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469 11th St verizon antenna 2014 �s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 r f; Application Number . . . 14-00000184 Date 3/18/14 Property Address . . . . . . 469 11TH ST WP #1 Application type description COMMERCIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8500 ------------------------------------------------------- Application desc MODIFY EXISTING GRND EQUIP/ANTENNAS FOR VERIZON ------------------------------------------------------ Owner Contractor ------------------------ ------------------------ CITY OF ATLANTIC BEACH BETACOM INC-RONALD C MOONEY 800 SEMINOLE RD 12802 TAMPA OAKS BLVD STE 155 ATLANTIC BEACH FL 32233 TAMPA FL 33637 --- Structure Information 000 000 VERIZON ANTENNAS Occupancy Type . . . . . . BUSINESS --------------------------------------------------- Permit . . . . . . COMMERCIAL ALTERATION/OTHER Additional desc . . Permit Fee . . . . . 00 Plan Check Fee 00 Issue Date . . . . 3/18/14 Valuation . . . . 8500 Expiration Date . . 9/14/14 ------------------------------------------------ Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Avoid damage to underground utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. Coordinate with Public Utilities for contractor access and hours . Contact Harry McNally at 904-401-8108 or Shelton Flowers at 904-588-4504 . --------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 FILE COPY PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. FORESITE 10150 Highland Manor Drive,Suite 210 Tampa,Florida 33610 01813.549.3250 If 1813.621.3580 w f www.fg-inc.net April 3, 2013 Ms.Jan Lopilato Verizon Wireless 14055 Riveredge Drive, Suite 600 Tampa, FL 33637 RE: Structural opinion letter of existing water tower antenna mounts Verizon Wireless site name/number: Mayport Road Water Tower/4100402 469 11th St. Atlantic Beach, FL 32232 Foresite Group project number: 380.005 Dear Jan: Foresite Group, Inc has performed a structural review of the existing mounts at the referenced site and determined the existing mounts and the supporting structural members meet the requirements of the design criteria for the proposed Verizon Wireless design loading listed below. The existing antenna configuration consists of a total of nine (9) antennas (three (3) CSS X7-FRO-660-4 antennas (to remain), and six (6) CSA PCSA065-19-2 antennas (to be removed)). The final antenna configuration consists of a total of nine (9) antennas (three (3) existing CSS X7-FRO-660-4 antennas, and six (6) proposed CSS AXP19-60-2 antennas).The surface area and weight of each of the six (6) proposed antennas are less than that of each existing antenna which is being replaced.The proposed antennas will be mounted as shown on the Construction Drawings prepared by Foresite Group. The structural capacity of the mounts for the existing antennas which will remain was not evaluated. This structural evaluation is based on review of information gathered from existing tower mappings, structural analysis and photos provided by others. Contractor is to advise engineer of any existing deficiencies including, but not limited to tilting or twisting of existing antenna mount supports, deflection of existing water tower handrail or shell, or corrosion of existing members. NN Sincerely, \�� CEAf,9 FORESITE GROUP, INC. * No. 57905 Adrian Rozen, P.E.#57905 : a STATE OF � Q� Q �lV /ao Al NAL Mill City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 1 q r� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 40 ( Department review required Yes No Building Applicant: �� Planning &Zoning Tree Administrator Project: rn 1 fL4 Q r rN6 -'E' 5nU orks W ` Pubic is i i ies Y Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or ReceiptDate of Permit Verified By Florida Dept. of Environmental Protection 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 Reviewing Department First Review: XApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: --1 —1 TRE