2061 Beach Ave CO 2013 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 . . . . . . 6/25/13
Parcel umber . . . . . 169717-0000- -
Propert� Address . . . 2061 BEACH AVE
ATLANTIC BEACH FL 32233
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . . RES SF DISTRICT
Owner . . . . . . . . . SHAW RICHARD AND MIMI TRUST
Contrac�or . . . . . . SIGNATURE HOMES & DEVELOPMENT
904 759-9867
Application number 12-00000920 000 000
Description of Work SINGLE FAMILY RESIDENCE
Construction type . . . TYPE 5-B
Occupan y type . . . . RESIDENTIAL
Flood Z�ne . . . . . . ZONE X
q
Approve� . . . . . . . .)A
i Building-76'ffIcial
VOID UNLESS SIGNED BY BUILDING OFFICIAL
Walker, Jennifer
From: Carper, Rick
Sent: Tuesday, June 25, 2013 1:34 PIVI
To: Graham Shirley; Daniels, Freddie
Cc: Walker, Jennifer; Rex Williams (Signature); Nodine, Phil
Subject: RE: 2061 Beach Ave 12-920
As-built survey received, verified.
Freddie, ready for site inspection for CO.
Rick
Ricky L. Carper, P.E.
Public Works Director/City Engineer
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
rcarperCcD,coab.us
PH: (904) 247-5834
Fax: (904) 247-5843
From: Carper, Rick
Sent: Monday, June 24, 2013 3:47 PM
To: Graham Shirley; Rex Williams (Signature)
Cc: Walker, Jennifer; Daniels, Freddie; Nodine, Phil
Subject: RE: 2061 Beach Ave 12-920
Shirley, I spoke with Rex last week about survey which he said was on the way, but nothing seen yet. Has on-
site storage requirement so need survey before inspecting site.
Rick
Ricky L. Carper, P.E.
Public Works Director/City Engineer
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
rcarper(cD-coab.us
PH: (904)247-5834
Fax: (904) 247-5843
From: Graham Shirley
Sent: Monday, June 24, 2013 3:44 PM
To: Carper, Rick; Kaluzniak, Donna; Daniels, Freddie; Walker, Chris; Nodine, Phil
Cc: Walker, Jennifer; Jones, Mike; Hall, Erika; Clemons, Malcolm
Subject: 2061 Beach Ave 12-920
Rex Williams w/Signature Homes has requested a CO inspection for 2061 Beach Ave Tuesday 6/25 ...Rex can be reached
at 759 9860. Please email your approvals to us.
Thanks
SKYLee C_traham
Atlantic Beach City Hall
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015
SECTION A-PROPERTY INFORMATION FOWN PAN
��RANCE IbbMI Y USE
Al. Building Owner's Name RICHARD AND MIMI SHAW TRUST Polidy',NUmbe
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No.
2061 BEACH AVENUE
I",Fla
City ATLANTIC BEACH State FIL ZIP Code 32233
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
THE NORTH-HALF OF LOT 73 AND THE SOUTH-HALF LOT 74, NORTH ATLANTIC BEACH UNIT 3(PLAT BOOK 15, PAGE
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.30o 21'05.37"N Long.81 o 23'53.49"W Horizontal Datum: El NAD 1927 M NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1 Q
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of craWspace or enclosure(s) 538 sq ft a) Square footage of attached garage 609 sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? 0 Yes 0 No d) Engineered flood openings? El Yes E] No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Bl.NFIP ommunity Name&Community Number B2.County Name B3.State
ATLANT11 BEACH DUVAL I FIL
B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7. FIRM Panel 8.Flood B9.Base Flood Elevation(s)(Zone
12031CO409 H 6/3/2013 Effective/Revised Date Zone(s) AO,use base flood depth)
6/3/2013 X&AO 2'BFD
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
El FIS Profile Z FIRM El Community Determined El Other/Source:
Bl 1. Indicate elevation datum used for BFE in Item B9: [] NGVD 1929 0 NAVID 1988 Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area orOtherwise Protected Area(OPA)? El Yes 0 No
Designation Date: [__1 CBRS El OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: El Construction Drawings* El Building Under Construction* Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,Vl-V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO.Complete Items C2.a-h
below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters.
