� Fax
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
a e eby baina e �do �wor,antd a,a as ind or installation has commencedprior to the
0 thisjurisdiction. This permit becomes null
' 'i
'ic is to 0 orm to_7 i;1'a r Fdrk aWeriod of sixj,6)months at any time after
e d
)_0,1 Or, c on
nc sLrp(6 c
r
be
A p 0 r P!
ance aper it d a, or'w
w t
m is
0
'sL I'd o'k co e ed hin
u
a d v w i 0
i must be u edfor ElectH
is rs t t, d1s,Pools, urnaces,Boileis,Heaters,
w , _ c d n�e �arare Per
T k 0�.e e u ta ha e
,nd "C', ihone
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOVk NOTICE OF
COMMENCEMENT.
1here certify that I have read and examined this lication and know the same to be true and correct. All provisions of laws and ordinances governing this
work will be co�np
typ e oll" _Ued with whether speci 71e9d herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state,or local law regulating construction or the peTyo�mance ofconstruction.
Signature of Owner Signature of Contractor
Print Name 10
��t
................................................................................................................ Print Name 10 67,es'7-A ic��All
**................
Sworn tQ and subscribed before me Sworn to and subscribed before me
this r 11#\Day of a -
20 this jj�E Day of 20
- - - - - - - - - - - -
1 0 J_Ale-
bt6t,,&y Public ai=�
NbtaDrPublic
Notary Public-State of Florida
N
My Comm.Expires Jun 10,2(113 y AF
,OF, Commission#DD 897794
49: Mof lorida
MY Comm.Expires Jun 10,2013
commission#DD 897794
Ramches
Habitat for Humanity@
April 18, 2013
Ms Donna Kaluzaiak
Public Utilities Director
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach,FL 32233
Dear Ms Kaluzniak,
I have submitted a building permit application for a house at 640 Orchid St. Beaches
Habitat will not be installing a fire sprinkler in this structure. In addition,we will not be
installing an irrigation system.
Please give me a call if you require any additional information.
Sincerely,
Paul Finley
Construction Manager
904.334.2278
797 Mayport Road,Atlantic Beach,FL 32233 0 Office: (904) 241-1222 Fax: (904) 241-4310
www.beacheshabitat.org
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PUBLIC WORKS PLAN REVIEW COMMENTS
Date: Initials: PN ML
Project Name/Address: 0_0 Application Permit#:
=CheckBox Check
Application Tracking Comments to Add Box to
I CM: t I
IMPS Provide table of impervious surface calculations for entire lot(existing and post Comment "Print"
construction). 0 0
ESCP Provide erosion and sediment control plans with installation details and maintenance
schedule. 0 0
DPLN —
Provide drainage plans showing site topography(flow arrows,etc.) 11 0
CSMP
Provide construction site management plan,including Right-of-Way Permit if using
right-of-way for construction parking. 13 13
TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional
Land Surveyor,showing V contours. 1:1 0
LDCS Section 24-66(b)of the Land Development Regulations requires on-site storage for
increased run-off if adding 400 SF or more impervious surface. Provide Delta volume 13 0
calculations and on-site retention required per Section 24-66(b). (See attached information
sheet.)
PCTS If on-site storage is required,a post construction topographic survey documenting proper
construction will be required. 0 0
RWPM A Right-of-Way Perpit musl bg!obtaiNd fof use 0 11
RPPFW 14-/ 'N U�k_
A _,"FoacIlMent rt:111rR-1 0
PLWP Pool—Wellpoint(if used)must discharge into vegetated area 10'minimum from street or 0 0
drainage feature(swale,structure or lagoon).
DAPR All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of
pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of-
way.(Commercial driveways—6"thick).
URCT Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be
overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the 0 11
plans.
RWRS Full right-of-way restoration, including sod,is required. 0 9(_
ROFF Roll off container company must be on City approved list and container cannot be placed on
City right-of-way. (Approved:Advanced Disposal, Realco,Shappelle's and Waste
Management)
ECIN Full erosion control measures must be installed and approved prior to beginning any earth
disturbing activities. Contact Public Works(247-5834)for Erosion and Sediment Control
Inspection prior to start of construction.
MEET Recommend Owner/Contractor meet with Public Works Director to discuss proposed
construction. Call 247-5834 to make an appointment.
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--- -------------------------------- SHEET
U- R-K
SITE DEVELOPMENT PLANS
FOR
Sff
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ORCHID STREET HOMES I
N.W. CORNER OF ORCHID STREET %w tea
AND WEST 6TH STREET
ATLANTIC BEACH, FLORIDA
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PREPARED FOR:
BEACHES HABITAT FOR HUMANITY
1671 FRANCIS AVENUE
ATLANTIC BEACH, FLORIDA 32233
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