DMIN. Second Review: ❑Approved as revised. []Denied. WORKS Comments: I UTILI IES PUBLIC SAFET Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied. Comments: Reviewed by: Date: Revised 05/14/09 __�F- /1 t' I (00%J0 . BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 y/��, Job Address: 469 11 Street,Atlantic Beach,FL,32233 Permit Number: 4— V Legal Description 17-2S-29E 1.791 PT GOVT LOT 5 RECD DBK 1761-10''arcel# 172026-0000 8500.00 Floor Area o q. t. Sq.Ft , Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial. Residential B an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: To modify existing ground equipment&antennas for Verizon Site#100402 Property Owner Information: Name:Verizon Wireless _ Address:14055 Riveredge Drive,Suite 600 City Tampa State FL Zip 33637 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Betacom Inc. Qualifying Agent: Ronald Mooney Address: 4331 F Fowler Av-n i- CityThonotosassa State FL Zip 33592 Office Phone986 4929 Fxt•3n Job Site/Contact Number (954)991 4749 Fax#(813)982.0882 State Certificatt�egistration# MC1515461 Architect Name&Phone# Hugh n Reilly /8131549 3950 Engineer's Name&Phone# Fee Simple Title Holder Name and Address N/A Bonding Company Name and Address N/A Mortgage Lender Name and Address N/A Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance o a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void iijZk is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, ells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. 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 YOUR NOTICE OF COMMENCEMENT. I hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type ojywork will be complied with whether speci�d herein or not. The graming of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state,or local llaaw regula'S t is the performance of construction. Signature of Own Signature of Contractor �`�u�✓� Print Name ,SL�'1._Y1..-_ l~��.:.�........_..........._....._._..................... Print Name i�(> .t .14. _....... ..C _� ... ... . ._..._.._._._.. Swo and subscribe-ibefore me I Swop;ynd subscribed before me this )Day of 20 `"1 thisl, 1=i�May of_, 011 .20 l_x A n o o E1� L Notary Public Notary Public Revised 01.26.10 DIANE K.BRACE tie MY COMMISSION#FF060744 DIANE BRACE MY COMMISSION 744 EXPIRES:OCT 07,2017 07,201 :° " Bonded throupn I st Slate insVar,ee EXPIRES:OCT 07,2017 Bonded through 1st State Insurance 00402 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach,FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 .TOB ADDRESS: 469 11 Street,Atlantic Beach, FL, 32233 PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ 8,500.00 NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole []Residential(Main)Service ❑ 0100 amps ❑ 101-150amps ❑ 151-200amps ❑ amps #of Meters X Commercial(Main)Service ❑ 0100 amps ❑ 101,150amps ❑ 151-200amps ❑ amps ❑ CT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑ 0100 amps ❑ 101-150amps ❑ 151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑ 100 amps ❑ 150amps ❑ 200amps ❑ amps ❑ CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: #circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 0 Swimming Pool ❑ Sign ❑,Smoke Detectors_Qty ❑ Transformers KVA ❑ Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑ Replace Bumt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG ❑ Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. (954)993.4742 Property Owners Name Verizon Wireless Phone Number Electrical Company Betacom Inc. Office Phone (813)986.4922 #3Q ax (813)982.0882 t, Co.Address: 9331 East Fowler Avenue CiThonotosassa State rFL Zip 33592 License Holder(Print): Ronald Mooney State Certification/Registration# ECA0022222 Notarized Signature of License Holder DIANE K.BRACE Sworn and subscribed befo me this�_day of aa-An 20]_q MY COMMISSION*ITW744 E)RRES:OCT 07.2017 Signature of Notary Public_, P 1 a^0� Bonded through 1st state Insurance i arc 1 ul G CITY OF ATLANTIC BEACH` Primary Site Address Official