Benchmark Utilized: Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below. El NGVD 1929 0 NAVID 1988 11 Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 17.7 0 feet 0 meters
b)Top of the next higher floor 28.9 0 feet El meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. El feet El meters
d)Attached garage(top of slab) 17.2 0 feet El meters
e)Lowest elevation of machinery or equipment servicing the building 22.6 feet El meters
(Describe type of equipment and location in Comments)
0 Lowest adjacent(finished)grade next to building(LAG) 17.5 0 feet El meters
g)Highest adjacent(finished)grade next to building(HAG) 22.6 2 feet 0 meters
h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A. 0 feet El meters
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information./certify that the information on this Certificate represents my best efforts to interpret the data available.
understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a PLA(�,
Check here if attachments. licensed land surveyor? El Yes Z No S,E'A,�,
Certifier's Name DONN W.BOATWRIGHT,P.S.M. License Number LS 3295
Title PRESIJENT Company Name BOATWRIGHT LAND SURVEYORS,INC.
A
Address 1A RO T DRIVE City JACKSONVILLE BEACH State FL ZIP Code 32250
Signature Date 6/27/2013 Telephone 904-241-8550
PPKAA Pr)rm nAA_o_q*i t7/19� r,-N/Prza eirlp frir rnntini mfir)n Ponlnrpq qII nrPN/inimarlifinnc
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6.
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number:
2061 BEACH AVE
City ATLANTIC BEACH State FL ZIP Code 32233 Company NAIC Number�
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions
for Item A6. Identify all photographs with date taken-, "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side
View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
FRONT VIEW
REAR VIEW
4k'
FEMA Form 086-0-33(7/12) Replaces all previous editions.
Walker, Jennifer
From: Daniels, Freddie
Sent: Tuesday, July 16, 2013 11:02 AM
To: Graham Shirley
Cc: Walker, Jennifer; Carper, Rick; Nodine, Phil
Subject: 2061 Beach Av.
Shirley,
2061 Beach Av. Is good on Public Works end.
Thanks
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested:
Contractor Name:
sa�nh A nig TAX ?006
Permit #: 12 - 92-0 -
Property Address: 2-6 &1 '_B � acb Ayz,
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:
14 Single-Family Residence
F� Commercial
F-1 Other:
Lowest Floor Elevation:
Required As Built FFE
The following must he completed before issuing Certificate of Occupancy:
Department Date Notified Date Approved Approved By
Public Works .2
Public Utilities
A
Building
Planning
Tree Mitigation
Satisfied je__
Final Survey with FFE Yes No
All Re-Inspect Fees Paid .�Yes No
Termite Treatment w-Y�e s- No
Graham Shirley
From: Hall, Erika
Sent: Monday, June 24, 2013 3:56 PM
To: Graham Shirley
Subject: RE: 2061 Beach Ave 12-920
Required tree removal mitigation is fully met by on-site preservation of existing trees, and there are no open
planning/zoning issues, so all is OK with me.
Thanks,
Erika
From: Graham Shirley
Sent: Monday, June 24, 2013 3:44 PM
To: Carper, Rick; Kaluzniak, Donna; Daniels, Freddie; Walker, Chris; Nodine, Phil
Cc: Walker, Jennifer; Jones, Mike; Hall, Erika; Clemons, Malcolm
Subject: 2061 Beach Ave 12-920
Rex Williams w/Signature Homes has requested a CO inspection for 2061 Beach Ave Tuesday 6/25 ...Rex can be reached
at 759 9860. Please email your approvals to us.
Thanks
'S�trLeu <;raham
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, F1 32233
9042475800
sgraham@coab.us
Graham Shirley
From: Clemons, Malcolm
Sent: Wednesday, June 26, 2013 10:05 AM
To: Graham Shirley
Cc: Walker, Jennifer; Kaluzniak, Donna
Subject: RE: 2061 Beach Ave 12-920
Backflow Inspection CK. Malcolm
From: Graham Shirley
Sent: Monday, June 24, 2013 3:44 PM
To: Carper, Rick; Kaluzniak, Donna; Daniels, Freddie; Walker, Chris; Nodine, Phil
Cc: Walker, Jennifer; Jones, Mike; Hall, Erika; Clemons, Malcolm
Subject: 2061 Beach Ave 12-920
Rex Williams w/Signature Homes has requested a CO inspection for 2061 Beach Ave Tuesday 6/25 ...Rex can be reached
at 759 9860. Please email your approvals to us.
Thanks
sh�rl,eu (firaham
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, F1 32233
9042475800
sgraham@coab.us
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