Record Book/Page Tile# 800 SEMINOLE RD 469 11TH ST 06444-01268 9417 ATLANTIC BEACH, FL 32233-5444 Atlantic Beach FL 32233 469 11TH ST Property Detail Value Summary RE# 172026-0000 2013 Certified 2014 In Progress Tax District USD3 Value Method CAMA CAMA Property Use 8900 MUNICIPAL Total Building Value $228,928.00 $223,294.00 #of Buildings 2 Extra Feature Value $12,724.00 $12,724.00 Legal Desc. Land Value(Market) $185,605.00 $185,605.00 Subdivision 00000 SECTION LAND Land Value(Aeric.) $0.00 q$421,623.00 Total Area 82171 3ust(Market)Value $427,257.00 The sale of this property may result in higher property taxes.For more information go _ Assessed Value $427,257.00 to Save Our Homes and our Property Tax Estimator.Property values,exemptions and Cap Diff/Portability Amt $0.00/$0.00 other information listed as'In Progress'are subject to change.These numbers are Exemptions $427,257.00 part of the 2014 working tax roll and will not be certified until October.Learn how the Property Appraisers Office values orooerty. Taxable Value $0.00 Taxable Values and Exemptions—In Prgqrgfi If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value Assessed Value $421 623.00 Assessed Value $421,623.00 Assessed Value ................................................................................................. ........................................................................................................ $421 623.00 City of Atlantic Beach(917) -$42p,6g3 00 City of Atlantic Beach(917) $421 623;00. City of Atlantic Beach(917) #21,6 300 ........................................ ......... ....................................................... Taxable Value $0.00 Taxable Value $0.00 Taxable Value $0.00 Sales Book/Page Sale Date Sale Price Deed Instrument Type Code Qualified/Unqualified Vacant/Improved 06444-01268 10/9/1987 $14,800.00 WD-Warranty Deed Unqualified Vacant 00382-00017 10/25/1957 $66.00 MS-Miscellaneous Unqualified Improved 00382-00019 10/25/1957 $0.00 RW-Right of Way Unqualified Improved 01761-00104 7/7/1955 $18,333.00 WD-Warranty Deed Unqualified Vacant Extra Features* LN EeAtuWSAde Feature Description f Bldg. I Length Width Total Units Value -- - _ _ 1 PVAC1 Paving Asphalt 1 0 0 4,751.00 $3,005.00 2 PVCCI Paving Concrete 1 0 0 3,010.00 $3,251.00 3 FWDC1 Fence Wood 1 0 0 1,025.00 $3,178.00 4 LPMC1 Light Pole Metal 1 0 0 6.00 $1,928.00 5 LITC1 Lighting Fixtures 1 0 0 6.00 $1,081.00 6 WMCC1 Wall Masonry/Concrt 1 0 0 40.00 $57.00 7 FCBC1 Fence Chain Barbed 1 0 0 60.00 $224.00 Land&Legal" Land Legal LN Q& Use Description Zonim Front Depth category Lands Land TvoeT c Value Land LN Legal Description 1 17-2S-29E 1.791 RES LD 3-7 UNITS PER Front 1 0100 AC APUD 200.0 340.00 Common 200.00 Footage $184,800.00 2 PT GOVT LOT 5 RECD DBK 1761- 104, 2 9606 EXCESS LAND APUD 0.00 0.00 I Common 0.23 Acreage $805.00 I 3 O/R 6444-1268 Buildings'r Building 1 Building 1 Site Address Element I Code Detail 469 11TH ST Atlantic Beach FL 32233 Exterior Wall 17 17 C.B.Stucco Roofing Structure 9 9 Rigid Fr/Barjoist Building Type 8901-MUNICIPAL BLDG Roofing Cover 4 4 Built Up or T&G Year Built 1992 Interior Wall 1 1 Masonry/Minimum Building Value $201,690.00 Int Flooring 3 3 Concrete Finished http://apps.coj.net/pao_propertySearchBasic/Detail.aspx?RE=1720260000 1/23/2014 Heating Fuel 1 1 None Tvoe Gross Healed Effective Heating Type 1 1 None Area Area Area Can opy-py 840 0 210--- ---- Air Conditioning 1 1 None CanCeiling Wall Finish 4 4 NS Ceil Min Wall Base Area 1739 1739 1739 ( Comm Htg&AC 5 5 Unknown FG(5) Good Office 596 596 685 I i Comm Frame 3 3 C-Masonry I o Fair Office 184 184 166 I I Total 3359 2519 2800 I Element` Code l Stories 1.000 Baths 9.000 Rooms/Units 4.000 Avg Story Height 10.000 Traversing Data CAN:8,4:=N4 E51 S77 W35 N48 E5 S14 S13 S17 E26 N30 N39 W47$BAS:55,4:=W47 W8 S25 E24 E5 S14 E16 E10 N39 $ G0F:29,56:=S17 E26 N30 W10 S7 W4 S6 W12$F0F:29,43:=S13 E12 N6 E4 N7 W16$ . Building 2 Building 2 Site Address Element Code Detail 469 11TH ST __._.- __.__._.- Atlantic Beach FL 32233- Exterior Wall 17 17 C.B.Stucco LJ Roofing Structure 4 4 Wood Truss Building Type 4803-WHSE STORAGE Roofing Cover 3 3 Asph/Comp Shingle I - Year Built 1992 Interior Wall 1 1 Masonry/Minimum I EAS LJ Building Value $21,604.00 Int Flooring 3 3 Concrete Finished Heating Fuel 1 1 None Type Gross Heated Effective Heating Type 1 1 None Area Area Area Air Conditioning 1 1 None Base Area 950 950 950 I Comm Htg&AC 0 0 None Unfin Det 49 0 29I Comm Frame 3 3 C-Masonry Utility Unfin Det 49 0 29 Utility Element I Code Total 1048 950 11008 I Baths 10.000 Stories 1.000 Rooms/Units 5.000 Avg Story Height 8.000 Restrooms 10.000 Traversing Data BAS:25,0:=W25 S38 E25 N38$UDU:39,20:=N7 W7 S7 E7$UDU:39,2:=W7 S7 E7 N7$ . 2013 Notice of Proposed Property Taxes(Truth in Millaae Notice) Property Record Card(PRC) The Property Appraiser's Office(PAO)provides historical property record cards(PRCs)online for 1995-2005.The PAO no longer maintains a certified PRC file due to changes in appraisal software;therefore,there are no PRCs available online from 2006 forward.You may print this page which provides the current property record.(Sections not needed can be minimized.)Torint the past-year cards below,set your browser's Page Set Up for printing to Landscape. 2005 2004 1 2003 2002 12001 1 2000 1 1999 1 1998 1 1997 1 1996 1 1995 More Information ontact Us I Parcel Tax Record ( GIS Mao I Map this property on Google Maps I City Fees Record http://apps.coj.net/pao_propertySearchBasic/Detail.aspx?RE=1720260000 1/23/2014 City of Atlantic Beach APPLICATION NUMBER Building Department RECEIVED (To be assigned by the Buildq Department.) 800 Seminole Road ` �-- ;� �r Atlantic Beach, Florida 32233-5445 II FEB 112014 1 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.usIBY: Date routed: City web-site: http://www.coab.us B— APPLICATION REVIEW AND TRACKING FORM Property Address: L 1 9 I ' 1 S�• Department review required Yes No j�p�—� Building Applicant: I�l�� Planning &Zoning _ Tree Administrator ffU Project: vi Public Works Public Utiliti Public Safety Fire Services Review fee $ Dept Signature/ Review or Receipt Date (�/� �'] Other Agency Review or Permit Required of Permit Verified B _`-1�"-I � q Z Florida Dept. of Environmental Protection 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: APP LICATION STATUS Reviewing Department First Review: ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Dater)/ (� TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied. Comments: Reviewed by: Date: Revised 05/14/09 PUBLIC WORKS PLAN REVIEW COMMENTS Y�-�i-i Date: Initials: PNS' � ML Project Name/Address : /� Application Permit#: / v Check Box Check Application Tracking Comments to Add Box to Comment "Print" IMPS Provide table of impervious surface calculations for entire lot (existing and post ❑ ❑ construction). Provide erosion and sediment control plans with installation details and maintenance ❑ ❑ ! ESCP schedule. DPLN Provide drainage plans showing site topography(flow arrows, etc.) ❑ ❑ RMRO All runoff must remain on-site. Cannot raise lot elevation without measures to retain ❑ ❑ runoff. CSMP Provide construction site management plan, including Right-of-Way Permit if using ❑ ❑ right-of-way for construction parking. TSUR Provide a pre-construction topographic survey prepared by a Florida Licensed Professional ❑ ❑ Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for LDCS increased run-off if adding 400 SF or more impervious surface. Provide Delta volume ❑ ❑ 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). All concrete driveway aprons must be 5" thick, 4000 psi, with fibermesh from edge of DAPR pavement to the property line. Reinforcing rods or mesh are not allowed in the right-of- ❑ ❑ way. (Commercial driveways—6" thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be URCT overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the ❑ ❑ plans. RWRS Full right-of-way restoration, including sod, is required. ❑ ❑ Roll off container company must be on City approved list and container cannot be placed on ROFF City right-of-way. (Approved: Advanced Disposal, Realco, Shappelle's and Waste ❑ ❑ Management). Full erosion control measures must be installed and approved prior to beginning any earth ECIN 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. ❑ ❑ BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 469 11 Street,Atlantic Beach,FL,32233 Permit Number: 14— I 64 Legal Description 17-2S-29E 1.791 PT GOVT LOT 5 RECD DBK 1761-10I)arcel# 172026-0000 _Ffoor Area o q. t. Sq.Ft Valuation of Work$ 8,500.00 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an eidsting structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: To modifyexisting ground equippment a antennas for Verizon Site#100402 Property Owner Information: Name:Verizon Wireless Address:14055 Riveredge Drive,Suite 600 City Tampa State FL Zip 33637 Phone E-Mail or Fax#(Optional) Contractor Information: t Beacom Inc. Qualifying Agent: Ronald Mooney Company Name: Q g Address: 9131 F Fowler Avenue CityThonntoeacea State FL Zip 33592 Office Phone Job Site/Contact Number (95 )993 4749 Fax#(813)982.0882 State Certificatio egistration# Architect Name&Phone# Hugh 0 Rainy-48!1)549 3950 Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address N/A Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the issuance o a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction.iLr This permit becomes null and void t work is not commenced within six(6)months,or if construction or work is sus WndAd Plt mbando nsr aWtAs Po Is Furnac s 8oiltrmonths at ytimes,Htatirs� work is commenced. l understand that separate permits must be secured for Eke g. 8 Tanks and Air Conditioners,etc. 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 BEFR ENTE RECORDING YOUR NOTICE OF I hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether speci ed rein or nott. t�gthemegofrniance oitcodnset> presume to give authority to violate or cancel the provisions of any other federal,state,or local law g S e01rTTdn eC P>f j Signature of Own Signature of Contractor Print Name ....._N. :,........_. Print Name .._rv^-...._ --- ......_..___._._._....._._. Swoand subscri before me , t Sw d subscribed before me 20 this Day of 20 `l this of 011 1 mm0 Notary Public Notary Public Revised 01.26.10 DIANE K.BRACE DIANE K.BRACE MY COMMISSION#FF060744 'N� My COMMISSION#Ff060744 EXPIRES:OCT 07,2017 EXPIRES:OCT 07,2017 " Bonded thtoupt{t51 State insurar:ee Bonded through 1st State Insurance ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach,FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 469 11 Street,Atlantic Beach, FL, 32233 PERMIT## JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ 8,500.00 NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole []Residential(Main)Service ❑ 4100 amps ❑ 101-150amps ❑ 151-200amps ❑ amps #of Meters X Commercial(Main)Service ❑ 4100 amps ❑ 101-150amps ❑ 151-200amps ❑ amps ❑ CT Service amps Conductor Type Size ❑Multi-Family(Main)Service 114100 amps ❑ 101-150amps ❑ 151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 11100 amps El150amps ❑ 200amps [Iamps ❑ CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS [I Swimming Pool Li Sign El Smoke Detectors_Qty 11 Transformers KVA ❑ Motors _hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS ❑ Replace Burnt/Damaged Meter Can ❑ Safety Inspection E Panel Change ❑ OH to UG ❑ Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. (954)993.4742 Property Owners Name Verizon Wireless Phone Number (813)986.4922 #3Q- (813)982.0882 Electrical Company Betacom Inc. Office Phone Fax Co. Address: 9331 East Fowler Avenue City Thonotosassa State FL Zip 33592 License Holder (Print): Ronald Mooney State Certification/Registration# ECA0022222 Notarized Signature of License Holder =Mrough BRACE Sworn and subscribed befo me this _day of rn 20 LA #tMW744T 07,zon Signature of Notary Publict state Insurance Property Appraiser- Property Details Page 1 of 2 + Primary Site Address Official Record Book/Page Tile# CITY OF ATLANTIC BEACH469 11TH ST 06444-01268 9417 800 SEMINOLE RD Atlantic Beach FL 32233 ATLANTIC BEACH, FL 32233-5444 469 11TH ST Property Detail Value Summary RE# 172026-0000 2013 2014 In Progress Value Method CAMA CAMA Tax Distrid USD3 - - — Property Use 8900 MUNICIPAL Total Building Value $228,928.00 $223,294.00 Extra Feature Value $12,724.00 $12,724.00 #of Buildings 2 — Land Value(Market) $185,605.00 $185,605.00 Legal Desc. Land Value(Aeric.) $0.00 $0.00 Subdivision 00000 SECTION LAND Total Area 82171 Just(Market)Value $427,257.00 $421,623.00 Assessed Value $427,257.00 $421,623.00 The sale of this property may result in higher property taxes.For more information go Diff/Portability Amt $0.00/$0.00 $0.00/;0.00 to Save Our Homes and our Property Tax Estimator.Property values,exemptions and P other information listed as'In Progress'are subject to change.These numbers are Exemptions $427,257.00 See below part of the 2014 working tax roll and will not be certified until October..-earn how the Taxable Value $0.00 See below Property Appraiser's Office values property. Taxable Values and Exemptions—In IldlgfBii If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value Assessed Value $421,623:00 Assessed Value .$421,623.00 Assessed Value........................... .$421,623.00 .... Ci of Atlantic Beach(917) 21 23 06, Gty of Atlantic Beach(917) $471,62;3,00. City of Atlantic Beach(917) ty....................................................................... . ........... .............. Taxable Value $0.00 Taxable Value $0.00 Taxable Value ;0.00 + Sales Book/Page Sale Date Sale Price Deed Instrument Type Code Oualified/Ungualified Vacant/Improved 06444-01268 10/9/1987 $14,800.00 WD-Warranty Deed Unqualified Vacant 00382-00017 10/25/1957 $66.00 MS-Miscellaneous Unqualified Improved 00382-00019 10/25/1957 $0.00 RW-Right of Way Unqualified Improved 01761-00104 7/7/1955 $18,333.00 WD-Warranty Deed Unqualified Vacant Extra Features LN Feature Code Feature Description Bldg. Length Width Total Units Value 1 PVAC1 Paving Asphalt 1 0 0 4,751.00 $3,005.00 2 PVCCI Paving Concrete 1 0 0 3,010.00 $3,251.00 3 FWDC1 Fence Wood 1 0 0 1,025.00 $3,178.00 4 LPMC1 Light Pole Metal 1 0 0 6.00 $1,928.00 5 LITC1 Lighting Fixtures 1 0 0 6.00 $1,081.00 6 WMCCl Wall Masonry/Concrt 1 0 0 40.00 $57.00 7 FCBC1 Fence Chain Barbed 1 0 0 60.00 $224.00 Land&Legal Land L al Land land Type Land LN Legal Description LN S� Use Description Zouinp Front Depth Category Units Value i17-2S-29E 1.791 1 0100 RES LD 3-7 UNITS PER APUD 200.010-00 340.00 Common 200.00 Footage Front $184,800.00 2 PT GOVT LOT 5 RECD DBK 1761- AC 104, 2 9606 EXCESS LAND APUD 0.00 Common 0.23 Acreage $805.00 I 3 O/R 6444-1268 Buildings Building 1 Building 1 Site Address Element Code Detail 469 11TH ST Atlantic Beach FL 32233 Exterior Wall 17 17 C.B.Stucco Roofing Structure 9 9 Rigid Fr/Barjoist Building Type 8901-MUNICIPAL BLDG Roofing Cover 4 4 Built Up or T&G Year Built 1992 Interior Wall 1 1 Masonry/Minimum Building Value $201,690.00 Int Flooring 3 3 Concrete Finished http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1720260000 1/23/2014 Property Appraiser- Property Details Page 2 of 2 Heating Fuel 1 1 None Tvce Gross Heated Effective Heating Type 1 1 None Area Area Area Air Conditioning 1 1 None I I eRs Canopy 840 0 210 Ceiling Wall Finish 4 4 NS Ceil Min Wall I L— e Base Area 1739 1739 1739 I Comm Htg&AC 5 5 Unknown FG(5) GoodIr 596 596 685 I Comm Frame 3 3 C-Masonry u j 0 Office soc Fair Office 184 184 166 I I Element Code Total 3359 2519 2800 Stories 1.000 Baths 9.000 Rooms/Units 4.000 Avg Story Height 10.000 Traversing Data CAN:8,4:=N4 E51 S77 W35 N48 E5 S14 S13 S17 E26 N30 N39 W47$BAS:55,4:=W47 W8 S25 E24 E5 S14 E16 E10 N39$ G0F:29,56:=S17 E26 N30 W10 S7 W4 S6 W12$FOF:29,43:=S13 E12 N6 E4 N7 W16$. Building 2 --- Building 2 Site Address i Element Code Detail --� 469 11TH ST LJ Atlantic Beach FL 32233- Exterior Wall 17 17 C.B.Stucco Roofing Structure 4 4 Wood Truss Building Type 4803-WHSE STORAGE Roofing Cover 3 3 Asph/Comp Shingle Year Built 1992 Interior Wall 1 1 Masonry/Minimum ens Building Value $21,604.00 Int Flooring 3 3 Concrete Finished Heating Fuel 1 1 None Tvoe Gross Heated Effective Heating Type 1 1 None Area Area Area Air Conditioning 1 1 None Base Area 950 950 950 Comm Htg&AC 0 0 None Unfin Det 49 0 29I Comm Frame 3 3 C-Masonry Utility Unfin Det 49 0 29I Element Code Utility Total 1048 950 1008 I Baths 0.000 Stories 1.000 Rooms/Units 5.000 Avg Story Height 8.000 Restrooms 0.000 Traversing Data BAS:25,0:=W25 S38 E25 N38$UDU:39,20:=N7 W7 S7 E7$UDU:39,2:=W7 S7 E7 N7$ . 2013 Notice of Proposed Property Taxes(Truth in Millaae Notice) Property Record Card(PRC) PRC file The Property Appraiser's Office(PAO)provides historical property record cards(PRCs)online for 1995-2005.The P�AO no lin certified t property e to changes in appraisal software;therefore,there are no PRCs available online from 2006 forward.You may p his page which providesthe record.(Sections not needed can be minimized.)Torint the past-year cards below,set your browser's Page Set Up for printing to Landscape. 20055 1 20041 2003 12002 12001 1 2000 1 19991199881 1997 11996 11995 More Information ontact Us I Parcel Tax Record 1IGS Mao I Map this property on G000le Maps I City Fees Record 1/23/2014 http://apps.coj.net/pao_propertySearchBasic/Detail.aspx?RE=1720260000 ; . ITER WTRFT_FSS SITE DEVFZ.OPMEN r SERVICES Transmittal To: Ms. Shirley Graham Building Permits Clerk City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, Florida, 32233 From: Steve Morin,Tower Quest(954)933-4742 Date: 2/4/2014 Re: 100402 Bp In Please find the attached permit documents for the City of Atlantic Beach 1. BP, EP 2. Property Card 3. 2-Sets of Structuals 4. 2-Sets of CD's(Drawings) If you have any questions, please contact Steve Morin at 954-993-4742 or Steve morin(a')towerquest.com. Address: 7750 Wiles Road,Coral Springs,FL 33067 Phone Number:(954)993-4742 10150 Highland Manor Drive,Suite 210 FORESITE Tampa,Florida 33610 01813.549.3250 f 1813.621.3580 w 1 www.fg-inc.net April 3, 2013 Ms. Jan Lopilato Verizon Wireless 14055 Riveredge Drive, Suite 600 Tampa, FL 33637 RE: Structural opinion letter of existing water tower antenna mounts Verizon Wireless site name/number: Mayport Road Water Tower/#100402 469 11th St. Atlantic Beach, FL 32232 Foresite Group project number: 380.005 Dear Jan: Foresite Group, Inc has performed a structural review of the existing mounts at the referenced site and determined the existing mounts and the supporting structural members meet the requirements of the design criteria for the proposed Verizon Wireless design loading listed below. The existing antenna configuration consists of a total of nine (9) antennas (three (3) CSS X7-FRO-660-4 antennas (to remain), and six (6) CSA PCSA065-19-2 antennas (to be removed)). The final antenna configuration consists of a total of nine (9) antennas (three (3) existing CSS X7-FRO-660-4 antennas, and six (6) proposed CSS AXP19-60-2 antennas).The surface area and weight of each of the six (6) proposed antennas are less than that of each existing antenna which is being replaced.The proposed antennas will be mounted as shown on the Construction Drawings prepared by Foresite Group. The structural capacity of the mounts for the existing antennas which will remain was not evaluated. This structural evaluation is based on review of information gathered from existing tower mappings, structural analysis and photos provided by others. Contractor is to advise engineer of any existing deficiencies including, but not limited to tilting or twisting of existing antenna mount supports, deflection of existing water tower handrail or shell, or corrosion of existing members. Sincerely, D FORESITE GROUP, INC. * No. 5750 Adrian Rozen, P.E.#57905-Lro STATE O a f -gyp �4[; /ao "'i✓O^ FCOR1cJP ��